Socio-culture and Health Problem Factors on Traditional Medicine Use among Indonesian Adult: A Cross-sectional Analysis from National Survey

Traditional medicines utilization has been significantly increased over the past years. Knowledge on traditional medicine use and its influencing socio-culture and health problem factors especially among generationally-related group in Indonesia is still limited. This study aimed to determine the prevalence and the association socio-culture and health problems factors and traditional medicine use among adults which were middle-aged (millennial) and elder-adult (generation X) in Indonesia while controlling other covariates. of traditional medicine use among This cross-sectional study used the data from the Indonesia Family Life Survey wave 5 (2014): a cross-sectional national population survey. This national survey used a multistage stratified random sampling to select the respondents to response to a structured questionnaire interview. There were 10,325 adults passed our inclusion criteria for the analysis. The adult who was born between1960 to 1982 was called the Gen X, whereas the Millennia is for those who were born between 1983 and 2000. A multivariable logistic regression was used to identify the association. Among 10,325 respondents, 78.42 % were millennial while 21.58 % were generation x or older adults.  Less than a quarter of the respondents used traditional medicine (13.37 %; 95% CI: 12.73-14.04). The factor significantly associated with traditional medicine used among Indonesian adults were; be Gen X (adj. OR = 1.24, 95%CI= 1.08 -1.43), female (adj.OR1.27, 95%CI: 1.13 to 1.43, p<0.001) Islamic (adj. OR = 1.91, 95%CI= 1.47 -2.36), married (adj. OR = 1.64, 95%CI= 1.44 -1.87),lived in urban area (adj. OR = 1.48, 95%CI= 1.31-1.68). Other covariate were unhealthy (adj.OR: 1.36, 95% CI: 1.18-1.1.58), experienced headache (adj.OR: 1.50, 95% CI: 1.31-1.47),  experienced stomachache (adj.OR: 1.28, 95% CI: 1.12-.47), and experienced fever (adj.OR: 1.30, 95% CI: 1.15- 1.47). Sociocultural and age group as well as health problems were associated with traditional medicine use.

A model for predicting reduction in mobile phosphorus of lake sediment by aluminum drinking water treatment residuals.

Drinking water treatment residual (DWTR) derived from flocculation and sedimentation of raw water using aluminum coagulants is a valuable environmental remediation byproduct capable of inactivating phosphorus (P). However, no generalizable model exists in the literature to describe reduction of releasable (mobile) P in lake sediment as a result of DWTR addition. The reduction of mobile P (sum of labile P and reductant soluble P) was investigated in over 100 sub-samples using five sediment samples from two lakes and three DWTRs from different water treatment plants. A consistent relationship was determined across a range of mobile P contents (0.23 g/m2/cm to 0.92 g/m2/cm, or 15.8 to 186.1 µg/g DW) and DWTRs. The relationship was best described as a function of the mobile P content of the sediment and the oxalate-extractable aluminum content of the DWTR. An empirical model was developed to predict the immediate reduction in mobile P following the addition of DWTR containing aluminum. This model was validated using two additional lake sediments and one additional DWTR (R² = 0.995). Thus, the immediate inactivation of P in lake sediment following DWTR addition can be predicted with this model, which can be used with internal P loading or other water quality goals to determine an appropriate DWTR dose. Further recommendations were made about dosing DWTRs for lake restoration, allowing practitioners to use DWTR to inactivate P in lake sediment without conducting individual sorption experiments.

Drinking water treatment residual as a ballast to sink Microcystis cyanobacteria and inactivate phosphorus in tropical lake water.

The combination of a low dose of coagulant with a ballast that can inactive phosphorus (P) in lake sediment-a technique known as "flock and lock"-is one method for restoration of eutrophic lakes. The effectiveness of a drinking water treatment residual (DWTR) as a ballast in flock and lock was assessed using assays of eutrophic lake water from Thailand dominated by Microcystis aeruginosa cyanobacteria colonies by measuring changes in chlorophyll-a, pH, and zeta potential. P sorption isotherms were developed from long-term batch equilibrium experiments; desorption of nutrients and metals was assessed via leaching experiments; and morphological changes to cellular structure were assessed using scanning electron microscopy. Results showed that combining DWTR with a low dose of aluminum sulfate (0.6-4.0 mg Al/L) effectively sank 74-96% of Microcystis, with DWTR dose (50-400 mg/L), initial chlorophyll-a concentration (92-976 µg/L), pH (7.4-9.3), and alkalinity (99-108 ppm CaCO3) identified as factors significantly associated with sinking efficacy. P sorption capacity of the DWTR (7.12 mg/g) was significantly higher than a local soil (0.33 mg/g), enabling the DWTR to inactivate P in lake sediment. Desorption of Al, Fe, Ca and N from the DWTR was estimated to contribute to a marginal increase in concentrations of those compounds in the water column of a small shallow lake (1.2, 0.66, 53.4, and 0.07 µg/L, respectively) following a simulated application. Therefore, pre-treated DWTRs may be a viable alternative ballast in the flock and lock approach to lake restoration, supplementing or replacing modified local soils or lanthanum modified clays.

A comparison of aluminum dosing methods for reducing sediment phosphorus release in lakes.

Aluminum (Al) treatment is one of the most commonly used approaches to reduce internal phosphorus (P) loading in lakes. However, the adequate amount of Al that should be added to permanently inactivate mobile (releasable) sediment P can be determined using many different methods. These methods differ substantially in their specified design sediment depth, targeted P pool(s), and expected binding ratio. In this study, Al doses for inactivating sediment P in Beung Gii Lake of Thailand were determined using the most commonly used methods reported in literature and then compared. Experimental procedures included sediment P fractionation, Al assay experiments, and a geochemical model. Mobile P was detected in the lake's sediment at 2.52, 5.42, and 7.65 g/m2 in the upper 4, 10, and 15 cm, respectively, with additional P contained in labile organic form. Comparing the resulting Al doses for the lake, it was found they varied by nearly an order of magnitude (45-306 g Al/m2). This result highlights the importance of choosing a dosing method, because such a range of Al doses would likely result in highly variable levels of effectiveness and longevity, including both under- and overdosing. Based on the results of this study and a review of literature, a conservative, fixed ratio between Al and mobile plus labile organic sediment P (11:1) is recommended. All potentially releasable P (both mobile organic and inorganic forms) within the active sediment layer should be used to determine the total Al dose. Finally, the calculated Al dose in most cases will need to be split into sub-doses, based on lake morphology and total Al dose, to ensure maximum binding efficiency. Al dosing strategy should seek to minimize the risk for overdosing, maximize binding efficiency, and ensure all potentially releasable P forms are targeted during treatment.

The relationship between dorsolateral prefrontal activation and speech performance-based social anxiety using functional near infrared spectroscopy.

Functional near-infrared (fNIR) spectroscopy is a promising new technology that has demonstrated utility in the study of normal human cognition. We utilized fNIR spectroscopy to examine the effect of social anxiety and performance on hemodynamic activity in the dorsolateral prefrontal cortex (DLPFC). Socially phobic participants and non-clinical participants with varying levels of social anxiety completed a public speaking task in front of a small virtual audience while the DLPFC was being monitored by the fNIR device. The relationship between anxiety and both blood volume (BV) and deoxygenated hemoglobin (Hb) varied significantly as a function of speech performance, such that individuals with low social anxiety who performed well showed an increase in DLPFC activation relative to those who did not perform well. This result suggests that effortful thinking and/or efficient top-down inhibitory control may have been required to complete an impromptu speech task with good performance. In contrast, good performers who were highly socially anxious showed lower DLPFC activation relative to good performers who were low in social anxiety, suggesting autopilot thinking or less-effortful thinking. In poor performers, slight increases in DLPFC activation were observed from low to highly anxious individuals, which may reflect a shift from effortless thinking to heightened self-focused attention. Heightened self-focused attention, poor inhibitory control resulting in excessive fear or anxiety, or low motivation may lower performance. These results suggest that there can be different underlying mechanisms in the brain that affect the level of speech performance in individuals with varying degrees of social anxiety. This study highlights the utility of the fNIR device in the assessment of changes in DLPFC in response to exposure to realistic phobic stimuli, and further supports the potential utility of this technology in the study of the neurophysiology of anxiety disorders.