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3. Application-Based CRM Relationship Implementation for Micro, Small and Medium Enterprises

Author

B S Kusuma, I F Ramdhani, and Z Azhara

Subjects
crm, mobile applications, smes, Information technology, T58.5-58.64
Abstract

This study aims to maintain good relations with consumers so that consumers do not turn to other competitors. The method used is the prototype method, which uses an approach to create a program quickly, gradually, making the information system better and easier. By using Customer Relationship Management (CRM) it can be useful for sales so that they can have good relations with consumers and so that consumers do not turn to others.

Published
2022
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4. COVID-19 vaccine acceptance and its determinants: A cross-sectional study among the socioeconomically disadvantaged communities living in Delhi, India

Author

Yadlapalli S. Kusuma and Shashi Kant

Subjects
SARS-CoV-2, Vaccine acceptance, Vaccine hesitancy, Health beliefs, Urban communities, Behavioural research, Immunologic diseases. Allergy, RC581-607
Abstract

Background: Vaccination against severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is the most desired solution to combat COVID-19. We examined the willingness to accept the vaccine and reasons for vaccine hesitancy, and identified some factors associated with the vaccine hesitancy among the socio-economically disadvantaged urban population from Delhi, India. Methods: We conducted a cross-sectional survey of a randomly selected sample of 1539 households from 31 urban clusters. Data on socio-demographics, health beliefs, and willingness to accept the SARS-CoV-2 vaccine were collected through a face-to-face interviewer-administered, pre-tested questionnaire from an adult member. Vaccine acceptance/hesitancy was analysed by various socio-demographic and health belief variables. Multinomial regressions were carried out to identify the factors associated with the vaccine hesitancy. Results: Overall, 64.9% (95% CI: 62.5 to 67.3) of the respondents would accept the vaccine, 17.4% (95% CI: 15.6 to 19.4) were undecided, and 17.7% (95% CI: 15.8 to 19.7) would not accept the vaccine. The reasons for not accepting the vaccine were: belief that they had immunity (12.9%), the corona was a hoax (11.8%), the vaccine was not necessary (7.4%), and did not want to disturb the natural bodily systems by the vaccine (5.6%). The undecided group mainly would like to wait and see (37.7%), decide when the vaccine become available (11.6%), will take if everyone in their community takes (10.4%). Multinomial logistic regression identified older age, low perceived susceptibility of contracting COVID-19, low perceived severity of COVID-19, low self-efficacy to protect against COVID-19, and unawareness and non-use of Arogyasetu App as significant predictors of vaccine hesitancy. Conclusions: Two-thirds of Delhi’s low-income groups would accept the vaccine against SARS-CoV-2. Vaccine hesitancy was associated with older age, low perceived susceptibility, low perceived severity, and low self-efficacy to protect themselves from COVID-19. Hence, efforts are needed to address these issues and vaccine concerns to increase the vaccine uptake.

Published
2022
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5. Laboratory accreditation and customer satisfaction

Author

D Abhijith, K S Kusuma, and M N Suma

Subjects
accreditation, customer satisfaction, laboratory, national accreditation board for testing and calibration laboratories, Internal medicine, RC31-1245
Abstract

Laboratory accreditation is a process by which an authoritative body gives formal recognition of technical competence for specific tests or measurements usually following international standards such as ISO/IEC 15189/17025. The process checks on inaccuracy or imprecision that may crop up during the preanalytical, analytical, or postanalytical phases, which could have an impact on the patient's reports and thereby the treatment aspects. The process itself helps the personnel of the laboratory to be alert, be quality conscious, and provide the best to the customers, namely patients and health-care providers, thereby helping the health-care providers to give the best of their services to the patients. This enhances the quality of the health-care services on the whole due to quality management system being in place in laboratories. The accreditation agency which takes interest in the laboratories of India and ensures quality in them is National Accreditation Board for Testing and Calibration Laboratories. The developed countries already have the system in place, and it is mandatory for every lab to be accredited before releasing patient reports. We are not far behind in this process, and shortly it may be considered to be mandatory for all labs to obtain the accreditation to run the tests. However, there are several challenges one needs to address in the process of accreditation, with the most important being the finances, team work, and planning.

Published
2021
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7. Inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine Indian cities

Author

Bontha V. Babu, Yadlapalli S. Kusuma, Muthusamy Sivakami, Dharmesh K. Lal, Jagjeevan B. Geddam, Anoop Khanna, Monika Agarwal, Godi Sudhakar, Paramita Sengupta, Anna S. Kerketta, and Yogita Sharma

Subjects
Maternal health, Internal migration, Partnership, Community mobilization, Community-based intervention, Quasi-experimental, Public aspects of medicine, RA1-1270, Colonies and colonization. Emigration and immigration. International migration, JV1-9480
Abstract

Background: Disparities in healthcare access to internal migrants exist, and the gaps may widen further if appropriate steps are not taken. Innovative approaches are needed to better align the healthcare services with the migrants’ needs. Aim: The aim was to develop and test a supportive strategy of healthcare, which would achieve the desired level of access and delivery of maternal healthcare services to internal migrants living in nine Indian cities. Methods: This intervention with the quasi-experimental design was conducted with pre- vs post-intervention comparisons within the interventional groups and with the control group. The intervention was implemented with an inclusive partnership approach. Advocacy and community mobilization were the main intervention components. Findings: An increased proportion of women sought antenatal care during the intervention. More women initiated seeking antenatal care in the first trimester. Due to intervention, health workers’ prenatal (41.7% in the post- against 14.7% in the pre-interventional phase) and postnatal home visits increased (11.6% to 34.7%) considerably. Conclusions: Interventions with inclusive partnership would improve healthcare access to vulnerable communities such as migrants. Hence, efforts to strengthen the government healthcare system through novel strategies are crucial to provide better healthcare to migrants.

Published
2022
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8. Seroprevalence of Leptospirosis in Acute Febrile illness at a Tertiary Care Hospital, GGH, Kurnool.

Author

Vijayalakshmi, J., Bai, S. Kusuma, Haritha, J., Rani, B. Soniya, and Devi, A. Renuka

Subjects
*LEPTOSPIROSIS, *SEROPREVALENCE, *ZOONOSES, *AGGLUTINATION tests, *TERTIARY care
Abstract

Leptospirosis is an anthropozoonotic disease, which remains under diagnosed in most of the regions of our country due to the lack of awareness, atypical presentation and lack of proper diagnostic facility and set up. Diagnosis usually depends on Microscopy, Culture and Serological tests like ELISA, MAT (Microscopic agglutination test). MAT is the gold standard diagnostic test but it requires live Leptospires and it can only be done in a reference laboratory. Hence, ELISA is the most preferred cost-effective serological method and is genus specific with both sensitivity and specificity of 95%. Aim of the present study is to estimate the seroprevalence of Leptospirosis among suspected Acute Febrile illness (AFI) cases presented to Government General Hospital Kurnool. The study was conducted from August 2023 to March 2024 on 260 AFI cases. Detection of IgM antibody was done by using Recombilisa Leptospira IgM ELISA kit. Out of 260 clinically suspected cases of Leptospirosis, 30 (11.53%) were positive. Majority of cases belonged to 21-40 years age group. Seroprevalence was found to be higher in Males (14.1%) as compared to Females (8.5%). A high seroprevalence of Leptospirosis was noted in AFI cases, so a programmatic approach for prevention, control and management of such emerging zoonotic diseases through NOHP-PCZ (National One Health Program for Prevention and Control of Zoonoses) will be a very useful step towards achieving optimal health. [ABSTRACT FROM AUTHOR]

Published
2024

9. Determination of natural frequencies and mode shapes of a wind turbine rotor blade using Timoshenko beam elements

Author

E. Stanoev and S. Kusuma Chandrashekhara

Subjects
Renewable energy sources, TJ807-830
Abstract

When simulating a wind turbine, the lowest eigenmodes of the rotor blades are usually used to describe their elastic deformation in the frame of a multi-body system. In this paper, a finite element beam model for the rotor blades is proposed which is based on the transfer matrix method. Both static and kinetic field matrices for the 3-D Timoshenko beam element are derived by the numerical integration of the differential equations of motion using a Runge–Kutta fourth-order procedure. In the general case, the beam reference axis is at an arbitrary location in the cross section. The inertia term in the motion differential equation is expressed using appropriate shape functions for the Timoshenko beam. The kinetic field matrix is built by numerical integration applied on the approximated inertia term. The beam element stiffness and mass matrices are calculated by simple matrix operations from both field matrices. The system stiffness and mass matrices of the rotor blade model are assembled in the usual finite element manner in a global coordinate system accounting for the structural twist angle and possible pre-bending. The program developed for the above-mentioned calculations and the final solution of the eigenvalue problem is accomplished using MuPAD, a symbolic math toolbox in MATLAB®. The natural frequencies calculated using generic rotor blade data are compared with the results proposed from the FAST and ADAMS software.

Published
2019
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10. Adsorption of direct blue 106 dye using zinc oxide nanoparticles prepared via green synthesis technique

Author

Ahmed Eleryan, Uyiosa O. Aigbe, Kingsley E. Ukhurebor, Robert B. Onyancha, Mohamed A. Hassaan, Marwa R. Elkatory, Safaa Ragab, Otolorin A. Osibote, Heri S. Kusuma, and Ahmed El Nemr

Subjects
Health, Toxicology and Mutagenesis, Environmental Chemistry, General Medicine, Pollution
Abstract

Zinc oxide nanoparticles (ZnO-NPs) have in recent times shown effective adsorption capability for the confiscation of colour contaminants from aqueous environments (aquatic ecosystems or water bodies) due to the fact that ZnO contains more functional groups. Direct blue 106 (DB106) dye was selected for this present study as a model composite due to its wide range of uses in textiles (cotton and wools), woods, and paper industries, as well as their therapeutic applications, along with its potential for impairments. This study therefore focuses on the use of DB106 dye as a model composite due to its wide range of uses in textiles (cotton and wools), woods, and paper industries, as well as their therapeutic applications and their potential for impairments. Furthermore, the surface functionalization, shape, and composite pore size were revealed by TEM, FTIR, UV, and BET techniques. The current study uses green synthesis method to prepare ZnO-NPs as an adsorbent for the DB106 dye molecules adsorption under various conditions using the batch adsorption process. The adsorption of DB106 dye to the ZnO-NPs biosorbent was detected to be pH-dependent, with optimal adsorption of DB106 (anionic) dye particles observed at pH 7. DB106 dye adsorption to the synthesized ZnO-NPs adsorbent was distinct by means of the linearized Langmuir (LNR) and pseudo-second-order (SO) models, with an estimated maximum adsorption capacity (Qm) of 370.37 mg/g. Graphical Abstract

Published
2023
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12. Development of Worksheets Based on the Metaphorical Thinking Approach for Students’ Procedural Fluency Ability

Author

Nenden Suciyati Sartika, Yaya S. Kusuma, Bambang Apiv Priatna Martadiputra, Candra Ditasona, and Mia Millawaty Safitri

Abstract

The mathematics materials in learning mostly used package books, but the provided resources in the school were limited and teachers did not optimize the existing technology to provide effective and interesting materials. As a consequence, students did not complete the exercise according to mathematical procedures and they were pessimistic. The general research purpose was to produce a metaphorical thinking approach-based worksheet for students' procedural fluency on valid characteristics. This study used research and development by the ADDIE stage model. The participant was 9th-grade students in junior high school. Data collection were observation, questionnaires, and interview techniques. The results showed that the characteristics of the developed worksheet have been valid. The results of the worksheet validity test were obtained by 90% and the results of the trial of students were 93%. The implications of this worksheet are helpful for students to independent learning, and this worksheet helps students solve mathematical problems in accordance with procedural, assisted by steps of the metaphorical thinking approach, teaching and learning activities are more effective.

Published
2022
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13. Physicochemical and Sensory Characteristics of 'Terong Asam' (Solanum ferox Linn) Dry Sweetmeat at Various Concentrations of Sugar

Author

Yohana S Kusuma Dewi, Ninda Ima Rosanti, and Tri Rahayuni

Subjects
General Earth and Planetary Sciences, General Environmental Science
Abstract

Solanum ferox Linn is one of the local agricultural products. Its local name is “terong asam”, the plant's shape is like eggplant but the fruit is round, orange with ripe and sour taste. The problem is that the fruit is easily damaged if left in its fresh. One of the innovations to increase the shelf life is to process it into processed dry sweetmeats. However, the amount of sugar that produces the best physicochemical characteristics of “terong asam,” dry sweetmeats is currently unknown. This study aims to obtain the concentration of sugar that produces the best physicochemical and sensory characteristics of “terong asam,” dry sweetmeats. The research design used was a randomized block design with one treatment, namely concentration of sugar, which consisted of 4 treatments and 6 replications. Analysis of physicochemical data using ANOVA (Analysis of Variance) and Honest Significant Difference (HSD) Test with a level of 5% significantly. Sensory data were analyzed by Kruskal Wallis test. Determination of the best treatment using the effectiveness index test. The results showed that the production “terong asam,” dry sweetmeats is recommended by using a 50% sugar concentration which the best sensory physicochemical characteristics of the sweets, namely water content (13.28%), pH (5.08), yield (26.49%), vitamin C (8.7mg/100g) with sensory characteristics of colour (3.17), taste (2.67), aroma (3.30), texture (3.20).

Published
2022
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15. Counselling services in prevention of mother-to-child transmission (PMTCT) in Delhi, India: An assessment through a modified version of UNICEF-PPTCT tool

Author

Arvind Kumar, Bir Singh, and Yadlapalli S. Kusuma

Subjects
HIV, PMTCT, PPTCT, Counselling services, India, Public aspects of medicine, RA1-1270
Abstract

The study aims to assess the counselling services provided to prevent mother to child transmission of HIV (PMTCT) under the Indian programme of prevention of parent-to-child transmission of HIV (PPTCT). Five hospitals in Delhi providing PMTCT services were randomly selected. A total of 201 post-test counselled women were interviewed using a modified version of the UNICEF-PPTCT evaluation tool. Knowledge about HIV transmission from mother-to-child was low. Post-test counselling mainly helped in increasing the knowledge of HIV transmission; yet 20%–30% of the clients missed this opportunity. Discussion on window period, other sexually transmitted diseases and danger signs of pregnancy were grossly neglected. The PMTCT services during the antenatal period are feasible and agreeable to be provided; however, certain aspects, like lack of privacy, confidentiality of HIV status of the client, counsellor’s ‘hurried’ attitude, communication skills and discriminant behaviour towards HIV-positive clients, and disinterest of clients in the counselling, remain as gaps. These issues may be addressed through refresher training to counsellors with an emphasis on social and behaviour change communication strategies. Addressing attitudinal aspects of the counsellors towards HIV positives is crucial to improve the quality of the services to prevent mother-to-child transmission of HIV.

Published
2019
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16. Dampak Program Kawasan Rumah Pangan Lestari Terhadap Pendapatan Dan Pengeluaran Pangan Di Kabupaten Mempawah

Author

Ade Kusuma Akbar, Abdul Hamid A. Yusra, Yohana S. Kusuma Dewi

Subjects
Agriculture
Abstract

Research objective is to analyses the impact of sustainable food house area (KRPL) of household income, comestible expenses, and consumption pattern in the village which receive KRPL aid. Research was conducted in Mempawah Regency West Kalimantan Province with survey methods by means of direct observation with sample and location which is pre-determined and selected deliberately. Data is collected by means of interview and using questioner. The result of this research show that there is differences in the income of household of KRPL aid receivers which is IDR 3.267.015 /month compared to non KRPL aid receivers which is IDR 2.851.282 /month. KRPL contribution to household income difference is IDR 99.125 /month, equal to 3,03% of total household income. While in terms of comestible expenses, research shows that percentage of total income spent for comestible is 59,44% for KRPL aid receivers and 59,48% non KRPL aid receivers, there is no significant difference between KRPL aid receivers and non KRPL aid receivers. These numbers indicate that comestible expenses, in low income household, tend to become major component of total expenses. Keywords: Comestible expenses; Household income; KRPL

Published
2019
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18. A Survey on Automated Assessment Questions Generation System Using Supervised Algorithms

Author

P. Srinivasa Rao, T. V. V. Kiranmai, E. Samhitha, R. Sai Shiva, and S. Kusuma

Subjects
General Medicine
Abstract

The only method for gauging the effectiveness of a teacher's lessons and the learning results of students is examination. Creating the questions and then randomly assigning them to the test are processes in the manual production of test papers. It takes a lot of time and effort to manually create test papers that match the standards of a good test paper. Mainly generating the test papers to evaluate the student technical skills is more time taking and the recruiters always want to know the students in better way by conducting the tests in the technical concepts. Our system helps in generating the questions automatically from the database which consists of the questions of the various technical concepts. To store the data and access the information from the database we are using MYSQL. To generate the test paper with the questions based on the skills known by the candidates we are using the classification algorithm like Naive Bayes Classifier, Random Forest Classifier and the Decision Tree. Naive Bayes, Random forest and Decision tree ,all are supervised algorithms. Giving the questions depending upon the candidate skills in the test paper will effectively evaluate the knowledge of the candidate in the skills that they know rather than testing their knowledge in completely unknown domain, the recruiters will also get the chance to know the candidate capabilities accurately and they can use the skills of the candidates in the better way and they can allocate the work to the candidates based on their performance in the particular skill. To know the performance of the candidate in the test , we have provided the graphical user interface (GUI) which was designed using the HTML and CSS concepts, where the questions are generated depending upon the classified results of the candidates.

Published
2022
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19. Mutation of katG in a clinical isolate of Mycobacterium tuberculosis: effects on catalase-peroxidase for isoniazid activation

Author

Purkan,, Ihsanawati,, D. Natalia, Y. M. Syah, D. S. Retnoningrum, and H. S. Kusuma

Subjects
catalase-peroxidase, INH resistance, katG, Mycobacterium tuberculosis, Biochemistry, QD415-436, Medicine, Biology (General), QH301-705.5
Abstract

Mutations in katG gene are often associated with isoniazid (INH) resistance in Mycobacterium tuberculosis strain. This research was perfomed to identify the katG mutation in clinical isolate (L8) that is resistant to INH at 1 μg/ml. In addition to characterize the catalase-peroxidase of KatG L8 and perform the ab initio structural study of the protein to get a more complete understanding in drug activation and the resistan­ce mechanism. The katG gene was cloned and expressed in Escherichia coli, then followed by characterization of catalase-peroxidase of KatG. The structure modelling was performed to know a basis of alterations in enzyme activity. A substitution of A713G that correspond to Asn238Ser replacement was found in the L8 katG. The Asn238Ser modification leads to a decline in the activity of catalase-peroxidase and INH oxidation of the L8 KatG protein. The catalytic efficiency (Kcat/KM) of mutant KatGAsn238Ser respectively decreases to 41 and 52% for catalase and peroxidase. The mutant KatGAsn238Ser also shows a decrease of 62% in INH oxidation if compared to a wild type KatG (KatGwt). The mutant Asn238Ser might cause instability in the substrate binding­ site of KatG, because of removal of a salt bridge connecting the amine group of Asn238 to the carbo­xyl group of Glu233, which presents in KatGwt. The lost of the salt bridge in the substrate binding site in mutant KatGAsn238Ser created changes unfavorable for enzyme activities, which in turn emerge as INH resistan­ce in the L8 isolate of M. tuberculosis.

Published
2016
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23. Health Insurance: Awareness, Utilization, and its Determinants among the Urban Poor in Delhi, India

Author

Yadlapalli S. Kusuma, Manisha Pal, and Bontha V. Babu

Subjects
Health insurance, urban poor, migrants, Public aspects of medicine, RA1-1270
Abstract

This study reports the awareness, access, and utilization of health insurance by the urban poor in Delhi, India. The study included 2998 households from 85 urban clusters spread across Delhi. The data were collected through a pretested, intervieweradministered questionnaire. Logistic regression was performed for determinants of health insurance possession. Only 19% knew about health insurance; 18% had health insurance (Employees State Insurance Scheme – ESIS – 8%; Central Government Health Scheme – CGHS – 1.4%; Rashtriya Swasthya Bima Yojana (RSBY) – 9.4% of the eligible households). In case of health needs, 95% of CGHS, 71% ESIS beneficiaries, and 9.5% of RSBY beneficiaries utilized the schemes for episodic and chronic illnesses. For hospitalization needs, 54% of RSBY, 86% of ESIS, 100% CGHS utilized respective services. Residential area, migration period, possession of ration card, household size, and occupation of the head of the household were significantly associated with possession of RSBY. RSBY played a limited role in meeting the healthcare needs of the people, thus may not be capable of contributing significantly in the efforts of achieving equity in healthcare for the poor. Relatively, ESIS and CGHS served the healthcare needs of the beneficiaries better. Expansion of ESIS to the informal workers may be considered.

Published
2018
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24. Disain Smart Electricity Penghematan pada Peralatan Listrik Menggunakan Sensor Ultrasonic

Author

F I Pasaribu, A G Lubis, M Safril, B S Kusuma, and M Fadlan

Abstract

Waste of electricity is a problem that often occurs accidentally, especially in household electricity, especially on electrical equipment that is routinely used but forgets to turn it off if there are no users around electrical equipment such as fans, air conditioners, TVs and others. Saving electrical energy is an action to reduce the amount of electrical energy use. This study aims to create a control device for saving electricity consumption. Saving electricity consumption does not mean not using electrical energy for something that is not useful, however, energy savings can be achieved by using energy efficiently where the same benefits are obtained by using less energy. This study uses a design method or is designed to be smart electricity using sensors. ultrasonic with arduino uno, where this tool controls daily use in case of forgetting so that no energy is wasted (waste of electricity) or more practical in controlling electrical equipment. Based on the results of tool testing and data analysis carried out, it was concluded that the working system of this tool succeeded in controlling the use of electronic equipment by detecting the presence of an object / human with the help of an ultrasonic sensor with a horizontal area range. The Radio Frequency Identification sensor is an additional sensor to help the Ultrasonic sensor improve to detect in a wider range of vertical areas by scanning the card. The total cost of the entire expenditure for 1 month is Rp. 203,365 using a smart electricity design tool as a means of saving and the use of electricity based on ultrasonic sensors using Arduino Uno and Rp. 418,175 without tools results in a difference in savings of Rp. 214.810

Published
2021
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25. Analisa Kekuatan Bearing Pada Prototype Belt Conveyor

Author

F Lubis, R Pane, S Lubis, M A Siregar, and B S Kusuma

Abstract

Bantalan merupakan salah satu bagian dari elemen mesin yang memegang peranan cukup penting karena fungsi dari bantalan yaitu untuk menumpu sebuah poros agar poros dapat berputar tanpa mengalami gesekan yang berlebihan. Bantalan harus cukup kuat untuk memungkinkan poros serta elemen mesin lainnya bekerja dengan baik sesuai fungsinya. Kerusakan bearing banyak disebabkan oleh berbagai faktor diantaranya : faktor pembebanan, perawatan, material yang digunakan dan perhitungan dalam perencanaan pemilihan bearing. Jika bantalan tidak berfungsi dengan baik, maka prestasi seluruh sistem akan menurun bahkan bisa berhenti. Bearing yang digunakan jenis ASb UC204- 12berdiameter 19.50 mm, bahanbaja structural dan aluminium alloy.Pembebanan yang diberikan 200N dan torsi 75.429 N.m. Studi numerik ini menggunakan software solidworks 2012 sebagai alat mendesain bearing dan menggunakan software ansys workbench 14.0 sebagai alat simulasi numeriknya dan hasil simulasi baja struktural ialah total deformasi = 0.00030158mm, Equivalent stress= 10.085MPa, Equivalent strain = 5.695 x 10-5 mm/mm . Hasil simulasi aluminium alloy ialah total deformasi = 0.00094256mm, Equivalent stress= 9.9263MPa, Equivalent strain = 0.00015763mm/mm.

Published
2021
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29. To determine antimicrobial susceptibility and biofilm production among coagulase negative staphylococci at a tertiary care hospital

Author

Naga Sri Latha Bathala, S. Kusuma Bai, and M. Sasidhar

Subjects
business.industry, medicine.drug_class, Antibiotics, cons, Biofilm, Bacterial polysaccharide, Drug resistance, biochemical phenomena, metabolism, and nutrition, Antimicrobial, Microbiology, Antibiotic resistance, Medicine, Coagulase, business
Abstract

Introduction: CoNS are gaining importance due to increase in resistance rates to betalactam antibiotics and multi drug resistance. Although specific virulence factors are not as clearly established, it seems clear that factors such as bacterial polysaccharide components, and ability to form biofilm are involved in attachment and/or persistence of bacteria on foreign materials. Biofilms usually result in persistent infections that cannot be easily resolved with standard antibiotic treatments; therefore, the biofilm formation ability and the resistance to antimicrobial therapy can be intimately related. Materials and Methods: A prospective cross-sectional study was done on purely isolated CoNS from various clinical samples from both out patients and inpatients. All the test strains were subjected to antimicrobial susceptibility testing. The ability to produce biofilm was detected by tube adherence method. Results: Among 193 CoNS isolates 156 were from inpatients and 37 were from out patients. Methicillin resistant was seen in 80.31%. Of the total, 40.41% showed moderate biofilm formation by tube adherence method. 23.32% of isolates did not form biofilm. All the isolates from blood samples showed moderate (20/26) and strong (6/26) biofilm formation. Among non biofilm producers 66.67% were MS CoNS isolates and 33.33% were MRCoNS. 94.59% of biofilm producers were MRCoNS and 5.41% were MSCoNS. Production of biofilm was relatively more (1.16) among CoNS isolates of IPD than OPD. Conclusions: As Coagulase negative Staphylocooci are exhibiting multi drug resistance and are able to form biofilm, these organisms causing a major challenge for the physicians. Hence, such problems can be prevented by detection of biofilm producers and appropriate antibiotic doses modification. The issue of antibiotic resistance among CoNS needs to be addressed through a more rational use of existing antibiotics as well as the development of new antimicrobial agents. Keywords: CoNS, Antim

Published
2021
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31. Socio-demographic profile of socioeconomically disadvantaged internal migrants in Delhi

Author

Yadlapalli S. KUSUMA, Chandrakant S. PANDAV, and Bontha V. BABU

Subjects
Internal migration, Socio-economic disadvantage, poverty, Delhi, India, Colonies and colonization. Emigration and immigration. International migration, JV1-9480
Abstract

Macro studies reveal that internal migration is of considerable extent in India, however disaggregated studies on specific migrant groups are lacking from India. The present study is based on a scientifically drawn sample of 10,428 migrant households living in Delhi and the objective is to present socio-economic profile of the socioeconomically disadvantaged migrants living in Delhi. Migration is predominantly male in character and is dominated by younger ages. Migrants form a considerable proportion of the city’s population and are indispensable for the city’s growth. The other characteristics of migrants reveal that migrants are marginalized in the city and have denied access to basic amenities and compromise to live in such conditions in order to earn a livelihood and better incomes. Since migrants are an indispensable population in the cities, they should be recognized as a specific vulnerable group for the provision of basic services and there is a need for policy formulation ensuring rights of the migrants.

Published
2014

33. Immediate effect of trataka on blood pressure indices in individuals with primary hypertension — a randomized controlled trial

Author

Nandeesh N S, A S Kusuma, Prashanth Shetty, and Shivaprasad Shetty

Subjects
Stress reduction, medicine.medical_specialty, Hypertension control, business.industry, Endocrinology, Diabetes and Metabolism, law.invention, Blood pressure, Randomized controlled trial, law, Internal medicine, Mental state, Heart rate, Internal Medicine, medicine, Cardiology, Heart rate variability, In patient, Cardiology and Cardiovascular Medicine, business
Abstract

Background and Objectives: Hypertension control remains a major global challenge. Behavioral approaches recommended for blood pressure (BP) reduction include: stress reduction, increased exercise and healthy dietary habits. Some study findings suggest that yoga exerts beneficial cardiovascular effects including blood pressure alterations. This study was done to assess the effect of trataka, a yogic cleansing technique, on blood pressure and heart rate variables in patients with hypertension and thereby substantiate the clinical understanding of its effect on blood pressure. Material and methods: A total of 60 subjects with primary hypertension (age 25–45 years) were randomized to the study. The yoga group practiced trataka for 30 minutes with guided instructions and the control group was asked to sit calmly for 30 minutes. Blood pressure and heart rate were recorded before and after the practice. Results: The individuals who practiced trataka showed significant reduction in systolic blood pressure (SBP) (p < 0.05), mean heart rate (HR) (p < 0.05), and mean RR (p < 0.05) after the procedure. There were no significant changes observed in the control group as compared to the yoga group. Conclusion: The practice of trataka leads to significant reduction in blood pressure and heart rate in patients with primary hypertensive. Though trataka is considered as a cleansing technique, it induces calmness similar to a mental state during meditation. Evidently, both techniques bear the potential to reduce stress and, henceforth, blood pressure and heart rate.

Published
2021
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36. Halal Control Points (HCP) traceability of pokak to support local food development at Geoparks Bromo, Tengger, Semeru (BTS)

Author

S Sucipto, T S Kusuma, P Zaytun, A F Mulyadi, N Hasanah, M Arwani, S D Puspaningtyas, and L Hidayati

Subjects
General Medicine, General Chemistry
Abstract

Emphasis must be given to local food development, especially in major tourist destinations, including Geopark Bromo Tengger Semeru (BTS). Consumers perceive local food in tourist areas as more enticing once it incorporates functional, safe, and halal aspects. Halal food affirms the materials, equipment, and production. One of the central aspects that will be covered is halal traceability. Pokak is a local drink readily available in the Geopark BTS area that is often sold in syrup, the production is dominated by women in local communities. This study aims to identify the Halal Control Point (HCP) traceability model of pokak to support the development of local food at Geoparks BTS. The results were obtained from the market’s four most renowned pokak syrup brands. A descriptive-analytic method was used to collect data from the literature on standard pokak syrup recipes. The method is based on HAS 23301 about HAS Criteria for processing industries. The HCP was identified on granulated, palm sugar, sodium benzoate, and water. The HCP (haram) risk of granulated sugar is in the refining (ion-exchange resins) and bleaching processes (activated carbon). Palm sugar dan sodium benzoate should comply with the material and process document’s halal requirements. The basic processes of pokak syrup use water, so the water separation process includes the HCP. The HCP ingredients and equipment do not meet halal standards and should be substituted with halal material and equipment alternatives. Implementing halal traceability ensures that local food at Geopark BTS complies with the halal standard.

Published
2023
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37. Copper(II) ion removal by chemically and physically modified sawdust biochar

Author

Ahmed Eleryan, Uyiosa O. Aigbe, Kingsley E. Ukhurebor, Robert B. Onyancha, Tarek M. Eldeeb, Mohamed A. El-Nemr, Mohamed A. Hassaan, Safaa Ragab, Otolorin A. Osibote, Heri S. Kusuma, Handoko Darmokoesoemo, and Ahmed El Nemr

Subjects
Renewable Energy, Sustainability and the Environment
Abstract

The difference between physical activations (by sonications) and chemical activations (by ammonia) on sawdust biochar has been investigated in this study by comparing the removal of Cu(II) ions from an aqueous medium by adsorption on sawdust biochar (SD), sonicated sawdust biochar (SSD), and ammonia-modified sawdust biochar (SDA) with stirring at room temperature, pH value of 5.5–6.0, and 200 rpm. The biochar was prepared by the dehydrations of wood sawdust by reflux with sulfuric acid, and the biochar formed has been activated physically by sonications and chemically by ammonia solutions and then characterized by the Fourier transform infrared (FTIR); Brunauer, Emmett, and Teller (BET); scanning electron microscope (SEM); thermal gravimetric analysis (TGA); and energy-dispersive spectroscopy (EDX) analyses. The removal of Cu(II) ions involves 100 mL of sample volume and initial Cu(II) ion concentrations (conc) 50, 75, 100, 125, 150, 175, and 200 mg L−1and the biochar doses of 100, 150, 200, 250, and 300 mg. The maximum removal percentage of Cu(II) ions was 95.56, 96.67, and 98.33% for SD, SSD, and SDA biochars, respectively, for 50 mg L−1Cu(II) ion initial conc and 1.0 g L−1adsorbent dose. The correlation coefficient (R2) was used to confirm the data obtained from the isotherm models. The Langmuir isotherm model was best fitted to the experimental data of SD, SSD, and SDA. The maximum adsorption capacities (Qm) of SD, SSD, and SDA are 91.74, 112.36, and 133.33 mg g−1, respectively. The degree of fitting using the non-linear isotherm models was in the sequence of Langmuir (LNR) (ideal fit) > Freundlich (FRH) > Temkin (SD and SSD) and FRH (ideal fit) > LNR > Temkin (SDA). LNR and FRH ideally described the biosorption of Cu(II) ions to SD and SSD and SDA owing to the low values ofχ2andR2obtained using the non-linear isotherm models. The adsorption rate was well-ordered by the pseudo-second-order (PSO) rate models. Finally, chemically modified biochar with ammonia solutions (SDA) enhances the Cu(II) ions’ adsorption efficiency more than physical activations by sonications (SSD). Response surface methodology (RSM) optimization analysis was studied for the removal of Cu(II) ions using SD, SSD, and SDA biochars.

Published
2022
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38. A Comparative Study to Explore Static and Dynamic Lung Functions in Users and Non-Users of Air Conditioners in Bengaluru.

Author

Agrawal, Megha and Devi M. S., Kusuma

Subjects
*LUNG physiology, *AIR conditioning, *PLETHYSMOGRAPHY, *CONFIDENCE intervals, *AIRWAY (Anatomy), *RESPIRATORY measurements, *COMPARATIVE studies, *CHI-squared test, *ODDS ratio
Abstract

Background: Air conditioners (AC) have become indispensable in the contemporary World. However, their effects on respiratory health need to be explored further using dynamic and static lung functions. Objectives: The objectives were: 1. To evaluate and compare dynamic parameters (FEV1, FVC, FEV1/FVC, PEFR, and FEF25-75) in AC users and non-users of Bengaluru. 2. To evaluate and compare airway resistance and specific airway conductance as additional parameters. Materials and Methods: After applying ATS-ERS criteria for lung disorders, 30 AC users and non-users of Bengaluru, aged 18-40 yrs were assessed using body plethysmography. A significant association of restrictive pattern was seen in AC users (9 AC users out of 60 participants, Chi-square 8.37, P = 0.0038) having an Odd's ratio of 26.95 (CI: 1.4876 to 488.3558, Z = 2.229, P = 0.0258). Airway resistance (Raw) was comparable in both groups further indicating a non-obstructive pathology. Conclusion: AC users had a significant decrease in flow rates (PEFR and FEF25-75) as well as an association with restrictive lung disorder suggesting the need for proper ventilation and hygiene. It is crucial to develop policies to maintain indoor air quality. [ABSTRACT FROM AUTHOR]

Published
2023
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39. Dengue awareness, preventive behaviours and Aedes breeding opportunities among slums and slum-like pockets in Delhi, India: a formative assessment

Author

Bontha V. Babu, Yadlapalli S. Kusuma, and Anil Kumar Goswami

Subjects
Adult, Health Knowledge, Attitudes, Practice, Mosquito Control, India, Breeding, Dengue fever, Dengue, Formative assessment, Aedes, Poverty Areas, Environmental health, medicine, Dengue transmission, Animals, Humans, Cities, biology, Mosquito breeding, Public Health, Environmental and Occupational Health, General Medicine, medicine.disease, biology.organism_classification, Checklist, Cross-Sectional Studies, Infectious Diseases, Geography, Health promotion, Parasitology, Slum
Abstract

Background India is endemic for dengue. The present formative study reports awareness and practices of people regarding dengue and its prevention, personal protection behaviours and peoples’ exposure to dengue-related health promotion activities. Methods This is a cross-sectional study of 1194 households randomly selected from 20 slum clusters in Delhi. Data were collected from an adult member of the household through an interviewer-administered, pre-tested questionnaire. An observation checklist was used to identify potential breeding sources. Results People were aware that dengue is transmitted through mosquitoes and sources of breeding (clean, stagnant water -60.1%, domestic water containers -18.7%, coolers -15.0%). Each house had at least one potential source of mosquito breeding. Using mosquito repellents (83.3%) was the most common personal protection behaviour. Peoples’ participation is limited in the mosquito prevention and health promotion activities carried out by the local municipality. Still, participation resulted in positive behavioural change. Conclusions While people were aware of dengue transmission, preventive measures against mosquito breeding were not satisfactory. People could not relate their existing knowledge on dengue to their household surroundings, and their awareness had not been translated to behavioural change. Community participation is limited, but is significant in the prevention and control of dengue.

Published
2020
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40. Beyond the screening: The need for health systems intervention for prevention and management of sickle cell disease among tribal population of India

Author

Konathala Geethakumari, Yadlapalli S. Kusuma, and Bontha V. Babu

Subjects
education.field_of_study, medicine.medical_specialty, business.industry, 030503 health policy & services, Health Policy, Public health, Population, Psychological intervention, Primary health care, India, Anemia, Sickle Cell, Disease, Disadvantaged, 03 medical and health sciences, Population Groups, Intervention (counseling), Family medicine, medicine, Humans, Public Health, Disease management (health), 0305 other medical science, education, business
Abstract

Globally, sickle cell disease (SCD) is one of the major public health problems. In India, it is more prevalent in tribal communities. Tribal communities are socio-economically disadvantaged and constitute 8.6% of India's population. The health and health care seeking of these communities is very poor. Though efficacious interventions are available to manage SCD, they are not reaching these people and no comprehensive programme is in place. The objective of this analysis is to demonstrate the burden of SCD among the tribes in two Indian states of Andhra Pradesh and Telangana, as a case and to highlight the need for public health intervention and health systems strengthening in the country to prevent and manage SCD. One in 10 persons of tribal population of these states carries Hb S gene. A substantial number of children are born every year with the condition. Mostly, the research is limited to screening. Hence, a programme with early detection and an appropriate referral system should be developed. The primary health care system should be strengthened to screen and manage SCD persons with good disease management practices and appropriate community mobilisation activities. The programme should partner with traditional healers and community leaders. People should be encouraged to seek treatment; and counselling for prevention. The study warrants human-centric approaches during the interventions to address the possible threat of fear of being stigmatised. Thus, the transition of evidence-based interventions into the programme and practice can improve the lives of people with SCD, particularly the tribal population.

Published
2020
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42. Analysis on Deep Learning methods for ECG based Cardiovascular Disease prediction

Author

J. Divya Udayan and S Kusuma

Subjects
General Computer Science, Computer science, business.industry, Deep learning, Disease, Artificial intelligence, Machine learning, computer.software_genre, business, computer
Abstract

The cardiovascular related diseases can however be controlled through earlierdetection as well as risk evaluation and prediction. In this paper the applicationof deep learning methods for CVD diagnosis using ECG is addressed.A detailed Analysis of related articles has been conducted. The results indicatethat convolutional neural networks (CNN) are the most widely used deeplearning technique in the CVD diagnosis. This research paper looks into theadvantages of deep learning approaches that can be brought by developing aframework that can enhance prediction of heart related diseases using ECG.

Published
2020
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43. INCIDENCE OF SWITCHING TO SECOND LINE TREATMENT AMONG HIV PATIENTS RECEIVING ANTI-RETROVIRAL THERAPY

Author

T. Divya, Sk. Aamani, V. Santosh Kumar, Jyothula Joseph Samuel, J.Sumavi Sekhar, and S. Kusuma

Subjects
medicine.medical_specialty, Nevirapine, business.industry, Incidence (epidemiology), Tonsillitis, Lamivudine, Retrospective cohort study, medicine.disease, Zidovudine, Regimen, Acquired immunodeficiency syndrome (AIDS), Internal medicine, Medicine, business, medicine.drug
Abstract

Aim: The main aim of this study is to estimate the incidence of switching to second line Anti-Retroviral Therapy (ART) among HIV patients. Objective: The primary objective of this study is to determine the reason for switching to second line ART. The secondary objective of the study is to estimate the rate of treatment failure among HIV patients receiving first line ART. To determine the factors responsible for first line treatment failure. Methodology: A Retrospective Observational study is conducted at a tertiary care hospital, Ongole, Prakasam District, Andhra Pradesh. Incidence of switching to second line ART among 4,187 HIV patients is assessed. Results: In our study, we have collected ART cards of 4,187 patients living with HIV/AIDS. Out of which 3,419 patients are excluded from the study. 768 patients are included for the study who met the inclusion criteria. Of these patients, 739 members are receiving first line regimen and 29 patients are switched to second line Anti-Retroviral Therapy (3.77%). Conclusion: Our study concluded a low incidence of switching to second line ART with an incidence rate of 1.01 per 100 persons a year. Out of 29 patients, failure of first line treatment is majorly observed with AZT+3TC+NVP (Zidovudine+Lamivudine+Nevirapine) among 13 patients (44.82%). Reasons for failure are determined majorly as a result of immunological and virological failure (37.93%). These reasons are associated with decreased adherence of 80-90% among 21 patients (72.41%).

Published
2020
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50. Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight

Author

Maryam Sharafkhah, Emanuel Zitt, Majid Ezzati, Luxia Zhang, Young-Ho Khang, Ellina Rakhimova, Kairit Mikkel, Tiina Vlasoff, Eruke E. Egbagbe, Sidsel Graff-Iversen, Ilona Nenko, Magdalena Klimek, Mathilde Savy, Sanjib Kumar Sharma, Alfonso Siani, Luís Lopes, Vanina Bongard, Gregor Jurak, Jacqueline F. Price, Christina-Paulina Lambrinou, Maria Lc Iurilli, Rainford J. Wilks, Bontha V. Babu, Fereidoun Azizi, Harunobu Nakamura, Marialaura Bonaccio, Angela Döring, Zhenyu Zhang, Naser Ahmadi, Jolanta Słowikowska-Hilczer, Ana Paula Carlos Cândido, Clive Osmond, Thirunavukkarasu Sathish, Robert J. Adams, Themistoklis Tzotzas, Reina Engle-Stone, Atul Trivedi, Shoichiro Tsugane, Niels Møller, Jorge Bezerra, Dénes Molnár, Muhammad Fadhli Mohd Yusoff, Badreya Al-Lahou, J. Jaime Miranda, Bahram Mohajer, Sigmund A. Anderssen, Lital Keinan Boker, Eero Kajantie, Martin Gulliford, Maties Torrent, Sumit Bharadwaj, Toshiharu Ninomiya, Zbigniew Gaciong, Nayu Ikeda, Li Juan Wu, Adrian Richter, Licia Iacoviello, Marc J. Gunter, Wenbin Wei, Norsyamlina Che Abdul Rahim, Eman Aly, Ambady Ramachandran, Nils Lehmann, Soile E. Puhakka, Giovanni Veronesi, Hongsheng Bi, Eiji Oda, Jia Li Duan, Per Tynelius, José María Huerta, Janne Schurmann Tolstrup, Rodrigo M. Carrillo-Larco, Rosangela Fernandes Lucena Batista, Victoria E Soto-Rojas, Hanno Ulmer, Shukri F. Mohamed, Anthony Kafatos, Suyeon Park, Mohsen Ibrahim, Hamed Pouraram, Bin Zhou, May Soe Aung, Lars Bo Andersen, Erfan Ghasemi, René Charles Sylva, Himanshu K. Chaturvedi, Luc Dauchet, Ahmad Ali Zainuddin, Angela Chetrit, Dan Zhu, Valérie Deschamps, Ko Ko Zaw, Peter Vollenweider, Tomas Vega, Yves Martin-Prével, Mahfuzar Rahman, Dorja Vočanec, Roman Topor-Madry, Vinay Nangia, Herculina S. Kruger, Asher Fawwad, Emily Sonestedt, Elena Pahomova, Aleksander Giwercman, Elżbieta Dziankowska-Zaborszczyk, Cecilia Björkelund, Tatjana Hejgaard, Maria Puiu, Maria Benedetta Donati, Andrew Wong, Carlos P. Boissonnet, Santosh K. Bhargava, Patrick Kolsteren, Dermot O'Reilly, Bahareh Kheiri, Wolfgang Kratzer, Susanne R. de Rooij, H. Bas Bueno-de-Mesquita, Günther Fink, José R. Banegas, Michele Monroy-Valle, Drude Molbo, Mahmudur Rahman, Hynek Pikhart, Rafael N. Pichardo, Massimo Salvetti, Hui Cai, Sarah Filippi, Georg Posch, Hung-Kwan So, Yonghua Hu, Katsuyasu Kouda, Joana Carvalho, Gailute Bernotiene, Hannu Uusitalo, Thein Thein Htay, Felix Kaducu, Maigeng Zhou, Lars Ängquist, Thi Tuyet-Hanh Tran, Charles Lunogelo, Michel Joffres, Sabina Zambon, Ronald D. Gregor, Vayia Rarra, Seyed Mohammad Hashemi-Shahri, Loreto Santa Marina, Galina Obreja, Rudolf Kaaks, Aya Mostafa, Maria do Carmo Franco, Beata Gurzkowska, Chien-Jen Chen, Marie Moitry, Nizal Sarrafzadegan, Xiangjun Wang, Diego Giulliano Destro Christofaro, Imperia Brajkovich, Fangfang Chen, Francesco Panza, Ling Yang, Holly E. Syddall, Cecily Kelleher, Michael Tornaritis, Ningli Wang, Lutgarde Thijs, Marjolein Visser, Angelika Schaffrath Rosario, María José Tormo, Jostein Steene-Johannessen, Norbert Amougou, Emmanuella Magriplis, Mar Alvarez-Pedrerol, Jingli Gao, Stig E. Bojesen, Giuseppe Grosso, Seongjun Ha, Lauren Lissner, Mikhail Benet, Anastasia Markaki, Sanjay Rampal, Antônio Augusto Moura da Silva, Maria Lorenza Muiesan, Angelique Chan, Yvonne T. van der Schouw, Annamari Lundqvist, Philippe Amouyel, Kristyna Zejglicova, Charalambos Hadjigeorgiou, João Breda, Jørgen Meisfjord, Fatima Zahra Laamiri, Carl Lachat, Kai-Uwe Saum, Vilma Irazola, Leng Huat Foo, Óscar Lopes, Dickman Gareta, Flavio Nervi, Imre Janszky, Ruzena Kubinova, Terho Lehtimäki, Mario V. Capanzana, Moyses Szklo, Ramfis Nieto-Martínez, Viswanathan Mohan, Shuohua Chen, Arvind Pandey, Luigi Palmieri, Roya Kelishadi, Srinivasan Kannan, Jie Mi, Robert Beaglehole, Liliana Dacica, Jyrki K. Virtanen, Mohan Deepa, Peter Ueda, Isti Ilmiati Fujiati, Hermann Pohlabeln, Morten Sodemann, Jytte Halkjær, Zbigniew Kułaga, Sophie Visvikis-Siest, Farshad Farzadfar, Mohsen Azimi-Nezhad, Henry Völzke, Karolina Milkowska, Zahra Mohammadi, Belgin Ünal, Magda Gasull, George S. Stergiou, Marshall K. Tulloch-Reid, Seppo Koskinen, James E. Bennett, Marcela González-Gross, Virginija Dulskiene, Idris Guessous, Assembekov Batyrbek, Kamarul Imran Musa, Jeannette Lee, Josep Redon, Bihungum Bista, Luisa M Macieira, Johan Sundström, Andres Metspalu, Lariane M Ono, Flora A. Ukoli, Salar Rahimikazerooni, Andrea Gualtieri, Trevor S. Ferguson, Félicité Tchibindat, Eliza Cinteza, Ha Tp Do, Tajana Zeljkovic Vrkic, Tuyen D Le, Alison J. Hayes, Abdul Basit, Chandini Nekkantti, Teresa Norat, Eunice Ugel, Gulmira Aitmurzaeva, Mariachiara Di Cesare, Abdul Hamid Zargar, Vincenzo Solfrizzi, Garry L. Jennings, Aline Meirhaeghe, Kaare Christensen, Päivi Mäki, Xu Lin, Ali Esmaeili, Joanna Baran, Aneta Grajda, Renata Cifkova, Alexandre C. Pereira, Martin Bobak, Iuliia A Rusakova, Keiu Nelis, Damian K Francis, Guansheng Ma, Axel C. Carlsson, Alejandro Diaz, Alireza Ansari-Moghaddam, N Capkova, Zumin Shi, Maria Turley, Imelda A. Agdeppa, Helena I. S. Nogueira, Marcia Scazufca, Katharina Maruszczak, Natascia Rinaldo, Paulo A. Lotufo, Nuno Lunet, Thor Aspelund, Caroline H.D. Fall, Antonio Cabrera de León, Ahmad Faudzi Yusoff, Holger Theobald, Beatriz D'Agord Schaan, Pedro Marques-Vidal, William A. Neal, Mihai Gafencu, Tandi E. Matsha, Ana B. Crujeiras, Ahmad Reza Dorosty, Alain Morejon, Weili Yan, Dominique Hange, Bekbolat Zholdin, Frédéric Gottrand, Jorge Mota, Jana Námešná, Stevo Popovic, Louise Eriksen, Line Lund Kårhus, Cihangir Erem, Juergen Breckenkamp, Mathilde Kersting, Yi Song, Martin McKee, Aleksandra Gomula, Rafaela Rosário, Enzo Manzato, S. Goya Wannamethee, Sounnia Mediene Benchekor, Azim Nejatizadeh, Krishna Kumar Aryal, Juan P. González-Rivas, Vedrana Sember, Stephen T. McGarvey, Jukka T. Salonen, Patrick Pasquet, Patricia Varona-Pérez, Amelia C. Crampin, Ramin Heshmat, Violeta Iotova, Juvenal Soares Dias-da-Costa, Oye Gureje, Aletta E. Schutte, João Luiz Bastos, Anelise Reis Gaya, Konrad Jamrozik, Dalia Luksiene, Amina Barkat, Maria Paula Santos, José Camolas, Azli Baharudin, Diego Vanuzzo, Doris Stöckl, Rosalynn Siantar, Jouko Saramies, Albertino Damasceno, Davood Khalili, Simona Bo, Martina Müller-Nurasyid, Dominique Cottel, Markku Peltonen, Fikru Tullu, Ana Isabel Rito, Angélica Ochoa-Avilés, Annette J. Dobson, Christopher T. Cowell, Charumathi Sabanayagam, Rildo de Souza Wanderley Júnior, Oanh T. H. Trinh, Farahnaz Joukar, Mostafa K. Mohamed, Mostafa Qorbani, Jeongseon Kim, Helmut Schröder, Machi Suka, Natasja M. van Schoor, Jussi Kauhanen, Teresa Haugsgjerd, Goodarz Danaei, M. Fernanda Lima-Costa, Yong Tao, Elisabetta L. Romeo, Grazyna Jasienska, Victor Guillermo Sequera, Kazem Mohammad, Yanina Zócalo, Fernanda Cunha Soares, Jianfeng Wu, Mohammad Esmaeel Motlagh, María Elena Díaz-Sánchez, Monika Zuziak, Eldridge Ferrer, Anette Varbo, Leila Beltrami Moreira, Jeremy M. Jacobs, Kenneth James, Elena Sacchini, Pascal Bovet, Mahboubeh Parsaeian, Tania Lopez, Ya Xing Wang, Wojciech Drygas, Jody C Miller, Svetlana A. Shalnova, Maria Elisa Zapata, Chung T Nguyen, Nimmathota Arlappa, Edwige Landais, Thorkild I. A. Sørensen, Jeannette Klimont, Amirabbas Momenan, Erik J. Timmermans, Mari-Liis Tammesoo, Jost B. Jonas, Stefania Toselli, Maria Teresa Anselmo Olinto, Bahman Cheraghian, Kouamelan Doua, Esteban Carmuega, Marjeta Mišigoj-Duraković, Bo Werner, M. Arfan Ikram, Breige A. McNulty, Christa Meisinger, Clara Homs, Namuna Shrestha, Alina Kerimkulova, Youcef Laid, Claes Ohlsson, Alicia Matijasevich, Alison J Price, Ala'a Alkerwi, Kristine H. Allin, Lorenza Pilotto, Mohannad Al Nsour, Ingunn Holden Bergh, Marianna Noale, Heba Fouad, Vilnis Dzerve, Novie O. Younger-Coleman, Peter Willeit, Andrea R. V. R. Horimoto, Freda Pitakaka, Habiba Ben Romdhane, Savvas C. Savva, Rajeev Gupta, Jennifer Servais, Cristina Padez, Sarah P. Garnett, Maria del Cristo Rodriguez-Perez, Michala Lustigová, Tien Yin Wong, Rosa Haghshenas, Jonathan Giovannelli, Christina Howitt, Marleen E. Hendriks, Fadia AlBuhairan, Huashuai Chen, Gretchen A Stevens, Luís B. Sardinha, David Goltzman, Jenny M. Kindblom, Karina Mary de Paiva, Yousef Khader, Eric Monterrubio-Flores, Rajendra Pradeepa, Yi-Ting Lin, Martin Neovius, Juan Francisco Miquel, Ellis Owusu-Dabo, Anil Poudyal, Marzieh Katibeh, Tanja Stocks, Veronica Mocanu, Ulla Roggenbuck, Robespierre Ribeiro, Gabriele Eiben, Mary Simon, Christine Cameron, Hamid Hakimi, Kamel Ajlouni, Jakub Stokwiszewski, Iulia Jurca Simina, Pietro Amedeo Modesti, Frederick C. W. Wu, Peter Kristensen, Charles Mondo, Felix Gutzwiller, Mariana Sbaraini, Martijn Huisman, Betina H. Thuesen, Queenie Chan, Antonisamy Belavendra, Artur Mazur, Ulf Ekelund, Laura A. Rodríguez-Villamizar, Marcos André Moura-dos-Santos, Jean Ferrières, Farhad Zamani, Shina Avi, Yves Kameli, Luis Paulo Gomes Mascarenhas, Aluísio J D Barros, Thomas Meinertz Dantoft, Hossein Poustchi, Farid Najafi, Giovanni de Gaetano, Azaliia M Tuliakova, Vera Lanska, Tint Swe Latt, Matthias Bopp, Abbas Rezaianzadeh, Rod Jackson, Johan Van der Heyden, Reecha Sofat, Koen Van Herck, Allan G. Hill, Con Burns, Emanuela Pettenuzzo, Ming-Dong Wang, Stela McLachlan, Ulrike Gehring, Ranko Stevanovic, Nagalla Balakrishna, Lekhraj Rampal, Marjolijn C. E. Bragt, Saeid Eslami, Napoleón Pérez-Farinós, G. K. Mini, Viktoria Anna Kovacs, Rosemarie Martin, Nahla Hwalla, Wei Zheng, Hoang Van Minh, Edward D Janus, Laetitia Huiart, Farhad Pourfarzi, Sudha Ramachandra Rao, Fred Paccaud, Marcia Makdisse, Aye Aye Sein, Enrique Gutiérrez-González, Yang Yang, Anneke Blokstra, Henrike Galenkamp, Jaume Marrugat, Nazan Yardim, Wan Nazaimoon Wan Mohamud, Jesús Ibarluzea, Julio Zuñiga Cisneros, Laura Lauria, Argyro Karakosta, Dragana P Jovic, Jun Hata, Elio Riboli, Piotr Bandosz, Xun Tang, Parvina Mukhtorova, Jean Dallongeville, Jean-Bernard Ruidavets, Anne Tjønneland, Guillermo Frontera, Rahul Malhotra, Thomas Ferrao, Aleksandra Piwońska, Dusan Grafnetter, Mette Rasmussen, Daniel Weghuber, Sherali Rakhmatulloev, Martine Vrijheid, Johann Willeit, Motahareh Kheradmand, Małgorzata Mossakowska, Lechaba Tshepo, Dongfeng Gu, Hyeon Chang Kim, Vilmundur Gudnason, Maria Forsner, Peter Bjerregaard, Leon A. Simons, Rachael McLean, Japhet Killewo, Ramón Suárez-Medina, Y Nikitin, Eng Joo Tan, Jean Claude Mbanya, Aroor Bhagyalaxmi, Renata Kuciene, Kairat Davletov, Jose Eugenio Lozano, Afshin Ostovar, Niloofar Peykari, Guy De Backer, Soheir H Ahmed, Nicholas J. Wareham, Sai Yin Ho, Constanta Huidumac Petrescu, Maria Hassapidou, Iris Pigeot, Myriam Galfo, Susana Cararo Confortin, Blanca Sandra Ruiz-Betancourt, W. M. Monique Verschuren, Catterina Ferreccio, Fabio Galvano, Leila Houti, Daniel Bia, Annika Rosengren, Marcin Rutkowski, Biruta Velika, Joana Araújo, Fernando Rigo, Angela Spinelli, Scott B. McLean, Shirin Djalalinia, Marie Kunešová, Boban Mugoša, Sania Nishtar, Mangesh S. Pednekar, Shahla AlDhukair, Helle-Mai Loit, Antonis Zampelas, Altan Onat, Maciej Banach, Shohreh Naderimagham, Hajer Aounallah-Skhiri, Maja Bæksgaard Jørgensen, Yin Guo, Ewelina Czenczek-Lewandowska, Parasmani Dasgupta, Elvis Oa Wambiya, Inge Huybrechts, Raimund Erbel, Jari Jokelainen, Ana P. Ortiz, Stefan Kiechl, Emmanuel Cohen, Caleb Ochimana, Shynar Abdrakhmanova, Laura Censi, Iqbal Bata, Geetha R Menon, Snehalatha Chamukuttan, Pedro Plans-Rubio, Domenico Palli, Ana Azevedo, Slawomir Koziel, Benoît Salanave, Parinaz Mehdipour, Shu Ti Chiou, Lela Sturua, Lubica Ticha, Felipe Vogt Cureau, Jin Soo Moon, Ming-Hui Zhao, Urho M. Kujala, Nathalie Michels, Ertugrul Celikcan, Jaakko Tuomilehto, Judith Benedics, Tobias F. Rinke de Wit, Agnès Le Port, Reza Homayounfar, Andrea Rodriguez-Martinez, Tai Hing Lam, Yn-Tz Sung, Jürgen König, Kodavanti Mallikharjuna Rao, Hazzaa M. Al-Hazzaa, Karen Morgan, Bogdan Wojtyniak, Cynthia M. Pérez, Ilse Khouw, Manoli Garcia-de-la-Hera, Dong Wook Shin, Genc Burazeri, Ausra Petrauskiene, Charles Sossa Jérome, Kenisha Russell Jonsson, José Boggia, Daniela Galeone, Alice Bonilla-Vargas, Han Cg Kemper, Rahman Shiri, Stefaan Demarest, Else Karin Grøholt, San-Lin You, Adelheid Weber, Juha Auvinen, Aida Pilav, Sibel Gogen, Suzanne N Morin, Wan Mohamad Wan Bebakar, Viviane Cunha Cardoso, Kavumpurathu Raman Thankappan, Hana Zamrazilová, Frank Claessens, Karien Stronks, Helen Gonçalves, Tahir Aris, Luis Revilla, Sérgio Viana Peixoto, Zhamilya Battakova, Jing Liu, Eliza Markidou Ioannidou, Leticia Hernandez Cadena, Priscilla Duboz, Sandjaja, Tiina Laatikainen, Rafel Ramos, Sareh Eghtesad, Judith Simons, Orn Olafsson, E. Shyong Tai, Louise A. Baur, Nihal Thomas, Aung Soe Htet, Bente Sparboe-Nilsen, Paul Elliott, Soon-Woo Park, Angel R. Gonzalez, Ying-Wei Wang, Rob M. van Dam, Ryutaro Ohtsuka, Ludmila Sevcikova, Suhaila Abdul Ghaffar, Lynell V Maniego, Fariborz Mansour-Ghanaei, Maria Dorobantu, Giovanni Viegi, Xiaoguang Yang, Honor Bixby, Prakash C. Gupta, Ofra Kalter-Leibovici, Eugene Sobngwi, Ričardas Radišauskas, Jurate Medzioniene, Roy A Wong-McClure, Kim F. Michaelsen, Antonia Trichopoulou, Tania Tello, Francesco Branca, Johanna Gunnlaugsdottir, Els Clays, Wei-Yen Lim, Suzanne C. Ho, Toomas Veidebaum, Rebecca Goldsmith, Margot González-León, Matthias Nauck, Alibek Mereke, Marta Buoncristiano, Jakob Tarp, Rosalba Rojas-Martínez, Maya Tanrygulyyeva, Reza Malekzadeh, Abdonas Tamosiunas, Dimitrios Poulimeneas, Pedro Ordunez, Isabelle Herter-Aeberli, Khanh Le Nguyen Bao, Anne Juolevi, Vassilis Zafiropulos, Emanuela Gualdi-Russo, Jordi Sunyer, Manu Raj, Chaoqiang Jiang, Sofia Malyutina, Efthymios Kapantais, Maria Lazo-Porras, Maung Maung Than Htike, Michael Hobbs, Ranjit Mohan Anjana, Merike Liivak, Johan G. Eriksson, Margarita Samoutian, Andreia N. Pizarro, Mohammed Rasoul Tarawneh, Jean Woo, Kaspar Staub, Maria Teresa Menzano, Mojtaba Farjam, Adroaldo Cesar Araujo Gaya, Mohammad El-khateeb, Zulfiqar A Bhutta, Mukharram M. Bikbov, Hsien-Ho Lin, Oscar Noboa, Thomas Waldhör, Garry Brian, Simona Costanzo, Frank Tanser, Nor Azwany Yaacob, Michelle Cilia, Ivo Rakovac, Bill Stavreski, Ioannis Pagkalos, Ivan Pećin, Carlo M. Barbagallo, Abla M. Sibai, Yuna He, Matsuda Fumihiko, Bharathi Viswanathan, Ali Reza Safarpour, Wei Cheng Lo, Abdullatif Husseini, Jiang He, Liv Elin Torheim, Nipa Rojroongwasinkul, Aicha Soumare, Astrid Petersmann, Tomasz Grodzicki, Davide Noto, Panayiotis K. Yiallouros, Kelias P. Msyamboza, William R. Tebar, Yingfeng Zheng, Eha Nurk, Bhawesh Koirala, Ana Jelakovic, Suhad Bahijri, Freja B Kampmann, Qi Sheng You, Marika Ferrari, María-Elena González-Villalpando, Aline Wagner, Olfa Saidi, Anwar Batieha, Eduardo Capuano, Coimbatore Subramaniam Shanthirani, Dong Wook Kim, Albina A Fakhretdinova, Tom Wilsgaard, Maria Avdicova, Moesijanti Soekatri, Chiara Donfrancesco, Salim Mohanna, Paola Russo, Uruwan Yamborisut, Rafael dos Santos Henrique, Martin Nankap, Allan Linneberg, Khairil Si-Ramlee, Kirsten Mehlig, Christina Mavrogianni, Raluca Pop, Lèlita Santos, Graziella Bruno, Valentina Peterkova, Iná S. Santos, Georg Lappas, Alberto Palloni, Malay K. Mridha, Andrzej Pajak, Marta García-Solano, Stefaan De Henauw, Daniel Ferrante, Rute Santos, Anders Grøntved, Lucjan Szponar, Mihaela Vladulescu, Chien-An Sun, Jan A. Staessen, Paula Duarte de Oliveira, Norazizah Ibrahim Wong, Maria Nordendahl, Elaine M. Dennison, Jeonghee Lee, Diego Salmerón, Ida Maria Schmidt, Gao Pei, Noushin Mohammadifard, Igor Spiroski, Fernando Rodríguez-Artalejo, Xu Ma, Elin Pettersen Sørgjerd, Valéria Regecová, Cláudia S. Minderico, Johanna A. Otero, Jamila Abubakar Garba, Vesselka Duleva, Rui Ornelas, Ilpo Huhtaniemi, Cesar G. Victora, Lijuan Liu, Rody G. Sy, Mahmood Moosazadeh, Ali Ahmadi, Antonio Pedro Graça, Natalia Nowak-Szczepanska, Miao Li Chee, Michael Sjöström, Charles Agyemang, Shiqi Zhen, Xiu-Hua Guo, Pawel Kurjata, Jardena J. Puder, Mehrdad Azmin, Neil Murphy, Kaosar Afsana, Alireza Sadjadi, Johanna M. Geleijnse, Prashant Mathur, Elysée Claude Bika Lele, Raphael Mendes Ritti-Dias, Yannis Manios, Majid Shirani, Rosemary B. Duda, Liis Nelis, Jurate Klumbiene, Zhengming Chen, Wichai Aekplakorn, Alun Evans, Andrzej Wiecek, Lars Lind, Denise Eldemire-Shearer, Bernardo L. Horta, Macia Enguerran, Seyed Rasoul Zakavi, Daniel Fernández-Bergés, Kumiko Ohara, Ursula Kiechl-Kohlendorfer, Hermann Brenner, Przemyslaw Slusarczyk, Espen Bjertness, Jutta Stieber, Augusto Di Castelnuovo, Joel G. R. Roy, Aryeh D. Stein, Ruth Frikke-Schmidt, Vera Musil, Amaneh Shayanrad, Marcel Goldberg, Ramon O. Jimenez, Mohammad Reza Fattahi, Jolanda Hyska, Amir Houshang Mehrparvar, Elin Kolle, Mohamed Bamoshmoosh, Michelle Holdsworth, Felipe F. Casanueva, Børge G. Nordestgaard, Niels Wedderkopp, Eva Corpeleijn, Elias F. Gudmundsson, Antonio Mistretta, Daniel Lemogoum, Larissa Pruner Marques, Slavica Sović, Olli T. Raitakari, Marco Aurélio Peres, Alexandra Cucu, Gregorio Varela-Moreiras, Janine Clarke, Andrea Gazzinelli, Mieczysław Litwin, Sara Schramm, Xenophon Theodoridis, Harshpal Singh Sachdev, Mohammad Reza Mirjalili, Dimitrios Papandreou, Peter T. Katzmarzyk, Benjamin Acosta-Cazares, Ben Schöttker, Prabhdeep Kaur, Norlaila Mustafa, Shariq Rashid Masoodi, Sadaf G. Sepanlou, Adolfo Rubinstein, Francis Delpeuch, Julianne Williams, Abbas Dehghan, Leanne M. Riley, Heloisa Bettiol, Gabriele Nagel, Ellisiv B. Mathiesen, Ekaterina Stoyanova, Alisha N. Wade, Zhamyila Usupova, Arnaud Chiolero, Oonagh Markey, Jacqueline Ramke, Elena Bogova, Niveen M E Abu-Rmeileh, Nguyen D Nguyen, Tomasz Zdrojewski, Marjo-Riitta Järvelin, Jose Sanchez-Abanto, Rômulo Araújo Fernandes, Lourdes Ribas-Barba, Nalan Uysal, Mohamad Hasnan Ahmad, Krista Fischer, Maria Wany Louzada Strufaldi, Ramiro Guerrero, Farnam Mohebi, Tran Quoc Bao, Flávio Danni Fuchs, Salim Berkinbayev, Enisa Kujundzic, Sari Voutilainen, Farzad Hadaegh, Robert Lundqvist, Saeid Safiri, Iraj Mohebbi, George Luiz Lins Machado-Coelho, Annette Peters, Gonzalo Valdivia, Magdalena Korzycka, Rajiv T Erasmus, Masanori Iwasaki, Charmaine A. Duante, Sheikh Mohammed Shariful Islam, Quang Ngoc La, Ricky Eddie, Petra Rust, Daniela Rodrigues, Dirk De Bacquer, Karen Sparrenberger, Agneta Sjöberg, Thet Thet Mu, Katarzyna Dereń, Cora L. Craig, Jorge Motta, Janina Petkeviciene, Boyd Swinburn, Paibul Suriyawongpaisal, Visnja Djordjic, Ramón Alberto Rascón-Pacheco, Pradeep Joshi, Daan Kromhout, Marius B. Bjertness, Stefano Marventano, Juel Jarani, Alireza Khosravi, Eva Martos, David De Ridder, Lizzy M. Brewster, Nico Dragano, Liam Smeeth, Kenji Shibuya, Emma Ruiz Moreno, Hashem Jaddou, Grzegorz Sobek, Dimitrios Trichopoulos, Marvin Cervantes-Loaiza, Abu Am Hanif, Elaine M. Murtagh, Carlos A. Aguilar-Salinas, Graziella D'Arrigo, Kyungwon Oh, Heiner Boeing, Regina Heidinger-Felso, André Luiz Sena Guimarães, Balkish M. Naidu, Avula Laxmaiah, Ana M. B. Menezes, Marie Eliasen, Francesco Pistelli, Yuan He, Dusko Bjelica, José A. Casajús, Guang Ning, Lutgart Braeckman, Dirk Vanderschueren, Jochanan Stessman, Ivana Radic, Yi Zeng, Hans Concin, Damaskini Valvi, Sari Hantunen, Catherine Kyobutungi, Diego Augusto Santos Silva, Wenhua Zhao, Sok King Ong, Anne W. Taylor, Iraj Nabipour, Justyna Godos, Cyrus Cooper, Mattias Johansson, Samuel C. Dumith, Magdalena Muc, Sabine Schipf, Idowu O Senbanjo, Jim Mann, Rajaa Al-Raddadi, Yih Chung Tham, Kay-Tee Khaw, Joseph Cacciottolo, Ana Henriques, Sahar Saeedi Moghaddam, Reza Mohammadpourhodki, Bernhard O. Boehm, Songhomitra Panda-Jonas, Iveta Pudule, Elisabete Ramos, Lacramioara Aurelia Brinduse, Paul H. Lee, Terence W O'Neill, Javad Aghazadeh-Attari, Margus Punab, Bojan Jelaković, Camilla T. Damsgaard, Takafumi Ishida, Ekaterina Chikova-Iscener, Mirjam M. Heinen, Tazeen H. Jafar, Semánová Csilla, Constance Schultsz, Santiago F. Gomez, Raija Korpelainen, Edward W. Gregg, Laura Gutierrez, Pierre Traissac, Victor M. Herrera, Aristides M. Machado-Rodrigues, Fatemeh Malekzadeh, Shouling Wu, Jennifer L. Baker, Clicerio González-Villalpando, Eleonora d'Orsi, Irene G. M. van Valkengoed, Anna Fijałkowska, Wen-Harn Pan, Gregor Starc, Meghnath Dhimal, Murat Topbaş, George Moschonis, Robert Eggertsen, Abdullah Alkandari, Quang Ngoc Nguyen, Janette Walton, Elnaz Faramarzi, Saeed Dastgiri, Lien Braeckevelt, Nasheeta Peer, Radka Taxová Braunerová, Mohamed M. Ali, Steiner Krokstad, Harald Geiger, Morteza Shamshirgaran, Lela Shengelia, María Ángeles Dal Re Saavedra, Silvana Donoso, Khem Bahadur Karki, Timothy J. Key, Maria G. Grammatikopoulou, Susana Vale, Felix K. Assah, Juan A Rivera, Peter H. Whincup, Oana-Florentina Gheorghe-Fronea, Cassiano Ricardo Rech, Paul Ferdinand M. Reganit, Rachakulla Hari Kumar, Jaakko Mursu, Luis A. Moreno, Glen Gironella, Jelena Kos, Tilema Cama, Haakon E. Meyer, Jun Ma, Raphael E. Arku, Ziad Abdeen, Dianna J. Magliano, Jitendra Jonnagaddala, Konstantinos Gkiouras, Paola Nardone, Alberto Barceló, Tomi-Pekka Tuomainen, Francesco Gianfagna, Stefania Maggi, Mohammad Hossein Somi, Behrooz Hamzeh, Miquel Porta, Vesna Jureša, Alexander D. Deev, David Faeh, Antonio Bernabe-Ortiz, Sirkka Keinänen-Kiukaanniemi, Ian Hambleton, Stefan Savin, Andre Pascal Kengne, R. Krishna Kumar, Kurt Widhalm, Marco M Ferrario, Parisa Amiri, Anjani Kumar Jha, Thamara Hubler Figueiró, Jana Kratenova, Claudia M. Hormiga, Maria Tsigga, Zivka Dika, Indrapal I. Meshram, Ei Ei K. Nang, Ian Rouse, Rusidah Selamat, Paul Korrovits, Grethe S. Tell, Julie Taylor, Anabela Mota-Pinto, Paolo Vineis, Kotsedi D Monyeki, Khuong Quynh Long, Frank J Rühli, Shelly R. McFarlane, Sara Santos Sanz, Edyta Łuszczki, Maria G. Stathopoulou, Tara Coppinger, Karin De Ridder, Lucie Viet, Anna Bugge, Mehdi Yaseri, Safiah Md Yusof, Sandra C. Fuchs, Muhammad Islam, Irfan Nuhoglu, Rui Providência, Bernard Maire, Leandra Abarca-Gómez, Sinead Brophy, Maria Ruiz-Castell, Daniela Pierannunzio, Cristina Taddei, Gowri Mahasampath, Gustavo Velasquez-Melendez, Hanna Tolonen, Sudhir Kowlessur, Bagher Larijani, Laura Torres-Collado, Susi Kriemler, Ali Akbar Shayesteh, Cynthia Robitaille, Jorge Escobedo-de la Peña, Yufang Bi, Chinh Nguyen Huu, Line Tang Møllehave, Vincent Jr DeGennaro, Noor Ani Ahmad, Anar Dushpanova, Agustinus Soemantri, Susana Sans, Ionela Pascanu, Gwenaëlle Le Coroller, Inger Ariansen, Kodanda R Kanala, Gert B. M. Mensink, Abhijit Sen, Sergej M. Ostojic, Hanan F. Abdul Rahim, Hélène Delisle, Francisco J. Félix-Redondo, Yadlapalli S. Kusuma, Michael Knoflach, Moein Yoosefi, Tanja G. M. Vrijkotte, Wolfgang Ahrens, Osvaldo Santos, Bethlehem D. Solomon, Erik Lykke Mortensen, Nikhil D. Patel, Reynaldo Martorell, Ching-Yu Cheng, Stine Schramm, Hana Shimizu-Furusawa, Jacek Jóźwiak, Radwan Qasrawi, Herman Borghs, Zhanna Kalmatayeva, Heidi Klakk, Akram Pourshams, Naomi S. Levitt, Son Thai Pham, Simona Giampaoli, Dong Zhao, Indah Suci Widyahening, Merete Osler, Paula Margozzini, Silvia Bel-Serrat, Dora Romaguera, Monira Alarouj, Winsome R. Parnell, Marloes Cardol, Giota Touloumi, Janice Luisa Lukrafka, Adela Chirita-Emandi, Maryam Kavousi, Sanja Musić Milanović, Jean-Michel Gaspoz, Jalila El Ati, Sauli Herrala, Liang Xu, Pilar Guallar-Castillón, Bee Koon Poh, Luis Serra-Majem, Jonathan E. Shaw, Belong Cho, Daphne Mirkopoulou, Salvador Villalpando, Yuki Fujita, Tiffany K. Gill, Nish Chaturvedi, Erkin M. Mirrakhimov, Günay Can, Mark Woodward, Esther Lopez-Garcia, Mauro Virgílio Gomes de Barros, Ahmed A. Madar, Shoaib Afzal, Melanie J. Cowan, Gareth Stratton, Eduardo Salazar Martinez, Sameer Narake, Norie Sawada, Deepak Amarapurkar, Deepa Weerasekera, Diana A. 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Chan School of Public Health, Middlesex University [London], Organisation Mondiale de la Santé / World Health Organization Office (OMS / WHO), Montpellier Interdisciplinary center on Sustainable Agri-food systems (Social and nutritional sciences) (UMR MoISA), Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad)-Institut de Recherche pour le Développement (IRD)-Centre International de Hautes Etudes Agronomiques Méditerranéennes - Institut Agronomique Méditerranéen de Montpellier (CIHEAM-IAMM), Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Institut national d’études supérieures agronomiques de Montpellier (Montpellier SupAgro), Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Interactions Gène-Environnement en Physiopathologie Cardio-Vasculaire (IGE-PCV), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Wellcome TrustEuropean Commission, Clinical Developmental Psychology, APH - Mental Health, Sociology, The Social Context of Aging (SoCA), Nutrition and Health, Iurilli, Maria LC [0000-0003-0409-1635], Zhou, Bin [0000-0002-1741-8628], Ezzati, Majid [0000-0002-2109-8081], Apollo - University of Cambridge Repository, Epidemiology and Data Science, APH - Aging & Later Life, APH - Societal Participation & Health, Public and occupational health, APH - Health Behaviors & Chronic Diseases, VU University medical center, APH 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Ltd, Orebro University, University of London, Universitas Indonesia, Institute of Food and Nutrition Development of Ministry of Agriculture and Rural Affairs, Children’s Hospital of Fudan University, University of Cyprus, Niigata University, International Medical University, Iran University of Medical Sciences, Center for Diabetes and Endocrine Care, Peking University First Hospital, Jiangsu Provincial Center for Disease Control and Prevention, Sun Yat-sen University, West Kazakhstan Medical University, Inner Mongolia Medical University, University of Ghana, Maria Lc Iurilli , Bin Zhou , James E Bennett , Rodrigo M Carrillo-Larco , Marisa K Sophiea , Andrea Rodriguez-Martinez , Honor Bixby , Bethlehem D Solomon , Cristina Taddei , Goodarz Danaei , Mariachiara Di Cesare , Gretchen A Stevens , Leanne M Riley , Stefan Savin , Melanie J Cowan , Pascal Bovet , Albertino Damasceno , Adela Chirita-Emandi , Alison J Hayes , Nayu Ikeda , Rod T Jackson , Young-Ho Khang , Avula Laxmaiah , Jing 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Lind , Allan Linneberg , Lauren Lissner , Mieczyslaw Litwin , Lijuan Liu , Wei-Cheng Lo , Helle-Mai Loit , Khuong Quynh Long , Luis Lopes , Oscar Lopes , Esther Lopez-Garcia , Tania Lopez , Paulo A Lotufo , José Eugenio Lozano , Janice L Lukrafka , Dalia Luksiene , Annamari Lundqvist , Robert Lundqvist , Nuno Lunet , Charles Lunogelo , Michala Lustigová , Edyta Łuszczki , Guansheng Ma , Jun Ma , Xu Ma , George Ll Machado-Coelho , Aristides M Machado-Rodrigues , Luisa M Macieira , Ahmed A Madar , Stefania Maggi , Dianna J Magliano , Sara Magnacca , Emmanuella Magriplis , Gowri Mahasampath , Bernard Maire , Marjeta Majer , Marcia Makdisse , Päivi Mäki , Fatemeh Malekzadeh , Reza Malekzadeh , Rahul Malhotra , Kodavanti Mallikharjuna Rao , Sofia K Malyutina , Lynell V Maniego , Yannis Manios , Jim I Mann , Fariborz Mansour-Ghanaei , Enzo Manzato , Paula Margozzini , Anastasia Markaki , Oonagh Markey , Eliza Markidou Ioannidou , Pedro Marques-Vidal , Larissa Pruner Marques , Jaume Marrugat 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Jianfeng, Wu, Li Juan, Wu, Shouling, Xu, Haiquan, Xu, Liang, Yaacob, Nor Azwany, Yamborisut, Uruwan, Yan, Weili, Yang, Ling, Yang, Xiaoguang, Yang, Yang, Yardim, Nazan, Yaseri, Mehdi, Yasuharu, Tabara, Ye, Xingwang, Yiallouros, Panayiotis K, Yoosefi, Moein, Yoshihara, Akihiro, You, Qi Sheng, You, San-Lin, Younger-Coleman, Novie O, Md Yusof, Safiah, Yusoff, Ahmad Faudzi, Zaccagni, Luciana, Zafiropulos, Vassili, Zainuddin, Ahmad A, Zakavi, Seyed Rasoul, Zamani, Farhad, Zambon, Sabina, Zampelas, Antoni, Zamrazilová, Hana, Zapata, Maria Elisa, Zargar, Abdul Hamid, Ko Zaw, Ko, Zdrojewski, Tomasz, Zejglicova, Kristyna, Vrkic, Tajana Zeljkovic, Zeng, Yi, Zhang, Luxia, Zhang, Zhen-Yu, Zhao, Dong, Zhao, Ming-Hui, Zhao, Wenhua, Zhen, Shiqi, Zheng, Wei, Zheng, Yingfeng, Zholdin, Bekbolat, Zhou, Maigeng, Zhu, Dan, Zins, Marie, Zitt, Emanuel, Zocalo, Yanina, Cisneros, Julio Zuñiga, Zuziak, Monika, Ezzati, Majid, Filippi, Sarah, Cohortes épidémiologiques en population (CONSTANCES), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université Paris Cité (UPCité), Université Paris Cité (UPCité), Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut Agro - Montpellier SupAgro, and Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)

Subjects
Population -- Health aspects, Leanness, Baixo peso/Underweight, none, Double burden, alipainoisuus, tulotaso, global health, systematic analysis, Sedentary behaviors, RC1200, Prospective associations, 0302 clinical medicine, underweight, nälänhätä, Biology (General), skin and connective tissue diseases, Children, ComputingMilieux_MISCELLANEOUS, Body mass index, Human Nutrition & Health, education.field_of_study, Humane Voeding & Gezondheid, ylipaino, General Medicine, kansainvälinen vertailu, 3. Good health, World health, Medicine, A100 Pre-clinical Medicine, Population distribution, medicine.medical_specialty, QH301-705.5, Science, Socio-culturale, Nursing, Social sciences, General Biochemistry, Genetics and Molecular Biology, 03 medical and health sciences, Thinness, SDG 3 - Good Health and Well-being, BMI, epidemiology, obesity, None, Humans, Obesidade/Obesity, SDG 2 - Zero Hunger, education, VLAG, US adults, Omvårdnad, body mass index, malnutrition, obesity, underweight, nutritional and metabolic diseases, medicine.disease, terveellisyys, Obesity, Faculdade de Ciências Sociais, Body Mass Index, Prevalence, Risk Factors, General Biochemistry, WIAS, lihavuus, RA, Demography, N.A, double burden, Settore MED/09 - Medicina Interna, alueelliset erot, Nutrition and Disease, Animal Nutrition, [SDV]Life Sciences [q-bio], Medizin, 030204 cardiovascular system & hematology, 0601 Biochemistry and Cell Biology, Change distribution of body mass index, RA0421, Voeding en Ziekte, Epidemiology, Medicine and Health Sciences, Global health, Índice de massa corporal/Body Mass Index, 030212 general & internal medicine, Underweight, painoindeksi, 2. Zero hunger, General Neuroscience, aliravitsemus, elintarvikkeet, health, Public Health, Global Health, Social Medicine and Epidemiology, Diervoeding, 3142 Public health care science, environmental and occupational health, purl.org/pe-repo/ocde/ford#3.01.03 [https], Chinese adults, pooled analysis, medicine.symptom, Diet quality, B120 Physiology, Research Article, trends, purl.org/pe-repo/ocde/ford#1.06.03 [https], prevalence, Population, Mothers, Genetics and Molecular Biology, 3121 Internal medicine, medicine, Life Science, ddc:610, 3125 Otorhinolaryngology, ophthalmology, kehonkoostumus, Nutrition, Australian adults, General Immunology and Microbiology, purl.org/pe-repo/ocde/ford#3.01.04 [https], Ciências sociais, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Malnutrition, Epidemiology and Global Health, sense organs, Estilos de Vida e Impacto na Saúde
Abstract

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions., Wellcome Trust, Medical Research Council, peer-reviewed

Published
2021
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