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The Indonesian Nutrition Status Study stated that cases of underweight or malnutrition with a weight for age index are around 17%. The efforts made by the government today to overcome the problem of malnutrition of children under five in Indonesia are still not optimal with programs that have been made by the government. The incidence of underweight continues to increase from 2019 to 2022 in Indonesia. The development of a culture-based intervention 'Papadangan' which is a communal eating activity was carried out to reduce this number. This study was conducted to develop the 'Papadangan' culture so that it becomes one of the efforts that can be done by the government. This eating habit can be used as an alternative for the community to increase the appetite of children under five in Tangerang, meaning that indirectly the community has made efforts to improve nutrition in children under five through eating together in the area. This research used Participatory Action Research (PAR) which consists of 2 cycles. This research was conducted from November 2022 to January 2024. Fifty participants consisting of children and caregivers were involved in this study. The Children under five weights were measured before and after the procedure using assessment instruments, the z score table, the camstock feeding scale and the toddler anthropometric table. Indepth interviews were conducted with mothers of children under five to explore the eating habits of Sundanese children under five with underweight and good nutritional status. 'Papadangan' can be developed into a strategy to prevent underweight nutrition problems by adding nutrition and health education: paying attention to the feeding schedule of children under five years old, variations in food consumption, education related to elements of balanced nutrition, and eating hygiene in the implementation of papadangan eating culture activities. 'Papadangan' can be used as one of the strategies to reduce the incidence of underweight in children under five years old. Developing the papadangan eating culture has become a new research, and this strategy is effective in changing the eating patterns of toddlers and reducing the rate of malnutrition among toddlers in Pekayon village, Sukadiri District, Tangerang City. [ABSTRACT FROM AUTHOR]

Innovation is one of the key success factors of contractors to achieve sustainable business. However, studies about innovation cannot be generalized to all business sectors; therefore, a special study about innovation that focuses on contractors in Indonesia is needed. This study is aimed to explore the process of innovation development in contractors, based on an innovation value chain (IVC) approach. A qualitative analysis of the data collected from in depth interviews with top managers of big contractors in Indonesia has been carried out to identify innovations and their sources. This study found that innovations are generated mainly by project teams because those teams are involved directly in projects' activities. The next phase is to test the idea of innovation in the selected projects in order to assess whether the innovation works well or not. Finally, the selected innovations is suggested to be set as a company standard and will be implemented in subsequent projects. [ABSTRACT FROM AUTHOR]

Objective: Even though diabetes patients exhibit an increased oxidative stress, its correlation with diabetic nephropathy is not fully understood. The purpose of this study was to determine whether lipid peroxidation marker correlates well with eGFR and UACR in type 2 diabetes mellitus patients., Methods: We collected urine and serum samples of Indonesian type 2 diabetes mellitus outpatients with normo- and microalbuminuria at a Local Government Clinic (from ages: 39-74 years). Urinary 8-iso-PGF2α was measured by ELISA, the serum malondialdehyde by TBARS assay, and urinary albumin by BCG albumin assay. eGFR was calculated using the corrected-Cockcroft-Gault (CG), MDRD, and CKD-EPI equation. Other necessary data were obtained through questionnaires., Results: The results showed that the increasing level of malondialdehyde was mildly correlated with the decline in eGFR (MDRD). In contrary, there was a significant positive correlation between 8-iso-PGF2α concentration and eGFR based on the corrected-CG, MDRD study, and CKD-EPI equation (r=0.457, p<0.001; r=0.424, p<0.001; r=0.443, p<0.001). This relationship still persisted in the normoalbuminuric subjects (n=43) (r=0.491, p=0.001; r=0.461, p=0.002; r=0.455, p=0.002). The multivariate analysis showed that 8-iso-PGF2α together with fasting plasma glucose was the most predictive factor for the high 2-quantile eGFR (adjusted OR 1.001, (95% CI, 1.000-1.001)). However, there was no significant correlation between UACR with malondialdehyde (r=0.268, p=0.050) and 8-iso-PGF2α(r=-0.030, p=0.808). UACR itself was inversely correlated with eGFR based on the corrected-CG, the MDRD, and CKD-EPI (r=-0.232, p<0.05; r=-0.228, p<0.05; r=-0.232, p<0.05)., Conclusions: Increased 8-iso-PGF2α and malondialdehyde in type 2 diabetes mellitus patients may play a role in the pathophysiologic significance of diabetic nephropathy, even while considering the effect of potential confounders., (Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.)