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Abstract : The role of feeding in early life is closely related to the mother's ability to fulfill nutrition. In this period, the risk of nutritional problems occurs due to transition and infant feeding practices, particularly regarding food variety, quality of diet, and availability and accessibility of nutritious food. The study aimed to identify the determinants of women empowerment based on self- regulated into nutritional practice in stunted children. The study used a cross-sectional design conducted at the Malang Regency Public Health Service. Respondents in this study were mothers who had children 6- 24 months, as many as 180 mothers. The sampling technique used was multistage random sampling. Analysis of this study using SEM- PLS. The factor of women empowerment based on self- regulated was 49% (T- stat= 9,570, p- value= 0,000) with indicators of breastfeeding, food security, complementary feeding, and responsive feeding. The children factor was 36% (T- stat= 7,027, p- value= 0,000), the personal aspect was 30% (T- stat= 4,866, p- value= 0,000); the healthcare system factor was 25% (T- stat= 4,698 p- value= 0,000); the family factor was 16% (T- stat= 4,432, p- value= 0,000). The research found that recommended to design a comprehensive intervention women empowerment to enhance child nutrition status through involvement in decision-making in family activities, especially on produced and processed food.

Abstract : Post-operative sensitivity associated with bleaching is one of the most significant side effects related to tooth bleaching, there were consequently many materials and methods suggested to manage this sensitivity. Therefore, this study aimed to evaluate the efficacy of modified bioactive glass (BioMin-F and BioMin-C) on the vital tooth to decrease post-operative sensitivity associated with at-home vital tooth bleaching using 20% Carbamide Peroxide. This study was performed on 30 patients to evaluate decrease post-operative sensitivity using modified bioactive glass in an at-home tooth bleaching procedure. The participants were instructed to apply the bleaching paste 20% carbamide peroxide 4 hours a day for 14 days followed by applying either BioMin-F, BioMin-C, or a placebo paste 30 min a day for 14 days using a bleaching tray. The tooth sensitivity was evaluated by the patients themselves using a visual analogue scale during the bleaching period. The data were analyzed using one-way ANOVA and Bonferroni tests. The results demonstrated a decrease in sensitivity associated with at-home bleaching while using BioMin-F, and BioMin-C during the second week of follow-up compared to the placebo paste (p<0.05). The modified bioactive glass pastes (BioMin-F and BioMin-C) affect the post-operative sensitivity associated with tooth bleaching when compared to a placebo paste.

Abstract : Escherichia coli is the main cause of urinary tract infection (UTI), with the potential of its multidrug-resistant (MDR) capability. To isolate and identify E. coli implicated in UTIs and to evaluate the prevalence of MDR E. coli with its drug resistance patterns among patients. Four hundred thirty urine samples were collected from patients with UTIs between December 2021 to February 2022. A general urine examination (GUE) was performed to evaluate physical, chemical, and biological parameters. E. coli was identified according to standard microbiological methods. The total samples of E. coli (100 isolates; 50 from males and 50 from females) were evaluated by antibiotic sensitivity test using Kirby-Bauer’s disk diffusion technique. A total of 9 resistance patterns among 100 E. coli isolates were determined in patients. According to the resistance level, 46% of male and 30% of female isolates were resistant to 8≥ antibiotics. E. coli isolates were susceptible to ETP (94%), followed by AK (93%), IPM (88%), MEM (83%), NIT (81%), and GM (70%). High resistance to AMP (96%), followed by CZ (81%), CTX (79%), NA (78%), and CEF (74%), were seen for isolates. Of 100 E. coli isolates, the prevalence of MDR was 92%, while non-MDR was 8%. The prevalence of MDR in males was 98%, whereas non-MDR was 2%. The prevalence of MDR in females was 86%, whereas non-MDR was 14%. The prevalence of MDR between male and female patients was non-significant (P>0.05). E. coli isolates presented a dangerous level of MDR to recommended clinical antibiotics with high prevalence among patients.

Abstract : The purpose of this study is to explore the environmental regulations implemented by China through technological innovation in order to maintain economic growth while protecting the environment, as well as international commitments in the Paris Agreement. Economic growth and the environment are viewed as oppositional, as economic growth is one of the primary causes of environmental problems. As the economy grows, so does the demand for resources, waste, and pollution. As analytical instruments for the objects in this study, the concepts used include environmental security, the Paris Agreement, and the green economy. The researchers employed qualitative methods with secondary data. According to the findings of this study, China prioritizes three major foundations in environmental regulation, which are the economy, society, and the environment. China strives to maintain economic development and growth while having a low environmental impact and supporting environmental improvement efforts. China is also strongly committed to the Paris Agreement, which calls on developed countries to lead and support developing countries in terms of capacity, finance, and technology transfer in confronting and resolving environmental issues.

Abstract : Drug-resistant tuberculosis (DR-TB) is a case of tuberculosis caused by Mycobacterium tuberculosis (M.TB) resistance to isoniazid (H) and rifampicin (R) with or without other drug resistance. To report a case of DR-TB in a scleroderma woman. A 55-year-old woman came to the hospital with complaints of coughing up phlegm accompanied by blood, shortness of breath, and fever accompanied by weakness, swelling of the eyes and mouth and reddish spots all over the body which she has felt since the last 3 months. History of tuberculosis in 2018. History of scleroderma in 2022 and received therapy from Dermatovenerology and Internist. Physical examination found moderate pain, with 90% saturation without modality, respiration 24 times per minute, other vital signs within normal limits. Lung examination revealed crackles in both hemithorax. Dermatological status in the facial region, axilla region, anterior and posterior trunk region found: multiple nodules and felt hard. Examination of the sputum rapid molecular test (RMT) on January 18, 2023 obtained the results of MTB detected medium, Rifampicin Resistance Detected. Management: the patient was treated with long-term regiment antituberculosis DR and provided a good respiratory clinical response. Early diagnosis of pulmonary tuberculosis in scleroderma greatly determines the prognosis. The patient was treated with long-term antituberculosis DR and gave a good respiratory clinical response.