Correlation of Physical Activity and Other Factors to Fruit and Vegetable Intake Among Civillian Pilots in Indonesia

Background: International civil aviation organization stated the importance of maintaining pilot\u27s health to avoid incapacitation. One of the efforts for this is consuming healthy diet with fruits and vegetables. The purpose of this study is to identify the correlation of physical activity and other factors related to fruits and vegetables intake. Methods: A cross-sectional study conducted with a total sampling, using secondary data of the pilot that conducted periodical medical examinations in the Civil Aviation Medical Center, Jakarta on April 2016. Data collected were demographic and job characteristics, fruit and vegetable consumption, physical activity, knowledge about fruit and vegetable intake, and social support. Results: The pilots participate in this study were 530 individuals. No correlation between physical activity and fruits and vegetables intake. The dominant factor associated with fruits and vegetables intake is the knowledge about fruits and vegetables intake. Pilots with poor knowledge decrease consumption 3,9 times lower [ORa = 3.93; 95% CI = 1.74 to 8.87; p = 0.001]. In this study, knowledge about fruit and vegetable intake as a personal factors according to social cognitive theory. Conclusion: The knowledge about fruits and vegetables intake according to WHO recommendations increased the frequency of fruits and vegetables intake. (Health Science Journal of Indonesia 2016;7(2):118-122

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries