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"Latar belakang: Pramugari merupakan salah satu pekerjaan yang sering terpapar stresor ergonomik sehingga sangat rentan terkena gejala gangguan muskuloskeletal. Salah satu cara untuk mengatasi keluhan muskuloskeletal adalah dengan peregangan otot. Tujuan penelitian ini adalah untuk melihat prevalensi gangguan muskuloskeletal dan pengaruh program latihan peregangan selama 2 mingggu menggunakan video peregangan Kemenkes RI terhadap perubahan intensitas nyeri gangguan muskuloskeletal pada pramugari pesawat komersil di Indonesia.Metode: Penelitian ini merupakanre -post study dengan instrumen Nordic Musculoskeletal Questionnaire dan Visual Analog Scale<.Hasil: Hasil penelitian menunjukkan sebanyak 92 %  pramugari (n = 75) mengalami gangguan muskuloskeletal pada setidaknya 1 area tubuh dalam 12 bulan terakhir. 34 responden dijadikan sebagai subjek penelitian. Skor tingkat keluhan pada 28 area tubuh sebelum intervensi sebesar median 34 (29-84) dengan intensitas nyeri sebesar median 6 (2-9) masing-masing menjadi median 32 (28 - 67) dan  median 3 (0-9) setelah intervensi.Kesimpulan: Didapatkan adanya perubahan yang bermakna pada skor tingkat keluhan pada 28 area tubuh yang bermakna pada skor tingkat keluhan pada 28 area tubuh (p < 0,001) serta intensitas nyeri sebelum dan sesudah intervensi latihan peregangan (p < 0,001).

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Background: Flight attendant (FA) is a job that often exposed to ergonomic stressors so they are very susceptible to symptoms of musculoskeletal disorders. One of the ways to overcome musculoskeletal complaints is to stretching. The aim of this study was to examine the prevalence of musculoskeletal disorders and the effect of a 2-week stretching exercise program using the Indonesian Ministry of Health's stretching video on changes in the intensity of musculoskeletal pain in FA on commercial aircraft in Indonesia.

Methods: This is a pre-post study with Nordic Musculoskeletal Questionnaire and Visual Analog Scale as instruments.

Results: The results showed that 92% of the FA (n=75) had musculoskeletal disorders in at least 1 area of the body in the last 12 months. 34 respondents were used as subjects. The complaint level score in 28 body areas before the intervention was a median of 34 (29-84) with pain intensity of a median of 6 (2-9) became a median of 32 (28-67) and a median of 3 (0-9) after the intervention, respectively.

Conclusion: The stretching exercise program showed significant changes in the complaint level scores in 28 body areas (p<0.001) and pain intensity before and after the stretching exercise intervention (p<0.001)."

"Persalinan oleh tenaga kesehatan merupakan faktor penting dalam upaya menurunkan angka kematian ibu. Persalinan oleh tenaga kesehatan di wilayah kerja puskesmas Caringin sebesar 83,3% masih di bawah target Kabupaten Bogor sebesar 90%. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan pemilihan penolong persalinan di wilayah kerja Puskesmas Caringin Kabupaten Bogor tahun 2015. Penelitian ini menggunakan dua design penelitian yaitu kuantitatif dan kualitatif. Penelitian kuantitatif dengan design potong lintang (cross-sectional) serta penelitian kualitatif untuk mendukung hasil penelitian kuantitatif. Variabel yang diteliti sebagai variabel dependen adalah pemilihan penolong persalinan sedangkan variabel independen adalah umur, paritas, pendidikan, pekerjaan, pengetahuan, sikap ibu, akses ke fasilitas kesehatan, ketersediaan fasilitas persalinan, riwayat ANC, biaya persalinan, dukungan suami, peranan dari tenaga kesehatan dan peranan kader. Cara pengambilan data dilakukan dengan pengisian kuesioner oleh ibu yang bersalin di bulan April 2015 dan wawancara mendalam pada 3 ibu yang bersalin oleh tenaga kesehatan dan 3 ibu yang bersalin oleh dukun. Analisis data menggunakan univariat serta bivariat dengan uji chi square. Hasil penelitian menunjukkan bahwa 83% persalinan ditolong oleh tenaga kesehatan dan 17% ditolong oleh tenaga non kesehatan. Hasil analisis bivariat menunjukkan variabel yang secara statistik berhubungan dengan pemilihan penolong persalinan adalah paritas, pengetahuan, sikap ibu, akses ke fasilitas kesehatan, biaya persalinan, dukungan suami, dan peranan tenaga kesehatan.

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Deliveries by health personnel is an important factor in efforts to reduce maternal mortality. Deliveries by health personnel in the work area by 83,3% Caringin health centers are still below the target of 90% Bogor regency. The purpose of this study was to determine the factors associated with the selection of birth attendants in the work area Caringin Health Center Bogor in 2015.

This study uses two (2) design, namely quantitative and qualitative researh. Quantitative research with cross sectional and qualitative research to support the result of quantitative research. Variables examined as the dependent variable is the birth attendants while independent variables are age, parity, education, work, knowledge, mother's attitude, distance/access to health care facilities, availability of maternity facilities, prenatal care, cost, husband support, role of health personnel, and role of health volunteers.

Data collection by using a questionnaire given to mothers who labor in April 2015 and by dept interviews with three mothers who labor by health personnel and three mothers who labor by traditional birth attendant. Analysis of data using univariate and bivariate test with chi square test.

The results showed that 83% of births attended by skilled health and 17% are not helped by medical personnel. The results of the bivariate analysis showed a statistically significant variables associated with the selection of auxiliary labor is parity, knowledge, mother's attitude, distance/access to health care facilities, cost, husband support and role of health professional."

"Latar belakang: Stres kerja pada pramugari mengurangi tingkat konsentrasi dan kinerja dalam tugas terbang,serta menimbulkan gangguan fisiologis berupa gangguan siklus haid. Penelitian ini bertujuan mengidentifikasi stres kerja dan faktor lainnya terhadap risiko gangguan siklus haid pada pramugari. Metode: Desain potong lintang dengan sampling purposif pada pramugari usia 19-50tahun yang melaksanakan pengujian kesehatan berkala di Balai Kesehatan Penerbangan dan Garuda Sentra Medika tanggal 18-29 Mei 2015. Data untuk gangguan siklus haid dikumpulkan melalui kuesioner. Stres kerja diidentifikasi dengan National Institute for Occupational Safety and Health generic job stress questionnaire mental demands. Hasil: Di antara 521 pramugari yang melaksanakan pengujian kesehatan, tersedia 251 subyek yang terpilih. Stres kerja, jenis penerbangan long haul dan pernah merokok merupakan faktor risiko dominan yang berhubungan dengan gangguan siklus haid. Subyek dengan stres kerja berisiko 2 kali lebih tinggi mengalami gangguan siklus haid [risiko relatif suaian (RRa)= 2,03; p= 0,104]. Subyek dengan jenis penerbangan jarak jauh 1 tahun terakhir berisiko 79% mengalami gangguan siklus haid (RRa= 1,79; p= 0,041). Subyek yang pernah merokok berisiko 70% mengalami gangguan siklus haid (RRa= 1,70; p= 0,072). Kesimpulan: Pramugari penerbangan sipil dengan stres kerja, jenis penerbangan jarak jauh dalam 1 tahun dan pernah merokok, memiliki risiko lebih tinggi mengalami gangguan siklus haid.

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Background: Job stress among female flight attendants reduce level of concentration and flight duty performance, also cause physiological disorder such as menstrual cycle disorder. This study aimed to identify risk factors related to menstrual cycle disorder on female flight attendants.

Methods: A cross-sectional with purposive sampling was conducted on female flight attendants age 19-50 years who underwent periodic medical examination at Civil Aviation Medical Center and Garuda Sentra Medika on May 18-29,2015. Menstrual cycle disorder data collected with questionnaire. Job stress was identified by using National Institute for Occupational Safety and Health generic job stress questionnaire mental demands.

Results: Among 521 flight attendants, 251 subjects to analyze. Job stress,flight type and ever smoked were the risk factors related to menstrual cycle disorder. Subjects who had job stress had 2 times higher risk to menstrual cycle disorder [adjusted relative risk (RRa)= 2.03; p= 0.104]. Subject who had long haul flight had 79% higher risk to menstrual cycle disorder (RRa= 1.79; p= 0.041). Subject who ever smoke had 70% higher risk to be menstrual cycle disorder (RRa= 1.70; p= 0.072).

Conclusions: Female civilian flight attendant who had job stress, long haul flight within the last one year, and who ever smoked had higher risk to be menstrual cycle disorder."

"Penelitian ini dilakukan untuk memperoleh informasi mengenai faktor-faktor yang berhubungan dengan pengetahuan, sikap, dan praktik teledentistry pada dokter gigi di DKI Jakarta pada masa pandemi COVID-19. Penelitian potong lintang berbasis kuesioner ini diisi secara mandiri melalui google form. Pertanyaan yang diberikan mencakup faktor sosiodemografi, karakteristik pekerjaan, penggunaan internet, dan pelatihan teledentistry serta pertanyaan mengenai pengetahuan, sikap, dan praktik teledentistry. Sebanyak 183 dokter gigi di DKI Jakarta yang menyelesaikan kuesioner. Secara umum, responden menunjukkan pengetahuan yang tinggi, sikap dan praktik yang positif terhadap teledentistry. Hubungan yang signifikan secara statistik ditemukan antara praktik teledentistry dengan usia, status pernikahan, pengalaman bekerja, dan pengalaman pelatihan teledentistry. Terdapat korelasi positif antara pengetahuan dan sikap (r = 0.436, p-value = 0.000). Agar teledentistry dapat diterapkan secara profesional, dokter gigi harus memiliki pengetahuan, sikap, dan praktik yang baik mengenai teledentistry dan perlunya regulasi yang sesuai untuk pelayanan teledentistry.

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The purpose of research is to get information about factors that related to knowledge, attitude, and practice of teledentistry among dentists in DKI Jakarta during the COVID-19 pandemic. This cross-sectional study was using self-administered online questionnaire through google form. The questions consisted of sociodemographic factors, work-related characteristics, daily internet access, and training of teledentistry also questions regarding knowledge, attitudes, and practice. A total of 183 dentists in DKI Jakarta completed the questionnaire. Generally, the participants revealed high knowledge, positive attitude, and practicing teledentistry. A statistically significant relationship was found between practice teledentistry with age, marital status, working experience, and training of teledentistry. Spearman’s correlation test obtained a positive correlation (r = 0.436, p-value = 0.000) between knowledge and attitude. In order for teledentistry to be applied professionally, dentists must have knowledge, attitudes, and good practices regarding teledentistry and the need for appropriate regulations for teledentistry services."

"Latar belakang: kecenderungan depresi yang berkaitan dengan dukungan purser, rekan kerja, beban kerja mental dan masa kerja pada pramugari akan mempengaruhi kinerja dan absen kerja. Tujuan penelitian ini membuktikan pengaruh dukungan purser dan faktor lainnya terhadap kecenderungan depresi pada pramugari penerbangan sipil di Indonesia. Metode: Studi potong lintang dengan sampling purposif pada tanggal 12-28 Mei 2014 terhadap pramugari yang sedang melakukan pengujian kesehatan rutin di Balai Kesehatan Penerbangan, Jakarta. Pengambilan data dengan kuesioner Beck inventory dan NIOSH generic job stress. Kecenderungan depresi dianalisis dengan menggunakan regresi linear. Hasil: Jumlah total pramugari yang melakukan pengujian kesehatan rutin di Balai Kesehatan Penerbangan 242 orang, tetapi yang memenuhi kriteria inklusi adalah 145 orang, kecenderungan depresi dipengaruhi oleh dukungan purser, dukungan di luar pekerjaan dan beban kerja mental. Beban kerja mental terbukti meningkatkan kecenderungan depresi [koefisien regresi (β) = 0,549; p = 0,045] sedangkan dukungan purser [(β) = 0,552; p = 0,033] dan dukungan di luar pekerjaan [(β) = -1,191; p = 0,000] terbukti menurunkan kecenderungan depresi. Kesimpulan: Dukungan purser dan dukungan di luar pekerjaan menurunkan kecenderungan depresi, sedangkan beban kerja mental meningkatkan kecenderungan depresi.

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Background: Depression is associated with a tendency purser support, co-workers support, and mental workload on the flight attendants working lives will affect the performance and absence from work. The purpose of this study demonstrate the influence of other factors support the purser and the tendency of depression in civil aviation flight attendants in Indonesia.

Methods: A cross-sectional study with purposive sampling on 12-28 May 2014 at flight attendant who was doing a routine health examination in Aviation Medical Center, Jakarta. Questionnaire data retrieval Beck inventory and NIOSH generic job stress. The tendency of depression were analyzed using linear regression.

Results: The total number of flight attendants who perform routine health examination in aviation medical Center hall 242 flight attendent, but the inclusion and exclusion criteria in this study was 145 flight attendent, depression tendencies influenced by the purser support, support outside work and mental workload. Mental workload proved increase of depression (p = 0.045, β = 0.549). wheareas purser support (p = 0.033, β = 0.552) and support outside work (p = 0.000, β = -1.191) shown to reduce the tendency of depression.

Conclusion: Purser support and support outside work reduces the tendency of depression, whereas mental workload increases of depression."

"Melalui gangguan ekonomi dan dampak pada jam kerja yang masif, krisis Covid-19 telah berdampak pada 3,3 miliar tenaga kerja dunia. Salah satu sektor ekonomi yang berdampak akibat virus Covid-19 adalah sektor konstruksi. Ketakutan dan kecemasan tentang penyakit Covid-19 dan faktor-faktor lainnya dapat berpengaruh terhadap tingkat distres.  Tujuan penelitian ini ingin menganalisis faktor bahaya psikososial yang berhubungan dengan tingkat distres pada sektor konstruksi Proyek XYZ di masa pandemi Covid-19. Penelitian ini dilaksanakan pada bulan Maret-Juni 2022 dengan menggunakan metode kuantitatif dengan desain studi cross-sectional. Responden dan sampel pada penelitian ini adalah seluruh staff kontraktor serta subkontraktor pada Proyek PT XYZ. Distres diukur menggunakan Pandemic-Related Perceived Stress Scale of Covid-19 (PSS-10-C). Data dianalisis menggunakan Chi-Square dan regresi logistic ganda. Pada Proyek PT XYZ memiliki tingkat distres sedang (67.6%) dan rendah (32.4%). Analisis regresi logistic ganda menunjukan bahwa faktor dominan yang berhubungan dengan tingkat distres yaitu hubungan keluarga-pekerjaan. Proyek PT XYZ mengalami tingkat distres sedang dan rendah selama pandemi Covid-19. Hubungan keluarga-pekerjaan yang baik dibutuhkan untuk mencegah meningkatnya tingkat distres di sektor konstruksi PT XYZ selama pandemi Covid-19.

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Through economic disruption and massive impact on working hours, the Covid-19 crisis has impacted the world's 3.3 billion workforce. One of the economic sectors impacted by the Covid-19 virus is the construction sector. Fear and anxiety about the Covid-19 disease and other factors can affect the level of distress. This study aims to analyze the psychosocial hazard factors associated with the level of distress in the PT XYZ Project construction sector during the Covid-19 pandemic. This research was conducted in March-June 2022 using quantitative methods with a cross-sectional study design. Respondents and samples in this study were all contractor staff and subcontractors on the PT XYZ Project. The distress level is measured using the Pandemic-Related Perceived Stress Scale of Covid-19 (PSS-10-C). Data are analyzed using Chi-Square and multiple logistic regression. The PT XYZ project has a moderate (67.6%) and low (32.4%) levels of distress. Multiple logistic regression analysis showed that the dominant factor associated with the level of distress is family-work relationship. The PT XYZ project experienced moderate and low levels of distress during the Covid-19 pandemic. Good family – work relationships is needed to prevent an increase in the level of distress in PT XYZ's construction sector during the Covid-19 pandemic."

"Pandemi Covid-19 menimbulkan dampak pada berbagai sektor yang memungkinkan memicu terjadinya gangguan mental emosional (GME) dan penurunan kualitas hidup sehingga pembentukan ketangguhan sangat diperlukan. Studi ini ditujukan unutk menganalisis peranan ketangguhan (individu, keluarga dan komunitas) terhadap GME dan kualitas hidup individu selama pandemi Covid-19 di Jakarta Timur pada gelombang kedua. Studi explanatory sequential mixed-methods dengan pendekatan desain cross sectional dan metode kualitatif dengan desain Rapid Assessment Procedure (RAP). Kualitas hidup diukur menggunakan Indonesian HRQoL, sedangkan GME diskrining menggunakan SRQ pada 300 responden yang terpilih dari teknik multistage cluster sampling. Exploratory qualitative dilakukan pada 2 kelompok FGD dan 3 informan wawancara mendalam, sedangkan explanatory qualitative dilakukan pada 6 kelompok FGD dan 9 informan wawancara mendalam. Masyarakat memahami ketangguhan (individu, keluarga, dan komunitas) sebagai konsep kamampuan menghadapi pandemi dengan memanfaatkan aspek-aspek di sekitar mereka, GME sebagai masalah mental, dan kualitas hidup sebagai kondisi kesehatan. Proporsi GME meningkat dua kali lipat dibandingkan situasi normal. Proporsi kualitas hidup buruk sebanyak 26,30%. Ketangguhan (individu, keluarga, dan komunitas) yang buruk berhubungan terhadap terjadinya GME dan kualitas hidup buruk selama pandemi Covid-19. GME juga berperan terhadap kualitas hidup yang buruk. Peranan ketangguhan individu terhadap GME dan kualitas hidup ditentukan oleh persepsi realistis dengan cara bersyukur, ikhlas, sabar, dan saling menguatkan, menerima keadaan, menerapkan protokol kesehatan, regulasi emosi-kognisi, kemampuan adaptasi, dan optimisme. Peranan ketangguhan individu terhadap GME dan kualitas hidup ditentukan oleh usia pengambil keputusan keluarga, dukungan sosial dan kontrol diri. Peranan ketangguhan komunitas terhadap GME dan kualitas hidup ditentukan oleh kestabilan sistem pendidikan, sistem kesehatan, sistem politik/pemerintahan, dan sistem manajemen pandemi. Ketangguhan keluarga ditemukan paling berperan terhadap kualitas hidup. Sistem pemerintahan yang berkolaborasi dan responsif menentukan kestabilan komponen-komponen ketangguhan komunitas. Oleh karena itu, direkomendasikan untuk memperkuat komponen ketangguhan keluarga dan sistem pemerintahan dalam menghadapi pandemi.

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The Covid-19 pandemic has had an impact on various sectors that may trigger mental emotional disorders (GME) and a decrease in quality of life so that the formation of resilience is urgently needed. This study aimed at analyzing the role of resilience (individual, family and community) on GME and the quality of life of individuals during the Covid-19 pandemic in East Jakarta in the second wave. Explanatory sequential mixed-methods study with a cross-sectional design approach and qualitative methods with a Rapid Assessment Procedure (RAP) design. Quality of life was measured using the Indonesian HRQoL, while GME was screened using the SRQ on 300 respondents selected from the multistage cluster sampling technique. Exploratory qualitative was conducted with 2 FGD groups and 3 in-depth interviews with informants, while explanatory qualitative was conducted with 6 FGD groups and 9 in-depth interviews with informants. Communities understand resilience (individual, family and community) as a concept of being able to deal with a pandemic by utilizing aspects around them, GME as a mental problem, and quality of life as a health condition. The proportion of GME has doubled compared to the normal situation. The proportion of poor quality of life was 26.30%. Poor resilience (individual, family and community) related to the occurrence of GME and poor quality of life during the Covid-19 pandemic. GME also contributed to poor quality of life. The role of individual resilience to GME and quality of life was determined by realistic perceptions by being grateful, sincere, patient, and mutually reinforcing, accepting circumstances, implementing health protocols, emotional-cognition regulation, adaptability, and optimism. The role of individual resilience to GME and quality of life was determined by the age of family decision makers, social support and self-control. The role of community resilience to GME and quality of life was determined by the stability of the education system, health system, political/government system, and pandemic management system. Family resilience was found to have the most effect on quality of life. Collaborative and responsive governance systems determine the stability of the components of community resilience. Therefore, it is recommended to strengthen the components of family resilience and government systems to deal with a pandemic."

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Defisiensi vitamin D rentan terjadi pada tenaga kesehatan dan berakibat pada gangguan sintesis cathelicidin, peptida antimikrobial dengan efek proteksi terhadap virus. Studi terdahulu menunjukkan adanya korelasi positif antara 25-OH-D dengan cathelicidin, sementara data terkait pada populasi obesitas masih terbatas. Penelitian dengan desain potong lintang dilakukan di Rumah Sakit rujukan pasien COVID-19 di Jakarta dan Depok. Consecutive sampling dan randomisasi dilakukan untuk memperoleh sampel. Asupan makronutrien dan vitamin D dinilai menggunakan Food recall 24 jam dan semi kuantitatif Food Frequency Questionnaire (SQ-FFQ). Kadar 25-OH-D dan cathelicidin serum dianalisa dengan metode Chemiluminescence Immunoassay (CLIA) dan Enzyme Linked Immunosorbentassay (ELISA). Uji Mann Whitney dan Kruskal Wallis dilakukan untuk menilai perbedaan rerata kadar cathelicidin, sementara korelasi 25-OH-D dan cathelicidin serum dinilai dengan regresi linear setelah penyesuaian terhadap Indeks Massa Tubuh (IMT). 80 subjek usia 22 hingga 47 tahun dianalisa, dengan 70% subjek memiliki status gizi obesitas dan 30% berat badan lebih. 93.7% subjek belum mencukupi kebutuhan asupan harian Vitamin D dengan median asupan Vitamin D 2.8 µg per hari. Median kadar 25-OH-D dan cathelicidin subjek 14.3 ng/ml dan 211.6 ng/ml. 85% subjek tergolong defisiensi vitamin D dan subjek dengan obesitas II memiliki kadar cathelicidin yang lebih tinggi. Tidak didapatkan korelasi antara kadar 25-OH-D dengan cathelicidin serum pada subjek tenaga kesehatan dengan berat badan lebih dan obesitas (p 0.942 𝛃-0.077 95% CI -2.182-2.029). Hasil penelitian ini membutuhkan analisa lebih lanjut mengingat peningkatan kadar cathelicidin dapat dipengaruhi oleh variabel perancu sehingga efek protektif dari cathelicidin belum dapat disimpulkan.

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Vitamin D deficiency is prevalent among healthcare workers, resulting in impairment of cathelicidin, an antimicrobial peptide with antiviral properties. Former studies show a positive correlation between 25-OH-D and cathelicidin, yet data on the obese population is still scarce. We conducted a cross-sectional study in the COVID-19 referral hospitals in Jakarta and Depok. Samples were collected using consecutive sampling followed by randomization. A repeated 24-hour food recall and a semi-quantitative food frequency questionnaire (SQ-FFQ) were used to estimate intake. The Enzyme-Linked Immunosorbent Assay (ELISA) and Chemiluminescence Immunoassay (CLIA) were used to measure serum cathelicidin and 25-OH-D. Mann Whitney and Kruskal Wallis analyses were done to assess the mean difference of cathelicidin, and linear regression adjusted for body mass index was done to assess the correlation between 25-OH-D and cathelicidin. 80 subjects aged 22 to 47 years were included, where 70% of the subjects were categorized as obese and 30% were overweight. 93.7% of the subjects did not meet their daily intake of vitamin D requirements, with a median intake of vitamin D of 2.8 µg daily. The subject’s median serum of 25-OH-D and cathelicidin were 14.3 ng/ml and 211.6 ng/ml, respectively. 85% of the subjects were classified as vitamin D deficient, and subjects with class II obesity had significantly higher levels of cathelicidin. Serum 25-OH-D and cathelicidin did not correlate in overweight and obese healthcare workers (p 0.942 𝛃-0.077 95% CI -2.182-2.029). Further research is essential to better understand the findings of this study since the protective effects of cathelicidin cannot be determined because confounding factors may cause cathelicidin levels to rise.

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