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  1. Article ; Online: Spatial and Temporal Analysis of COVID-19 Cases in West Java, Indonesia and Its Influencing Factors.

    Putri, Delima Istio Prawiradhani / Agustian, Dwi / Apriani, Lika / Ilyas, Ridwan

    International journal of environmental research and public health

    2023  Volume 20, Issue 4

    Abstract: Coronavirus Disease 2019 (COVID-19) spread quickly and reached epidemic levels worldwide. West Java is Indonesia's most populous province and has a high susceptibility to the transmission of the disease, resulting in a significant number of COVID-19 ... ...

    Abstract Coronavirus Disease 2019 (COVID-19) spread quickly and reached epidemic levels worldwide. West Java is Indonesia's most populous province and has a high susceptibility to the transmission of the disease, resulting in a significant number of COVID-19 cases. Therefore, this research aimed to determine the influencing factors as well as the spatial and temporal distribution of COVID-19 in West Java. Data on COVID-19 cases in West Java obtained from PIKOBAR were used. Spatial distribution was described using a choropleth, while the influencing factors were evaluated with regression analysis. To determine whether COVID-19s policies and events affected its temporal distribution, the cases detected were graphed daily or biweekly with information on those two variables. Furthermore, the cumulative incidence was described in the linear regression analysis model as being significantly influenced by vaccinations and greatly elevated by population density. The biweekly chart had a random pattern with sharp decreases or spikes in cumulative incidence changes. Spatial and temporal analysis helps greatly in understanding distribution patterns and their influencing factors, specifically at the beginning of the pandemic. Plans and strategies for control and assessment programs may be supported by this study material.
    MeSH term(s) Humans ; COVID-19 ; Indonesia/epidemiology ; Population Density
    Language English
    Publishing date 2023-02-11
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20043198
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: COVID-19 Vaccination Program Data Analysis Based on Regional Status and Day Type: A Study from West Java Province, Indonesia.

    Ilhami, Putri Adilla / Adisasmita, Mulya Nurmansyah / Agustian, Dwi / Sujatmiko, Budi

    Healthcare (Basel, Switzerland)

    2023  Volume 11, Issue 5

    Abstract: Vaccination is a strategy to control the COVID-19 pandemic and holds a crucial impact on global health. A better understanding of factors associated with vaccination is needed to establish a good vaccination program in a population. The purpose of this ... ...

    Abstract Vaccination is a strategy to control the COVID-19 pandemic and holds a crucial impact on global health. A better understanding of factors associated with vaccination is needed to establish a good vaccination program in a population. The purpose of this study is to analyze COVID-19 vaccination program data based on regional status and day type in the West Java Province of Indonesia and contribute to discovering other characteristics of the COVID-19 vaccination program. This study is a cross-sectional study using secondary data (N = 7922) from West Java's COVID-19 Information and Coordination Center (PIKOBAR) from January to November 2021. Independent
    Language English
    Publishing date 2023-03-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare11050772
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Risk Factors for Respiratory Syncytial Virus Lower Respiratory Tract Infections: Evidence from an Indonesian Cohort.

    Crow, Rowena / Mutyara, Kuswandewi / Agustian, Dwi / Kartasasmita, Cissy B / Simões, Eric A F

    Viruses

    2021  Volume 13, Issue 2

    Abstract: Although risk factors for hospitalization from a respiratory syncytial virus (RSV) are well known, RSV lower respiratory tract infections (LRIs) in the community are much less studied or understood, especially in developing countries. In a prospective, ... ...

    Abstract Although risk factors for hospitalization from a respiratory syncytial virus (RSV) are well known, RSV lower respiratory tract infections (LRIs) in the community are much less studied or understood, especially in developing countries. In a prospective, cohort study we studied factors predisposing Indonesian infants and children under 5 years of age to developing RSV LRIs. Subjects were enrolled in two cohorts: a birth cohort and a cross-sectional cohort of children <48 months of age. Subjects were visited weekly at home to identify any LRI, using the World Health Organization's criteria. RSV etiology was determined through analysis of nasal washings by enzyme immunoassay and polymerase chain reaction. Risk factors for the development of the first documented RSV LRI were identified by multivariate analysis using logistic regression and Cox proportional hazard modeling. Of the 2014 children studied, 999 were enrolled within 30 days of birth. There were 149 first episodes of an RSV. Risk factors for an RSV LRI were poverty (
    MeSH term(s) Age Factors ; Child, Preschool ; Cross-Sectional Studies ; Female ; Hospitalization ; Humans ; Income ; Indonesia/epidemiology ; Infant ; Infant, Newborn ; Male ; Prospective Studies ; Respiratory Syncytial Virus Infections/economics ; Respiratory Syncytial Virus Infections/epidemiology ; Respiratory Syncytial Virus Infections/therapy ; Respiratory Syncytial Virus Infections/virology ; Respiratory Syncytial Virus, Human/genetics ; Respiratory Syncytial Virus, Human/isolation & purification ; Respiratory Syncytial Virus, Human/physiology ; Respiratory System/virology ; Risk Factors
    Language English
    Publishing date 2021-02-21
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2516098-9
    ISSN 1999-4915 ; 1999-4915
    ISSN (online) 1999-4915
    ISSN 1999-4915
    DOI 10.3390/v13020331
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Biopsychosocial model of illnesses in primary care: A hermeneutic literature review.

    Kusnanto, Hari / Agustian, Dwi / Hilmanto, Dany

    Journal of family medicine and primary care

    2018  Volume 7, Issue 3, Page(s) 497–500

    Abstract: Biopsychosocial model is a useful worldview for primary care or family doctors. However, it is often considered as impractical or too complicated. The objective of this study is to review the implementation of the biopsychosocial model in clinical ... ...

    Abstract Biopsychosocial model is a useful worldview for primary care or family doctors. However, it is often considered as impractical or too complicated. The objective of this study is to review the implementation of the biopsychosocial model in clinical practice, and its contributions to clinical outcomes. Hermeneutic circle literature review was conducted to provide experiential learning in an attempt to understand biopscyhosocial model, first developed by George Engel. Literature search started with review articles in Medline and Scopus as search engines. Citations from previous articles, editorials, and research articles were identified and interpreted in the context of the knowledge derived from all identified relevant articles. The progress of biopsychosocial model has been slow, and primary care doctors do not implement biopsychosocial medicine in their practice, while biomedical thinking and approach are still the dominant model. Biopsychosocial research addressed chronic illnesses and functional disorders as conditions in need for biopsychosocial model implementation. As payment scheme, clinical guidelines and clinical performance indicators are biomedically oriented, there is no incentive for primary care doctors to adopt biopsychosocial model in their practice. Workload and lack of competence in primary care may hinder the implementation of biopsychosocial model. Biopsychosocial model helps primary care doctors to understand interactions among biological and psychosocial components of illnesses to improve the dyadic relationship between clinicians and their patients and multidisciplinary approaches in patient care. Biopsychosocial model potentially improves clinical outcomes for chronic diseases and functional illnesses seen in primary care.
    Language English
    Publishing date 2018-07-20
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 2735275-4
    ISSN 2278-7135 ; 2249-4863
    ISSN (online) 2278-7135
    ISSN 2249-4863
    DOI 10.4103/jfmpc.jfmpc_145_17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: PEMBERIAN N-ASETYLSISTEIN TERHADAP KADAR IFN-GAMMA PADA PENDERITA HIV/AIDS YANG MENJALANI PENGOBATAN ANTIRETROVIRAL

    Sri Sulpha Siregar / Eddy Mart Salim / Zen Hafy / Nova Kurniati / Harun Hudari / Erial Bahar / Agustian Dwi Putra / Afriyana Siregar

    Jurnal Kedokteran dan Kesehatan, Vol 8, Iss 2, Pp 139-

    2021  Volume 145

    Abstract: HIV merupakan penyakit infeksi yang masih menjadi masalah besar kesehatan di Indonesia maupun dunia. Berbagai macam bentuk infeksi yang disebabkan oleh HIV, salah satunya ditandai dengan turunnya jumlah sel limfosit T CD4+ dan juga penurunan kadar IFN- ... ...

    Abstract HIV merupakan penyakit infeksi yang masih menjadi masalah besar kesehatan di Indonesia maupun dunia. Berbagai macam bentuk infeksi yang disebabkan oleh HIV, salah satunya ditandai dengan turunnya jumlah sel limfosit T CD4+ dan juga penurunan kadar IFN-GAMMA yang dapat menyebabkan percepatan replikasi virus hingga terjadi kegagalan sistem imun. NAC yang merupakan antioksidan diharapkan dapat memperbaiki kondisi tersebut. Penelitian ini bertujuan untuk mengetahui efek pemberian NAC terhadap perubahan kadar IFN-GAMMA pada penderita HIV/AIDS di RSUP dr. Mohammad Hoesin Palembang. Penelitian ini merupakan uji klinik acak tersamar ganda. Sampel yang digunakan dalam penelitian ini sebanyak 32 pasien HIV/AIDS yang menjalani pengobatan ARV di RSUP dr. Mohammad Hoesin Palembang dibagi secara acak ke dalam 2 kelompok, yaitu kelompok Plasebo dan NAC. Pada kelompok Plasebo, pasien diberi kapsul yang berisi laktosa dengan dosis 3x1 kapsul/hari, sedangkan kelompok NAC, diberi NAC dengan dosis 3x 200 mg/hari. Setiap kelompok diberi perlakuan sama selama 12 minggu. Darah pasien diambil sebelum dan setelah perlakuan untuk diperiksa kadar IFN-GAMMA . Hasil penelitian menunjukkan bahwa kelompok uji yang diberikan NAC maupun placebo tidak menunjukkan perubahan kadar IFN-GAMMA yang bermakna setelah 12 minggu perlakuan. Kesimpulan penelitian, pemberian NAC tidak mempengaruhi kadar IFN-GAMMA pada penderita HIV/AIDS yang menjalani pengobatan ARV. HIV is an infectious disease that becomes a major health problem in Indonesia and the world. There are various forms of infection caused by HIV, one of which is marked by a decrease in the number of CD4 + T lymphocytes and a decrease in IFN-GAMMA level which can accelerate viral replication to the point of immune system failure. NAC, an antioxidant, is expected to improve this condition. This research aimed to determine the effect of NAC on IFN-GAMMA levels in HIV / AIDS patients in Dr. Mohammad HoesinCentral Hospital, Palembang. This research was a randomized double blind clinical trial. The ...
    Keywords hiv/aids ; ifn-? ; nac ; Medicine ; R
    Language Indonesian
    Publishing date 2021-03-01T00:00:00Z
    Publisher Universitas Sriwijaya
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Spatial and temporal analysis of hospitalized dengue patients in Bandung: demographics and risk.

    Faridah, Lia / Mindra, I Gede Nyoman / Putra, Ramadhani Eka / Fauziah, Nisa / Agustian, Dwi / Natalia, Yessika Adelwin / Watanabe, Kozo

    Tropical medicine and health

    2021  Volume 49, Issue 1, Page(s) 44

    Abstract: Background: Bandung, the fourth largest city in Indonesia and capital of West Java province, has been considered a major endemic area of dengue, and studies show that the incidence in this city could increase and spread rapidly. At the same time, ... ...

    Abstract Background: Bandung, the fourth largest city in Indonesia and capital of West Java province, has been considered a major endemic area of dengue, and studies show that the incidence in this city could increase and spread rapidly. At the same time, estimation of incidence could be inaccurate due to a lack of reliable surveillance systems. To provide strategic information for the dengue control program in the face of limited capacity, this study used spatial pattern analysis of a possible outbreak of dengue cases, through the Geographic Information System (GIS). To further enhance the information needed for effective policymaking, we also analyzed the demographic pattern of dengue cases.
    Methods: Monthly reports of dengue cases from January 2014 to December 2016 from 16 hospitals in Bandung were collected as the database, which consisted of address, sex, age, and code to anonymize the patients. The address was then transformed into geocoding and used to estimate the relative risk of a particular area's developing a cluster of dengue cases. We used the kernel density estimation method to analyze the dynamics of change of dengue cases.
    Results: The model showed that the spatial cluster of the relative risk of dengue incidence was relatively unchanged for 3 years. Dengue high-risk areas predominated in the southern and southeastern parts of Bandung, while low-risk areas were found mostly in its western and northeastern regions. The kernel density estimation showed strong cluster groups of dengue cases in the city.
    Conclusions: This study demonstrated a strong pattern of reported cases related to specific demographic groups (males and children). Furthermore, spatial analysis using GIS also visualized the dynamic development of the aggregation of disease incidence (hotspots) for dengue cases in Bandung. These data may provide strategic information for the planning and design of dengue control programs.
    Language English
    Publishing date 2021-05-26
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2209835-5
    ISSN 1349-4147 ; 1348-8945
    ISSN (online) 1349-4147
    ISSN 1348-8945
    DOI 10.1186/s41182-021-00329-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Temporal Correlation Between Urban Microclimate, Vector Mosquito Abundance, and Dengue Cases.

    Faridah, Lia / Fauziah, Nisa / Agustian, Dwi / Mindra Jaya, I Gede Nyoman / Eka Putra, Ramadhani / Ekawardhani, Savira / Hidayath, Nurrachman / Damar Djati, Imam / Carvajal, Thaddeus M / Mayasari, Wulan / Ruluwedrata Rinawan, Fedri / Watanabe, Kozo

    Journal of medical entomology

    2022  Volume 59, Issue 3, Page(s) 1008–1018

    Abstract: Dengue Hemorrhagic Fever (DHF) is a major mosquito-borne viral disease. Studies have reported a strong correlation between weather, the abundance of Aedes aegypti, the vector of DHF virus, and dengue incidence. However, this conclusion has been based on ... ...

    Abstract Dengue Hemorrhagic Fever (DHF) is a major mosquito-borne viral disease. Studies have reported a strong correlation between weather, the abundance of Aedes aegypti, the vector of DHF virus, and dengue incidence. However, this conclusion has been based on the general climate pattern of wide regions. In general, however, the human population, level of infrastructure, and land-use change in rural and urban areas often produce localized climate patterns that may influence the interaction between climate, vector abundance, and dengue incidence. Thoroughly understanding this correlation will allow the development of a customized and precise local early warning system. To achieve this purpose, we conducted a cohort study, during January-December 2017, in 16 districts in Bandung, West Java, Indonesia. In the selected areas, local weather stations and modified light mosquito traps were set up to obtain data regarding daily weather and the abundance of adult female Ae. aegypti. A generalized linear model was applied to analyze the effect of local weather and female adult Ae. aegypti on the number of dengue cases. The result showed a significant non-linear correlation among mosquito abundance, maximum temperature, and dengue cases. Using our model, the data showed that the addition of a single adult Ae. aegypti mosquito increased the risk of dengue infection by 1.8%, while increasing the maximum temperature by one degree decreased the risk by 17%. This finding suggests specific actionable insights needed to supplement existing mosquito eradication programs.
    MeSH term(s) Aedes ; Animals ; Cohort Studies ; Dengue ; Female ; Humans ; Insect Vectors ; Microclimate ; Mosquito Vectors
    Language English
    Publishing date 2022-03-19
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 410635-0
    ISSN 1938-2928 ; 0022-2585
    ISSN (online) 1938-2928
    ISSN 0022-2585
    DOI 10.1093/jme/tjac005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Temporal Correlation Between Urban Microclimate, Vector Mosquito Abundance, and Dengue Cases

    Faridah, Lia / Fauziah, Nisa / Agustian, Dwi / Nyoman Mindra Jaya, I Gede / Putra, Ramadhani Eka / Ekawardhani, Savira / Hidayath, Nurrachman / Djati, Imam Damar / Carvajal, Thaddeus M. / Mayasari, Wulan / Rinawan, Fedri Ruluwedrata / Watanabe, Kozo

    Journal of medical entomology. 2022 Mar. 19, v. 59, no. 3

    2022  

    Abstract: Dengue Hemorrhagic Fever (DHF) is a major mosquito-borne viral disease. Studies have reported a strong correlation between weather, the abundance of Aedes aegypti, the vector of DHF virus, and dengue incidence. However, this conclusion has been based on ... ...

    Abstract Dengue Hemorrhagic Fever (DHF) is a major mosquito-borne viral disease. Studies have reported a strong correlation between weather, the abundance of Aedes aegypti, the vector of DHF virus, and dengue incidence. However, this conclusion has been based on the general climate pattern of wide regions. In general, however, the human population, level of infrastructure, and land-use change in rural and urban areas often produce localized climate patterns that may influence the interaction between climate, vector abundance, and dengue incidence. Thoroughly understanding this correlation will allow the development of a customized and precise local early warning system. To achieve this purpose, we conducted a cohort study, during January-December 2017, in 16 districts in Bandung, West Java, Indonesia. In the selected areas, local weather stations and modified light mosquito traps were set up to obtain data regarding daily weather and the abundance of adult female Ae. aegypti. A generalized linear model was applied to analyze the effect of local weather and female adult Ae. aegypti on the number of dengue cases. The result showed a significant non-linear correlation among mosquito abundance, maximum temperature, and dengue cases. Using our model, the data showed that the addition of a single adult Ae. aegypti mosquito increased the risk of dengue infection by 1.8%, while increasing the maximum temperature by one degree decreased the risk by 17%. This finding suggests specific actionable insights needed to supplement existing mosquito eradication programs.
    Keywords Aedes aegypti ; adults ; cohort studies ; dengue hemorrhagic fever ; females ; human population ; infrastructure ; land use change ; linear models ; medical entomology ; microclimate ; risk ; temperature ; viruses ; weather ; Indonesia
    Language English
    Dates of publication 2022-0319
    Size p. 1008-1018.
    Publishing place Entomological Society of America
    Document type Article
    ZDB-ID 410635-0
    ISSN 0022-2585
    ISSN 0022-2585
    DOI 10.1093/jme/tjac005
    Database NAL-Catalogue (AGRICOLA)

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  9. Article ; Online: Feasibility of Indonesia Family Life Survey Wave 5 (IFLS5) Data for Air Pollution Exposure-Response Study in Indonesia.

    Agustian, Dwi / Rachmi, Cut Novianti / Indraswari, Noormarina / Molter, Anna / Carder, Melanie / Rinawan, Fedri Ruluwedrata / van Tongeren, Martie / Driejana, Driejana

    International journal of environmental research and public health

    2020  Volume 17, Issue 24

    Abstract: Background: Air pollution is an important risk factor for the disease burden; however there is limited evidence in Indonesia on the effect of air pollution on health, due to lack of exposure and health outcome data. The objective of this study is to ... ...

    Abstract Background: Air pollution is an important risk factor for the disease burden; however there is limited evidence in Indonesia on the effect of air pollution on health, due to lack of exposure and health outcome data. The objective of this study is to evaluate the potential use of the IFLS data for response part of urban-scale air pollution exposure-health response studies.
    Methods: Relevant variables were extracted based on IFLS5 documentation review. Analysis of the spatial distribution of respondent, data completeness, prevalence of relevant health outcomes, and consistency or agreement evaluation between similar variables were performed. Power for ideal sample size was estimated.
    Results: There were 58,304 respondents across 23 provinces, with the highest density in Jakarta (750/district). Among chronic conditions, hypertension had the highest prevalence (15-25%) with data completeness of 79-83%. Consistency among self-reported health outcome variables was 90-99%, while that with objective measurements was 42-70%. The estimated statistical power for studying air pollution effect on hypertension (prevalence = 17%) in Jakarta was approximately 0.6 (α = 0.1).
    Conclusions: IFLS5 data has potential use for epidemiological study of air pollution and health outcomes such as hypertension, to be coupled with high quality urban-scale air pollution exposure estimates, particularly in Jakarta.
    MeSH term(s) Adolescent ; Adult ; Air Pollutants/analysis ; Air Pollution/adverse effects ; Air Pollution/analysis ; Child ; Environmental Exposure/analysis ; Environmental Exposure/statistics & numerical data ; Family Characteristics ; Feasibility Studies ; Female ; Humans ; Indonesia/epidemiology ; Risk Factors
    Chemical Substances Air Pollutants
    Language English
    Publishing date 2020-12-18
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph17249508
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Demographic and ecological risk factors for human influenza A virus infections in rural Indonesia.

    Root, Elisabeth Dowling / Agustian, Dwi / Kartasasmita, Cissy / Uyeki, Timothy M / Simões, Eric A F

    Influenza and other respiratory viruses

    2017  Volume 11, Issue 5, Page(s) 425–433

    Abstract: Background: Indonesia has the world's highest reported mortality for human infections with highly pathogenic avian influenza (HPAI) A(H5N1) virus. Indonesia is an agriculturally driven country where human-animal mixing is common and provides a unique ... ...

    Abstract Background: Indonesia has the world's highest reported mortality for human infections with highly pathogenic avian influenza (HPAI) A(H5N1) virus. Indonesia is an agriculturally driven country where human-animal mixing is common and provides a unique environment for zoonotic influenza A virus transmission.
    Objectives: To identify potential demographic and ecological risk factors for human infection with seasonal influenza A viruses in rural Indonesia, a population-based study was conducted in Cileunyi and Soreang subdistricts near Bandung in western Java from 2008 to 2011.
    Methods: Passive influenza surveillance with RT-PCR confirmation of influenza A viral RNA in respiratory specimens was utilized for case ascertainment. A population census and mapping were utilized for population data collection. The presence of influenza A(H3N2) and A(H1N1)pdm09 virus infections in a household was modeled using Generalized Estimating Equations.
    Results: Each additional child aged <5 years in a household increased the odds of H3N2 approximately 5 times (OR=4.59, 95%CI: 3.30-6.24) and H1N1pdm09 by 3.5 times (OR=3.53, 95%CI: 2.51-4.96). In addition, the presence of 16-30 birds in the house was associated with an increased odds of H3N2 (OR=5.08, 95%CI: 2.00-12.92) and H1N1pdm09 (OR=12.51 95%CI: 6.23-25.13).
    Conclusion: Our findings suggest an increase in influenza A virus infections in rural Indonesian households with young children and poultry.
    MeSH term(s) Adolescent ; Adult ; Aged ; Animals ; Antibodies, Viral/blood ; Child ; Child, Preschool ; Cohort Studies ; Demography ; Female ; Humans ; Indonesia/epidemiology ; Infant ; Infant, Newborn ; Influenza in Birds/epidemiology ; Influenza in Birds/transmission ; Influenza in Birds/virology ; Influenza, Human/epidemiology ; Influenza, Human/virology ; Male ; Middle Aged ; Orthomyxoviridae/classification ; Orthomyxoviridae/genetics ; Orthomyxoviridae/isolation & purification ; Orthomyxoviridae/pathogenicity ; Population Surveillance ; Poultry/virology ; Prospective Studies ; Risk Factors ; Rural Health ; Young Adult
    Chemical Substances Antibodies, Viral
    Language English
    Publishing date 2017-08-09
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2274538-5
    ISSN 1750-2659 ; 1750-2640
    ISSN (online) 1750-2659
    ISSN 1750-2640
    DOI 10.1111/irv.12468
    Database MEDical Literature Analysis and Retrieval System OnLINE

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