The actual Microbiota along with the Gut-Brain Axis in managing Intake of food as well as Homeostasis. But we found poor in the output (Pneumonia finding coverage). Pneumonia finding program has not executed as the expected. The coverage was inadequate since only one out 25 reaches the target of Pneumonia finding coverage. Pneumonia is considered not severe disease become a reason for the inadequate coverage. © 2020 the Author(s), licensee AIMS Press.Social support has an important impact on the well-being of the elderly. Some studies have shown that perceived social support is more important than received social support. Perceived social support has different definitions across different age groups and cultures. So, this sequential exploratory mixed-method study was designed to develop and validate a perceived social support scale for community-dwelling elderly. In the qualitative phase, the perspectives of the elderly on perceived social support were defined through directed content analysis. Then, an extensive item pool was designed based on the elderly's perception and review of the literature. In the quantitative phase, the validity (content, face, and construct) and reliability (internal consistency, stability) of the newly developed scale was assessed using the sampling of five hundred elderly. The final scale consists of 34 items with domains of "emotional support", "practical support", "spiritual support", "negative interactions" and "satisfaction with support received" that explained 58% of the total variance of the scale. The internal consistency varied from Cronbach's α = 0.70 to 0.87 for the subscales and as 0.92 for the whole scale. The study showed that the scale as a valid and reliable instrument can be used for the proper measurement of perceived social support among the elderly. © 2020 the Author(s), licensee AIMS Press.In the healthcare sector, patients can be categorized into clinical risk groups, which are based, in part, on multiple chronic conditions. Population-based measures of clinical risk groups for population health planning, however, are not available. Using responses of working-age adults (19-64 years old) from the Behavioral Risk Factor Surveillance System for survey years 2015-2017, a population-based measure of chronic disease severity (CDS) was developed as a proxy for clinical risk groups. Four categories of CDS were developed low, medium-low, medium-high, and high, based on self-reported diagnoses of multiple chronic conditions, weighted by hospitalization costs. Prevalence estimates of CDS were prepared, by population demographics and state characteristics, and CDS association with perceived health-related quality of life (HRQOL) was evaluated. Age-adjusted CDS varied from 72.9% (95% CI 72.7-73.1%) for low CDS, to 21.0% (95% CI 20.8-21.2%), 4.4% (95% CI 4.3-4.5%) and 1.7% (95% CI 1.6-1.8%) for medium-low,licensee AIMS Press.To treating Metabolic Syndrome (MetS) in the human body by using cooked pre-germinated brown rice (PGBR), a randomized control trial was done in Vietnam. 80 subjects (65.1 ± 3.81 years old) separated into two groups in pairs were assigned a daily intake of 200 g PGBR, and the subjects in the placebo group were kept in normal living ways (consuming white rice). Before baseline and after 3 months of the intervention, anthropometric measurements, blood chemical examinations, a nutrition survey, and physical activity measurements were conducted. The main finding showed that the percentages of patients with MetS in the PGBR group were reduced significantly compared to the placebo group (p less then 0.05). Serum HDL cholesterol concentrations were significantly increased from 1.11 (mmol/l) to 1.44 (mmol/l) compared to the placebo group (p less then 0.05). The findings suggest that PGBR may affect HDL cholesterol, PGBR might be considered in reducing the risk of MetS in Vietnam. © 2020 the Author(s), licensee AIMS Press.Discussions of the use of the oral glucose tolerance test (OGTT) took off when a Turkish scientist claimed in the media that "the OGTT is poisoning babies" in 2014. The aim of present study investigates the effects of controversies in the media and on the Internet on the attitudes and behaviors of women in regards to the OGTT. The research was designed as a descriptive, cross-sectional study. The universe of the study was women aged 18-45 years in Turkey. Included in the study were 358 women of childbearing age who attended family health center outpatient clinics in January 2019. A questionnaire was administered during face-to-face interviews to those who provided consent for participation in the study. The data was analyzed using SPSS 22.0 software. Chi-square test was used to compare the between-group qualitative data. The results were evaluated based on an alpha value of 0.05. Results Of the participating women, 18.99% (n = 88) were unaware of the OGTT. https://www.selleckchem.com/ALK.html Of participant, 41.89 (n = 151) delivered "Iwill take OGTT in the future". 27.09% (n = 97) delivered "I will not" and 11.73% (n = 42) were hesitant. Of the participants, 67.32% (n = 241) reported having been pregnant in the past. Of the participant, 62.24% (n = 150) delivered that they had OGTT in the past. The reasons given for not undergoing the OGTT in past pregnancies were 29.45% (n = 38) unaware during pregnancy, 28.68% (n = 37) delivered "my family physician did not recommend it". But the ones who delivered that in the future will not take OGTT, their reasons were 56.66% (n = 34) delivered "heard from media and internet sources" that the test was harmful. The results of the study indicate that public trust of OGTT and taking OGTT rates are declining in Turkey. While women can obtain beneficial information from media and Internet sources, misinformation can easily shake their confidence in any scientific data. © 2020 the Author(s), licensee AIMS Press.Objectives Child fruit and vegetable consumption is a critical component of adult chronic disease prevention, yet fruit and vegetable intake remains low among elementary school children in the United States. This pilot study tested a role modeling intervention designed to promote fruit and vegetable consumption in a U.S elementary school cafeteria setting. Methods This one-year, repeated cross-sectional study used digital photographs to assess fruit and vegetable waste at baseline (n = 566 trays) and follow-up (n = 231 trays) of kindergarten through fifth grade students in one elementary school. https://www.selleckchem.com/ALK.html Differences in waste were assessed through Mann-Whitney statistical tests. Feedback on intervention acceptability was provided by the intervention team during implementation. Results The proportion of students consuming all of their selected fruits and vegetables increased by 11.1% and 8.7% respectively (p less then 0.01). There was a significant decrease in the proportion of students not consuming any of their selected fruit (16.