bluuebunny/crossref_metadata_2025 huggingface dataset:
Double Burden of Malnutrition among Undergraduates in Ogun State Nigeria
Authors: Oladoyinbo Catherine Adebukola , Ekerette Nkereuwem N
Published: November 2019

Coexistence of under and over nutrition among the same population group is referred to as the double burden of malnutrition. The objective of this study was to assess double burden of malnutrition among undergraduate students in Ogun State Nigeria. A cross-sectional study involving 1,115 (37.8%) males and 1,835 (62.2%) females was conducted.  Body mass index (BMI) was derived from weight and a height measurement, waist circumference (WC) measurement was taken to assess abdominal obesity. SPSS version 16 was used for data analysis. Mean age, height, weight and BMI were 23±0.05years, 1.63±0.001m, 60.99±0.22kg and 22.80±0.08kgm respectively. Mean WC was 82.21±0.32cm and 80.55±0.49cm among males and females respectively. Based on BMI, the Prevalence of underweight, overweight and obesity were 13.4%, 16.9% and 7.5% respectively. BMI did not relate significantly with both age (p=0.464) and gender (P=0.115). About fifty percent (50.64%) of females and 12.36% males who were overweight and obese also had excess abdominal fat. Prevalence of abdominal obesity was significantly higher among females (16.9%) than males (2.5%), (p=0.001). Respondents in this study were faced with problems of both under-nutrition and over-nutrition.
Developing Comprehensive Diabetes Education Materials for Structured Patient Education Programs in Primary Care Setting
Authors: Hilman Agrimon Oryzati , Street Jackie
Published: November 2019

Diabetes education is a key factor for a successful diabetes care. Comprehensive diabetes education materials for conducting structured diabetes education programs were rarely found in primary care setting in Indonesia. There was a need for developing new, comprehensive diabetes education materials for low-literate readers. Developing these education materials followed standard steps in developing print materials, and took account tips for writing low literacy materials for poor readers. The new diabetes education materials consisted of ten various leaflets, also printed as14 posters and 14 x-banners. The ten diabetes leaflets were pre-tested to 5 people with type 2 diabetes (T2D). After minor revisions, the leaflets were printed and distributed to 88 people with T2D attending two structured diabetes education programs in Yogyakarta City. These 88 people were requested to evaluate the leaflets using an evaluation form consisting of four items on language usage, font size,  use of pictures, and diabetes information with a 1-10 rating scale; and an open-ended question for improvement. Descriptive statistics were used to analyze the results. Most participants thought that the leaflets were easy to understand and read, interesting, and simple. Majority of participants (79.7%) gave favorable comments without providing suggestions for improvement, such as: “The diabetes leaflets are already good and easy to understand” One third of the participants gave suggestions for improvement. The comprehensive diabetes leaflets developed were well received and highly appreciated by people with T2D attending diabetes education programs.
Determinants of Postpartum Visits in Breastfeeding Mother
Authors: Ambarwati Eny Retna , Khoirunnisa Endang , Safaria Triantoro
Published: November 2019

Puerperal is likely in the occurrence of maternal deaths, and should receive health care during childbirth to be visited by a health worker at least 3 times since birth. This type of research was descriptive quantitative. The quantitative data obtained from questionnaires, using T-test. The research sample was breastfeeding mothers in the village of Balecatur as the intervention group and breastfeeding mothers in the village of Ambarketawang as the control group. There are significant differences of knowledge, behavior in the treatment of post-partum mothers between the intervention group and the control group with significant value in total of <0.05, influenced by the role of cadres, social suport, the role of health workers. Post partum visits conducted by community empowerment strategies, women as the main actors. The role of leaders, social support affect the success of efforts to increase postnatal visits among others disseminating information, provide examples, sensitize, motivate, guide, moving targets and the community and facilitating thus the knowledge, skills and increased public awareness can foster public participation in the postnatal visit.
A Qualitative Impact Evaluation of the First Love Yourself (FLY) Women’s Support Group
Authors: Blackmon Valerie , Cassell Chalenna , McElderry Cathy G. , Obisesan Olawunmi
Published: November 2019

Research has shown that social support groups not only have significant effects on the physical and mental health of individuals, but can also be used as predictors of health outcomes. It is, therefore, important that social workers and other public health professionals are aware of the social support groups that exist in communities so as to find ways to utilize these to meet health needs. The study aims to explore the First Love Yourself (FLY) group, an empowerment-based support group specifically designed to meet the needs of Healthy Start consumers, parents and consortium members. A qualitative analysis of the data gathered from this focus group study yielded several key themes. While participants described finding other community resources helpful, they reported having no other outlet for confidential self-expression and connection to peers other than the FLY group. Group members also reported having improved self-esteem, relationships with their children, partners, and family, and ability to cope as a result of participation in the group. Participants further described gaining knowledge and learning skills that were helpful. This included learning parenting, communication, stress and anger management, budgeting, goal-setting and coping skills and techniques. Finally, qualitative analysis of the data gained from the focus group with participants and the group leader revealed the presence of all 11 curative factors described by Yalom (2005). The primary areas for improvement noted by the group and its leader were related to the frequency of group meetings. Both audiences indicated that additional sessions would be beneficial.
Accuration of Fine Needle Aspiration Biopsy in Musculoskeletal Tumour
Authors: Magetsari Rahadyan , Marseno Hengkie , Lanodiyu Zikrina , Dewo Punto
Published: November 2019

Fine needle aspiration biopsy (FNAB) has been reported to be the preferable choice of biopsy for musculoskeletal tumour. While FNAB appears to have advantages to core biopsy in the aspect of simplicity and cost, the diagnostic accuracy should be the most critical parameter in determining the choice of biopsy. This research was designed to evaluate the diagnostic accuracy of fine needle aspiration in musculoskeletal tumour in Sardjito Hospital from 2010 until 2014. This was a descriptive study from medical record in Sardjito Hospital from 2010 until 2014. The inclusion criteria are musculoskeletal tumours in all age level that has been performed FNAB with subsequent operative treatment and confirmation of histopathology examination in Sardjito Hospital. There were 41 elligible subjects in this study. Concordance diagnosis of FNAB and histopathological examination in all musculoskeletal tumor cases was found to be 86%. In addition, the concordance in soft tissue tumor cases was 94% with the detail as follows: giant cell tumor was 86%, synovial sarcoma was 50% and liposarcoma was 50%. In bone tumours, the accuracy was found to be 60% with the detail as follows: distribute osteosarcoma was 60%, osteochondroma was 50% and chondrosarcoma was 50%. Our data showed that accuracy of FNAB for diagnosis of musculoskeletal tumours was 86% with soft tissue tumour 94%, bone tumour 60% and others 93%. Therefore, Fine needle aspiration biopsy is still important diagnosis tool in musculoskeletal tumours.
Employment, Knowledge and Latrine Ownership as Risk Factors and Prediction Model of Diarrhea Incidence
Authors: Irfan Irfan , Sulansi Sulansi
Published: November 2019

Diarrhea is a leading cause of death ranked 3rd after Tuberculosis and Pneumonia in Indonesia. Diarrhea cases in NTT province and also in Kupang City is still high, with Pasir Panjang PHC in 2012 and 2013 ranked the top three, while Oepoi PHC always the lowest rank. This research was conducted to analyze the risk factors for the incidence of diarrhea and create a model equation to predict the diarrhea incidence. This observational analytic research using case control design. Samples with diarrhea cases were recorded in January - June 2015 in the register book Pasir Panjang PHC and Oepoi PHC taken by random sampling to obtain samples for cases 62 children of Diarrhea patient. The control samples are 62 children who are not registered as suffering from diarrhea in the month of June 2015, close to the patient’s house, and her mother or people who responsible to take care that children want as respondent. Data were obtained by interviews with the mothers of cases and controls using questionnaires and direct observation using a checklist. Data were analyzed using univariate, bivariate and multivariate logistic regression. There are three variables that significantly affect to the diarrhea incidence, namely employment, knowledge and latrine ownership and the most dominant variable influence that is knowledge (OR 4.353). The model equation Y = - 2.048 +1.153 employment + 1.483 knowledge + 1.480 latrine ownership with a percentage accuracy of the model in classifying observations is 68.5%.
Periodontal Disease on Pregnant Women (Case Study: Pondok Labu Village, South Jakarta, Indonesia)
Authors: Rikawarastuti Rikawarastuti , Ngatemi Ngatemi , Harahap Nita Noviani
Published: November 2019

During preganancy, women periodically concern about ANC due to fetus growth, but ignore their own periodontal health. This research was conducted to acknowledge the effect of age, educational background, parity, body mass index (BMI), diabetes mellitus, smoking habit and oral hygiene with periodontal disease on pregnant women. Analytical observation study with cross sectional design was conducted to pregnant women in Pondok Labu Village (Kelurahan), South Jakarta. Purposive sampling was performed among 101 respondents. Chi Square and logistic regression were used for the analysis.  Results shown that periodontal disease on pregnant women were 73.2% (66.3% were calculus and 6.9% were having periodontal pocket of 4-5 mm). It is proven that there is relationship between age, educational background, parity, BMI, diabetes mellitus, and smoking habit to the periodontal disease. On the other hand, oral hygiene highly affected the periodontal disease on pregnant woman. Poor oral hygiene is the dominant factor of periodontal disease on pregnant women after being controlled by age (OR= 21.33, p value 0.005). It is advised for pregnant women to improve their knowledge on how to care for their oral hygiene prior to and during pregnancy, as well as, go through treatments with dentists.
The Reflection of Family Function and Premarital Sex Behavior on Art Community
Authors: Djannah Siti Nur , Murti Bhisma , Prabandari Yayi Suryo , Anantanyu Sapta
Published: November 2019

The premarital sex behavior in Indonesia based on SKRRI 2012 is a problem which requires the serious concern because it ensues unwanted pregnancy, then take the abortion and carries the venereal disease, therefore the teenager will lose their future. The risk factors related to premarital sex behavior affected by external factor such as the relationship between parents and adolescense. This is occurred in adolescenses who join in an art community of Jathilan, which is Paguyuban Turonggo Wiro Budoyo Wirobrajan Yogyakarta, where the management explains that the members do free sex and they can’t do the family function especially in educating the reproduction health for teenager. This research aims to find out the reflection of family function and reproduction health of and sex in teenager of TWB Community.This research is quantitative descriptive support by qualitative. The data collecting technique is purpose sampling. The research subject is Community members of Seni Jathilan Turongo Wiro Budoyo, total 47 members. The reflection of family function in teenager of TWB community member, majority of family don’t give the education function, affection function, protection function, and socialization function adolescense reproduction health, and the reflection teenager sex of TWB Community is majority doing free sex.
The Prevalence of Alprazolam Uses in Geriatric Patients at Dr. Mohammad Hoesin Hospital Palembang
Authors: Febrianto Yohanes , Tanzil Sutomo , Parulian Theodorus
Published: November 2019

One of the most frequently prescribed drugs in geriatric patients is a benzodiazepine, especially a short-acting such as alprazolam. Unfortunately, alprazolam is oftenly used inappropriately because this drug has a short acting effect. Geriatric patients are more sensitive to this drug that can lead to the dependence. However, there is still lack of data on the use of this drug in geriatric patients. The aim of this study was to determine the prevalence of the use of alprazolam. A drug utilization study has been done for 2 months through analysis of patient’s medical records in the internal medicine ward at RSMH Palembang from June 1st, 2012 to May 31st, 2013. There were 25 out of 1634 patients receiving alprazolam, but only 23 patients whose data were obtained from the available medical records. Prevalence of alprazolam use was 1.408%. Based on gender, the prevalence was 1.798% in female and 1.09% in male patients. Proportion by age group was 91.3%, 8.7% and 0% in age group 60-74 years, 75-90 years and over 90 years, respectively. Based on the job, the population study comprised of the housewive (52.1%), unemployment (39.1%), and entrepreneur and farmer (4.3% together). The indication of usage was atheroscerotic heart disease, diarrhoea and gastroenteritis of presumed infectious origin, unspecified gastritis, and thyrotoxic heart disease. In other words, it could be said that the usage of alprazolam was inappropriate.
A Short Review on the Development of Salt Tolerant Cultivars in Rice
Authors: Khan Samiullah , Javed Muhammad Arshad , Jahan Nusrat , Manan Fazilah Abd
Published: November 2019

Rice is staple food for half of the world. With a population of almost 9.6 billion by the year 2050, there is a dire need of developing techniques to improve the crop plants, not only in terms of better yield but also to withstand harsh environmental conditions and stresses like drought, temperature, flood and salinity. Salinity is second to drought stress and hence it is very important to develop crops tolerant to salinity stress. This review discusses the mechanisms of salt tolerance and the recent developments in understanding the complex tolerance phenomena. One way to address the salinity issue is to develop tolerant rice varieties using conventional and modern breeding techniques for which screening the rice germplasm for the varieties with desired traits is critical. Conventional methods to develop tolerant rice varieties are discussed along with modern biotechnology techniques are also discussed. Quantitative Trait Loci (QTL) and Marker Assisted Selection (MAS) are promising techniques. In addition to these modern techniques, some recent developments in the fields of transgenic plants, haploid breeding and Somaclonal variations have also been discussed. The limited knowledge about molecular and genetic mechanisms to tolerate abiotic stresses, however is a barrier to efficiently develop tolerant cultivars. A combination of conventional and modern biotechnology techniques could possibly open up the new ways.
Obesity Prevalence and Dietary Intake of Antioxidants in Native American Adolescents
Authors: Perez Maria Cristina , Knisley Benjamin D. , Crosby Grace E. , Zheng Shasha , Barth M. Margaret
Published: November 2019

Antioxidants are well known for possessing anti-inflammatory properties, which can reduce the risk of chronic disease and obesity. However, very little research has been done to examine antioxidant intake among adolescent minority populations such as Native American adolescents. Our study examined the significance of antioxidant intake among Native American adolescents at an urban residential high school in Southern California. Our study population consisted of 183 male and female Native American adolescents, 14-18 years of age, representing 43 tribes from across the United States. Students’ primary source of meals was provided by the school food service. Based on the BMI calculations, the rate of obesity within our population was 38% for males and 40% for females, more than two-fold the national rate indicated by NHANESIII data. We used the Harvard School of Public Health Youth/Adolescent Questionnaire (HSPH YAQ), a semi-quantitative food frequency questionnaire, to examine antioxidant nutrient intake and evaluate the differences in the intake between normal and obese weight students. Statistical analysis of the results showed that intakes of vitamins C, E, and lycopene were the antioxidant nutrients found to be significantly different between normal and obese weight students and intakes of these nutrients were found to be higher among normal weight students (p-values = 0.02451, 0.00847, and 0.04928, respectively). These results suggest that dietary intake of antioxidants could be increased among Native American adolescents. Further research is needed to confirm our findings and identify effective ways for school food service to incorporate antioxidant rich foods into school menus.
Prevalence of Latent Tuberculosis among Hospital Administrative Staff in Kuala Lumpur
Authors: Jaafar Mohd Hasni , Krishnan Kumaren
Published: November 2019

In the United States, there were about 10 to 15 million people with latent tuberculosis infection (LTBI) who are asymptomatic, particularly among healthcare workers (HCWs). The aim of the study was to determine the prevalence of LTBI among the HCWs in a main general hospital in Malaysia. About 401 HCWs have been enrolled in this cross sectional study conducted in November 2014 until January 2015. A standardised questionnaire was used to obtain their demography and job description together with Tuberculin skin test (TST). The prevalence of LTBI in the institution was about 46.4%, which was high. It was common amongst a younger age group and male HCWs. The noble finding was the study proved that the administrative type of work in a clinical setting has the highest prevalence and risk (adjusted OR=5.366; 95% CI=1.397-20.619) compared to others. Non-clinical HCWs like administrator should be treated as one of potential job for TBI in any hospital or clinic. Any programme on TBI awareness and prevention should include them too.
Solid Waste Management in Jogja Hospital
Authors: Maulana Muchsin , Kusnanto Hari , Suwarni Agus
Published: November 2019

There are some groups who may get the risks of hospital waste disposal. The first group is the patients who come to hospital to get cure and care. It is the most vulnerable group. The second is hospital’s employees who have direct contact with the patients as main illness’s agents on doing their daily duties. The third group is the visitor or those who accompany the patients; their risk is big as well. The last group is the society, people who live near the hospital, even when the waste siposal is done inappropriately. It causes the decrease of environmental quality which leads to the decline of health quality in the area. Hence, hospital has a responsibility to manage the disposal process of waste correctly and appropriately by conducting sanitation programs in hospital. Jogja Hospital is a Government-owned Hospital run by the Government of city of Jogyakarta. In its daily activities, the hospital produces waste which, if not properly discharged or burned, may cause adverse effect on workers as well as the surrounding area. Jogja hospital has Incinerator, thus simplifying the management such waste. The waste management including the rules, procedures and policymaking need to be explored to investigate the process of waste management of Jogja hospital.
Climate Change and Health Teenager’s Perceptions as a Basis for Interventions
Authors: Sulistyawati Sulistyawati , Nisa Izzatun
Published: November 2019

Climate change is becoming a major issue around the globe with increasing impact on human health. Strategies aiming to address these climate change impacts are thus a necessity. Involving teenagers as agents of change is one way to promote necessary changes in attitudes and behaviors, in the community and our future society. This paper explores climate change perceptions among teenagers in order to formulate strategies that include them as agents in climate change adaptation addressing health. We did quick survey in 95 students, which are categorized as teenagers from a senior high school in Gunungkidul, Indonesia randomly enrolled as respondents in this research, but 15 of them dropped out due to the incompleteness of answer. A structured questionnaire was used to measure the teenagers’ perceptions about climate change and health. Based on this research respondents have had an intermediate understanding of the impact of climate change on human health. There were 65% of respondents stated that they felt the impact of climate change this time. However, the level of understanding varies with respect to disease. So that, it is highly recommended to improve the knowledge of teenagers about climate change and its consequences on human health by use mass media (TV, Radio and the internet) as media channels for interventions targeting teenagers.
Meta-Analysis of the Relationship Between Ethnicity, Obesity, and Type 2 Diabetes of Adults in Urban Populations of Central America
Authors: Wuenstel William G , Johnson James A. , Humphries James , Samuel Cheryl
Published: November 2019

The purpose of this meta-analysis was to examine the impact of ethnicity and obesity as it relates to Type-2 Diabetes (T2D) in specific Central American countries. A meta-analysis was conducted to determine the association of ethnicity, obesity, and T2D.  Four studies that qualified for inclusion were identified by searching MEDLINE and PubMed databases. The studies on the association of ethnicity and T2D had a combined population resulted in 265,858 study participants. Two studies on the association of obesity and T2D had 197,899 participants. An analysis of the data was conducted utilizing the relative risk ration, odds ratio, and forest plots. The comparison of the relative risk of T2D across ethnic categories by studies range for Blacks was 1.59 to 2.74, Asians was 1.43 to 2.08, and Hispanics .92 to 2.91.  The ethnic difference in the prevalence of diabetes was almost two-fold higher in all ethnic groups than among the Caucasians with a significance level of 95%. A comparison of relative risk of T2D across weight categories was significantly higher among those with a diagnosed of diabetes in all reported areas. The odds ratio was very close to the risk ratio in both ethnicity and obesity to the development of T2D. The meta-analysis findings documented that an association does exist between ethnicity and obesity to the development of type 2 diabetes.
Indicators of Organizational Support in Implementing Maternal and Child Health Information System
Authors: Nugroho Heru Santoso Wahito , Supriyanto Stefanus , Notobroto Hari Basuki
Published: November 2019

Nowadays, the implementation of health informtion system in Indonesia still encounters a number of obstacles e.g. redundant data, activities duplication, data quality, data not in harmony with the necessities, report not submitted on time, unoptimized feedback, low information utilization, and inefficient resources. This research aimed to analyze the indicators of organizational support which were suspected as one of the obstacles of the implementation of Maternal and Child Health Information System in Health Office of Ngawi Regency. The population of this cross sectional research was all village midwives administratively in duty in the areas of Ngawi Regency in 2015. Data was taken from all member of populaton through questionnaire filling, which was then analyzed by using confirmatory factor analysis (CFA). The result of data analysis suggested that the coefficient value that has been standardized from each indicators were as follows: supervisor support = 0.82, work condition = 0.80, and reard = 0.90. Indicators of organizational supportin implementing Maternal and Child Health Information System at Ngawi Regency Health Office, respectively from the most important are: reward, supervisor support, and work condition.
Unmet Need and its Reasons for Nonuse Contraceptive in East Java Province
Authors: Herowati Diyah , Listyawardani Dwi , Yuli Prihyugiarto Titut
Published: November 2019

The primary aim of family planning program is to enable women to fulfill their own needs and desires toward childbearing whether they want to space or limit their birth. However, issues of unmet need in Indonesia, particularly in East Java Province become the urgent problem to be address recently. Based on the data set of the 2014 Mini Survey of Eligible couple in Indonesia, this study attempted to identify the demographic characteristic of women aged 15 – 49 with unmet need, to describe their experienced used contraceptive and to find out reasons for nonuse of contraceptive. This study found that women with unmet need are more likely to be higher among older women, have lower and higher level of education, living in urban areas, and have more number of living children. Most of respondents stated that they had experienced to use contraception before with injectable, IUDs and pill. Other results show a significant number of women mentioned method-related reasons (fear of side effects, health concerns, and inconvenient to use) as most often cited reasons for nonuse. Some important policy implications offered from this study in order to eradicate barriers to the use of contraceptive methods are to improve follow-up, strengthen counselling approaches to address fear of side effects, promote information, education and communication (IEC) on reproductive health and provide availability of the most suitable method according to the need, such as to avoid health problems of women.
Modifiable Risk Factor of Coronary Heart Disease Incident on Patients with Diabetes Mellitus Type 2
Authors: Dt Mangguang Masrizal , Hardian Sri
Published: November 2019

The aim of this research is to determine the risk factors related to coronary heart disease incidence in type 2 diabetes mellitus patient at Dr. M. Djamil Padang Hospital. This was an analytic research with case control study design around October 2014 until May 2015. Samples consisted of 39 cases and 39 controls with matching age and sex. The data were analyzed by using univariate, bivariate by using McNemar test, multivariate by using regression logistic test and stratification. The result showed that hypertension p=0.002 (OR=5, 95%CI 1.09-22.82), obesity p= 0.0001 (OR=6, 95%CI 2.08-17.29), duration of DM p= 0.01 (OR=3.2, 95% CI 1.17-8.73) and smooking  p= 0.002 (OR=7, 95%CI 1.59-30.80) were associated with coronary heart disease incidence in type 2 DM patient. The most dominant risk factor that was associated with coronary heart disease incidence in type 2 DM patient at Dr. M. Djamil Hospital was obesity p= 0.0001 (OR=10.2, 95% CI 3.08-33.81). Hypertension OR=11.25, duration of DM OR=18, smooking OR=16.2, sport activity OR=18.6 and income level OR=15.7 had interaction of the association between obesity and coronary heart disease incidence in type 2 DM patient. Hypertension, obesity, duration of DM and smooking were risk factors that associated to coronary heart disease incidence in type 2 DM patient. Then, the most dominant risk factor that associated to coronary heart disease incidence in type 2 DM patient at Dr. M. Djamil Padang was obesity. Hypertension, duration of DM, smooking, sporct activity and income level had interaction of the association between obesity and coronary heart disease incidence in type 2 DM patient.
Prevalence and Associated Factors of Hypertension among Civil Servants Working in Arba Minch Town, South Ethiopia
Authors: Kalssa Aschenaki , Ayele Gistane , Tamiso Alemu , Girum Tadele
Published: November 2019

Despite Hypertension is a global public health challenge and a leading modifiable risk factor for cardiovascular disease and death attention was not given in developing countries. Therefore measuring the prevalence and identifying predictors of Hypertension is very important. Institution based cross sectional study design was employed from March–April, 2016 by taking 319 randomly selected civil servants working in in Arba Minch town. Data was collected using structured questionnaire and standardized instruments for physical examination by 5 trained nurses. SPSS version 20 was used for data analysis. Bi-variable and Multivariate logistic regression was employed for analysis of risk factors. The mean SBP and DBP of study participants were 120.87 + 14.15 mmHg and 80.28 + 8.8 mmHg, respectively. The prevalence of hypertension was found to be 27.8% (95% CI = 22.9-32.7%). Civil servants of age 50 years and above [AOR = 13.3], age 40-49 years [AOR = 5], age 30-39 years [AOR = 3.5], abdominal obesity [AOR=12.2], general obesity [AOR = 4.2], stress status [AOR = 12.3], current alcohol drink [AOR = 3.3], ex-drinker [AOR = 8.9] and family history of hypertension [AOR = 5.6] were found to be significantly associated with hypertension. The prevalence indicates that it is hidden epidemic in this population; therefore for screening and risk reduction program are needed.
Environmental Health Risk Analysis of Paraquat Exposure in Palm Oil Plantations
Authors: Maksuk Maksuk , Malaka Tan , Suheryanto Suheryanto , Umayah Abu
Published: November 2019

Paraquat (1, 1’-dimethyl-4, 4’-bipyridylium dichloride) is a highly toxic herbicide. Recently, Paraquat is still used widely in the plantations area, mainly in palm oil plantations. Paraquat application continuously can be increased Paraquat concentration and contaminated in soil and water. This study aimed was to analysis Paraquat exposure in environmental media water and soil, and the calculation of risk quotient of Paraquat in palm oil plantation. The study design of this research was a cross sectional with the laboratory examination Paraquat concentrations in soil and water. Soil and water samples taken by grab sampling with random composites. Water samples were taken from three sources in palm oil plantations area. Whereas soil samples were taken at a depth of 0-10 cm (top soil) and the number of soil samples as much as 5 samples. Furthermore, the risk quotient of Paraquat concentration in the water used in the palm oil plantation. The laboratory tests of Paraquat concentration were in water and soil with gas chromatography. The results of laboratory tests showed that Paraquat concentration in water samples were found between <0.005 to 0.01 mg/l and Paraquat concentration in soil samples were found between <0.005 to 0.08 ppm. The calculation of risk quotient was 0.058 mg/body weight/day. Although, the calculated of risk quotient showed less than one. Therefore, prior to use the water must be treatment first. While the recommended water to consumption as much as 2 liters/day for a 55 kg body weight to Indonesian workers.
Client Satisfaction towards Quality of Health Services: An Assessment at Primary Healthcare of District Gujranwala
Authors: Khan Kauser Aftab , Khan Shahzad Ali , Qureshi Zubia , Khan Moazzam Ali , Gill Fouzia Nadeem , Abbasi Mudassar Mushtaq Jawad
Published: November 2019

This survey designed to evaluate the satisfaction level and the factors that affect the patient satisfaction regarding health care delivery services with the aim to improve the services in the primary health care settings of Gujranwala. A Cross Sectional Study done on randomly selected patients attending the basic health units of Gujranwala, with more than18 years of age. Pretested structured "Liker scale questionnaire" was used for data collection. Out of total respondents, 62 (41.3%) clients were satisfied with the services provided by the basic health units of Gujranwala. The factors identified to determine patient satisfaction were accessibility of services, behavior of staff, health education, level of cleanliness, drug availability and miscellaneous services. Not a single ranked area of satisfaction noticed. Client’s occupation and income had significant relationship with the patient satisfaction level. Gender, age, and education of clients were not contributing factors; they not affect the client satisfaction level.Less than half clients were satisfied with the services provided by the basic health units. Management of health facilities needs to improve the services.
Knowledge about Obstetric Danger Signs and Associated Factors among Antenatal Care Attendants
Authors: Shegaze Mulugeta
Published: November 2019

Knowledge of mothers about obstetric danger sign is the basic influencing factor for utilization of skilled maternal and neonatal cares which reduce maternal and new born mortality and morbidity. Therefore this study intended to assess knowledge about obstetric danger sign and identify associated factors among antenatal care attendants. Institutional based cross- sectional study was conducted from April to June 2015 among 358 randomly selected antenatal care attendants. Epi Info version 7 and SPSS version 20 software were used for data entry and analysis respectively. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤ 0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05. Most of the respondents able to name some of the accepted danger signs. Two hundred eight (58%), 182(51%) and, 161(45%) of mother were knowledgeable for obstetric danger sign which could occur during pregnancy, at child birth and post-partum period respectively. The most mentioned dander signs were bleeding, retained placenta and prolonged labor. The factors that associated with Knowledge of obstetric danger signs were urban residence (AOR=2.6; 95% CI: 1.8, 4.2), being literate (AOR=2.54; 95% CI: 1.14, 5.76), multiparity (AOR 1.5; 95% CI: 1.14, 2.3) and being informed (AOR=3; 95% CI: 1.6, 6.4). The study showed that attendant’s knowledge was low. This could be averted through strategies designed to address women’s through health extension workers and health professionals.
Evaluation of Lactation Promotion as Part of Baby Friendly Hospital
Authors: Inayah Arsani Lailatul , Handayani Lina , Saufi Azidanti
Published: November 2019

Decrease of maternal and infant mortality as well as increasing of the exclusive breastfeeding are major public health priorities in Indonesia. In decreasing the maternal and infant mortality, the government developed a program for the community as Baby Friendly Hospital (BFH) to prevent the effects, to support, and to promote breastfeeding. PKU Muhammadiyah hospital in Yogyakarta was one of the BFH program managers. The purpose of this study was to determine the breastfeeding promotion activities as part of BFH at PKU Muhammadiyah Hospital in Yogyakarta.This was a qualitative descriptive study. The findings of this study were inputs consisting of 1) the knowledge and skills to better convey information indicates the quality of human resources. 2) promotion of the  policies for all workers to reach the goal. 3) financial promotion is supported by the operating system in the hospital. 4) supporting facility to promote lactation leaflets, posters, ANC class, a breastfeeding counselor and nursing areas. Implementation of lactation promotion was conducted in accordance with program planning of BFH. 
Human Resource Practices in Public Healthcare Sector: A Perceptual Study among Healthcare Professionals
Authors: G N Sumathi
Published: November 2019

The study is aimed to identify various human resource practices in the public healthcare sector and to measure the level of human resource practices. The study adopts the perceptual view of healthcare professionals such as medical officers and staff nurses working in Primary Health Centres of Tamilnadu. A survey using a questionnaire is used to collect data from healthcare professionals. The results indicated that human resource practices such as job autonomy and job security are perceived to be useful and necessary, while training and performance management system are found to provide necessary inputs for carrying job duties and practices such as career growth opportunities and compensation need the attention of the officials of Health and Family Welfare department of Tamilnadu Government for enhancing the utility of these practices.
Supplementation of Vitamin A and D in the Medication of Lung Tuberculosis
Authors: Pratiwi Rita Dian , Pramono Dibyo , Iswanto Iswanto , Junaedi Junaedi
Published: November 2019

At District of Wonosobo, Indonesia incidence rate of lung tuberculosis(TB) is increasing over years. In 2011 sputum conversion rate had reached 83.8%. Incidence rate of lung TB is still relatively high. This is influenced by many factors, one of which is the process of transmission. Potential of transmission may still occur until end of intensive medication (2 months). Vitamin A and D as immunoprotection can be used as supplements that can accelerate sputum conversion. To find out effect of vitamin A and D supplementation in accelerating sputum conversion of lung TB patients during intensive phase. The study was true experimental (double blinded randomized controlled trial). Subject of the study consisted of two groups; one comprised as many as 30 positive acid fast bacillus lung TB patients supplemented with vitamin A at dosage of 1 x 5000 IU/day and vitamin D at dosage of 1 x 400 IU/day whereas another group was placebo during intensive phase. There was effect of vitamin A and D supplementation to acceleration of sputum conversion with score of p 0.003; HR 2.45. Sputum conversion acceleration occurred in the experiment group during the second week with vitamin A and D supplementation as much as 86%. Vitamin A and D supplementation could accelerate the incidence of sputum conversion as much as 2.45 times greater than placebo group; thus vitamin A and D could be used as complementary supplements in the medication of lung TB medication during intensive phase.
Socio-Cultural Factors Influencing Uptake of Skilled Childbirth Services among Women in Kaiti Division, Makueni District (Kenya)
Authors: Mathulu Anthony Wambua , Mbithi Benard Wambua
Published: November 2019

Each year, over 500,000 women die from the complications of pregnancy and child birth, almost all of them in the developing countries. This trend can be addressed by increasing the rates of skilled care during childbirth. This study therefore sought to establish the socio-cultural factors influencing uptake of skilled childbirth care which has remained low in Kaiti Division. The researchers applied a descriptive cross-sectional study design which involved women of childbearing age (15-49 years). The study was conducted in March 2010 and had a sample size of 246 women which was randomly selected from the estimated target population of 12,077. The researchers applied both quantitative and qualitative approaches. The tests of significance employed included Fisher’s exact test, chi-square, test and logistic regression. The study established that the proportion of women attended to by the skilled attendant within various age cohorts was higher (58.9%) amongst the youth/adolescent (15-24 years) (P-value = 0.091> 0.05, c2 10.915 df 6).). Skilled attendance declined among the grand-multiparas (para4 and above) from 7.7% in Para 4-5 to 2% in Para 6+ (P-value = .000<0.05, c2 34.888 df 3; Para 1(p =0.000, OR 28.391), Para 2-3 (p =0.000, OR 7.564), Para 4-5(p=0.030, OR 3.493) Further findings indicated that the principal decision maker (46.7%) on type of assistant in the last delivery was the woman (P-value = 0.000 <0.05, c2 56.076 df 5). However, the husband was the leading (39.5%) decision maker in use of a skilled assistant in the last delivery (p=0.000, OR 15.667). More than two thirds (70.7%) of the respondents who performed a ceremony prayed for safe delivery in their last delivery. The study concluded that women’s parity, decision making and religion were significant in use of skilled childbirth services.
An Assessment of Health-Economic Burden of Obesity Trends with Population-Based Preventive Strategies in a Developed Economy
Authors: Bhasin Prerna
Published: November 2019

The burden of obesity varies with age, ethnicity, socio-economic status and state economies. All new projections should hence accommodate population ageing, and other population changes such as immigration, health-care system reform, or technological advances for disease treatment for a comprehensible assessment of global burden. The unfordable and expensive nature for reversing the obesity tide arises from policies developed to combat obesity. Most of these approaches aim at bringing the problem under control, rather than affecting a cure, and obviously require a multi-disciplinary and intensive regimen. Prevention is the only feasible option and is essential for all affected countries. Yet it is not simple to have population based UK-wide strategic framework for tackling obesity. Besides existence of multiple layers of governance, there are clear demarcations between targets in diet; nutrition and physical activity level between regions some of which are not realistic.  Population based approaches target policies and process, aiming for a transition towards healthy population diets, activity levels and weight status. It is essential to understand these aspects differ culturally and between and within countries. There are still no clear and appropriate answers about answer when, where, why, and, how costs accrue in obese populations, further long term commitments are required for the same. Most population-based prevention policies are cost effective, largely paying for themselves through future health gains and resulting reductions in health expenditures. Therefore these prevention programs should be high on the scientific and political agendas.
Model to predict duty of community nurses in promotive and preventive care
Authors: Sismulyanto Sismulyanto , Nursalam Nursalam , Efendi Ferry , Putra Made Mahaguna , Pratama Aditha Angga
Published: November 2019

Community nurses had important role in promotive and preventive care in community. Aim of the study was to make model to predict community nurses role in promotive and preventive care based on Health Promotion Model (HPM). Design of the study was used explanatory with cross sectional approach. Sum of participant was 161. This study was conducted in 11 Public Health Center in Banyuwangi at 1 January  to 30 January 2018. Methods of data collection was cluster sampling. The data was analysed using smartPLS software.. Inner model: personal factors (t=1.981), interpersonal influences (t=4.036), situational influences (5.720),  commitment (t=5.138) had affected to community nurses duty in promotive and preventive care. This model could predict community nurses duty in promotive and preventive care in high level (Q=0.998). That was important to enhance of community nurses duty through modifying commitment of nurses, interpersonal influence factors, personal factors  and situational influence factors.  
Medical staff services quality to patients satisfaction based on SERVQUAL dimensions
Authors: Budi Setyawan Febri Endra , Supriyanto Stefanus , Tunjungsari Feny , Nurlaily Hanifaty Wa Ode , Lestari Retno
Published: November 2019

Hospital service quality was a degree of discrepancy between patients’ perceptions and their expectations about hospitals services. Service quality which was provided by medical staff emphasizes the actual hospital service process.  In the hospital, patients’ satisfaction could be widely used to determine hospital service quality. The purpose of this study was to analyze the influence of medical staff services quality on patients satisfaction based on SERVQUAL dimensions. This study used an analytic observational design with cross-sectional approach. There were 314 respondents taken from inpatients hospital admission using simple random sampling. Based on regression analysis results, five dimensions of health services quality affect patients’ level of satisfaction and obtained the equation of Y = 0.026 + 0.226X1 + 0.332X2 + 0.1X3 + 0.075X4 + 0.235X5, this explained  that patients’ satisfaction was affected by all dimensions of health service quality (RATER) simultaneously. However, different values will be obtained if all dimensions were measured separately, range from 10% to 33.2%.  It could be concluded that patients’ satisfaction were influenced by the quality of medical staff services through its five components: reliability, assurance, tangible, empathy and responsiveness.
Stigma and discrimination among health care providers towards people living with HIV/AIDS (PLWHA)
Authors: Elamin Mohamed Osman , Rajaa Yahiya , Adetunji Hamed Ademola , Khalid Sufian , Siddiq Remah
Published: November 2019

Stigma and discrimination among medical care providers (MCPs) towards HIV patients is a common observed problem that can compromise effectiveness of prevention and treatment efforts by discouraging individuals from being tested or seeking information on how to protect themselves and others. This research aimed to determine the existence of stigma and discrimination among health care providers towards people living with HIV and AIDS (PLWHA) in River Nile state. A descriptive cross sectional hospital based study conducted in Atbara, Edamer and Berber hospitals. Questionnaire containing six parts covering the personal data, knowledge about HIV, attitude, availability of PPDs and discriminatory practices of MCPs was used. The data was analyzed using the SPSS. Three hundred and nighty participated consisting of 136 doctors, 219 nurses, and 35 midwives. Out of these, 68.2% of participants had overall satisfactory knowledge, 30% had good knowledge, while only 1.8% had poor knowledge. Majority (74.4%) stated that MCPs were discriminatory in their practices towards HIV patients. There wa correlation between common discriminatory practices and total attitude, and availability of PPDs (p<0.05). No correlation between the common discriminatory practices and total knowledge scores.
Bio-physicochemical markers of the Aedes aegypti breeding water in endemic and non-endemic area
Authors: Hidayah Nurul , Rahmawati Dwi
Published: November 2019

The survival of Aedes aegypti larvae is inseparable from the adequacy of food, including organic substances available in the breeding water. It is very dependent on the level of water markers such as temperature, salinity, Dissolved Oxygen, and pH. The study used quantitative observational analytic with a case-control study design. Case group has consisted of breeding water in endemic area and control group was in non-endemic area. The sample size was 43 samples for each group, collected by purposive sampling technique. Data were analyzed by Chi-square and Mann-Whitney test. Larvae mostly presence in endemic area (68.3%) and mostly absent in non-endemic area (85.4%) (p-value = 0.002). Temperature in endemic area mostly in 27-30oC (86%) and non-endemic area mostly in <27oC or >30oC (72.1%) (p-value = 0.000). Salinity in endemic and non-endemic areas has no difference (p-value = 0.266). DO in endemic areas were mostly in 5.02-7.82 mg/l (76.7%). While DO in non-endemic area was mostly in <5.02 mg/l or >7.82 mg/l (95.3%) (p-value = 0.001). The pH <6 or >7.8 is mostly in non-endemic areas (87.8%) and pH 6-7.8 is mostly in endemic areas (63.4%) (p-value = 0.000). Bio-physicochemical markers of breeding sites water have differences between endemic and non-endemic area except salinity. The temperature, salinity, DO, and pH affected the presence of larvae and the most affected is DO marker. While the marker that affected the presence of larvae in the non-endemic area is pH.