International Journal of Public Health Science (IJPHS)
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School-based sexual and reproductive health education among adolescents in developing countries
Get PDFThe increase in risky sexual behavior among adolescents indicates the need to strengthen sexual and reproductive health. Schools have an essential role, but few studies are related to mapping models of school-based sex and reproductive education for adolescents in developing countries. This scoping review examines school-based sexual and reproductive health education among adolescents in developing countries. A systematic approach was used to search the literature through 5 electronic databases: Science Direct, EBSCO, PubMed, CrossReff, and Proquest. Subsequently, two reviewers conducted a conformity analysis with the inclusion/exclusion criteria, and then the search results that met the requirements were analyzed descriptively. A total of 14 articles met the inclusion criteria. The model of sexual health education in schools comprises digital-based education, peer groups, and comprehensive sex education to improve life skills. Barriers to implementation include culture, traditional norms, organization, commitment, and supporting resources. The supporting factors are student enthusiasm, exciting methods and media, community, and parental support. School-based sexual and reproductive education increases knowledge and attitudes about sexual health. Therefore, there is a need for a comprehensive sexual education model integrated into the school curriculum using attractive media and involving several well-organized stakeholders
Marching exercise on balance and blood pressure among Thai community-dwelling older adults at risk of falling
Get PDFFalls are a major cause of death among older people, and they are becoming a bigger problem as people lose their balance. A quasi-experimental study was conducted to examine the effects of marching exercises on the balance abilities of community-dwelling Thai seniors at risk of collapsing. Thirty-five participants were randomly assigned to the experimental or control group. The experimental group engaged in a 12-week marching exercise program that included a continuous foot-turning phase. The control group did not engage in any form of exercise. Compared to the control group, the experimental group demonstrated significant improvements in their ability to maintain their balance. The experimental group's timed up and go test (TUG) score decreased by 3.54 seconds, 95%CI: (2.13 to 4.95), p<0.001 while the functional reach test (FRT) score increased by 4.80 centimeters, 95%CI: (2.34 to 7.25), p<0.001. The systolic blood pressure decreased by 8.62 mmHg, the diastolic blood pressure by 6.48 mmHg, and the heart rate by 4.04 beats per minute. These findings imply that regular marching exercise may improve balance in at-risk older adults. Further research is necessary to clarify the effects of marching exercise on people diagnosed with chronic diseases
Correlation of electrolytes with falling risk, cognitive function, and functional outcome in acute ischemic stroke patient
Get PDFStroke outcome is determined on multiple factors. However, there are limited studies discussing the impact of electrolyte imbalance on stroke outcome. In this study, we analyzed sodium, calcium, and potassium level in acute ischemic stroke, and compare their risk of falling, cognitive function, and functional outcome. This was a cross-sectional study in Dr. Moewardi General Hospital, Indonesia between January and June 2023. Patient with acute ischemic stroke were enrolled in this study. Cognitive function was assessed with mini mental state examination (MMSE) and the Indonesian version of montreal cognitive assessment (MoCA-Ina). National Institutes of Health Stroke Scale (NIHSS), Modified Rankin Scale (MRS) and Morse Fall Score (MFS) were used to assessed stroke severity, disability, and risk of falling, respectively. Pearson correlation was then performed to evaluate the correlation of electrolytes level with MMSE, MoCA-Ina, NIHSS, MRS, and MFS. Furthermore, we also analyzed the odds ratio of increasing risk of falling, cognitive function deterioration, and worse functional outcome. A p-value of <0.05 is considered statistically significant. On univariate analysis, natrium is correlated with MMSE (r=0.174; p=0.042), NIHSS (r=-0.412; p=0.011), MRS (r=-0.174; p=0.042), and MFS (r=-0.304; p=0.042). Potassium is correlated with MMSE (r=0.344; p=0.044), MoCA-INA (r=0.341; p=0.048), NIHSS (r=-0.572; p=0.019), (MRS r=-0.376; p=0.017), and MFS (r=-0.612; p=0.031). Calcium is correlated with NIHSS r=-0.348 (p=0.018), MRS r=-0.256 (p=0.036). On odds ratio analysis, low natrium level increased the risk of deteriorating cognitive function, and low level of potassium increased the risk of falling. Electrolyte imbalances correlates with risk of falling and deteriorating cognitive function
Sexual violence mitigation in realizing a violence-free campus
Get PDFSexual violence occurs in higher education institutions. Sexual violence mitigation studies have a theoretical novelty using Giddens' structuring of the problem of sexual violence. The research aims to determine the relationship between policy stakeholders, lecturers, students, and education staff; know the obstacles and challenges; and know the model of sexual violence mitigation in higher education. The research used qualitative with case studies of three higher education in Indonesia. The informant consisted of 27 respondents: students, lecturers, and education staff. Data collection through interviews, documentation, observation, and focus group discussion (FGD). Data processing using the NVivo 12 Plus application; Publish or Perish; and VOSviewer. Data analysis using: data reduction; present data; and conclusion. This research shows that the relationship is very important between policymakers and lecturers, students, and education staff in efforts to prevent and handle sexual violence. Cooperation of all parties in facing challenges in handling and prevention of sexual violence on campuses that have obstacles, to realize a campus free from violence. This study concludes that realizing a campus that is free from sexual violence can be implemented on campuses in Indonesia. Recommendations for participatory and gender-responsive sexual violence mitigation policy models are applied in higher education in Indonesia
Self-assessment questionnaire development for soft skills competency and core value evaluations
Get PDFSoft skills play a vital role for providing excellent customer service in the healthcare setting. This study aims to develop and assess the instrument validity and reliability before measuring the levels of soft skills competency and core value internalization on staffs at the Sultan Ahmad Shah Medical Centre @International Islamic University Malaysia (SASMEC@IIUM). A self-assessment questionnaire was developed through three phases. The first phase involved reviewing and identifying relevant literatures and existing soft skills assessment instruments through bibliographic searches and expert consultations. A conceptual model was then established based on the selected conceptual frameworks after determining all relevant soft skill domains. The second phase involved generating relevant items, removing duplicate or irrelevant items, and appraising the content validity by three experts. The third phase was data collection, wherein the finalized instrument was distributed to 32 staff of SASMEC@IIUM via google forms. The instrument reliability was investigated through internal consistency reliability or Cronbach’s alpha, with all items, except for the construct ‘gratitude’, achieving acceptable values by exceeding the threshold value of 0.7. Subsequently, two gratitude items were removed from the questionnaire. The current instrument and theoretical framework employed in the self-assessment questionnaire development are valid and reliable for the actual application
Enhancing caregiving for older adults: meeting basic needs and overcoming challenges in e-homecare
Get PDFEnsuring proper care for older adults in their homes is becoming increasingly important as the older adult population grows. This paper investigates caregivers' perspectives regarding their care for older adults and their acceptance of e-homecare technology. This is a qualitative study with data collection through interviews with five caregivers representing a range of qualifications. A thematic analysis was conducted to gain insights into their experiences and preferences. The study reveals three primary findings that contribute to enhancing caregiving for older adults: i) the significance of meeting the basic needs of homecare technology, such as medication administration, vital sign monitoring, and nutrition management; ii) the caregivers' attitudes towards the acceptance and integration of e-homecare technology into their practices; and iii) the challenges faced in implementing and utilizing e-homecare technology effectively. These findings highlight the importance of addressing the fundamental requirements of e-homecare and overcoming the obstacles associated with incorporating technology, ultimately improving the quality of care provided to older adults in their homes
Adverse events following immunization of mRNA-1273 (Moderna) booster vaccine in clerkship students
Get PDFTwo-dose primary vaccine administration was the best strategy to reduce the prevalence and severity of COVID-19. Improved immunity and antibody response to the new variant virus by administering a booster vaccine is needed. Health workers are the main priority for administering the mRNA-1273 (Moderna) booster vaccination in Indonesia. This vaccine has high effectiveness, and safety, however, data and evaluation of adverse events following immunization (AEFI) is required. This study aimed to determine the AEFIs of mRNA-1273 booster vaccination in clinical clerkship students as an early adult age group. The research design was a repeated cross-sectional study using purposive sampling technique. There were 214 subjects who met the requirements. Subject filled out an online questionnaire containing evaluation of AEFIs. The most local AEFIs symptoms were pain at the injection site (79.0%), while the common systemic symptoms were headache, drowsiness, weakness, and fever (37.4%; 26.2%; 9.8%; 9.3%). Most AEFIs were felt within 30 minutes to three days. No respondents required hospitalization, experienced anaphylactic shock, became disabled, or died. The AEFIs did not have a significant relationship with gender, history of allergies, co-morbidities, or history of COVID-19. This information is used as a preventive or educational effort to support implementation vaccine in Indonesia
Determinats factors self-management barriers: characteristics, spiritual well-being, and religiosity in type 2 diabetes patients
Get PDFHolistic nursing needs to evaluate barriers to self-management, insight from characteristics, religiosity, and spiritual well-being to understand and address the multifaceted needs of individuals with chronic conditions, such as diabetes mellitus type 2. This study aimed to identify the determining factors that affect the barriers to self-management and the variables affecting them among Indonesian patients with T2DM. A cross-sectional survey was conducted among 101 patients recruited via purposive sampling from March to May 2023. The research instruments used were the Spiritual Well-Being Scale, Islamic Religiosity Scale, and Summary of Diabetes Self-Care Activities. The potential multicollinearity effects among the predictors of the barriers to self-management were also evaluated using multiple linear stepwise regression and collinearity analysis of variable inflation factors (VIFs). Most of the respondents had moderate spiritual well-being (52.2%) and high Islamic religiosity (60.4%) but also had barriers to self-management (55%). The F value of 5.888 with a probability of 0.004 (<0.05) showed that based on their regression coefficients, spiritual well-being, and Islamic religiosity simultaneously affected the barriers to self-management by 10.7%. The determinants that were found to affect the barriers to self-management were spiritual well-being and religiosity. These results suggest that it is necessary to develop an intervention model to improve the self-management of T2DM with a holistic approach
Social anxiety disorder: prevalence and dominant factor among adolescents in urban and rural school
Get PDFIn the age range of 16-18 years, commonly known as adolescence, individuals undergo a period of self-discovery in their socio-emotional development. Failures during this process can lead to individuals experiencing anxiety in social interactions, which can have a negative impact on their mental health. The Indonesia National Adolescent Mental Health Survey (I-NAMHS), findings also indicate that the most prevalent mental disorder among adolescents is anxiety disorder (a combination of social phobia and generalized anxiety disorder), is equivalent to 15.5 million. The widespread use of the internet and social media, on one hand, has led to a high dependency on smartphones among teenagers, causing them to spend more time interacting in the virtual world. Over an extended period, this condition can lead to social anxiety due to the fear of failure and lack of success. The objective of this research is to explore whether there is a difference in social anxiety among teenagers living in rural or urban areas, related to factors such as the duration of smartphone usage, school activities, and so on. The results of this research are crucial for providing feedback to high schools, especially for early detection of potential anxiety symptoms from the beginning, in order to prevent and provide appropriate treatment for social anxiety, thus not affecting students' academic achievements. It is recommended that schools conduct early detection measures
Epidemiological profile of infertile couples in Western Iraq
Get PDFInfertility affecting approximately one in seven couples globally is a poorly documented issue in Iraq. This study examines the epidemiology of infertility among 82 Iraqi couples undergoing assisted conception at Al-Razzi Hospital in Ramadi. Retrospective analysis of medical records provided insights into sociodemographic profiles, infertility types (primary or secondary), and causes. The age range for males and females was 17-59 years, with means of 34.5 (±7.4) and 31.4 (±7.3) years, respectively. Infertility duration spanned a mean of 4.9 (±3.9) years. Primary infertility affected 74% of couples, while 25.6% experienced secondary infertility. Among the couples, the biochemical pregnancy rate was 45%, the clinical pregnancy rate was 38%, and the rate of live births was 24%. The average embryo transfer was 3.4, with a 21% miscarriage rate. This study emphasizes high rates of primary infertility dominated by female factors. Future research should consider larger population and detailed data on outcomes of in vitro fertilization (IVF) cycles to enhance understanding on the current (in)fertility status in Iraq