International Journal of Public Health Science (IJPHS)
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The application of the Dhiana Setyorini Score Card in early detection of the risk of preeclampsia
Get PDFPreeclampsia pregnancy complications can negatively impact the fetal in the womb, potentially leading to delayed or non-developmental growth. This study aimed to determine the effect of the application of the Dhiana Setyorini Score Card on the early detection of preeclampsia risk. The study employed a quasi-experimental design, with an intervention group receiving the Dhiana Setyorini Score Card and a control group receiving counselling on preeclampsia. The study utilized purposive sampling with 100 cadres divided into two groups, focusing on four health centers in Bima, Indonesia, and analyzed using the Mann-Whitney test. Knowledge in the intervention group increased significantly in both knowledge and ability categories. However, in the control group, knowledge and ability did not differ significantly. The application of the Dhiana Setyorini Score Card in the intervention group was better than counselling conducted by the health center for the early detection of preeclampsia. There was a significant difference between the levels of knowledge and ability in the intervention group (p<0.005). In conclusion, the application of the Dhiana Setyorini Score Card is more effective in increasing knowledge and the ability to detect preeclampsia early than the counselling method conducted by a health center
Depression and cognitive impairment in Malaysian elderly: insights from a nationwide study
Get PDFDepression and cognitive impairment are two prevalent mental health conditions among older adults. This study aimed to investigate the factors associated with cognitive impairment among older adults with depression in Malaysia. Data were drawn from the National Health and Morbidity Survey 2018, a nationwide, cross-sectional study using a two-stage stratified cluster sampling. The sample included respondents aged 50 years and above. Cognitive impairment was assessed using the identification and intervention for dementia in the elderly (IDEA) screening tool, while depression was identified using the validated Malay version of the Geriatric Depression Scale (M-GDS-14). Key variables examined included sociodemographic characteristics, physical activity levels, and social support. Bivariate and multiple logistic regression analyses were performed to identify factors significantly associated with cognitive impairment. Results indicated that cognitive impairment was significantly higher among physically inactive individuals (AOR = 2.70, 95% CI: 0.21, 0.65) and those with low to fair social support (AOR = 1.79, 95% CI: 1.12, 2.86). These findings highlight the importance of incorporating physical and social activities into care plans for elderly patients with depression, particularly those with cognitive impairments
Optimizing chest X-rays as a leading diagnostic modality for handling COVID-19: a diagnostic study
Get PDFRecent studies have highlighted that chest CT scans are crucial for accurately diagnosing COVID-19. However, in rural areas of Indonesia, people may have difficulty assessing CT scans, leading to increased undetected cases. To address this issue, we investigated whether chest X-rays (CXR) could replace CT scans in diagnosing COVID-19 patients. A diagnostic cross-sectional-based study was conducted at Fatmawati General Hospital from January to September 2021. The study included suspected COVID-19 patients in isolation wards and ICU who were over 18, with or without comorbidities, and had complete clinical data and laboratory tests. We analyzed imaging data through reverse transcription-polymerase chain reaction (RT-PCR) tests, CXR, and chest CT scans. This study enrolled 150 eligible patients. With RT-PCR as the gold standard, we found that CXR had a sensitivity of 86.6% (95% CI: 78.9-92.3%) and chest CT scan had a sensitivity of 91.1% (95% CI: 84.2-95.6%). Similar performance was observed when detecting ground glass opacities (GGO), bilateral laterobasal, and influenza-like syndrome and dyspnea (ILI) between CXR and CT scans. Receiver operating characteristic (ROC) curves demonstrated that CXR is comparable to CT scan, especially in ground glass opacity (GGO) and consolidation (AUC=0.72; 95% CI: 0.61-0.83 and AUC=0.710; 95% CI: 0.64-0.78). The proposed CXR method can be a reliable primary imaging tool for diagnosing COVID-19 by considering ILI. However, chest CT scans remain the most effective diagnostic method for COVID-19. These findings may be useful for the utilization of CXR for diagnosing COVID-19 in areas with limited access to CT scans
Bibliometric analysis of research trends in college students' mobile phone addiction from 2013 to 2023
Get PDFMobile phone addiction (MPA) among college students is a growing concern affecting physical and mental well-being. This study employs CiteSpace 6.2.R6 to analyze research trends on MPA. A total of 957 articles published between 2013 and 2023 were analyzed, with key contributors including Griffiths, Mark D, and institutions like Nottingham Trent University and Toledo University. "Computers In Human Behavior" emerged as the most cited journal. Research focal points include the prevalence of MPA, its health effects, and its association with social media usage. Future research should focus on understanding the MPA-mental health correlation, improving methodologies, and conducting diverse intervention studies. This study identifies research hotspots and emphasizes the need for further investigations to expand understanding of MPA among college students. Collaboration between institutions and authors is crucial, along with diversification of research methods and tools
Visceral manipulation intervention in functional dyspepsia with or without gastroesophageal reflux disease: a systematic review
Get PDFFunctional dyspepsia is a prevalent gastrointestinal disorder characterized by symptoms like early satiety, postprandial fullness, and epigastric pain, affecting individuals with or without gastroesophageal reflux disease (GERD). The aim was to systematically map and summarize the existing literature on visceral manipulation interventions for functional dyspepsia. The systematic review followed rigorous methodology to ensure the validity and reliability of the findings. The study involved electronic searches of four major databases and five stages to review references to screened articles from January 2012 to February 2024. The search terms include "visceral manipulation," “visceral osteopathy”, “osteopathic manipulation”, "functional dyspepsia," “gastroesophageal reflux”. Six articles were included in the review. Although there is currently little data to guide therapeutic treatment, research indicates that visceral manipulation therapy is feasible for people with functional dyspepsia, whether or not they also have GERD symptoms. Research on the effects of visceral manipulation on people with functional dyspepsia, whether or not they have GERD, is necessary to better understand treatment procedures and evaluate their advantages for patients with this condition. The growing interest in visceral manipulation intervention for functional dyspepsia is supported by mixed evidence, highlighting the need for high-quality research and larger sample sizes in future randomized controlled trials to determine its true impact
Capacity strengthening of village health volunteers during and post-COVID-19: a model to prepare for emerging diseases
Get PDFVillage health volunteers (VHVs) were essential in handling during and post-coronavirus disease 2019 (COVID-19). This study aimed to develop the capacity enhancement model of VHVs in preventing COVID-19 in Thailand. The development process and data collection used 12 stakeholders and 55 VHVs, respectively. The research tools were focus group discussions and questionnaires. We employed descriptive and inferential statistics for quantitative and content analysis for qualitative data. The model development was implemented in 9 processes: i) study the situation, ii) brainstorm to analyze the problems, iii) set the guidelines for model development, iv) organize training, v) review of role-based skills, vi) conduct public relations, vii) observe and follow up, viii) evaluate the operation, and ix) reflect on the results and lessons learned. After the model was developed, knowledge, attitude, and behavior in preventing COVID-19 were significantly better than before their capacity was enhanced (p<0.001). The model named “NAMKHUN Model,” which consisted of N=working as a network; A=ability to use application; M=effective management; K=up-to-date knowledge; H=having health literacy; U=having unity; and N=fast, accurate and up-to-date News). The success factor from the lesson learned was teamwork, which complements up-to-date knowledge and will create desirable skills for dealing with emerging diseases in the future
Influencing factors of patient safety in anesthesia services in a low- and middle-income country
Get PDFPatient safety in anesthesia remains a concern in low- and middle-income countries due to workforce shortages, limited equipment, and inconsistent protocols. In Jakarta, where demand for anesthesia is rising, baseline data on these parameters are lacking. This study aimed to identify gaps in human resources, equipment availability, and safety protocol adherence. A cross-sectional survey of all actively practicing anesthesiologists in Jakarta was conducted in January 2024, yielding 115 responses. The questionnaire, developed and face-validated through a focus group with senior anesthesiologists, covered three domains: human resources, facilities and equipment, and protocols. Internal reliability was assessed using Cronbach’s alpha. Participation was voluntary, responses were anonymous, and data were analyzed using descriptive statistics. Prolonged work hours were reported by a minority of respondents (6.1-7%), with 22.7% agreeing that anesthesiologists' workload is too high. Most rated human resource parameters positively (median 4/5), but access to basic monitoring devices for oxygenation, ventilation, circulation, and temperature was limited. Protocol adherence was generally high (median 4-5/5), though a small minority of institutions lacked incident reporting pathways, patient risk assessment, and post-surgical recovery rooms. Improving patient safety in Jakarta requires ensuring essential monitoring equipment, optimizing staffing to manage workload, and mandating full perioperative safety protocols across facilities
Charaterization of Candida species isolated from pregnant women with vaginal discharge attending anternatal clinic in parts of Edo State, Nigeria
Get PDFDuring pregnancy, women are more prone to vaginal infections due to immunological changes. These infections are mainly caused by different species of Candida, a reality that makes distinguishing Candida species vital since non-albicans strains often resist common antifungals, making accurate diagnosis key to better maternal outcomes. Therefore, this study aimed at isolating and characterizing Candida species from pregnant women with vaginal discharge. The sample size consisted of 220 subjects (151 pregnant and 69 non-pregnant women). Samples were collected following standards guidelines and analyzed for Candida by culturing on Sabouraud dextrose agar (SDA) and CHROMagerTM Candida (CAC). The overall prevalence of vulvovaginal candidiasis (VVC) was 34.55%, and VVC infection was more common among women >30 years. VVC infection was more common in women in their second trimester (48.05%). There was a significant difference with gestational age (p≤0.05). Candida albicans was the most common cause of VVC in both pregnant (75.86%) and non-pregnant (77.78%) subjects. There was no significant variation (p>0.05) in the species of Candida isolated from pregnant and non-pregnant women. Overall, C. albicans was the most common species isolated from pregnant women. This was followed by Candida krusei (10.34%), Candida dublinensis, Candida. glabrata (5.17% each) and Candida parapsilosis (1.72%); while mixed infection, both C. dublinensis and C. parapsilosis were found in 1.72%. Among the non-pregnant women, C. albicans was the most common species isolated, followed by C. dublinensis and C. glabrata (11.11% each). C. krusei and C. parapsilosis were not isolated from non-pregnant women. Routine screening of vulvovaginal candidiasis and other vaginal infections should be conducted during antenatal visits to enable early detection and treatment
Association between body shaming and body image in nursing students: implications for health education from Indonesia
Get PDFDuring emerging adulthood, the difference between the ideal body standard and one’s actual body often leads to body-shaming treatment. Persistent experiences of body shaming can significantly harm an individual’s body image. This study aims to identify the association between body-shaming acts and body image in university students. The study population consisted of students aged 18-25 who had experienced body shaming (n = 841). Using a non-probability total sampling method, 448 respondents were included. Data were collected using a body-shaming acts questionnaire and the MBSRQ-AS questionnaire, then analyzed with univariate and bivariate analysis employing the Chi-square test. The results showed a significant relationship between body-shaming acts and body image. Most students received body-shaming treatment at a low level (50.9%), while most body image categories were negative (50.9%). These findings highlight the importance of health workers’ involvement in preventing body-shaming acts and improving students’ body image
Socio-demographics impact of healthy lifestyle in parents with preschoolers: a pilot study
Get PDFParents’ ability to follow a healthier lifestyle is influenced by their socio-demographic characteristics. This study seeks to assess the lifestyles of preschoolers’ parents and discern potential correlations with their demographic attributes. Using a quantitative approach, a pilot study was conducted among 51 parents who actively participated in a survey. To study the extent of parents’ adoption of a healthy lifestyle, a 25-question Likert scale questionnaire was employed. Findings revealed a notable prevalence of healthy habit adoption, including a wholesome diet. Furthermore, the results noted a commendable level of parents’ knowledge of matters related to healthy lifestyles. Of particular interest was the significant impact of maternal fixed work schedules on the implementation of healthy eating habits, which surpassed the influence of other types of work schedules. Additionally, a direct correlation was observed between information derived from authoritative sources about healthy lifestyles and the educational attainment of parents. More specifically, parents with higher educational attainment tend to be more conscious of healthy living and to actively incorporate a healthy lifestyle into their daily routines. In light of these findings, there is a clear indication that further research into the dynamics of parents’ adoption of healthy lifestyles is required