scholarly journals Identifying and Intervening in Child Maltreatment and Implementing Related National Guidelines by Public Health Nurses in Finland and Japan

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Kayoko Suzuki ◽  
Eija Paavilainen ◽  
Mika Helminen ◽  
Aune Flinck ◽  
Natsuko Hiroyama ◽  
...  

Aim.This study aimed to investigate how public health nurses identify, intervene in, and implement the guidelines on child maltreatment in Finland and Japan and to compare the data between the two countries.Method.This study employed a cross-sectional design. Public health nurses’ knowledge and skills with respect to child maltreatment prevention were assessed using a questionnaire consisting of three categories: identification, intervention, and implementation of guidelines. Public health nurses working in the area of maternal and child health care in Finland (n=193) and Japan (n=440) were the participants.Results. A significantly higher percentage of Japanese public health nurses identified child maltreatment compared to Finnish public health nurses, while Finnish nurses intervened in child maltreatment better than their Japanese counterparts. In both countries, public health nurses who had read and used the guidelines dealt with child maltreatment better than those who did not.Conclusion.The results suggest that effective training on child maltreatment and the use of guidelines are important to increase public health nurses’ knowledge and skills for identifying and intervening in child maltreatment.

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Paavilainen Eija ◽  
Helminen Mika ◽  
Flinck Aune ◽  
Lehtomäki Leila

Objectives. To describe how Finnish public health nurses identify and intervene in child maltreatment and how they implement the National Clinical Guideline in their work.Design and Sample. Cross-sectional survey of 367 public health nurses in Finland.Measures. A web-based questionnaire developed based on the content areas of the guideline: identifying, intervening, and implementing.Results. The respondents reported they identify child maltreatment moderately (mean 3.38), intervene in it better (4.15), and implement the guideline moderately (3.43, scale between 1 and 6). Those with experience of working with maltreated children reported they identify them betterP<0.001, intervene betterP<0.001, and implement the guideline betterP<0.001than those with no experience. This difference was also found for those who were aware of the guideline, had read it, and participated in training on child maltreatment, as compared to those who were not aware of the guideline, had not read it, or had not participated in such training.Conclusions. The public health nurses worked quite well with children who had experienced maltreatment and families. However, the results point out several developmental targets for increasing training on child maltreatment, for devising recommendations for child maltreatment, and for applying these recommendations systematically in practice.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Isumi ◽  
S Doi ◽  
T Fujiwara

Abstract Background In Japan, public health nurses provide home visitation with pregnant women who are at high risk for child maltreatment, but its effectiveness in preventing child maltreatment has not been evaluated because contents and quality of home visitation vary from municipality to municipality. This study aims to evaluate whether the tablet app developed to standardize and assist perinatal home visitation by public health nurses is effective in preventing child maltreatment. Methods An intervention study was conducted in 2018 in Adachi City, Tokyo, Japan. Public health nurses at two public health centers used the tablet app when they support high-risk pregnant women through home visitation and interviews, while public health nurses at the other three public health centers provided support as in the past. Because two public health centers were different in usage of the app, the treatment group was further divided into two groups: active and inactive. As fatal abuse among infants, frequency of shaking and smothering was assessed as an outcome through a self-reported questionnaire at the 4-month health check, and compared between the active treatment group, inactive treatment group, and control group, using multiple logistic regression (N = 5,651). Results Prevalence of infant abuse was 0.82% in the active treatment group, 1.34% in the inactive treatment group, and 1.50% in the control group. When adjusted for parental demographics and parenting situations, mothers in the active treatment group were less likely to shake or smother their baby than those in the control group (Odds ratio: 0.51, p = 0.093). Conclusions It possibly suggests that the tablet app developed to assist perinatal home visitation by public health nurses was effective in preventing infant abuse. Key messages An intervention study was conducted at public health centers in Adachi City, Tokyo, Japan, using the tablet app developed to standardize and assist perinatal home visitation by public health nurses. The finding suggested that the tablet app may be effective in preventing shaking and smothering among 4-month old infants.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Ireine S. Waworuntu ◽  
John . Porotu'o ◽  
Olivia A. Waworuntu

Abstract: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis (M. tuberculosis). In Indonesia, there are about 430.000 new cases, of which 61.000 cases ended in death. This disease has many clinical varieties, therefore, a gold standard for the right and exact diagnosis is needed. The examination of sputum by using Ziehl-Neelsen staining must be more improved for public health service. This study aimed to determine the profile of Mycobacterium tuberculosis (acid-fast bacteria) among patients with coughing ≥2 weeks at Ranotana, Wenang and Sario Primary Health Cares (PHCs) by using Ziehl-Neelsen staining. This was a descriptive study with a cross sectional design. Samples were obtained by using total sampling method during the period of September 2015 - December 2015. The results showed that there were 38 cases of coughing ≥2 weeks as follows: 15 cases at Wenang PHC, 13 cases at Ranotana PHC, and 10 cases at Sario PHC. The examination of acid-fast bacteria from the 38 cases of three PHCs showed that 1 case (2.7%) had acid-fast bacteria (++). Conclusion: In this study, there was only one case (2,7%) with positive Mycobacterium tuberculosis. Keywords: cough more than two weeks, tuberculosis, BTA Abstrak: Tuberkulosis adalah suatu penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis (M. tuberculosis). Indonesia memiliki sekitar 430.000 kasus baru dimana 61.000 kasus berakhir dengan kematian. Penyakit ini memiliki gejala klinis yang bervariasi sehingga perlu ditetapkan standar baku untuk menegakkan diagnosis lebih cepat dan akurat. Pemeriksaan sputum dengan pewarnaan Ziehl-Neelsen harus lebih ditingkatkan pada pelayanan kesehatan masyarakat. Penelitian ini bertujuan untuk mendapatkan gambaran Mycobacterium tuberculosis (basil tahan asam, BTA) dengan pewarnaan Ziehl-Neelsen pada pasien batuk ≥2 minggu di Puskesmas Wenang, Puskesmas Ranotana, dan Puskesmas Sario Kota Manado. Jenis penelitian ini deskriptif dengan desain potong lintang. Pengambilan sampel menggunakan cara total sampling pada kurun waktu September 2015 - Desember 2015. Hasil penelitian mendapatkan 38 kasus batuk ≥2 minggu yaitu 15 kasus di Puskesmas Wenang, 13 kasus di Puskesmas Ranotana dan 10 kasus di Puskesmas Sario. Pada pemeriksaan (BTA) di Puskesmas Wenang, Puskesmas Ranotana dan Puskesmas Sario didapatkan BTA (++) 2,7% sedangkan BTA (-) 97,3%.Simpulan: Pada penelitian ini didapatkan 1 kasus (2,7%) Mycobacterium tuberculosis positif


Author(s):  
Luis Angel García-Gonzales ◽  
Teresa Angélica Evaristo-Chiyong

Objective: To evaluate the esthetic perception of the smile according to the variation of the vertical position and the angulation of the upper central incisor (UPI) by dental students (DS) and common people (CP) of three regions of Peru. Materials and Methods: Descriptive cross-sectional design. The sample was 462 adults, divided into 77 for each subgroup of DS and CP of the Lima (Coast), Junín (Highlands) and Loreto (Rainforest) regions. Using the Photoshop® software, a photograph of a woman's smile was modified by varying the vertical position and angulation of the UPI, obtaining images that were evaluated using the analog visual scale. Results: The CP rated better than DS in most categories (p <0.001). The smile best valued by DS in a vertical position was 1mm and 2mm; and for angulation 0°, while for CP 1mm and 0° respectively (p <0.05). Comparing by regions, the DS of Lima gave the lowest rating for 0 ° with 52.63 and those of Junín the highest for 4° with 45.90. The PC of Loreto registered the lowest score for the vertical position categories (p <0.001), while for angulation in Junín it was rated with a lower score than in Loreto for -6 ° and 0 °; and for 4° Lima provided the lowest rating (p <0.001). Conclusions: The esthetic perception of the smile is affected by the variation of vertical position and angulation of the ICS in common people and dental students in the three regions of Peru.


Author(s):  
Katelyn M. Guastaferro ◽  
Matthew C. Jackson ◽  
Shannon Self-Brown ◽  
Julie J. Jabaley ◽  
John R. Lutzker

Child maltreatment prevention interventions have been proven to reduce risk and rates of recidivism, although only recently have these interventions incorporated mobile phone technology in implementation. This article first presents the public health problem of child maltreatment and discusses the use of technology in the at-risk population. Prior public health research that has evaluated the effect of mobile phone technology in implementation is reviewed followed by the few child maltreatment prevention research efforts that have incorporated mobile phones. Limitations of mobile phone technology in this field and future directions are suggested.


1973 ◽  
Vol 22 (1) ◽  
pp. 81
Author(s):  
M. Eberle ◽  
Joan Howard ◽  
Joy Lawrence ◽  
Karen Rasile

2021 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Putri Ayu Anjani ◽  
Khairizka Citra Palupi ◽  
Mertien Sa’pang ◽  
Dudung Angkasa ◽  
Vitria Melani

Constipation marked by feces hard one, dry, and difficult issued. About 73.9% pregnant women experience constipation. Increase in the hormone progesterone for pregnant women resulted in drop motility gastrointestinal tract. Constipation affects psychology and causes swelling of the rectum area.To determine the relationship between the level of fiber adequacy, to consumption of Fe tablets and depression and to see the combined risk factors for depression and adherence to consumption of Fe tablets with the incidence of constipation in pregnant women. Design this research is observational analytics with Cross Sectional design. The sample of pregnant women is 55 people with purposive sampling data collection technique. Taking data done with use questionnaire. Statistic test used the chi-square test. 58.2% of pregnant women experienced constipation; 92.7% insufficient fiber sufficiency level; 40.0% adhered to consuming Fe tablets; 55.4% experienced depression; 23.6% of depression was adherent. The results of the chi-square test showed that there was no significant relationship between the level of fiber adequacy and the incidence of constipation in pregnant women (p = 0.298) and a significant relationship with the incidence of constipation in pregnant women, namely consuming Fe tablets (p = 0.039; OR = 4.080), depression (p = 0.026; OR = 4.125), risk factors for the combination of depression and adherence to consumption of Fe tablets (p = 0.005).Compliance with Fe tablet consumption and depression can increase the risk of constipation in pregnant women by 4,080 times and 4,125 times.


2019 ◽  
Vol 11 (1) ◽  
pp. 69
Author(s):  
Tifal - Dakwani

Food Processing Premise is a place for processing food raw ingredients to become ready to consume food. In order to function optimally, the premises are needed to be controlled frequently particularly in the port area where many visitors and staffs are in needs of health protection during their activities in this area.  For this purpose, the authority has been attempting to increase and maintain food and baverage quality in this area therefore it could avoid any public health menaces from food contamination and intoxication for the population. As basic health survey (RISKESDAS) in 2013 reported diseases contributed as public health threats such as diarrhea 3.5%, typhoid 2.2%, hepatitis 1.2% (Riskesdas, 2013). The study aims to analyse the hygiene and sanitation implementation of food processing center in Gudang 100 warehouse at Tanjung Perak Sea Port of Surabaya. This present study is an observational study with cross sectional design. The sample was obtained based on 2017 data and mapping of 60 food tenant premises. 5 places were observed during study period. The variables observed were including of location, building, sanitation facilities, dining room, food storage, ingredients, food, the process, serving, food stuff, and the employee. The variables were observed using the total score as enacted by Indonesian Ministry of Health regulation NO.1098/MENKES/SK/VII/2003 regarding of Hygiene and sanitation standards for food stalls and restaurant. The result of the study shows there are 2 food stalls (B and C) with score <700 while the other stalls (A, D and E) reach score >700. The conclusion of this study highlights the needs of adjusting the requirement of the hygiene and sanitation of food stalls and restaurant as well as provide regular trainings for food handlers.


2021 ◽  
Author(s):  
Hanum Nurma Azuro ◽  
Moch Yunus ◽  
Rara Warih Gayatri

Based on the Basic Health Research (Riskesdas) 2018, the incidence of periodontitis in Indonesia was reported at 74.1%, which makes it one of the most common oral health problems in the country. Overall, 2,759 patients, aged 19–64 years underwent periodontal examinations at the Public Health Centres in Malang between January and September 2019. The present study aimed to determine the description of periodontitis patients at the Public Health Centres, Malang, by conducting an early detection of periodontitis against the risk of the disease. This study used a cross-sectional design and a proportional random sampling technique. In total, 277 respondents visited the Public Health Centres in Malang during the study period. The early detection result is based on the number of questionnaire scores on signs, symptoms, and exposures to risk factors for periodontitis, which are divided into three categories: high, moderate, and low risks. The instrument used in this study is a modification of the previous research instrument by Renatus. The result showed that 58 respondents had moderate (21%), 4 (1.4%) had high, and 215 (77.6%) had low risks of periodontitis. Respondents who had a lower risk of periodontitis were more than the respondents who had high and moderate risks of periodontitis. Keywords: periodontitis, history of gingivitis, heredity (family history), oral hygiene, history of tobacco use


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