scholarly journals Prolanis Influence on Decreasing Blood Pressure of Hypertension Patients in Puskesmas Pandak II Bantul 2017

2019 ◽  
Vol 2 (2) ◽  
pp. 54
Author(s):  
Florentina Sita Murti ◽  
Hari Kusnanto Josef ◽  
Wahyudi Istiono
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Repeated Measures ◽  
Quantitative Research ◽  
Diastolic Pressure ◽  
Secondary Data ◽  
World Health ◽  
Pressure Variable ◽  
The Difference ◽  
Health Organization

Background: People with hypertension over age 25 years reached 40% in 2008 according to the World Health Organization and 75% occurred in developing countries. Hypertension management must be focused on first-rate health care which could reduce death-risk, disabilities, and the cost burden. Badan Pengelola Jaminan Social obliges every first-rate health care to have to apply Program Pengelolaan Penyakit Kronis (Prolanis).Objectives: This study aims to determine the difference of decreased blood pressure in Prolanis and Non-Prolanis groups in Puskesmas Pandak II.Methods: This quantitative research with cohort retrospective design used secondary data of hypertension patients who are following Prolanis compared with those who are not in Puskesmas Pandak II. Data covered characteristics of patients, blood pressure, and Body-Mass Index (BMI) over one year. The analysis used repeated measures ANOVA. Results: The comparison with the treatment group showed significant differences in blood pressure variable, diastolic pressure variable, and BMI, interaction and measureable differences during the study period in all three variables. There was an uptrend in the Non-Prolanis group and a downtrend in the Prolanis group.Conclusions: Decreased blood pressure of patients with hypertension is better in Prolanis than Non-Prolanis groups.

scholarly journals Hospital knowledge and practice of doctors and nurses regarding hand hygiene in a survey

2020 ◽  
pp. 119-132
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Care Professionals ◽  
Scientific Evidence ◽  
Health Care Facilities ◽  
World Health ◽  
The Difference ◽  
Health Organization ◽  
Healthcare Associated ◽  
The Impact

INTRODUCTION. The guidelines issued by the World Health Organization (WHO) in 2009 regarding hand hygiene (HH) in health care provided health care professionals with scientific evidence that argued that HH principles should be respected when dealing with patients. Despite the passage of years and strenuous attempts to introduce these recommendations to the Polish health care facilities for the prevention of healthcare-associated infections (HAI), these principles are still not being implemented in an optimal way for the patient’s safety. OBJECTIVE OF WORK. The aim was to examine the views and attitudes of physicians (L) and nurses (P) towards the WHO rules of hand hygiene. MATERIAL AND METHODS. The study was performed by means of a diagnostic survey using a questionnaire of our own design; random sampling was used. The study involved 231 LP: 173 (74.9%) women, 58 (25.1%) men, including 93 (40.3%) doctors and 138 (59.7%) nurses. The study was conducted in a multiprofile hospital in Małopolska in 2017. The difference between what the respondents think (their views) and what they do in reality (what attitudes they display) was examined in relation to WHO principles, such as wearing natural short nails and jewelry on their hands. RESULTS. Negative practice of observing these HH principles in relation to views was detected (R = -0.014, p<0.05, R2 = 0.016). Respondents supported the view that the ring could affect HAI and rarely used it in practice, the practice was positive (R = 0.298, p <0.001, R2 = 0.085). Women strongly emphasized the view that wearing long nails has an impact on HAI spread, but in practice they often declared keeping long nails, practice was negative (R = -0.241, p <0.01, R2 = 0.054). In response to the question about the impact of nail painting on the spread of HAI, this view was poorly represented, in practice some of them wore painted nails, the practice was negative (R = -0.226, p <0.01, R2 = 0.045). CONCLUSION. Despite high support for the principles of hand hygiene, in practice, these principles were not always respected, the impact on the practice was negative in areas such as: general adherence to the HH principles, wearing long and painted nails. The compatibility of views with practice was detected in relation to wearing a wedding ring.

scholarly journals Study of efficacy of ischemia reversal program (IRP) in ischemic heart disease (IHD) patients with VO2max and Duke’s treadmill score

2018 ◽  
Vol 7 (8) ◽  
pp. 1642 ◽  
Author(s):  
Rohit Sane ◽  
Varada Sugwekar ◽  
Aarti Nadapude ◽  
Archana Hande ◽  
Gayatri Depe ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Heart Disease ◽  
Observational Study ◽  
Ischemic Heart Disease ◽  
Conventional Therapy ◽  
Stress Testing ◽  
World Health ◽  
Inducible Ischemia ◽  
Health Organization

Background: Number of people dying from IHD has increased from 0.61 million in 1990 to 1.13 million in 2010, which is a disturbing fact. According to report by World Health Organization, India would be spending a whopping 237 billion US dollars, owing to direct spending on health care and indirectly due to loss of productivity due to IHD. Ischemia Reversal Program (IRP) is a combination of Panchakarma and allied therapy. This study was conducted to evaluate the effect of IRP on VO2max, Duke’s treadmill score, systolic blood pressure (SBP), diastolic blood pressure (DBP), and dependency on conventional therapy in IHD patients.Methods: This observational study was conducted in January 2017, wherein the data of IHD patients (inducible ischemia on stress testing) who attended out-patient departments (OPDs) at Madhavbaug clinics in Maharashtra, India were identified. Data of patients who were administered IRP (60-75 minutes) with minimum 7 sittings over 90 days (±15 days) were considered. Variables were compared between day 1 and day 90 of the IRP.Results: Out of 38 enrolled patients, 25 were males while 13 females. There was significant improvement in Duke’s score with  subjects at moderate (50%) and high (31.6%) risk at baseline were significantly decreased to low (52.6%) and moderate (47.4%) after the 90th day of therapy.  IRP also showed significant improvement in VO2max by 9.11 (from 20.29±6.72 to 29.40±6.71; p<0.001), SBP by 5.78 (from 128.78±17.40 to 123±12.23, p<0.03), DBP by 4.76 (from 80.53±8.10 to 75.76±6.85, p<0.005). Dependency on concomitant medicines was reduced.Conclusions: IRP was effective in IHD; it had dual benefits, i.e. anti-ischemic effect, as well as reducing the dependency on allopathic medicines.

scholarly journals Active Aging in ASEAN Countries: Influences from Age-Friendly Environments, Lifestyles, and Socio-Demographic Factors

2021 ◽  
Vol 18 (16) ◽  
pp. 8290
Author(s):  
Sariyamon Tiraphat ◽  
Vijj Kasemsup ◽  
Doungjai Buntup ◽  
Murallitharan Munisamy ◽  
Thang Huu Nguyen ◽  
...  
Keyword(s):  
Older People ◽  
Quantitative Research ◽  
World Health ◽  
Cluster Sampling ◽  
Active Aging ◽  
Older Population ◽  
Cross Sectional ◽  
Middle Income ◽  
Multi Stage ◽  
Health Organization

Active aging is a challenging issue to promote older population health; still, there is little clarity on research investigating the determinants of active aging in developing countries. Therefore, this research aimed to examine the factors associated with the active aging of the older populations in ASEAN’s low and middle-income countries by focusing on Malaysia, Myanmar, Vietnam, and Thailand. The study is a cross-sectional quantitative research study using multi-stage cluster sampling to randomize the sample. The sample consists of 2031 older people aged 55 years and over, including 510 Thai, 537 Malaysian, 487 Myanmar, and 497 Vietnamese. We collected a quantitative questionnaire of age-friendly environmental scale and active aging scale based on the World Health Organization (WHO) concept. The predictors of active aging include age-friendly environments, lifestyles, and socioeconomic factors; the data are analyzed by using multiple logistic regression. After adjusting for other factors, we found that older people living in a community with higher levels of age-friendly environments are 5.52 times more active than those in lower levels of age-friendly environments. Moreover, the older population with healthy lifestyles such as good dietary intake and high physical activity will be 4.93 times more active than those with unhealthy lifestyles. Additionally, older adults with partners, higher education, and aged between 55 and 64 years will be 1.70, 2.61, and 1.63 times more active than those with separate/divorce/widow, primary education, and age at 75 years or higher, respectively. Our results contribute considerable evidence for ASEAN policy-making to promote active aging in this region.

scholarly journals An Awakening Alarm for Dental Professionals in Pandemic of Covid-19

2021 ◽  
Vol 10 (15) ◽  
pp. 1098-1101
Author(s):  
Aditi Vinay Chandak ◽  
Surekha Dubey Godbole ◽  
Tanvi Rajesh Balwani ◽  
Tanuj Sunil Patil
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Professionals ◽  
Human Life ◽  
New York Times ◽  
World Health ◽  
Typical Structure ◽  
Living Organisms ◽  
Novel Coronavirus ◽  
Health Organization

Ecosystem, which consists of the physical environment and all the living organisms, on which we all depend, is declining rapidly because of its destruction caused by humans. It’s a two-way relationship between the humans and mother nature. If we destroy the natural environment around us, human life will be seriously affected, and the life of next generation will be endangered unless serious steps are taken. One such effect of human overexploitations has come in the form of coronavirus outbreak. Coronavirus, a contagious disease of 2019 known as Covid-19, is the latest swiftly spreading global infection. The aetiology of Covid-19 is different from SARS-CoV which has the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), but it has the same host receptor, human angiotensin converting enzyme 2 (ACE2). The novel coronavirus which is zoonotic (spreading from an animal to a human) and mainly found in the bats and pangolins is a single stranded ribonucleic acid virus of Coronaviridae family. 1 The typical structure of 2019-nCoV possessed ‘spike protein’ in the membrane envelope, also expressed various polyproteins, nucleoproteins and membrane protein. The S protein binds to the receptor cell of host to facilitate the entry of virus in the host. Currently four genera for coronavirus are found α-CoV, ßCoV, γ-CoV, δ-CoV. SARS-CoV first originated in Wuhan, China and has spread across the globe. World Health Organization (WHO) and public health emergency of international concern declared it as 2019 - 2020 pandemic disease.2 According to WHO report, (7th April 2020) update on this pandemic coronavirus disease, there have been more than 13,65,004 confirmed cases and 76,507 deaths across the world and these figures are rapidly increasing. Therefore, actions for proper recognition, management and its prevention must be prompted for relevant alleviation of its outspread.3 Health care professionals are mainly indulged in the national crises and are working diligently around-the-clock, small ratio of the health care workers have become affected and few died tragically. Dentists are most often the first ones to be affected because they work with patients in close proximity. On 15th March 2020, the New York Times published an article titled “The workers who face the greatest Coronavirus risk” described the dentists are highly exposed, than the paramedical staffs and general physicians, to the risk of novel coronavirus disease 19.4

scholarly journals Access barriers to visual health

2018 ◽  
Vol 16 (1) ◽  
pp. 95-109 ◽  
Author(s):  
María Alejandra Rodríguez-Echeverría ◽  
Angélica María Páez-Castro
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Health Care System ◽  
World Health ◽  
Local Health Authority ◽  
Barriers To Access ◽  
The World ◽  
Health Organization ◽  
Visual Health ◽  
Care System

A number of factors and conditions hinder and restrict access to the health care system and its different services; these barriers to access put at risk the health of people by affecting adequate processes. Objective: To carry out a literature review on barriers to access to the health care system and visual health services in Colombia and around the world. Methodology: A literature review was carried out based on a search of the Medline, ScienceDirect, and Pubmed databases, as well as indexed public health journals and the websites of the Local Health Authority, the World Health Organization, the Pan American Health Organization, the UNESCO, and the Brien Holden Vision Institute. Results: The main barriers related to demand, both in general services and in visual health, are the lack of perception on the need for service and lack of economic resources; at the offer level, the existing policies constitute a real obstacle. Conclusions: Awareness-raising in the population, together with the implementation of health policies that grant equal access to health care services, are fundamental to prevent people from being affected, to a large extent, by barriers related to demand or offer, regardless of their location or level of income.

scholarly journals Seminars in social psychiatry in Romania

1992 ◽  
Vol 16 (6) ◽  
pp. 340-342 ◽  
Author(s):  
Greg Wilkinson ◽  
Linda Gask ◽  
John Henderson
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Graduate Training ◽  
Training Programme ◽  
World Health ◽  
Psychiatric Training ◽  
Regional Office ◽  
Care Services ◽  
Post Graduate Training ◽  
Health Organization

For more than a decade there has been no opportunity for formal post-graduate training in psychiatry in Romania. In February 1992, as part of a World Health Organization (Regional Office for Europe) initiative, we travelled to Romania as WHO temporary advisers to give seminars on: (i) the role of primary health care services in providing mental health care; and (ii) the development of community-based services for the mentally ill and disabled. Our seminars were designed to complement the biological and clinical elements of a developing psychiatric training programme.

scholarly journals INFLUENCE OF YOGA ON THE BLOOD PRESSURE OF ELDERLY WITH HYPERTENSION

2018 ◽  
Vol 2 (3) ◽  
pp. 30-35
Author(s):  
Mariza Elvira
Keyword(s):  
Blood Pressure ◽  
Quantitative Methods ◽  
Statistical Tests ◽  
The Elderly ◽  
World Health ◽  
P Value ◽  
Main Program ◽  
The Earth ◽  
Health Organization ◽  
Relationship Of

According to WHO (World Health Organization) about 972 million people in the earth suffering from hypertension that occurs in the elderly over the age of 60 years. The purpose of this study is to determine the effect of yoga exercises on blood pressure in the elderly who experienced hypertension in Social House Trisna Werdha Kasih Sayang Ibu Batusangkar. This research was conducted in April to May 2017 with quantitative methods. The instrument used was the observation sheet with elderly respondents who suffered from hypertension as many as 12 people that meet the criteria with Total Sampling. The statistical test used is Dependent t-test. The results of statistical tests showed a significant influence between elderly blood pressure before yoga gymnastics and after yoga exercises with p value = 0.000 (<0.05). So it can be concluded that there is a relationship of yoga exercises with blood pressure.It is expected to Trisna Werdha Kasih Sayang Ibu at Batusangkar Social House to be able to make this yoga gymnastics as one of the main program for elderly.

scholarly journals Determinants of Vaccine Hesitancy in Indonesia: A Scoping Review

2021 ◽  
Vol 25 (1) ◽  
pp. 3-11
Author(s):  
Nuril Hanifah ◽  
Ike Herdiana ◽  
Rahkman Ardi
Keyword(s):  
Scoping Review ◽  
Health Care Professionals ◽  
Quantitative Research ◽  
Social Economy ◽  
Immunization Coverage ◽  
Target Population ◽  
World Health ◽  
Vaccine Hesitancy ◽  
Advisory Group ◽  
Health Organization

Complete children immunization coverage in Indonesia declined from 59.2% in 2013 to 57.9% in 2016. Therefore, a study on understanding the vaccination barrier is necessary to improve future coverage. This scoping review aims to identify the determinants of vaccine hesitancy using the model of the World Health Organization-Strategic Advisory Group of Expert (WHO-SAGE) working group and to map them on the basis of region, target population, and vaccine. This research used publications from seven databases (Science Direct, Wiley, Scopus, SAGE, PubMed, Springer, and Taylor & Francis) from 2015 to 2020. A total of 10,212 publications were identified and filtered by employing the PRISMA method, thereby leaving 24 publications that were featured in this review. The majority of these publications is quantitative research conducted in Aceh and Yogyakarta and investigates children complete immunization, with adults and parents being the target population. The vaccine hesitancy determinants that are mentioned the most are social-economy, religion/culture/ gender, the role of health-care professionals, cost, knowledge, and awareness about vaccine, and attitude toward preventive health behavior. However, additional evidence on the influence of contextual-focus factors in various regions in Indonesia is crucial for a further understanding of the antecedent of the relationship between determinant factors and vaccination behavior.

scholarly journals Attribute Selection in Naive Bayes Algorithm Using Genetic Algorithms and Bagging for Prediction of Liver Disease

2020 ◽  
Vol 4 (1) ◽  
pp. 76-85
Author(s):  
Dwi Yuni Utami ◽  
Elah Nurlelah ◽  
Noer Hikmah
Keyword(s):  
Genetic Algorithms ◽  
Liver Disease ◽  
Naive Bayes ◽  
Confusion Matrix ◽  
Naïve Bayes ◽  
Attribute Selection ◽  
World Health ◽  
The Difference ◽  
Bayes Algorithm ◽  
Health Organization

Liver disease is an inflammatory disease of the liver and can cause the liver to be unable to function as usual and even cause death. According to WHO (World Health Organization) data, almost 1.2 million people per year, especially in Southeast Asia and Africa, have died from liver disease. The problem that usually occurs is the difficulty of recognizing liver disease early on, even when the disease has spread. This study aims to compare and evaluate Naive Bayes algorithm as a selected algorithm and Naive Bayes algorithm based on Genetic Algorithm (GA) and Bagging to find out which algorithm has a higher accuracy in predicting liver disease by processing a dataset taken from the UCI Machine Learning Repository database (GA). University of California Invene). From the results of testing by evaluating both the confusion matrix and the ROC curve, it was proven that the testing carried out by the Naive Bayes Optimization algorithm using Algortima Genetics and Bagging has a higher accuracy value than only using the Naive Bayes algorithm. The accuracy value for the Naive Bayes algorithm model is 66.66% and the accuracy value for the Naive Bayes model with attribute selection using Genetic Algorithms and Bagging is 72.02%. Based on this value, the difference in accuracy is 5.36%.Keywords: Liver Disease, Naïve Bayes, Genetic Agorithms, Bagging.

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