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Risk factors of stunting in toddlers aged 24-59 months living in floating houses on the Kahayan River of Palangka Raya City : A case-control study Palangka Raya市Kahayan河上漂浮房屋中24-59月龄幼儿发育迟缓的危险因素:一项病例对照研究
Pub Date : 2022-02-15 DOI: 10.35898/ghmj-51605
Mars Khendra Kusfriyadi, Sugiyanto Sugiyanto
Central Kalimantan, one of the provinces in Indonesia
加里曼丹中部,印度尼西亚的一个省份
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引用次数: 0
Predisposing Factors Related to Four ANC Visits (K4) on TM III Pregnant Women at Danurejan I Primary Health Center of Yogyakarta 日惹Danurejan I初级保健中心TM III期孕妇四次ANC访问(K4)相关的易感因素
Pub Date : 2020-08-29 DOI: 10.35898/GHMJ-41496
Linda Yulyani, Menik Sri Daryanti
Pregnancy may cause problems or become a complication at any time. However, complications of pregnancy and childbirth can be prevented by regular antenatal care (ANC) visits. Four ANC visits (K4) are indicators used to assess the quality of health services for pregnant women. Four ANC visits (K4) are also the indicators to see the frequency that refers to the trimester period when conducting a pregnancy check. Nationally, performance indicators for the coverage of four ANC visits (K4) on pregnant women in 2014 did not reach the target. There are various factors that may contribute to an unsuccessful four ANC visit (K4) of pregnant women that come from predisposing, enabling and reinforcing factors. The objective of the study is to investigate the correlation between maternal age and four ANC visits (K4) on TM III (trimester III) pregnant women at Danurejan I Primary Health Center of Yogyakarta. It is an analytic observational study design with cross-sectional approach. The sample was taken by accidental sampling technique with the inclusion and exclusion criteria as many as 30 TM III pregnant women. The result of this study shows that from four factors that analyzed, only two factors have a significant relationship with four ANC Visits (K4), which are maternal age (pv=0.000) and parity (pv=0.000). Meanwhile, education level (pv=0.155) and occupation (pv=0.210) have no correlation with four ANC Visits K4). Therefore, it can be concluded from this study that the maternal age and parity are the predisposing factors related to the four ANC Visits (K4). As a result, it is clear that promotion and prevention efforts such as health education about mature age at marriage and improving family planning programs are essential to increase four ANC Visits (K4). Future studies are expected to be conducted on larger sample sizes and different epidemiological approaches.Keywords: Pregnancy; Predisposing; Four ANC VisitsReceived: 5 June 2020 Reviewed: 18 July 2020 Revised: 24 July 2020 Accepted: 28 August 2020DOI: 10.35898/ghmj-41538
怀孕可能在任何时候引起问题或成为并发症。然而,妊娠和分娩并发症可以通过定期产前保健(ANC)来预防。4次产前检查(K4)是用来评估孕妇保健服务质量的指标。产前四次检查(K4)也是衡量妊娠检查频率的指标,指的是进行妊娠检查时的三个月。在全国范围内,2014年对孕妇进行四次产前检查(K4)覆盖率的绩效指标未达到目标。可能导致孕妇四次产前检查(K4)失败的因素有多种,包括诱发因素、促成因素和强化因素。该研究的目的是调查产妇年龄与日惹Danurejan I初级保健中心TM III(孕三期)孕妇的四次ANC就诊(K4)之间的相关性。这是一项采用横断面方法的分析观察性研究设计。采用随机抽样法,纳入和排除标准达30例TM III期孕妇。本研究结果表明,从分析的四个因素中,只有两个因素与四次ANC访问(K4)有显著关系,即母亲年龄(pv=0.000)和胎次(pv=0.000)。同时,教育水平(pv=0.155)和职业(pv=0.210)与四次ANC访问无关(K4)。因此,本研究可以得出结论,产妇年龄和胎次是四次ANC就诊相关的易感因素(K4)。因此,很明显,促进和预防工作,如关于婚姻成熟年龄的健康教育和改进计划生育方案,对于增加四次ANC访问至关重要(K4)。未来的研究预计将以更大的样本量和不同的流行病学方法进行。关键词:怀孕;诱发;收稿日期:2020年6月5日审稿日期:2020年7月18日修稿日期:2020年7月24日收稿日期:2020年8月28日doi: 10.35898/ghmj-41538
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引用次数: 0
Global Health Initiatives to Reduce Malaria Morbidity in School-aged Children 减少学龄儿童疟疾发病率的全球卫生倡议
Pub Date : 2020-06-28 DOI: 10.35898/GHMJ-41495
A. Macnab
Background: To review global initiatives to reduce the burden of disease from malaria on school-aged children. The focus is on approaches with potential to reduce mortality and morbidity, improve the health and ability of children to attend school, avoid malaria impacting their potential academic achievement, and minimize the risk of short- and long-term cognitive impairment.Methods: Literature searches using defined terms related to malaria and education, and a scoping review of the key literature selected, to provide a narrative summary of the challenges and potential solutions identified.Results: There is robust evidence that school-aged children are particularly vulnerable to malaria, and need special measures to protect them; calls are widespread for better diagnostic approaches and program innovation because of current levels of malaria-related morbidity and mortality. School-based programs that educate children broadly on causation, prevention and care required can improve access to timely diagnosis and treatment; however, currently national malaria control interventions do not specifically target school-age children. The literature describes intervention strategies that include seasonal chemoprophylaxis, intermittent protective treatment and antimalarial therapy linked to mass drug administration for neglected tropical diseases. Recently, a community participatory intervention model based on WHO-endorsed diagnostic and treatment principles has taught teachers to screen all children sick at school using rapid point-of-care diagnostic testing and treat promptly with Artemesinin combination therapy; morbidity and absenteeism are significantly reduced. There is no consensus on the optimal intervention strategy; approaches will need to vary, but evidence of ‘what works and why’ exists to guide constructive implementation measures in each endemic region.Conclusion: Malaria exemplifies how health inequity negatively impacts a child’s health and ability to benefit from education, yet simple and effective school-based approaches exist that positively impact morbidity, provide access to WHO-endorsed diagnosis and treatment, are applicable worldwide and can increase the capacity of children to learn.Keywords: Absenteeism; Artemesinin Combination Therapy; Cognitive Impairment; Intermitient Protective Treatment; Rapid Diagnostic Testing; Seasonal Malaria Chemoprophylaxis; TeachersReceived: 14 May 2020 Reviewed: 14 June 2020 Revised: 28 June 2020 Accepted: 28 June 2020DOI: 10.35898/ghmj-41578 
背景:审查减少疟疾对学龄儿童造成的疾病负担的全球举措。重点放在有可能降低死亡率和发病率、改善儿童的健康和上学能力、避免疟疾影响其潜在学业成绩和尽量减少短期和长期认知障碍风险的办法上。方法:使用与疟疾和教育相关的定义术语进行文献检索,并对选定的关键文献进行范围审查,以提供所确定的挑战和潜在解决方案的叙述性总结。结果:有强有力的证据表明,学龄儿童特别容易感染疟疾,需要采取特殊措施加以保护;鉴于目前与疟疾相关的发病率和死亡率水平,人们普遍呼吁采用更好的诊断方法和方案创新。广泛教育儿童因果关系、预防和所需护理的学校规划可以改善及时诊断和治疗的可及性;然而,目前国家疟疾控制干预措施并未专门针对学龄儿童。文献描述了干预策略,包括季节性化学预防、间歇性保护性治疗和与被忽视的热带病的大规模药物管理相关的抗疟疾治疗。最近,基于世卫组织认可的诊断和治疗原则的社区参与性干预模式教会教师使用快速即时诊断检测对在校所有患病儿童进行筛查,并及时使用青蒿素联合疗法进行治疗;发病率和缺勤率大大降低。对最优干预策略尚无共识;方法需要有所不同,但是存在“什么有效以及为什么有效”的证据,可以指导每个流行地区采取建设性的实施措施。结论:疟疾证明了卫生不平等如何对儿童的健康和从教育中受益的能力产生负面影响,但存在简单有效的基于学校的方法,可以对发病率产生积极影响,提供获得世卫组织认可的诊断和治疗的机会,适用于全球,并可以提高儿童的学习能力。关键词:旷工;青蒿素联合治疗;认知障碍;间歇保护性治疗;快速诊断检测;季节性疟疾化学预防;收稿日期:2020年5月14日评审日期:2020年6月14日修订日期:2020年6月28日接收日期:2020年6月28日doi: 10.35898/ghmj-41578
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引用次数: 0
Understanding community’s behavioral responses towards Covid-19: Who comply, who don’t and reasons of incompliance 了解社区对Covid-19的行为反应:谁遵守,谁不遵守以及不遵守的原因
Pub Date : 2020-06-28 DOI: 10.35898/GHMJ-41497
Dyah Anantalia Widyastari
Perspectives:*) Behavioral responses towards Covid-19 measures: who comply, who donot and reasons of incompliance*) Has the government convey the right messages to the public?
观点:*)对新冠肺炎措施的行为反应:谁遵守,谁不遵守以及不遵守的原因*)政府是否向公众传达了正确的信息?
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引用次数: 1
Combination of Polyethylene Terephthalate Nesting and Prone Position at the Standard Box Care to the Vital Signs and Length of Stay on the Low Birth Weight Babies 聚对苯二甲酸乙二醇酯嵌套与标准箱俯卧位组合对低出生体重儿生命体征及停留时间的影响
Pub Date : 2020-06-28 DOI: 10.35898/ghmj-41579
Melinda Deviana, Noor Pramono, A. Suwondo
Background: The use of nesting and prone position conditioned Low Birth Weight (LBW) babies as the mother’s womb that helped in the development of physiological functions and achieve physiological function stability. This study aims to test the effectiveness of designed nesting with polyethylene terephthalate materials and the position of prone with standard care using a box of baby warmers for the length of stay which is observed from the achievement of the stability of vital signs on LBW.Methods: This is a quasi-experimental design study with non-equivalent control group design. The study population was all LBW treated in the Perinatal room with a sample of 36 LBW selected consecutively from newborns at RSUD RAA Soewondo Pa􀦞 and RSUD Dr. R. Soetrasno Rembang.Results: The combination of nesting polyethylene group with position prone achieved faster vital signs stability and shorter duration of treatment compared to the control group with p = 0.001 for temperature, respiration and oxygen saturation.Conclusion: The combination of polyethylene terephthalate nesting and prone position is effective to reduce the duration of treatment and achieving the stability of vital signs of low birth weight infants. This intervention can be used as LBW care during hospital and home care.Keywords: nesting, position prone, polyethylene tread, length of stay, baby vital signsReceived: 25 August 2018 Reviewed: 10 September 2018 Revised: 28 June 2020 Accepted: 28 June 2020DOI: 10.35898/ghmj-41579
背景:使用窝位和俯卧位将低出生体重(LBW)婴儿作为母亲的子宫,有助于生理功能的发育和生理功能的稳定。本研究旨在测试设计的聚对苯二甲酸乙二醇酯材料筑巢的有效性和俯卧位置标准护理使用一盒婴儿加热器的停留时间,从实现生命体征的稳定性观察到LBW。方法:采用非等效对照组设计的准实验设计。研究人群均在围产室接受低体重婴儿治疗,并从RSUD RAA Soewondo Pa􀦞和RSUD Dr. R. Soetrasno Rembang的新生儿中连续选择36名低体重婴儿。结果:与对照组相比,窝套聚乙烯组与俯卧位组的生命体征稳定更快,治疗时间更短,温度、呼吸、血氧饱和度p = 0.001。结论:聚对苯二甲酸乙二醇酯套置与俯卧位相结合可有效缩短治疗时间,实现低出生体重儿生命体征的稳定。该干预措施可用于医院和家庭护理期间的LBW护理。关键词:筑巢,俯卧位,聚乙烯胎面,停留时间,婴儿生命体征收稿日期:2018年8月25日审核日期:2018年9月10日修订日期:2020年6月28日接收日期:2020年6月28日doi: 10.35898/ghmj-41579
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引用次数: 0
Determinants of Pre-Diabetes on Teenagers in Palangka Raya City Palangka Raya市青少年糖尿病前期的决定因素
Pub Date : 2019-10-31 DOI: 10.35898/ghmj-33455
Ester Inung Sylvia, Gad Datak, Visia Didin Ardiyani
Background: Pre-diabetes is a stage prior to diabetes mellitus (DM) and many studies in west countries found the risk factors of diabetes were mostly related to the nutri onal status of being overweight and obese. Dia- betes mellitus is not only experienced by adults but also by teenagers. They have the poten al for pre-diabetes because they may have unhealthy lifestyles such as smoking, consuming alcohol, high-calories, and junk foods and lack of physical ac vity. This study aims to determine the risk factors of pre-diabetes among senior high school students in Palangka Raya, Central Kalimantan, Indonesia. Methods: This study was a qualita ve study using a ques onnaire as an instrument for data collec on. It consists of a set of ques ons on diabetes risk. This research conducted in four public senior high schools in Palangka Raya with the total sample was 131 respondents have par cipated in this research. Results: 25 respondents (19.1%) from a total sample of 131 par cipants suffered from pre-diabetes and 30.5% of respondents had a family with DM. Some students (6.9%) had a smoking habit and 13% incidence of pre- diabetes in high school students related to these factors (R2: 0.13). Only less than half of the total respondents (43.5%) had a normal BMI. As many as 39.7% of respondents were undernourished while the rest were over- weight. Conclusion: Pre-diabetes factors on teenagers in Palangka Raya are female dominate had a history of DM, and being overweight. This study further leads to the importance of weight control that focusing on physical ac vity and dietary management as early precau ons. Health educa on is required to suppress the number of risk fac- tors for diabetes.
背景:糖尿病前期是发生在糖尿病(DM)之前的一个阶段,西方许多研究发现糖尿病的危险因素多与超重和肥胖等营养状况有关。糖尿病不仅发生在成年人身上,也发生在青少年身上。他们有可能患前驱糖尿病,因为他们可能有不健康的生活方式,如吸烟、饮酒、高热量、垃圾食品和缺乏体育锻炼。本研究旨在确定印度尼西亚中加里曼丹Palangka Raya高中学生糖尿病前期的危险因素。方法:本研究为质性研究,采用问卷调查法收集资料。它包括一系列关于糖尿病风险的问题。本研究在Palangka Raya的四所公立高中进行,总样本为131名受访者参与了本研究。结果:131名被调查者中有25人(19.1%)患有糖尿病前期,30.5%的被调查者有糖尿病家庭病史。部分学生(6.9%)有吸烟习惯,13%的高中生糖尿病前期发病率与这些因素相关(R2: 0.13)。只有不到一半(43.5%)的受访者BMI正常。多达39.7%的受访者营养不良,其余则超重。结论:Palangka Raya青少年糖尿病前期因素以女性为主,有糖尿病病史,体重超标。这项研究进一步表明了体重控制的重要性,关注身体活动和饮食管理作为早期预防措施。健康教育是抑制糖尿病危险因素数量的必要手段。
{"title":"Determinants of Pre-Diabetes on Teenagers in Palangka Raya City","authors":"Ester Inung Sylvia, Gad Datak, Visia Didin Ardiyani","doi":"10.35898/ghmj-33455","DOIUrl":"https://doi.org/10.35898/ghmj-33455","url":null,"abstract":"Background: Pre-diabetes is a stage prior to diabetes mellitus (DM) and many studies in west countries found the risk factors of diabetes were mostly related to the nutri onal status of being overweight and obese. Dia- betes mellitus is not only experienced by adults but also by teenagers. They have the poten al for pre-diabetes because they may have unhealthy lifestyles such as smoking, consuming alcohol, high-calories, and junk foods and lack of physical ac vity. This study aims to determine the risk factors of pre-diabetes among senior high school students in Palangka Raya, Central Kalimantan, Indonesia. Methods: This study was a qualita ve study using a ques onnaire as an instrument for data collec on. It consists of a set of ques ons on diabetes risk. This research conducted in four public senior high schools in Palangka Raya with the total sample was 131 respondents have par cipated in this research. Results: 25 respondents (19.1%) from a total sample of 131 par cipants suffered from pre-diabetes and 30.5% of respondents had a family with DM. Some students (6.9%) had a smoking habit and 13% incidence of pre- diabetes in high school students related to these factors (R2: 0.13). Only less than half of the total respondents (43.5%) had a normal BMI. As many as 39.7% of respondents were undernourished while the rest were over- weight. Conclusion: Pre-diabetes factors on teenagers in Palangka Raya are female dominate had a history of DM, and being overweight. This study further leads to the importance of weight control that focusing on physical ac vity and dietary management as early precau ons. Health educa on is required to suppress the number of risk fac- tors for diabetes.","PeriodicalId":12698,"journal":{"name":"GHMJ (Global Health Management Journal)","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82662370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Correlation of Age, Gender, Heredity, Smoking Habit, Obesity, and Salt Consumption with Hypertension Grade in Cirebon, Indonesia 年龄、性别、遗传、吸烟习惯、肥胖和盐摄入量与印度尼西亚锡伯勒邦高血压等级的相关性
Pub Date : 2019-10-31 DOI: 10.35898/ghmj-33457
Ali Hamzah, U. Khasanah, D. Norviatin
Background: Hypertension is one of the most global killer diseases that causes death. The World Health Or- ganiza on es mated around 1.5 billion people in the world will be diagnosed with hypertension every year. The increasing incidences of hypertension in the world may be affected by several predictors including age, sex-linked, heredity, smoking habit, obesity, and salt consump on. This study has objec ve to examine those predictors to hypertension grade. Methods: This research was used observa onal analy c method with cross-sec onal study. This study involved 136 respondents who came to Kalijaga Permai Public Health Center, Cirebon City. The variables were measured by microtoise, sphygmomanometer, stethoscope, scales, and ques onnaires. Spearman correla on test and lo- gis c regression test was analyzed for this study. Results: 59.9% of respondents were in hypertension grade 1 and 54% of respondents were in high risk age. The bivariate results revealed that age, sex-linked, heredity, and salt consump on were sta s cally correlated with hypertension grade (p=0.001). However, smoking habit and obesity were not sta s cally correlated. Mul vari- ate analysis found that those who add extra salt were 3.3 mes more likely to have hypertension grade 2 and those in high risk age were 3.1 more likely to have hypertension grade 2 as well. Compared with female and those who have nega ve heredity, male and posi ve heredity were 2.7 mes more likely to have hypertension grade 2. Conclusion: Salt consump on, age, sex-linked, heredity was significantly correlated with hypertension grade. Salt consump on was a risk factors which has the highest impact. Public health center should educate people about the recommenda on of daily salt intake to prevent the excessive intake that may affect hypertension.
背景:高血压是全球最致命的致死疾病之一。世界卫生组织估计,全世界每年将有大约15亿人被诊断患有高血压。世界范围内高血压发病率的上升可能受到几个预测因素的影响,包括年龄、性别、遗传、吸烟习惯、肥胖和盐的摄入量。本研究旨在探讨高血压分级的预测因素。方法:本研究采用观察分析和横断面研究相结合的方法。本研究涉及136名来到西里本市Kalijaga Permai公共卫生中心的受访者。这些变量通过微电子仪、血压计、听诊器、秤和问卷进行测量。本研究采用Spearman相关检验和logistic回归检验。结果:59.9%的被调查者为1级高血压,54%的被调查者处于高危年龄。双变量结果显示,年龄、性别、遗传和盐摄入量与高血压等级仍然相关(p=0.001)。然而,吸烟习惯和肥胖并不是完全相关的。多变量分析发现,那些额外添加盐的人患2级高血压的可能性增加3.3倍,而那些处于高风险年龄的人患2级高血压的可能性增加3.1倍。与女性和阴性遗传者相比,男性和阳性遗传者患2级高血压的可能性高2.7倍。结论:食盐量、年龄、性别、遗传与高血压分级有显著相关。盐的摄入是影响最大的危险因素。公共卫生中心应该教育人们关于每日盐摄入量的建议,以防止可能影响高血压的过量摄入。
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引用次数: 2
Storage Stability of High Fiber Snack Bar 高纤维小吃条的贮存稳定性
Pub Date : 2019-10-31 DOI: 10.35898/ghmj-33456
I. Pratiwi, V. Kemsawasd, Thunnalin Winuprasith
Background: Recently, there has been considerable interest in increasing the dietary fiber content in food products because of inadequate dietary fiber consump on when considering the daily recommended intake. To in- crease dietary fiber intake, dietary fiber for fied foods are recommended. This study aimed to develop a high fiber snack bar (HFSB) using a combina on of Jerusalem ar choke powder (JAP) and low-fat desiccated coconut (LFDC) as sources of dietary fiber. Methods: The changes in physicochemical and microbiological proper es, and sensory acceptability were mea- sured during storage at 35 oC and 45 oC for 12 weeks. Therefore, the shelf-life of the products was calculated by Q10 test. Results: The HFSB had a higher L* value (lightness) than control (C) due to the addi on of LFDC. Total dietary fiber of the HFSB was approximately 3.7 mes higher than that of the C formula. The L*, a*, and b* values of both C and HFSB were sta s cally significant different (p<0.05) a er storage. The total color different ( E) values of the HFSB were higher than those of the C formula due to inulin from JAP, which par cipated in the Maillard reac on. During storage, the moisture content (MC) and water ac vity (aw) of the HFSB remained more stable compared to those of the C due to the water-holding capacity of the fiber used. The aw of the C and HFSB during storage were in the range of 0.57to 0.60 and 0.53 to 0.57, respec vely. Those ranges should be stable against microbial growth. Higher storage temperature would increase the TBARS values and decrease the pH (p<0.05) of the C and HFSB due to deteriora on. In terms of shelf-life calcula on, the C and HFSB snack bar could be kept in metalized polyester at 30 oC for 11 weeks. Conclusion: The JAP and LFDC exhibited great poten al for use as fiber ingredients. Although the JAP and LFDC influenced the physicochemical proper es and sensory acceptability, the shelf-life of both C and HFSB was com- parable. Therefore, further studies should be conducted to extend the shelf-life of the formulated snack bar.
背景:最近,人们对增加食品中的膳食纤维含量非常感兴趣,因为在考虑每日推荐摄入量时,膳食纤维摄入量不足。为了增加膳食纤维的摄入量,建议在精制食品中添加膳食纤维。本研究旨在以菊芋粉(JAP)和低脂椰子干(LFDC)为膳食纤维来源,开发一种高纤维小食棒(HFSB)。方法:测定其在35℃和45℃条件下贮存12周后理化特性、微生物特性和感官可接受性的变化。因此,通过Q10测试来计算产品的保质期。结果:HFSB由于加入了LFDC,其L*值(亮度)高于对照(C)。HFSB的总膳食纤维比C配方高约3.7 mes。C和HFSB的L*、a*、b*值在贮存时间上差异均有统计学意义(p<0.05)。由于日本菊粉参与美拉德反应,HFSB的总色差(E)值高于C配方。在贮藏过程中,由于所用纤维的保水能力,HFSB的含水率(MC)和水活度(aw)比C保持更稳定。贮藏期间C和HFSB的aw值分别在0.57 ~ 0.60和0.53 ~ 0.57之间。这些范围应该是稳定的,以防止微生物的生长。较高的贮藏温度会导致C和HFSB的TBARS值升高,pH值降低(p<0.05)。在保质期计算方面,C和HFSB小吃条在30℃的金属化聚酯中可以保存11周。结论:JAP和LFDC作为纤维原料具有广阔的应用前景。虽然JAP和LFDC影响了C和HFSB的理化性质和感官可接受性,但它们的保质期是相似的。因此,应进一步研究如何延长配方小吃条的保质期。
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引用次数: 1
Alcohol Consumption and Current Situation of Drinking Risk Level Among University Students in Mandalay Region 曼德勒地区大学生酒精消费及饮酒风险水平现状
Pub Date : 2019-10-31 DOI: 10.35898/ghmj-33453
Y. Aung, Yin Thet Nu Ou, N. Wan, Bo Bo Nyan, A. Phyo, L. Win
Background: In Myanmar, alcohol consump on among university students had been recognized as a major pub- lic health concern. A cross-sec onal study was done to inves gate drinking alcohol and risk level assessment using the Alcohol Use Disorder Iden fica on Test (AUDIT) and examined the reasons of alcohol uses and types of beverage preference consumed. Methods: The two universi es from three districts in Mandalay region were randomly selected, from which 976 students (stra fied by academic year and sex) were contributed in self-administered ques onnaire. Results: The mean age at first drinking alcohol among the par cipants was 16.36±0.15 years with range of 16 to 19 years. The drinking risk level assessment using the AUDIT test, nearly half of the par cipants 48.7% were abstainers and 86 (8.8%) were high risk drinkers while 28 (2.9%) had alcohol dependency. Among those, 57.8% had experiences of alcohol drinking and the favorite beverage of the university students who drink alcohol was beer. Binary logis c regression analysis indicated that gender, smoking habit and living situa on for drinking were significant predictors of alcohol consump on among university students. The results found out that living separately with parents and smoking habits were important factors for drinking alcohol with sta s cally signifi- cant at 95% confidence level. Conclusion: It provided evidence-based findings for knowing the alcohol consump on risk level among univer- sity students to prevent social depriva on and health risk behaviors. Findings from this study indicate a need for law governing, strictly prohibits the sale of alcohol directly or indirectly to those under the age of eighteen years. The alcohol interven on program can be helpful in modifying behaviors change communica on in health promo on of university students.
背景:在缅甸,大学生饮酒已被认为是一个主要的公共卫生问题。使用“酒精使用障碍测试”(AUDIT)进行了一项跨区域研究,以调查饮酒和风险水平评估,并检查了饮酒的原因和偏好消费的饮料类型。方法:随机抽取曼德勒省3个区2所大学976名学生(按年级和性别分类)进行问卷调查。结果:参与者首次饮酒的平均年龄为16.36±0.15岁,年龄范围为16 ~ 19岁。使用AUDIT测试进行饮酒风险水平评估,近一半的参与者(48.7%)为戒酒者,86人(8.8%)为高危饮酒者,28人(2.9%)有酒精依赖。其中57.8%的大学生有过饮酒的经历,饮酒的大学生最喜欢的饮料是啤酒。二元logistic c回归分析显示,性别、吸烟习惯和饮酒生活状况是大学生饮酒量的显著预测因子。结果发现,与父母分居和吸烟习惯是影响饮酒的重要因素,在95%的置信水平上具有显著性。结论:为了解大学生饮酒对社会剥夺和健康危险行为的危害程度提供了循证研究结果。这项研究的结果表明,有必要制定法律,严格禁止直接或间接向18岁以下的人出售酒精。酒精干预项目对大学生健康促进活动中的行为改变、沟通交流有一定的帮助。
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引用次数: 0
The Period of Perineal Wound Healing in Postpartum Mothers Between The Decoction Water Treatments of Bihanong Leaves with Red Betel Leaves 碧哈农叶与红槟榔叶煎水治疗对产后母亲会阴伤口愈合期的影响
Pub Date : 2019-10-31 DOI: 10.35898/ghmj-33454
Nahdiyah Karimah, Nur Khafidhoh, Triana Sri Hardjanti, R. Hakim
Background: The global prevalence of the second degree of the perineal wound of postpartum mothers is 73.4%. Pharmacological treatments have a cytotoxic effect. Other treatments is non-pharmacological treatments are such as using decoc on waters of binahong leaves and red betel leaves. Both have compounds that accelerate epithelializa on of wounds. This study aims to analyze the differences of the perineal wound recovery period of postpartum mothers between the decoc on water treatments of binahong leaves compared to red betel leaves. Methods: This study is a quasi-experiment post-test only without control group design. There are 32 respon- dents mee ng the inclusion criteria who are taken by accidental sampling. The sample is divided equally into two groups, namely binahong group and the red betel group. Binahong or red betel leaf decoc on waters are used for genital washing a er urina ng at the last rinse at 7 am and 3 pm on 1-3 postpartum days. Perineal wound recovery is assessed by using the REEDA score from the second postpartum day un l the wound fully recovered. Sta s c analysis with chi-square, me series analysis, Mann Whitney and Kruskal Wallis test. Results: The average of perineal wound recovery period of binahong group is 6 days, while the red betel group is 4.69 days. There are significant differences of perineal wound recovery period between the binahong group and the red betel group with a p-value of 0.0001 < α (0.05). Respondents’ characteris cs are age, BMI, frequency of changing pads, and educa onal background between binahong and red betel groups have no significant differ- ences. Conclusion: Red betel leaf decoc on water is recommended for postpartum mothers suffering perineal wounds. Further research is needed with a larger number of respondents and true experiments are needed to analyze the effect of red betel leaves on perineal pain, platelets, and leukocyte level.
背景:产后母亲会阴二度创面的全球患病率为73.4%。药物治疗有细胞毒性作用。其他治疗方法是非药物治疗,如在槟榔叶和红槟榔叶的水上使用decoc。两者都含有加速伤口上皮化的化合物。本研究旨在分析槟榔叶与红槟榔叶水处理对产后母亲会阴伤口恢复期的影响。方法:本研究为准实验后验,无对照组设计。采用随机抽样的方法,选取符合纳入标准的32名被调查者。将样本平均分为两组,即比纳红组和红槟榔组。产后1-3天,在早上7点和下午3点最后一次冲洗时,使用槟榔叶或红槟榔叶水进行生殖器清洗和小便。从产后第二天至伤口完全恢复,使用REEDA评分评估会阴伤口恢复情况。采用卡方分析、me序列分析、Mann Whitney和Kruskal Wallis检验。结果:滨拿红组会阴伤口恢复时间平均为6 d,红槟榔组平均为4.69 d。会阴部创面恢复期与红槟榔组比较差异有统计学意义,p值为0.0001 < α(0.05)。被调查对象的年龄、体重指数、换垫频率、文化程度在槟榔组和红槟榔组之间无显著差异。结论:红槟榔叶水煎剂推荐用于产后会阴创伤的母亲。红槟榔叶对会阴疼痛、血小板和白细胞水平的影响需要进一步的研究和真实的实验来分析。
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引用次数: 7
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GHMJ (Global Health Management Journal)
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