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Artificial Intelligence for Human Life: A Critical Opinion from Medical Bioethics Perspective – Part II 人工智能对人类生命的影响:医学生命伦理学视角下的批判——第二部分
Pub Date : 2022-12-11 DOI: 10.56741/jphs.v1i02.215
Urfa Khairatun Hisan, Muhammad Miftahul Amri
Healthcare and medical fields are among the areas of AI applications that require serious attention when it comes to ethical and trustworthy AI. In the medical field, artificial intelligence is applied in laboratory research, regulation-policy making, and clinical intervention. Several factors need to be seriously accounted for in the AI-empowered healthcare system, including algorithm transparency, bias mitigation, domain-expert involvement, privacy and data protection, and informed consent. In this article, we summarized the applications of AI in the field of medical and healthcare sectors. We also presented the possible ethical issues in AI applications in mentioned sectors. These issues include transparency and safety, informed consent and right to information, algorithmic fairness and biases, and data privacy and sharing regulation. We then present the basic principles of AI ethics and the existing AI guidelines, especially for the fields of medicine and healthcare. Based on the existing issues and guidelines, we believe that there are still many factors that need to be perfected, such as how we can generalize these guidelines worldwide and how these guidelines can be legally-binding. Detailed clauses in the guideline and law enforcement are another issue that should be addressed such that no loophole can be addressed. Ethical consideration is critical in AI applications, especially in the medical and healthcare fields. Until these issues can be totally addressed, we believe that AI applications in healthcare should be very strictly monitored.
当涉及到道德和值得信赖的人工智能时,医疗保健和医疗领域是需要认真关注的人工智能应用领域之一。在医学领域,人工智能应用于实验室研究、法规政策制定和临床干预。在人工智能支持的医疗保健系统中,需要认真考虑几个因素,包括算法透明度、减少偏见、领域专家参与、隐私和数据保护以及知情同意。在这篇文章中,我们总结了人工智能在医疗保健领域的应用。我们还介绍了人工智能在上述行业应用中可能出现的伦理问题。这些问题包括透明度和安全性、知情同意和信息权、算法公平性和偏见,以及数据隐私和共享监管。然后,我们提出了人工智能伦理的基本原则和现有的人工智能指导方针,特别是在医学和医疗保健领域。根据现有的问题和指南,我们认为还有很多需要完善的因素,比如如何在全球范围内推广这些指南,以及这些指南如何具有法律约束力。指导意见的详细条款和执法是另一个应该解决的问题,这样就不会有漏洞。在人工智能应用中,尤其是在医疗和保健领域,伦理考虑至关重要。在这些问题得到完全解决之前,我们认为应该严格监控人工智能在医疗保健领域的应用。
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引用次数: 2
Aggressive Behavior of Adolescents in terms of Authoritarian Parenting Perceptions 权威教养观念下的青少年攻击行为
Pub Date : 2022-12-09 DOI: 10.56741/jphs.v1i02.104
Ratna Yunita Setiyani, Icha Herawati, Fuad Nashori
The family is the most critical environment in early adolescent development. Every parent's parenting style in educating their children is unique. Cruel parenting and lack of warmth between parents and children or also known as US authoritarian parenting is one of the most dominant forms of parenting that can affect adolescent attitudes. This study aims to determine the relationship between adolescent aggressive behavior and perceptions of authoritarian parenting. This study uses a quantitative method with a correlational approach. Respondents in this study were aged between 15 to 21 years and still lived at home with their parents. The number of respondents in this study were 105 respondents. The sampling technique used is probability sampling technique. Data collection is done by filling out a questionnaire. Data were analyzed with Pearson Correlation Product moment. The results showed that respondents limited aggressive behavior to a very high percentage of 58.1% (61 people). While authoritarian parenting was experienced by 44.8% (47 people), it was also experienced at a very high level of 46.7% (49 people). The results of product moment analysis obtained a value of p = 0.000 (p <0.05) with a correlation coefficient of 0.892 which indicates a high close relationship.
家庭是青少年早期发展最关键的环境。每个父母教育孩子的方式都是独一无二的。残酷的教育方式和父母与孩子之间缺乏温暖,也被称为美国威权式教育,是影响青少年态度的最主要的教育方式之一。本研究旨在确定青少年攻击行为与专制父母观念之间的关系。本研究采用定量方法与相关分析方法。这项研究的受访者年龄在15到21岁之间,仍然和父母住在一起。本研究的调查对象为105人。所用的抽样技术是概率抽样技术。数据收集是通过填写问卷来完成的。采用Pearson相关积矩对数据进行分析。结果显示,受访者限制攻击行为的比例非常高,达到58.1%(61人)。虽然有44.8%(47人)经历过专制教育,但也有46.7%(49人)经历过非常高的水平。积矩分析结果为p = 0.000 (p <0.05),相关系数为0.892,关系高度密切。
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引用次数: 0
The Relationship between Environmental Sanitation and the Incidence of Dengue Hemorrhagic Fever (DHF) in Indonesia 印度尼西亚环境卫生与登革出血热(DHF)发病率的关系
Pub Date : 2022-12-07 DOI: 10.56741/jphs.v1i02.83
Yulianti, Wuri Ratna Hidayani
Dengue Hemorrhagic Fever (DHF) was a disease caused by dengue virus belonging to the Arthropod-Borne Virus, which were transmitted through the bite of misquitoes of the genus Aedes, especially Aedes aegypti. The Indonesian Ministry of Health noted that the number of dengue cases in Indonesia from 2018 to 2019 increased significantly. The number of dengue cases as of January 2018 was 6,800 cases with a death toll of 43 people. In early January 2019, there were 13,683 cases with 132 deaths. Cumulatively as of June 21. 2020 there were 68,753 cases. The emergence of dengue disease were related to environmental conditions and community behavior.  Research purposes known a relationship between environmental sanitation and the incidence of dengue hemorrhagic fever (DHF) in Indonesia. Reseacrch methodology was a secondary research with a literature review design by doing a search on Google Scholar through the stages of research according to the eligibility criteria. Research result obtained 7 journal that discuss environmental sanitation related to the incidence of dengue hemorrhagic fever (DHF). Of the 7 journals that discuss water reservoirs (TPA) there were 3 journals, 2 journals for garbage disposal, and 4 journals for 3M plus action. The results showed that there were a relationship between when the variable and the occurrence of dengue hemorrhagic fever (DHF). There were a relationship beteween environmental sanitation (water storage, garbage disposal, and 3M Plus measures) with the incidence of dengue hemorrhagic fever (DHF).
登革出血热(DHF)是一种由节肢动物传播的登革病毒引起的疾病,该病毒通过伊蚊属蚊子,特别是埃及伊蚊叮咬传播。印度尼西亚卫生部指出,2018年至2019年印度尼西亚登革热病例数量大幅增加。截至2018年1月,登革热病例数为6800例,死亡人数为43人。2019年1月初,共有13683例病例,132例死亡。累计到6月21日。2020年有68753例。登革热的出现与环境条件和社区行为有关。研究目的是了解印度尼西亚环境卫生与登革出血热(DHF)发病率之间的关系。研究方法是二次研究,采用文献综述设计,根据资格标准在Google Scholar上搜索研究的各个阶段。7篇探讨环境卫生与登革出血热(DHF)发病关系的期刊。讨论水库(TPA)的7种期刊中有3种,讨论垃圾处理的2种,讨论3M + action的4种。结果表明,该变量与登革热出血热(DHF)的发生有一定的关系。环境卫生(水储存、垃圾处理和3M Plus措施)与登革出血热(DHF)发病率之间存在关系。
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引用次数: 1
Factors Related to the Performance of Cadres in the Implementation of Community Based Health Service Activities 社区卫生服务活动中干部绩效的影响因素
Pub Date : 2022-10-30 DOI: 10.56741/jphs.v1i02.82
Widi Rahmayanti, Sinta Fitriani, Wuri Ratna Hidayani, Dadan Yogaswara, Lorraine Turiano, Kenny Nino H. Tagum
Posyandu is a Community-based health service managed and organized by the Community. It is responsible for implementing health development to empower the community and provide convenience in obtaining essential health services to accelerate the reduction of maternal and infant mortality. This study aims to determine what factors are related to the role of cadre performance in implementing Posyandu activities. This research method is an analytic description using a literature review design. The results showed no relationship between knowledge factors, age, incentives, training, education, attitudes, and motivation towards cadre performance, and there was no relationship between husband support and cadre performance.
Posyandu是由社区管理和组织的社区保健服务。它负责实施保健发展,赋予社区权力,并为获得基本保健服务提供便利,以加速降低孕产妇和婴儿死亡率。本研究旨在确定哪些因素与干部绩效在实施波仙渡活动中的作用有关。本研究方法是采用文献回顾设计的分析描述法。结果表明,知识因素、年龄因素、激励因素、培训因素、教育因素、态度因素、激励因素对干部绩效影响不显著,丈夫支持因素对干部绩效影响不显著。
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引用次数: 0
Investigation of The Relationship Between Eating Behavior and Student Learning Achievement 饮食行为与学生学习成绩关系的调查
Pub Date : 2022-08-25 DOI: 10.56741/jphs.v1i01.70
Milleana Arsyanti, Anindhita Shahbi Syagata
The desire to eat is one of the dimensions of the eating environment. It is mainly seen in attitude, skill, and knowledge. This study aims to investigate the relationship between attitudes, skills, and eating knowledge with student learning achievement. This research is analytical observational research with a cross-sectional design. The subjects were university students in Lampung. The sampling of 196 students was collected using a non-probability with snowball sampling techniques. The data include respondents' characteristics, learning achievements, and eating desires (attitudes, skills, and knowledge). The data analysis was carried out using the Chi-square test to determine the relationship between eating attitudes, eating skills, and eating knowledge, with the student learning achievement. The results showed that most of the subjects (91.33%) had a good eating attitude, (69.90%) had less eating skills, and (51.53%) also had less eating knowledge. In this study, it is revealed that there is no significant relationship between eating attitudes, eating skills, and eating knowledge with the student learning achievement.
吃的欲望是饮食环境的一个维度。它主要体现在态度、技能和知识上。本研究旨在探讨态度、技能、饮食知识与学生学习成绩的关系。本研究为横断面设计的分析性观察研究。研究对象是楠榜的大学生。采用非概率滚雪球抽样技术对196名学生进行抽样。数据包括被调查者的性格、学习成绩和饮食欲望(态度、技能和知识)。数据分析采用卡方检验确定饮食态度、饮食技巧、饮食知识与学生学习成绩的关系。结果显示,大部分被调查者(91.33%)的饮食态度良好,(69.90%)的饮食技能较差,(51.53%)的饮食知识较差。本研究发现,饮食态度、饮食技巧、饮食知识对学生学习成绩的影响不显著。
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引用次数: 0
The Use of Personal Protective Equipment and The Risk of Facial Pressure Sores among Nurses in Covid Isolation Rooms Covid隔离室护士个人防护装备的使用与面部压疮风险
Pub Date : 2022-08-22 DOI: 10.56741/jphs.v1i01.65
Sitti Syabariyah, Winy Anggraeni, Anggriyana Tri Widianti, Cyril B. Romero
This study aimed to determine the relationship between the use of personal protective equipment and the risk of facial pressure injury among nurses in the Raudhah 5 room of Muhammadiyah Hospital Bandung (RSMB). This study is a quantitative correlation study with a cross-sectional research design. The research population is 15 COVID-19 isolation nurses in RSMB with a total sampling technique. Bivariate analysis used is the contingency coefficient correlation test. Nurses that used personal protective equipment or more than 50% had a moderate risk of pressure injury as experienced by ten nurses (66.7%). The correlation coefficient test of personal protective equipment obtained a p-value= 0.537. There is no relationship between the use of personal protective equipment to the risk of facial pressure injury on nurses in RSMB. Nurses who use level 3 of PPE, especially in the facial area, should use dressings to prevent the risk of facial pressure injury.
本研究旨在确定万隆穆罕默迪亚医院(RSMB) Raudhah 5病房护士个人防护装备的使用与面部压力损伤风险之间的关系。本研究为定量相关研究,采用横断面研究设计。研究人群为15名RSMB的COVID-19隔离护士,采用全抽样方法。双变量分析采用的是权变系数相关检验。10名护士(66.7%)的经验表明,使用个人防护装备或超过50%的护士有中等压力伤害风险。个人防护用品相关系数检验得到p值= 0.537。在RSMB中,个人防护装备的使用与护士面部压力损伤风险之间没有关系。使用3级个人防护装备的护士,特别是在面部区域,应使用敷料,以防止面部压力损伤的风险。
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引用次数: 0
An Analysis of Pharmacy Policy Implementation in Bantul Regency, Indonesia 印尼班图尔县药学政策实施分析
Pub Date : 2022-08-03 DOI: 10.56741/jphs.v1i01.44
Dhesi Ari Astuti, Hendy Ristiono, Evilia Nur Safitri
The Bantul Regency Government has arranged the implementation of pharmacy services so that a good business environment is established. This study was conducted to conduct a conceptual analysis of the establishment of pharmacies between high ratio and low ratio areas based on applicable regulations. The purpose of this study is to develop a policy of improving the effectiveness of drug supervision in pharmaceutical service facilities, and the formulation of patterns of strengthening and empowerment pharmacies. The method used is literature review on related articles from various countries. With certain filtering techniques, there are six articles meet the criteria. The results of the analysis of the article can be used to explain various patterns in the management of pharmacies implementation policies. The government needs to coordinate with associations, pharmacies provider on making policy that protect consumers. This policy is important because drug services have a broad impact on public health.
班图尔县政府安排实施药房服务,以便建立良好的商业环境。本研究基于相关法规,对高比率地区与低比率地区间药房的建立进行概念性分析。本研究的目的在于制定提高药品服务机构药品监管有效性的政策,并制定加强和授权药房的模式。采用的方法是查阅各国相关文献。通过一定的过滤技术,有6篇文章符合标准。本文的分析结果可用于解释药店实施政策管理中的各种模式。政府需要与协会、药店供应商协调制定保护消费者的政策。这项政策很重要,因为药物服务对公共卫生有广泛的影响。
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引用次数: 0
A Scoping Review: Accuracy in Early Detection of Breast Cancer Using a Clinical Breast Examination Method 范围综述:使用临床乳腺检查方法早期发现乳腺癌的准确性
Pub Date : 2022-08-03 DOI: 10.56741/jphs.v1i01.50
Silvia Rizki Syah Putri, Rozmita Nuzula
Both globally and in Indonesia, cancer continues to be a serious health issue. The early detection program for breast cancer with the clinical breast examination method is one of the indicators of the success of health development contained in the RPJMN. According to WHO data, the incidence of cancer increased from 12.7 to 14.1 million in 2013, and the specific cause of breast cancer is still unknown. The aim of this study is to review the clinical breast examination method's accuracy for early breast cancer detection is the goal. The method is using the a scoping review method covering Population, Exposure, Outcome, Study Design (PEOS). It approach is to construct a review topic and search strategy. Eight papers from three databases were analyzed (Pubmed, Science Direct, and EBSCO). Articles chosen using Prism Flowcharts and Hawker's Critical Appraisal. Results shows that the eights publications analyzed, five articles used a cohort research design, two articles used an RCT study design, and one article used a cross-sectional study design. The clinical breast examination (CBE) approach is for early diagnosis of breast cancer has low accuracy. It is due to the influence of CBE implementation skills. However, when used in tandem with mammography, CBE can produce more sensitive results. The CBE method is seen as less complicated and more affordable, making it one of the suggested early detection techniques for breast cancer in developing nations.
在全球和印度尼西亚,癌症仍然是一个严重的健康问题。采用临床乳房检查方法的乳腺癌早期检测方案是《RPJMN》所载健康发展成功的指标之一。根据世界卫生组织的数据,2013年癌症的发病率从1270万增加到1410万,乳腺癌的具体原因仍然未知。本研究旨在探讨临床乳腺检查方法在早期乳腺癌检测中的准确性。该方法采用涵盖人群、暴露、结果、研究设计(PEOS)的范围评价方法。其方法是构建一个复习主题和搜索策略。我们分析了来自三个数据库(Pubmed、Science Direct和EBSCO)的8篇论文。文章选择使用棱镜流程图和霍克的关键评价。结果显示,在分析的8篇出版物中,5篇文章采用队列研究设计,2篇文章采用RCT研究设计,1篇文章采用横断面研究设计。临床乳腺检查(CBE)方法用于早期诊断乳腺癌的准确率较低。这是由于CBE实施技能的影响。然而,当与乳房x线摄影同时使用时,CBE可以产生更敏感的结果。CBE方法被认为不那么复杂,也更便宜,使其成为发展中国家建议的乳腺癌早期检测技术之一。
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引用次数: 0
The Analysis of Factors Influencing Hypertension on Elderly: A Literature Study 老年人高血压影响因素分析:文献研究
Pub Date : 2022-08-03 DOI: 10.56741/jphs.v1i01.45
Ario Wahid Sauma, Isyeu Sriagustini, Sinta Fitriani, Wuri Ratna Hidayani, Leni M. Malabanan
The prevalence of hypertension disease year after year continues to increase. The impact of hypertension and its risks in addition to two affecting human survival and reducing work productivity also adds to the burden of health service costs. Efforts to control this disease are not possible only by the health sector but must involve other sectors and active community involvement. The purpose of this study is to examine a journal of factors that influence the incidence in the elderly. This research method is descriptive analytics using a literature review design.  The conclusion of this study is derived from ten research journals. The most dominant factors that influence the incidence of hypertension in terms of behavior include smoking, salt consumption, coffee consumption, and physical activity.
高血压病的患病率逐年持续上升。高血压的影响及其风险除了影响人类生存和降低工作生产力两方面外,还增加了卫生服务费用的负担。控制这种疾病的努力不能只靠卫生部门,还必须有其他部门和社区的积极参与。本研究的目的是研究影响老年人发病率的因素。本研究采用文献回顾设计的描述性分析方法。这项研究的结论来源于十份研究期刊。就行为而言,影响高血压发病率的最主要因素包括吸烟、盐的摄入、咖啡的摄入和身体活动。
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引用次数: 0
The Role of Tuberculosis Cadres in the Tuberculosis Control Program in Medan City 棉兰市结核病干部在结核病控制规划中的作用
Pub Date : 2020-06-25 DOI: 10.22146/BKM.55207
N. Nasution, L. S. Andayani, K. Rochadi
Background . North Sumatra Province is included in the top seven provinces in Indonesia with a high TB incidence rate. Prevalence of pulmonary TB based on a doctor's diagnosis history of 0.30%, Case Notification Rate (CNR) for smear pulmonary TB is 104.3 per 100,000, success rate of treatment (SR) reached 91.31 percent. The percentage of TB cure in 2017 of 82.40 percent, is considered to be lower compared in 2016 of 85.52 percent. Purpose . The purpose of study was to analyze the role of TB cadres in TB control programs in Medan City. Method . This research was an observational analytic with a cross sectional approach. The population in this study were all cadres in Belawan Health Center (25 cadres), Helvetia Health Center (28 cadres), Amplas Health Center (24 cadres), Glugur Darat Health Center (24 cadres) and Sering Health Centre (24 cadres) totaling 125 cadres. Result . There is an influence of knowledge, attitudes and actions of Tuberculosis cadres on the role of Tuberculosis cadres. The results of multivariate analysis of knowledge with p = 0.014, attitude with p = 0,001, actions with p = 0.010. Conclusion . Behavioral factors, namely cadre attitudes become the dominant factor influencing the role of TB cadres with p = 0.014 and Exp (B) = 14.651. Suggested to health center do coaching and training, and position cadres as partners.
背景。北苏门答腊省是印度尼西亚结核病发病率最高的七个省份之一。基于医生诊断史的肺结核患病率为0.30%,涂片肺结核的病例通报率(CNR)为104.3 / 10万,治疗成功率(SR)达到91.31%。2017年结核病治愈率为82.40%,被认为低于2016年的85.52%。目的。本研究的目的是分析棉兰市结核病干部在结核病控制规划中的作用。方法。本研究采用横断面方法进行观察分析。研究对象均为Belawan卫生院(25名)、Helvetia卫生院(28名)、Amplas卫生院(24名)、Glugur Darat卫生院(24名)和Sering卫生院(24名)的干部,共125名干部。结果。结核病干部的知识、态度和行动对结核病干部的作用有影响。多变量分析结果:知识p = 0.014,态度p = 0.001,行动p = 0.010。结论。行为因素即干部态度成为影响结核病干部作用的主导因素,p = 0.014, Exp (B) = 14.651。建议对卫生院进行指导和培训,并将干部定位为合作伙伴。
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引用次数: 0
期刊
International Journal of Public Health and Clinical Sciences
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