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A REVIEW OF STUDIES RELATED TO SICK BUILDING SYNDROME AMONG OFFICE PERSONNEL 办公人员患病大楼综合症相关研究综述
Pub Date : 2019-04-01 DOI: 10.32827/ijphcs.6.2.21
Zaza Hulwanee, Titi Rahmawati
Background: The term “sick building syndrome” (SBS) had started to gain popularity in the 1980s. So far, studies on this subject have been conducted among office personnel and then extended to include healthcare workers working in hospitals, residents, and schoolchildren. The aim of this review is to identify the scope of research of the studies conducted on SBS in the last 15 years, particularly among office personnel, to determine the knowledge gap in the nature of illness, risk factors, individual and economic consequences, preventive strategies, and costeffectiveness of the available intervention strategies. Materials and Methods: PubMed and Medline database were used for the purpose of searching for articles published from January 2003 to May 2018. The search was based on the inclusion criteria and the keywords “sick building syndrome” and “office personnel”. Twentythree articles were assessed and reviewed in the final stage. Results: Fourteen cross-sectional studies, three longitudinal studies, one cohort study, one case-control study, one case report, one systematic review, and epidemiological modelling, and one cost-benefit study were found. These studies were conducted in the US, Japan, Sweden, Finland, Germany, Norway, Malaysia, Taiwan, and Egypt. Twenty-one studies focus on epidemiology, mainly the prevalence on SBS symptoms, risk factors, and predictors. One study looked into the cost and benefit of environmental interventions to reduce SBS and the other study was on analytical chemistry. Conclusion: Study areas related to long-term consequences of SBS, behavioural factors contributing to SBS, economic consequences due to SBS, and cost-effectiveness of environmental intervention strategies to minimise SBS have been covered in those studies but scarcity of data remains an issue. Meanwhile, studies in the area of knowledge and attitudes towards SBS, as well as individual preventive measures for SBS are lacking. Further research focusing on these particular domains is called for.
背景:“病态建筑综合症”(SBS)一词在20世纪80年代开始流行起来。到目前为止,对这一问题的研究主要是在办公室工作人员中进行的,然后扩大到在医院工作的保健工作者、居民和学童。本综述的目的是确定过去15年来对SBS进行的研究的范围,特别是在办公室人员中进行的研究,以确定在疾病性质、风险因素、个人和经济后果、预防策略和现有干预策略的成本效益方面的知识差距。材料和方法:使用PubMed和Medline数据库检索2003年1月至2018年5月发表的文章。搜索是基于纳入标准和关键词“病态建筑综合症”和“办公室人员”。在最后阶段对23篇文章进行了评估和审查。结果:共发现14项横断面研究、3项纵向研究、1项队列研究、1项病例对照研究、1项病例报告、1项系统评价和流行病学模型研究以及1项成本效益研究。这些研究在美国、日本、瑞典、芬兰、德国、挪威、马来西亚、台湾和埃及进行。21项研究侧重于流行病学,主要是SBS症状的患病率、危险因素和预测因素。一项研究调查了减少SBS的环境干预的成本和收益,另一项研究是分析化学。结论:这些研究涵盖了与SBS的长期后果、导致SBS的行为因素、SBS的经济后果以及减少SBS的环境干预策略的成本效益相关的研究领域,但数据缺乏仍然是一个问题。同时,缺乏对SBS的认识和态度以及个人预防SBS措施方面的研究。需要对这些特定领域进行进一步的研究。
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引用次数: 0
ROLE OF SOCIAL MEDIA IN DISASTER MANAGEMENT 社会媒体在灾害管理中的作用
Pub Date : 2019-04-01 DOI: 10.32827/ijphcs.6.2.77
A. A.S, O. Mardiana, A. Rosliza
Background: Communication breakdown is one of the major problems that occur during disaster event, despite its importance in disaster management. In recent years, the social media, which has gained its popularity and expanded its function, provides a promising solution in disaster management over traditional communication. This paper aims to determine the role of social media in disaster management cycle and to create a framework for the application. Materials and Methods: A comprehensive literature search was conducted systematically using PubMed, Google Scholar, Science-direct and Scopus with keywords of role of social media OR social media AND disaster event OR natural disaster. The literature searched was limited to documented natural disaster for the past ten years, open source articles, original article and reported in English language. Primary screening of title and abstract involved 128 articles, from there, 90 articles were excluded. Secondary eligibility screening of the remaining 38 articles, resulted in 14 articles which were then synthesized and reviewed in this manuscript. Result: A framework was produced pertaining to role of social media according to disaster management cycle. In mitigation phase the role of social media includes incorporation of risk reduction and preventative activities. Further into preparedness phase,  social media  provides disaster warnings, implement crisis communication activities and signal/detect disaster. Further to response phase, the role includes deliver and analyse news coverage of disaster, provide and receive disaster respond information, send and receive request for assistance and reconnect family members. Finally, in the recovery phase, social media  raises donation and awareness, encourage volunteerism and provide/receive information on recovery and rebuilding process. This review highlighted the dynamic and complexity of social media functions in providing better communication approach during disaster management. Conclusion: Social media certainly has the  capacity to become an alternative mode of communication to complement traditional communication during disaster. However, drawbacks from using social media and its implications in disaster management need to be considered as well. Keywords:  social media; social network, disaster, communication
背景:通信中断在灾害管理中具有重要意义,但却是灾害发生时的主要问题之一。近年来,社交媒体的普及和功能的扩展,为灾害管理提供了比传统通信更有前途的解决方案。本文旨在确定社会媒体在灾害管理周期中的作用,并为其应用创建一个框架。材料与方法:系统检索PubMed、谷歌Scholar、Science-direct、Scopus等综合文献,关键词为social media role OR social media and disaster event OR natural disaster。检索的文献仅限于过去十年记录的自然灾害、开源文章、原创文章和英语报道。初步筛选标题和摘要共纳入128篇文章,从中剔除90篇。对剩余的38篇文章进行二次合格性筛选,得到14篇文章,然后在本文中进行综合和综述。结果:根据灾害管理周期,构建了社会媒体角色的框架。在缓解阶段,社交媒体的作用包括纳入减少风险和预防活动。在备灾阶段,社交媒体提供灾害预警,开展危机沟通活动,发出灾害信号/发现灾害。在响应阶段之后,该角色还包括提供和分析灾难新闻报道,提供和接收灾难响应信息,发送和接收援助请求以及重新联系家庭成员。最后,在恢复阶段,社交媒体提高捐款和意识,鼓励志愿服务,并提供/接收有关恢复和重建过程的信息。这篇综述强调了社会媒体在灾害管理期间提供更好的沟通方法方面的动态和复杂性。结论:在灾难中,社交媒体当然有能力成为一种替代的沟通方式来补充传统的沟通方式。然而,使用社会媒体的缺点及其对灾害管理的影响也需要加以考虑。关键词:社交媒体;社交网络,灾难,沟通
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引用次数: 1
COMPARISON OF INTERNATIONAL NORMALIZED RATIO (INR) BETWEEN POINT OF CARE DEVICE COAGUCHEK® XS VERSUS STANDARD LABORATORY INSTRUMENT AMONG PATIENTS RECEIVING WARFARIN THERAPY IN A NORTHEAST STATE OF PENINSULAR MALAYSIA 在马来西亚半岛东北部州接受华法林治疗的患者中,护理点设备coaguchek®xs与标准实验室仪器之间的国际标准化比率(inr)的比较
Pub Date : 2019-04-01 DOI: 10.32827/ijphcs.6.2.215
Muhammad Irfan Abdul Aziz, Hafizuddin Awang
Background: Warfarin is widely used and cost-effective for various indications. However, the narrow therapeutic index of warfarin requires frequent International Normalized Ratio (INR) monitoring. The purpose of this study was to compare the mean differences, to examine the correlation and agreement between the two methods of venipuncture using laboratory assay and by finger prick using Point of Care (POC) device (CoaguChek® XS). Materials and Methods: A cross sectional study was done in warfarin Medication Therapeutic Adherence Clinic (MTAC), Kuala Krai Hospital. Convenient sampling was used to recruit patients from August until December 2016. The INR results from CoaguChek® XS were compared with the results from standard laboratory assay. Descriptive statistics, paired t-test, Pearson's correlation and Bland-Altman plot were used for data analysis. Result: A total of 52 patients with 84 paired samples were collected in this study. The mean INR values obtained from CoaguChek® XS was significantly different from standard laboratory method (p<0.001). However, there was a strong positive correlation between these two methods (r=0.941, p<0.001). Besides, Bland-Altman plot demonstrated a good agreement between both methods especially when INR values less than 3.5. Conclusion: Despite the mean differences of INR values between these two methods was statistically significant, but it was clinically not significant (mean difference = 0.32). There was a strong correlation and good agreement between INR values obtained from these two methods. These findings may help clinicians in improving the quality of INR monitoring for patients on warfarin therapy. Keywords: Point of Care device, standard laboratory method, INR, warfarin.
背景:华法林广泛应用于各种适应症,具有成本效益。然而,华法林治疗指数窄,需要频繁监测国际标准化比值(INR)。本研究的目的是比较两种方法的平均差异,检验实验室静脉穿刺法和指刺穿刺法(CoaguChek®XS)之间的相关性和一致性。材料和方法:在吉隆坡医院华法林药物治疗依从性诊所(MTAC)进行了一项横断面研究。2016年8月至12月采用方便抽样方法招募患者。将CoaguChek®XS的INR结果与标准实验室检测结果进行比较。数据分析采用描述性统计、配对t检验、Pearson相关和Bland-Altman图。结果:本研究共收集52例患者,84例配对样本。CoaguChek®XS获得的平均INR值与标准实验室方法有显著差异(p<0.001)。然而,两种方法之间存在很强的正相关(r=0.941, p<0.001)。此外,Bland-Altman图显示了两种方法之间的良好一致性,特别是当INR值小于3.5时。结论:两种方法的INR值虽有统计学差异,但临床差异无统计学意义(平均差异= 0.32)。这两种方法得到的INR值具有很强的相关性和良好的一致性。这些发现可能有助于临床医生提高华法林治疗患者INR监测的质量。关键词:护理点装置,标准实验室方法,INR,华法林。
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引用次数: 3
ERGONOMICS APPROACH TO ASSESS THE RISK ASSOCIATED WITH THE PERFORMANCE OF DOMESTIC TASKS–PART “B” 评估家务劳动风险的人体工程学方法——“b”部分
Pub Date : 2019-04-01 DOI: 10.32827/ijphcs.6.2.132
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引用次数: 1
METHODOLOGICAL APPROACH AND THEORETICAL CONCEPT FOR MEASURING HOSPITAL TECHNICAL EFFICIENCY 医院技术效率测量的方法方法与理论概念
Pub Date : 2019-04-01 DOI: 10.32827/ijphcs.6.1.237
Aref G. Aldalbahi., M. H. Juni, Rosliza A.M, Lim Poh Ying, Faisal Ibrahim
Background: In the health care systems, efficiency measurement is considered as a key step in performing individual performance audits of production units such as, health centres and hospitals. It entails a rational framework through which resources are distributed and shared among health care facilities. Thus, there are two common approaches to measure hospital efficiency namely: non-parametric (DEA) and parametric (SFA). The article is aimed to review the articles to analyze the characteristics of these approaches and to identify the similarities, differences, strengths, and limitations related to them. Materials and Methods: The literature, which related to measuring relative efficiency of hospitals were obtained from online database involving ScienceDirect, Pubmed. The keywords used for the search terms involving hospital efficiency, healthcare efficiency, parametric approach, non-parametric approach, DEA and SFA. The review only for articles published in English language. Result: The required information about methodological approaches were obtained and summarized into the construct form. The discussion was based on approach type in term of non-parametric and parametric. Conclusion: In a nutshell, both of DEA and SFA can be applicable in healthcare setting to measure hospitals efficiency. The selection of the convenient approach is subjected to the aim of the study.
背景:在卫生保健系统中,效率测量被认为是对生产单位(如卫生中心和医院)进行个人绩效审计的关键步骤。它需要一个合理的框架,通过该框架,资源在卫生保健设施之间进行分配和共享。因此,有两种常见的方法来衡量医院效率,即:非参数(DEA)和参数(SFA)。本文旨在回顾这些文章,分析这些方法的特点,并确定与它们相关的异同、优势和局限性。材料与方法:与医院相对效率测量相关的文献来源于ScienceDirect、Pubmed等在线数据库。用于搜索的关键词涉及医院效率、医疗效率、参数方法、非参数方法、DEA和SFA。本综述仅针对以英文发表的文章。结果:获得了所需的方法学信息,并将其归纳为结构形式。从非参数和参数两方面对方法类型进行了讨论。结论:综上所述,DEA和SFA均可应用于医疗保健环境中衡量医院效率。选择方便的方法取决于研究的目的。
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引用次数: 3
SIGHT THREATENING OR LIFE THREATENING: A CASE REPORT OF OCULAR MANIFESTATION IN ACUTE LYMPHOBLASTIC LEUKAEMIA 威胁视力还是威胁生命:急性淋巴细胞白血病眼部表现1例报告
Pub Date : 2019-03-04 DOI: 10.32827/ijphcs.6.1.250
Boon-Hooi Tan, Jeyarine Royan, Khairy-Shamel Sonny-Teo
Background: Acute lymphoblastic leukaemia (ALL) is the commonest childhood malignancy and ocular manifestations are uncommon in ALL. Patients may present with non-specific systemic symptoms which are overlooked and life threatening symptoms of leukostasis often present late. Here, we present a rare case of ALL where ocular symptoms preceded constitutional symptoms. Materials and Methods: A case report. Result: A 11-year-old girl presented with a syncopal attack during the fasting month to a primary health center. She was investigated at a tertiary center and diagnosed to have ALL. Further history revealed she had sudden painless severe reduced vision in the right for one month prior to this. Ocular assessment noted her right visual acuity was 5/60 and left visual acuity was 6/6. Her right fundus had a large subhyaloid haemorrhage over the macula and multiple large white-centered haemorrhages (Roth’s spot); while the left fundus showed multiple large Roth’s spots and some intraretinal haemorrhages. Chemotherapy was instituted after immunophenotyping was reported as precursor B-cell ALL. Ocular condition was managed conservatively. There was total resolution of the subhyaloid haemorrhage and retinal haemorrhages in both eyes and she regained full vision bilaterally while on induction therapy over 5 months. Conclusion: Life threatening conditions such as ALL should be considered in children with sudden, painless, reduced vision and urgent ophthalmology assessment is important for early detection. Blurry vision could be the earliest symptom in ALL. Awareness on eye health must be emphasized in school by the educators for early detection of both sight and life threatening condition among children.
背景:急性淋巴细胞白血病(Acute lymphoblastic leukemia, ALL)是最常见的儿童恶性肿瘤,其眼部表现并不常见。患者可能会出现被忽视的非特异性全身症状,而危及生命的白质停滞症状往往出现较晚。在这里,我们提出一个罕见的ALL病例,眼部症状先于体质症状。材料与方法:1例报告。结果:一个11岁的女孩提出晕厥发作期间斋戒月初级卫生中心。她在三级中心接受检查,诊断为ALL。进一步的病史显示,在此之前一个月,她的右侧突然出现无痛性严重视力下降。视力评估显示她的右侧视力为5/60,左侧视力为6/6。右眼底黄斑上方有大的透明体下出血和多发白色中心大出血(罗斯斑);左侧眼底可见多处大罗氏斑及部分视网膜出血。免疫分型报告为前体b细胞ALL后,开始化疗。眼部情况保守处理。在5个月的诱导治疗中,她的双眼玻璃下出血和视网膜出血完全消失,双侧恢复了完全的视力。结论:突发性、无痛性、视力下降的患儿应考虑ALL等危及生命的情况,紧急眼科检查对早期发现至关重要。视力模糊可能是ALL的最早症状。教育工作者必须在学校强调对眼睛健康的认识,以便及早发现儿童的视力和危及生命的状况。
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引用次数: 0
EFFECTIVENESS OF SAFE PATIENT HANDLING INTERVENTION ON MUSCULOSKELETAL DISORDER AMONG GOVERNMENT NURSES IN ELDERLY CARE HOMES WEST COAST MALAYSIA: STUDY PROTOCOL 马来西亚西海岸养老院政府护士对肌肉骨骼疾病的安全病人处理干预的有效性:研究方案
Pub Date : 2019-03-04 DOI: 10.32827/ijphcs.6.1.222
E. Eriyani, A. Azuhairi, Salmiah, A. Rosliza, Rafee M.B
Background: Health care worker are susceptible to develop musculoskeletal disorder (MSD). Nurses in nursing home setting exposed with physical and psychological stressors and they are prone to develop MSD due to these conditions (Simon et al., 2008). Manual handling while handling elderly patient involved awkward posture which lead to MSD among nurses. Therefore safe patient handling intervention is important in reducing prevalence of MSD among nurses. Materials and Methods: The cluster pre-test and post-test with control group quasi experimental study will be done involving 8 government elderly care homes in West Coast Malaysia. Total 256 nurses and assistant nurses will be involved in this study. Four home care will be in the intervention group. While another 4 home care will be in the control group. Safe patient handling intervention program will be conducted. During health education, health belief model theory will be used to increase the knowledge and subsequently change the practice to safe patient handling. Result: Prior to intervention program, module intervention and health education material will be developed. The health education and training will be given according to module provided. Outcome measurements are musculoskeletal disorder, knowledge and practice of safe patient handling. These outcomes will be measured through selfadministered questionnaires. Data will be analysed using SPSS version 22. To measure the association, Chi-square test, Mann Whitney U test, independent t test, dependent t test and Wilcoxon signed rank test will be used and for multivariate analysis, the Generalized Estimating Equation (GEE) will be used. Conclusion: Health education on safe patient handling is important in order to reduce the MSD among nurses in elderly care homes.
背景:医务工作者易患肌肉骨骼疾病(MSD)。养老院环境中的护士暴露在生理和心理压力源下,由于这些条件,他们很容易患上MSD (Simon et al., 2008)。护理人员在处理老年病人时,会出现笨拙的姿势,导致护士出现MSD。因此,安全的病人处理干预对于降低护士中MSD的患病率是重要的。材料与方法:采用聚类前测和后测结合对照组的准实验研究,研究对象为马来西亚西海岸8家政府养老院。共有256名护士及助理护士参与本研究。四名家庭护理人员将在干预组。另外4名家庭护理人员将作为对照组。实施安全病人处理干预方案。在健康教育中,健康信念模型理论将用于增加知识,随后将实践转变为安全的病人处理。结果:在实施干预方案之前,将编制模块干预和健康教育教材。健康教育和培训将根据所提供的模块进行。结果测量是肌肉骨骼疾病,知识和安全的病人处理实践。这些结果将通过自我管理的问卷来衡量。数据将使用SPSS版本22进行分析。为了测量相关性,将使用卡方检验、Mann Whitney U检验、独立t检验、依赖t检验和Wilcoxon符号秩检验,对于多变量分析,将使用广义估计方程(GEE)。结论:安全处理病人的健康教育对降低养老院护士的MSD具有重要意义。
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引用次数: 2
ASSOCIATED FACTORS WITH HOSPITAL DIET COMPLIANCE IN TYPE 2 DIABETES MELLITUS PATIENTS 2型糖尿病患者医院饮食依从性的相关因素
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.86
N. Wahyudi, M. A. Isfandiari
Background: Diabetes mellitus (DM) was a condition of insufficient insulin because the pancreas was damaged or insulin could not be used effectively. DM was related to diet. Food for DM patients was important to monitor so the blood sugar would be controlled. Preliminary studies showed that 60% of patients had low levels of dietary compliance. This study aimed to look at the relationship of family support with hospital diet compliance in type 2 DM patients and see the relation between the knowledge levels with hospital diet compliance in type 2 DM patients in Surabaya Haji Hospital.
背景:糖尿病(DM)是由于胰腺受损或胰岛素不能有效使用而导致胰岛素不足的一种疾病。糖尿病与饮食有关。糖尿病患者的食物监测很重要,这样血糖就会得到控制。初步研究表明,60%的患者饮食依从性较低。本研究旨在探讨2型糖尿病患者家庭支持与医院饮食依从性的关系,以及泗水哈吉医院2型糖尿病患者知识水平与医院饮食依从性的关系。
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引用次数: 0
DETERMINANTS OF HEALTH CARE SEEKING BEHAVIOUR AND UNMET NEED AMONG PEOPLE WITH PHYSICAL DISABILITIES IN NIGERIA 尼日利亚身体残疾者寻求保健行为和未满足需求的决定因素
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.61
H. Zandam, M. H. Juni, K. Hayati, B. Anisah, A. M. Hamza
Background: Generally people with disabilities have high healthcare need that is likely as a result of primary condition causing the disability, comorbidity or their vulnerability to diseases. Despite these health challenges and need for healthcare those living in poor countries have poor healthcare seeking behaviour and experience unmet healthcare needs. Materials and Methods: A cross sectional population based survey was used to collect data from 285 respondent recruited using multi-stage sampling methods Result: Result from multiple regression analysis shows several variables independently to be significantly with healthcare seeking behaviour such as gender, age, location, SES, health status, and perceived cost of healthcare. Report of unmet needs for healthcare is associated with gender, age, location, SES, income, health status, distance, and perceived service quality. Conclusion: If the healthcare needs of people with disability have to be met, innovative strategies will need to be devised to reach out to people with disabilities, especially women, elderly and the poor with disabilities.
背景:一般来说,残疾人有很高的医疗保健需求,这可能是由于导致残疾的原发条件、合并症或他们对疾病的易感性。尽管存在这些卫生挑战和卫生保健需求,但生活在贫穷国家的人寻求卫生保健的行为不佳,卫生保健需求得不到满足。结果:多元回归分析结果显示,性别、年龄、地理位置、社会经济地位、健康状况和感知医疗成本等变量对就医行为有独立的显著影响。未满足医疗保健需求的报告与性别、年龄、地点、社会经济地位、收入、健康状况、距离和感知的服务质量有关。结论:如果要满足残疾人的保健需求,就需要制定创新战略,向残疾人,特别是妇女、老年人和穷人伸出援助之手。
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引用次数: 0
EVALUATION OF DENGUE PREVENTION AND CONTROL PROGRAMS IN BANYUMAS HEALTH OFFICE, CENTRAL JAVA, INDONESIA 印度尼西亚中爪哇banyumas卫生办公室登革热预防和控制规划的评价
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.199
Devi Octaviana, S. Wijayanti, Sri Nurlaela, Kuswanto
Materials and Methods: This is qualitative study, located in Banyumas Regency, Central Java Indonesia. 38 of informants, consist of Banyumas Regency health officer, staff of primary health care, voluntary cadre and community were interviewed. To increase validity of this study, triangulation of source and method was carried out. Program evaluation consist of input (human resources, fund, method, regulation, and materials), process (plan, organization, implementation and evaluation), output (completeness of report).
材料和方法:这是一项定性研究,在印度尼西亚中爪哇省Banyumas县进行,采访了38名告密者,包括Banyumas县卫生官员、初级卫生保健工作人员、志愿干部和社区。为了提高研究的有效性,对研究的来源和方法进行了三角剖分。项目评估包括投入(人力资源、资金、方法、法规、材料)、过程(计划、组织、实施、评估)、输出(报告的完整性)。
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引用次数: 1
期刊
International Journal of Public Health and Clinical Sciences
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