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INCREASING KNOWLEDGE OF HEALTH CADRES THROUGH TRAINING ON HOW TO CHOOSE CONTRACEPTION METHODS IN SOREANG DISTRICT 通过培训索林区卫生干部如何选择避孕方法,提高他们的知识
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i01.001
Merry Wijaya, Fardila Elba, Atriany Nilam Sari, D. Hilmanto, Sandeep Poddar
The COVID-19 pandemic has had a major impact on health aspects, especially contraceptive services. This condition has resulted in a surge in baby births due to the increasing drop out rate in the use of contraceptives, limited public access to health facilities, the assumption that couples of childbearing age delay visiting health facilities to get family planning services due to fear of infection. Regarding the existing problems, it is very necessary to have an educational approach regarding contraception and cadres who are the closest people to the community. This study used a quasi-experimental one group pretest-posttest design. The sample of this study used cluster sampling, there were 125 respondents. Analysis of the data using a different test t test. Calculation of data using SPSS. The results showed that the characteristics of cadres were in the age group, the majority of cadres were in the age group of 35-50 years (64.3%). Based on the length of time being a cadre, most are in the range of 1-3 years and more than 3 years have the same percentage (49.2%). There is a significant effect between the training of cadres on contraceptive methods in increasing the knowledge of health cadres.
COVID-19大流行对卫生方面,特别是避孕服务产生了重大影响。这种情况导致婴儿出生率激增,原因是避孕药具使用率上升、公共保健设施有限、育龄夫妇因害怕感染而推迟前往保健设施接受计划生育服务。针对存在的问题,开展避孕教育和干部教育是非常必要的,干部是最接近社区的人。本研究采用准实验一组前测后测设计。本研究的样本采用整群抽样,共有125名受访者。对数据的分析采用不同的检验t检验。数据计算采用SPSS统计软件。结果表明:干部构成特征以年龄层化为主,以35 ~ 50岁干部居多(64.3%);按任职时间划分,任职时间在1-3年之间的占比最高,任职时间在3年以上的占比相同(49.2%)。对干部进行避孕方法培训对提高卫生干部的知识有显著影响。
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引用次数: 1
Verbal Bullying Body Shaming Behavior and Self-Confidence among Teenage Students in Indonesia 印尼青少年学生的言语欺凌、身体羞辱行为与自信心
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i04.001
Claudia Ayu, Q. Saidah, Ceria Nurhayati
Background: Verbal bullying and body shaming are common phenomena among high school students. Verbal bullying can affect students’ confidence. Therefore, the aim of this study was to analyze the relationship between verbal bullying, body shaming behavior, and student self-confidence. Methods: The study used a cross-sectional design, 267 students in one of the senior high schools in Sidoarjo, Indonesia were selected by cluster sampling. Bullying behavior was measured by the Adolescent Peer Relations Instrument (APRI) and the Objectivity Body Consciousness Scale (OBC). Those two variables were tested by the Spearmen Rho analysis test. Results: The results showed that most of the verbal bullying and body shaming behavior was in the moderate category (93.3%) while most of the high school students had low self-confidence (65.2%). The Spearmen Rho test indicated that the value of r= -0,230, ρ=0,001 (ρ<α=0,05), means that there is a low correlation between verbal bullying body shaming behavior, and self-confidence. Conclusions: The implication of this study shows that the higher verbal bullying and body shaming the lower the high school students’ self-confidence. There are many factors that can influence students to increase their self-confidence also to prevent verbal bullying and body shaming action, one of them is individual counseling which students take counseling together both with the teacher and the parents.
背景:言语欺凌和身体羞辱是高中生普遍存在的现象。言语欺凌会影响学生的自信心。因此,本研究的目的是分析言语欺凌、身体羞辱行为与学生自信之间的关系。方法:采用横断面设计,对印度尼西亚Sidoarjo市某高中的267名学生进行整群抽样。欺凌行为采用青少年同伴关系量表(APRI)和客观身体意识量表(OBC)进行测量。这两个变量通过Spearmen Rho分析检验进行检验。结果:高中生言语欺凌和身体羞辱行为多为中度(93.3%),自信心低(65.2%);Spearmen Rho检验表明,r= -0,230, ρ=0,001 (ρ<α= 0.05),表明言语欺凌、身体羞辱行为与自信心之间存在较低的相关性。结论:本研究的启示表明,言语欺凌和身体羞辱越严重,高中生的自信心越低。有许多因素可以影响学生增加他们的自信,也可以防止语言欺凌和身体羞辱行为,其中之一是学生与老师和家长一起进行咨询的个人咨询。
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引用次数: 0
The Relationship between Functional Status and Social, Emotional and Family Loneliness among Older Adults in Pontian 庞田地区老年人社会、情感和家庭孤独感与功能状态的关系
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i02.005
Siti Zuhaida Hussein, Norazilah Khalip, Rosnita Hashim
Life at mature age is perceived to be very challenging and mostly influenced by the ageing process and negative changes that increase the risk of functional abilities. The most enormous thing to achieve is to live independently with less help from others to achieve an optimum quality of life. Methods: This is a community-based cross-sectional survey conducted among 414 community-dwelling older adults in Pontian District aiming to identify the functional status and examine the relationship between functional status and three types of loneliness. The Pfeffer Functional Activities Questionnaire was used to measure the level of functional status. Loneliness was measured with the short form of the Social and Emotional Loneliness Scale for Adults. The Statistical Package for Social Science Ver.26 for Windows was used to analyse all of the data.The results of this study show that the mean (+SD) age is 71.4 (+2.0). The majority of respondents perceived good health status and no deterioration in functional status. 8.2% of respondents experienced deterioration in functional status. Of these, 32.6% of respondents experienced social loneliness, 39.9% experienced emotional loneliness, and 9.2% experienced family loneliness. The results also revealed a significant relationship between functional status and social loneliness (p = 0.02). In conclusion, the majority of respondents are independent enough to perform functional activities, and less than half of them have experienced social, emotional, or family loneliness. Social loneliness was linked to a decline in functional ability in older adults. This research could aid in the care of older adults who live independently and freely in the community.
人们认为,成年期的生活非常具有挑战性,主要受到衰老过程和增加功能能力风险的负面变化的影响。最重要的事情是独立生活,减少他人的帮助,以达到最佳的生活质量。方法:采用基于社区的横断面调查方法,对庞田区414名社区居住老年人进行功能状态调查,并探讨功能状态与三种类型孤独的关系。使用功能活动问卷来测量功能状态的水平。孤独感是用成人社会和情感孤独量表的简短形式来测量的。使用Statistical Package for Social Science Ver.26 for Windows对所有数据进行分析。本研究结果显示,平均(+SD)年龄为71.4(+2.0)。大多数受访者认为健康状况良好,功能状况没有恶化。8.2%的应答者出现功能状态恶化。其中,32.6%的人经历过社交孤独,39.9%的人经历过情感孤独,9.2%的人经历过家庭孤独。功能状态与社会孤独之间存在显著的相关关系(p = 0.02)。综上所述,大多数受访者都足够独立,可以进行功能性活动,其中不到一半的人经历过社会、情感或家庭孤独。社交孤独与老年人功能能力下降有关。这项研究可以帮助照顾在社区中独立自由生活的老年人。
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引用次数: 0
Abdominal Aortic Aneurysm with Persistent and Rebound Coagulopathy Despite Aggressive Corrective Treatment: A Case Report 腹主动脉瘤经积极矫正治疗后仍有持续和反弹凝血功能障碍1例
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i04.007
Hock Peng Koh, Szu Lynn Tay, Shazwani Zulkifli, Muhammad Syafiq Idris, Hanif Hussien
Abdominal aortic aneurysm (AAA) is not uncommon to cause coagulopathy. Warfarin use in patients presented with ruptured AAA can further complicate the preparation for surgical intervention and affect prognosis. We reported a case of impending rupture AAA that progressed to contained leak AAA in a warfarin user, with persistent elevated and rebound international normalized ratio (INR) despite aggressive correction with fresh frozen plasma (FFP) and three-factor prothrombin complex concentrate (3F-PCC). Persistent and rebound coagulopathy is possible in AAA. Corrective treatment with FFP or 3F-PCC alone does not always guarantee the successful reversal of coagulopathy in AAA. Some cases, especially those that failed the initial corrective treatment, require more aggressive reversal with co-administration of vitamin K. This case described coagulopathy in AAA, anticoagulation reversal agents used and emphasized the importance of rigorous coagulation profile monitoring in managing AAA.
腹主动脉瘤(AAA)引起凝血功能障碍并不罕见。AAA破裂患者使用华法林会使手术干预的准备工作进一步复杂化,影响预后。我们报告了一例即将破裂的AAA,在华法林使用者中发展为包含泄漏的AAA,尽管使用新鲜冷冻血浆(FFP)和三因子凝血酶原复合物浓缩物(3F-PCC)进行积极纠正,但国际标准化比率(INR)持续升高和反弹。AAA患者可能出现持续和反弹的凝血功能障碍。仅使用FFP或3F-PCC进行矫正治疗并不一定能保证AAA患者凝血功能障碍的成功逆转。一些病例,特别是那些最初矫正治疗失败的病例,需要更积极地联合使用维生素k进行逆转。本病例描述了AAA患者的凝血功能障碍,使用抗凝逆转药物,并强调了严格监测凝血功能在AAA治疗中的重要性。
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引用次数: 0
A Rare Case of Chest Pain in Children 一例罕见的儿童胸痛
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i04.005
Nurul Liyana Osman, Gurjeet singh Harvendhar Singh
The presentation of a paediatric patient with shortness of breath can be a common occurrence in the pediatric population presenting to the emergency departments with the majority of the illnesses in paediatric population can be attributed to shortness of breath. Recognition of life-threatening illnesses in a pediatric patient presenting to the emergency can be a challenge and thus having a low threshold of suspicion. Early recognition and treatment can be crucial and life-saving with the involvement of the right teams and the appropriate disposition of patients. In this case, we share a rare cause of shortness of breath in a child presenting to the emergency department.
儿科患者呼吸短促的表现在儿科人群中是一种常见的现象,在儿科人群中,大多数疾病可归因于呼吸短促。在儿科患者出现紧急情况时识别危及生命的疾病可能是一项挑战,因此怀疑的门槛很低。如果有合适的团队参与,并对患者进行适当处置,早期识别和治疗是至关重要的,可以挽救生命。在这种情况下,我们分享一个罕见的原因呼吸短促的孩子出现在急诊科。
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引用次数: 1
POCUS: A Valuable Tool in Differentiating Lung Pathology POCUS:鉴别肺部病理的重要工具
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i04.006
Gurjeet singh Harvendhar Singh, Loke Wei Cheng
The emergency department of Malaysia has been greatly affected by overcrowding, longer waiting times, and longer admission times ever since the world was hit by the COVID-19 pandemic. Thus, it is essential for the emergency department to obtain an accurate diagnosis early and provide earlier treatment for better outcomes for patients. The use of bedside lung ultrasound is useful in these scenarios in differentiating different causes of respiratory symptoms, and further management and definite treatment can be provided accordingly.
自2019冠状病毒病(COVID-19)全球大流行以来,马来西亚急诊科一直受到人满为患、等待时间延长和入院时间延长的严重影响。因此,对于急诊科来说,尽早获得准确的诊断和早期治疗对患者的预后是至关重要的。在这些情况下,使用床边肺超声有助于区分呼吸道症状的不同原因,并可据此提供进一步的管理和明确的治疗。
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引用次数: 0
Vacuum-Assisted Wound Dressing for Shorter Wound Healing Time: A Meta-Analysis 真空辅助伤口敷料缩短伤口愈合时间:一项荟萃分析
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i04.004
Sim Chap Hoong, Vickneswaran Loganathan, R. Dioso
Background: Vacuum-assisted wound dressing consists of a vacuum/suction machine, a conduction hose, a suction portal, foam/gauze, and an air-tight membrane, a method that is more technical but needs proper user training prior to application of the dressing. Methods: The population (P), intervention (I), and outcome (O) frameworks were used in this search strategy with keywords. The data extraction technique used the PRIMA guidelines with inclusion and exclusion criteria guided by the PIO framework. The quality of studies was assessed using appraisal tools for randomised controlled trials. A forest plot was used to illustrate the overall outcome in a random effect model. Out of 66 total articles extracted from databases, only five studies were used. Conclusion: Vacuum-assisted wound dressing showed no significant improvement in healing time compared to normal saline dressing (1.0).
背景:真空辅助伤口敷料由真空/吸痰机、传导软管、吸痰口、泡沫/纱布和气密膜组成,这种方法更具技术性,但在使用敷料前需要对使用者进行适当的培训。方法:采用人口(P)、干预(I)和结果(O)框架,采用关键词搜索策略。数据提取技术使用了PRIMA指南以及由PIO框架指导的纳入和排除标准。使用随机对照试验的评价工具评估研究的质量。在随机效应模型中,使用森林图来说明总体结果。从数据库中提取的66篇文章中,只有5篇研究被使用。结论:真空辅助创面敷料与生理盐水敷料相比,愈合时间无明显改善(1.0)。
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引用次数: 0
Relationship between Family Support and Elderly Independence in Fulfilling Daily Activities 家庭支持与老年人日常生活自理的关系
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i04.003
A. Mayasari, Lailatul Rochmah, Hidayatus Syadiyah, Sukma Ayu Candra Kirana, Diyan Mutyah, Sandeep Poddar
The process of decreasing physical, psychological, and social conditions that interact with each other and cause dependence on others is called the aging process. The aging process can cause problems both physically, biologically, mentally, and socioeconomically. Decreased physical ability can cause disruption in the fulfillment of daily activities that require the support of others or family. Family support is a form of interpersonal relationship that requires very strong family ties to help the elderly face problems as proof that the family is the closest person to the elderly. The purpose of this literature review is to determine the relationship between family support and the independence of the elderly in fulfilling their daily activities. This study has been reviewed from 16 articles, consisting of 8 national journals and 8 international journals, to determine the relationship between family support and the independence of the elderly in daily activities. The journal examined showed the results of a very significant relationship between family support and the independence of the elderly in meeting the needs of daily activities.
身体、心理和社会条件相互作用,导致对他人的依赖,这种相互作用的过程被称为衰老过程。衰老的过程会引起生理、生理、心理和社会经济方面的问题。身体能力的下降会导致需要他人或家人支持的日常活动的中断。家庭支持是一种人际关系,需要非常牢固的家庭关系来帮助老年人面对问题,以证明家人是与老年人最亲密的人。本文献回顾的目的是确定家庭支持与老年人在完成日常活动时的独立性之间的关系。本研究回顾了8份国内期刊和8份国际期刊的16篇文章,以确定家庭支持与老年人日常活动独立性之间的关系。该杂志的调查结果显示,家庭支持与老年人在满足日常活动需求方面的独立性之间存在非常显著的关系。
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引用次数: 1
Golden Period in Terms of Knowledge Family of Early Detection of Stroke for Stroke Patients in Installation of Emergency 急诊设施卒中患者卒中早期检测知识家族的黄金期
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v6i03.004
Rahmania Ambarika, N. Anggraini
Stroke is a disease that often occurs in society with high mortality and disability, this is due to the lack of public awareness in recognizing risk factors and early symptoms of a stroke. The increase in stroke mortality is because many patients come late beyond the golden period. This problem occurs due to a lack of family knowledge about the emergency of stroke, signs, and symptoms of a stroke, and lack of knowledge of what to do immediately when a stroke occurs, resulting in delays in bringing to health services and resulting in delays in stroke treatment. The purpose of this study is to find out how the golden period is related in terms of family knowledge of early detection of stroke for stroke patients. This study is a correlational study with a population of all families of stroke patients in the IGD Brawijaya Malang who meet the criteria for being respondents are 55 respondents with accidental sampling techniques. There are two variables in this study, knowledge as the independent variable, and the golden period as the dependent variable. The data were analyzed using Chi-square analysis. The result of this research is that most of the respondents are highly knowledgeable (47.3%) and most of the respondents with the fast golden period are 32 respondents (58.2%) at Brawijaya Lawang Hospital. The results showed that there was a relationship between knowledge and the golden period in IGD Rumkitbang Brawijaya Malang. Good knowledge will affect the speed of the family asking for help in stroke management. Families as one of the main components who often find a stroke so when they know the symptoms of a stroke, the danger is that when stroke management is late it will make them quick in making decisions to immediately take them to health services.
中风是一种经常发生在社会上的疾病,死亡率和致残率很高,这是由于公众在认识中风的危险因素和早期症状方面缺乏认识。中风死亡率的增加是因为许多患者在黄金期后才来。这一问题的发生是由于家庭缺乏对中风的紧急情况、中风的体征和症状的了解,以及缺乏在中风发生时立即采取行动的知识,从而导致无法及时提供保健服务,并导致中风治疗的延误。本研究的目的是了解黄金期与家庭对脑卒中患者早期发现的认知之间的关系。本研究是一项与brwijaya Malang所有IGD卒中患者家庭人群的相关性研究,符合被调查者标准的是55名随机抽样技术的被调查者。本研究中有两个变量,知识为自变量,黄金时期为因变量。数据采用卡方分析。本研究结果显示,在Brawijaya Lawang医院,大多数受访者的知识水平较高(47.3%),而处于快速黄金期的受访者最多的是32名受访者(58.2%)。结果表明,知识与IGD《琅琊榜》的黄金期之间存在一定的关系。良好的知识会影响家人在中风管理方面寻求帮助的速度。家庭是经常发现中风的主要组成部分之一,所以当他们知道中风的症状时,危险在于当中风管理较晚时,他们会很快做出决定,立即带他们去看医疗服务。
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引用次数: 0
Luxatio Erecta(Inferior Shoulder Dislocation): Emergency Medicine Recognition and Management 肩下脱位:急诊医学识别与处理
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i04.008
Shazleena Azla binti Ismail, Gurjeet singh Harvendhar Singh
LuxatioErecta, a specific term for inferior glenohumeral dislocation, is a rare condition, estimated to occur in 1 out of 200 (0.5%) of all glenohumeral joint shoulder dislocations. It is also very commonly associated with neurovascular injury.In addition, it comes with a classic presentation- the arm held “erect” in a fully abducted position. Thus, diagnosis can be conducted from the doorway of an exam room. In this case report we present a case of inferior shoulder dislocation which is a rae case discussing its recognition and management in the emergency department
脱位,下盂肱关节脱位的专称,是一种罕见的疾病,估计发生在200例盂肱关节脱位中的1例(0.5%)。它也通常与神经血管损伤有关。此外,它还有一个经典的展示-手臂保持“直立”在一个完全绑架的位置。因此,诊断可以从检查室的门口进行。本文报告一例罕见的下位肩脱位,探讨其在急诊科的认识和处理
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引用次数: 0
期刊
Malaysian Journal of Medical and Biological Research
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