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Knowledge, Facilities, and Their Associations with Nurse Adherence to Hand Hygiene at Subulussalam Hospital, Aceh 亚齐subbulussalam医院的知识、设施及其与护士坚持手卫生的关系
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.04.25
E. Suryadi, D. Aulia
Background: Nosocomial infections are the main problems rising morbidity and mortality in health care settings. Effective hand hygiene practices in hospitals plays a key role in improving patient and provider safety. Hand hygiene is the most effective method for preventing these infections. This study aimed to analyze the associations of knowledge and hospital facilities with adherence to hand hygiene among nurses at Subulussalam Hospital, Aceh. Subjects and Methods: This was a cross sectional study conducted at Subulussalam Hospital, Aceh. A sample of 64 nurses were selected for this study by exhaustive sampling. The dependent variable was adherence to hand hygiene. The independent variables were knowledge and hospital facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Nurses adherence to hand hygiene was associated with better knowledge (OR= 1.80; 95% CI= 1.55 to 3.01; p= 0.033) and facilities (OR= 2.10; 95% CI= 1.40 to 4.77; p= 0.049). Conclusion: Nurses adherence to hand hygine is associated with knowledge and facilities.
背景:医院感染是卫生保健机构发病率和死亡率上升的主要问题。医院有效的手部卫生习惯在改善患者和提供者安全方面发挥着关键作用。手部卫生是预防这些感染最有效的方法。本研究旨在分析亚齐subbulussalam医院护士坚持手卫生的知识和医院设施之间的关系。对象和方法:这是在亚齐subbulussalam医院进行的一项横断面研究。采用彻底抽样的方法,选取64名护士进行研究。因变量是坚持手卫生。自变量为知识和医院设施。采用问卷调查法收集资料,采用多元logistic回归分析。结果:护士对手卫生的依从性与对手卫生知识的了解程度相关(OR= 1.80;95% CI= 1.55 ~ 3.01;p= 0.033)和设施(OR= 2.10;95% CI= 1.40 ~ 4.77;p = 0.049)。结论:护士手卫生依从性与知识和设备有关。
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引用次数: 0
Evaluation of the Implementation and Adherence to the Clinical Pathway of Ischemic Stroke at Muhammadiyah Gamping Hospital, Yogyakarta 在日惹的Muhammadiyah Gamping医院对缺血性卒中临床路径的实施和依从性的评估
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.04.32
Dhanis Ardian Prasetyo, S. Sundari, E. Listyowati
Background: Stroke is the second leading cause of death and the third leading cause of disability-adjusted life-years (DALYs) worldwide. The effects of a stroke are the result of damage to the brain that occurs when there is a lack of blood supply to any region of the brain. This study aimed to evaluate the implementation and adherence to the clinical pathway of ischemic stroke at Muhammadiyah Gamping Hospital, Yogyakarta.Subjects and Method: This study was a mixed method carried out at Muhammadiyah Gamping Sleman Hospital, Yogyakarta. A sample of informants was selected for this study, consisting of neurosurgeons, medical committee members, and ischemic stroke patients. The study theme was implementation of clinical pathway of ischemic stroke. The data were obtained from medical record and interview. The data were analyzed by quantitative and qualitatively.Results: As much as 52.8% of the ischemic stroke clinical pathway had been well implemented. Only about 26.4% of the neurosurgeons complied with the clinical pathway of ischemic stroke.Conclusion: Ischemic stroke clinical pathway is only partially implemented. Only a few neurosurgeons complied with the clinical pathway.Keywords: ischemic stroke, clinical pathway, implementation, compliance.
背景:中风是全球第二大死亡原因和第三大伤残调整生命年(DALYs)原因。中风的影响是由于大脑任何区域的血液供应不足而导致的大脑损伤。本研究旨在评估日惹Muhammadiyah Gamping医院缺血性卒中临床路径的实施和依从性。研究对象和方法:本研究采用混合方法,在日惹的Muhammadiyah Gamping Sleman医院进行。本研究选取了神经外科医生、医学委员会成员和缺血性脑卒中患者作为调查对象。研究主题为缺血性脑卒中临床路径的实施。数据来源于病历和访谈。对数据进行定量和定性分析。结果:52.8%的缺血性脑卒中临床路径得到了很好的实施。仅26.4%的神经外科医生遵循缺血性脑卒中的临床路径。结论:缺血性脑卒中临床路径仅部分实现。只有少数神经外科医生遵循临床路径。关键词:缺血性卒中,临床途径,实施,依从性。
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引用次数: 0
The Role of Faculty of Medicine and Health Sciences in the Preparation of Human Resources for Academic Health Center Concept at Muhammadiyah Gamping Hospital, Yogyakarta 医学和健康科学学院在为日惹穆罕默迪亚甘平医院的学术保健中心概念准备人力资源方面的作用
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.04.20
Vika Habsari Budi Utami, Arlina Dewi, E. Listiowati
Background: The concept of Academic Health Center (AHC) refers to combination of education, research, and health service functions. Faculty of Medicine and Health Sciences Universitas Muhammadiyah Yogyakarta (FKIK UMY) is an educational institution implementing study programs in medicine, dentistry, nursing, and pharmacy. The AHC concept is potentially applicable in Indonesia, especially at FKIK UMY, to improve the quality of human resources to comply with the Competency Standard of Indonesian Doctors 2012 (SKDI 2012) and the WHO 5 star doctors. This study aimed to assess the role of faculty of medicine and health sciences in the preparation of human resources for AHC concept at Muhammadiyah Gamping Hospital, Yogyakarta. Subjects and Method: This was a qualitative study conducted at Muhammadiyah Gamping Hospital, Yogyakarta, from April to May 2018. A sample of 6 key informants from representatives of the dean’s office at FKIK UMY and several teaching staff of FKIK UMY. The dependent variable was preparation of human resources for AHC concept. The independent variable was the role of FKIK UMY. The data were collected by in-depth interview and processed using descriptive method. Results: FKIK UMY had implemented the AHC concept based on 4 aspects: (1) Organizational (bureaucracy), (2) Policy (regulations), (3) Financial (financial support), (4) Resources (competent human resources and teaching hospital). The AHC concept was able to facilitate the role of FKIK UMY in implementing Tridarma of higher education. FKIK UMY management, teaching hospital management, and the general health advisory council (MPKU), were expected to implement joint collaboration efforts to achieve Tridarma. FKIK UMY had reached the stage of legal collaboration and coordination with MPKU and teaching hospital to realize the AHC concept. Conclusion: The AHC concept has been able to facilitate the role of FKIK UMY in implementing Tridarma of higher education. FKIK UMY has reached the stage of legal collaboration and coordination with MPKU and teaching hospital to realize the AHC concept.
背景:学术健康中心(AHC)的概念是指教育、科研和健康服务功能的结合。日惹穆罕默迪亚大学医学和健康科学学院(FKIK UMY)是一所教育机构,在医学,牙科,护理和药学方面实施学习计划。AHC概念可能适用于印度尼西亚,特别是在FKIK UMY,以提高人力资源的质量,以符合2012年印度尼西亚医生能力标准(SKDI 2012)和世卫组织五星级医生。这项研究旨在评估日惹Muhammadiyah Gamping医院医学和保健科学学院在为AHC概念准备人力资源方面的作用。对象和方法:这是一项定性研究,于2018年4月至5月在日惹Muhammadiyah Gamping医院进行。6个主要举报人的样本,来自福建福建大学院长办公室的代表和福建福建大学的几名教学人员。因变量为AHC概念的人力资源准备。自变量为FKIK UMY的作用。数据采用深度访谈法收集,并采用描述性方法处理。结果:我校从组织(官僚)、政策(法规)、财务(资金支持)、资源(人力资源和教学医院)4个方面实施AHC理念。AHC概念能够促进FKIK UMY在实施高等教育三位一体方面的作用。预计FKIK UMY管理、教学医院管理和一般健康咨询委员会(MPKU)将实施联合协作努力,以实现Tridarma。为实现AHC理念,我校已与北大及教学医院达成法律协作与协调阶段。结论:AHC概念能够促进FKIK UMY在实施高等教育三达论中的作用。为实现AHC理念,已与北京大学及教学医院达成法律合作与协调阶段。
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引用次数: 0
Factors Affecting Sanitary Condition of Ships Harboring in Kupang, East Nusa Tenggara 影响东努沙登加拉古邦港口船舶卫生状况的因素
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.01.32
Yanse Hariati Oematan, Hari Rarindo, Jauhari Effendi
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引用次数: 0
Effect of Tranquil Prayer on Health: Development of a New Instrument to Measure Tranquility 宁静祈祷对健康的影响:一种测量宁静的新仪器的研制
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.02.35
Y. Romadhon, M. Fanani
Background: Tranquil prayer or Khushoo, breeds Khauf (fear) that restrains a Muslim from pernicious satanic whispers to refrain him from falling in to sins of transgressors. Calmness deeply correlates with Salah though not confined to it yet in the remembrance of Allah hearts beseech tranquility. Salah is spiritual and physical act in where, nearly all muscles of human body become more active than any kind of physical exercise without muscle fatigue and induces serenity on body and soul. Scientist evidence also supports the notion that even moderate intensity activities, when performed daily, can have some long-term health benefits. This study aimed to develop a new instrument to measure tranquility to be used in the subsequent study on the assessment of the effect of tranquil prayer on health.Subjects and Method: This was a literature review study including 3 steps: (1) Literature review and qualitative study to find out and operationalize key concepts, (2) Development of items on operationalized key concepts, (3) Preliminary study and statistical analysis.Results: The main concept of tranquil prayer included: (1) Tranquil status, (2) Prerequisite and attachment of God, (3) Spiritual atmosphere, (4) Tranquil effects. The development of items was revised by religious experts and psychiatrists to obtain content validity. Conclusion: Tranquil prayer can be measured by tranquil status, prerequisite and attachment of God, spiritual atmosphere, tranquil effects.Keywords: tranquil prayer, instrument
背景:安静的祈祷或Khushoo,孕育了Khauf(恐惧),它抑制了穆斯林从邪恶的撒旦耳语中解脱出来,使他免于陷入罪人的罪恶。平静与萨拉赫密切相关,虽然不局限于此,但在纪念安拉的时候,内心恳求平静。萨拉赫是一种精神和身体的活动,在这种活动中,人体几乎所有的肌肉都比任何一种体育锻炼都更加活跃,没有肌肉疲劳,使身体和灵魂都得到平静。科学家的证据也支持这样一种观点,即即使是中等强度的活动,如果每天进行,也会对健康有一些长期的好处。本研究旨在开发一种新的测量宁静的仪器,为后续评估宁静祈祷对健康的影响的研究提供依据。研究对象与方法:本研究为文献综述性研究,包括3个步骤:(1)文献综述与定性研究,找出关键概念并进行可操作化;(2)开发可操作化关键概念项目;(3)初步研究与统计分析。结果:宁静祈祷的主要概念包括:(1)宁静状态;(2)神的前提与依附;(3)属灵氛围;(4)宁静效果。项目的开发由宗教专家和精神科医生进行修订,以获得内容效度。结论:宁静祷告可以从宁静状态、对神的前提与依恋、属灵氛围、宁静效果等方面来衡量。关键词:静祷;仪器
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引用次数: 0
Does Vitamin C Affect HbA1c? 维生素C会影响糖化血红蛋白吗?
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.05.22
Dwi Astuti Dian Andarwati, Bhisma Murti, E. S. Sulaeman
Background: Diabetes is a chronic disorder associated with disturbances in carbohydrate, fat, and protein metabolism characterized by hyperglycemia. HbA1c is used to monitor long-term glycemic control, adjust therapy, assess the quality of diabetes care, and predict the risk for the development of complications. Early studies showed that vitamin C increases inflammation and oxidative stress as a strategy to prevent diabetes. This study aimed to examine the effect of vitamin C on HbA1c. Subjects and Method: This was a literature review study. The literature was obtained from Science Direct, PubMed, and Google Search. After screening of articles published from 2000 to 2018 using keywords “HbA1c” and “vitamin C”, the author obtained 21 articles. The study population was diabetic and non-diabetic patients. Results: Almost all research articles under review showed inverse relationship between vitamin C and HbA1c. That said, the higher vitamin C consumption, the lower HbA1c. This is because vitamin C can reduce micro vascular complication and cardiovascular disorder in diabetic and non-diabetic patients. In non-diabetic patients, vitamin C can reduce the risk of diabetes. In diabetic patients, it can reduce the risk of diabetes complication.Conclusion: High dose of vitamin C decreases HbA1c level. Vitamin C can help reduce risk of diabetes as well as diabetes complications.Keywords: diabetes, HbA1c, vitamin C
背景:糖尿病是一种以高血糖为特征的碳水化合物、脂肪和蛋白质代谢紊乱相关的慢性疾病。HbA1c用于监测长期血糖控制,调整治疗,评估糖尿病护理质量,并预测并发症发生的风险。早期的研究表明,维生素C增加炎症和氧化应激是预防糖尿病的一种策略。本研究旨在探讨维生素C对HbA1c的影响。对象和方法:本研究为文献综述性研究。文献来自Science Direct、PubMed和Google Search。筛选2000 - 2018年以“HbA1c”和“维生素C”为关键词发表的文章,获得21篇。研究人群为糖尿病和非糖尿病患者。结果:几乎所有的研究文献都显示维生素C与HbA1c呈负相关。也就是说,维生素C摄入量越高,糖化血红蛋白就越低。这是因为维生素C可以减少糖尿病和非糖尿病患者的微血管并发症和心血管疾病。对于非糖尿病患者,维生素C可以降低患糖尿病的风险。对于糖尿病患者,它可以降低糖尿病并发症的风险。结论:大剂量维生素C可降低HbA1c水平。维生素C可以帮助降低患糖尿病和糖尿病并发症的风险。关键词:糖尿病,糖化血红蛋白,维生素C
{"title":"Does Vitamin C Affect HbA1c?","authors":"Dwi Astuti Dian Andarwati, Bhisma Murti, E. S. Sulaeman","doi":"10.26911/theicph.2018.05.22","DOIUrl":"https://doi.org/10.26911/theicph.2018.05.22","url":null,"abstract":"Background: Diabetes is a chronic disorder associated with disturbances in carbohydrate, fat, and protein metabolism characterized by hyperglycemia. HbA1c is used to monitor long-term glycemic control, adjust therapy, assess the quality of diabetes care, and predict the risk for the development of complications. Early studies showed that vitamin C increases inflammation and oxidative stress as a strategy to prevent diabetes. This study aimed to examine the effect of vitamin C on HbA1c. \u0000Subjects and Method: This was a literature review study. The literature was obtained from Science Direct, PubMed, and Google Search. After screening of articles published from 2000 to 2018 using keywords “HbA1c” and “vitamin C”, the author obtained 21 articles. The study population was diabetic and non-diabetic patients. \u0000Results: Almost all research articles under review showed inverse relationship between vitamin C and HbA1c. That said, the higher vitamin C consumption, the lower HbA1c. This is because vitamin C can reduce micro vascular complication and cardiovascular disorder in diabetic and non-diabetic patients. In non-diabetic patients, vitamin C can reduce the risk of diabetes. In diabetic patients, it can reduce the risk of diabetes complication.\u0000Conclusion: High dose of vitamin C decreases HbA1c level. Vitamin C can help reduce risk of diabetes as well as diabetes complications.\u0000\u0000Keywords: diabetes, HbA1c, vitamin C","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126987704","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: 0
Inadequate Intake of Polyunsaturated Fatty Acids during Pregnancy and Lactation, and its Association with Infant Cognitive Development 孕期和哺乳期多不饱和脂肪酸摄入不足及其与婴儿认知发育的关系
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.03.57
N. Laily, Kusharisupeni Kusharisupeni, Soedjatmiko Soedjatmiko, R. Juwita, Purwantyastuti Purwantyastuti, D. Utari, Soeminarti Padmonodewo, S. Pawiroharsono
Background: Cognitive development in early childhood is an important predictor of intelectual capacity in later life. Individuals who are markedly late in achieving developmental milestones are at high risk for a subsequent diagnosis of learning disability/mental retardation. There is considerable interest in the role of certain long chain polyunsaturated fatty acids (LCPUFA), in visual and cognitive development throughout childhood. Omega-3 long chain poly unsaturated fatty acids (n-3 LCPUFA) are important constituents of the maturing brain and therefore considered crucial for brain development in utero and in early infancy. The n-3 fatty acid docosahexaenoic acid (DHA) and the n-6 fatty acid arachidonic acid (AA) are the major LCPUFA in the brain. This study aimed to examine the inadequate intake of PUFA during pregnancy and lactation, and its association with infant cognitive development.Subjects and Method: This was a cohort study conducted in Pandeglang, Banten. A total of 102 third trimester pregnant mothers were selected for this study and followed until 4 months after child birth. The dependent variable was infant cognitive development. The independent variables were emotional and verbal environmental stimuli, maternal nutrition omega 3 intake. Data on maternal nutrition intake during pregnancy were measured by 24 hour recall and food frequency questionnaire (FFQ). The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression.Results:Good infant cognitive development increased with adequate emotional and verbal environmental stimuli (OR= 7.52; 95% CI= 1.80 to 31.35; p=0.006) and adequate maternal nutrition omega 3 intake (OR= 5.65; 95% CI= 1.45 to 21.99; p=0.013).Conclusion:Good infant cognitive development is determined by not only adequate maternal nutrition omega 3 intake, but also good emotional and verbal environmental stimuli. Keywords: cognitive development, maternal nutrition intake, polyunsaturated fatty acids, omega 3, infant.
背景:儿童早期认知发展是日后智力发展的重要预测指标。在达到发育里程碑时明显晚的个体随后被诊断为学习障碍/智力迟钝的风险很高。人们对某些长链多不饱和脂肪酸(LCPUFA)在整个儿童时期视觉和认知发展中的作用非常感兴趣。Omega-3长链多不饱和脂肪酸(n-3 LCPUFA)是成熟大脑的重要组成部分,因此被认为对子宫和婴儿早期的大脑发育至关重要。n-3脂肪酸二十二碳六烯酸(DHA)和n-6脂肪酸花生四烯酸(AA)是大脑中主要的LCPUFA。本研究旨在探讨孕期和哺乳期PUFA摄入不足及其与婴儿认知发育的关系。对象和方法:这是一项在万丹邦德朗进行的队列研究。本研究共选取了102名妊娠晚期的孕妇,随访至孩子出生后4个月。因变量为婴儿认知发展。自变量为情绪和言语环境刺激、母体营养omega - 3摄入量。采用24小时回忆和食物频率问卷(FFQ)对孕妇孕期营养摄入数据进行测量。其他数据采用问卷调查的方式收集。数据采用多元逻辑回归分析。结果:适当的情绪和语言环境刺激能促进婴儿良好的认知发展(OR= 7.52;95% CI= 1.80 ~ 31.35;p=0.006)和充足的孕产妇营养欧米茄3摄入量(OR= 5.65;95% CI= 1.45 ~ 21.99;p = 0.013)。结论:良好的婴儿认知发育不仅取决于母体营养充足的omega - 3摄入,还取决于良好的情绪和语言环境刺激。关键词:认知发育,母体营养摄入,多不饱和脂肪酸,欧米茄3,婴儿。
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引用次数: 0
Harsh Truth: Do Healthcare Providers Silence Women who Experience Intimate Partner Violence 残酷的事实:医疗服务提供者是否让遭受亲密伴侣暴力的妇女沉默
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.03.17
Bijaya Pokharel, K. Hegadoren, Elisavet Papathanassoglou
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引用次数: 0
Factors Associated with Increased Risk of Overweight and Obesity in Children: An Evidence from Boyolali, Central Java 与儿童超重和肥胖风险增加相关的因素:来自中爪哇Boyolali的证据
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.03.43
D. Wijayanti, Harsono Salimo, Yulia Lanti Retno Dewi
Background: Childhood obesity is a major public health challenge both in developed and developing countries. The prevalence of childhood obesity has increased over few years. It is caused by imbalance between calorie intake and calories utilized. One or more factors (genetic, behavioral, and environmental) cause obesity in children. This study aimed to examine factors associated with increased risk of overweight and obesity in children in Boyolali, Central Java.Subjects and Method: This wasa case control study carried out at 25 primary schools in Ngemplak sub-district, Boyolali, Central Java. A sample of 200 students was selected by fixed disease sampling. The dependent variable was overweight/obesity. The independent variables were nutritional intake, physical activity, pocket money, paternal education, maternal and paternal nutritional status. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: High nutritional intake(OR= 21.48; 95% CI= 9.82 to 47.98; p= 0.003), low physical activity (OR= 23.72 ; 95% CI= 11.2 to 50.26; p= 0.005), much pocket money (OR= 40.44; 95% CI= 17.42 to 93.88; p= 0.005), high paternal education (OR= 4.04; 95% CI= 2.12 to 7.69; p= 0.019), overweight mother (OR= 84.86; 95% CI= 25.62 to 164.17; p= 0.001), and overweight father (OR= 16.62; 95% CI= 8.21 to 33.63; p= 0.003) were associated with an increased risk of overweight/ obesity among primary school students. Nagelkerke R2= 94.1%.Conclusion: High nutritional intake, low physical activity, much pocket money, high paternal education, overweight mother, and overweight father, are associated with an increased risk of overweight/ obesity among primary school students.Keywords: overweight, obesity, nutritional intake, physical activity, pocket money
背景:儿童肥胖在发达国家和发展中国家都是一个重大的公共卫生挑战。近年来,儿童肥胖的发病率有所上升。它是由卡路里摄入和消耗之间的不平衡引起的。一个或多个因素(遗传、行为和环境)导致儿童肥胖。本研究旨在调查中爪哇Boyolali地区儿童超重和肥胖风险增加的相关因素。研究对象和方法:这是一项病例对照研究,在中爪哇Boyolali Ngemplak街道的25所小学进行。采用固定疾病抽样法抽取200名学生。因变量是超重/肥胖。自变量为营养摄入量、体力活动、零花钱、父亲的教育程度、父母的营养状况。采用问卷调查法收集资料,采用多元logistic回归分析。结果:高营养摄入(OR= 21.48;95% CI= 9.82 ~ 47.98;p= 0.003),低体力活动(OR= 23.72;95% CI= 11.2 ~ 50.26;p= 0.005),较多的零用钱(OR= 40.44;95% CI= 17.42 ~ 93.88;p= 0.005),父亲教育程度高(OR= 4.04;95% CI= 2.12 ~ 7.69;p= 0.019),超重母亲(OR= 84.86;95% CI= 25.62 ~ 164.17;p= 0.001),超重父亲(OR= 16.62;95% CI= 8.21 ~ 33.63;P = 0.003)与小学生超重/肥胖风险增加相关。Nagelkerke R2= 94.1%。结论:高营养摄入、低体力活动、多零花钱、父亲教育程度高、母亲超重、父亲超重与小学生超重/肥胖风险增加有关。关键词:超重,肥胖,营养摄入,体育活动,零用钱
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引用次数: 0
A Study on the Prevalence and Control of Non-Communicable Diseases in Subang, West Java 西爪哇苏邦市非传染性疾病流行与控制研究
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.01.60
Cicilia Windiyaningsih
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引用次数: 0
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Reaching the Unreached: Improving Population Health in the Rural and Remote Areas
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