Projects necessitate students to choose and identify constructive models of investigation and materials while employing appropriate strategies for conducting learning activities. However, the effectiveness of such methods in the context of nursing-specific education has not been extensively explored. This study aimed to assess the effectiveness of project-based learning in emergency and critical care nursing courses for nursing students. This study employed a pre-experimental design. The research sample consisted of 123 students enrolled in the emergency, critical, and disaster management nursing course at Universitas Jember. The research involved a comparison of students' learning outcomes through written test questions before and after they completed a project. The results of the learning assessment before and after the project intervention were analyzed using the Wilcoxon Test. The results of the bivariate obtained a significance value of 0.0001. The results of this statistical test can be concluded that the project-based learning method is effective in increasing the knowledge of emergency, critical and disaster nursing. The project-based learning method proves to be effective in enhancing students' comprehension of emergency, critical, and disaster nursing. Nursing educational institutions can consider the incorporation of this method in curriculum design to create more effective learning strategies. It serves as a promising alternative for enhancing the quality of nursing education. Further research is necessary to validate these findings and investigate various factors that may influence the effectiveness of project-based learning methods in the nursing context.
{"title":"The effectiveness of project-based learning on students’ academic achievement in emergency nursing study","authors":"Arista Maisyaroh, Eko Prasetya Widianto, Syaifuddin Kurnianto","doi":"10.4081/hls.2023.11757","DOIUrl":"https://doi.org/10.4081/hls.2023.11757","url":null,"abstract":"Projects necessitate students to choose and identify constructive models of investigation and materials while employing appropriate strategies for conducting learning activities. However, the effectiveness of such methods in the context of nursing-specific education has not been extensively explored. This study aimed to assess the effectiveness of project-based learning in emergency and critical care nursing courses for nursing students. This study employed a pre-experimental design. The research sample consisted of 123 students enrolled in the emergency, critical, and disaster management nursing course at Universitas Jember. The research involved a comparison of students' learning outcomes through written test questions before and after they completed a project. The results of the learning assessment before and after the project intervention were analyzed using the Wilcoxon Test. The results of the bivariate obtained a significance value of 0.0001. The results of this statistical test can be concluded that the project-based learning method is effective in increasing the knowledge of emergency, critical and disaster nursing. The project-based learning method proves to be effective in enhancing students' comprehension of emergency, critical, and disaster nursing. Nursing educational institutions can consider the incorporation of this method in curriculum design to create more effective learning strategies. It serves as a promising alternative for enhancing the quality of nursing education. Further research is necessary to validate these findings and investigate various factors that may influence the effectiveness of project-based learning methods in the nursing context.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":"9 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136316499","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}
Cancer is the second leading cause of death worldwide. Two prominent factors in this regard are a woman's history of contraceptive use and the duration of breastfeeding. This study aimed to delve into these risk factors and their impact on cancer incidence. The research employed a cross-sectional design involving 125 cancer patients undergoing chemotherapy at Abdul Wahab Sjahranie Hospital in Samarinda, East Kalimantan. This study used a total sampling approach to include all available patients. Data on contraceptive use, breastfeeding duration, and cancer status were collected through a questionnaire and subsequently analyzed using the chi-square test. The study revealed that breast cancer was the most prevalent type, affecting 41.6% of patients. Additionally, more than half of the respondents breastfed for less than two years (52%), while only 48% breastfed for two years or more. Notably, a significant majority (66.4%) had a history of using hormonal contraception. Statistical analysis demonstrated a compelling association between contraceptive history, breastfeeding duration, and cancer incidence (p < 0.001). In summary, the findings highlight a substantial relationship between a woman's history of contraceptive use, the duration of breastfeeding, and the incidence of breast cancer. These results underscore the importance of further research and the development of targeted interventions to better understand and mitigate breast cancer risk factors among women.
{"title":"Cancer risk factors associated with historical contraceptive use and breastfeeding duration","authors":"Pipit Feriani, Esti Yunitasari, Ferry Efendi, Ilya Krisnana, Rini Ernawati, Reny Mareta Sari, Nurus Safaah","doi":"10.4081/hls.2023.11812","DOIUrl":"https://doi.org/10.4081/hls.2023.11812","url":null,"abstract":"Cancer is the second leading cause of death worldwide. Two prominent factors in this regard are a woman's history of contraceptive use and the duration of breastfeeding. This study aimed to delve into these risk factors and their impact on cancer incidence. The research employed a cross-sectional design involving 125 cancer patients undergoing chemotherapy at Abdul Wahab Sjahranie Hospital in Samarinda, East Kalimantan. This study used a total sampling approach to include all available patients. Data on contraceptive use, breastfeeding duration, and cancer status were collected through a questionnaire and subsequently analyzed using the chi-square test. The study revealed that breast cancer was the most prevalent type, affecting 41.6% of patients. Additionally, more than half of the respondents breastfed for less than two years (52%), while only 48% breastfed for two years or more. Notably, a significant majority (66.4%) had a history of using hormonal contraception. Statistical analysis demonstrated a compelling association between contraceptive history, breastfeeding duration, and cancer incidence (p < 0.001). In summary, the findings highlight a substantial relationship between a woman's history of contraceptive use, the duration of breastfeeding, and the incidence of breast cancer. These results underscore the importance of further research and the development of targeted interventions to better understand and mitigate breast cancer risk factors among women.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":"446 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134908577","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}
Rini Purbowati, Vania Mitha Pratiwi, Masfufatun Masfufatun, Putu Oky Ari Tania, Ali Khumaeni
Uropathogenic Escherichia coli (UPEC) is a nosocomial pathogen associated with urinary tract infections and biofilm formation, which contributes to antibiotic resistance. Discovering potent antibacterial agents is crucial. This study aimed to assess the antibacterial and antibiofilm effects of gold and silver nanoparticles on UPEC using Scanning Electron Microscopy (SEM). UPEC biofilms were cultivated on nitrocellulose membranes for 48 hours at 37°C, then treated with gold nanoparticles (50 ppm and 100 ppm) and silver nanoparticles (50 ppm and 100 ppm) for another 48 hours. Antibacterial and antibiofilm activities were evaluated through cell density and SEM analysis. SEM revealed lower cell density, reduced biofilm formation, and altered cell morphology with rough, wrinkled surfaces after nanoparticle treatment. In conclusion, gold and silver nanoparticles exhibit antibacterial and antibiofilm properties, as observed in SEM analysis. SEM is a valuable tool for studying the antimicrobial effects of nano gold and silver on bacterial cell morphology and biofilm populations.
{"title":"Antibacterial and antibiofilm effects of gold and silver nanoparticles against the uropathogenic <i>Escherichia coli</i> by scanning electron microscopy (SEM) analysis","authors":"Rini Purbowati, Vania Mitha Pratiwi, Masfufatun Masfufatun, Putu Oky Ari Tania, Ali Khumaeni","doi":"10.4081/hls.2023.11748","DOIUrl":"https://doi.org/10.4081/hls.2023.11748","url":null,"abstract":"Uropathogenic Escherichia coli (UPEC) is a nosocomial pathogen associated with urinary tract infections and biofilm formation, which contributes to antibiotic resistance. Discovering potent antibacterial agents is crucial. This study aimed to assess the antibacterial and antibiofilm effects of gold and silver nanoparticles on UPEC using Scanning Electron Microscopy (SEM). UPEC biofilms were cultivated on nitrocellulose membranes for 48 hours at 37°C, then treated with gold nanoparticles (50 ppm and 100 ppm) and silver nanoparticles (50 ppm and 100 ppm) for another 48 hours. Antibacterial and antibiofilm activities were evaluated through cell density and SEM analysis. SEM revealed lower cell density, reduced biofilm formation, and altered cell morphology with rough, wrinkled surfaces after nanoparticle treatment. In conclusion, gold and silver nanoparticles exhibit antibacterial and antibiofilm properties, as observed in SEM analysis. SEM is a valuable tool for studying the antimicrobial effects of nano gold and silver on bacterial cell morphology and biofilm populations.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":"10 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134908217","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}
Food packaging today often involves the migration of monomer substances from petroleum-based plastics into the food. This study aimed to determine the effects of storing food in bioplastic on moisture content and peroxide levels. The study design employed a post-test experimental design with a control group. Dodol samples were selected for this study using a simple random sampling method. The bioplastics used were made from cassava peel starch, and the food storage conditions included temperature-humidity variations of 10-15°C and 85.3-90.8% relative humidity and 25-29°C and 46.5%-80.4% relative humidity. Data were collected through laboratory tests and analyzed using the SPSS program. The study found a significant effect of glycerol dosage on the thickness of the bioplastic (p-value < 0.001). There was a significant influence of temperature-humidity storage on moisture content with glycerol dosages of 3 ml (p-value = 0.002), 4 ml (p-value < 0.023), and 5 ml (p-value = 0.007), as well as on the peroxide content of dodol. This effect was particularly pronounced with glycerol dosages of 3 ml (p-value = 0.001), 4 ml (p-value < 0.001), and 5 ml (p-value = 0.008). The results indicate that cassava peel starch bioplastic can serve as a viable alternative for food packaging, provided that temperature and humidity conditions during food storage are carefully controlled.
今天的食品包装经常涉及到从石油基塑料中迁移到食品中的单体物质。这项研究旨在确定在生物塑料中储存食物对水分含量和过氧化氢水平的影响。研究设计采用后测实验设计，设对照组。本研究采用简单随机抽样的方法选取Dodol样本。使用的生物塑料以木薯皮淀粉为原料，贮藏条件为相对湿度10 ~ 15℃、85.3 ~ 90.8%，相对湿度25 ~ 29℃、46.5% ~ 80.4%。通过实验室测试收集数据，并使用SPSS程序进行分析。研究发现甘油用量对生物塑料的厚度有显著影响(p值<0.001)。甘油酯添加量为3 ml (p值= 0.002)、4 ml (p值<0.023)和5 ml (p值= 0.007)，以及过氧化氢含量。当甘油剂量为3ml (p值= 0.001)、4ml (p值<0.001)和5ml (p值= 0.008)。结果表明，木薯皮淀粉生物塑料可以作为一种可行的食品包装替代品，前提是食品储存过程中的温度和湿度条件得到严格控制。
{"title":"Effect of using cassava and glycerol as food storage on the quality of bioplastic packaged food","authors":"Yosephina Ardiani Supardi, Mimin Karmini","doi":"10.4081/hls.2023.11778","DOIUrl":"https://doi.org/10.4081/hls.2023.11778","url":null,"abstract":"Food packaging today often involves the migration of monomer substances from petroleum-based plastics into the food. This study aimed to determine the effects of storing food in bioplastic on moisture content and peroxide levels. The study design employed a post-test experimental design with a control group. Dodol samples were selected for this study using a simple random sampling method. The bioplastics used were made from cassava peel starch, and the food storage conditions included temperature-humidity variations of 10-15°C and 85.3-90.8% relative humidity and 25-29°C and 46.5%-80.4% relative humidity. Data were collected through laboratory tests and analyzed using the SPSS program. The study found a significant effect of glycerol dosage on the thickness of the bioplastic (p-value < 0.001). There was a significant influence of temperature-humidity storage on moisture content with glycerol dosages of 3 ml (p-value = 0.002), 4 ml (p-value < 0.023), and 5 ml (p-value = 0.007), as well as on the peroxide content of dodol. This effect was particularly pronounced with glycerol dosages of 3 ml (p-value = 0.001), 4 ml (p-value < 0.001), and 5 ml (p-value = 0.008). The results indicate that cassava peel starch bioplastic can serve as a viable alternative for food packaging, provided that temperature and humidity conditions during food storage are carefully controlled.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":"PAMI-4 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135413240","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}
Stunting, a consequence of prolonged inadequate nutrition, often due to improper feeding practices, was a significant health issue. This study aimed to investigate the impact of maternal assistance on behaviors aimed at preventing stunting. The research employed a pre-experimental design with a one-group pre-test and post-test for 32 pregnant women attending a Samarinda health center. Data collection utilized structured questionnaires evaluating knowledge, attitudes, and actions. The result of the study revealed that most participants were aged 18-25, had a high level of education, and were housewives. A majority had an income exceeding 2,868,081 units, were primigravida, and lived in nuclear families. Notably, maternal assistance significantly improved stunting prevention behaviors, as evidenced by a p-value of 0.005. This study emphasizes the positive impact of providing comprehensive support, including education and counseling, to pregnant women. Such assistance could enhance knowledge, attitudes, and actions related to stunting prevention. Health professionals should prioritize this support to reduce the risk of stunting among children and promote maternal and child health.
{"title":"The effect of pregnant mother assistance on stunting prevention behavior","authors":"Nursyahid Siregar, Evy Nurachma, Siti Raihanah","doi":"10.4081/hls.2023.11728","DOIUrl":"https://doi.org/10.4081/hls.2023.11728","url":null,"abstract":"Stunting, a consequence of prolonged inadequate nutrition, often due to improper feeding practices, was a significant health issue. This study aimed to investigate the impact of maternal assistance on behaviors aimed at preventing stunting. The research employed a pre-experimental design with a one-group pre-test and post-test for 32 pregnant women attending a Samarinda health center. Data collection utilized structured questionnaires evaluating knowledge, attitudes, and actions. The result of the study revealed that most participants were aged 18-25, had a high level of education, and were housewives. A majority had an income exceeding 2,868,081 units, were primigravida, and lived in nuclear families. Notably, maternal assistance significantly improved stunting prevention behaviors, as evidenced by a p-value of 0.005. This study emphasizes the positive impact of providing comprehensive support, including education and counseling, to pregnant women. Such assistance could enhance knowledge, attitudes, and actions related to stunting prevention. Health professionals should prioritize this support to reduce the risk of stunting among children and promote maternal and child health.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135366996","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}
The rapid development of higher education in nursing and science and technology in Indonesia is still having problems related to the quality of learning, student graduates, and variations in academic quality that affect the quality of higher education. The perspective of nursing students is deemed a crucial factor for assessment and plays a significant role in enhancing learning activities and clinical practices. This study aimed to assess the perspectives of nursing students regarding the performance of their clinical instructors. This study employed a quantitative descriptive research design with an explanatory survey approach, utilizing a cross-sectional methodology. The criteria for selecting respondents consisted of 3rd and 5th-semester students who had completed clinical nursing practice in hospitals. The primary variable examined in this research was the performance of clinical instructors. Data collection was conducted using an instrument in the form of a Course Experience Questionnaire (CEQ) that employed a Likert scale to measure student perspectives on clinical instructor performance. To analyze the correlation between student satisfaction and the five aspects of the CEQ, Spearman's Rho correlation was employed. Nursing student perspectives on clinical instructor performance using CEQ-23 have an overall effect on student satisfaction with a p-value of 0.000. The aspect that has the most influence on student satisfaction was the scale of Generic Skills with 67,7%. Technical proficiency and effective communication skills, clinical instructors must also possess a comprehensive understanding of their roles and functions in guiding students. To enhance the quality of teaching and institutions, it is essential to establish teaching objectives that prioritize the development of general skills and ensure that students comprehend these objectives. Moreover, it is crucial to maintain manageable workloads for instructors. Clinical instructors should consistently offer valuable feedback and guidance to students.
{"title":"Nursing student perspectives on clinical instructor performance","authors":"Rizeki Dwi Fibriansari, Anggia Astuti, Zainal Abidin","doi":"10.4081/hls.2023.11758","DOIUrl":"https://doi.org/10.4081/hls.2023.11758","url":null,"abstract":"The rapid development of higher education in nursing and science and technology in Indonesia is still having problems related to the quality of learning, student graduates, and variations in academic quality that affect the quality of higher education. The perspective of nursing students is deemed a crucial factor for assessment and plays a significant role in enhancing learning activities and clinical practices. This study aimed to assess the perspectives of nursing students regarding the performance of their clinical instructors. This study employed a quantitative descriptive research design with an explanatory survey approach, utilizing a cross-sectional methodology. The criteria for selecting respondents consisted of 3rd and 5th-semester students who had completed clinical nursing practice in hospitals. The primary variable examined in this research was the performance of clinical instructors. Data collection was conducted using an instrument in the form of a Course Experience Questionnaire (CEQ) that employed a Likert scale to measure student perspectives on clinical instructor performance. To analyze the correlation between student satisfaction and the five aspects of the CEQ, Spearman's Rho correlation was employed. Nursing student perspectives on clinical instructor performance using CEQ-23 have an overall effect on student satisfaction with a p-value of 0.000. The aspect that has the most influence on student satisfaction was the scale of Generic Skills with 67,7%. Technical proficiency and effective communication skills, clinical instructors must also possess a comprehensive understanding of their roles and functions in guiding students. To enhance the quality of teaching and institutions, it is essential to establish teaching objectives that prioritize the development of general skills and ensure that students comprehend these objectives. Moreover, it is crucial to maintain manageable workloads for instructors. Clinical instructors should consistently offer valuable feedback and guidance to students.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135570173","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}
In Poso, Central Sulawesi, schistosomiasis prevalence has shown fluctuations, particularly in the Napu Highland, home to around 17,000 people, where there is a 0.15% risk of Schistosomiasis. This study aimed to analyze the risk factors associated with schistosomiasis in the Napu Highland. Conducted from April to June 2022, this case-control study included residents of schistosomiasis-affected villages. The sample consisted of 148 individuals (37 cases and 111 controls). Cases were residents aged over 2 years who had tested positive for schistosomiasis in a 2021 fecal survey conducted by the Poso District Health Office. Controls were selected as the nearest neighbors of the cases. Data on education, knowledge, occupation, sanitation practices, water sources, activities near water bodies, use of protective equipment, and livestock raising were collected through questionnaires. Statistical analysis involved the Chi-square test with α=5%. The results indicated that education (p=0.018; OR=3.147) and knowledge (p=0.056; OR=2.233) were associated with schistosomiasis. Individuals with lower education levels were 3.147 times more likely to contract the disease, while those with limited knowledge were 2.233 times more at risk. In conclusion, improving schistosomiasis prevention in the Napu Highland should involve enhancing knowledge, attitudes, and practices through health promotion initiatives that engage educators and community leaders.
{"title":"Identifying the risk factors of schistosomiasis in Indonesia","authors":"Christine Christine, Herlina Susanto Sunuh, Fellysca Veronica Margareth Politon, Diana Vanda Daturara Doda","doi":"10.4081/hls.2023.11760","DOIUrl":"https://doi.org/10.4081/hls.2023.11760","url":null,"abstract":"In Poso, Central Sulawesi, schistosomiasis prevalence has shown fluctuations, particularly in the Napu Highland, home to around 17,000 people, where there is a 0.15% risk of Schistosomiasis. This study aimed to analyze the risk factors associated with schistosomiasis in the Napu Highland. Conducted from April to June 2022, this case-control study included residents of schistosomiasis-affected villages. The sample consisted of 148 individuals (37 cases and 111 controls). Cases were residents aged over 2 years who had tested positive for schistosomiasis in a 2021 fecal survey conducted by the Poso District Health Office. Controls were selected as the nearest neighbors of the cases. Data on education, knowledge, occupation, sanitation practices, water sources, activities near water bodies, use of protective equipment, and livestock raising were collected through questionnaires. Statistical analysis involved the Chi-square test with α=5%. The results indicated that education (p=0.018; OR=3.147) and knowledge (p=0.056; OR=2.233) were associated with schistosomiasis. Individuals with lower education levels were 3.147 times more likely to contract the disease, while those with limited knowledge were 2.233 times more at risk. In conclusion, improving schistosomiasis prevention in the Napu Highland should involve enhancing knowledge, attitudes, and practices through health promotion initiatives that engage educators and community leaders.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135570214","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}
Olaniyi Felix Sanni, Michael Olugbamila Dada, Abimbola Oluseyi Ariyo, Aisha Oluwakemi Salami, Olaide Lateef Afelumo, Oluwasola Stephen Ayosanmi, Olaiya Paul Abiodun, Elizabeth Abike Sanni
Obstetric fistula is one of the most significant obstetrical concerns and apparent indications of maternal morbidity in low-resource nations. Therefore, the study assessed the prevalence and management of fistula among women of reproductive age (15-49) in low-resource settings. This population-based cross-sectional study was conducted in three local government areas (Jere, Konduga and Maiduguri Municipal City) in Borno State. A structured questionnaire was used to collect data from 484 respondents, and the data were analysed using SPSS version 25.0. The overall prevalence of obstetric fistula was 10.7%. Over 13% of women with seven or more vagina deliveries had a fistula. Likewise, 19% of respondents knew about fistula prevention and treatment services available, and 13.7% of those did not participate in antenatal care services. Furthermore, 48.1% of respondents with a fistula during labour were treated successfully. Almost half (47.9%) who were aware of health facilities around them were successfully treated, same with 46.2% of those living within 1 to 2 km of a health facility, and almost half (49.0%) of those who got married within age 20. The study emphasizes the importance of effective community-level interventions to address obstetric fistula. To achieve this, a comprehensive action plan should be developed, ensuring pregnant women have access to necessary obstetric care services at all healthcare levels. The plan should include preventive measures, timely management of labour complications, and increased awareness of fistula prevention and treatment services. Prioritizing maternal healthcare and empowering women with knowledge and access to services are essential in preventing and managing obstetric fistula.
{"title":"The prevalence and management of obstetric fistula among women of reproductive age in a low-resource setting","authors":"Olaniyi Felix Sanni, Michael Olugbamila Dada, Abimbola Oluseyi Ariyo, Aisha Oluwakemi Salami, Olaide Lateef Afelumo, Oluwasola Stephen Ayosanmi, Olaiya Paul Abiodun, Elizabeth Abike Sanni","doi":"10.4081/hls.2023.11566","DOIUrl":"https://doi.org/10.4081/hls.2023.11566","url":null,"abstract":"Obstetric fistula is one of the most significant obstetrical concerns and apparent indications of maternal morbidity in low-resource nations. Therefore, the study assessed the prevalence and management of fistula among women of reproductive age (15-49) in low-resource settings. This population-based cross-sectional study was conducted in three local government areas (Jere, Konduga and Maiduguri Municipal City) in Borno State. A structured questionnaire was used to collect data from 484 respondents, and the data were analysed using SPSS version 25.0. The overall prevalence of obstetric fistula was 10.7%. Over 13% of women with seven or more vagina deliveries had a fistula. Likewise, 19% of respondents knew about fistula prevention and treatment services available, and 13.7% of those did not participate in antenatal care services. Furthermore, 48.1% of respondents with a fistula during labour were treated successfully. Almost half (47.9%) who were aware of health facilities around them were successfully treated, same with 46.2% of those living within 1 to 2 km of a health facility, and almost half (49.0%) of those who got married within age 20. The study emphasizes the importance of effective community-level interventions to address obstetric fistula. To achieve this, a comprehensive action plan should be developed, ensuring pregnant women have access to necessary obstetric care services at all healthcare levels. The plan should include preventive measures, timely management of labour complications, and increased awareness of fistula prevention and treatment services. Prioritizing maternal healthcare and empowering women with knowledge and access to services are essential in preventing and managing obstetric fistula.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135730625","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}
Adolescents often undergo a tumultuous phase of sexual maturation, leading to increased dating activity due to a lack of adequate knowledge and support. This study aimed to investigate the relationship between knowledge, social support, and sexual behavior among adolescents. The research adopted a cross-sectional design with 100 respondents from Manukan Kulon. Simple random sampling was used to select the respondents. Knowledge and social support served as independent variables, assessed through questionnaires, while sexual behavior was the dependent variable, evaluated with a separate questionnaire. Ordinal data analysis, specifically the Spearman Rho test (ρ<0.05), was employed. Results indicated that 57% of adolescents in Manukan Kulon had low knowledge, 46% lacked social support, and 60% engaged in unsafe sexual behavior. The Spearman Rho test revealed significant relationships between knowledge and sexual behavior (ρ = 0.000) and between social support and sexual behavior (ρ = 0.000). In conclusion, improved knowledge can lead to safer sexual behavior among adolescents, while strong social support, particularly from parents and teachers, plays a vital role in providing information and promoting safe sexual behavior.
{"title":"The relationship between knowledge and social support with sexual behavior in adolescents","authors":"Puji Hastuti, Alesya Putri Jayanti, Astrida Budiarti, Iis Fatimawati","doi":"10.4081/hls.2023.11762","DOIUrl":"https://doi.org/10.4081/hls.2023.11762","url":null,"abstract":"Adolescents often undergo a tumultuous phase of sexual maturation, leading to increased dating activity due to a lack of adequate knowledge and support. This study aimed to investigate the relationship between knowledge, social support, and sexual behavior among adolescents. The research adopted a cross-sectional design with 100 respondents from Manukan Kulon. Simple random sampling was used to select the respondents. Knowledge and social support served as independent variables, assessed through questionnaires, while sexual behavior was the dependent variable, evaluated with a separate questionnaire. Ordinal data analysis, specifically the Spearman Rho test (ρ<0.05), was employed. Results indicated that 57% of adolescents in Manukan Kulon had low knowledge, 46% lacked social support, and 60% engaged in unsafe sexual behavior. The Spearman Rho test revealed significant relationships between knowledge and sexual behavior (ρ = 0.000) and between social support and sexual behavior (ρ = 0.000). In conclusion, improved knowledge can lead to safer sexual behavior among adolescents, while strong social support, particularly from parents and teachers, plays a vital role in providing information and promoting safe sexual behavior.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136115356","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}
Turmeric (Curcuma longa Linn) has been used by Indonesian people for a long time to treat pain in digestive disorders. The purpose of this study was to determine the efficacy of turmeric decoction on pain in gastritis patients. This study employed a quasi-experimental design with a one-group pre- and posttest approach. The consecutive sampling method was employed to recruit 100 participants in Samarinda, Indonesia. After assessing baseline pain levels (Pretest), participants were administered the intervention, which involved the consumption of turmeric decoction for 14 consecutive days, with a regimen of 2 × 150 ml daily, specifically 15 minutes before breakfast and dinner. Post-test measurements were recorded on days 5, 10, and 14. Pain scores were evaluated using the Numeric Rating Scale, Data analysis utilized the paired T-test to determine differences in mean gastritis pain levels before and after the intervention. The findings revealed a significant reduction in gastritis pain scores between the Pretest measurements is 3.8 and the post-test on day 5 (1.34), day 10 (0.62), and day 14 (0.31). The statistical analysis yielded a p-value of 0.000. The study demonstrated the efficacy of turmeric decoction in alleviating pain among gastritis patients, with notable improvements observed as early as day 5 of the treatment regimen. Consequently, we recommend the incorporation of turmeric decoction as a complementary and non-pharmacological therapeutic approach for the effective management of gastritis symptoms.
姜黄(Curcuma longa Linn)长期以来一直被印度尼西亚人用来治疗消化系统疾病的疼痛。本研究的目的是确定姜黄汤对胃炎患者疼痛的疗效。本研究采用准实验设计，采用一组前测和后测方法。采用连续抽样方法，在印度尼西亚萨玛林达地区招募100名参与者。在评估基线疼痛水平(Pretest)后，参与者进行干预，包括连续14天饮用姜黄汤，每天2 × 150毫升，特别是早餐和晚餐前15分钟。在第5、10和14天记录测试后的测量结果。疼痛评分采用数值评定量表进行评估，数据分析采用配对t检验确定干预前后平均胃炎疼痛水平的差异。研究结果显示，在测试前测量值为3.8，测试后第5天(1.34)，第10天(0.62)和第14天(0.31)，胃炎疼痛评分显著降低。统计分析得出的p值为0.000。本研究证实了姜黄汤在缓解胃炎患者疼痛方面的疗效，早在治疗方案的第5天就观察到明显的改善。因此，我们建议合并姜黄汤作为一种补充和非药物治疗方法，有效地管理胃炎症状。
{"title":"Efficacy of turmeric (<i>Curcuma longa Linn</i>) decoction to reduce pain in patients with gastritis","authors":"Ismansyah Ismansyah, Frana Andrianur, Rini Ernawati","doi":"10.4081/hls.2023.11729","DOIUrl":"https://doi.org/10.4081/hls.2023.11729","url":null,"abstract":"Turmeric (Curcuma longa Linn) has been used by Indonesian people for a long time to treat pain in digestive disorders. The purpose of this study was to determine the efficacy of turmeric decoction on pain in gastritis patients. This study employed a quasi-experimental design with a one-group pre- and posttest approach. The consecutive sampling method was employed to recruit 100 participants in Samarinda, Indonesia. After assessing baseline pain levels (Pretest), participants were administered the intervention, which involved the consumption of turmeric decoction for 14 consecutive days, with a regimen of 2 × 150 ml daily, specifically 15 minutes before breakfast and dinner. Post-test measurements were recorded on days 5, 10, and 14. Pain scores were evaluated using the Numeric Rating Scale, Data analysis utilized the paired T-test to determine differences in mean gastritis pain levels before and after the intervention. The findings revealed a significant reduction in gastritis pain scores between the Pretest measurements is 3.8 and the post-test on day 5 (1.34), day 10 (0.62), and day 14 (0.31). The statistical analysis yielded a p-value of 0.000. The study demonstrated the efficacy of turmeric decoction in alleviating pain among gastritis patients, with notable improvements observed as early as day 5 of the treatment regimen. Consequently, we recommend the incorporation of turmeric decoction as a complementary and non-pharmacological therapeutic approach for the effective management of gastritis symptoms.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136113006","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}
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