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Determinants of Loss to Follow Up (LTFU) With HIV Pregnant Women on Antiretroviral Therapy in Programs Prevention for Mother to Child Transmission (PMTCT) in Jayapura Regional Public Hostipal: A Qualitative Study Jayapura地区公立医院预防母婴传播(PMTCT)项目中接受抗逆转录病毒治疗的艾滋病毒孕妇随访失败(LTFU)的决定因素:一项定性研究
Yurmianti Rante Allo, Susana Ramandey, S. Wahyuni
—Adherence to antiretroviral therapy (ARV) is the key to suppressing the development of HIV disease, reducing the risk of drug resistance, improving overall health, improving quality and survival and reducing the risk of HIV transmission. A mother must comply with ARV therapy to prevent transmission from mother to child. Loss to follow up with antiretroviral (ARV) drugs in mothers can increase the risk of HIV transmission from mother to child. This study aims to ascertain the determinants of loss to follow up of HIV pregnant women taking ARV therapy in Preventing Mother-to-Child Transmission (PMTCT) at the Jayapura Regional General Hospital. This research uses a qualitative method with a case study approach. Data collection was carried out through in-depth interviews, observation, focus group discussions (FGD), field notes and documentation with 7 HIV pregnant women who were recorded as not compliant to undergo ARV therapy. Data analysis was performed descriptively using triangulation and content analysis methods. The results of this study reveal that the determinants of loss to follow up with ARV therapy are low vulnerability and perception of illness, the presence of stigma and discrimination that is still high and low social support. With the results of the above study, one conclusion is drawn that the determinants loss to follow up of pregnant women with ARV therapy will add many new cases of HIV in Papua. So that if it is not handled better, then the Three Zero target in 2030 will only discourse
坚持抗逆转录病毒治疗是抑制艾滋病毒疾病发展、减少耐药性风险、改善整体健康、提高质量和生存以及减少艾滋病毒传播风险的关键。母亲必须接受抗逆转录病毒治疗,以防止母婴传播。母亲未能及时接受抗逆转录病毒(ARV)药物随访可增加艾滋病毒母婴传播的风险。本研究旨在确定在查亚普拉地区总医院接受抗逆转录病毒药物治疗的艾滋病毒孕妇在预防母婴传播(PMTCT)中失去随访的决定因素。本研究采用个案研究的定性方法。通过深入访谈、观察、焦点小组讨论(FGD)、实地记录和记录7名不符合接受抗逆转录病毒治疗的艾滋病毒孕妇进行数据收集。采用三角法和内容分析法对数据进行描述性分析。本研究的结果表明,丧失抗逆转录病毒治疗的决定因素是低脆弱性和对疾病的感知,仍然存在的耻辱和歧视,以及低社会支持。根据上述研究的结果,得出的一个结论是,对接受抗逆转录病毒治疗的孕妇进行随访时决定因素的丧失将增加巴布亚许多新的艾滋病毒病例。因此,如果处理得不好,那么2030年的“三零”目标将只是空谈
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引用次数: 0
The Effect of Nutrition Support of Commercial Formula and FortemDia_Tri on Total Cholesterol Level and Blood Pressure in Type 2 Diabetes Mellitus Patients 商业配方奶粉和FortemDia_Tri营养支持对2型糖尿病患者总胆固醇水平和血压的影响
T. Hidayat, Sugiarto, B. Wiboworini
— Most people with diabetes mellitus (DM) type 2 have increased lipid prevalence. An increase in cholesterol levels can reach 28% to 34%. High cholesterol levels accompanied by an increase in blood pressure in people with type-2 DM can increase the risk of cardiovascular disease. Proper nutritional support in the patient with type-2 DM is needed in controlling blood sugar along with controlling cholesterol levels and blood pressure. FortemDia_Tri is the development of a liquid dietary modification as nutritional support based on tempeh flour and mung beans as the main source of isoflavones and other ingredients such as skim milk flour, brown rice flour, canola oil, and maltodextrin, which are recommended for type-2 DM patients. Most commercial formulas do not contain isoflavones. The purpose of this research is to determine the effect of nutritional support for commercial formulas and FortemDia_Tri on reducing cholesterol levels and blood pressure in patients with type-2 DM. The sample of this study includes 33 patients with type-2 DM with the sample who neither takes insulin therapy nor consumes cholesterol-lowering drugs. Some samples were divided into 3 groups: control group (P1) given DM dietary education (n=11), P2 group given commercial formula (n = 11), and P3 group given the FortemDia_Tri (n=11). The dosage of commercial formula and FortemDia_Tri was 500 ml and 400 ml/day/person given 2 times/day, respectively. The intervention was done in 5 days. This study is analytical research with a randomized experimental study approach. The research design used is the pretest-posttest control-group design. The data of this research were analyzed with a one-way ANOVA test with the posthoc LSD test. After 5 days of treatment, there was a change in the level of total cholesterol of P2 group (-8.91 ± 23.17 mg/dl) with p = 0.231, and P3 group (-40.09 ± 25.04 mg/dl) with p = 0.000). Meanwhile, there was no change in the control group, and there was a significant difference between those groups (p = 0.001). P3 group has reduced more blood pressure than P1 and P2 groups, but the decrease was not different between the groups (p > 0.05). The FortemDia_Tri nutritional support can help reduce cholesterol levels and blood pressure in patients with type-2 DM. Further studies with longer duration and more sample sizes areneeded.
-大多数2型糖尿病(DM)患者血脂患病率升高。胆固醇水平可增加28%至34%。2型糖尿病患者的高胆固醇水平伴随着血压升高会增加患心血管疾病的风险。2型糖尿病患者需要适当的营养支持来控制血糖,同时控制胆固醇水平和血压。FortemDia_Tri是一种以豆豉粉和绿豆为主要来源的异黄酮和其他成分(如脱脂牛奶粉、糙米粉、菜籽油和麦芽糖糊精)作为营养支持的液体膳食添加剂的开发,推荐用于2型糖尿病患者。大多数商业配方不含异黄酮。本研究的目的是确定商业配方和FortemDia_Tri的营养支持对2型糖尿病患者降低胆固醇水平和血压的影响。本研究的样本包括33例2型糖尿病患者,样本既不接受胰岛素治疗,也不服用降胆固醇药物。将部分样品分为3组:对照组(P1)给予DM饲粮教育(n=11), P2组给予商业配方(n=11), P3组给予FortemDia_Tri (n=11)。市售配方和FortemDia_Tri的剂量分别为500 ml和400 ml/天/人,给药2次/天。干预在5天内完成。本研究采用随机实验研究方法进行分析研究。本研究采用前测后测控制组设计。本研究资料采用单因素方差分析及后置LSD检验进行分析。治疗5 d后,P2组(-8.91±23.17 mg/dl)和P3组(-40.09±25.04 mg/dl)总胆固醇水平变化(p = 0.231), p = 0.000。对照组无明显变化,两组间差异有统计学意义(p = 0.001)。P3组血压下降幅度高于P1和P2组,但组间差异无统计学意义(p < 0.05)。FortemDia_Tri营养支持可以帮助降低2型糖尿病患者的胆固醇水平和血压。需要进一步进行更长时间和更大样本量的研究。
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引用次数: 1
The Usage of Video in Encouraging Women With Cervical Cancer Risk to Do Early Detection: A Qualitative Study 视频在鼓励宫颈癌高危妇女早期检测中的应用:一项定性研究
Ismarwati, Mulyanto, Soetrisno, S. Mulyani
— Global Burden of Cancer identified that cervical cancer is the fourth most cancer, but is the second most cancer in women aged 15-44 years and is estimated to be> 80% in developing countries. This research is a qualitative research with casus study approach. Sampling was done by using purposive sampling technique. The use of video media containing cervical cancer material and early detection can increase knowledge and positive attitudes towards cervical cancer and early detection. Conclusion: The use of video in health promotion can increase knowledge and positive attitudes towards cervical cancer and early detection. Knowledge and positive attitude towards the urgency of early detection of cervical cancer are fully practiced in the form of concrete behavior.
-全球癌症负担确定子宫颈癌是第四大癌症,但在15-44岁妇女中是第二大癌症,估计在发展中国家超过80%。本研究采用原因研究方法进行定性研究。采用有目的抽样技术进行抽样。使用含有宫颈癌材料和早期发现的视频媒体可以增加对宫颈癌和早期发现的知识和积极态度。结论:利用视频进行健康宣传,可以提高妇女对宫颈癌的认识,提高妇女对宫颈癌早期发现的积极态度。对早期发现宫颈癌的紧迫性的认识和积极态度,以具体行为的形式得到充分的实践。
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引用次数: 0
Digital Image Processing in CT Scan Facial Bone With Low mAs to Improve Image Quality and Radiation Dose Reduction 低mAs面部骨CT扫描数字图像处理提高图像质量和降低辐射剂量
Widya Mufida, Leny Latifah, J. Ardiyanto
This study aims to get the lowest mAs on CT Scan Facial Bone so that the radiation dose can be reduced. The reduction of radiation dose can reduce image quality, so digital image processing applications are used which aim to improve image quality so as to produce image information that is still acceptable. Keywords— mAs, slice thickness reconstruction, CT Scan
本研究旨在获得面部骨CT扫描的最低mAs,以减少辐射剂量。辐射剂量的降低会降低图像质量,因此采用数字图像处理应用,其目的是提高图像质量,从而产生仍然可以接受的图像信息。关键词:mAs,层厚重建,CT扫描
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引用次数: 0
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Proceedings of the International Conference on Health and Medical Sciences (AHMS 2020)
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