Liliia Semenenko, Uzef B. Dobrovolskyi, Stanislav Petrenko, Maria Yarmolchyk, Oleksii Ishchenko
With the rise in cases of professional burnout, research on best practices and opportunities for implementing emotional burnout prevention and treatment among special services and military personnel became more relevant. The aim of this study is to determine the most efficient methods of therapy and to reveal the necessity of preventing and mitigating the symptoms of emotional burnout among special services and military personnel. Additionally, best practices and opportunities for their application by Ukrainian, Kazakh, Polish, British, American, Canadian, and South Korean specialists are highlighted. Experimentation is the main approach used in this problem’s investigation. As a result, the study describes the unique aspects of the jobs performed by special services and military personnel, highlights the primary approaches to treating and preventing emotional burnout, and identifies which approaches are most successful for each group of workers based on their unique personal traits. Consequently, the study delineates the particulars and attributes of the work performed by personnel in special services and military structures, outlines the primary approaches and strategies for mitigating and averting emotional exhaustion, and indicates which of these approaches work best for these groups of workers, taking into account their unique personal traits. The introduction of emotional burnout training as a preventative intervention is supported by best practices and future possibilities.
{"title":"Management and prevention of emotional burnout among members of the armed and special forces","authors":"Liliia Semenenko, Uzef B. Dobrovolskyi, Stanislav Petrenko, Maria Yarmolchyk, Oleksii Ishchenko","doi":"10.4081/hls.2024.12445","DOIUrl":"https://doi.org/10.4081/hls.2024.12445","url":null,"abstract":"With the rise in cases of professional burnout, research on best practices and opportunities for implementing emotional burnout prevention and treatment among special services and military personnel became more relevant. The aim of this study is to determine the most efficient methods of therapy and to reveal the necessity of preventing and mitigating the symptoms of emotional burnout among special services and military personnel. Additionally, best practices and opportunities for their application by Ukrainian, Kazakh, Polish, British, American, Canadian, and South Korean specialists are highlighted. Experimentation is the main approach used in this problem’s investigation. As a result, the study describes the unique aspects of the jobs performed by special services and military personnel, highlights the primary approaches to treating and preventing emotional burnout, and identifies which approaches are most successful for each group of workers based on their unique personal traits. Consequently, the study delineates the particulars and attributes of the work performed by personnel in special services and military structures, outlines the primary approaches and strategies for mitigating and averting emotional exhaustion, and indicates which of these approaches work best for these groups of workers, taking into account their unique personal traits. The introduction of emotional burnout training as a preventative intervention is supported by best practices and future possibilities.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141921194","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 allergy occupies a significant place among disorders that impair the quality of patients’ lives, bringing a large number of restrictions to their diet and lifestyle. Therefore, the purpose of this study is to examine the clinical features of allergy to chicken eggs with the determination of key trends in diagnosis and treatment. A descriptive and comparative analysis of three cases was carried out with a large-scale assessment of specific Immunoglobulins E (IgE), determined by the enzyme-linked immunosorbent assay. It becomes clear, that due to the high prevalence of allergy to white and yolk of chicken eggs in the general population (among the Polish population including), chicken eggs have severe allergenic characteristics and may display various symptoms that may be problematic to differentiate. The patients from the presented cases were characterized by a severe course of the disease – minimal consumption of chicken eggs led to the development of urticaria, swelling of the eyelids, and bronchospasm, which required urgent administration of adrenaline and hospitalization. For the purpose of diagnosis, patients with anaphylactic reactions are highly restricted, because methods of skin prick testing, and provocation tests (oral and nasal) are contraindicated. In this regard, molecular diagnostics and the determination of specific immunoglobulins E for ovalbumin, ovomucoid, and other glycoproteins are recommended. This research can lead to the creation of purified recombinant allergens for use in the process of diagnosis and treatment, as well as in the food industry, also, it emphasizes the introduction of preventive measures for the development of anaphylaxis.
食物过敏在损害患者生活质量的疾病中占有重要地位，给患者的饮食和生活方式带来了诸多限制。因此，本研究旨在探讨对鸡肉鸡蛋过敏的临床特征，并确定诊断和治疗的主要趋势。通过酶联免疫吸附试验测定特异性免疫球蛋白 E (IgE)，对三个病例进行了描述性比较分析。很明显，由于一般人群（包括波兰人）对鸡蛋白和鸡蛋黄过敏的发病率很高，鸡蛋白具有严重的过敏特性，可能会表现出各种症状，难以区分。本病例中的患者病程严重--食用少量鸡肉就会导致荨麻疹、眼睑肿胀和支气管痉挛，需要紧急注射肾上腺素并住院治疗。在诊断方面，过敏反应患者受到很大限制，因为皮肤点刺试验、激发试验（口腔和鼻腔）等方法都是禁忌的。在这方面，建议采用分子诊断方法，测定卵清蛋白、卵粘蛋白和其他糖蛋白的特异性免疫球蛋白 E。这项研究可以产生纯化的重组过敏原，用于诊断和治疗过程以及食品工业，同时还强调了过敏性休克的预防措施。
{"title":"Practical experience of allergy to egg proteins clinical manifestation","authors":"Maria Zofia Lisiecka","doi":"10.4081/hls.2024.12430","DOIUrl":"https://doi.org/10.4081/hls.2024.12430","url":null,"abstract":"Food allergy occupies a significant place among disorders that impair the quality of patients’ lives, bringing a large number of restrictions to their diet and lifestyle. Therefore, the purpose of this study is to examine the clinical features of allergy to chicken eggs with the determination of key trends in diagnosis and treatment. A descriptive and comparative analysis of three cases was carried out with a large-scale assessment of specific Immunoglobulins E (IgE), determined by the enzyme-linked immunosorbent assay. It becomes clear, that due to the high prevalence of allergy to white and yolk of chicken eggs in the general population (among the Polish population including), chicken eggs have severe allergenic characteristics and may display various symptoms that may be problematic to differentiate. The patients from the presented cases were characterized by a severe course of the disease – minimal consumption of chicken eggs led to the development of urticaria, swelling of the eyelids, and bronchospasm, which required urgent administration of adrenaline and hospitalization. For the purpose of diagnosis, patients with anaphylactic reactions are highly restricted, because methods of skin prick testing, and provocation tests (oral and nasal) are contraindicated. In this regard, molecular diagnostics and the determination of specific immunoglobulins E for ovalbumin, ovomucoid, and other glycoproteins are recommended. This research can lead to the creation of purified recombinant allergens for use in the process of diagnosis and treatment, as well as in the food industry, also, it emphasizes the introduction of preventive measures for the development of anaphylaxis.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"9 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141925361","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}
A. Mansur, Meri Neherta, Lili Fajria, Ira Mulya Sari, Yelly Herien, Mutia Farlina, Putri Dwi Rusmayanti
Sexual abuse among adolescents With Intellectual Disabilities (ID) has been significantly under-researched despite their high vulnerability. This study aimed to assess the sexual abuse prevention knowledge of adolescent girls with ID in Padang and explore how various respondents' characteristics relate to the risk of sexual abuse. Findings from this study may inform future prevention strategies and support services. A descriptive cross-sectional approach was utilized, and involved 50 adolescent girls from five special education schools in Padang. Respondents were assessed using the Illustrated Scale Measuring Sexual Abuse Prevention Knowledge, which covered five key domains. The study analyzed the risk of sexual abuse and related factors. The findings revealed significant knowledge disparities, especially in identifying abusive situations, with notably low scores. Statistical analysis showed a strong correlation between the disability category and additional mental or physical conditions, indicating an increased risk of sexual abuse. The results emphasize the urgent need for customized educational programs to address the specific challenges faced by adolescents with ID. Enhancing sexual abuse prevention knowledge is crucial for reducing their victimization risk. The study recommends comprehensive educational strategies and supportive interventions tailored to their cognitive and physical profiles.
{"title":"Assessing sexual-abuse prevention knowledge and related factors among adolescent girls with intellectual disabilities in Padang: a cross-sectional study","authors":"A. Mansur, Meri Neherta, Lili Fajria, Ira Mulya Sari, Yelly Herien, Mutia Farlina, Putri Dwi Rusmayanti","doi":"10.4081/hls.2024.12705","DOIUrl":"https://doi.org/10.4081/hls.2024.12705","url":null,"abstract":"Sexual abuse among adolescents With Intellectual Disabilities (ID) has been significantly under-researched despite their high vulnerability. This study aimed to assess the sexual abuse prevention knowledge of adolescent girls with ID in Padang and explore how various respondents' characteristics relate to the risk of sexual abuse. Findings from this study may inform future prevention strategies and support services. A descriptive cross-sectional approach was utilized, and involved 50 adolescent girls from five special education schools in Padang. Respondents were assessed using the Illustrated Scale Measuring Sexual Abuse Prevention Knowledge, which covered five key domains. The study analyzed the risk of sexual abuse and related factors. The findings revealed significant knowledge disparities, especially in identifying abusive situations, with notably low scores. Statistical analysis showed a strong correlation between the disability category and additional mental or physical conditions, indicating an increased risk of sexual abuse. The results emphasize the urgent need for customized educational programs to address the specific challenges faced by adolescents with ID. Enhancing sexual abuse prevention knowledge is crucial for reducing their victimization risk. The study recommends comprehensive educational strategies and supportive interventions tailored to their cognitive and physical profiles.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"8 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141928153","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}
Wiralis Wiralis, Suwarniati Suwarni, Hariani Hariani, A. Askrening, Nadimin Nadimin
Sea hare gonad and moringa leaf contain essential nutrients for growth and tissue formation and have physiological effects on the body. The research was to study the effects of sea hare gonad flour and moringa leaf flour formula on body weight and Hemoglobin (Hb) levels in female Wistar anemic rats. This research was conducted in a laboratory using a randomized control pretest-posttest design. The study sample consisted of 30 female Wistar rats (Rattus norvegicus) aged 5-7 months and weighing 100-150 g, all of which were anemic. The rats were divided into five treatment groups: K+ received 1.1 mg/week of iron supplementation, K- received no treatment, F1 received 3 g of sea hare gonad formula, F2 received 3 g of sea hare gonad formula and 1 g of moringa leaf flour, and F3 received 3 g of sea hare gonad formula and 2 g of moringa leaf flour. The intervention lasted for 24 days, and measurements of body weight and Hb levels were taken before and after the intervention. The change in body weight before and after the intervention in each group was as follows: K-=51.5±17.1 g, K+=-41.2±2.6 g, F1=14.3±5.7 g, F2=30.4±8.6 g, and F3=55.1±16.2 g. There was a significant difference in the increase in body weight among the groups (p=0.002). Hb levels also increased after the intervention, with changes as follows: K-=-2.56±0.95 g, K+=9.10±1.87 g, F1=7.10±1.2 g, F2=8.68±0.22 g, and F3=8.98±2.7 g. There was a significant difference in the increase in Hb levels among the intervention groups (p=0.000). The administration of sea hare gonad formula and moringa leaf flour can increase body weight and Hb levels in female anemic rats. This finding suggests the potential use of these ingredients as beneficial nutritional supplements to improve nutritional status in individuals with anemia.
{"title":"The administration of sea hare gonad and moringa leaf formula increases body weight hemoglobin in female Wistar rats","authors":"Wiralis Wiralis, Suwarniati Suwarni, Hariani Hariani, A. Askrening, Nadimin Nadimin","doi":"10.4081/hls.2024.11952","DOIUrl":"https://doi.org/10.4081/hls.2024.11952","url":null,"abstract":"Sea hare gonad and moringa leaf contain essential nutrients for growth and tissue formation and have physiological effects on the body. The research was to study the effects of sea hare gonad flour and moringa leaf flour formula on body weight and Hemoglobin (Hb) levels in female Wistar anemic rats. This research was conducted in a laboratory using a randomized control pretest-posttest design. The study sample consisted of 30 female Wistar rats (Rattus norvegicus) aged 5-7 months and weighing 100-150 g, all of which were anemic. The rats were divided into five treatment groups: K+ received 1.1 mg/week of iron supplementation, K- received no treatment, F1 received 3 g of sea hare gonad formula, F2 received 3 g of sea hare gonad formula and 1 g of moringa leaf flour, and F3 received 3 g of sea hare gonad formula and 2 g of moringa leaf flour. The intervention lasted for 24 days, and measurements of body weight and Hb levels were taken before and after the intervention. The change in body weight before and after the intervention in each group was as follows: K-=51.5±17.1 g, K+=-41.2±2.6 g, F1=14.3±5.7 g, F2=30.4±8.6 g, and F3=55.1±16.2 g. There was a significant difference in the increase in body weight among the groups (p=0.002). Hb levels also increased after the intervention, with changes as follows: K-=-2.56±0.95 g, K+=9.10±1.87 g, F1=7.10±1.2 g, F2=8.68±0.22 g, and F3=8.98±2.7 g. There was a significant difference in the increase in Hb levels among the intervention groups (p=0.000). The administration of sea hare gonad formula and moringa leaf flour can increase body weight and Hb levels in female anemic rats. This finding suggests the potential use of these ingredients as beneficial nutritional supplements to improve nutritional status in individuals with anemia.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"34 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141927094","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}
Coronary heart disease, the most prevalent non-communicable disease, poses both physical and psychological challenges, including anxiety and depression. Addressing these issues requires a holistic approach that integrates biological, psychological, social, and spiritual dimensions. Spiritual care interventions can alleviate psychological distress and enhance patient satisfaction in nursing care. This study explored the impact of combining spiritual care with murottal auditory therapy to reduce anxiety and depression in patients with coronary heart disease. In this quasi-experimental study, 110 participants were divided into intervention and control groups, each with 55 participants selected based on specific criteria. Anxiety and depression levels were assessed using the validated Depression Anxiety Stress Scale (DASS). The intervention group received daily murottal therapy sessions lasting 15 to 20 minutes for three days at Siti Khadijah Islamic Hospital in Palembang from March to July 2023. Pre-test and post-test assessments were conducted. The results indicated that a significant proportion of patients in the intervention group experienced mild anxiety (52.7%) and reduced depression (65.5%) after murottal therapy. Significant differences in anxiety and depression levels were observed between the intervention and control groups, with p-values of 0.000 for both. murottal auditory therapy, mainly using Surah Ar-Rahman, effectively reduces anxiety and depression in patients with coronary heart disease, offering a promising complementary treatment approach.
{"title":"Enhancing mental well-being in coronary heart disease patients: the impact of integrated spiritual care and murottal auditory therapy on reducing anxiety and depression","authors":"Aris Citra Wisuda, Tukiminbin Sansuwito, Citra Suraya, Rusmarita Rusmarita, Dian Emiliasari","doi":"10.4081/hls.2024.12621","DOIUrl":"https://doi.org/10.4081/hls.2024.12621","url":null,"abstract":"Coronary heart disease, the most prevalent non-communicable disease, poses both physical and psychological challenges, including anxiety and depression. Addressing these issues requires a holistic approach that integrates biological, psychological, social, and spiritual dimensions. Spiritual care interventions can alleviate psychological distress and enhance patient satisfaction in nursing care. This study explored the impact of combining spiritual care with murottal auditory therapy to reduce anxiety and depression in patients with coronary heart disease. In this quasi-experimental study, 110 participants were divided into intervention and control groups, each with 55 participants selected based on specific criteria. Anxiety and depression levels were assessed using the validated Depression Anxiety Stress Scale (DASS). The intervention group received daily murottal therapy sessions lasting 15 to 20 minutes for three days at Siti Khadijah Islamic Hospital in Palembang from March to July 2023. Pre-test and post-test assessments were conducted. The results indicated that a significant proportion of patients in the intervention group experienced mild anxiety (52.7%) and reduced depression (65.5%) after murottal therapy. Significant differences in anxiety and depression levels were observed between the intervention and control groups, with p-values of 0.000 for both. murottal auditory therapy, mainly using Surah Ar-Rahman, effectively reduces anxiety and depression in patients with coronary heart disease, offering a promising complementary treatment approach.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141927747","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}
Menopause is an inevitable yet normal biological process in a woman’s life. The menopausal process has been associated with a decline in muscle strength and functional capacity. Thus, the present study aimed to study the association of the 30-Second Chair Stand Test (30s CST) with the 6-Minute Walk Test (6MWT) among postmenopausal women. Thirty-five postmenopausal women aged 40–55 years were included in this cross-sectional study by purposive sampling method. After initial screening and assessment 30s CST and 6MWT were recorded as per standardised guidelines. The mean and Standard Deviation (SD) for all continuous variables was calculated. Correlations were estimated using Pearson’s coefficient of correlation. A two-tailed p-value <0.05 was considered statistically significant. There exists a significant positive association of 30s CST values with 6MWD among postmenopausal women. Also, the Rate of Perceived Exertion (RPE) scores after the 6MWT were found to be significantly correlated with RPE scores after 30s CST. In conclusion, there exists a significant positive correlation of 30s CST with 6MWT among postmenopausal women. The 30s CST could be used as an economical and quick physical function assessment measure among postmenopausal women in low-resource settings.
{"title":"Thirty seconds chair stand performance is associated with six-minute walk test among postmenopausal women: inference from a cross-sectional study among women from India","authors":"H. Vaish, Digvijay Sharma","doi":"10.4081/hls.2024.12622","DOIUrl":"https://doi.org/10.4081/hls.2024.12622","url":null,"abstract":"Menopause is an inevitable yet normal biological process in a woman’s life. The menopausal process has been associated with a decline in muscle strength and functional capacity. Thus, the present study aimed to study the association of the 30-Second Chair Stand Test (30s CST) with the 6-Minute Walk Test (6MWT) among postmenopausal women. Thirty-five postmenopausal women aged 40–55 years were included in this cross-sectional study by purposive sampling method. After initial screening and assessment 30s CST and 6MWT were recorded as per standardised guidelines. The mean and Standard Deviation (SD) for all continuous variables was calculated. Correlations were estimated using Pearson’s coefficient of correlation. A two-tailed p-value <0.05 was considered statistically significant. There exists a significant positive association of 30s CST values with 6MWD among postmenopausal women. Also, the Rate of Perceived Exertion (RPE) scores after the 6MWT were found to be significantly correlated with RPE scores after 30s CST. In conclusion, there exists a significant positive correlation of 30s CST with 6MWT among postmenopausal women. The 30s CST could be used as an economical and quick physical function assessment measure among postmenopausal women in low-resource settings.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"41 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141928609","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}
Recurrent Pregnancy Loss (RPL) is diagnosed in 3% of all patients of reproductive age and is of high interest to reproductive medicine specialists. Immunological predispositions are among the crucial risk factors for RPL development in female patients suffering from RPL. Therefore, the purpose of this work is to investigate the role and effectiveness of individualised immunological treatment approaches by analysing several clinical cases with diagnosed pregnancy loss and the results of tailored immunological therapies. Based on 25 years of clinical experience and scientific research the paper analysed the relationship between Human Leukocyte Antigens (HLA) tissue compatibility and ABO blood group system incompatibility in immunological pregnancy failure. The connection of these factors was shown in 2 clinical cases suffering from RPL who agreed to participate in research. Research was performed at Nakhchivan Birth Center and Nakhchivan State University. The results of the study provided evidence based on these cases of RPL that ended with successful childbirth after the suggested genetic assessment and immunological treatment. Individual treatment of immunological pregnancy failure with HLA and ABO blood group incompatibilities showed more effective outcomes if compared to previous schemes of treatment. HLA compatibility in loci 3 combined with affinity on the ABO system strongly demanded immunological therapy prescription for successful implantation of the blastocyst. The outcomes obtained from the study can be implemented in obstetrics and gynecology for the improvement of clinical cases suffering from RPL.
{"title":"New aspects of immunological risk factors in the treatment of recurrent pregnancy loss","authors":"Gültakin Aliyeva, Samangul Tarverdiyeva, Matlab Ibrahimov","doi":"10.4081/hls.2024.12563","DOIUrl":"https://doi.org/10.4081/hls.2024.12563","url":null,"abstract":"Recurrent Pregnancy Loss (RPL) is diagnosed in 3% of all patients of reproductive age and is of high interest to reproductive medicine specialists. Immunological predispositions are among the crucial risk factors for RPL development in female patients suffering from RPL. Therefore, the purpose of this work is to investigate the role and effectiveness of individualised immunological treatment approaches by analysing several clinical cases with diagnosed pregnancy loss and the results of tailored immunological therapies. Based on 25 years of clinical experience and scientific research the paper analysed the relationship between Human Leukocyte Antigens (HLA) tissue compatibility and ABO blood group system incompatibility in immunological pregnancy failure. The connection of these factors was shown in 2 clinical cases suffering from RPL who agreed to participate in research. Research was performed at Nakhchivan Birth Center and Nakhchivan State University. The results of the study provided evidence based on these cases of RPL that ended with successful childbirth after the suggested genetic assessment and immunological treatment. Individual treatment of immunological pregnancy failure with HLA and ABO blood group incompatibilities showed more effective outcomes if compared to previous schemes of treatment. HLA compatibility in loci 3 combined with affinity on the ABO system strongly demanded immunological therapy prescription for successful implantation of the blastocyst. The outcomes obtained from the study can be implemented in obstetrics and gynecology for the improvement of clinical cases suffering from RPL.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"38 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141928660","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}
Pulmonary Tuberculosis (TB) is one of the leading causes of death globally, including in Indonesia. TB patients often experience anxiety, frustration, irritability, and guilt, influenced by their knowledge, attitudes, beliefs, work, and primarily psychospiritual factors. One form of support provided to these patients is the Psycho-Spiritual and Spiritual Emotional Freedom Technique (PS-SEFT). This research aimed to determine the effect of e-counseling combined with PS-SEFT on anxiety levels and motivation for recovery in TB patients. The study used an experimental, correlational analytical method, with a random sample of 14 respondents suffering from pulmonary tuberculosis. The independent variable was the provision of e-counseling combined with PS-SEFT, and the dependent variables were the levels of anxiety and motivation to recover from TB. Data collection instruments included questionnaires, the HARZ scale, and medical records. Data were processed using various analyses, including the paired t-test and Wilcoxon test. The results showed a significant decrease in anxiety levels after the PS-SEFT intervention, with anxiety reducing by 35.7% from a previously very severe level. Motivation to recover increased significantly, with all 14 patients (100%) showing improvement from moderate to high levels. The Wilcoxon test results indicated a significant difference in the anxiety levels of TB patients before and after the PS-SEFT intervention (p-value=0.005), with the HARZ score decreasing from 95.00 to 32.00. The paired t-test results also showed a significant difference in patient motivation to recover before and after the PS-SEFT intervention (p-value=0.000), with the motivation score increasing from 91.25 to 98.75. Routine PS-SEFT practice by TB patients enhances their ability to manage anxiety and motivates them to recover. The success of these patients must be supported and accompanied by their families.
{"title":"E-counseling development model: modified Psycho-Spiritual and Spiritual Emotional Freedom Technique (PS-SEFT) on anxiety levels and recovery motivation in pulmonary Tuberculosis patients","authors":"Ima Nadatien, Abdul Muhith, R. Budiarti, M. Ibad","doi":"10.4081/hls.2024.11990","DOIUrl":"https://doi.org/10.4081/hls.2024.11990","url":null,"abstract":"Pulmonary Tuberculosis (TB) is one of the leading causes of death globally, including in Indonesia. TB patients often experience anxiety, frustration, irritability, and guilt, influenced by their knowledge, attitudes, beliefs, work, and primarily psychospiritual factors. One form of support provided to these patients is the Psycho-Spiritual and Spiritual Emotional Freedom Technique (PS-SEFT). This research aimed to determine the effect of e-counseling combined with PS-SEFT on anxiety levels and motivation for recovery in TB patients. The study used an experimental, correlational analytical method, with a random sample of 14 respondents suffering from pulmonary tuberculosis. The independent variable was the provision of e-counseling combined with PS-SEFT, and the dependent variables were the levels of anxiety and motivation to recover from TB. Data collection instruments included questionnaires, the HARZ scale, and medical records. Data were processed using various analyses, including the paired t-test and Wilcoxon test. The results showed a significant decrease in anxiety levels after the PS-SEFT intervention, with anxiety reducing by 35.7% from a previously very severe level. Motivation to recover increased significantly, with all 14 patients (100%) showing improvement from moderate to high levels. The Wilcoxon test results indicated a significant difference in the anxiety levels of TB patients before and after the PS-SEFT intervention (p-value=0.005), with the HARZ score decreasing from 95.00 to 32.00. The paired t-test results also showed a significant difference in patient motivation to recover before and after the PS-SEFT intervention (p-value=0.000), with the motivation score increasing from 91.25 to 98.75. Routine PS-SEFT practice by TB patients enhances their ability to manage anxiety and motivates them to recover. The success of these patients must be supported and accompanied by their families.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141803775","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}
Tri Nurhidayati, Atika Alfia Rizki, Dewi Setyawati, Ah Yusuf, Retno Indarwati
Older people suffering from depression often exhibit low self-efficacy, which causes them to quickly give up on challenges caused by various problems related to ageing, such as physical, social and mental aspects, including depression, which ultimately impact their quality of life and productivity. Depression in the elderly is caused by physical, psychological, and social interactions with other people, especially caregivers in nursing homes. This study employed a phenomenological approach to analyse self-efficacy among older adults suffering from depression through qualitative inquiries. The participants who met the inclusion criteria lived in nursing homes for more than one year and experienced depression. In-depth interviews were conducted using a structured guide with a general self-efficacy scale (GSES), Indonesian version. The study was conducted in an older adult nursing home in 2022 with 14 older adults. The results were divided into four themes – accompanying performance, vicarious learning, verbal encouragement and emotional states – and indicated that older adults with depression experienced poor self-efficacy and described how to cope with poor self-efficacy.
{"title":"Self-efficacy in older adults with depression: a qualitative study","authors":"Tri Nurhidayati, Atika Alfia Rizki, Dewi Setyawati, Ah Yusuf, Retno Indarwati","doi":"10.4081/hls.2024.12851","DOIUrl":"https://doi.org/10.4081/hls.2024.12851","url":null,"abstract":"Older people suffering from depression often exhibit low self-efficacy, which causes them to quickly give up on challenges caused by various problems related to ageing, such as physical, social and mental aspects, including depression, which ultimately impact their quality of life and productivity. Depression in the elderly is caused by physical, psychological, and social interactions with other people, especially caregivers in nursing homes. This study employed a phenomenological approach to analyse self-efficacy among older adults suffering from depression through qualitative inquiries. The participants who met the inclusion criteria lived in nursing homes for more than one year and experienced depression. In-depth interviews were conducted using a structured guide with a general self-efficacy scale (GSES), Indonesian version. The study was conducted in an older adult nursing home in 2022 with 14 older adults. The results were divided into four themes – accompanying performance, vicarious learning, verbal encouragement and emotional states – and indicated that older adults with depression experienced poor self-efficacy and described how to cope with poor self-efficacy.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"39 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141805886","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}
C. Ugwu, Uchenna Paulinus Okafor, A. C. Onyekwelu, Chetachi Euphemia Orji-Okafor, Calistus Ifeanyi Mamah, Obinna Chidi Anyanwu, Nnamdi C. Ajaebili, Paulinus I. Attama, Chigozie Freda Ugwuanyi, Modesta C. Okolo
The COVID-19 lockdown control tactics used by security agents on the citizens of north-central Nigeria were studied for their effects on health The convenience sampling method was employed to select six states of the study area. Due to the nature of the data collected, quantitative data analysis was limited to percentages, while state-by-state evaluation was used to summarize qualitative data sources. Additionally, hospital records from five privately owned and two government-owned hospitals in each of the study area’s states were generated, for a total of 42 hospitals sampled for the research. The obtained medical records demonstrate that the COVID-19 lockdown control actions by security agents have a detrimental effect on the health and well-being of the citizens in the study area. Amputation (0.27%), bacterial vaginosis (3.43%), coughing (11.16%), cataracts in the eyes (7.69%), etc., were reported. There was an association found between victims’ health issues and security agents’ use of force. Proposed were reforms and least invasive methods of managing public health, including social marketing, education, democratic policing tactics, and facilitation engagement.
{"title":"Health impact of security agents’ COVID-19 lockdown control tactics on citizens of north-central Nigeria: evidence and policy options","authors":"C. Ugwu, Uchenna Paulinus Okafor, A. C. Onyekwelu, Chetachi Euphemia Orji-Okafor, Calistus Ifeanyi Mamah, Obinna Chidi Anyanwu, Nnamdi C. Ajaebili, Paulinus I. Attama, Chigozie Freda Ugwuanyi, Modesta C. Okolo","doi":"10.4081/hls.2024.11927","DOIUrl":"https://doi.org/10.4081/hls.2024.11927","url":null,"abstract":"The COVID-19 lockdown control tactics used by security agents on the citizens of north-central Nigeria were studied for their effects on health The convenience sampling method was employed to select six states of the study area. Due to the nature of the data collected, quantitative data analysis was limited to percentages, while state-by-state evaluation was used to summarize qualitative data sources. Additionally, hospital records from five privately owned and two government-owned hospitals in each of the study area’s states were generated, for a total of 42 hospitals sampled for the research. The obtained medical records demonstrate that the COVID-19 lockdown control actions by security agents have a detrimental effect on the health and well-being of the citizens in the study area. Amputation (0.27%), bacterial vaginosis (3.43%), coughing (11.16%), cataracts in the eyes (7.69%), etc., were reported. There was an association found between victims’ health issues and security agents’ use of force. Proposed were reforms and least invasive methods of managing public health, including social marketing, education, democratic policing tactics, and facilitation engagement.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"58 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141804970","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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