Journal of Medical and Health Studies最新文献

{"title":"Evans Syndrome and Hashimoto's Thyroiditis in Pregnancy: A Case Report","authors":"Marcella Adisuhanto, Mario Steffanus, Delia Anastasia Tirtadjaja, Angelina Yuwono, Leonardo Alexander, Patricia Melissa Alim Santoso, Elisabeth Kristianti, Amorio Antowi","doi":"10.32996/jmhs.2023.4.1.7","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.1.7","url":null,"abstract":"Evans syndrome is a combination of autoimmune hemolytic anemia and idiopathic thrombocytopenic purpura. Evans syndrome is a rare disease encountered in medical practice. Evans syndrome can also co-occur with other autoimmune diseases, such as Hashimoto's thyroiditis, although rare. Hashimoto's thyroiditis is a condition that causes hypothyroidism, where the thyroid gland cells are destroyed so that the thyroid hormone produced cannot meet the body's needs. This case report describes a pregnant female patient who has several autoimmune conditions, namely Evans Syndrome and Hashimoto's Thyroiditis. The patient came to the hospital with bruises on the abdomen and waist and felt weak, tired, and lethargic. The previous examination showed that this patient had positive anti-platelet and anti-TPO test results, enlarged liver and spleen on ultrasound examination, and thyroid hormone examination, which showed hypothyroidism. A physical examination of the patient also showed minimal enlargement of the thyroid gland and bruising on the patient's body. The results of routine blood tests showed a decrease in hemoglobin, hematocrit, erythrocyte, and platelet counts. Morphological examination of the peripheral blood revealed the appearance of macroovalocytes and burr cells. During treatment in the ward, the patient was given therapies such as methylprednisolone, levothyroxine, and blood transfusions. During 9 days of treatment in the ward, the patient's clinical condition improved, and there was an increase in hemoglobin, hematocrit, erythrocyte, and platelet counts. The patient was discharged in good condition.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125946832","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}

{"title":"Formulation of Natural Coffee Cream in Increasing Antioxidants as an Effort to Prevent Skin Aging","authors":"Arief Mukti Mindirosesono, S. Siswanto","doi":"10.32996/jmhs.2023.4.1.6","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.1.6","url":null,"abstract":"Skin aging is caused by the excessive production of free radicals in the body, thus causing damage to skin tissue; this also results in damage to skin collagen, which further accelerates the aging process of the skin. The purpose of this study was to determine the effect of giving coffee cosmetic creams on reducing superoxide dismutase (SOD) levels in the skin aging process. This study used a true experiment design with a post-test-only group design research design. The population in this study was an old female Wistar (Rattus norvegicus) weighing 200-250 grams and aged 14-16 months. The overall sample count was 24 female wistars divided for each group was 6 in 4 treatment groups. SOD level data were measured using the ELISA (Enzyme Linked Immune-Sorbent Assay) method. The data obtained were analyzed using the Kruskal Wallis Test and the Mann Whitney Test. The results showed that there was a significant increase in SOD levels (p< 0.05), so it can be concluded that giving coffee cosmetic creams increases SOD levels, meaning that there is an increase in SOD or the main antioxidant enzyme that can ward off free radicals.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131313381","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}

{"title":"Awareness of Parents about the Side Effects of Phenobarbital and the Management of Epileptic Children, Taif City, Saudi Arabia: A Cross-Sectional Study","authors":"Abdulrahman Almanjumi, A. Althomali, A. Althubaiti, Abdullah Almanjumi, Saud Alalyani, Walaa Abu Rukbah, I. Alanazi, Abdullah Alsuwat, Maha Mohammed Fal","doi":"10.32996/jmhs.2023.4.1.8","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.1.8","url":null,"abstract":"Many children were suffering from neurological problems. One of these neurological problems is epilepsy, which causes seizures. Children with seizures were managed with different drugs. A drug like phenobarbital is used mainly for epilepsy. This study aimed to assess the awareness of parents about the side effects of phenobarbital and the management of epileptic children, describe the clinical presentation of children with epilepsy and assess the knowledge of parents about the management of epileptic children. A descriptive cross-sectional study was conducted among parents of children diagnosed with epilepsy. Online questionnaire survey distributed to parents of children with epilepsy. A total of 200 parents were included. The age group is 31-40 years old, 72(36%). Parents' knowledge about epilepsy was 98(49%). There were 104(52%) parents who reported seizures caused by low doses of Phenobarbital led to a loss of consciousness. Non-compliance with the required dose occurred majorly due to forgetting the dose 102(51%). The number of children with epilepsy was significantly associated with the awareness level of parents (P=0.0001). In addition, the awareness of parents was significant at the time of epilepsy diagnosis of children (P=0.01). An inadequate awareness among parents regarding the side effects of Phenobarbital, and there were gaps in their knowledge regarding other aspects of the condition and its management.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127329585","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}

{"title":"Is Mometasone Effective in Treating Otitis Media with Effusion?","authors":"H. M. Al-Zaidi","doi":"10.32996/jmhs.2023.4.1.5","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.1.5","url":null,"abstract":"Otitis media with effusion (OME) is the long-term deposition of mucus in the middle ear cleft. It is the leading cause of childhood hearing loss and a common childhood infection. It can impair communication and life quality. OME's direct and indirect costs are also crucial. Improving OME care is crucial. This study examines intranasal mometasone's efficacy in treating otitis media with effusion. A clinical trial study was conducted during a period from January 2021 to June 2022. It included 80 patients suffering from otitis media with effusion bilaterally (160 ears) who had an intact tympanic membrane and tympanometry type B. These patients were included only if they had a hearing change or loss noted by the parents or by the patient if he or she could complain for three months or more. These patients were split into two groups. Group A had 80 ears (40 patients) who got one puff of mometasone furoate nasal spray in each nostril every day for three months, and Group B had 80 ears (40 patients) who got one puff of seawater nasal spray in each nostril every day for the same period. On the first visit, otoscopic findings were recorded, and all patients had pure-tone audiometry and tympanometry performed. All of the above-mentioned measures were repeated and compared to the records from the first visit at the end of the three months of treatment. After treatment, 75% of ears in Group A changed from type B to type A tympanometry. This was significantly higher than in Group B, where only 15% of ears changed from type B to type A tympanometry. Regarding retraction, 75% of ears in Group A showed no retraction after treatment with mometasone furoate, while in Group B, it was 40%. The average pure-tone audiometry score in Group A improved after therapy. Corticosteroids are effective in the treatment of otitis media with effusion and safer when used as topical intranasal steroids than systemic preparations.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"353 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131274681","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}

{"title":"Quality of Life among Patients with Chronic Diseases: Integrative Review","authors":"Sahar Mardha Al Dawsari, Hajar Mudaysh Ali Alsalhabi, Mohammad Abdalrahman Alshamrani, Muaddiyah Mudaysh Ali Alsalhabi","doi":"10.32996/jmhs.2023.4.1.4","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.1.4","url":null,"abstract":"Patients with chronic diseases have diminished quality of life; they need immediate intervention and various effective strategies to cope with their disease. The main purpose of this integrative review is to highlight the effect of the status of QoL on patients with chronic diseases in light of previous studies. Studies published in the years 2010 - 2022 were evaluated. International electronic databases such as Ovid MEDLINE, PuMed, Ovid OLDMEDLINE, Embase Classic + EMBASE (Ovid), The Web of Science (Thomson Reuters), The Cochrane Library (Wiley) and CINAHL Plus (EBSCO) were explored to find articles written in English-language using relevant keywords. All quantitative research studies which focused on the specific topic have been searched as well.: In this paper, 70 articles were searched. After checking for duplicates, 40 papers were left for evaluation of titles and abstracts. This left 40 articles for reading of full texts. Of these, 10 papers did not meet the aim. The remaining 30 articles were read thoroughly to appraise them according to the quality criteria. Twelve articles met the inclusion criteria. Hence, twelve studies were included in the present review. QoL is reduced in patients with chronic diseases. Saudi Arabia is still grappling with a good financing health structure as the majority of the participants lacked any form of medical insurance and were paying out‑of‑pocket at the point of service. Nurses and other healthcare providers should work to provide effective strategies for the purpose of increasing the level of QoL among patients with chronic diseases in Saudi Arabia and all over the world.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126057247","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}

{"title":"Risk Factors Associated with Empty Nest Syndrome in Elderly Women in the Work Area of Public Health Center (Puskesmas) 1 Kembaran Banyumas Regency in 2014","authors":"Martin Pratiwi","doi":"10.32996/jmhs.2023.4.1.1.3","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.1.1.3","url":null,"abstract":"Empty nest syndrome is often experienced by women, especially in nuclear families. Empty nest syndromes are experienced by old age at the time when the cubs last married or left home. The phenomenon of empty nest syndrome is widely experienced by women of advanced age with various diverse forms. This study aims to study the risk factors associated with empty nest syndrome in older women in the Puskesmas l Kembaran Working Area of Banyumas Regency in 2014. This type of research is a quantitative study using a cross-sectional approach with a population of 184 older women. The analysis used is Chi-Square and Logistic Regression. The results showed that the age of older women who experienced empty nest syndrome (63.6%), in the category of elderly old (57.6%), basic education (77.7%), non-work (58.7%) and social activities (93.5%). The results of the Chi-square test obtained variables related to the empty nest syndrome were self-concept (p-value = 0.016), communication with children (p-value = 0.027), and communication with partners (p-value- 0.026). Variables that are not related to the incidence of empty nest syndrome are age (p-value = 0.368), education (p-value = 0.834), occupation (p-value = 0.957) and social activities (p-value = 0.935). According to the logistic regression test results, self-concept is the most dominant variable associated with the empty nest syndrome (p = 0.020. OR = 2.103). The conclusion of the self-concept research is the variable most related to the empty nest syndrome. It is recommended that older women need to increase their social activities. Children should often visit parents or contact them by phone, and posyandu cadres explain the importance of social interaction in posyandu activities for the elderly.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133699508","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}

{"title":"The Correlation between Mother’s Psychological Stress and Emotional and Behavioral Problems of Elementary School Age Children","authors":"Monycha Helaina Calista, Izzatul Fithriyah, B. Utomo, Yunias Setiawati","doi":"10.32996/jmhs.2023.4.1.2","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.1.2","url":null,"abstract":"The condition of psychological stress experienced by the mother will affect the child's emotions and behaviour. Emotional and behavioral problems in children could continue to be serious disorders if they are not managed earlier. This study aims to analyze the correlation between the psychological stress of the mother and the emotional and behavioral problems of elementary school age children. This research used analytic observational research with a cross-sectional research design. The study population was students in grades I-VI at SD Negeri Surabaya and used total population sampling. The results of the study were tested with spearman's rho test, which showed that there was a relationship between the mother's psychological stress and the emotional and behavioral problems of elementary school-aged children p-value=0.022 (p<0.05) had a positive relationship. The higher the stress level experienced by the mother, the higher the level of emotional and behavioral problems experienced by the child.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134414986","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}

{"title":"Assessment of the Medication Administration Errors in the Tertiary Hospital in Saudi Arabia: A prospective Observational Study","authors":"Ahmed Altowairqi, A. Althomali, Abdulrahman Althobati, Hind A. Almalki, Mohammad Al-Thomali, Khulud Alosaimi, Marzokah A. Almalki, Raniyah Alrubaie, Muruj Almuwallad, Sara Alharbi, Ghuzayyil Alkhamash, Ashwaq Alshehri, Manal Alosaimi","doi":"10.32996/jmhs.2023.4.1.1","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.1.1","url":null,"abstract":"Medication errors can occur at any of the three steps of the medication use process: prescribing, dispensing and administration. Drug administration errors were the second most frequent type of medication error, after prescribing errors, but the latter were often intercepted; hence, administration errors were more probably to reach the patients. Therefore, this study was conducted to determine the frequency and types of drug administration errors in a Taif hospital ward. Prospective study based on a disguised observation technique in nine wards in a general hospital in Taif, Saudi Arabia (800 beds). A pharmacist accompanied nurses and witnessed the preparation and administration of drugs to all patients during the three drug rounds on each of six days per ward. The main outcomes were the number, type and clinical importance of errors and associated risk factors. The drug administration error rate was calculated. Relationships between the drug dose frequency, dosage form and types of medication administration error were measured. A total of 7105 medications administered by 250 nursing staff members to 700 patients were observed. Observers intervened in seven administrations. There are 1769 medication administration errors confirmed. The most common medication administration errors were drug preparation error (40.56%, n =727) then, improper dose error (18.58%, n=333); the most common drug class error was Antibiotic (38.9%, n =399) then Analgesic and anti-inflammatory drugs (17%, n =176). The most drug dose frequency had Drug preparation error was seen in a drug used three times a day by 484. MAEs were more likely to occur in the evening shift compared to the morning and afternoon shifts. The study indicates that the frequency of drug administration errors in developing countries such as Malaysia is similar to that in developed countries.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134480965","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}

{"title":"Factors affecting Nursing Performance during COVID- 19 Period at Taif Government Hospitals","authors":"Saeed J M Alqahtani, Abdulellah Al Thobaity, Salman Althobaiti, J. Jimenez","doi":"10.32996/jmhs.2022.3.4.24","DOIUrl":"https://doi.org/10.32996/jmhs.2022.3.4.24","url":null,"abstract":"During epidemics, nurses play a crucial role in reducing direct exposures and offering direct patient care. The main purpose of the present study was to identify the factors affecting nursing performance during the COVID-19 period in Taif  Government hospitals, Taif City, Kingdom of Saudi Arabia. A cross-sectional study was conducted on 580 nurses from thirteen government hospitals in Taif, Kingdom of Saudi Arabia. Data were collected using a survey consisting of a 24-item checklist. Descriptive statistics were done, and inferential statistics were done by SPSS. Ethical considerations were strictly followed throughout the study. The findings of this study demonstrated that the constant fear of infection, uncertainty about the future, and nurse burnout were the main factors influencing nursing performance. Additionally, the results indicated that more than half of staff nurses in different hospitals in Taif reported experiencing mild to moderate symptoms of mental health problems, anxiety, depression, and burnout. Lastly, nursing shortages, prolonged shifts, limited access to Personal Protective Equipment (PPEs), and increased workloads were the main secondary contributory factors affecting nursing performance. Evidence from the study suggests that nurses across government hospitals in Saudi Arabia require massive support to handle mounting COVID-19 infections. From receiving PPEs to minimizing staffing shortages and emotional support and counselling, nurses must be at the forefront of care. This will aid nurses in carrying out their duties effectively in the fight against COVID-19. Most importantly, hospitals must ensure that all nurses operate in conducive environments with increased attention to their physical and mental wellbeing.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116309350","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}

{"title":"Causes and Solutions of the Problem of Chronic Energy Lack in Coastal Area, Especially in Maligano Community Health Center, Selatan Konawe Regency","authors":"Efa Kelya Nasrun","doi":"10.32996/jmhs.2022.3.4.23","DOIUrl":"https://doi.org/10.32996/jmhs.2022.3.4.23","url":null,"abstract":"Chronic Energy Deficiency (KEK) is a condition in which the mother suffers from chronic or long-lasting malnutrition, which results in health problems for the mother. SEZ in pregnant women in 2019 was 17.9%. Based on these data, it can be concluded that there is an increase in the incidence of pregnant women with SEZ in Southeast Sulawesi. The percentage of pregnant women at risk of SEZ in South Konawe Regency, Southeast Sulawesi Province, in 2018 was 20.2%; in 2019, it was 23.8%; in 2020, it was 24.6%; and in 2021, it was 25.8%. SEZ cases in the Maligano Health Center work area are known to have a significant increase every year; where in 2018 it was found 23 (41.07%) cases from 56 visits by pregnant women; in 2019 found, 28 (47.45%) cases from 59 visits by pregnant women, 2020 found 19 (28.35%) cases from 67 visits by pregnant women, 2021 found 42 (55%) cases from 70 visits by pregnant women. The objective of the research was to find out what are the causes and solutions to the problem of chronic energy shortages in coastal areas, especially at the Maligano Public Health Center, South Konawe Regency. This type of research is quantitative, using a Cross-Sectional Study design. It is known from the results of the Chi-Square test that the value of 9.092 is greater than the X2 table, so it can be concluded that there is a significant relationship between Gravidity and Chronic Energy Deficiency and the Phi value of 0.514, which means it has a moderate relationship. Chronic Energy Deficiency is a problem that currently occurs in many coastal areas where enabling factors include education, income, employment, health service facilities and local culture. Other causative factors, such as the first pregnancy or more than 4 pregnancies, can also allow the occurrence of SEZ. It is recommended to continue to carry out special monitoring in the coastal area related to the management and spatial planning of settlements and health services. Monitoring and reviewing the number of health workers and the population in coastal areas by involving the Community Health Center. And the Community Health Center (Puskesmas) is obliged to screen all pregnant women at risk of SEZ and be more intense in providing education to coastal communities regarding the importance of nutrition for pregnant women, with well-nourished mothers having the potential for children to be born in good health and avoid stunting.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116493714","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}