Reaching the Unreached: Improving Population Health in the Rural and Remote Areas最新文献

{"title":"Knowledge, Facilities, and Their Associations with Nurse Adherence to Hand Hygiene at Subulussalam Hospital, Aceh","authors":"E. Suryadi, D. Aulia","doi":"10.26911/theicph.2018.04.25","DOIUrl":"https://doi.org/10.26911/theicph.2018.04.25","url":null,"abstract":"Background: Nosocomial infections are the main problems rising morbidity and mortality in health care settings. Effective hand hygiene practices in hospitals plays a key role in improving patient and provider safety. Hand hygiene is the most effective method for preventing these infections. This study aimed to analyze the associations of knowledge and hospital facilities with adherence to hand hygiene among nurses at Subulussalam Hospital, Aceh. Subjects and Methods: This was a cross sectional study conducted at Subulussalam Hospital, Aceh. A sample of 64 nurses were selected for this study by exhaustive sampling. The dependent variable was adherence to hand hygiene. The independent variables were knowledge and hospital facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Nurses adherence to hand hygiene was associated with better knowledge (OR= 1.80; 95% CI= 1.55 to 3.01; p= 0.033) and facilities (OR= 2.10; 95% CI= 1.40 to 4.77; p= 0.049). Conclusion: Nurses adherence to hand hygine is associated with knowledge and facilities.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114241163","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":"Evaluation of the Implementation and Adherence to the Clinical Pathway of Ischemic Stroke at Muhammadiyah Gamping Hospital, Yogyakarta","authors":"Dhanis Ardian Prasetyo, S. Sundari, E. Listyowati","doi":"10.26911/THEICPH.2018.04.32","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.04.32","url":null,"abstract":"Background: Stroke is the second leading cause of death and the third leading cause of disability-adjusted life-years (DALYs) worldwide. The effects of a stroke are the result of damage to the brain that occurs when there is a lack of blood supply to any region of the brain. This study aimed to evaluate the implementation and adherence to the clinical pathway of ischemic stroke at Muhammadiyah Gamping Hospital, Yogyakarta.\u0000Subjects and Method: This study was a mixed method carried out at Muhammadiyah Gamping Sleman Hospital, Yogyakarta. A sample of informants was selected for this study, consisting of neurosurgeons, medical committee members, and ischemic stroke patients. The study theme was implementation of clinical pathway of ischemic stroke. The data were obtained from medical record and interview. The data were analyzed by quantitative and qualitatively.\u0000Results: As much as 52.8% of the ischemic stroke clinical pathway had been well implemented. Only about 26.4% of the neurosurgeons complied with the clinical pathway of ischemic stroke.\u0000Conclusion: Ischemic stroke clinical pathway is only partially implemented. Only a few neurosurgeons complied with the clinical pathway.\u0000\u0000Keywords: ischemic stroke, clinical pathway, implementation, compliance.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"286 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116050998","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 Role of Faculty of Medicine and Health Sciences in the Preparation of Human Resources for Academic Health Center Concept at Muhammadiyah Gamping Hospital, Yogyakarta","authors":"Vika Habsari Budi Utami, Arlina Dewi, E. Listiowati","doi":"10.26911/THEICPH.2018.04.20","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.04.20","url":null,"abstract":"Background: The concept of Academic Health Center (AHC) refers to combination of education, research, and health service functions. Faculty of Medicine and Health Sciences Universitas Muhammadiyah Yogyakarta (FKIK UMY) is an educational institution implementing study programs in medicine, dentistry, nursing, and pharmacy. The AHC concept is potentially applicable in Indonesia, especially at FKIK UMY, to improve the quality of human resources to comply with the Competency Standard of Indonesian Doctors 2012 (SKDI 2012) and the WHO 5 star doctors. This study aimed to assess the role of faculty of medicine and health sciences in the preparation of human resources for AHC concept at Muhammadiyah Gamping Hospital, Yogyakarta. Subjects and Method: This was a qualitative study conducted at Muhammadiyah Gamping Hospital, Yogyakarta, from April to May 2018. A sample of 6 key informants from representatives of the dean’s office at FKIK UMY and several teaching staff of FKIK UMY. The dependent variable was preparation of human resources for AHC concept. The independent variable was the role of FKIK UMY. The data were collected by in-depth interview and processed using descriptive method. Results: FKIK UMY had implemented the AHC concept based on 4 aspects: (1) Organizational (bureaucracy), (2) Policy (regulations), (3) Financial (financial support), (4) Resources (competent human resources and teaching hospital). The AHC concept was able to facilitate the role of FKIK UMY in implementing Tridarma of higher education. FKIK UMY management, teaching hospital management, and the general health advisory council (MPKU), were expected to implement joint collaboration efforts to achieve Tridarma. FKIK UMY had reached the stage of legal collaboration and coordination with MPKU and teaching hospital to realize the AHC concept. Conclusion: The AHC concept has been able to facilitate the role of FKIK UMY in implementing Tridarma of higher education. FKIK UMY has reached the stage of legal collaboration and coordination with MPKU and teaching hospital to realize the AHC concept.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132162709","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 Sanitary Condition of Ships Harboring in Kupang, East Nusa Tenggara","authors":"Yanse Hariati Oematan, Hari Rarindo, Jauhari Effendi","doi":"10.26911/theicph.2018.01.32","DOIUrl":"https://doi.org/10.26911/theicph.2018.01.32","url":null,"abstract":"","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"24 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132835636","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":"Effect of Tranquil Prayer on Health: Development of a New Instrument to Measure Tranquility","authors":"Y. Romadhon, M. Fanani","doi":"10.26911/THEICPH.2018.02.35","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.02.35","url":null,"abstract":"Background: Tranquil prayer or Khushoo, breeds Khauf (fear) that restrains a Muslim from pernicious satanic whispers to refrain him from falling in to sins of transgressors. Calmness deeply correlates with Salah though not confined to it yet in the remembrance of Allah hearts beseech tranquility. Salah is spiritual and physical act in where, nearly all muscles of human body become more active than any kind of physical exercise without muscle fatigue and induces serenity on body and soul. Scientist evidence also supports the notion that even moderate intensity activities, when performed daily, can have some long-term health benefits. This study aimed to develop a new instrument to measure tranquility to be used in the subsequent study on the assessment of the effect of tranquil prayer on health.\u0000Subjects and Method: This was a literature review study including 3 steps: (1) Literature review and qualitative study to find out and operationalize key concepts, (2) Development of items on operationalized key concepts, (3) Preliminary study and statistical analysis.\u0000Results: The main concept of tranquil prayer included: (1) Tranquil status, (2) Prerequisite and attachment of God, (3) Spiritual atmosphere, (4) Tranquil effects. The development of items was revised by religious experts and psychiatrists to obtain content validity. \u0000Conclusion: Tranquil prayer can be measured by tranquil status, prerequisite and attachment of God, spiritual atmosphere, tranquil effects.\u0000\u0000Keywords: tranquil prayer, instrument","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134258505","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":"Does Vitamin C Affect HbA1c?","authors":"Dwi Astuti Dian Andarwati, Bhisma Murti, E. S. Sulaeman","doi":"10.26911/theicph.2018.05.22","DOIUrl":"https://doi.org/10.26911/theicph.2018.05.22","url":null,"abstract":"Background: Diabetes is a chronic disorder associated with disturbances in carbohydrate, fat, and protein metabolism characterized by hyperglycemia. HbA1c is used to monitor long-term glycemic control, adjust therapy, assess the quality of diabetes care, and predict the risk for the development of complications. Early studies showed that vitamin C increases inflammation and oxidative stress as a strategy to prevent diabetes. This study aimed to examine the effect of vitamin C on HbA1c. \u0000Subjects and Method: This was a literature review study. The literature was obtained from Science Direct, PubMed, and Google Search. After screening of articles published from 2000 to 2018 using keywords “HbA1c” and “vitamin C”, the author obtained 21 articles. The study population was diabetic and non-diabetic patients. \u0000Results: Almost all research articles under review showed inverse relationship between vitamin C and HbA1c. That said, the higher vitamin C consumption, the lower HbA1c. This is because vitamin C can reduce micro vascular complication and cardiovascular disorder in diabetic and non-diabetic patients. In non-diabetic patients, vitamin C can reduce the risk of diabetes. In diabetic patients, it can reduce the risk of diabetes complication.\u0000Conclusion: High dose of vitamin C decreases HbA1c level. Vitamin C can help reduce risk of diabetes as well as diabetes complications.\u0000\u0000Keywords: diabetes, HbA1c, vitamin C","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126987704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inadequate Intake of Polyunsaturated Fatty Acids during Pregnancy and Lactation, and its Association with Infant Cognitive Development","authors":"N. Laily, Kusharisupeni Kusharisupeni, Soedjatmiko Soedjatmiko, R. Juwita, Purwantyastuti Purwantyastuti, D. Utari, Soeminarti Padmonodewo, S. Pawiroharsono","doi":"10.26911/THEICPH.2018.03.57","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.03.57","url":null,"abstract":"Background: Cognitive development in early childhood is an important predictor of intelectual capacity in later life. Individuals who are markedly late in achieving developmental milestones are at high risk for a subsequent diagnosis of learning disability/mental retardation. There is considerable interest in the role of certain long chain polyunsaturated fatty acids (LCPUFA), in visual and cognitive development throughout childhood. Omega-3 long chain poly unsaturated fatty acids (n-3 LCPUFA) are important constituents of the maturing brain and therefore considered crucial for brain development in utero and in early infancy. The n-3 fatty acid docosahexaenoic acid (DHA) and the n-6 fatty acid arachidonic acid (AA) are the major LCPUFA in the brain. This study aimed to examine the inadequate intake of PUFA during pregnancy and lactation, and its association with infant cognitive development.\u0000Subjects and Method: This was a cohort study conducted in Pandeglang, Banten. A total of 102 third trimester pregnant mothers were selected for this study and followed until 4 months after child birth. The dependent variable was infant cognitive development. The independent variables were emotional and verbal environmental stimuli, maternal nutrition omega 3 intake. Data on maternal nutrition intake during pregnancy were measured by 24 hour recall and food frequency questionnaire (FFQ). The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression.\u0000Results:Good infant cognitive development increased with adequate emotional and verbal environmental stimuli (OR= 7.52; 95% CI= 1.80 to 31.35; p=0.006) and adequate maternal nutrition omega 3 intake (OR= 5.65; 95% CI= 1.45 to 21.99; p=0.013).\u0000Conclusion:Good infant cognitive development is determined by not only adequate maternal nutrition omega 3 intake, but also good emotional and verbal environmental stimuli. \u0000\u0000Keywords: cognitive development, maternal nutrition intake, polyunsaturated fatty acids, omega 3, infant.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121922268","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":"Harsh Truth: Do Healthcare Providers Silence Women who Experience Intimate Partner Violence","authors":"Bijaya Pokharel, K. Hegadoren, Elisavet Papathanassoglou","doi":"10.26911/theicph.2018.03.17","DOIUrl":"https://doi.org/10.26911/theicph.2018.03.17","url":null,"abstract":"","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123548092","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 Associated with Increased Risk of Overweight and Obesity in Children: An Evidence from Boyolali, Central Java","authors":"D. Wijayanti, Harsono Salimo, Yulia Lanti Retno Dewi","doi":"10.26911/THEICPH.2018.03.43","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.03.43","url":null,"abstract":"Background: Childhood obesity is a major public health challenge both in developed and developing countries. The prevalence of childhood obesity has increased over few years. It is caused by imbalance between calorie intake and calories utilized. One or more factors (genetic, behavioral, and environmental) cause obesity in children. This study aimed to examine factors associated with increased risk of overweight and obesity in children in Boyolali, Central Java.\u0000Subjects and Method: This wasa case control study carried out at 25 primary schools in Ngemplak sub-district, Boyolali, Central Java. A sample of 200 students was selected by fixed disease sampling. The dependent variable was overweight/obesity. The independent variables were nutritional intake, physical activity, pocket money, paternal education, maternal and paternal nutritional status. The data were collected by questionnaire and analyzed by a multiple logistic regression.\u0000Results: High nutritional intake(OR= 21.48; 95% CI= 9.82 to 47.98; p= 0.003), low physical activity (OR= 23.72 ; 95% CI= 11.2 to 50.26; p= 0.005), much pocket money (OR= 40.44; 95% CI= 17.42 to 93.88; p= 0.005), high paternal education (OR= 4.04; 95% CI= 2.12 to 7.69; p= 0.019), overweight mother (OR= 84.86; 95% CI= 25.62 to 164.17; p= 0.001), and overweight father (OR= 16.62; 95% CI= 8.21 to 33.63; p= 0.003) were associated with an increased risk of overweight/ obesity among primary school students. Nagelkerke R2= 94.1%.\u0000Conclusion: High nutritional intake, low physical activity, much pocket money, high paternal education, overweight mother, and overweight father, are associated with an increased risk of overweight/ obesity among primary school students.\u0000\u0000Keywords: overweight, obesity, nutritional intake, physical activity, pocket money","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123616381","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":"A Study on the Prevalence and Control of Non-Communicable Diseases in Subang, West Java","authors":"Cicilia Windiyaningsih","doi":"10.26911/theicph.2018.01.60","DOIUrl":"https://doi.org/10.26911/theicph.2018.01.60","url":null,"abstract":"","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123850083","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}