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Journal articles on the topic 'Children of sick persons'
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1
Madiba, Sphiwe, and Makhosazane Ntuli. "Delayed Disclosure of HIV Status and Lack of Resources Affect Older Persons during Care of Adult Family Members with AIDS-Related Illness in Rural Mpumalanga, South Africa." Current Gerontology and Geriatrics Research 2020 (June 24, 2020): 1–9. http://dx.doi.org/10.1155/2020/3430847.
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Purpose. This paper examines the older persons’ knowledge of HIV and AIDS and explores the effect of delayed disclosure of HIV status and lack of resources during care. Methods. The study site was health facilities in Thembisile Hani subdistrict, Mpumalanga Province, South Africa. Older persons aged 60 years and above were selected using purposive sampling for in-depth interviews. Thematic analysis was used to analyse the data. Results. Providing physical care to sick adults is labour intensive for the already weak older persons. They undertake the caring role within constraints arising from lack of resource such as gloves, diapers, and soap with which to perform the caring role. Taking care of the sick needed resources for specialized care and money for transport to the health facilities. This put a strain on the finances and rendered the older persons food insecure. Furthermore, disclosure of HIV status was delayed, and some older persons cared for the sick adult children without knowing that they were HIV-infected and had AIDS-related illnesses. The nondisclosure of their HIV status by the sick prevented them from taking precautionary measures to prevent the risk of infection during the provision of care. This was heightened by the limited knowledge of HIV/AIDS of the older persons. Conclusion. Older persons undertake the caring role with diligence under trying conditions due to lack of resources and the nondisclosure of HIV status of the adult children they take care of. Healthcare workers should educate older persons to take preventive precautionary measures when caring for family members even when there is no suspicion of HIV infection. In addition, access to the incapacity grants provided for individuals sick with AIDS-related illnesses could relieve the older persons from financial constraints.
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Ntuli, Makhosazane, and Sphiwe Madiba. "The Burden of Caring: An Exploratory Study of the Older Persons Caring for Adult Children with AIDS-Related Illnesses in Rural Communities in South Africa." International Journal of Environmental Research and Public Health 16, no. 17 (August 30, 2019): 3162. http://dx.doi.org/10.3390/ijerph16173162.
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Since the start of the HIV and AIDS epidemic, very little research has been conducted on the older persons’ provision of HIV-related care to adult children. This is despite the fact that a large proportion of adults who die of AIDS-related illnesses stay with their elderly parents during the terminal stage of their illnesses. This paper explores how older persons in rural settings experience caring for their adult children with AIDS-related illnesses. In-depth interviews took place with older persons aged 60 years and above. The qualitative data analysis was informed by thematic approach to identify and report themes using inductive approach. The paper found that the older persons undertake the caring role without resources and support. As a result, they are burdened with having to care for adult children with AIDS-related illness. Fatigue arising from the hard work of physically caring for their sick adult children day and night adds to the physical burden on the older persons. Older persons will continue to carry the burden of caring for people with AIDS-related illnesses due to the increase in the number of new infections in South Africa. There is a need to involve them in HIV/AIDS programmes; their experience and wisdom would surely contribute positively and assist in addressing HIV prevention.
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Pravada, N. S., A. M. Budritskiy, and V. A. Seryogina. "THE PECULIARITIES OF DETECTION AND DIAGNOSIS OF TUBERCULOSIS IN CHILDREN AND ADOLESCENTS." Vestnik of Vitebsk State Medical University 20, no. 3 (June 15, 2021): 40–45. http://dx.doi.org/10.22263/2312-4156.2021.3.40.
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Objectives. To assess the peculiarities of diagnosis and clinical course of tuberculosis in children and adolescents. Material and methods. Retrospective analysis of outpatient records of children and adolescents with tuberculosis in Vitebsk region during the period from 2016 to 2020 was made. Results. In the tuberculous disease structure in children and adolescents, pulmonary tuberculosis (infiltrative pulmonary tuberculosis) prevails. In the majority of cases, tuberculosis was diagnosed during adolescence. Almost all of the sick had close family contact with tuberculosis patients. The medical risk group included 25% of patients. In patients with infiltrative pulmonary tuberculosis, symptoms and changes in the total blood count were observed only in the phase of disintegration and seeding. Bacteriological excreters made up 75% of cases. More than half of children and adolescents with tuberculosis had multidrug resistance of mycobacterium tuberculosis. Immunodiagnosing plays an important role in the detection of tuberculosis in children and adolescents. Among the sick children, only extrapulmonary forms of tuberculosis were recorded. Conclusions. Most often, tuberculosis in children and adolescents affects the respiratory organs and is asymptomatic or oligosymptomatic. 75% of patients were bacteria discharging persons, more than half of them having multidrug resistance. Family contact is of great importance in tuberculosis in children and adolescents. Doctors of all specialties need to have phthisiatric alertness in relation to patients with diseases of various localization resistant to nonspecific therapy, especially to persons with chronic diseases and to those who contact with patients suffering from tuberculosis. In case of ineffective antibiotic therapy, it is necessary to take the material for the study and verification of tuberculous infection and to carry out immunodiagnosing of tuberculosis.
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Giljača, Sonja, Slavica Maris, Nataša Rančić, Milutin Mrvaljević, and Zorica Mrvaljević. "Outbreaks of scarlet fever in kindergartens in Belgrade." Zdravstvena zastita 51, no. 1 (2022): 57–70. http://dx.doi.org/10.5937/zdravzast51-36979.
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Introduction/Aim: Scarlet fever is mostly a childhood disease and in about 90% of cases it occurs in children younger than 10 years. Outbreaks of scarlet fever always occur in children's collectives (kindergartens, schools and institutions for children). The aim of this paper is to analyze the epidemiological characteristics of scarlet fever epidemics in kindergartens in Belgrade during the five-year period (2016-2020). Methods: Data about new cases of scarlet fever were collected for the observed period from the City Institute for Public Health Belgrade. The data sources used are: epidemiological questionnaire, medical documentation and laboratory results. The presence of b-hemolytic streptococcus group A in diseased children was proven by bacteriological analysis of throat and nose swabs. General and specific incidence rates were used in the data analysis. Results: During the observed five-year period, 30 epidemics of scarlet fever were registered, in which a total of 114 children from 23 Belgrade kindergartens became ill. In 2017, there were 12 epidemics with a total of 49 cases, which represents the largest total number of cases in one year. In the period from 2016 to 2020, the highest number of patients among all patients with scarlet fever was among children aged 4 years (33.3%), and the lowest among children aged 2 years (1.7%). There were slightly more sick boys (57.9%) than girls (42.1%). The highest average five-year incidence rates for scarlet fever were recorded at the age 1-4 (383.7 per 100,000) and 5-9 years (262.8 per 100,000), and the lowest were in persons aged 15 and over. About ⅓ of sick children were registered in the municipality of New Belgrade, and about ⅓ of sick children were registered in the period of early spring (March-April). Conclusion: Respect and timely application of anti-epidemic measures contribute to the successful cessation of further spread of infection (disease reporting, isolation, treatment of sick children, as well as stricter hygiene measures and ongoing disinfection).
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Asim qızı Yolçiyeva, Zülfiyyə. "Organization of inclusive physical education classes for persons with disabilities." SCIENTIFIC WORK 67, no. 06 (June 21, 2021): 54–57. http://dx.doi.org/10.36719/2663-4619/67/54-57.
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As we know, there are many fields of pedagogical science. One of the most important areas is special pedagogy. Special pedagogy studies the issues of education and upbringing of children with physical and mental disabilities. People with disabilities are those who are relatively disabled in terms of any part of the body or the brain. In our country, special attention is paid to the education of people with disabilities. Inclusive education creates conditions for the protection of social equality, education and other special needs of children with disabilities. According to the teaching methodology, inclusive education prevents discrimination against children, allows people with various diseases to get a perfect education and succeed. Its main task is to create an environment for vocational training of people with disabilities. In modern times, people with disabilities should not be seen as sick, but as people with disabilities. This shapes the social approach to disability. The social model allows these children to exercise their rights to develop their skills. The purpose of inclusive physical education is to teach students to move together, which promotes the improvement and development of human psychophysical abilities. Different exercises should be chosen for each lesson and combined in such a way as to have a comprehensive effect on the body and ensure that each student can perform. It is necessary to ensure the general requirements and their specificity when arranging lessons. Sports have a great impact on the development of the personality of children with disabilities as normal children. Sport is one of the most important conditions for everyone and is acceptable for any age group. All these procedures are more effective when performed in unison. Let's protect our child's life together for a healthy life and step into a healthy future Key words: Inclusion, inclusive education, inclusive physical education, a person with disabilities, special education
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Ali, Syed Asad. "CVC RELATED BACTEREMIA." Professional Medical Journal 22, no. 11 (November 10, 2015): 1514–19. http://dx.doi.org/10.29309/tpmj/2015.22.11.941.
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Objectives: To characterize clinically, epidemically and microbiologically the episodes ofconfirmed bacteremia associated with intravascular catheters of patients in the pediatric intensive careunit. Study Design: An analytical, prospective study. Setting: Intensive care unit of Pediatric HospitalJosé Luis Miranda”. Period: January 2003 to December 2007. Methods: 453 patients. Rates, densityof incidence, risk factors, static’s and mortality were determined and analyzed. Results: 96 patientsdeveloped bacteremia episodes and 90 (74%) had microbiological criteria. The risk factors associate were:to have multiple catheters, permanency with the catheter more than 7 days, parenteral feeding, prolongedmechanical ventilation, previous transfusions and surgical interventions. The isolations of coagulasenegative staphylococci prevailed in 33 patients (36, 7%). The previous demurrage to the insert of thecatheter was of 4,0 ± 9,4 days for the healthy ones and 11, 6 ± 24,6 days in the sick persons (p = 0,000);the definitive demurrage was of 56,1 ± 62,4 days in the sick persons versus 24,6 ± 31,7 days in the healthyones (p = 0,000). The mortality of the second group was superior (26%). Conclusions: Multiple dependentand independent factors exist on which actions should be focused to prevent and to diminish the mortalityby bacteremias associated with catheters in children admitted in intensive care units.
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Rybachok, Iryna. "UKRAINIAN REFUGEE CHILDREN IN WESTERN GERMANY AFTER WORLD WAR II: WAYS OF AFFECTION AND SOCIAL CATEGORIES." Naukovì zapiski Nacìonalʹnogo unìversitetu "Ostrozʹka akademìâ". Serìâ Ìstoričnì nauki 1 (December 17, 2020): 86–96. http://dx.doi.org/10.25264/2409-6806-2020-31-86-96.
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The article is devoted to the phenomenon of Ukrainian refugee children. They lived in displaced persons camps (DP camps) created and functioned for refugees in West Germany during the second half of 1940s – early 1950s. The article is based on archival documents, memoirs, camp periodicals. The author tried to identify the main reasons and ways of getting children to DP camps, such as age, social criteria and health status. Moreover, the author characterized different groups of “little aged displaced persons”. World War II caused significant migration of population from Ukraine and put the fate of millions of refugees and displaced persons on the international agenda. The majority of the Ukrainians had been repatriated to the Soviet Union (USSR), but about 250,000 of Ukrainians managed to avoid repatriation, escaped and became refugees who lived in special DP camps. Children made up about a quarter of all Ukrainian refugees, who had experienced difficult escape cases. The memoirs of Lesia Bohuslavets (Oleksandra Tkach), Alla Lehka-Herets, Larysa Zalevska Onyshkevych, Larysa Palidvor-Zelyk, Natalia Palidvor-Sonevytska and others, used in the article, allow us to understanding the personal experiences and feelings of Ukrainian refugee children in the DP period. Refugee children came from various social groups of the Ukrainian community: politicians, public and religious figures, intellectuals, workers and peasants. The least protected social categories were semi-orphans, orphans, children with disabilities, illegitimate or seriously ill children. They needed special attention and aid from international and Ukrainian relief organizations, as well as from Ukrainian DP community. These were the families with little children, widows with orphans, single mothers with illegitimate children, children with disabilities, children suffering tuberculosis. All of them (and also sick, elderly people) belonged to the so-called “hard core” or “zalyshentsi” (people who couldn’t come back to their homes). They could move from DP camps in Germany to their new residence countries only if they received necessary confirming documents from their relatives, supporting their living conditions provided. Therefore, some Ukrainian families with little or ill children, children with disabilities, widows with orphans, as well as the elderly, were forced to stay in war-torn Germany.
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Nuvoli, Gianfranco, Mario Maioli, Caterina Ferrari, Gavino Pala, and Giuseppina Chiaretti. "Diabetes and Illness Image: An Analysis of Diabetic Early-Adolescents' Self-Perception through the Draw-a-Person Test." Psychological Reports 65, no. 1 (August 1989): 83–93. http://dx.doi.org/10.2466/pr0.1989.65.1.83.
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To study the self-projective representations expressed by diabetic children, aged between 10 and 15 yr., and to compare these with representations of a control group the Draw-a-person test associated with those for subsequent Draw-a-sick-person were administered to 23 children regularly checked by an Antidiabetic Centre. The diabetic subjects drew an image of “sick person” having projective elements with a regressive value and denoting a refuge in the past, together with depressive signs of retiring into themselves and of less consideration of the self. Also, the diabetic children seemed to be less prone to the cultural stereotype which requires a smiling and happy image of “the healthy person.” At the same time there was also a transparent symbolic defense which allowed the diabetics to adapt variously and to move from their anxious state toward psychological recovery.
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Alvarez, Maria de la Luz, and Fanny Wurgaft. "Health and poverty: health management by the woman." Revista de Saúde Pública 26, no. 2 (April 1992): 82–87. http://dx.doi.org/10.1590/s0034-89101992000200004.
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The goal this follow-up study was to relate the mother's marital satisfaction to family health status in a low SES. The random sample was made up of 30 families with children under 7 years old: 15 considered as sick (Group A) and 15 as healthy (Group B). Both group had similar demographic characteristics (age of father and mother, persons per family group and age of children) and SES. Results showed that mothers were those mainly in charge of their family groups. Mothers of Group A were significantly less understanding and more dissatisfied than those of Group B ( p < .05 and p < .01). Mothers of Group A had significantly more arguments with their partners than those of Group B (p < .006). Health care was learned less from the child's own mother in group A than in B (p < .05). Health was considered by mothers of Group A as something that "must be taken care of" more than by those of Group B (p < .01). The behaviours of mothers in choosing one of the health systems was similar in both groups. Dissatisfied mothers were associated more with sick family members during the 6 month follow-up. It is suggested that the satisfaction of the mother is a factor that needs further investigation because health is managed by mothers is the large majority of families.
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Burg, Fredric D. "Role of National Organizations in the Education and Evaluation of Professionals Who Care for Children." Pediatrics 76, no. 1 (July 1, 1985): 119–24. http://dx.doi.org/10.1542/peds.76.1.119.
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Imagine a time when any family with a sick child can be assured that any physician licensed to care for their young has had a planned educational experience designed to assist that physician to perform in a competent fashion. Imagine a time where any physician licensed to care for their young has recently demonstrated competency in managing the problems facing their sick child. Imagine a time when programs accredited to educate physicians will routinely document the ability of their students to perform competently. The purpose of this paper is to provide suggestions for ways to improve the system of education and evaluation of professionals responsible for the health care of infants, children, and adolescents in the United States of America. These suggestions are based on an empirical analysis of the existing systems. On the basis of that analysis, I believe that the systems, as presently designed and operated, are not fully meeting the needs of our profession. There are steps that we can and should take to improve these important processes, and I believe that we should begin to work to enhance and make better our educational and evaluative systems. Hopefully, from these efforts a model for others within the health care world will emerge. This paper will have four parts. First, a presentation of the functions that a system of national organizations should carry out in the education and evaluation of those persons professionally responsible for the health care of children. Second, a discussion of how those functions are presently met through the activities of national organizations.
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Lyndina, Yevheniia. "The beginning of the system of assistance to children with visual disabilities: historical and bibliographical aspect." ScienceRise: Pedagogical Education, no. 2(41) (March 31, 2021): 27–30. http://dx.doi.org/10.15587/2519-4984.2021.228233.
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The scientific article reveals some of the historical facts of the beginning of helping children with visual impairments. The main chronological events of caring for children with the noted category of disorders are noted, which later became the basis for the development of special education, in particular, typhlopedagogy.
The article describes the emergence of hospitals, shelters for orphans, sick and crippled people throughout Rus, which testifies to the attention of society to their lives. The facts of the search for ways of treatment and the development of methods, principles and means of teaching people with impaired psychophysical development are outlined. Based on the study of historical sources, the times of Kyivan Rus are characterized, when in some monasteries and churches premises were allocated for the residence of orphans and crippled children. There is information about the first institution in Ukraine, which was guarded by the problem of blind people, although it did not provide for special education and training for this category of persons.
An important point of the article is the definition of the role of the state in the care of visually impaired persons. It is noted that in the 17th and 18th century in Ukraine, social work began to take care of orphans and people with disabilities. From the end of the 17th century, orphans and children of "mutilations" began to be in the care of shelters and hospitals, which was stipulated by a number of state decrees. In the 30s of the 18th century, a new form of guardianship over the disabled was introduced, patronage, which still exists in a modernized form. For a deeper retrospective of the state's assistance to children with visual impairments, it is necessary to investigate the facts of historical sources from the 18th century to the present
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Shkolnyk, Mykhaylo B., Vasyl M. Mykhalchuk, Yevgeniya В. Sharhorodska, and Lidia M. Melenchuk. "Evaluation of the Effectiveness of Methods of Rehabilitation Assistance to Children with Disabilities in the Case of Musculoskeletal Disorders According to the Data of Parents’ Questionnaire." Acta Balneologica 64, no. 4 (2022): 318–23. http://dx.doi.org/10.36740/abal202204107.
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Aim: An analysis of data from a questionnaire of parents whose children underwent rehabilitation for disability due to musculoskeletal disorders and an assessment of the effectiveness of the rehabilitation program for children’s health. Materials and Methods: A survey of 280 parents was conducted to assess the social-psychological, correctional-pedagogical and physical rehabilitation of children with disabilities, children with cerebral palsy and other lesions of the central nervous system with disorders of the musculoskeletal system with the involvement of a multidisciplinary team of rehabilitation specialists . Results: 280 children in the age of 4 to 14 years with disabilities due to cerebral palsy and other lesions of the central nervous system were under observation. Each child received 10 comprehensive classes according to the standard of social services. The rehabilitation event included the following classes: physical rehabilitation, language and speech correction classes, correctional teacher classes, psychologist classes, and group classes: role-playing and didactic games. 280 persons were interviewed. The key audience consisted of mothers (or fathers) of children undergoing rehabilitation therapy. Conclusions: Non-medicinal methods have substantial prospects for the effectiveness of the rehabilitation of sick children. An individual rehabilitation program for a child with disability can be fully and timely implemented with the participation of a multidisciplinary team of specialists, step-by-step control of the effectiveness of the program and its timely correction.
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Иванов, Дмитрий Олегович, Карина Евгеньевна Моисеева, Елена Николаевна Березкина, and Ольга Васильевна Чумакова. "COMPARATIVE ASSESSMENT OF MEDICAL AND SOCIAL CHARACTERISTICS OF FAMILIES WITH SICK AND HEALTHY NEWBORNS." Medicine and health care organization, no. 2 (August 29, 2022): 4–12. http://dx.doi.org/10.56871/4353.2022.75.57.001.
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В современных условиях, когда снижение рождаемости в Российской Федерации является одной из основных проблем, стоящих перед государством, особенно важной становится жизнь и здоровье каждого вновь родившегося ребенка. На формирование детского здоровья влияют множество факторов, однако именно поведенческие стереотипы и санитарно_гигиенические навыки родителей, а также медико_социальная характеристика семей имеют огромное значение для нормального развития ребенка. С целью выявления особенностей семей, имеющих детей, родившихся больными и заболевших в период новорожденности, было проведено сравнение медико_социальной характеристики данных семей с семьями здоровых новорожденных. Полученные данные позволили установить, есть ли достоверная разница в возрасте родителей больных и здоровых новорожденных: у матерей 30,55±0,46 против 27,12±0,32 года (t=34,29; p <0,01) и у отцов 33,14±0,54 против 29,76±0,45 года (t=25,44; p <0,01). Оценка распределения матерей по семейно_брачному положению не показала статистически значимой разницы между показателями в основной и контрольной группах, но удельный вес матерей, не состоящих в зарегистрированном браке, среди женщин, имеющих больного ребенка, был выше, чем среди матерей здоровых детей (38,5% против 32,3%). Изучение уровня образования у родителей выявило, что в семьях с больным ребенком было больше матерей и отцов со средним и средним специальным образованием и достоверно меньше родителей, имеющих неоконченное высшее и высшее (t=3,54 и t=3,46) соответственно (p <0,01). Анкетирование показало, что как среди матерей, так и среди отцов, выше удельный вес служащих и неработающих лиц (домохозяек) и ниже удельный вес рабочих, предпринимателей и обучающихся. Исследование показало, что в семьях, имеющих более трех детей, достоверно чаще дети рождались больными или заболевали в период новорожденности (t=2,01; p <0,05). Таким образом, семьи новорожденных, родившихся больными и заболевших, имеют особенности медико_социальной характеристики, среди которых отличия по возрасту, уровню образования, семейному статусу, числу детей в семье и др. In modern conditions, when the decline in the birth rate in the Russian Federation is one of the main problems facing the state, life and health of every newborn baby becomes especially important. Many factors influence adequate formation of children’s health, but it is the behavioral stereotypes and sanitary and hygienic skills of parents, alongside medical and social characteristics of families, that are of great importance for the child’s normal development. In order to identify the characteristics of families with children who were born sick and fell ill during the neonatal period, a comparison was made of the medical and social characteristics between these families and families with healthy newborns. The data obtained made it possible to state a significant difference in the age of parents of sick and healthy newborns: in mothers 30.55±0.46 versus 27.12±0.32 years (t=34.29; p <0.01) and in fathers 33.14±0.54 versus 29.76±0.45 years (t=25.44; p <0.01). An assessment of distribution of mothers by marital status did not show statistically significant difference between the indicators in the main and control groups, but the proportion of mothers who are not in an official marriage among women with a sick child was higher than among mothers of healthy children (38.5% versus 32.3%). Study of the parents’ educational background revealed that in families with a sick child more mothers and fathers had secondary and secondary specialized education and significantly fewer parents had incomplete higher and higher education (t=3.54 and t=3.46, respectively (p <0.01). The survey showed that, both among mothers and fathers, the share of employees and non_working persons (housewives) is higher and the share of workers, entrepreneurs and students is lower. The study showed that in families with more than three children sick babies or babies that fall ill during the neonatal period were significantly more likely to be born (t=2.01; p <0.05). Thus families with babies born sick or with babies that become ill in the course of the neonatal period have specific medico_social characteristics including parents’ marital status, age, number of children in the family, etc.
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Tait, Raymond C. "Vulnerability in Clinical Research with Patients in Pain: A Risk Analysis." Journal of Law, Medicine & Ethics 37, no. 1 (2009): 59–72. http://dx.doi.org/10.1111/j.1748-720x.2009.00351.x.
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The concept of vulnerability has been the topic of considerable discussion in research bioethics, largely because of dissatisfaction with early constructions of the concept that were based on subpopulations of research subjects. These subpopulations have attributes likely to undermine their capacity to provide autonomous informed consent: persons who are relatively or absolutely incapable of protecting their own interests through negotiations for informed consent. Several subpopulations were seen as requiring special protections, including children, pregnant women, prisoners, racial minorities, the economically disadvantaged, the very sick, and the institutionalized. Recent years have witnessed the identification of other subpopulations with attributes that could render them vulnerable, as well. For example, the Council for the International Organization of Medical Societies has named such potentially vulnerable groups as the homeless, nursing home residents, patients with incurable diseases, patients in the emergency department, employees, students, and members of communities who are unfamiliar with modern medicine.
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Bucht, Gösta, and Bertil Steen. "Development of Psychogeriatric Medicine in Sweden." International Psychogeriatrics 2, no. 1 (March 1990): 73–80. http://dx.doi.org/10.1017/s104161029000031x.
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Psychogeriatric medicine is a young discipline in Sweden as well as in other parts of the world. Patients with psychogeriatric diseases, however, have been cared for in different ways during the centuries. When Christianity was established in Sweden, the view toward the helpless and poor changed radically. The institutions that were built, however, so-called Houses of the Holy Spirit, housed all kinds of poor and sick people as well as mentally ill elderly persons. During the 17th and 18th centuries, hospitals consisted of large units for the care of the poor elderly, children, and physically and mentally ill people. In 1763 it was established that the local communities should be responsible for the social care, and the State be responsible for mental and somatic care of both young and old people. Further, it was decided that the big hospitals should be mental hospitals reserved for all patients with mental disturbances, young and old.
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Nesterova, Yu V., A. Yu Medkova, I. V. Babachenko, E. G. Semin, E. L. Kalisnikova, L. N. Sinyashina, and G. I. Karataev. "CLINICAL-DIAGNOSTIC VALUE OF BORDETELLA PERTUSSIS GENETIC MARKERS IN CONTACT PERSONS IN FAMILIAL FOCI." Journal Infectology 11, no. 1 (March 30, 2019): 17–24. http://dx.doi.org/10.22625/2072-6732-2019-11-1-17-24.
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Goal. Evaluation of duration and frequency of Bordetella pertussis DNA detection in contact persons in family foci of whooping-cough.Materials and methods. 116 persons from 59 family foci of pertussis were examined in contact with sick young children. The DNA of B. pertussis bacteria in nasopharyngeal swabs was detected by real-time PCR (PCR-RV) using a test system developed at Gamaleya Research Institute of Epidemiology and Microbiology (Moscow). The bacterial load and the duration of the release of genomic equivalents (GE) of B. pertussis DNA were determined in dynamics at 1, 3 and 6 months.Results. Among the contact persons in family foci, adults accounted for 59,48%, adolescents and schoolchildren – 10,35% and 12,07% respectively. Cough was absent in 35,34% of contact persons, 20,69% had a rare dry cough, 24,14% had a dry compulsive cough and 19,83% had a typical cough. None of the contact family members were diagnosed with whooping cough, although 64.66% of the patients had clinical signs of the disease, mainly its atypical form (44.83%). Among the carriers of B. pertussis adults accounted for 82.92%, among patients with atypical forms of whooping cough – 51.92%. In the study of nasopharyngeal swabs using the PCR-RV method, it was found that 86.10% of the contact persons detected DNA of B. pertussis. After 3 months in 90% of the contacts, the DNA of pertussis causative agent was detected in a minimum amount of 101-102GE/ml in the sample. After 6 months, B. pertussis was sanitized in 50% of the examined patients. 12.5% of the samples identified avirulent forms of the causative agent of pertussis, formed as a result of movement of IS481 in operon bvgAS.The conclusion. In 86.1% of contact persons in family foci for a long time (from 3 to 6 months), detection of genetic markers of the causative agent of pertussis from the nasopharynx was noted, including 35.34% of those examined in the absence of cough. This, along with the reported genetic mutation in operon bvgAS in 12.5% of cases, can characterize the presence of persistence of B. pertussis, explaining its preservation in circulation in the conditions of mass vaccine prevention.
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Hofferth, Sandra L., and Ellen Eliason Kisker. "Comprehensive Services in Child-Care Settings: Prevalence and Correlates." Pediatrics 94, no. 6 (December 1, 1994): 1088–91. http://dx.doi.org/10.1542/peds.94.6.1088.
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At the beginning of 1990, 80 000 day-care centers in the US were serving about 4 million preschool children.1 This represents threefold increase since 1976 to 1977 in the number of centers and a fourfold increase in enrollments. Approximately 118 000 regulated family day-care providers were serving about 700 000 children. There were between 550 000 and 1.1 million nonregulated family day-care homes that were serving an unknown number of children. The number of regulated family day-care homes and the number of children enrolled in those homes increased since the mid-1970s, though not as much as the number enrolled in centers. About 17% of the children enrolled in center-based programs and 5% of those enrolled in regulated family day-care homes came from families receiving public assistance. Low-income families are overrepresented in Head Start and other sponsored non-profit programs. The fact that increasing numbers of children are enrolled in early education and care programs presents an opportunity to serve the needs of disadvantaged children who may not necessarily receive nutritious meals, environmental stimulation, developmental screening, and adequate preventive health care at home. Programs such as Head Start, for example, are required to provide a comprehensive set of services in addition to a developmentally appropriate curriculum. In the first part of this paper we examine the general health and safety procedures followed by center staff and family day-care providers for sick children ill providers. The extent to which providers conform to health and safety provisions will be examined. For example, do providers maintain records, obtain medical releases, have the phone number of a physician, have an emergency medical plan, have a list of persons to whom the child may be released, and conduct fire drills?
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Giljača, Sonja, Slavica Maris, Nataša Rančić, Milutin Mrvaljević, and Zorica Mrvaljević. "Epidemiological characteristics of outbreaks of hand, foot and mouth disease in kindergartens in Belgrade during the period from 2015 to 2019." Zdravstvena zastita 50, no. 2 (2021): 1–12. http://dx.doi.org/10.5937/zdravzast50-32454.
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Introduction/Aim: For the first time in the world Hand, Foot and Mouth Disease was reported in 1957 in Canada, while the first outbreak of this disease was registered in Belgrade in 2014.The aim of this paper is to analyze epidemiological characteristics of outbreaks of HFMD, which occurred in kindergartens in Belgrade in the period from 2015 to 2019. Methods: A descriptive epidemiological study was applied. Data were collected from epidemiological questionnaires, Reports of Center for Disease Control and Prevention, City Institute of Public Health Belgrade, from the case history of sick children, and using the results of the virological and serological analyses that had been done in the Reference Laboratory of the Institute of Virology, Vaccines, and Sera "Torlak". Results: In the period from 2015 to 2019, 20 HFMD outbreaks were registered, in which a total of 220 children became ill. The total number of infected children in outbreaks ranged from 9 to 102. Boys were slightly more often ill (52%), as well as persons aged two years (51%). All patients had a maculopapular rash, and most had a fever (96%) and malaise (68%). Enterovirus was detected by Real-Time PCR in two infected children. The disease passed without any complications. Conclusion: By timely application of anti-epidemic measures, by reporting the disease, isolation and treatment of patients, respecting the measures of general and personal hygiene, as well as measures of current disinfection in the collective, it is possible to successfully stop further spread of the infection.
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Ariesmansyah, Andre, Nina Kurniasih, Nur Fitriani Arningsih, and Danti Nuracti. "Pendampingan Kelompok PKK Melalui Penyuluhan Optimalisasi Pola Hidup Bersih Dan Sehat Untuk Kader PAUD di Desa Sanca Kecamatan Ciater Kabupaten Subang." Jurnal Pengabdian Masyarakat Formosa 1, no. 2 (June 29, 2022): 69–76. http://dx.doi.org/10.55927/jpmf.v1i2.515.
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PAUD has an important role in improving the quality of early childhood education services, because it is considered a symbol in the national movement for quality early childhood education. Clean, healthy and well-nourished behavior is one of the main ways in establishing a foundation that makes children healthy and not easily sick. Four healthy five perfect is a term that is very often used for children, it is related to nutrition for children. Lack of knowledge and lack of awareness of the importance of implementing PHBS. Parents who smoke in the house, the number of piles of garbage that become a nest of disease, Taking hygiene and health problems trivially. The expected solution is to increase knowledge and understanding of Clean and Healthy Behavior (PHBS) and Balanced Nutrition for children in PAUD, provide socialization by inviting expert resource persons to explain about Healthy Living Behavior and Balanced Nutrition for children. So that partners can implement a healthy life in the PAUD environment. The approach method used to overcome the problems faced by partners is through outreach activities, training or counseling, and consultation. An active participatory approach that is carried out between the implementing team and partners on an ongoing basis and plays an active role in providing assistance and coaching. Based on the results of the pretest, cadres' knowledge of PHBS during the pandemic had an average value of 56.6 with the topic of knowledge about PHBS and the importance of balanced nutrition, the posttest results showed an increase in knowledge to 63 from the previous 56.6. Nearly 85% of participants in the PHBS material and the importance of balanced nutrition for health have very good knowledge.
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Gorelov, A. V., S. V. Nikolaeva, and V. G. Akimkin. "NEW CORONAVIRUS INFECTION COVID-19: FEATURES OF THE COURSE IN CHILDREN IN THE RUSSIAN FEDERATION." Pediatria. Journal named after G.N. Speransky 99, no. 6 (December 14, 2020): 57–62. http://dx.doi.org/10.24110/0031-403x-2020-99-6-57-62.
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Objective of the research: to determine clinical and epidemiological features of the course of the new coronavirus infection (COVID-19) caused by SARS-CoV-2 in children in the Russian Federation (RF). Materials and methods: a retrospective analysis of all confirmed COVID-19 cases in children in the first half of 2020 in the Russian Federation was performed. Information about patients (age, sex, examination date, place of residence, disease severity final diagnosis, etc.) was taken from the database containing the Rospotrebnadzor report form № 970 «Information on cases of infectious diseases in persons with suspected new coronavirus infection» January – June 2020 across the Russian Federation. Research results were processed using the IBM SPSS Statistics 26 program. To assess the differences in nominal indicators (proportions), the Pearson χ2 test was used. The results were considered statistically significant at p<0,05. Results: in the RF, the total number of children infected with COVID-19 in the first half of 2020 amounted to 8,4% among all patients with this infection. Children of all ages get sick with COVID-19, and boys are slightly more likely than girls (52,2% versus 47,8%, p>0,05). In children, the maximum number of cases is registered in family foci – 75%. Upper respiratory tract infections were diagnosed in 72,1% of patients. The proportion of pneumonia was 1,8%, and 2/3 of children were over 3 years old (p<0,001). In almost 1/3 of patients, the infection course had no clinical manifestations. 18,2% of children at the disease onset had increased body temperature, while only 3,5% of children had hyperthermia above 390 C. Cough was registered in 50,8% of cases. Rhinitis/rhinopharyngitis developed only in every 4th child. Symptoms pathognomonic for COVID-19, such as loss of smell (anosmia) and taste (ageusia), were recorded only in 17% of cases. 41,3% of patients received treatment in a hospital, and among them children under 3 years of age predominated. Conclusion: in children in the RF, the new coronavirus infection COVID-19 is generally favorable.
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Nurbadriyah, Wiwit Dwi. "Calgary Family Assessment Model (CFAM) Family First Treatment of Food Borne Disease to Children." Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) 2, no. 3 (August 1, 2015): 255–62. http://dx.doi.org/10.26699/jnk.v2i3.art.p255-262.
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Food borne disease (FBD) is a disease through consumption of contaminated food. Theproblem is that, school children are vulnerable to FBD because of household food contamination. Thisindicates the family as a food handler hygiene mainly the mother who prepare the food needed to beimproved. Most common FBD is diarrhea, one of the danger is that the child’s body fluids are expelledout through the stool this can cause dehydration or even death. Family plays very important role in thehandling of FBD first before being taken to the health service. This can be known through family studiesapproach CFAM (Calgary Family assessment model). The design of this study was descriptive eksplorativewith a sample of 35 respondents; the 4th graders and their parents (17 persons) and 5th graders and theirparents (18) in Jatirejoyoso Kepanjen Elemetary School through purposive sampling technique. Thedata taken were demographic and CFAM consists of the structural assessment components, developmentas well as family function. The family in first handling of food borne disease largely was not routine(71.4%). Ways of solving the problems mostly by the head of the family (74.3%). Responsible care forsick children mostly (57.2%) by only one parent (father / mother). Follow up during sick mostly madean effort (curative) as much as 85.7%. Family belief the majority (80%) considered that the first treatmentat home was not needed because it could be taken directly to the health service. Health workersare expected to provide guidance for families through health volunteers on first handling practices ofFBD. While schools are expected to perform optimization of UKS (School Health Unit) program toprovide health education about the prevention and first treatment of FBD toward the school community.
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Sakhelashvili, M. I., O. P. Kostyk, O. I. Sakhelashvili–Bil, Z. I. Piskur, and J. J. Didyk. "Peculiarities of the chemodrug resistance of M. tuberculosis to antituberculous medications among children and adolescents from multidrugresistant tuberculous focies." Tuberculosis, Lung Diseases, HIV Infection, no. 2 (June 17, 2022): 5–11. http://dx.doi.org/10.30978/tb-2022-2-5.
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Objective — to study the peculiarities of the resistance of M. tuberculosis (MTB) to antimycobacterial drugs (AMBD) among children and adolescents living in multidrug-resistant tuberculous focies.
Materials and methods. 246 children were examined, 145 of them had drug-resistant tuberculosis (TB), 101 children — susceptible form of the specific process, and 102 adult patients who became the source of the disease. Microbiological study in children, adolescents and adults included: detection of MTB in sputum by smear microscopy, seeding on Levenstein—Jensen medium, typing of isolated MTB on BACTEC MGIT 960, determination of drug susceptibility test of MTB strains to AMBD I and II lines, and molecular genetic testing of sputum, including the Gene Xpert MTB/RIF method and the Hain Lifescience linear probe analysis.
Results and discussion. Researches show that children under one year of age (29.8 %) and up to 4 years of age (73.1 %) are the most vulnerable to TB in the multidrug-resistant tuberculous focies. Study of the resistance profile of MTB in multidrug-resistant foci was found almost complete coincidence of the profile of the resistance of MTB in children with a source of infection. In particular, children from contact compared with sick adolescents are in 3.5 times more likely to be resistant to the combination of HRS, in 2.7 times — to HR, in 1.8 times — to HRE, in 2.7 times less often — to HRESZ, in 1.6 times — to HRES. In adolescents resistance is most often found to the combination of HRSE (66.1 %), HRESZ (13.6 %), in contrast to the source of TB infection and children. Extensive drug resistance is 2.8 times more common in adolescents than in children (14.1 % vs. 5.0 %, p > 0.01).
Conclusions. Researches have shown a high risk of MDR-TB of lungs among children (42.7 %) from multidrug-resistant tuberculous focies. This indicates the need to improve the methods of obtaining respiratory samples to determine the susceptibility/resistance of MTB to AMBD. In the centers of multidrug-resistant tuberculosis infection, more than a third of children (35.8 %) were not vaccinated in the maternity hospital and no chemoprophylaxis was prescribed for contact persons.
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Wilk, Iwona. "Application of massage in skin hypersensitivity." Medical Science Pulse 7, no. 4 (December 31, 2013): 43–46. http://dx.doi.org/10.5604/01.3001.0003.3151.
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Introduction: The dysfunction of the reception, analysis and responding to sensory impulses may refer to many areas such as superficial and deep cutaneous feeling, temperature and motor orientation in space. Over and under sensitivity can be found in healthy and sick children, for example, with Asperger’s syndrome. The symptom may also affect the adults with diabetes in whom oversensitivity to touch appears as a complication. Excessive reaction of the human body to touch is the reason of abnormal motor development in children. In adult persons this might disturb regular, every day activities. In other cases it can make physiotherapy impossible. Material and methods: The classical massage was performed to a patient with many disease symptoms and varied complications to reduce hypersensitivity to touch and decrease pain. We used superficial stroking but the most important was the intensiveness and the direction of the strokes. The purpose of the massage was to reduce the hyperesthesia of the skin and decrease pain in the area of the patient’s feet, ankles and calves.Results: After the massage the reduction of hyperesthesia and decrease in pain were achieved which made the continuation of another form of physiotherapy possible.Conclusions: We can use the massage, because it is an effective therapy in the dysfunction of the superficial receptors on the skin. After the massage we decrease the pain in the diseased area, where the disorder of feeling appears. The massage can serve as an introductory part to another kind of physiotherapy, individual for every patient.
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Scanferla, E., P. Gorwood, and L. Fasse. "The familial experience of acute bacterial meningitis in children. A transversal qualitative study using interpretative phenomenological analysis." European Psychiatry 64, S1 (April 2021): S395. http://dx.doi.org/10.1192/j.eurpsy.2021.1058.
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IntroductionPediatric acute bacterial meningitis is a life-threatening illness that results from bacterial infection of the meninges and leaves some survivors with significant sequelae. Given the potential trauma induced by the disease itself and the hospitalization, it is important to have an insight on how the parents cope with this aversive event, and especially how they give sense to this experience.Objectives(1) To explore the lived experience of close family ascendants whose child or grandchild had survived acute bacterial meningitis (2) To investigate how they give meaning to this specific experience.MethodsParticipants were recruited through two association of persons affected by meningitis. Convenience sample of eleven family ascendants. Their family descendants were aged between 0.2 and 20 years old at the time of the meningitis diagnosis (M= 4.1, SD= 7.3). In average, 9.4 years had passed between the onset of illness and the relative’s interview (SD= 5.4).Results6 superordinate themes and 2 meaning-making processes were identified: 1. Sick child becoming a “hero” (comparison with other children). 2. Engaged action/attitude: finding the “positive” of the traumatic experience and engaged action to improve the care system.ConclusionsThis is one of the first studies exploring the first-hand experience of family ascendants confronted to acute bacterial meningitis. Findings highlighted factors characterising the disease experience and the psychological adjustment of meningitis survivors’ families. They demonstred (1) the multidimensional impact of the disease on family ascendants and their need for professional psychological support, (2) the importance of direct involvement of parents in identifying key aspects of care.
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Bakhturina, Alexandra Yu. "Documents from the Latvian State Historical Archive on the Situation of German Citizens in Riga at the Beginning of the First World War." Herald of an archivist, no. 2 (2020): 368–79. http://dx.doi.org/10.28995/2073-0101-2020-2-368-379.
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The article discusses the information potential of the documents from the Latvian Historical Archive for studying policy of the Russian government towards subjects of adversary states in the First World War. Citizens of Germany and Austria-Hungary who were in Russian regions, where at the beginning of the First World War the martial law was imposed, were subject to administrative deportation to the Central and Eastern gubernias of the Russian Empire as prisoners of war. This problem is being studied mainly on the basis of documents from the central archives, which does not permit to reconstruct the complete picture of what had happened. The article analyses the lists, petitions of deported German citizens, correspondence of police officials, statistical data, and orders of the administration of the governorate of Livonia. Drawing on these documents, it studies social and age composition of the deportees, reconstructs courses of action of the gubernia government. It is noted that petitions of deportees have a strong emotional impact, as they draw pictures of difficult life circumstances of those forced to leave their place of residence and travel far into Russian lands. The emotional intensity of these documents needs to be balanced by using record keeping documents. Lists of deportees have notations on canceling of deportation for various reasons; they permit to introduce into scientific use statistics on the number of deportees. The archival documents suggest that the practice of deportation of adversary state subjects was not a standard procedure. At request, many of them were given a brief reprieve, some received permission to return to Riga later. By the winter of 1914-15, within German and Austrian subjects there were exuded categories of persons not to be subject to deportation (Czechs, Slovaks, French, widows who had previously been Russian subjects, their minor children, persons of over 60 and the sick).
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Tarallo, Roberta dos Santos, Anita Liberalesso Neri, and Meire Cachioni. "Semantic and cultural equivalence of the Intergenerational Exchanges Attitude Scale (IEAS)." Revista Brasileira de Geriatria e Gerontologia 19, no. 3 (June 2016): 453–63. http://dx.doi.org/10.1590/1809-98232016019.150002.
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Abstract Introduction: Understanding the multidimensionality of attitudes originating from exchanges between different generations is fundamental for the establishment of intergenerational cooperation and the reduction of stereotypes and prejudices. Objective: To obtain the semantic and cultural equivalence of the Intergenerational Exchanges Attitude Scale (IEAS). Method: Two translators translated the scale from English into Portuguese. A third translator synthesized these two translations. The synthesized version was back-translated into English. From the observations of the initial and back translations, a semantic version of the scale was consolidated, which was applied to 32 professionals who developed intergenerational activities (elderly/children) and activities directed at elderly persons only. Following application, a version of the scale that was culturally adapted for the Portuguese language was obtained. Results: The scale was alterered due to cultural refinement, with differences in the following items: 4) around and near; 6) overprotective and highly protective; 8) be around and to want to get close to; 11) earn and obtain; 13) have warm relationships and to relate affectionately; 17) affection and fondness; 18) form a good team and are good companions; 20) feel sick and get irritated. The responses used are evaluative statements of positive or negative attitudes about the exchanges that take place between children and the elderly, based on a Likert scale of just five points. Conclusion: The Intergenerational Exchanges Attitude Scale (IEAS) has been adapted and validated for the Brazilian population and is known as the "Escala de Atitudes em relação a Trocas Intergeracionais" (Scale of Attitudes in Relation to Intergenerational Exchanges) (EATI). It can be a useful tool for programs featuring activities involving children and the elderly, as well as for professionals working and developing strategies in this field.
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Hanum, Faiz Nur, Fathia Maulida, and Lilis Suryani. "Upaya Peningkatan Pemahaman Masyarakat melalui Penyuluhan Pentingnya Imunisasi pada Anak Usia Sekolah." Abdi: Jurnal Pengabdian dan Pemberdayaan Masyarakat 4, no. 2 (October 12, 2022): 306–10. http://dx.doi.org/10.24036/abdi.v4i2.319.
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One of the Goals of the Sustainable Development Goals is to ensure a healthy life and support well-being for all at all ages, and one of the ways is through immunization. Immunization is an effort to actively generate or increase a person's immunity to a disease, so that when exposed to the disease, he or she will not become sick or only experience mild illness. The purpose of this study was to increase public understanding of the importance of immunization, especially measles and rubella immunization in elementary school age children, by educating parents or guardians of children about the importance of immunization for elementary school age children. The method used is the lecture method (counseling) by following the prescribed health protocol rules. The number of participants in the counseling was 25 people. Counseling activities are carried out first and then followed by immunization activities for children. From all community service activities through counseling carried out, it can be seen that they are obtained in accordance with the objectives, namely the community understands the concept of immunization and is not afraid of the effects caused by immunization.
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Nozdrachevа, Аnna Valer'evna, Marina N. Asatryan, Larisa Alexandrovna Rybak, Artem Alexandrovich Voloshkin, and Anatoly Victorovich Semenenko. "Improvement of epidemiological diagnosis in the system of epidemiological surveillance of current infections by creating a database of the results of foci investigation." Sanitarnyj vrač (Sanitary Doctor), no. 5 (May 16, 2022): 316–25. http://dx.doi.org/10.33920/med-08-2205-01.
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Measles is one of the preventable infections that does not lose its relevance to this day. In Russia, as well as throughout the world, waves of an increase in the incidence of measles are still being recorded, so in 2019 the maximum incidence rate over the past 20 years (3.05 %ооо) was noted. According to the current Measles Elimination Program of the Russian Federation, each case of this infection is subject to investigation, based on the results of which the epidemiologist organizes measures to prevent its spread in the outbreak. The main anti-epidemic measures in this case are isolation of the patient (at home or in a hospital according to clinical indications) and vaccination of persons in contact with him who need it. Thus, in order to prevent the occurrence of secondary cases, it is necessary to determine the vaccination and infectious history of all persons in contact with the sick person and vaccinate them no later than the seventh day from the moment the outbreak was registered. To date, it is difficult to generalize data from investigations of measles cases, despite their value for epidemiological diagnosis and the development of epidemiological surveillance (ES) tactics. The aim of the work was to improve the information support for the investigation of measles cases by creating and analyzing a database. The authors proposed a method for summarizing and analyzing the results of the investigation of measles cases using the formation of a database. For this purpose, about 1000 acts and reports on the results of the investigation of measles foci (on paper) registered in Moscow in the period from 2013 to 2015 were analyzed. The data contained in these documents is entered into the database, systematized in separate blocks and processed by the appropriate software for the purpose of their subsequent accumulation, storage and analysis. Based on the results of the work, the age composition of measles patients was analyzed. It was found that children under 18 years of age were more likely to have this infection, while the largest share among them was in persons aged 3–6 (32.4 %) and 7–14 years (25.0 %). The use of the database made it possible to confirm the high epidemiological effectiveness of the measles vaccine — the protection factor (E) was 86 %. Using the database, it was found that adults aged 20–35 years old were most actively vaccinated in measles foci (vaccination coverage was 57.7 %). With the threat of this infection, only 25.9 % of children (under 17 years old) who needed vaccination agreed to be vaccinated, and the percentage of refusals varied from 69.8 % in the age group up to two years old to 42.3 % in the group 20–35 years old.
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Pratiwi, Yana. "PENGARUH KUALITAS PELAYANAN PENYANDANG DISABILITAS TERHADAP KEPUASAN PENUMPANG DI BANDAR UDARA ADI SOEMARMO SOLO." Flight Attendant Kedirgantaraan : Jurnal Public Relation, Pelayanan, Pariwisata 4, no. 1 (July 1, 2022): 163–68. http://dx.doi.org/10.56521/attendant-dirgantara.v4i1.424.
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Abstrak
Bandar udara dituntut untuk memberikan kenyamanan dan keselamatan penerbangan, dengan fasilitas dan pelayanan yang handal khususnya penyandang disabilitas dengan memberikan pelayanan yang mudah dimengerti, mudah diikuti dan mudah dilaksanakan. Penumpang berkebutuhan khusus mencakup anak-anak kurang dari 12 tahun, berusia lanjut, perempuan hamil, sakit, penyandang disabilitas. Penelitian ini bertujuan untuk mengetahui pengaruh kualitas pelayanan penyandang disabilitas terhadap kepuasan penumpang di Bandar Udara Adi Soemarmo Solo.
Penelitian ini menggunakan metode kuantitatif dengan teknik pengumpulan data melalui penyebaran kuesioner. Responden penelitian ini adalah penumpang disabilitas di Bandar Udara Adi Soemarmo Solo. Pengujian data hasil penelitian diuji menggunakan uji statistic menggunakan perhitungan aplikasi IBM SPSS 23.
Hasil dari penelitian menunjukkan bahwavariable X1 Tangibles (1.661), X2 Emphaty (-832), X3 Assurance (1.193), dan X5 Reliability (943) tidak ada pengaruh yang signifikan terhadap variabel Y (kepuasan penumpang) dengan perbandingan t tabel 1.663. Dan variabel X4 Responsiveness (2.340) > t tabel 1.663 bahwa ada pengaruh yang signifikan terhadap variabel Y (kepuasan penumpang) di Bandar Udara Adi Soemarmo Solo.
Kata Kunci: Kualitas pelayanan, Disabilitas, Kepuasan Penumpang, Uji Statistik (Uji T), Bandar Udara Adi Soemarmo.
Abstract
Airports are required to provide flight comfort and safety, with reliable facilities and services, especially for persons with disabilities by providing services that are easy to understand, easy to follow and easy to implement. Passengers with special needs include children less than 12 years old, elderly, pregnant women, sick, persons with disabilities. This study aims to determine the effect of service quality for persons with disabilities on passenger satisfaction at the Adi Soemarmo Solo Airport.
This study uses quantitative methods with data collection techniques through questionnaires. The respondents of this study were passengers with disabilities at Adi Soemarmo Airport, Solo. Testing the research data was tested using statistical tests using IBM SPSS 23 application calculations.
The results of the study indicate that the variables X1 Tangibles (1.661), X2 Empathy (-832), X3 Assurance (1.193), and X5 Reliability (943) have no significant effect on variable Y (passenger satisfaction) with a t-table comparison of 1.663. And the variable X4 Responsiveness (2.340) > t table 1.663 that there is a significant effect on the Y variable (passenger satisfaction) at Adi Soemarmo Airport Solo.
Keywords: Service Quality, Disabilities, Passenger Satisfaction, Statistical Test (T Test), Adi Soemarmo Airport.
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Mikhailov, Igor G., and Elena G. Brunova. "Criminal Acts of the Nazi Germany Occupation Regime in the Territory of the Vyazma District of the Smolensk Region in 1941-1943." Tyumen State University Herald. Humanities Research. Humanitates 5, no. 4 (2019): 139–55. http://dx.doi.org/10.21684/2411-197x-2019-5-4-139-155.
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When numerous myths are circulating around the Great Patriotic War on the whole and around the Vyazma Pocket in particular, there is the necessity to study the specific disclosures concerning the tragic period of the occupation of the Smolensk Region by Nazi Germany that can be proved with documents. This determines the topicality of this paper. In our research, we rely on the documents kept in the Central Archives of the Russian Defense Ministry, the Governmental Archives of the Smolensk Region, as well as on the witness memoires. The purpose of this research is to study the Nazi Germany war crimes committed by the occupation regime in the territory of the Vyazma District of the Smolensk Region in 1941-1943. The results of the research demonstrate that in 1941-1943 in the territory of the nowadays Vyazma District of the Smolensk Region, Nazis and their accessories committed the full range of war crimes as defined in the four Geneva Conventions (1949): murder of all kinds, mutilation, cruel treatment and torture; humiliating and degrading treatment; public arbitrary executions; cruel and degrading treatment of prisoners of war, including the wounded and sick. For civilian persons, the whole system of horrification and oppression was created to break down their resistance; the punitive actions were taken regularly. Special cruelty and cynicism were inherent to numerous cases of burning villages together with their residents, who in the war time were mainly the old, women, and children.
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Karimi, Fraidoon, Fazel Rab Aria, and Abdul Qahar Qarluq. "Studies on food safety of melon in its food supply chain." International Journal of Innovative Research and Scientific Studies 2, no. 3 (September 3, 2019): 33–38. http://dx.doi.org/10.53894/ijirss.v2i3.19.
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Food safety is an important issue in the food supply chain and food trad. Since unsafe food will cause serious health problems. Melons may contaminate with bacteria, viruses or parasites. Findings of studies indicating that pathogens may transfer from the skin to the flesh of the fruit while fruit cutting. Salmonella, Listeria, Norovirus, and E. coli can easily multiply on the flesh which is low in acidity when temperature is ambient. Thus, consumption of melon in the past considered a reason of illness outbreaks. To reduce the possibility of illness, personnel and kitchen hygiene should be strictly considered during the preparation of melons for consumption. So that, it is important to take care of hygienic measure such as sufficiently large and clean working areas, clean hands, clean knives and chopping boards. These apparently simple of hygiene rules are more important since a small dose of pathogens can cause a serious infection and illness. Further, recommending to food retail stores, catering businesses and households to cut up a quantity that they can eat in a serve, and/or can sell within two hours. Households should quickly eat melons after cutting up or put in the refrigerator as quickly as possible. Cut melons which are unrefrigerated for longer time or exposed to direct sun light, should not be eaten. More attention should be given to people who are vulnerable, including, sick persons, elderly as well as small children and pregnant women.
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Pak, Lale A., Svetlana B. Lazurenko, Svetlana B. Makarova, Tatyana V. Sviridova, Lyudmila M. Kuzenkova, Alexey L. Kurenkov, Bella I. Bursagova, and Tamara R. Chumbadze. "Somatoneurological and psycho-pedagogical features of children with cerebral palsy in the context of their readiness for training in Paralympic sports." L.O. Badalyan Neurological Journal 2, no. 4 (December 25, 2021): 173–88. http://dx.doi.org/10.46563/2686-8997-2021-2-4-173-188.
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Introduction. Currently, Russia does not have a scientifically grounded medical and psychological support system for disabled children (DC), which allows involving them in classes in children and youth schools of adaptive physical education, preparing the country’s Paralympic DC reserve. Aim of the study. To develop and create a medical support system for the Paralympic DC reserve, capable of improving their quality of life and forming a medical and social lift. Materials and methods. Children aged from 1 year to 18 years had cerebral palsy (CP) with impaired motor functions of levels I and II according to the global motor function assessment system and the Manual Abilities Classification system and their families were monitored. A comprehensive assessment of the somatic, neurological, mental and nutritional status of CP children) was carried out, and a wide range of comorbid pathology was described. After the rehabilitation treatment with the use of complex personalized rehabilitation programs, dynamic monitoring of the condition of patients with cerebral palsy was carried out, followed by an assessment of the effectiveness of rehabilitation treatment and the impact on it the psychological readiness of patients, their parents to engage in Paralympic sports, as well as the socio-economic level of the family. The attitude of CP children and their parents to participate in the Paralympic movement was studied. All patients underwent a comprehensive study of somatic, neurological, orthopaedic, psychological and nutritional status. The socio-hygienic characteristics of families and the rehabilitation potential of DC and their families have been determined. Results. Children with cerebral palsy have a wide range of comorbid pathology, which requires the involvement of specialists of different profiles in the curation of patients. The use of complex personalized rehabilitation programs allows achieving positive dynamics after 14 days of rehabilitation treatment. Early introduction of botulinum therapy in the rehabilitation program of CP patients provides higher efficiency of rehabilitation treatment. Treatment of protein-energy deficiency in CP children should include correction of the diet using specialized products, metabolic therapy, enzyme and complex vitamin preparations. Differentiated medical, psychological and pedagogical counselling of parents of CP children will allow optimizing the solution of the state problem regarding the timely inclusion of persons with disabilities in adaptive physical education classes. Conclusion. The development and creation of a comprehensive medical and psychological support system solve an urgent medical and social problem, ensuring the integration of DC into society and improving the quality of life of both a sick child and his family members.
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Bernikova, S. M., and E. M. Zakharova. "ASSESSMENT OF THE RISK OF DEVELOPING CORONARY HEART DISEASE BASED ON TOTAL CHOLESTEROL IN BLOOD SERUM IN INDIVIDUALS OF DIFFERENT AGE AND GENDER GROUPS." Scientific Notes of V.I. Vernadsky Crimean Federal University. Biology. Chemistry 6(72), no. 3 (2021): 46–55. http://dx.doi.org/10.37279/2413-1725-2020-6-3-46-55.
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The determination and comparison of the level of total cholesterol in the blood in 240 relatively healthy men and women of different ages was carried out, and on its basis the likelihood of developing coronary heart disease in residents of the Shchuchansky district of the Kurgan region was estimated. There were revealed significant differences in the level of total cholesterol in the blood of men and women in the group under 20 years old and in the group of 21–30 years old. No significant gender differences were found in subsequent age groups. There was a significant increase in total cholesterol during life in both gender groups: in men, the indicator significantly increased from adolescence to old age by 58.3 %, in women – by 40.2 %. A population assessment of the risk of developing coronary heart disease (CHD) was carried out. In both gender groups, during life, we noted a gradual increase towards old age in the proportion of people who have a high probability of developing coronary artery disease, and a decrease in the proportion of people with a low probability, which is due to both internal risk factors (arterial hypertension, hormonal changes, slowing down of metabolism), and external (decreased physical activity, unbalanced diet, smoking, etc.). In 100 % of men and women under 20 years of age, the risk of developing coronary artery disease is low. The emergence of moderate risk in both gender groups was noted in the third decade of life, high – in the fourth. In old age, 30 % of men and 40 % of women with a high risk of developing coronary artery disease were identified, which is the highest indicator in comparison with all other age groups. Among women, a lower percentage of persons with moderate risk at the age of 21–30 years old and with a high risk in the group of 31–40 years old was found compared to men, which is probably associated with the protective effect of estrogens during the reproductive period of women. In the group of elderly people with a moderate risk of developing coronary artery disease, moderate hypercholesterolemia was recorded (the level of total cholesterol in the blood in the male population was 5.74±0.23 mmol / L, in the female population – 5.71±0.23 mmol / L) and in the group of persons with a high risk of developing coronary artery disease, high hypercholesterolemia was noted in men and women (8.24±0.37 mmol / L and 8.10±0.28 mmol / L, respectively). In persons with a moderate risk of developing coronary artery disease, the average total cholesterol content is 40.4 % significantly higher than in persons with a low level of risk, and in persons with a high risk – 42.6 % significantly higher than in the group of persons with a moderate risk. Thus, the results of the study showed the importance of conducting diagnostic examinations for the purpose of early diagnosis of diseases caused by an increased content of total cholesterol in the blood, as well as compiling reference levels of biochemical parameters for non-sick people of different age and sex for their further use in medical practice. As preventive measures to prevent the development of cardiovascular pathology, health protection and the formation of the priority of a healthy lifestyle in children and adults in educational and industrial organizations also play an important role.
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Kongvattananon, Puangpaka, and Pranom Othaganont. "The Effects of a Knowledge Management Skill Development Program (KMSDP) on the Holistic Health Promotion Knowledge Management Behaviors of Muslim Women Leaders." Open Public Health Journal 12, no. 1 (July 26, 2019): 331–36. http://dx.doi.org/10.2174/1874944501912010331.
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Background: Women have high average life spans and live longer than men. In Thai-Muslim society, women have the role of caring and promoting the health of everyone in their family, such as preparing food, raising the children, and taking care sick persons so they are required to be leaders for promoting health in the family. Objectives: To develop a KMSDP and to study the effects of using a KMSDP for knowledge management behaviors regarding holistic health promotion by Muslim women leaders Methods: This research is of an exploratory sequential mixed-methods design. The researcher analyzed the qualitative data and SECI concept to develop the KMSDP. The quantitative data were applied to test the program using a pre-test and post-test design. The participants were randomly assigned to the experimental group (n=35). Descriptive statistics and independent t-test were used for the data analyses. Results: The qualitative findings indicated three themes applied to create the program: 1) To be in accordance with the Muslim way of life; 2) To conform to rubric religious principle; and 3) To agree with family leaders. As for the effects of the KMSDP on the holistic health promotion knowledge management behaviors, it was found that the post-test mean scores for knowledge, management, and skills were higher than those for the pre-test mean scores at a statistical significance level of .001. Conclusion: Healthcare providers, proactively promoting health in the Muslim community, can apply this program to develop Muslim women leaders for holistic health promotion.
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Yastrebova, A. Yu, and E. E. Gulyaeva. "Right to Health in the International Legal System of Human Rights at the Universal and Regional Levels." Moscow Journal of International Law, no. 2 (July 9, 2021): 99–121. http://dx.doi.org/10.24833/0869-0049-2021-2-99-121.
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INTRODUCTION. The individual's right to health is a set of natural and positive legal frameworks that govern a person’s life activity, individual and family wellbeing, enforcement of health guarantees by the statesparticipants of universal and regional treaties of the field under question. The formation of this right stems from biological characteristics of each person, socio-economic conditions, environment, access to health and sanitation services, national health-care system progress, existence of vulnerable groups of population. Goals of the UN Sustainable Development Agenda 2030 (UN General Assembly resolution 70/1) include such essential aspects of the right to health as ending poverty and hunger in all its forms everywhere; promote food security and healthy lifestyle; the well-being of all individuals at any age; ensure availability and sustainable management of water and sanitation for all; protection and restoration of water-related ecosystems; enhancement of the States capacity to prevent and reduce national and global health risks. According to the position of the World Health Organization (WHO) the right to health imposes on the States a legal obligation to ensure timely access to adequate levels of high-quality health care, clean and safe drinking water, sanitation, adequate nutrition, shelter, health-related information and education, gender equality. As a result, the considerable amount of attention is paid to the analysis of the content of general and specific international instruments at the universal level and the international legal specificities of enshrining and maintaining an individual's right to health. The text also places the emphasis on its normative framing in the law of the Council of Europe and the European Union, reflecting the decisions and rulings of the European Court of Human Rights (ECHR).MATERIALS AND METHODS. The legal framework of the study is based on universal international treaties of the UN system, regional regulations of the Council of Europe and the EU, legal position of the UN specialized agencies, the International Committee of the Red Cross (ICRC) and the ECHR. The scientific works of domestic and foreign authors related to the study of the right to health are used as a theoretical foundation. The research uses general scientific and special cognitive techniques wherein legal analysis and synthesis, systemic, formal-legal, comparative-legal, historical-legal and dialectical methods are applied.RESEARCH RESULTS. The research indicates that the modern international legal concept of the right to health is being developed at the universal and regional level. Furthermore, specific international legal guarantees for the protection of this right are emerging for special groups such as women and children, refugees, stateless persons and migrant workers, protected persons, the wounded and the sick – all persons affected by international armed conflicts. There is a certain trend in Council of Europe and EU law towards an extended interpretation of the human right to health responding to new challenges to the realization that right, concerning bioethics, human genome editing, and the effects of nuclear testing and environmental pollution.DISCUSSION AND CONCLUSIONS. Following a review of the content and implementation of the right to health in the universal and regional international legal systems for the human rights and freedoms protection, the authors suggest its incorporation in a group of personal rights, social benefits provided by the state, and simultaneously in a collective right to development pertaining to the population as a whole. The universal international legal institutions establishing special rights for vulnerable groups will continue to be applied by member states in the context of a situational response to the global needs of families, women and children, international migration, armed conflicts, environmental conditions, and bioethical issues. The authors encourage the complement of the European system of human rights protection with an additional protocol to the Council of Europe Convention for the Protection of Human Rights and Fundamental Freedoms of 1950, involving the right to health security.
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Makrus, A. "HUKUM BADAL HAJI MENURUT PANDANGAN MAJELIS TARJIH DAN TAJDID MUHAMMADIYAH DAN LAJNAH BAHTSUL MASAIL NAHDLATUL ULAMA." Al-Mazaahib: Jurnal Perbandingan Hukum 6, no. 2 (December 1, 2018): 185. http://dx.doi.org/10.14421/al-mazaahib.v6i2.2322.
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Islam provides dispensation for those who have not been able to meet these requirements not to perform the pilgrimage. Anyone who does not fulfill one of the pre-determined requirements, namely Islam, is reasonable, mature, independent, and capable, is not obliged to perform the pilgrimage. However, it is different with people who have been sick or died before having time to perform the pilgrimage in this case there is a difference of opinion among scholars. People who are sick or die and have more assets but are physically incapable of performing Hajj are replaced by other people called Badal Hajj. The Muhammadiyah Tarjih and Tajdid Council and Lajnah Bahtsul Masa'il Nahdlatul Ulama' differ in their views on the legal issue of hajj. The Tarjih Council and the Tajdid Muhammadiyah in their decision allowed Badal Hajj, because it adhered to the Hadith of the Khas'am tribe narrated by Ibn Abbas ra which stated that by delegating his pilgrimage to his children or relatives, he had to fulfill the mandatory Hajj requirements. Meanwhile, Lajnah Bahtsul Masail Nahdlatul Ulama decided on the permissibility of making other people's pilgrimages. The istinbat method always uses the opinions of previous scholars, so that the decisions are relevant to the opinions of previous scholars in their classical works. Lajnah Bathsul Masa'il Nahdlatul Ulama does not provide a limit on the badal of Hajj, and a person has the right to make another person's pilgrimage even though he is not from the family and must meet certain conditions, namely that he has performed Hajj first.
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Perwitasari, Tuhu. "Edukasi tentang Pemberian Imunisasi DPT di Posyandu Penyengat Rendah Wilayah Kerja Puskesmas Aur Duri Kota Jambi." Jurnal Abdimas Kesehatan (JAK) 4, no. 1 (January 28, 2022): 34. http://dx.doi.org/10.36565/jak.v4i1.199.
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Immunization is an effort to actively cause or increase a person's immunity to a particular disease so that if one day is exposed to the disease it will not be sick or only experience mild illness. DPT immunization can prevent diphtheria, pertussis and tetanus which can cause disability and even death. by giving immunizations will reduce the incidence of morbidity, disability, and deaths due to PD3I which is estimated to be 2 to 3 million deaths each year. in the Aurduri Puskesmas working area until 2018 the decline in immunization coverage was highest in the city of jambi because of the lack of knowledge about immunization. output targets are expected to increase knowledge between before and after counseling, as well as the awareness of mothers to bring their children to Posyandu for immunization. The method used is counseling. the result of dedication there is an increase in knowledge and awareness of the mother to bring her child to be immunized in an effort to prevent disease.
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WD, KURNIATI MAYA SARI. "FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELENGKAPAN IMUNISASI DASAR PADA BALITA DI WILAYAH KERJA PUSKESMAS KOLOK KOTA SAWAHLUNTO." Ensiklopedia Sosial Review 2, no. 2 (June 29, 2020): 147–56. http://dx.doi.org/10.33559/esr.v2i2.492.
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Immunization comes from the words immune, immune and resistant. Children are immunized, meaning they are given immunity against certain diseases. Children are immune or resistant to one disease but not necessarily immune to other diseases. So, immunization is an effort to actively generate / increase a person's immunity against a disease, so that if one day they are exposed to the disease, they will not get sick or only experience mild illness. The achievement of basic immunization in the working area of PuskesmasKolok is currently still low (67.3%) compared to other Puskesmas in Sawahlunto City. This study aims to determine the factors related to the completeness of basic immunization for children under five in the Work Area of PuskesmasKolok Kota Sawahlunto in 2017. This type of research is descriptive analytic. This research was conducted in the working area of PuskesmasKolok, Sawahlunto City on 11 to 15 December 2017. The population in this study were all mothers who had toddlers aged 12-23 months. A total of 61 respondents. Data were collected through interviews using a questionnaire. Then the data is processed using computerization, then analyzed by univariate and bivariate after that it is interpreted. The results of the study more than half (76%) of respondents have poor knowledge, more than half (72.2%) of respondents have a job, more than some (84.4%) of respondents have no family support, there is a significant relationship between maternal knowledge With the completeness of basic immunization for children under five, there is a significant relationship between the work status of the mother and the completeness of basic immunization for children under five, and there is a significant relationship between family support and completeness of basic immunization for children under five in the Work Area of PuskesmasKolok Kota Sawahlunto in 2017. It is hoped that the officers will increase regular outreach on every community activity such as posyandu about the impact of not immunizing babies. In the working area of Puskesmas Kolok, Sawahlunto City.
Keywords: Immune, Children, Puskesmas Kolok, Sawahlunto City.
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Railian, M. V., T. O. Chumachenko, V. I. Makarova, and V. I. Semishev. "Acute Hepatitis of Unknown Etiology: the Task of Epidemiological Surveillance in Ukraine in Modern Conditions." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 7, no. 3 (July 2, 2022): 21–26. http://dx.doi.org/10.26693/jmbs07.03.021.
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The purpose of the study was to analyze cases of acute hepatitis of undetermined etiology and define the main problems and tasks of epidemiological surveillance in Ukraine for emergent disease of acute hepatitis of unknown etiology. Materials and methods. The method of retrospective epidemiological analysis of data from open sourses on cases of acute hepatitis of undetermined etiology and the bibliosemantic method were used. Results and discussion. It was found that from April 5 to May 27, 2022, 650 cases of acute hepatitis of undetermined etiology in children were registered in 33 countries in 5 World Health Organization regions. The majority of reported cases, 58%, are in the World Health Organization European Region (22 countries). According to data as of May 31, 2022, we realized that the highest incidence of acute hepatitis of unknown etiology among children under 16 years old was observed in countries such as Great Britain – 50.8%, Spain – 11%, Italy – 9.5%, Portugal – 4.9%, the Netherlands and Belgium – 4.6% each, Austria and Cyprus – 0.7% each, Denmark – 2.3%, Greece and Norway – 1.6% each, and Ireland – 2.6%. Out of 305 patients with acute hepatitis of unknown etiology, 237 people were hospitalized, which is 77.7% of cases. Most of them were hospitalized in the UK – 65% of patients, Italy – 11% of cases, Spain – 8.0% of patients. In total, 7.5% of patients were in intensive care units, the largest number was in the UK – 60.9% of cases, Ireland and Spain – 13% of patients. In the age and sex structure of the diseased, children aged 5 years and younger (76%) and female persons prevailed. The etiology is unknown, but there is an association of cases with adenovirus type 41. Samples of whole blood, serum, urine, feces, airway washes, and, if possible, liver biopsies were examined in sick children under 16 years old. A total of 199 cases of acute hepatitis of unknown etiology were tested for adenovirus, of which 59.3% were positive. PCR testing for SARS-CoV-2 was performed in 204 patients, and 11.8% of patients had positive results. Serological tests for SARS-CoV-2 samples of 34 patients were positive, 67.6% of samples. Vaccination against COVID-19 was reported in 72 patients with acute hepatitis of unknown etiology, of which 61 patients (85%) were not vaccinated. Conclusion. It is indicated that it is necessary to identify possible cases of acute hepatitis of undetermined etiology, implement epidemiological investigation of each case, inform medical workers and exchange information with specialists, practice educational work among the population
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Kholila, Kholila. "Faktor-Faktor yang Berhubungan dengan Pemberian Imuisasi Dasar Balita Usia 0-12 Bulan di Wilayah Kerja Puskesmas Bayung Lincir Tahun 2021." Jurnal Ilmiah Universitas Batanghari Jambi 22, no. 1 (March 2, 2022): 455. http://dx.doi.org/10.33087/jiubj.v22i1.1809.
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Immunization is a way to increase a person's immunity to a disease, so that when he is later exposed to the disease he does not become sick. According to the World Health Organization (WHO) in 2014 as many as 22.6 million children worldwide were not covered by routine immunization. In 2015 an estimated 19.9 million babies worldwide were not achieved with routine immunization services such as 3 doses of DTP vaccine. This type of research uses an analytical survey method using a cross sectional approach. This research was conducted in the working area of the Bayung Lincir Health Center. The population in this study were all mothers who had children aged over 1 year totaling 1385 people. The number of samples used in this study amounted to 92 respondents. Based on the results of univariate analysis, the results obtained from 92 respondents, mostly complete basic immunization, which totaled 56 respondents (60.9%) and 36 respondents (36 respondents (39.1%). obtained value = 0.029, attitude variable value = 0.034 and family support variable value = 0.014 smaller than = 0.05 indicates there is a significant relationship between knowledge, attitude and family support with basic immunization in the work area of the Bayung Lincir Health Center 2021. There are suggestions for health workers/Puskesmas to further improve immunization services and public education/health counseling about complete basic immunization.
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Rubrianto, Arie, and Rakhmat Susilo. "Pelaksanaan Trias Usaha Kesehatan SD Negeri Di Wilayah Kecamatan Sokaraja, Kabupaten Banyumas." Adi Husada Nursing Journal 6, no. 2 (January 24, 2021): 87. http://dx.doi.org/10.37036/ahnj.v6i2.169.
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UKS (School's Health Clinic), widely known as school health clinic, has an important role in increasing the health status of students in school. However, in fact, the implementation of UKS has not been at its best due to several factors. Objective know out the description of the implementation of the trias UKS in Sokaraja District, Banyumas Regency in 2019. Method this study used a qualitative descriptive design. The purposive sampling and snowballing sampling were used to determine the subjects of this study. There were 5 research informants in the school consisting of the principal, the persons in charge of UKS and a little doctor, a term used to describe students who meet the criteria and have been trained to participate in carrying out some of the efforts to maintain and improve health at school. Data retrieval by observation and in depth interviews. Results health education in each school was always implemented directly during learning and during breaks by the little doctors. The health services carried out by UKS have been running well, but it is only limited to providing first aid to the sick students or teachers. There would be further examination only if the patient did not get better, the UKS would do some coordinations then take the patients to the Puskesmas or known as public health centre. The development of a healthy environment was carried out by the school by accustoming children to maintain the school environment to dispose of trash in its place. In addition, UKS has also routinely checked the condition or health status of students by checking their height, weight and dental health. School health units in triassic good schools namely by implementing health services for each student , healthful environmental health education and guidance.
Keywords: Public Elementary School, TRIAS UKS
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Wilson, Val, Donna Brown, and Tanya McCance. "The impact of implementing person-centred nursing key performance indicators on the experience of care: a research evaluation." International Practice Development Journal 11, no. 1 (May 19, 2021): 1–13. http://dx.doi.org/10.19043/ipdj.111.003.
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Background and aim: This study reports the outcomes from an international study that implemented a set of person-centred nursing key performance indicators across a range of services provided to sick children. It aims to explore the factors that influenced the successful implementation of those indicators, and assess the impact of the evidence generated on person-centred practice across the children’s services. Methods: Twelve organisations across Australia and Europe participated, with data collected in 2015 and 2016 and analysed using thematic analysis. Semi-structured interviews and focus groups were conducted with staff, including executive sponsors, managers, facilitators and clinical nursing teams. The COREQ guidelines were considered in the conduct and reporting of this study. Results: The results describe the impact of implementing the key performance indicators from the perspective of nurses operating at different levels within organisations. The following six themes became apparent: credibility of the key performance indicators; uncovering the whole picture; embracing nursing; engaging in the process; connecting with others; and achieving healthful outcomes. Conclusion: The findings from this study confirm an emerging relationship between the nature of evidence generated by the person-centred nursing key performance indicators and its use in practice. Also highlighted was the importance of facilitation in the process of data collection and in understanding the data and the context in which it is used. Implications for practice: This study will be of interest to clinical nurses, educators, managers and facilitators of cultural change. The data generated through the implementation of the person-centred nursing key performance indicators evidences the global contribution of nursing across services provided to children and their families Engaging staff at all levels in an organisation enhances implementation of evidence that is meaningful for nursing practice The triangulated evidence generated by the key performance indicators and accompanying measurement tools offers feedback that can drive improvements in nursing practice
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Erskine, James. "Sick children." British Journal of General Practice 58, no. 551 (June 1, 2008): 435.1–435. http://dx.doi.org/10.3399/bjgp08x302718.
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Tulkova, T. E., P. F. Chernavin, N. P. Chernavin, Yu P. Chugaev, I. A. Cherniaev, and V. N. Pankrashchenko. "Practical Application of Machine Learning Methods on the Example of Determining the Activity of the Tuberculosis Process in Persons with Minimal Tuberculosis Changes Detected on Chest X-ray." A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin, no. 2 (July 2022): 64–73. http://dx.doi.org/10.33266/2782-6430-2022-2-64-73.
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Background: According to the World Health Organization (WHO), over 23% of the human population infected with tuberculosis bacilli – M.tuberculosis. For each infected person, the likelihood of a transition from a state of latent tuberculosis infection (LTBI) to active tuberculosis remains. WHO considers testing and treatment for LTBI in groups at high risk of reactivations as a necessary condition for tuberculosis elimination. Early detection of the transition of LTBI into active tuberculosis presents a certain difficulty due to the absence of clinically and radiographically distinguishable symptoms of the onset of the disease, therefore, immunodiagnostics, including the use of a skin test with a recombinant tuberculosis allergen, and methods of clinical laboratory diagnostics come to the aid of clinicians. The objective of our study was to demonstrate the possibilities of using an artificial intelligence system to identify the level of activity of tuberculosis infection in children with the presence of small tuberculosis changes in the respiratory organs, detected by X-ray. Material and methods The total number of patients registered in anti-tuberculosis institutions enrolled in the study was 489, including: the main group – a training sample consisting of patients with confirmed active tuberculosis (n1 = 369); the control group – a test sample of patients in whom the pathogen was in an inactive form (n2 = 120). As variables for calculations: anamnesis, laboratory parameters and X-ray data, were obtained by routine methods and used in accordance with current national standards of care and clinical guidelines, which did not require additional invasive interventions, equipment and material costs. The above survey results: age, gender, medical history, BCG vaccination, blood biochemical parameters in dynamics, X-ray signs, formalized according to the binary principle (presence / absence), were retrieved from patients files into the study database based on MS Excel spreadsheets for further processing. At the initial stage, the Wolfram Mathematica software package was used for calculations; six classical machine learning (ML) methods were carried out: Logistic Regression, Naive Bayes, Nearest Neighbors, Neural Network and Random Forest. Results: The results of the calculations based on combinations of categorical features did not suit us in terms of the quality of the forecast, and we proceeded to the search for a decision rule based on quantitative features. All spelled above methods predicted the presence of the disease significantly better than its absence. The Random Forest method showed the best results for both categorical and quantitative traits, however, interpretation of its results was not possible for clinical decision making. Convinced of the non-optimality of applying classical ML methods, it was decided to apply the author’s committee machine method with the possibility of minimal correction of conditions for significantly different cardinalities of the separable sets and subsequent geometric interpretation of the results. As a result of the application of the committee machine method, 7 most informative parameters were identified to create a decision rule that makes possible to distinguish patients with inactive pathogen and who do not require treatment in children with suspected tuberculosis. Conclusion: the committee machine method in a geometric formulation lead to localize areas in the feature space that correspond to sick and healthy patients from the training sample. That areas were unambiguously described in the form of a system of inequalities and could be easily explained to clinicians and allow moving from a geometric interpretation to a meaningful description of cause-and-effect relationships between the laboratory parameters in a certain area and the patient’s condition.
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., Ismawati, and Ichsan Trisutrisno. "Relationship of Giving Complete Basic Immunization to the Nutritional Status of Toddlers at Integrated Healthcare Centre (Posyandu) of Unra Village, Awangpone District, Bone Regency." International Journal of Science and Healthcare Research 8, no. 1 (January 12, 2023): 17–26. http://dx.doi.org/10.52403/ijshr.20230103.
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The toddler period is a very important period in the process of growth and development which is the basis for determining the quality of the nation's next generation. In addition, during infancy is also the most vulnerable to health problems. This is caused by several factors, one of which is immunization. Immunization is an effort to actively cause/increase a person's immunity against a disease, so that if one day they get the disease they will not get sick or only experience a mild illness. Nutrition is the process of using food normally consumed by an organism through the process of digestion, absorption, transportation, storage, metabolism and release of substances not used to sustain life. Nutritional problems in toddlers are very vulnerable to the incidence of infection, so that infection in toddlers often occurs in children who are not immunized, this is due to immunization as a preventive measure made to induce or actively increase a person's immunity against a particular disease and can prevent death every year in all age groups due to diphtheria, tetanus, pertussis, measles, and malnutrition. This research was conducted at Unra Village, Awangpone District, Bone Regency, on June 2022. This research used a cross-sectional approach with a sample size of 135 people. Determination of the sample using the different proportion hypothesis test formula. Data analysis techniques include univariate analysis and bivariate analysis with the chi square test. The results of the analysis revealed that from 138 respondents, 29.8% were stunted. Keywords: [Immunization, Toddlers, Nutritional Status]
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Nugroho, Fahmi, and Siti Rofiqoh. "Literature Review : Terapi Bermain Clay dalam Menurunkan Respon Kecemasan pada Anak Usia Prasekolah Akibat Hospitalisasi." Prosiding Seminar Nasional Kesehatan 1 (December 2, 2021): 678–84. http://dx.doi.org/10.48144/prosiding.v1i.734.
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AbstractHospitalization is a stase of crisis in child encounters since they are confined in unfamiliar place which sick or injured persons are given medical or surgical treatment. Hence, Hospitalization may cause anxiety and stressful experience for both the child and the parent. One of the methods to reduce anxiety is playing clay. The purpose of this study is to determine the effectiveness of clay therapy in reducing anxiety among hospitalized children. This study is a literature review by finding research articles on Google Scholar. Three papers with 89 total respondents were analyzed in this study. The result showed that before the clay play therapy, the level of anxiety encompassed: no anxiety 1 (1.1%), mild anxiety 15 (16.85%), moderate anxiety 15 (16.85%), severe anxiety 26 (29.2%), and panic 32 (36%). In comparison, the level of anxiety after playing clay therapy was no anxiety 18 (20.2%), mild anxiety 16 (18.0%), moderate anxiety 29 (32.6%), severe anxiety 22 (24,7%), and panic 4 (4,5%). The findings in this review concluded that clay play therapy might effectively reduce anxiety among hospitalized preschool-aged children. Suggestions for healthcare providers are to implement therapy with clay to reduce anxiety due to hospitalization.Keywords:Hospitalization; anxiety; play therapy:clay
AbstrakHospitalisasi ini merupakan suatu keadaan krisis pada anak, saat anak sakit dan dirawat di rumah sakit. Perawatan di rumah sakit merupakan pengalaman yang penuh stres, baik bagi anak maupun orang tua. Pengalaman yang sering dialami oleh anak selama menjalani hospitalisasi adalah kecemasan. Salah satu upaya dalam menurunkan kecemasan adalah terapi bermain clay pada anak usia prasekolah yang mengalami kecemasan akibat hospitalisasi. Tujuan dari penulisan ini adalah untuk mengetahui perbedaan tingkat kecemasan pada anak usia prasekolah yang mengalami hospitalisasi sebelum dan sesudah dilakukan terapi bermain clay. Metode penulisan mengguakan literature review dari tiga artikel penelitian yang diambil dari google scholar. Subjek penelitian adalah anak usia prasekolah yang mengalami kecemasan minimal ringan. Tingkat kecemaasan sebelum dilakukan tindakan terapi bermain claydengan 89 responden yaitu kriteria tidak cemas 1 (1,1%), cemas ringan 15 (16,85%), cemas sedang 15 (16,85%), cemas berat 26 (29,2%), dan cemas sangat berat 32 (36%). Tingkat kecemasan setelah dilakukan terapi bermain clay yaitu tidak cemas 18 (20,2%), cemas ringan 16 (18,0%), cemas sedang 29 (32,6%), cemas berat 22 (24,7%) dan cemas sangat berat 4 (4,5). Kesimpulan dari hasil literature review ini yaitu terapi bermain clay dalam menurunkan tingkat kecemasan pada anak usia prasekolah yang mengalami hospitalisasi dengan p value 0,000. Saran bagi tenaga kesehatan untuk dapat menerapkan terapi bermain clay sebagai salah satu intervensi dalam menurunkan tingkat kecemasan pada anak usia prasekolah akibat hospitalisasi.Kata kunci:Hospitalisasi; kecemasan; terapi bermain clay
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Smith, Ruth. "Nursing sick children." Nursing Standard 2, no. 3 (October 17, 1987): 36. http://dx.doi.org/10.7748/ns.2.3.36.s74.
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di Cotrone, Antonio Gazzanti Pugliese. "Psychosocial Support: The New Challenge for Humanitarian Activity." Diplomatic Ukraine, no. XX (2019): 314–20. http://dx.doi.org/10.37837/2707-7683-2019-23.
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The article examines humanitarian activities of the Sovereign Military Hospitaller Order of Saint John of Jerusalem, of Rhodes and of Malta. Special attention is drawn to activities on psychological rehabilitation. It is mentioned that the years of 2018 and 2019 were important milestones in the relations between the Sovereign Military Order of Malta and Ukraine. In 2018, the states celebrated the 10th anniversary of the establishment of diplomatic relations. In addition, in 2019, the governments of the two states concluded the first Agreement on Cooperation in the Facilitation of Humanitarian Activities of the Sovereign Order of Malta in Ukraine. It is stressed that the Sovereign Order of Malta has carried out its activities in Ukraine since 1991, providing assistance to the sick and needy, children and orphans, the most vulnerable social groups. In 2015, in the east of Ukraine, the Order started activities on psychological rehabilitation for almost 15,000 people. It is emphasised that psychological health has always been a matter of heightened concern in many countries. However, quantitative analysis and assessement of programmes for psychological health and psychosocial support are quite complex. One of the reasons is that psychological health remains a taboo. Since July 2015, under the auspices of Malteser Ukraine, a team of 80 specialists started its operation in the centres for psychological rehabilitation. These centres operate in different cities of Ukraine, providing free legal, psychological, and social support for internally displaced persons, while officials, social workers, and volunteers acquire knowledge and skills in psychological rehabilitation at trainings, workshops, and panel discussions. The article considers a state visit to the psychological rehabilitation center in Sloviansk in 2016. Three Ministers for Foreign Affairs visited it and shared their opinions with employees and participants of various rehabilitation programmes. The article concludes that this and many other directions of activities confirm the readiness of the Sovereign Order of Malta to improve humanitarian conditions in Ukraine by cooperating with central or local governmental agencies as well as with Ukrainian and international organisations. Key words: humanitarian activities, the Sovereign Order of Malta, psychological health, psychological rehabilitation centers, cooperation.
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Alam, Md Jahangir, Khondoker Mohammad Ali, Afsana Mahjabin, Jarif Mahmud Tamjid, and Tajkeya Tamannum. "A study on features and functions of family which are relevant to health behavior affecting family health of selected rural population in Bogura district." Mediscope 7, no. 2 (September 29, 2020): 89–94. http://dx.doi.org/10.3329/mediscope.v7i2.49447.
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A descriptive type of Cross Sectional study was conducted in two villages named Joyvoga and Chokvochia of Gabtoli upazila, Bogra with a view to finding out the certain features and functions of family which are relevant to health behavior of selected rural population of Bogura district during the period of 20th and 23rd April 2015. Total 278 families were selected purposively. The respondents were aged 15 years and above and the data were collected through open ended pretested questionnaire by face to face interview. Out of 278 respondents, it was found that majority 121 (43.52%) of the respondents were within 31-45 years age group followed by 79 (28.41%) within the age group 15-30 years. Most of the respondents were females 165 (59.32%), agricultural workers 78 (28.05%), Muslims 276 (99.28%) & one- third of the respondents completed their primary education 78 (28.06%). It was found that majority of the families are nuclear 193 (69.42%). Regarding housing condition, majority had satisfactory ventilation status (84.17%), safe water using (93.17%), using of sanitary latrine (87.05%), satisfactory cleanliness (38.12%) & domestic waste disposal 25.18%. In case of child (under five) rearing majority were average in weight (88.85%) followed by underweight (7.91%), clean clothing condition (41.01%). Regarding socialization, attending social clubs 22.3%, schooling 78.42%, attending mosque 84.06% and taking part in games 87.77%. In case of personality formation most of the respondents can cope with the stress on an average 60.43% & had good relation with children (73.55%). In relation to care of the dependent adults most 82.56% of the chronically sick persons did not get proper care, majority (85.77%) got satisfactory care during pregnancy. In relation to family condition most of the families are problem family (90.2%) followed by peaceful family (9.73%). Regarding stress related diseases, majority suffered from hypertension (25.30%) followed by Peptic Ulcer Disease (24.10%). This study will help to early detection of health related wrong behavior & maintenance of family norm can prevent further breakdown of diseases related to family health of the rural people.
Mediscope Vol. 7, No. 2: July 2020, Page 89-94
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Ranika, Ketria. "DISKRIMINASI DALAM PEMBERIAN FORMULIR PENERBANGAN ORANG SAKIT YANG MENGANDUNG KLAUSULA BAKU BAGI PENYANDANG DISABILITAS." Jurnal Ilmu Hukum: ALETHEA 3, no. 1 (August 26, 2019): 43–60. http://dx.doi.org/10.24246/alethea.vol3.no1.p43-60.
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Fenomena pemberian formulir orang sakit yang diberikan oleh maskapai Lion Air terhadap penyandang disabilitas merupakan tindakan diskriminasi yang menarik untuk dicermati. Perlu diketahui asas non-diskriminasi memberikan perlindungan kepada setiap orang untuk bebas dari perlakuan diskriminatif. Tujuan dari penelitian ini untuk menganalisis kedudukan penyandang disabilitas dengan orang sakit, serta perlindungan hukum bagi penyandang disabilitas di bidang penerbangan dan diskriminasi dalam klausula formulir orang sakit yang diberikan pada penyandang disabilitas. Jenis penelitian yang digunakan, yaitu penelitian hukum normatif. Hasil penelitian menunjukkan bahwa status antara penyandang disabilitas dan orang sakit merupakan hal yang berbeda dan tidak dapat diperlakukan secara sama. Penyamaan penyandang disabilitas dan orang sakit, melalui pemberian formulir orang sakit terhadap penyandang disabilitas, merupakan diskriminasi terhadap penyandang disabilitas karena orang sakit memiliki karakteristik yang berbeda dengan penyandang disabilitas, sehingga hal ini dapat menciderai hak dari penyandang disabilitas.
The use of forms of sick people to persons with disabilities by Lion Air is an interesting act of discrimination to be observed. It should be known that the principle of non-discrimination gives protection for everyone to be free from discriminatory treatment. The purpose of this study is to analyse the position of persons with disabilities with sick people, as well as legal protection for persons with disabilities in the field of aviation and discrimination due to sick people's form that given to persons with disabilities. The type of research used is normative legal research. The results showed that status between people with disabilities and sick people was different. The equalization of persons with disabilities and sick people through the provision of forms of sick persons with disabilities constitutes discrimination against persons with disabilities, so it could violate the rights of persons with disabilities.