Low prevalence of COVID-19 Exposure is Coincident with Self-reported Compliance with Public Health Guidelines among Essential Employees at an Institute of Higher Education

AbstractImportanceDetailed analysis of infection rates paired with behavioral and employee reported risk factors are vital to understanding how COVID-19 transmission may be inflamed or mitigated in the workplace. Institutes of Higher Education are heterogeneous work units that supported continued in person employment during COVID-19, providing an excellent test site for occupational health evaluation.ObjectiveTo evaluate self-reported behaviors and SARS-CoV-2 among essential in-person employees during the first six months of the COVID-19 pandemic.DesignCross-sectional, conducted from July 13-September 2, 2020.SettingInstitute of Higher Education in Fort Collins, Colorado.ParticipantsEmployees identified to be an essential in-person employee during the first six months of the pandemic (1,522 invited, 1,507 qualified, 603 (40%) completed the survey). Of those completing the survey, 84.2% (508) elected to participate in blood and nasal swab sample collection to assess active SARS-CoV-2 infection via qRT-PCR, and past infection by serology (overall completion rate of 33.7%). Eligibility included > 18 years old, able to read and understand English, not currently experiencing cough, shortness of breath or difficulty breathing, fever >100.4F (38C), chills/shaking with chills, muscle pain, new or worsening headaches, sore throat or new loss of sense of taste/smell.ExposureSelf-reported COVID-19 protective behaviorsMain Outcome(s) and Measure(s)Current SARS-CoV-2 infection detected by qRT-PCR or previous SARS-CoV-2 infection detected by IgG SARS-CoV-2 testing platform.ResultsThere were no qRT-PCR positive tests, and only 2 (0.39%) contained seroreactive IgG antibodies. Participants were 60% female, 90% non-Hispanic white, mean age 41 years (18-70 years). Handwashing and mask wearing were reported frequently both at work (98% and 94% respectively) and outside work (91% and 95% respectively) while social distancing was reported less frequently at work (79%) then outside of work (92%) [p < .001]. Participants were more highly motivated to avoid exposures out of concern for spreading to others (83%) than for personal implications (63%) [p < .001].Conclusions and RelevanceThis is one of the first reports to document that complex work environments can be operated safely during the COVID-19 pandemic when employees report compliance with public health practices both at and outside work.

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Cross-sectional quantitative RT-PCR study of feline coronavirus viremia and replication in peripheral blood of healthy shelter cats in Southern California

Journal of Feline Medicine and Surgery ◽

10.1177/1098612x17705227 ◽

2017 ◽

Vol 20 (4) ◽

pp. 295-301 ◽

Cited By ~ 7

Author(s):

Eric J Fish ◽

Pedro Paulo VP Diniz ◽

Yen-Chen Juan ◽

Frank Bossong ◽

Ellen W Collisson ◽

...

Keyword(s):

Peripheral Blood ◽

Southern California ◽

Buffy Coat ◽

Sample Collection ◽

Rt Pcr ◽

Case Control Studies ◽

M Gene ◽

Cross Sectional ◽

Qrt Pcr ◽

Feline Coronavirus

Objectives The objectives of this study were to determine the prevalence of feline coronavirus (FCoV) viremia, and its replication in peripheral blood using quantitative RT-PCR (qRT-PCR) methodology in a population of 205 healthy shelter cats in Southern California, as well as to assess any possible connection to longitudinal development of feline infectious peritonitis (FIP). Methods The study was performed on buffy-coat samples from EDTA-anticoagulated whole blood samples of 205 healthy shelter cats. From 50 of these cats, fecal samples were also examined. FCoV genomic and subgenomic RNA in the buffy coats was amplified by a total FCoV RNA qRT-PCR. Evidence for FCoV replication in peripheral blood and feces was obtained by M gene mRNA qRT-PCR. Results Nine of 205 cats (4.4%) were viremic by the total FCoV RNA qRT-PCR, and one of these cats had evidence of peripheral FCoV blood replication by an FCoV mRNA qRT-PCR. The single cat with peripheral blood replication had a unique partial M gene sequence distinct from positive controls and previously published FCoV sequences. Neither seven of the nine viremic cats with follow-up nor the single cat with replicating FCoV with positive qRT-PCR results developed signs compatible with FIP within 6 months of sample collection. Conclusions and relevance FCoV viremia and peripheral blood replication in healthy shelter cats have a low prevalence and do not correlate with later development of FIP in this study population, but larger case-control studies evaluating the prognostic accuracy of the qRT-PCR assays are needed.

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Comparison of viral levels in individuals with or without symptoms at time of COVID-19 testing among 32,480 residents and staff of nursing homes and assisted living facilities in Massachusetts.

10.1101/2020.07.20.20157792 ◽

2020 ◽

Cited By ~ 8

Author(s):

Niall J Lennon ◽

Roby P Bhattacharyya ◽

Michael J Mina ◽

Heidi L Rehm ◽

Deborah T Hung ◽

...

Keyword(s):

Public Health ◽

Nursing Homes ◽

Assisted Living ◽

Assisted Living Facilities ◽

Outbreak Response ◽

Survey Period ◽

Cross Sectional ◽

Viral Loads ◽

Qrt Pcr ◽

Wide Range

Background Transmission of COVID-19 from people without symptoms poses considerable challenges to public health containment measures. The distribution of viral loads in individuals with and without symptoms remains uncertain. Comprehensive cross-sectional screening of all individuals in a given setting provides an unbiased way to assess viral loads independent of symptoms, which informs transmission risks. COVID-19 cases initially peaked in Massachusetts in mid-April 2020 before declining through June, and congregate living facilities were particularly affected during this early surge. We performed a retrospective analysis of data from a large public health-directed outbreak response initiative that involved comprehensive screening within nursing homes and assisted living facilities in Massachusetts to compare nasopharyngeal (NP) viral loads (as measured by RT-PCR cycle threshold (Ct) levels) in residents and staff to inform our ability to detect SARS-CoV-2 in individuals with or without symptoms in the population. Methods Between April 9 and June 9, 2020, we tested NP swabs from 32,480 unique individuals comprising staff and residents of the majority of nursing homes and assisted living facilities in Massachusetts. Under the direction of the MA Department of Public Health (MDPH), symptomatology at the time of sampling and demographic information was provided by each facility for each individual to facilitate reporting to health officials. NP swabs were collected, RNA extracted, and SARS-CoV-2 testing performed using quantitative reverse-transcriptase polymerase chain reaction (qRT-PCR). Results The nursing home and assisted living facilities resident cohort (N =16,966) was 65% female with a mean age of 82 years (SD 13 yrs). The staff cohort (N = 15,514) was 76% female with a median age of 45 (SD 15 yrs). A total 2654 residents (15.5%) and 624 staff (4.1%) tested positive for SARS-CoV-2. 12.7% of residents and 3.7% of staff without symptoms tested positive for SARS-CoV-2, compared to 53.1% of residents and 18.2% of staff with symptoms. Of the individuals who tested positive, 70.8% of residents and 92.4% of staff lacked symptoms at the time of testing. In aggregate, the distributions of Cts for viral probes used in the qRT-PCR assay were very similar, with a statistically but not meaningfully different mean (∆Ct 0.71 cycles, p = 0.006) and a similar range (12-38 cycles), between populations with and without symptoms over the entire time period, across all sub-categories examined (age, race, ethnicity, sex, resident/staff). Importantly, the Ct mean values and range were indistinguishable between the populations by symptom class during the peak of the outbreak in Massachusetts, with a Ct gap appearing only later in the survey period, reaching >3 cycles (p ≤ 0.001) for facilities sampled during the last two weeks of the study. Conclusions In a large cohort of individuals screened for SARS-CoV-2 by qRT-PCR, we found strikingly similar distributions of viral load in patients with or without symptoms at the time of testing during the local peak of the epidemic; as the epidemic waned, individuals without symptoms at the time of testing had lower viral loads. The size of the study population, including both staff and residents spanning a wide range of ages, provides a comprehensive cross-sectional point prevalence measurement of viral burden in a study spanning 2 months. Because the distributions of viral loads in infected individuals irrespective of symptomatology are very similar, existing testing modalities that have been validated for detection of SARS-CoV-2 RNA in symptomatic patients should perform similarly in individuals without symptoms at the time of testing.

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HUBUNGAN SELF-EFFICACY DENGAN KEPATUHAN MINUM OBAT HIPERTENSI DI PUSKESMAS RANOTANA WERU KOTA MANADO

JURNAL KEPERAWATAN ◽

10.35790/jkp.v7i1.24340 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Kevin B. Kawulusan ◽

Mario E. Katuuk ◽

Yolanda B. Bataha

Keyword(s):

Public Health ◽

Medication Adherence ◽

Health Center ◽

Self Efficacy ◽

Sampling Technique ◽

Sample Collection ◽

Cross Sectional ◽

Public Health Center ◽

Purposive Sampling ◽

Level Of Significance

Abstrack: The non-adherence towards the medication of hypertension has become one of many affections in regard to control the blood pressure. Patient's belief in medication had turned into the determinant of health behaviour and it particularly shows in what extent were the patient's adherence in dealing with the medication. The aim of this research is to know the relationship between self-efficacy and medication adherence at Public Health Center of Ranotana Weru. Research Method : The method that used in this research is cross sectional method with sample collection method using purposive sampling technique. MASES-R as measuring instrument is used to measure the self-efficacy and adherence-questionnaires to measure the medication adherence of hypertension. Sample : 85 respondents were collected as samples. Result : The statistical analysis by using Fisher's exact results p values =0,000 with confidence level 95% level of significance α =0,05 means p=0,000 < p=0,05 for self-efficacy and medication adherence of hypertension. Conclusion : There is a significant relationship between self-efficacy and medication adherence at Public Health Center of Ranotana Weru.Keywords : Hypertension, Self-efficacy, Medication adherence.Abstrak : Ketidakpatuhan terhadap pengobatan anti-hipertensi menjadi salah satu penyebab kurangnya pengendalian tekanan darah. Keyakinan pasien terhadap pengobatan menjadi faktor penentu perilaku kesehatan serta sejauh mana kepatuhan pasien terhadap pengobatan. Tujuan: mengetahui hubungan antara self-efficacy dengan kepatuhan minum obat hipertensi di Puskesmas Ranotana Weru Kota Manado. Metode Penelitian yang digunakan adalah cross sectional dengan teknik pengambilan sampel menggunakan purposive sampling. alat ukur yang digunakan dalah MASES-R untuk mengukur self-efficacy dan kuesioner kepatuhan untuk mengukur kepatuhan minum obat hipertensi. Sampel yang diproleh sebanyak 85 responden. Hasil Penelitian : Hasil uji statistik menggunakan uji Fisher’s Exact menunjukkan nilai p = 0,000 dengan tingkat kepercayaan 95% derajat kemaknaan α = 0,05 yang berarti p = 0,000 < p = 0,05 untuk self-efficacy dan kepatuhan minum obat hipertensi. Kesimpulan : Terdapat hubungan signifikan antara self-efficacy dengan kepatuhan minum obat hipertensi di Puskesmas Ranotana Weru Kota Manado.Kata kunci : Hipertensi, Self-Efficacy, Kepatuhan Minum Obat.

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Situasi Pneumonia pada Balita di Wilayah Kerja Puskesmas Bandaharjo Kota Semarang Tahun 2018-2019

Jurnal Penelitian Kesehatan SUARA FORIKES (Journal of Health Research Forikes Voice) ◽

10.33846/sf11420 ◽

2020 ◽

Vol 11 (4) ◽

pp. 418

Author(s):

Widya Widya ◽

Mateus Sakundarno Adi

Keyword(s):

Public Health ◽

Health Center ◽

Research Method ◽

Secondary Data ◽

Age Group ◽

Cross Sectional ◽

Public Health Center ◽

Difficulty Breathing ◽

Number Of Visits ◽

Cross Sectional Design

There were 813 cases of pneumonia in toddler (children under five years old) at Bandarharjo Public Health Center, 328 cases in 2018 and there was an increase of 485 cases in 2019. Notably high number of pneumonia in toddler at Bandaharjo Public Health Center, and there were no research on the situation. The purpose of research is to obtain situation of pneumonia in toddler in 2018-2019 at Bandaharjo Public Health Center in Semarang City. The research method was used descriptive with cross-sectional design used secondary data of diagnosed pneumonia from Bandaharjo Public Health Center. The data obtained were number of cases per year, number of cases per village, age, sex, and number of visits of toddler with cough/difficulty breathed symptoms. The results of the study show that there was an increased of 485 cases in 2019, with the highest cases found in Bandaharjo Village by 273 cases while the lowest cases found in Dadapsari Village with 93 cases. It also showed that toddler age ≥1-5 year old is the highest by 76.1%, male toddler by 55.7%, and toddler with cough/difficulty breathed symptoms in 2018 by 41% and in 2019 by 59%. Conclusions is that there was an increase in the number of pneumonia cases in toddler from 2018 to 2019, the average age group most affected is toddler 1-5 year old with male toddler found higher, also number of visits of toddlers with cough/difficulty breathing symptoms increased from 2018 to 2019. Keywords: pneumonia; descriptions of pneumonia cases; Bandaharjo ABSTRAK Puskesmas Bandarharjo terdapat 813 kasus pneumonia pada balita, pada tahun 2018 sebesar 328 kasus dan tahun 2019 sebesar 485 kasus. Tingginya kasus pneumonia pada balita di Puskesmas Bandaharjo, dan belum ada yang melakukan penelitian mengenai situasi pneumonia pada balita di Puskesmas Bandaharjo tahun 2018-2019. Tujuan penelitian ini adalah diperolehnya situasi kasus pneumonia pada balita tahun 2018-2019 di Puskesmas Bandaharjo Kota Semarang. Jenis penelitian menggunakan data sekunder Puskesmas Bandaharjo tahun 2018-2019 yang terdiagnosis pneumonia. Data yang diperoleh yaitu jumlah kasus per tahun, jumlah kasus per kelurahan, umur, jenis kelamin, dan jumlah kunjungan balita yang batuk. Hasil penelitian diatas menunjukkan bahwa pada pada tahun 2019 mengalami kenaikan sebesar 485 kasus, dengan penemuan kasus pneumonia tertinggi pada balita di Kelurahan Bandaharjo sebesar 273 kasus, sedangkan penemuan kasus pneumonia terendah yakni di Kelurahan Dadapsari sebesar 93 kasus. Usia 1-5 tahun lebih banyak terkena pneumonia yaitu sebesar 76,1% dengan jenis kelamin laki laki sebesar 55,7%, memiliki gejala seperti batuk /kesukaran bernapas pada tahun 2018 sebesar 41% pada tahun 2019 sebesar 59%. Kesimpulan adalah bahwa setiap tahunnya mengalami kenaikan jumlah kasus pneumonia pada balita, dan rata-rata kelompok umur yang paling banyak terkena pneumonia adalah kelompok umur 1-5 tahun dengan jenis kelamin laki-laki, serta balita yang memiliki gejala seperti batuk /kesukaran bernapas di tahun 2018 mengalami kenaikan pada tahun 2019. Kata kunci: pneumonia; gambaran kasus pneumonia; Bandaharjo

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The Demand for Doctorally Prepared Public Health Personnel in Institutions of Higher Education

American Journal of Preventive Medicine ◽

10.1016/s0749-3797(18)31164-4 ◽

1988 ◽

Vol 4 (5) ◽

pp. 298-301 ◽

Cited By ~ 1

Author(s):

F. Douglas Scutchfield ◽

Sharon Quimson ◽

Stephen J. Williams ◽

Richard Hofstetter

Keyword(s):

Public Health ◽

Higher Education ◽

Health Personnel ◽

Institutions Of Higher Education

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HUBUNGAN FAKTOR-FAKTOR INTERNAL PERAWAT DENGAN PENGETAHUAN PERAWAT TENTANG PENERAPAN STRATEGI PELAKSANAAN PADA PASIEN DENGAN GANGGUAN HALUSINASI

Jurnal Kesehatan Saelmakers PERDANA ◽

10.32524/jksp.v1i1.338 ◽

2018 ◽

Vol 1 (1) ◽

pp. 60

Author(s):

Widya Arisandy

Keyword(s):

Strategy Implementation ◽

Analytic Approach ◽

P Value ◽

Sample Collection ◽

Cross Sectional ◽

Internal Factors ◽

Is Research ◽

Knowledge Strategy ◽

Independent Variable ◽

Research Nurses

Knowledge is the result of �know� and this is happening after they made a sensing towards an object certain .Sensing towards an object occur through panca human senses the sight , hearing , of smell , taste and touched with own .Knowledge about the implementation of the nurse strategy is obliged to understandable and in understand by a nurse soul .Many things can affect knowledge a nurse soul both internally and externally.Strategy the implementation of the act of nursing is a in made as a guide by a nurse if when interacting with disorder patients hallucinations.The purpose of research to know relations factors internal a nurse with knowledge nurse in the application of the implementation of the strategy in patients with disorder hallucinations in inpatient Rooms Hospital Ernaldi Bahar The Province Of South Sumatera 2017 . The kind of research done is research quantitative by using the method survey analytic approach in cross sectional .Technique the sample collection that is using a technique the sample collection total of sampling , the number of the sample are always 33 people .To research this independent variable consists of education , length of employment and the days of while dependent variable is knowledge nurse about strategy the implementation of the hallucinations . the results of this research was obtained one variable are associated than 3 variable internal factors researched namely working time with the results of p-value 0,011. Researchers hope from the results of this research , nurses can identify any factor that could affect the knowledge nurses and also can be used to understand the science of psychiatric Keywords : Nurses Knowledge, Strategy Implementation Hallucinations

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Socio-demographic and Clinical Characteristics of Patient with Thyroid Cancer

Anwer Khan Modern Medical College Journal ◽

10.3329/akmmcj.v11i1.45668 ◽

2020 ◽

Vol 11 (1) ◽

pp. 54-58

Author(s):

AKM Farhad Hossain ◽

Md Mahmudur Rahman Siddiqui ◽

Sayada Fatema Khatun

Keyword(s):

Public Health ◽

Thyroid Cancer ◽

Clinical Characteristics ◽

Family Income ◽

Ethical Issues ◽

Endocrine System ◽

Public Health Problem ◽

Follicular Carcinoma ◽

Public Health Issue ◽

Cross Sectional

Background: Thyroid cancer is the most common malignant disease in endocrine system. It is an emerging public health issue associated with burden on the family, community and the nation. The aim of this study is to determine the socio-demographic and clinical characteristics of patient with thyroid cancer attending in tertiary hospital. Methods: This cross sectional study was conducted among 246 thyroid cancer patients in two tertiary hospitals of Dhaka city from 01 July 2018 to 30 June 2019. The subjects were selected purposively following specific selection criteria and maintaining ethical issues. Data were collected by face to face interview using a semi-structured questionnaire and checklist. Data were analyzed by the statistical package for the social science (SPSS) version 23. Results: This study revealed that majority (74.4%) of respondents was female, married (72%), housewife (61.4%), rural respondent (41.1%) and had primary education (69%). Mean (± SD) age of the respondent was 37.85(±12.20) years (Range 14-70 years) and mean (± SD) monthly family income was Tk. 17681(±10602). Out of 246 cases, 204 (82.9%) was papillary and 42 (17.1%) was follicular carcinoma. Various clinical presentations included visible neck swelling in 225 (91.5%), swollen lymph node in 103 (41.9%), pain 90 (36.6%), Difficulties in swallowing 87 (35.4%), Hoarseness of voice in 141 (57.3%), cough along with swelling 47(19.1%), Difficulties in breathing due to swelling in 13(5.3%) of the patients. Conclusion: Incidence of thyroid cancer has increased worldwide specially in female patients in 3rd and 4th decades of life. As thyroid cancer is a growing public health problem in Bangladesh, proper screening and early diagnostic facilities at all level should be available to measure its actual burden in the country. Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 54-58

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EMPLOYEE RETENTION IN A HIGHER EDUCATION INSTITUTION: AN ORGANISATIONAL DEVELOPMENT PERSPECTIVE

Progressio South African Journal for Open and Distance Learning Practice ◽

10.25159/0256-8853/600 ◽

2015 ◽

Vol 37 (2) ◽

pp. 33-63 ◽

Cited By ~ 9

Author(s):

B J Erasmus ◽

A Grobler ◽

M Van Niekerk

Keyword(s):

Higher Education ◽

Employee Turnover ◽

Intent To Stay ◽

Education Institution ◽

Cross Sectional Study ◽

Highly Qualified ◽

Cross Sectional ◽

High Performing ◽

Organisational Climate ◽

Talent Retention

Talent retention and employee turnover are major concerns for higher education institutions (HEIs) because they are losing highly qualified staff to the private sector and to other HEIs that are able to offer better rewards and benefits. The turnover of talented staff is therefore a major concern for the institution under investigation. The retention and voluntary turnover decisions among a workforce of 4 651 employees was thus investigated. A quantitative cross-sectional study was conducted by means of the objective analysis of organisational data in combination with the structured questionnaire (organisational climate survey). Descriptive and inferential statistics were applied to analyse the data across demographic groups, including age, employment category (academic as well as professional and support), etc. The results indicated that the institution’s turnover rate was acceptable (4.34%) and that dysfunctional turnover was marginal because employees with below-standard performance ratings had voluntarily resigned. Positive correlations and significant beta (b) values were reported between Organisational citizenship, Leadership, My manager and Compensation and the employees’ intent to stay in or to leave the organisation. These organisational climate factors were found to explain approximately 30 per cent of the variance in the employees’ intent to stay in or to leave the organisation. The article recommends that a talent retention tool be developed. In addition, it contributes to the literature on retention and turnover of high-performing employees, as it underscores the importance of measuring employee turnover

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Pengaruh Penggunaan Obat Antihipertensi Terhadap Sindroma Mata Kering di Surabaya

Hang Tuah Medical journal ◽

10.30649/htmj.v17i2.418 ◽

2020 ◽

Vol 17 (2) ◽

pp. 159

Author(s):

WISNU TRI PAMUNGKAS ◽

INDIRA RA ◽

IRMA ANDRIANI PASARIBU

Keyword(s):

Public Health ◽

Health Center ◽

Dry Eye ◽

Channel Blocker ◽

Antihypertensive Drugs ◽

Descriptive Analysis ◽

Dry Eye Syndrome ◽

Chi Square ◽

Cross Sectional ◽

Public Health Center

AbstrakLatar Belakang : Prevalensi Hipertensi di Indonesia semakin meningkat mencapai 25,8% pada penduduk berusia 18 tahun keatas. Amlodipin merupakan salah satu pilihan obat untuk terapi Hipertensi yang termasuk golongan Calsium Channel Blocker (CCB). Penggunaan obat antihipertensi sendiri merupakan salah satu faktor risiko yang menyebabkan sindroma mata kering.Tujuan : Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan obat antihipertensi terhadap sindroma mata kering pada penderita Hipertensi di wilayah kerja Puskesmas Jagir kota Surabaya.Metode penelitian : Penelitian ini adalah penelitian observasional analitik dengan metode cross-sectional. Subyek pada penelitian ini adalah 48 responden yang didapatkan dibagi kedalam 2 kelompok yakni, kelompok minum obat antihipertensi >6 bulan dan tidak minum obat. Dilakukan pengisian kuesioner DEQ-5 dan pemeriksaan schirmer I.Hasil penelitian : Analisa deskriptif dari tes schirmer I frekuensi sindroma mata kering lebih tinggi pada responden yang mengkonsumsi obat antihipertensi dari pada responden yang tidak minum obat antihipertensi. Hasil analisa statistik menggunakan uji chi-square signifikansinya yaitu sebesar <0,001 atau dapat dikatakan bahwa p<α (0,05), menunjukkan ada pengaruh pemberian obat antihipertensi terhadap sindroma mata kering yang berdasarkan tes Schirmer pada pasien Hipertensi di wilayah kerja puskesmas Jagir kota Surabaya.Simpulan : Penggunaan obat antihipertensi berpengaruh terhadap sindroma mata kering pada penderita hipertensi di wilayah kerja Puskesmas Jagir kota SurabayaKata Kunci : Sindroma mata kering, obat antihipertensi, hipertensi AbstractBackground: Hypertension prevalence in Indonesia is increasing to reach 25.8% in the population aged 18 years and over. Amlodipine is one of the drugs for hypertension therapy which is included in the Calcium Channel Blocker (CCB) class. The use of antihypertensive medication itself is one of the risk factors that cause dry eye syndrome.Purpose: This study aims to determine the effect of the use of antihypertensive drugs on dry eye syndrome in patients with hypertension at Jagir Public Health Center in Surabaya working area.Methods: This study was an observational analytic study with a cross-sectional method. The subjects in this study were 48 respondents found divided into 2 groups namely, the group taking antihypertensive drugs> 6 months and not taking medication. The DEQ-5 questionnaire was completed and Schirmer I was examined.Results: Descriptive analysis of the Schirmer I test for the frequency of dry eye syndrome was higher in respondents who took antihypertensive drugs than those who did not take antihypertensive drugs. The results of statistical analysis using the chi-square test of significance that is equal to <0.001 or it can be said that p <α (0.05), indicates there is an effect of antihypertensive drug administration on dry eye syndrome based on the Schirmer test in hypertension patients at Jagir Public Health Center in Surabaya..Conclusion: The use of antihypertensive drugs has an effect on dry eye syndrome in patients with hypertension at the Jagir Public Health Center in SurabayaKeywords: Dry eye syndrome, antihypertensive drugs, hypertension

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The relationship betweenparityand the incident of perinealruptures on women’s physiological maternity

International Journal of Health Science and Technology ◽

10.31101/ijhst.v1i2.1106 ◽

2019 ◽

Vol 1 (2) ◽

Author(s):

Evi Rosita ◽

Siti Nurnaningrum

Keyword(s):

Public Health ◽

Health Center ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Midwifery Care ◽

Public Health Center ◽

Record Data ◽

The Relationship ◽

Very High

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.

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