scholarly journals Efforts to Control Potential Hazards of Working at Height at a Gresik Fertilizer Company, Indonesia

Author(s):  
Dana Aprilia ◽  
Aziz Ramadhan

Introduction: As one of the largest fertilizer industrieswith high competitiveness and high interest from consumers, the Gresik Fertilizer Company has various potential hazards that can cause workplace accidents, one of which is the danger of working at height. This study aims to determine the Occupational Safety and Health (OSH) programs and the application of hazard control of working at height in the Gresik Fertilizer Company. Methods: This study used a descriptive analysis method with a cross sectional study design. The variables studied were the hazard control efforts, the procedures to control the hazard, and the application of the hazard control process of working at height. Data collection techniques derived from secondary data in the form of company’s documents, and the data analysis method used in this study was in the form of qualitative method. Results: the Gresik Fertilizer Company has several OSH programs for the control of hazard of working at height with a success rate of 90%, have control methods of working at height with a success rate of 90%, and have guidelines for working at height with  a success rate of 85%. Conclusion: The Gresik fertilizer company has OSH programs to control working at height, has hazard control methods for working at height, and guidelines for working at height.Keywords: control efforts, fertilizer company, working at height hazards

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Wolvaardt ◽  
R Nemuntandani ◽  
I Kamungoma-Dada

Abstract Background Access to essential medicines in South Africa has been compromised by stockouts in health facilities. This study describes the occurrence of stockouts for a selection of essential medicines. Methods This cross-sectional study used secondary data retrieved from the Stop Stock Outs Project (SSP). A descriptive analysis was conducted on data from the 2013-2015 SSP case management database of routinely reported stockouts. Chi square tests of independence was conducted on data from the SSP 2015 annual telephonic survey to investigate associations between the occurrence of stockouts, the level of health facility and the type of health professional. Results 231 facilities reported 609 stockouts. Antiretroviral medication had the most stockout reports (78%; n = 475/609), followed by anti-infectives (17.1%; n = 104/609) and tuberculosis medication (4.9%; n = 30/609). The highest number of stockout reports were received from Gauteng province and the majority (71.09%; n = 150/211) of facilities reporting stockouts were in urban areas. There were more stockouts at ambulatory, rather than inpatient care, facilities however, this was not statistically significant. Conclusions This study confirms that South Africa experiences medicine stockouts for many of the essential medicines, with antiretroviral medication being the category most affected. The stockouts vary between provinces and the urban-rural divide but are an equal threat to both ambulatory and inpatient facilities. Key messages The pattern of stockouts experienced over a three-year period suggest that stockouts are ‘normal’ despite the substantive effects of treatment interruption – especially patients with HIV and/or TB. Antiretroviral therapy is at risk as a result of stockouts.


Author(s):  
Wan Nurul Ezyani Wan Jabarudin ◽  
Normala Mohammad Som ◽  
Afidatul Mardhiah Mohammad Daud ◽  
Nor Dalila Shamsuddin ◽  
Nazian Hanna Yaacob ◽  
...  

Background: The objective of this study is to determine the success rate of oral methotrexate in Hospital Shah Alam for the past 2 years.Methods: This is a cross-sectional study using secondary data obtained from medical record office in Hospital Shah Alam on patients with ectopic pregnancy. A total of 35 patients who fulfilled the criteria for medical management were selected. They were prescribed with oral methotrexate with the dose of 60 mg given in 3 divided doses every 2 hours using the standard tablet of 2.5mg. Follow up was done at day 4, day 7 and till HCG level achieve less than 20 iu/litre.Results: 29 patients were successfully treated with oral methotrexate 60 mg (82.8%). Another 6 patients had to undergo laparoscopic surgery with confirmed leaking, ruptured tubal pregnancy. 4 patients needed second dose of Methotrexate due to rising HCG level and all of them were successfully treated after the second dose. The side effects of oral methotrexate were tolerated well by all patients. There are numbers of predictors for success which are the level of HCG <4000 iu/litre, size of mass <4cm, no abdominal pain during early presentation and decrease of HCG level in between day 4 to day 7 after oral methotrexate.Conclusions: The success rate of oral methotrexate for stable ectopic pregnancy is good making it a suitable option for clinical settings which has no specialised equipment to handle cytotoxic drugs.


2021 ◽  
Vol 11 (34) ◽  
pp. 227-236
Author(s):  
Dione Lúcia Prim Laurindo ◽  
Sabrina Da Silva de Souza ◽  
Ana Claudia da Cunha ◽  
Samara Eliane Rabelo Suplici ◽  
Katheri Maris Zamprogna

Este estudo tem por objetivo avaliar a Cobertura de exames citopatológicos de Colo Uterino na população de 25 a 64 anos e sua relação com a cobertura populacional pelas equipes de Saúde da Família nos municípios de Santa Catarina. Estudo transversal que utilizou dados secundários do banco de dados oficiais do Estado de Santa Catarina dos indicadores de Cobertura de exames citopatológicos e cobertura populacional pelas equipes de Saúde da Família nos anos de 2017 e 2018. Análise descritiva incluindo média, desvio padrão, mediana, percentil 25 e 75, mínimos e máximos para todos os indicadores de estudo e correlação de Spearman.  O estudo confirmou a hipótese de que quanto maior a cobertura de Equipes de Saúde da Família (ESF) melhores são os indicadores de saúde, pois os municípios com melhor cobertura de ESF apresentaram melhor a razão de exames citopatológicos de Colo Uterino na população de 25 a 64 anos no período estudado.Descritores: Enfermagem, Citopatológico, Indicadores de Saúde Comunitária. Reason for cervical cytopathological exams in women aged 25 to 64 years in Santa Catarina: an ecological studyAbstract: This study aims to evaluate the coverage of cervical cytological examinations in the population aged 25 to 64 years and its relationship with population coverage by the Family Health teams in the municipalities of Santa Catarina. Cross-sectional study using secondary data from official databases of the State of Santa Catarina, indicators of coverage of cytopathological examinations, and population coverage by family health teams in the years 2017 and 2018. Descriptive analysis including mean, standard pattern, median, 25th, and 75th percentile, minimum and maximum for all study indicators, and Spearman correlation. The study confirmed the hypothesis that the greater the coverage of family health equipment (FHS), the better health indicators, as the municipalities with the best FHS coverage consider the ratio of cervical cytopathological examinations better in the population aged 25 to 64 years in the studied period.Descriptors: Nursing, Cytopathological, Health Indicators. Motivo de los exámenes citopatológicos del cuello uterino en mujeres de 25 a 64 años en Santa Catarina: un estudio ecológicoResumen: Este estudio tiene como objetivo evaluar la cobertura de los exámenes citológicos del cuello uterino en la población de 25 a 64 años y su relación con la cobertura poblacional por parte de los equipos de salud familiar en los municipios de Santa Catarina. Estudio transversal que utiliza datos secundarios de bases de datos oficiales del Estado de Santa Catarina, indicadores de cobertura de exámenes citopatológicos y cobertura poblacional por equipos de salud familiar en los años 2017 y 2018. Análisis descriptivo que incluye la media, patrón estándar, mediana, 25 y percentil 75, mínimo y máximo para todos los indicadores de estudio y la correlación de Spearman. El estudio confirmó la hipótesis de que cuanto mayor es la cobertura del equipo de salud familiar (FHS), mejores son los indicadores de salud, ya que los municipios con la mejor cobertura de FHS consideran mejor la proporción de exámenes citopatológicos del cuello uterino en la población de 25 a 64 años el periodo estudiadoDescriptores: Enfermería, Citopatológico, Indicadores de Salud Comunitaria.


2021 ◽  
Vol 9 (2) ◽  
pp. 184
Author(s):  
Armya Zakiah Safitri ◽  
Risna Nur Fajariyah ◽  
Erni Astutik

Background: Over the last decades, the number of new diabetic cases and the prevalence of diabetes have tended to increase. The diabetes prevalence rate in Indonesia in 2020 reached 6.20%. Purpose: The aim of this study is to examine the relationship between the variables of age, level of education, smoking status, and Body Mass Index (BMI) and the prevalence of diabetes in the urban areas. Methods: This was a cross-sectional study and used secondary data from the Indonesia Family Life Survey (IFLS 5) in 2015. The data was analyzed using descriptive analysis and simple logistic regression. The dependent variable in this study was Diabetes Mellitus (DM); the independent variables were age, education level, smoking status, and BMI. Results: In terms of the respondents’ characteristics, individuals were mainly over 35 years of age (130 respondents, 83.87%). The highest level of education was attained by 93 respondents (60.00%). There was a correlation between respondents who were over 35 years of age, with p=0.01; prevalence ratio (PR)=5.60; 95%Cl=3.64–8.62) and the level of education (p=0.01; PR=1.69; 95%Cl=1.22–2.34) with the incidence of diabetes in urban areas in Indonesia. There was no correlation between the smoking status (p=0.55; PR=0.67; 95%Cl=0.01–2.73) and the BMI of respondents with the prevalence of diabetes in urban areas in Indonesia. Conclusion: The age and the level of education were linked to the incidence of diabetes in urban areas in Indonesia.


2020 ◽  
Vol 9 (3) ◽  
pp. 207-211
Author(s):  
Sidra Sarwar ◽  
Sara Khalid ◽  
Tahir Mahmood ◽  
Hadeeqa Jabeen ◽  
Shahid Imran

Background: Musculoskeletal disorders are not only becoming prevalent among health care professionals in our country but are affecting their health and performance adversely. They are caused by poor ergonomics and awkward posture during work activities. The purpose of this study was to determine the frequency of neck and upper limb musculoskeletal disorders in dentists of Lahore, Pakistan. Material and Methods: This cross-sectional study was conducted during October 2017 to March 2018. The data was collected using convenient sampling technique from 162 Dentists including 52 males and 110 females of Children hospital Lahore, Punjab Dental hospital and Fatima Memorial Hospital, Lahore. Data was collected by using Mangalore Questionnaire for identification of musculoskeletal disorders. Descriptive analysis of the data was done using SPSS version 22.0. Results: Of 162 dentists, 115 (71%) suffered from musculoskeletal disorders. Shoulder was the most commonly affected region (30.9%) followed by neck (25.9%), arm (6.2%), wrist (4.3%), elbow (3.1%) and forearm (0.6%). Pain (45.7%) was found to be the most common complaint followed by muscle weakness (20.4%), paraesthesia (3.7%) and swelling (1.2%). Conclusions: It was concluded that majority of the dentists were suffering from musculoskeletal disorders with shoulder as the most affected region and pain as the most frequent complaint. Key words: Dentists, Musculoskeletal disorders, Neck pain, Upper extremity


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 975.1-975
Author(s):  
H. Azzouzi ◽  
O. Lamkhanat ◽  
I. Linda

Background:Rheumatoid Arthritis (RA) is one of the risk factors for the calculation of the 10 years fracture probability assessed by the FRAX tool.Objectives:The aim was to study the association of disease activity and the 10 year fracture risk probability by the FRAX tool in our RA patients and their impact on fracture prevalence.Methods:Cross-sectional study of the association FRAX and disease activity score (DAS 28 CRP) was designed. Patients with RA were included. Mean DAS was calculated for each patient adjusted on his follow-up duration. Data about patients (demographic, disease characteristics and fracture assessment) were collected. The 10 year fracture risk probability for major osteoporotic fracture was calculated with and without BMD (bone mineral density) using the FRAX tool for Morocco. Descriptive analysis and regressions were performed with SPSS.20. p<0.05 was considered significant.Results:One hundred and ninety nine RA patients were included with mean age of 55.5±12 years. Women represented 91% and 40.1% had osteoporosis. Remission was observed in 86.4% with 95.5% taking methotrexate. 17.1% had vertebral fractures. FRAX and DAS were associated (p=0.03), and both explained vertebral fracture (VF) prevalence. When adjusted on disease parameters, FRAX with and without BMD explained the vertebral prevalence (p=0.02, OR=1.09[1.01-1.19]). However, age remains the only predictor of VF when adjusted on osteoporosis factors (DAS28CRP, menopause, BMI, smoking, diabetes, gender, steroid use, HAQ) and FRAX BMD.Conclusion:Persistent disease activity was associated to high 10 year fracture risk probability calculated by the FRAX tool in RA.Disclosure of Interests:None declared


Author(s):  
Priyanka Sharma ◽  
Anita Khokhar

Abstract Background: There has been a reported increase in cases of domestic violence during the coronavirus disease (COVID-19) pandemic, however systematic research data is still unavailable. This study was conducted to find out domestic violence prevalence and coping strategies among married adults during lockdown due to COVID-19 in India. Methodology: A cross-sectional study was conducted among married men and women in the month of April 2020. Data regarding socio-demographic profile, domestic violence and coping strategies employed during lockdown was collected thorough google forms. 97.9% forms were completely filled by the respondents. Descriptive analysis was done. Results: Out of 94 study participants, about 7.4% (n=7) had faced domestic violence during lockdown. Out of these 7 participants, about 85.7% (n=6) reported increased frequency of domestic violence during lockdown. About half of the victims chose to ignore it (57.1%, n=4) or used yoga/meditation (42.9%, n=3) to cope. Conclusion: With about 7.4% study participants facing domestic violence during lockdown, it is necessary to study its detailed epidemiology in pandemics so that interventions like helpline numbers, screening of patients during tele-consultation, etc. which can be delivered even during lockdown with the help of healthcare and frontline workers could be devised to address this problem.


2021 ◽  
Vol 70 ◽  
pp. 102829
Author(s):  
Mohammad Al- zubi ◽  
Ammar Al Sleibi ◽  
Basel Mazen Elayan ◽  
Subhi Zahi Al-issawi ◽  
Morad Bani-hani ◽  
...  

2013 ◽  
Vol 22 (21-22) ◽  
pp. 3006-3015 ◽  
Author(s):  
Cristina Lopez-del Burgo ◽  
Rafael T Mikolajczyk ◽  
Alfonso Osorio ◽  
Tania Errasti ◽  
Jokin de Irala

Author(s):  
Muhammad Bilal Mirza ◽  
Anjiya Sulaiman ◽  
Satwat Hashmi ◽  
Samar Zaki ◽  
Rehana Rehman ◽  
...  

Abstract Objective: To determine perception of medical students about learning from integrated simulated clinical skills sessions in Respiration and Circulation module of Year 1 undergraduate medical curriculum at Aga Khan University. Subjects & Methods: This cross-sectional study was conducted at the Centre for Innovation in Medical Education, Aga Khan University (AKU) from July 2018 to February 2019. Integrated clinical skills session involves use of a combination of live simulated patient and mechanical simulator to teach clinical skills.  These sessions were conducted in Respiration and Circulation Module of MBBS Year I curriculum after which quantitative data was collected by a questionnaire that assessed usefulness of integrated clinical skills teaching method and confidence gained by students. The responses acquired were assessed on a Likert scale ranging from 1-5, (strongly agree -strongly disagree).  Descriptive analysis was performed. A focused group discussion (FGD) with students and an in-depth interview with a facilitator conducting the clinical skills sessions was arranged. Simple verbatim transcription of FGD recordings and thematic analyses was executed. Results: Quantitative analysis showed that more than 90% of the students believed integrated sessions were effective in acquiring the learning objectives and found them enjoyable and motivating. 80% expressed confidence that they had accomplished learning objectives and felt they have learned practical clinical skills. Qualitative analysis revealed that these sessions enhanced understanding of subject matter and student engagement during sessions. Conclusion: Integrated clinical skills sessions improved student interest, engagement and promoted student confidence. It should be implemented in undergraduate medical teaching curriculum. Continuous...


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