scholarly journals Faktor Risiko Demam Berdarah di Negara Tropis

2021 ◽  
Vol 13 (2) ◽  
pp. 147-158
Author(s):  
Zata Ismah ◽  
Tri Bayu Purnama ◽  
Dyah Retno Wulandari ◽  
Ema Rizka Sazkiah ◽  
Yulia Khairina Ashar

Tropical countries are the largest contributor to the incidence of Dengue HemorrhagicFever (DHF), but research on risk factors is still independent in various countries, it cannot beconcluded holistically. Through the research design, a systematic review is able to summarize andanswer the causes of DHF in this tropical country. This research method is a systematic review withguidelines following the 2009 PRISMA Checklist. In the initial search, 1,680 articles were foundusing the keyword “risk factors for Dengue Hemorrhagic Fever”, reduced to 274 article titles afteradding the keyword “tropical country”. Furthermore, the relevant abstracts were fi ltered and found37 selected article items. Through critical appraisal of the full text of the article, it was found that 17articles met the selection criteria for further review in this study. The results showed that there were5 major groups of risk factors that were widely studied, namely sociodemography, climatology, placeof dwelling, environment, and behavior. The sociodemographic factor associated with the incidenceof DHF in tropical countries is age. In terms of climatology, temperature and rainfall are importantfactors in the vector breeding process. Rural areas (rural areas) are the place of dwelling with the mostcases of DHF found. The environmental aspect that has been widely studied is mosquito breeding. Themost signifi cant risk behavior factor in transmission was the behavior of hanging clothes. Of the 17articles, it was found that 77.8% of the articles examined environmental variables.

Hematology ◽  
2005 ◽  
Vol 2005 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Frits R. Rosendaal

Abstract Over the last decade we have witnessed an avalanche of newly identified risk factors for venous thrombosis. This has advanced our knowledge of its etiology, because more determinants have been described and because the underlying concepts have received a new and broader understanding. Venous thrombosis is a common multicausal disease occurring as the result of interacting genetic, environmental and behavioral risk factors. Some of these have been known since medieval times, such as the increased risk of thrombosis during immobilization in pregnancy and after childbirth (although retained milk of the breast-feeding mother was seen as the primary cause for the latter). Pregnancy and puerperium still cause thrombosis, as do exogenous hormones in oral contraceptives and hormonal replacement therapy. Furthermore, the immobilization in the puerperium of the old days translates directly to situations of immobilization in current times, such as prolonged travel in airplanes or excessive electronic gaming. While pedigrees with abundant thrombosis were observed in the early 1900s, the first cause of heritable thrombophilia (antithrombin deficiency) was discovered in 1965, with the subsequent identification of deficiencies of protein C and protein S in the early 1980s. These were uncommon and strong risk factors, whereas the more recently discovered genetic variants are common and weak, and cause disease only in the presence of other factors.


Hematology ◽  
2005 ◽  
Vol 2005 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Frits R. Rosendaal

Over the last decade we have witnessed an avalanche of newly identified risk factors for venous thrombosis. This has advanced our knowledge of its etiology, because more determinants have been described and because the underlying concepts have received a new and broader understanding. Venous thrombosis is a common multicausal disease occurring as the result of interacting genetic, environmental and behavioral risk factors. Some of these have been known since medieval times, such as the increased risk of thrombosis during immobilization in pregnancy and after childbirth (although retained milk of the breast-feeding mother was seen as the primary cause for the latter). Pregnancy and puerperium still cause thrombosis, as do exogenous hormones in oral contraceptives and hormonal replacement therapy. Furthermore, the immobilization in the puerperium of the old days translates directly to situations of immobilization in current times, such as prolonged travel in airplanes or excessive electronic gaming. While pedigrees with abundant thrombosis were observed in the early 1900s, the first cause of heritable thrombophilia (antithrombin deficiency) was discovered in 1965, with the subsequent identification of deficiencies of protein C and protein S in the early 1980s. These were uncommon and strong risk factors, whereas the more recently discovered genetic variants are common and weak, and cause disease only in the presence of other factors.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043494
Author(s):  
Rui Xu ◽  
Qiufang Li ◽  
Feifei Guo ◽  
Maoni Zhao ◽  
Luyao Zhang

ObjectiveOlder people in rural areas are possibly more frail due to the limited medical resources and lower socioeconomic status. Given the negative healthy outcomes caused by frailty, knowing the epidemiology of frailty in rural areas is of great importance. We tried to synthesise the existing evidences for the prevalence and risk factors of frailty in rural areas.DesignA systematic review and meta-analysis.Data sourcesPubMed, Embase, MEDLINE, Cochrane Library, Web of Science and Scopus were used to identify the articles from inception to 30 April 2019.Eligibility criteriaObservational studies providing cross-sectional data on the prevalence of frailty in rural elderly were extracted.Data extraction and synthesisTwo independent investigators selected studies, extracted data and assessed the methodological quality of included studies. The pool prevalence of frailty was calculated by the random effects model and the OR and 95% CI were used to calculate the risk factors.ResultsThe literature search yielded 2219 articles, of which 23 met the study criteria and were included in this analysis. The pooled prevalence of frailty and pre-frailty were 18% (95% CI 15% to 21%, I2=98.5%, p<0.001) and 50% (95% CI 45% to 56%, I2=98.4%, p<0.001), respectively. The pooled frailty prevalence was 15% for the Fried Phenotype, 18% for the Frailty Index and 23% for other criteria. The pooled prevalence of frailty was 17% for males and 26% for females. The pooled prevalence of frailty was 17% in developing countries and 23% in developed countries. Age, cognitive impairment, depressive symptom, risk of malnutrition, activity of daily living (ADL) disability and poor self-perception of health were associated with frailty. There was no publication bias.ConclusionsFrailty influences almost one in five older people in rural areas, and increasing age, cognitive impairment, depressive symptom, risk of malnutrition, ADL disability and poor self-perception of health were all risk factors for frailty. We should be cautious about the research results due to the heterogeneity between studies.


2020 ◽  
Vol 11 (2) ◽  
pp. 121-133
Author(s):  
Muhammad Jusman Rau ◽  
Puti Andalusia Sarigando Banilai

Dengue High Fever (DHF) is a contagious health problem in tropical areas like Indonesia. Palu city has the highest cases of DHF that is 600 cases (Incidence Rate 166,2/100.000 population) and there are 9 people died. Incidence of DHF in the working area of Kamonji public health center are 106 cases. Factors that cause DHF in this working area are environment and behavior of community. The study aimsis determine risk factors of environment and eradication of mosquito nests efforts in the working area of Kamonji Public Health Center. This type of research is case-control approach and the sample taken from Total Sampling technique which amounts to 86 respondents with a ratio 1:1. Data analysis was performed using univariate and bivariate at 95% confidence level (α=0,05) which shows that precenses of larvae in breeding place (OR=0,334) and drain water containers (OR=0,237) are protective factors. Another result shows that presences of mosquito in resting place (OR=3,654), close water containers (OR=4,032), the use of abate (OR=3,048) and the use of anti-mosquito drugs (OR=4,909) are risk factors of incidence of DHF in working area of Kamonji public health center. The efforts to prevent incidence of DHF is implement eradication of mosquito nest so that the environment around the house still clean and has no chance for become breeding place of Aedes aegypti.    


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036086
Author(s):  
Sohail Akhtar ◽  
Jamal Abdul Nasir ◽  
Aqsa Sarwar ◽  
Nida Nasr ◽  
Amara Javed ◽  
...  

ObjectiveThe purpose of this paper is to perform a systematic review and meta-analysis in order to summarise the prevalence of diabetes and pre-diabetes and their associated risk factors in Bangladesh.DesignSystematic review and meta-analysis.ParticipantsGeneral population of Bangladesh.Data sourcesPubMed, Medline, Embase, Bangladesh Journals Online, Science Direct, Scopus, Cochrane Library and Web of Science were used to search for studies, published between 1st of January 1995 and 31st of August 2019, on the prevalence of diabetes and pre-diabetes and their associated risk factors in Bangladesh. Only articles published in the English language articles were considered. Two authors independently selected studies. The quality of the articles was also assessed.ResultsOut of 996 potentially relevant studies, 26 population-based studies, which together involved a total of 80 775 individuals, were included in the meta-analysis. The pooled prevalence of diabetes in the general population was 7.8% (95% CI: 6.4–9.3). In a sample of 56 452 individuals, the pooled prevalence of pre-diabetes was 10.1% (95% CI: 6.7–14.0; 17 studies). The univariable meta-regression analyses showed that the prevalence of diabetes is associated with the factors: the year of study, age of patients and presence of hypertension. The prevalence of diabetes was significantly higher in urban areas compared with rural areas, while there was no significant gender difference.ConclusionsThis meta-analysis suggests a relatively high prevalence of pre-diabetes and diabetes in Bangladesh, with a significant difference between rural and urban areas. The main factors of diabetes include urbanisation, increasing age, hypertension and time period. Further research is needed to identify strategies for early detecting, prevention and treatment of people with diabetes in the population.PROSPERO registration numberCRD42019148205.


2019 ◽  
Vol 17 (2) ◽  
pp. 144-151
Author(s):  
Irfan Irfan ◽  
Israfil Israfil ◽  
Marieta Kristina Sulastiawati Bai

Filariasis is an infectious disease caused by filarial worms and transmitted by mosquitoes. Efforts to suppress the case of filariasis are eliminated through the administration of filariasis Mass Drug Prevention (MDP). The filariasis MDP program in Ende Regency has been conducted since 2011-2015, and the first phase evaluation was conducted in 2017. This study aims to find a picture of community knowledge about the filariasis elimination program in Ende Regency, to find a picture of behavioral change and environmental management after the implementation of the filariasis elimination program. This research is qualitative research with an ethnographic approach. There were 20 informants consisting of 10 sufferers, 5 patients' families, 3 health workers, and 2 village officials. The results showed that almost all informants had known the Filariasis MDP program and had taken the filariasis drug. Most informants still had behaviors that were at risk of filariasis. The environment where the informant lives did not have a risk for filarial worm breeding. The conclusion of the research shows that the success in handling and preventing filariasis in Detusuko and Welamosa villages are supported by the community's understanding of the MDP program and consuming filariasis medicine, vanishing filarial mosquito breeding places. However, it was still found that community behavior has not changed which are activities outside the home at night, not using long-sleeved clothes and the habit of hanging dirty clothes.


Crisis ◽  
2019 ◽  
Vol 40 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Christopher R. DeCou ◽  
Stephanie P. Kaplan ◽  
Julie Spencer ◽  
Shannon M. Lynch

Abstract. Background and Aim: This study evaluated trauma-related shame as a mediator of the association between sexual assault severity and perceived burdensomeness and thwarted belongingness. Method: A total of 164 female undergraduates who reported attempted or completed sexual assault completed self-report measures of sexual assault, trauma-related shame, perceived burdensomeness, and thwarted belongingness. Results: Using path analysis, trauma-related shame mediated the association between sexual assault severity and perceived burdensomeness, and between sexual assault severity and thwarted belongingness. Limitations: The findings of this study are limited by the retrospective, self-report, and cross-sectional nature of these data, and do not allow for causal inference. Conclusion: Trauma-related shame warrants additional investigation as a mechanism that explains the association between sexual assault and psychosocial risk factors for suicidal ideation and behavior.


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