scholarly journals Population Health Screening after Environmental Pollution

Geosciences ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 477
Author(s):  
Alex G. Stewart ◽  
Ewan Wilkinson

Following environmental pollution exposure, calls to screen the population for disease or disease markers are often made. Population screening is a cross-sectional review of a population to find latent cases or biomarkers of disease that indicate the possibility of disease development; it differs from environmental screening or an epidemiological survey. Recognized standard approaches have been developed over 60 years to ensure quality and effectiveness in complex programs. We surveyed the literature for papers on health screening following environmental exposures and checked them for reference to accepted criteria such as those of Wilson and Jungner. We applied these criteria to three situations covering source/hazard (arsenic contaminated land), pathway/exposure (radiation release), and receptor/disease (lead poisoning). We identified 36 relevant papers. Although across the papers the whole range of criteria were addressed, no paper or program utilized recognized criteria. Issues and gaps identified included limited strategic approaches, lack of treatment, environmental prevention being seen as the screening outcome instead of treatment of identified individuals, and programs which did not fit the World Health Organization screening description. Robust discussion in the literature is needed to consider the organization and role of health screening following environmental exposures.

2016 ◽  
Vol 40 (2) ◽  
pp. 152-155 ◽  
Author(s):  
TE Shishniashvili ◽  
NN Suladze ◽  
VV Margvelashvili

Objectives: To study the influence of environmental pollution on the mineralization of dental hard tissues by using biosubstrates: teeth and hair. :Study design: At the first stage epidemiological survey was conducted in polluted and less polluted areas of Tbilisi (Georgia). We studied 525 children aged 3 and 4 years. Caries prevalence and intensity was defined by the methodology of World Health Organization. At the second stage the chemical elements content was studied in hair and teeth hard tissues of 24 children by X - ray fluorescent spectroscopy method. Results: The prevalence of dental caries in the polluted region was 46%, caries intensity − 1.92 (± 2.842). In the less polluted region prevalence was 37%, caries intensity − 1.47 (± 2.571). These data are statistically reliable (p < 0.05). The study of hair and tooth tissues showed that the toxic elements (Pb, Hg, Sn, Ti) content in these tissues was higher in environmentally unfavorable than in favorable conditions. Conclusion: Hair and dental tissues can be used as indicators of environmental pollution. Our survey showed that toxic elements content in dental hard tissues was higher and the level of essential elements was less in polluted than in less polluted areas of Tbilisi.


2015 ◽  
Vol 4 (2) ◽  
pp. 77-79
Author(s):  
Minimol K Johny ◽  
T Aby Mathew

ABSTRACT Background Oral health status of prisoners has been an area of concern worldwide. The prison population is unique in nature because of the complexities of their psychological, social and behavioral aspects. Limited oral healthcare facilities in prison settings have resulted in neglect of oral health among prisoners. Aim The present study aims to assess oral mucosal lesions among prisoners in Central Prison, Chennai. Materials and methods A cross-sectional epidemiological survey was conducted in Central Prison, Puzhal, Chennai. The study population consisted of 1060 prisoners from three divisions of the Central Prison. Oral mucosal lesions among the prisoners were assessed by a single investigator according to World Health Organization (WHO) specifications. Results The present study shows that among the study subjects, 37.7% of males and 17.1% of females developed oral mucosal lesions. The prevalence of smokers melanosis was 27.6% among males and 8.6% among females. The prevalence of oral mucosal lesions was found to be highest in study subjects of 55 years and above. Conclusion A large proportion of the study subjects had oral mucosal lesions. Oral mucosal lesions like oral submucosis fibrosis, smokers palate and smokers melanosis was found to be common among males than females. Oral healthcare facilities should be incorporated in prison settings which would intercept the progress of oral mucosal lesions. How to cite this article George B, Johny MK, Mathew TA. Oral Mucosal Lesions among Prisoners in Central Prison, Chennai, India. Int J Experiment Dent Sci 2015;4(2):77-79.


2020 ◽  
Vol 2 (10) ◽  
pp. 1733-1739 ◽  
Author(s):  
Md. Musab Khalil ◽  
Md Mashiul Alam ◽  
Mostafa Kamal Arefin ◽  
Mamunur Rashid Chowdhury ◽  
Muhammad Rezeul Huq ◽  
...  

Abstract This study aims to determine the role of personal protective measures in the prevention of COVID-19 spread among the physicians working at different health facilities in Bangladesh. This hospital-based cross-sectional comparative study was conducted from May to June 2020. A total of 98 COVID-19 positive physicians and 92 COVID-19 negative physicians (physicians with no symptoms of COVID-19 or who tested negative) were enrolled. The questionnaire was adapted from a tool developed by the World Health Organization (WHO) for risk assessment and management of exposure of healthcare workers in the context of COVID-19. Data were collected from the respondents online using Google forms. There was no significant difference in baseline information between COVID-19 positive and COVID-19 negative physicians. The physicians, who were unaware of direct participation in COVID-19 patient care, had higher odds of being COVID-19 positive (OR = 4.018; CI: 1.532–10.535). Additionally, the physicians, who were unaware of the COVID-19 status while performing the aerosol-generated procedure (AGP), had a higher chance of being COVID-19 positive (OR = 2.522; CI: 1.020–6.233). Using face shields/goggles (OR = 0.437; CI:0.228–0.837) and regular decontamination of the patient’s surroundings (OR = 0.392; CI:0.176–0.873) while usual take care of patients and use of N95 masks while performing AGP (OR = 0.372; CI:0.159–0.873) had protective roles against COVID-19 among the physicians. The physicians who had reused the medical gown had two times more chances of being tested positive for COVID-19 than those who had not reused it (OR = 2.3; CI:1.251–4.259). The use of face shields/goggles and N95 masks and decontamination of the patient’s surroundings may give protection against COVID-19. Additionally, reusing medical gowns should be avoided as much as possible.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Pratika Satghare ◽  
Siow Ann Chong ◽  
Janhavi Vaingankar ◽  
Louisa Picco ◽  
Edimansyah Abdin ◽  
...  

Background. Although pain is experienced among people of all ages, there is a need to study its risk factors and impact among older adults.Aims. The study sought to determine the prevalence, sociodemographics, and clinical correlates of pain along with association of pain with disability among older adults in Singapore.Methods. The WiSE study was a comprehensive cross-sectional, single phase, epidemiological survey conducted among the elderly aged 60 years and above and used a nationally representative sample of three main ethnic groups in Singapore: Chinese, Malays, and Indians. The survey administered 10/66 protocol pain questionnaire, sociodemographic questionnaire, health status questionnaire, World Health Organization Disability Assessment Scale (WHODAS 2.0), and Geriatric Mental State (GMS) examination.Results. A total of 2565 respondents completed the study giving a response rate of 65.5%. The prevalence of pain among the elderly aged 60 years and above is 19.5 %. Females, incomplete primary education Indians, and those diagnosed with any chronic health condition were associated with risk of pain and disability.Conclusion. Study findings showed that disability related to pain among the elderly is considerable making it a priority to reduce the morbidity and disability among the elderly with pain.


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Frederick W. A. Owusu ◽  
Genevieve Naana Yeboah ◽  
Rahel Adutwiwah Aboagye ◽  
Cedric Dzidzor K. Amengor ◽  
Philomena Entsie

One of the tools used in providing comprehensible medication information to patients on their medication use for improved adherence and subsequent optimal therapeutic effect is the Patient Information (PI) leaflet. In Ghana, the patient information leaflet is available through various sources including health-care professionals (HCPs) and electronic forms. The World Health Organization (WHO) estimates that more than 70% of patients, especially in the developing countries, who receive medications do not read the accompanying leaflet. This study assessed the role of the patient information leaflet in Patients’ medication therapy in the Kumasi metropolis of Ghana. A random cross-sectional survey was conducted in various hospitals and pharmacies within selected districts in the Kumasi metropolis. The survey revealed that 96.9% of the sampled respondents (n = 300) were provided with PI leaflets on their medicines while only 3.1% of them indicated otherwise. Among the proportion of respondents who were provided with PI leaflets, 66.7% of them read the information on the drug leaflets whilst the remaining 33.3% did not. Ultimately, 62.4% of those who read the PI leaflets were influenced to discontinue their medication. In conclusion, reading of the drug information leaflet was higher than that found in previous studies in Ghana. Reading the leaflet did not increase adherence but aroused anxiety and decreased adherence in some patients. A large number of the patients who were given the PI leaflets indicated that it did not provide them with the needed information.


Author(s):  
Rini Gustina Sari

ABSTRAK Menurut World Health Organization (WHO) menunjukkan bahwa kematian akibat Tetanus Neonatorum di Negara-negara berkembang adalah 135 kali  lebih tinggi daripada Negara maju. Tahun 2011 dilaporkan kasus Tetanus di seluruh dunia sebanyak 14.132 kasus dengan kematian terjadi pada 61.000 ibu hamil. Di Indonesia, masih ditemukan banyak  kasus tetanus neonatorum terutama daerah  dengan cakupan persalinan oleh  tenaga kesehatan yang rendah. Tujuan penelitian mengetahui hubungan sikap, dukungan keluarga dan peran petugas kesehatan dengan pemberian  imunisasi tetanus       toxoid     pada ibu hamil di Puskesmas Sekip Palembang Tahun 2018. Penelitian jenis penelitian adalah bersifat kuantitatif dengan menggunakan metode survey analitik dengan pendekatan cross sectional. Subjek penelitiannya adalah semua ibu hamil K1 yang datang ke Puskesmas Sekip menggunakan kuisioner dengan jumlah 67 responden. Hasil penelitian didapatkan ibu hamil dengan sikap positif sudah mengerti akan tujuan/manfaat dan efek samping mengenai pemberian imunisasi Tetanus Toxoid pada ibu hamil sehingga ibu hamil cenderung  bersikap positif. ibu hamil dan orang orang yang berhubungan dekat dengan ibu hamil yang memberikan dukungan positif cenderung dilakukan imunisasi. Peran petugas kesehatan yang memiliki tugas untuk meningkatkan kesehatan masyarakat, termasuk juga petugas kesehatan imunisasi Tetanus Toksoid yang memiliki tugas untuk mengajak ibu hamil cenderung melakukan imunisasi agar terhindar dari penyakit infeksi tetanus yang dapat menyebabkan kematian bagi ibu dan bayi yang tidak melakukan  imunisasi Tetanus selama kehamilan. Kata Kunci : Imunisasi Tetanus Toxoid, Sikap, Dukungan keluarga, Peran tenaga kesehatan   ABSTRACT According to the World Health Organization (WHO) shows that deaths from Tetanus Neonatorum in developing countries are 135 times higher than developed countries. In 2011 there were 14,132 cases of Tetanus worldwide reported with deaths occurring in 61,000 pregnant women. In Indonesia, there are still many cases of tetanus neonatorum, especially in areas with low coverage of deliveries by health workers. The research objective was to find out the relationship between attitudes, family support and the role of health workers by giving tetanus toxoid immunization to pregnant women at Palembang Sekip Health Center in 2018. The research was quantitative in nature using analytical survey method with cross sectional approach. The research subjects were all K1 pregnant women who came to the Sekip Health Center using a questionnaire with a total of 67 respondents. The results showed that pregnant women with a positive attitude already understood the purpose / benefits and side effects of giving Tetanus Toxoid immunization to pregnant women so that pregnant women tended to be positive. pregnant women and people who are in close contact with pregnant women who provide positive support tend to be immunized. The role of health workers who have the duty to improve public health, including health workers Tetanus Toksoid immunization who has the task of inviting pregnant women to do immunizations to avoid tetanus infection which can cause death for mothers and infants who do not do Tetanus immunization during pregnancy.  Keywords: Tetanus Toxoid immunization, attitude, family support, role of health workers


2020 ◽  
Vol 7 (2) ◽  
pp. 68-73
Author(s):  
Mahmoud Mobasheri ◽  
Solieman Kheiri ◽  
Seifollah Bakhshi ◽  
Yadollah Ramezani ◽  
Mansour Firouzbakht

Background and aims: The World Health Organization has listed Iran as the country with the highest number of driving accidents worldwide. Chaharmahal and Bakhtiari is among the top ten provinces in Iran. The aim of this study was to carry out an epidemiological survey on driving accidents resulting in deaths that were referred to the Forensic Medical Center. Methods: In this cross-sectional study, the data were obtained from the Forensic Medical Center in Shahrekord, the provincial capital, during 2005-2016. Data were analyzed using descriptive statistics and the chi-square test by SPSS. Results: The number of registered accidents causing death was 3001. The highest number of accidents (13.5%) occurred from August 23rd to September 22nd, which equates to the last months of the summer according to the solar calendar. Location wise, the highest number of accidents happened in Shahrekord (58.2%). In addition, men and married people were more involved in accidents compared to women and singles. The age group of 21-25 had the most number of accidents. Further, the main road had the highest percentage of accidents (86.7%) compared to freeways, by-ways, and rural roads. Finally, head trauma 1634 (60.7%) was the most important cause of death in people who were in car accidents. Conclusion: Based on these results, policymakers and planners have to carry out necessary positive interferences and plans in order to reduce the number of factors which increase car accidents. Eventually, accidents are usually caused by multiple elements and this makes it necessary to review and optimize the operational output of responsible organizations and offices and the cooperation between them.


2020 ◽  
Author(s):  
Md. Musab Khalil ◽  
Md Mashiul Alam ◽  
Mostafa Kamal Arefin ◽  
Mamunur Rashid Chowdhury ◽  
Muhammad Rezeul Huq ◽  
...  

Abstract ObjectiveThis study aims to determine the role of personal protective measures in the prevention of COVID-19 spread among the physicians working at different health facilities in Bangladesh.MethodsThis hospital-based cross-sectional comparative was conducted from May to June 2020. A total of 98 COVID-19 positive physicians and 92 COVID-19 negative physicians (physicians having no symptoms of COVID-19 or tested negative), were enrolled. The questionnaire was adapted from a tool developed by the World Health Organization (WHO) for risk assessment and management of exposure of health care workers in the context of COVID-19. Data was collected from the respondents online using google forms.ResultsThere was no significant difference in baseline information between COVID-19 positive and COVID-19 negative physicians. The physicians, who were unaware of direct participation in COVID-19 patient care, had higher odds of being COVID-19 positive (OR= 4.018; CI: 1.532-10.535). Also, the physicians, who were unaware of the COVID-19 status while performing aerosol generated procedure (AGP), had a higher chance of being COVID-19 positive, had a higher chance of being COVID-19 positive (OR= 2.522; CI: 1.020-6.233). Using face shields/goggles (OR=0.437; CI:0.228-0.837), regular decontamination of the patient’s surroundings (OR=0.392; CI:0.176-0.873) while usual take care of patients and use of N95 masks while performing AGP (OR=0.372; CI:0.159-0.873) had protective roles against COVID-19 among the physicians. The physicians who had reused the medical gown had two times more chance of being tested positive for COVID-19 than those who had not reused it (OR= 2.3; CI:1.251-4.259).ConclusionThe use of face shield/goggles and N95 masks and decontamination of the patient’s surroundings may give protection against COVID-19. Also, reusing medical gown should be avoided as much as possible.


2020 ◽  
Vol 1 (1) ◽  
pp. 8
Author(s):  
Fera Riswidautami Herwandar ◽  
Russiska Russiska ◽  
Intan Maharani Fakhrudin

Permasalahan kesehatan pada remaja yang menduduki persentasi terbesar dibanding yang lainnya adalah gangguan menstruasi. Gangguan pada siklus menstruasi (durasi perdarahan yang lebih lama dan ketidakteraturan siklus) disebabkan oleh beberapa faktor, salah satunya ialah stres. Stres diketahui sebagai faktor-faktor penyebab (etiologi) terjadinya gangguan siklus menstruasi. Stres akan memicu pelepasan hormon kortisol dimana hormon kortisol ini dijadikan tolak ukur untuk melihat derajat stres seseorang. Hormon kortisol diatur oleh hipotalamus otak dan kelenjar pituitari, dengan dimulainya aktivitas hipotalamus, hipofisis mengeluarkan FSH dan proses stimulus ovarium akan menghasilkan estrogen. Penelitian yang dilakukan oleh Pelayanan Kesehatan Peduli Remaja (PKPR) dibawah naungan World Health Organization (WHO) menyebutkan bahwa permasalahan remaja di Indonesia adalah seputar permasalahan yang mengenai gangguan menstruasi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019. Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019 sebanyak 41 responden. Analisis yang digunakan analisis univariat dan bivariat dengan menggunakan uji Rank Spearman. Hasil penelitian menunjukkan adanya hubungan tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan, dari 41 responden terdapat 18 (44%) responden yang mengalami stres sedang, pada siklus menstruasi yang tidak teratur terdapat 25 (61%) responden. Hasil uji rank spearman,  yakni p value = 0,01 (<0,05) yang ada hubungan antara tingkat stres dengan siklus menstruasi. Berdasarkan hasil penelitian penulis dapat menyimpulkan bahwa terdapat hubungan yang signifikan antara tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019. Bagi institusi Pendidikan khususnya Program Studi Diploma III Kebidanan diharapkan dapat membuat sebuah program edukasi mengenai manajemen stres pada remaja yang bisa dilakukan secara rutin di luar jadwal perkuliahan.  


Author(s):  
Yuni Kurniati Yuni Kurniati

ABSTRACT   According to the World Health Organization (WHO), every two minutes a woman dies of cervical cancer in develoving countries. In Indonesia, new cases of cervical cancer is 40-45 cases of day. It is estimated every hour, a women died of cervical center. At the general hospital center Dr. Mohammad Hoesin Palembang, the incidence of women who had cervical cancer incidence year 2011 women who had cervical cancer incidence are 34 people (48,2%). The following factors increase the chance of cervical cancer in women is infection of Human Papilloma Virus (HPV), sexsual behavior, family history of cervical cancer, age, mechanism of how oral contraceptives, smoking, income or socioeconomic status, race , unhealthy diet, the cell abnormal, parity, use of the drug DES (Dietilsbestrol), and birth control pills. The purpose of this study is known of adolescents about cervical cancer in SMA Tebing Tinggi Empat Lawang year 2016. This study used Analytic Survey with Cross Sectional approach. The population in this study were all young women students in SMA Tebing Tinggi Empat Lawang with the number of 171 respondents. The results showed there were 171 respondents (37.5%) of respondents were knowledgeable, and (62.52%) of respondents who are knowledgeable unfavorable. These results indicate that knowledgeable either less than those less knowledgeable in both the SMA Tebing Tinggi Empat Lawang Year 2016. From these results, it is expected that more teens can know about cervical cancer so that it can add a lot of insight and knowledge.     ABSTRAK   Menurut data World Health Organization (WHO), setiap dua menit wanita meninggal dunia karena kanker serviks dinegara berkembang. Di Indonesia, kasus baru kanker serviks 40-45 kasus perhari. Di perkirakan setiap satu jam, seorang perempuan meninggal dunia karena kanker serviks. Di rumah sakit umum pusat Dr. Mohammad Hoesin Palembang, angka kejadian ibu yang mengalami kanker serviks pada tahun 2011 ibu yang mengalami kejadian kanker serviks terdapat 34 orang (48,2%). Faktor-faktor berikut meningkat kan peluang kanker serviks pada wanita yaitu infeksi Human Papiloma virus (HPV), perilaku seks, riwayat keluarga kanker serviks, umur ,mekanisme bagaimana kontrasepsi peroral, merokok, pendapatan atau status social ekonomi, ras, diet tidak sehat, adanya sel abnormal, paritas, menggunakan obat DES (Dietilsbestrol),dan pil KB. Tujuan penelitian ini adalah Diketahuinya pengetahuan remaja tentang Ca Cerviks di SMA Negeri Tebing Tinggi Empat Lawang Tahun 2016. Penelitian ini menggunakan metode survey  analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua siswi remaja putri di SMA Negeri Tebing Tinggi Empat Lawang dengan jumlah 171 responden.Hasil penelitian menunjukkan dari 171 responden terdapat(37.5 %) responden yang berpengetahuan baik, dan (62.52  %) responden yang berpengetahuan kurang baik. Hasil penelitian ini menunjukan bahwa yang berpengetahuan baik lebih sedikit dibandingkan dengan  yang berpengetahuan kurang baik di SMA Negeri Tebing Tinggi Empat Lawang Tahun 2016. Dari hasil penelitian ini, Diharapkan remaja bisa lebih banyak mengetahui tentang caserviks sehingga dapat menambah banyak wawasan dan pengetahuan.    


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