scholarly journals Asupan protein dan somatotype pada atlet pencak silat di Pembinaan Atlet Berbakat Yogyakarta

2018 ◽  
Vol 1 (2) ◽  
pp. 120
Author(s):  
Yeni Agustin ◽  
Eka Novita Indra ◽  
Yuni Afriani
Keyword(s):  
Informed Consent ◽  
Cross Sectional ◽  
Skinfold Caliper

Latar belakang: Pencak silat sebagai aktivitas jasmani merupakan salah satu cabang olahraga yang populer dan berkembang pesat di Indonesia. Kombinasi latihan yang intensif dan asupan gizi yang tepat dapat membentuk morfologi tubuh atlet menjadi lebih baik. Atlet dengan struktur antropometri atau somatotype dan komposisi tubuh yang sesuai dengan cabang olahraganya cenderung menunjukkan perfoma olahraga yang lebih baik. Pengaturan diet yang tepat dapat meningkatkan performa atlet. Asupan protein yang cukup dapat menunjang performa atlet. Tujuan: Mengetahui gambaran asupan protein dan somatotype pada atlet pencak silat di Pembinaan Atlet Berbakat (PAB) Yogyakarta. Metode: Penelitian ini merupakan penelitian deskriptif dengan rancangan penelitian cross-sectional. Subjek pada penelitian ini adalah seluruh atlet pencak silat yang terdaftar dan aktif di PAB Yogyakarta yang berjumlah 40 orang. Instrumen penelitian yang digunakan adalah timbangan, microtoice, skinfold caliper, spreading caliper, pita LILA, form recall 3x24 jam, dan informed consent. Data dianalisis menggunakan software statistik secara deskriptif. Hasil: Rata-rata asupan protein pada atlet pencak silat di PAB Yogyakarta adalah 92,89±30,30. Sebanyak 16 orang (40%) kategori kurang, 16 orang (40%) kategori baik dan sebanyak 8 orang (20 %) kategori lebih. Berdasarkan hasil pengukuran somatotype, sebanyak 2 orang (5%) kategori central, 14 orang (35%) kategori balance-ectomorph, 7 orang (17.5%) kategori endomorphic ectomorph, 15 orang (37.5%) kategori ectomorphic endomorph dan 2 orang (5%) kategori mesomorph. Kesimpulan: Sebagian besar atlet pencak silat di PAB Yogyakarta memiliki asupan protein yang belum sesuai dengan kebutuhan. Somatotype atlet sebagian besar memiliki kategori ectomorphic endomorph. 

HUBUNGAN KARAKTERISTIK PASIEN DENGAN PEMAHAMAN PERSETUJUAN TINDAKAN MEDIS PADA TINDAKAN BEDAH DI RUMAH SAKITPERTAMINA BINTANG AMIN (RSPBA) BANDAR LAMPUNG BULAN MARET 2015

2019 ◽  
Vol 6 (1) ◽  
pp. 19-28
Author(s):  
Rakhmie Rafie ◽  
Yusmaidi Yusmaidi ◽  
Mira Fitriyani
Keyword(s):  
Informed Consent ◽  
Confidence Interval ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional

Berdasarkan Permenkes 585/1989 dikatakan bahwa informed consent adalah persetujuan yang diberikan oleh pasien atau keluarganya atas dasar penjelasan mengenai tindakan medis yang akan dilakukan terhadap pasien tersebut. Peran dan tanggung jawab dokter terhadap pelaksanaan tindakan medis berdasarkan imformed consent sangat penting untuk mencegah kemungkinan yang akan terjadi kepada pasien nantinya. Pemahaman terhadap informasi yang diberikan dipengaruhi oleh beberapa faktor, diantaranya karakteristik orang tersebut. Survey analitik dengan desain cross sectional dengan wawancara terpimpin menggunakan kuesioner terhadap 100 responden, dan diolah menggunakan analisa univariat dan bivariat dengan uji Chi-Square. Hasil penelitian menunjukkan bahwa: yang berusia dewasa 84 responden (84%) dan yang berusia muda sebanyak 16 responden (16%), laki- laki 63 responden (63%) dan perempuan 37 responden (37%), yang berpendidikan rendah 41 responden (41%) dan yang berpendidikan tinggi 59 responden, yang tidak bekerja 24 responden (24%) sedangkan yang bekerja 76 responden (76%), yang mempunyai pemahaman baik 58 responden (58%) dan yang tidak baik sebanyak 42 responden (42%). Variabel yang terdapat hubungan bermakna dengan pemahaman terhadap persetujuan tindakan medis pada tindakan bedah di RSPBA pada bulan Maret 2015 adalah umur (nilai p value = 0,037) OR = 3.761 dengan nilai Confidence Interval (1.195-11.835)dan pendidikan (nilai p value = 0,00) OR = 8.551 dengan Confidence Interval (3.436-21.285). Sedangkan variabel yang tidak terdapat hubungan bermakna dengan pemahaman persetujuan tindakan medispada tindakan bedah di RSPBA pada bulan Maret 2015 adalah jenis kelamin (nilai p value = 0,987) dan pekerjaan (p value = 0,251). Terdapat hubungan bermakna antara umur dan pendidikan dengan pemahaman terhadap persetujuan tindakan medis pada tindakan bedah di RS Pertamina Bintang Aamin (RSPBA) pada bulan Maret 2015.  

Risk Minimization Measures in Off-Label Drug Use: A Survey of Community Pharmacists in Malaysia

2020 ◽  
Vol 15 (3) ◽  
pp. 181-189
Author(s):  
Omotayo Fatokun
Keyword(s):  
Informed Consent ◽  
Drug Use ◽  
Perceived Risk ◽  
Adverse Drug Events ◽  
Community Pharmacists ◽  
Risk Minimization ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Off Label ◽  
Written Informed Consent

Background: While off-label drug use is common and sometimes necessary, it also presents considerable risks. Therefore, measures intended to prevent or reduce the potential exposure to off-label risks have been recommended. However, little is known about community pharmacists’ beliefs regarding these measures in Malaysia. Objectives: This study examined community pharmacists’ beliefs towards risk minimization measures in off-label drug use in Malaysia and assessed the relationship between perceived risk of off-label drug use and beliefs towards risk minimization measures. Methods: A cross-sectional survey was conducted among 154 pharmacists practicing in randomly selected community pharmacies in Kuala Lumpur and the State of Selangor, Malaysia. Results: The majority agreed or strongly agreed that adverse drug events from the off-label drug should be reported to the regulatory authority (90.9%) and the off-label drug should only be used when the benefit outweighs potential risks (88.3%). Less than half (48.1%) agreed or strongly agreed that written informed consent should be obtained before dispensing off-label drugs and a majority (63.7%) agreed or strongly agreed that the informed consent process will be burdensome to healthcare professionals. Beliefs towards risk minimization measures were significantly associated with perceived risk of off-label drug use regarding efficacy (p = 0. 033), safety (p = 0.001), adverse drug rection (p = 0.001) and medication errors (p = 0.002). Conclusion: The community pharmacists have positive beliefs towards most of the risk minimization measures. However, beliefs towards written informed consent requirements are not encouraging. Enhancing risk perception may help influence positive beliefs towards risk minimization measures.

scholarly journals Obstetric Violence in Spain (Part III): Healthcare Professionals, Times and Areas

2021 ◽  
Vol 18 (7) ◽  
pp. 3359
Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
María Jesús Valero-Chillerón ◽  
Laura Andreu-Pejó ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Informed Consent ◽  
Healthcare Professionals ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Lack Of Information ◽  
Obstetric Violence

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.

scholarly journals REXIC project: retrospective cross-sectional study of documentation of informed consent for research biobanking in a public research and teaching hospital

2013 ◽  
Vol 2 (1) ◽  
pp. 10 ◽  
Author(s):  
Marta Nobile ◽  
Elena Garavelli ◽  
Barbara Gagliardi ◽  
Silvia Giovanelli ◽  
Paolo Rebulla ◽  
...  
Keyword(s):  
Informed Consent ◽  
Standard Model ◽  
Cross Sectional Study ◽  
Essential Elements ◽  
Cross Sectional ◽  
Research And Teaching ◽  
Single Standard ◽  
Set Up ◽  
Design And Methods

<em>Background</em>. The Center for Transfusion Medicine, Cell Therapy and Cryobiology, Milan, Northern Italy, is the headquarter of the POLI-MI biobank. It co-ordinates the biobank activities of the Fondazione Ca’ Granda Ospedale Maggiore Policlinico of Milan. Such activities require specific safeguarding of donors’ rights and protection of sensitive and genetic data. The Fondazione Ca’ Granda Ospedale Maggiore Policlinico has set up a project on informed consent with the aim of developing awareness and understanding of this issue. Within this project, it has been decided to evaluate how consent for biobanking material is expressed. <em>Design and methods.</em> The aim of the study was to evaluate the quality and completeness of consent to biobanking in the POLI-MI biobank. This was a retrospective study carried out in 2012 on samples of consent declarations collected by biobank units in 2011. Some units used a single, standard consent model available from a previous POLI-MI biobank workgroup. Other units used models which had been previouly formulated. Evaluation was made using a form that indicated the essential elements of consent. <em>Results</em>. A total of 48 consent declarations were collected using the single, standard model and 84 were collected using other models. The consent declarations that used the single, standard model were found to be the most complete and were filled in better than other models. <em>Conclusions</em>. Progressive adoption of a simple, standard consent model is expected to improve the quality of consent acquisition. Regular audit of the compliance of consent practices with ethical and legal requirements is mandatory to improve the quality of research biobanking.

scholarly journals A Comparative Study of Frequency of Atrial Fibrillation (AF) in Patients Diagnosed With Ischemic Stroke

2021 ◽  
Vol 15 (5) ◽  
pp. 920-923
Author(s):  
Muzammil Khalid ◽  
M. Asif Naseer
Keyword(s):  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
Informed Consent ◽  
Clinical Investigation ◽  
Operational Definition ◽  
Cross Sectional ◽  
Stroke Risk Factors ◽  
Stroke Study ◽  
The Mean ◽  
Obesity Hypertension

Aim: To find frequency of atrial fibrillation (AF) in patients diagnosed with ischemic stroke. Study design: A Cross sectional descriptive study. Place and duration of study: Department of Medicine, PAF Hospital Mushaf, Sargodha from July 4, 2019 to Jan 4, 2020. Methods: In this study a total of 260 patients were taken after taking informed consent meeting inclusion criteria from Department of Medicine, PAF Hospital Mushaf, Sargodha. The informed consent was taken from patients or attendants. Basic information like, age, gender and contact details were taken of all selected subjects. After basic clinical investigation, ECG was done for all patients with 24 hours of Ischemic stroke who presented to the selected setting. Atrial fibrillation was as per operational definition. On pre designed proforma, data was collected from all patients. Results: The mean age of patients was 57.34±12.82 years with minimum and maximum age as 20 and 80 years. There were 150(57.7%) males. According to operational definition 91 (35%) cases had atrial fibrillation while other 169(65%) cases did not have atrial fibrillation. The frequency of atrial fibrillation was statistically same when stratified for age), gender, smoking, obesity, hypertension, diabetes mellitus. Conclusion: The frequency of atrial fibrillation was seen in 35% of the cases having ischemic stroke. Hence if atrial fibrillation is diagnosed early then ischemic stroke can be prevented. Keywords: Stroke, risk factors, complications, echocardiography, atrial fibrillation.

scholarly journals Knowledge of Surgical Informed Consent and Associated Factors among Patients Undergone Obstetric and Gynecologic Surgery at Jimma Medical Center, Jimma, Oromia Region, Ethiopia, 2020. An Institutional Based Cross-Sectional Study.

2021 ◽  
Author(s):  
Belete Fenta Kebede ◽  
Tsegaw Biazin Tesfaye ◽  
Aynalem Yetwale Hiwot
Keyword(s):  
Informed Consent ◽  
Health Care Providers ◽  
Associated Factors ◽  
Medical Center ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Outcome Variable ◽  
Gynecologic Surgery ◽  
Care Providers ◽  
Cross Sectional

Abstract Introduction: The practice of informed consent before any surgical procedure should form the fundamental element that serves to protect both patient and surgeon from prosecution. Several factors can affect the process of surgical informed consent. Knowledge towards surgical informed consent is one important factor. It is worth mentioning that patients’ understanding of the information provided in the consent form is a prerequisite for obtaining valid informed consent, otherwise, it will be only symbolic. The study aimed to assess knowledge of surgical informed consent and associated factors among patients who undergone obstetric and gynecologic surgery at Jimma Medical Center, Jimma, Oromia Region, EthiopiaMethodology: Institutional based crossectional study was conducted among systematically selected women undergo obstetrics and gynecologic surgery in Jimmy medical center from April 1 to May 30, 2020. The collected data were coded, entered into Epi data version 3.1, and analyzed using SPSS version 25. Bivariate and multivariate regression was carried out to determine the association between an outcome variable and an independent variable. Tables, pie -charts, and texts were used to report the result.Results: This study revealed that the mean age of the respondents was 29.5 ±3.5 years and the majority of them (83.3%) were married. The respondents had significantly poor overall knowledge of surgical informed consent 77.2 %( 95%CI: 72.8-81.2).Patient educational status (AOR: 1.22 (95%CI: 1.1-2.47), satisfaction level (AOR: 1.823(95%CI: 1.061-3.134).and patient- provider relation-ship (AOR: 0.472(95%CI: 0.271-0.822) were associated with knowledge of surgical informed consent.Conclusion: in this study, the overall level of knowledge regarding surgical informed consent was significantly poor than the other national and international figures. Patient Education, satisfaction, and patient-provider relation-ship were associated with knowledge of surgical informed consent. Health care providers should provide adequate information before surgery to improve patients’ knowledge regarding surgical informed consent and provide adequate input on ways to improve the consent process to make it better suited to fit the needs of all patients.

scholarly journals PELAKSANAAN PROGRAM USAHA KESEHATAN SEKOLAH DI WILAYAH BINAAN PUSKESMAS DTP JAYAGIRI KABUPATEN BANDUNG BARAT

2018 ◽  
pp. 47-58
Author(s):  
Sri Quintina Indriyana ◽  
Suci Rayan Sari ◽  
Nina Nurfitriany ◽  
Thirafi Mitsali Ungari ◽  
Intan Maharani ◽  
...  
Keyword(s):  
Informed Consent ◽  
Chi Square ◽  
Cross Sectional ◽  
Consecutive Sampling ◽  
Chi Square Tests

Keputusan medik yang dibangun secara bersama antara dokter dan pasien sangat penting dalam proses pengobatan. Menghargai hak individu adalah salah satu prinsip etika klinik tidak mudah penerapannya sehingga pasien dapat mengambil keputusan, dokter mempunyai kewajiban untuk mendorong pasien membuat keputusan pilihan secara mandiri. Fungsi kognitif berperan penting dalam mengambil keputusan berdasarkan informed consent yang diberikan oleh dokter dalam pengobatan. Tujuan penelitian ini adalah mengetahui hubungan tingkat kognitif dengan pemahaman pasien geriatrik terhadap informed consent. Metode penelitian menggunakan pendekatan cross sectional dengan teknik pengambilan sampel consecutive sampling pada 40 orang pasien geriatric RS Dustira. Data dianalisis menggunakan Chi-Square Tests untuk melihat hubungan dua variabel (p < 0,05). Hasil penelitian menunjukan bahwa terdapat hubungan bermakna antara tingkat kognitif dengan pemahaman pasien geriatrik terhadap informed consent (p=0,00). Sejumlah 16 pasien geriatri dengan kognitif yang normal memiliki pemahaman yang baik. Pada pasien dengan probable gangguan kognitif didapatkan 10 pasien memiliki pemahaman yang baik, 12 pasien memiliki pemahaman sedang, dan 2 pasien memiliki pemahaman buruk.

scholarly journals Analysis of Knowledge and Perception of Implementation of Informed Consent in Patient Pre Operations in HVA Toeloengredjo Pare Hospital

2018 ◽  
Vol 1 (2) ◽  
pp. 16-25
Author(s):  
Rudy Surya K. Hedo
Keyword(s):  
Informed Consent ◽  
Linear Regression ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Informed Consent Form ◽  
Independent Variable ◽  
Cross Tabulation ◽  
Analysis Of Knowledge

Incompleteness and inaccuracy of charging informed consent in patient’s pre-operation is a problem related to patient safety, professionalism, behavior, and quality culture. The research objective is to analyze the knowledge and perception of the Implementation of Informed Consent in Patients with Pre-Operations at RS HVA Toeloengredjo Pare. Design Cross-sectional study using. The population is the preoperative patient at RS HVA Toeloengredjo Pare.exclusion criteria using simple random sampling technique. The independent variable of research is the knowledge and perception of the patient, and the dependent variable of the study is the completeness and accuracy of implementation preoperative patient's informed consent. Data were collected by questionnaire and a check list, then the data were analyzed using linear regression with a <0.05 and cross tabulation analysis. The results showed most respondents have sufficient knowledge of as many as 69 respondents (44,8%), most respondents have the perception that quite as much as 82 respondents (53.2%), linear regression showed that the variables significantly affect the perception of completeness informed consent (p = 0.000) and in the knowledge variables significantly affect the accuracy of informed consent (p = 0.006). The conclusion of this study is to increase knowledge and perception, will support the implementation of the informed consent form completeness and accuracy of informed consent.

What patients really got and what they wanted in surgical informed consent: a cross-sectional survey in China

2019 ◽  
Author(s):  
Jing Wu ◽  
Jiajia Yu ◽  
Xuchun Ye ◽  
Qing Wu ◽  
Chenling Luo
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Clinical Medicine ◽  
Focal Point ◽  
Final Analysis ◽  
Individual Autonomy ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Potential Risks ◽  
Perceptions And Expectations

Abstract Background Informed consent (IC) is a fundamental element of modern clinical medicine based on the spirit of individual autonomy. Patients’ comprehension of the key elements of clinical IC is often poor. Aims and Objectives This study aimed to explore patients’ perceptions and expectations of IC process in invasive and surgical procedures. Design A cross-sectional descriptive study was carried out in Shanghai, China. Methods A self-administered structured questionnaire was developed to evaluate patients’ perceptions and expectations of the IC process. In total, 317 individuals were included in the final analysis. Results Majority (73.8%) of the process was undertaken one day prior to the procedure and nearly half (47.6%) lasted less than 15 minutes. Most (96.8%) patients were given verbal explanation information by healthcare professionals. The nature of illness, potential risks and complications (74.1%) and the necessity of the procedure (69.4%) were mostly memorized while alternative treatments rarely (13.6%). Patients expected their family members involved in the decision making and could be provided more time to read the IC document and prepare for the decision-making. What the patients got was significantly different from what they expected in the following aspects, such as who participated in IC, where and when it took place, how long it lasted and main contents that should be discussed in IC (P <0.05). Statistically significant relationship was found in expectations of IC patients and their income and payment type of medical expenses (P <0.05). Discussion This study explored patients’ expectation and perception of IC process regarding invasive procedures. Patients wanted to be more involved in IC process. To promote patient participation, more time should be given to the patients to comprehend and understand the IC document. In addition, information related with long-term issues should be discussed as a focal point. There is a need to re-consider IC process and to develop methods to promote the patients’ satisfaction in achieving autonomy.

scholarly journals Consentimento Informado - Visão e Perspetivas de Adolescentes, Pais e Profissionais: Estudo Multicêntrico em Seis Hospitais

2019 ◽  
Vol 32 (1) ◽  
pp. 61 ◽  
Author(s):  
Maria do Céu Machado ◽  
Rodrigo Sousa ◽  
Rosário Stone ◽  
Maria Inês Barreto ◽  
Filipa Garcês ◽  
...  
Keyword(s):  
Informed Consent ◽  
Age Groups ◽  
National Standards ◽  
Cross Sectional ◽  
Information Leaflets ◽  
Written Information ◽  
Directorate General ◽  
Group Information ◽  
The Right ◽  
Attending Physicians

Introduction: According to the Convention on the Rights of Children and the national standards of the Portuguese Directorate-General for Health, adolescents have the right to make decisions about their own health. The aim of this study was to identify the dynamics of the implementation of assent and informed consent in hospital settings.Material and Methods: Cross-sectional and multicentre study based on surveys, which included adolescents from 14 to 18 years and their parents. Heads of departments of Pediatrics and attending physicians were also interviewed.Results: 194 responses from adolescents and parents were collected, and 46 interviews were conducted with physicians and heads of department. Adolescents and parents consider participation in decision making important, but parents value their own participation significantly higher (91.7% vs 47.8%, p < 0.001 in the 14 - 15 year group, 91.8% vs 53, (89.6% vs 69.6%, p = 0.016 in the 14 - 15 year group, 91.8% vs 69.4%, p = 0.005 in the 16 - 17 years group). Information leaflets are difficult to understand by teenagers. The eight heads of department felt that doctors have awareness towards communication with teenagers but have little time available. Of the 38 attending physicians, 36 said they had learned from their older colleagues and confirmed gaps in postgraduate training.Discussion: This pioneering study in Portugal enabled the identification of areas that can be optimized, through health education programs for parents and adolescents, written information that is adequate to the different age groups, training in undergraduate education for medical students and also education in health institutions for professionals.Conclusion: Adolescents and parents, are unaware of legal and ethical standards for consent and assent. The implementation of the adolescents’ right to informed assent / informed consent was not observed. Our proposal is to implement local programs for adolescents and parents.

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