scholarly journals Evaluation of public health interventions in shellfish tag compliance rates

2017 ◽  
Author(s):  
Nicole (HeeYoung) Park ◽  
BCIT School of Health Sciences, Environmental Health ◽  
Helen Heacock ◽  
Lorraine McIntyre
Keyword(s):  
Public Health ◽  
Rapid Identification ◽  
Control Measures ◽  
P Value ◽  
Post Intervention ◽  
Food Inspection ◽  
Inspection Agency ◽  
Before And After ◽  
Improve Compliance ◽  
Canadian Food Inspection Agency

  Background: The recent Vibrio parahaemolyticus outbreak in the summer of 2015 highlighted that shellfish tags are one of the key pieces of information used to trace back and determine the source of a foodborne outbreak or illness associated with raw or uncooked shellfish. According to the Canadian Food Inspection Agency, all shellfish tags must meet the requirements stated in the Section 7.3 of the Canadian Shellfish Sanitation Program (CSSP). Non-compliant tags may hinder national and regional regulatory agencies from identifying problems in harvest locations and at the processors, and further impede provincial control measures. As a result of the national outbreak, the BC Center for Disease Control (BCCDC), Ministry of Agriculture and the Canadian Food Inspection Agency (CFIA), as well as health authorities and Environmental Health Officers (EHO) have been involved in a variety of actions and interventions to improve compliance. These include efforts to promote education and to improve control and surveillance of V. parahaemolyticus and other shellfish associated illnesses. This study examined the effectiveness of health agencies’ interventions to improve shellfish tag compliance rates to Section 7.3 of the CSSP by comparing the numbers of shellfish tags in compliance before and after the interventions that were implemented in 2016. Methods: 120 randomly selected shellfish tags were grouped into “Before” and “After” interventions. By assessing the date of processing, 60 tags collected before September 2016 were placed into the “Before” group. Another 60 tags collected after September 2016 were placed into the “After” group. Within each group, shellfish tags were individually analyzed to determine whether the tag met or exceeded the required quality, information, and type and quantity criteria. Shellfish tags were considered “Compliant” if they completely fulfill 10 components embodied in the criteria, whereas shellfish tags that failed to meet all the components were labeled “Non-compliant”. Results: Based on the statistical analysis conducted on the data, there was a greater proportion of compliant shellfish tags post-intervention compared to pre-intervention. The Pearson’s Chi-square test confirmed that there was a statically significant association (p-value = 0.000) between the numbers of shellfish tags in compliance and the interventions that were implemented after the outbreak. Conclusion: The results have demonstrated that the interventions implemented by numerous regulatory authorities resulted in greater compliance to Section 7.3 of the CSSP. Public health regulators including the Ministry of Agriculture and the CFIA, as well as BCCDC and EHOs should continuously be involved in a variety of actions, such as promoting education at the processor and retail level and also implementing interventions to improve compliance. By doing so, successful interventions and increased compliance rates will lead to rapid identification of shellfish-related illnesses or outbreaks and facilitate control measures that can expeditiously remediate public health issues.  

Ketersediaan Handrub Meningkatkan Kebiasaan Cuci Tangan Ibu Rumah Tangga

2021 ◽  
Vol 7 (1) ◽  
pp. 43
Author(s):  
Desy Ardiyati ◽  
Linda Suwarni ◽  
Abduh Ridha
Keyword(s):  
Public Health ◽  
Diarrheal Disease ◽  
Hand Washing ◽  
Morbidity And Mortality ◽  
P Value ◽  
Meaningful Difference ◽  
West Kalimantan ◽  
Work Area ◽  
Before And After ◽  
Very High

Diarrheal disease is a problem of public health that is still occurring in Indonesia, especially in children because of morbidity and mortality is still very high. Hand washing is one of the prevention factors of diarrhoea disease but the habit of hand washing habits is still low. Pontianak City is in the first position of 14 districts/cities for diarrhea cases that are handled according to gender in West Kalimantan province. Pontianak City Health Office report year 2015 diarrhea pain figure of 22.24 per 1000 inhabitants. The aim of this study is to determine the effectiveness of the use of handrub on the habit of washing housewives in the work area Alianyang Pontianak City. The result showed that there is a significant increase in housewives hand washing behaviors that support 44.4% increase to 55.6% in experimental groups with (p value = 0.000). Based on the results of research and discussion, it can be concluded that the use of handrub is effective against the behavior of housewives' hand washing because there is a meaningful difference between before and after using handrub.

Selection of risk factors to be included in the Canadian Food Inspection Agency risk assessment inspection model for food establishments

2018 ◽  
Vol 75 ◽  
pp. 72-81 ◽  
Author(s):  
Romina Zanabria ◽  
Manon Racicot ◽  
Mathieu Cormier ◽  
Julie Arsenault ◽  
Cécile Ferrouillet ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Food Inspection ◽  
Inspection Agency ◽  
Canadian Food Inspection Agency ◽  
Agency Risk ◽  
Selection Of

scholarly journals PENGARUH REBUSAN BUNGA ROSELLA TERHADAP PENURUNAN TEKANAN DARAH (HIPERTENSI) PADA PASIEN DI WILAYAH KERJA PUKESMAS SUKAMERINDU BENGKULU

2019 ◽  
Vol 26 (2) ◽  
pp. 53-60
Author(s):  
Vellyza Colin ◽  
Buyung Keraman ◽  
Evan Aditya Pratama
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Health Center ◽  
Rank Test ◽  
P Value ◽  
Wilcoxon Sign Rank Test ◽  
Before And After ◽  
Wilcoxon Sign Rank ◽  
Sign Rank Test

The Effect of Rosella Stew to Decreasing of Blood Pressure (Hypertension) in Patients at Working Area of  Sukamerindu Public Health Center BengkuluABSTRAKPengaruh rebusan bunga rosella terhadap penurunan tekanan darah (Hipertensi) pada pasien diwilayah kerja Puskesmas Sukamerindu Bengkulu. Hipertensi adalah peningkatan tekanan darah sistolik lebih dari 140 mmHg dan diastolik lebih dari 90 mmHg. Penelitian ini bertujuan untuk mempelajari pengaruh rebusan bunga rosella digunakan untuk menurunkan tekanan darah oleh sebagian masyarakat. Penelitian ini merupakan penelitian kuantiatif dengan desain pra exsprimental. Populasi dalam penelitian ini pasien hipertensi yang berobat di Puskesmas Sukamerindu Kota Bengkulu pada bulan Januari-Desember 2018 sebanyak 52 orang dewasa yang terkena hipertensi. Teknik pengambilan sample dengan total sampling dengan kriteria inkulasi dan ekslusi sehingga sample yang diambil 30 orang yang memenuhi kriteria dalam pemberian rebusan bunga rosella dan 22 orang yang tidak memenuhi kriteria dalam pemberian bunga rosella untuk penurunan tekanan darah hipertensi. Pengumpulan data dalam penelitian ini menggunakan data sekunder dengan melihat cacatan dokumentasi di Poli Umum Di Puskesmas Sukamerindu Bengkulu.Hasil penelitian didapatkan: uji statistik Wilcoxon Sign Rank Test Hasil tekanan darah sistolik sebelum dan sesudah perlakuan didapatkan nilai  Z = -4,293 dengan p=value=0,0000,05 berarti signifikan, maka Ho ditolak dan Ha diterima. Jadi Ada pengaruh pemberian rebusan bunga rosella terhadap penurunan tekanan darah sistolik pada pasien diwilayah kerja Puskesmas Sukamerindu Kota Bengkulu. Hasil tekanan darah diastol sebelum dan sesudah perlakuam didapatkan nilai  Z = -3,075 dengan p=value=0,0020,05 berarti signifikan, maka Ho ditolak dan Ha diterima. Jadi Ada pengaruh pemberian rebusan bunga rosella terhadap penurunan tekanan darah diastolik pada pasien diwilayah kerja Puskesmas Sukamerindu Kota Bengkulu. Kata Kunci : hipertensi,  tekanan darah, rebusan rosella ABSTRACT Effect of rosella stew on blood pressure (hypertension) reduction in patients in the Pukesmas area Sukamerindu Bengkulu. Hypertension is an increase in systolic blood pressure of more than 140 mmHg and diastolic of more than 90 mmHg. This study discusses the benefits of rosella stew used for reducing blood pressure by most people. This research is a quantitative research with pre-exemplary design. The population in this study were hypertensive patients seeking treatment at the Sukamerindu Public Health Center in Bengkulu City in January-December 2018 as many as 52 adults affected by hypertension. Sampling technique with total sampling with inclusion and exclusion criteria so that the samples taken were 30 people who met the criteria in the provision of rosella stew and 22 people who did not meet the criteria for rosella stew for decreasing hypertension. Data collection in this study uses secondary data by looked at documentation records at Puskesmas Sukamerindu Bengkulu.The results of this study showed: Wilcoxon Sign Rank Test statistical test Results of systolic blood pressure before and after treatment obtained a value of Z = -4.293 with p = value = 0.000 0.05 means significant, then Ho is rejected and Ha is accepted. So there is Effect of rosella stew to Decreasing of blood pressure (hypertension) in patients at area of Pukesmas Sukamerindu Bengkulu. The results of diastolic blood pressure before and after the treatment showed that the value of Z = -3.075 with p = value = 0.002 0.05 means significant, then Ho was rejected and Ha was accepted. So there is Effect of rosella stew to Decreasing of blood pressure (hypertension) in patients at area of Pukesmas Sukamerindu Bengkulu. Keywords: blood pressure, hypertension, rosella stew

A review of nosocomial norovirus outbreaks: infection control interventions found effective

2012 ◽  
Vol 140 (7) ◽  
pp. 1151-1160 ◽  
Author(s):  
J. D. GREIG ◽  
M. B. LEE
Keyword(s):  
Public Health ◽  
Infection Control ◽  
Population Studies ◽  
Rapid Identification ◽  
Control Measures ◽  
Federal State ◽  
Environmental Cleaning ◽  
Modes Of Transmission ◽  
Infection Control Measures ◽  
Government Websites

SUMMARYThe purpose of this study was to review documented outbreaks of enteric illness associated with nosocomial norovirus infections and to identify modes of transmission, morbidity and mortality patterns, and recommendations for control. Searches of electronic databases, public health publications, and federal, state/provincial public health websites were completed for 1 January 2000 to 31 December 2010. Computer-aided searches of literature databases and systematic searches of government websites identified 54 relevant outbreak reports. Transmission routes included person-to-person (18·5%), foodborne (3·7%) and in the majority (77·8%) the route was unknown. Actions taken during the outbreak to control infection included restricting the movements of patients and staff (22·5%), enhanced environmental cleaning (13·6%) and hand hygiene (10·3%). Rapid identification of norovirus outbreaks in hospitals is vital for the immediate implementation of infection control measures and isolation of infected individuals in this mainly immunocompromised population. Studies that statistically evaluate infection control measures are needed.

scholarly journals Teaching Cardiac Arrhythmias Using Educational Videos and Simulator Software in Nurses: An Educational Interventional Study

2020 ◽  
Vol 21 (9) ◽  
Author(s):  
Hamed Tavan ◽  
Siros Norouzi ◽  
Masoumeh Shohani
Keyword(s):  
Cardiac Arrhythmias ◽  
Heart Diseases ◽  
Educational Interventions ◽  
P Value ◽  
Post Intervention ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
The Mean ◽  
Educational Videos

Background: Cardiac arrhythmias are among the most prominent causes of mortality in patients with heart diseases. By timely diagnosis of arrhythmias, nurses can provide necessary therapeutic measures to these patients. Objectives: The purpose of this study was to determine the effects of teaching cardiac arrhythmias using educational videos and simulator software in nurses. Methods: In this quasi-experimental study, 22 novice nurses were selected based on the census method. Evaluations were performed before and after educational interventions for cardiac arrhythmia. The interventions included using simulator software and face-to-face education. A questionnaire with 20 questions regarding cardiac arrhythmias organized in 4 parts of sinus arrhythmias, atrial arrhythmias, ventricular arrhythmias, and blocks and junctional rhythm, and each with 5 questions was used to collect data. Each question was scored 1 point, and the final score ranged from 0 to 20. The scores were categorized into poor (< 10), moderate (11 - 15), and good (16 - 20) levels. Data were analyzed using SPSS V.20 software. Results: There was a significant difference in the mean of total score regarding the diagnosis of arrhythmias before (9.9) and after (15.68) the education (P value = 0.022). This indicated an increase of about 6 scores at post-intervention. The classification of the scores showed that 9 (40.9%) and 13 (59.1%) nurses had poor and moderate diagnostic abilities before training. However, following education, 10 nurses (50%) acquired moderate and 10 (50%) nurses obtained good scores. Conclusions: Arrhythmia scores varied before and after training, with the mean scores after training increased, and arrhythmia detection rate was increased after the intervention. It is advisable to use modern educational methods as good alternatives for reviewing educational content and concepts.

scholarly journals The Effect of Health Education with Flashcard Media on Improvement of Knowledge and Reduction of Anxiety Degree in Adolescents Primigravida

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Dwie Yunita Baska ◽  
Tita Husnitawati Madjid ◽  
Ponpon S. Idjradinata
Keyword(s):  
Public Health ◽  
Health Center ◽  
Health Workers ◽  
Average Score ◽  
P Value ◽  
Educational Approach ◽  
Chi Square ◽  
Public Health Center ◽  
Before And After ◽  
Quasi Experimental

The education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9.2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately. PENGARUH EDUKASI KESEHATAN DENGAN MEDIA FLASHCARD TERHADAP PENINGKATAN PENGETAHUAN DAN PENURUNAN DERAJAT KECEMASAN PADA PRIMIGRAVIDA REMAJAThe education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9,2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately.

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