DUKUNGAN KELUARGA DAN PERSONAL HYGIENE PADA PASIEN STROKE DI RUMAH SAKIT MITRA HUSADA PRINGSEWU

Stroke merupakan penyebab umum kematian ke tiga di Negara maju setelah penyakit kardiovaskular dan kanker. Stroke terjadi karena ada gangguan aliran darah ke bagian otak. Bentuknya dapat berupa lumpuh sebelah (hemiplegia), berkurangnya kekuatan sebelah anggota tubuh (hemiparesis), akibat lanjut pasien mengalami gangguan kebersihan diri (personal hygiene). Dorthea Orem menjelaskan bahwa perawatan diri merupakan kegiatan memenuhi kebutuhan dalam mempertahankan kehidupan, kesehatan dan kesejahteraan individu baik dalam keadaan sehat maupun sakit. Model Orem diperluas dari perawatan individu menjadi perawatan keluarga. Salah satu faktor yang mempengaruhi kebutuhan pemenuhan kebersihan diri menurut Orem adalah sistem keluarga. Tujuan penelitan ini adalah diketahuinya hubungan dukungan keluarga dengan personal hygiene pada pasien stroke di Ruang Rawat Inap Rumah Sakit Mitra Husada Pringsewu Tahun 2020. Jenis penelitian ini menggunakan metode analitik dengan pendekatan cross sectional. Populasi berjumlah 83 orang dan sampel 69 orang dengan teknik sampling accidental sampling. Alat pengumpul data menggunakan kuesioner dan lembar observasi kemudian dianalisis menggunakan chi square. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan (p-value = 0,000) dukungan keluarga dengan personal hygiene pada Pasien Stroke. Pemberian perawatan yang komprehensif sebaiknya melibatkan peran serta keluarga, hal ini sejalan dengan tugas keluarga yaitu memberikan perawatan pada angota keluarga yang mengalami masalah kesehatan.

Psychospiritual impact of COVID-19: Africentric Perspectives

This study sought to find out the psychospiritual impact of COVID-D as a result of the imposition of preventive measures. The study was carried out in the Mezam Division of the North West Region of Cameroon. A mixed research approach was used for the study with the aid of a questionnaire and an interview guide. A convenient sampling technique was chosen for the study based on the availability of the 50 respondents chosen for the study, using the snowball technique. The results of the study reveal that the most acceptable preventive measures that people complied to were personal hygiene (100%), taking of African traditional concoction treatments (100%) and prayers to God (100%). Psychologically, 60% of the respondents expressed symptoms of anxiety, while 30% expressed symptoms for stress and 20% expressed symptoms of depression. Spiritually, all 50 respondents (100%) indicated that their spiritual activities have been disrupted by the pandemic, which poses a real problem for an African oriented society where religion and spiritual activities are common. In conclusions, it was evident that psychospiritual dissonance including mixed and faulty beliefs on those claiming to provide solutions complicated peoples’ understanding of the realities of the situations.

Gambaran Higiene Sanitasi Dengan Kandungan Bakteriologis Eshcerichia Coli Pada Minuman Es Dawet Yang Dijual Di Sepanjang Jalan Panaikang Kota Makassar

Hygiene adalah usaha kesehatan preventif yang menitik baratkan kegiatannya pada usaha kesehatan individu, maupun usaha kesehatan pribadi hidup manusia. Personal hygiene adalah perawatan diri dimana individu mempertahankan kesehatannya, dan di pengaruhi oleh nilai serta keterampilan. Menurut Mosby bahwa : “keberssihan seseorang adalah suatu tindakan untuk memelihara kebersihan dasar kesehatan seseorang untuk kesehatan fisik dan kesehatan psikis” Escherichia coli adalah salah satu bakteri yang tergolong coliform dan hidup secara normal di dalam kotoran manusia maupun hewan, oleh karna itu disebut juga koliform fekal. Tujuan dari penelitian ini adalah untuk mengetahui kandungan bakteriologis E.coli pada minuman es dawet yang dijual disepanjang Jalan Panaikang Kota Makassar. Jenis penelitian yang digunakan adalah penelitian kuantitatif menggunakan metode observasional yang bertujuan untuk mengetahui kandungan bakteriologis, kebersihan peralatan, tempat pengolahan minuman dan penyimpanan bahan. Teknik pengambilan sampel ini adalah purposive random sampling. Sampel pada penelitian ini adalah es dawet yang dijual disepanjang Jalan Panaikang Kota Makassar. Pada pemeriksaan uji laboratorium peneliti menggunakan kualitatif dengan metode complete test. Sampel es dawet diambil dari 10 pedagang yang terdapat di pinggi jalan. Hasil penelitian ini menunjukkan bahwa dari 10 sampel es dawet yang diuji terdapat 7 sampel yang positif mengandung Eschericia coli dan 3 sampel yang negatif. Dari hasil penelitian ini, maka disarankan bagi Dinas Kota Makassar untuk melakukan pengawasan dan pemeriksaan kandungan bakteriologis kepada pedagangan kaki lima secara regular sehingga makanan dan minuman yang dijual tetap memenuhi syarat kesehatan.

MeetDurian: Can Location-Based Games be Used to Improve COVID-19 Hygiene Habits?

The COVID-19 problem has not gone away with the passing of the seasons. Although most countries have achieved remarkable results in fighting against epidemic diseases and controlling viruses, the general public is still far from understanding the new crown virus and lack imagination on its transmission law. Location-based games (LBGs) have been challenged during the on-going pandemic. No research has shown that LBGs can be used to help prevent COVID-19 infection. Therefore, we designed the game MeetDurian, which integrates entertainment, sports, and education. For investigating factors influencing intention to play the MeetDurian, we proposed some comparative evaluation. Data were gathered from participants who participated in capturing virtual durians and completed questionnaires about immersion into the game, workload assessment, user’s emotions, learning outcomes, and personal hygiene. These results proved the acceptability and usability of the mobile game-based MeetDurian for preventing the infection and severity of the COVID-19 pandemic.

The impact of a demand-side sanitation and hygiene promotion intervention on sustained behavior change and health in Amhara, Ethiopia: A cluster-randomized trial

Behaviors related to water, sanitation, and hygiene (WASH) are key drivers of infectious disease transmission, and experiences of WASH are potential influencers of mental well-being. Important knowledge gaps exist related to the content and delivery of effective WASH programs and their associated health impacts, particularly within the contexts of government programs implemented at scale. We developed and tested a demand-side intervention called Andilaye, which aimed to change behaviors related to sanitation, personal hygiene, and household environmental sanitation. This theory-informed intervention was delivered through the existing Ethiopian Health Extension Programme (HEP). It was a multilevel intervention with a catalyzing event at the community level and behavior change activities at group and household levels. We randomly selected and assigned 50 kebeles (sub-districts) from three woredas (districts), half to receive the Andilaye intervention, and half the standard of care sanitation and hygiene programming (i.e., community-led total sanitation and hygiene [CLTSH]). We collected data on WASH access, behavioral outcomes, and mental well-being. A total of 1,589 households were enrolled into the study at baseline; 1,472 households (94%) participated in an endline assessment two years after baseline, and approximately 14 months after the initiation of a multi-level intervention. The intervention did not improve construction of latrines (prevalence ratio [PR]: 0.99; 95% CI: 0.82, 1.21) or handwashing stations with water (PR: 0.96; 95% CI: 0.72, 1.26), or the removal of animal feces from the compound (PR: 1.10; 95% CI: 0.95, 1.28). Nor did it impact anxiety (PR: 0.90; 95% CI: 0.72, 1.11), depression (PR: 0.83; 95% CI: 0.64, 1.07), emotional distress (PR: 0.86; 95% CI: 0.67, 1.09) or well-being (PR: 0.90; 95% CI: 0.74, 1.10) scores. We report limited impact of the intervention, as delivered, on changes in behavior and mental well-being. The effectiveness of the intervention was limited by poor intervention fidelity. While sanitation and hygiene improvements have been documented in Ethiopia, behavioral slippage, or regression to unimproved practices, in communities previously declared open defecation free is widespread. Evidence from this trial may help address knowledge gaps related to challenges associated with scalable alternatives to CLTSH and inform sanitation and hygiene programming and policy in Ethiopia and beyond. Trial registration: This trial was registered with clinicaltrials.gov (NCT03075436) on March 9, 2017.

Comparative Study of Intestinal Parasitic Infection among Pregnant and Non-Pregnant Women in Owerri, Nigeria: A Case Study of the Federal Medical Centre, Owerri

A survey of intestinal parasites of pregnant and non-pregnant women attending the Federal Medical Centre, Owerri, Imo State, Nigeria was carried out between November 2010 and April 2011. A total of 300 samples (150 from pregnant women and 150 from non – pregnant women respectively) were randomly collected from these women who attended the hospital. The samples were examined using the direct wet preparation and formol ether concentration technique. A total of 41 (13.67%) women were infected. The infected stool samples contained eggs of Ascaris lumbricoides (48.78%), Hookworm (39.02%), and Cysts of Entamoeba histolytica (12.20%). Although, more pregnant women (16(39.02%)), the difference was not statistically significant. The highest prevalence of 20% was observed in the pregnant women within the age – group of 27-30 while the age group of 19-22 years. The difference between the prevalence of infection in the age group was significant. However personal hygiene improved health education programs and supervised public toilets together with food vendor's education have been recommended as measures to eradicate intestinal parasitic infections among pregnant and non-pregnant women. It has been recommended that stool analysis should be part of the antenatal screening tests particularly in subjects with a high level of parasitemia.

Giant squamous cell carcinoma of the scalp

We report the case of a 43-year-old male with a history of pulmonary tuberculosis cured one year previously and a 25-year-old history of smoking. The patient presented with a tumor of the scalp that had been evolving since the age of thirteen years, gradually increasing in size, neglected by the patient. An examination revealed a giant tumor of the occipital area (Fig. 1), 15 × 8 cm in size, which was protruded and ulcerated, with thick, hard edges. On biological assessment, a hemogram revealed microcytic hypochromic anemia at 2.9 g/dL. Ferritin was at 4 ng/mL. HIV serology was negative. A skin biopsy revealed a mature, well-differentiated, infiltrating squamous cell carcinoma (Fig. 2). A CT scan of the brain revealed a poorly limited subgalactic parietooccipital lesion process, with bone lysis and endocranial extension and invasion of the upper longitudinal sinus. Ultrasonography of the lymph node area revealed bilateral axillary and inguinal adenopathies with an infracentimetric fatty hilum. The immediate management was to transfuse the patient with three red blood cells. Control hemoglobin was 7.7 g/dl. The patient, then, received external radiotherapy but was lost to follow-up. Squamous cell carcinoma is the second most common skin cancer [1], occurring in elderly patients with a clear phototype on sun-exposed areas. Its frequency is increasing and correlates with sun exposure [1]. It may reach enormous sizes if neglected and not treated in its early stages. The most common causes of a delayed diagnosis are low socioeconomic status, poor personal hygiene, and fear of the diagnosis and of its possible consequences [2]. Giant carcinomas are defined by a diameter exceeding 5 cm [3]. They pose a higher risk of complication and mortality. The invasiveness of these tumors depends on the size, anatomical location, and histological subtype. Their treatment is difficult because, even with extensive surgical removal, recurrence and metastasis are frequent [3].

Peran Guru Dalam Menerapkan Kebersihan Diri Pada Anak di TK Negeri Pembina Keliling Danau

Cleanliness is a very important thing to pay attention to, especially personal hygiene in early childhood. Because at an early age children experience a process of rapid growth and development, cleanliness is the main thing that must be considered because children are very susceptible to disease. This requires teachers to be able to apply personal hygiene to children. This study aims to describe the teacher's role in implementing personal hygiene in children. The Pembina Keliling Danau State Kindergarten became the research subject, namely one principal and seven teachers. The use of qualitative analysis in this study with observation, interviews and documentation techniques as data collection. The result of the research is that the teacher motivates children in terms of maintaining cleanliness, providing guidance and praise to children. As well as the use of varied and interesting media also involve children in the activities carried out.

A METHODOLOGY FOR CYBER HYGIENE IN SMART GRIDS

Although smart grids offer multiple advantages over traditional grids, there are still challenges to overcome to ensure the quality of service and grid security. In particular, cybersecurity plays an essential role in ensuring grid operation reliability and resilience to external threats. The traditional approach to address cybersecurity issues generally does not consider the human factor as the main component. Recently, the concept of cyber hygiene has emerged, where social and human aspects are fundamental to reduce vulnerabilities and the risk of attacks and breaches. In a similar manner to personal hygiene, which greatly influences people’s health, considering the human factor (i.e., human behaviour, awareness, and training) as a critical cybersecurity component, can significantly improve human operator cybersecurity practices that in turn can result in improved cybersecurity performance. In this paper, the authors propose and test a methodology for implementing cyber hygiene practices in the context of Smart Grid systems, focused on smart metering systems. The results suggest that implementing cyber hygiene practices can improve smart meter cybersecurity and be suitable for implementing other sensitive Smart Grid components. Key Words: Cybersecurity, Cyber Hygiene, Internet of Things, Smart Grid, Smart Meters.

Self-Care Skills of Children With Pervasive Developmental Disorders

Self-care skills are the everyday tasks undertaken so children are ready to participate in life activities. While they are typically supported by parents or carers in young children, it is expected that children develop independence while getting older and maturing. Self-care skills are assumed as precursors for most school-related tasks, are expected to be performed independently, and usually it becomes inappropriate for others to assist for tasks related to these. Assistive technology enhances to strengthen children's ability to participate in eating, dressing, bathing, and personal hygiene routines. As a self-management tool, assistive technology helps children with pervasive developmental disorders or mild intellectual disabilities promote to perform daily tasks involved in activities related to self-care skills. In this chapter, first, information about self-care problems with a focus on children with pervasive developmental disorders is given. Then, opportunities, challenges, and assistive tools are presented. Finally, future research directions in this domain are stated.