Hubungan Persepsi Hambatan dan Kemampuan Diri dengan Intensitas Konsumsi Tablet Fe pada Remaja Putri

The prevalence of anemia in adolescent girls aged 15-20 years in Indonesia attains 57.1%. The Ministry of Health targets the provision of Fe tablets to adolescent girls by 30% as an effort to prevent anemia in adolescent girls. However, proportion of consumption Fe tablets to adolescent girls in the working area of the Sidomulyo Health Center is still relatively low. This study aims to determine the relationship between perceived barriers and self-efficacy with the intensity of consumption of Fe tablets as an effort to prevent anemia. The method used in this research was cross sectional approach. The sample size is 155 respondents with the sampling technique used was random sampling. The results of this study indicate that there was a relationship between perceived barriers (p=0.003) and self-efficacy (p=0.000) with the intensity of consumption of Fe tablets.

Immediate implementation of three 2019 European Society of Cardiology guidelines in daily practice

Background The prognosis of patients depends on their cardiovascular risk. In the 2019 ESC guidelines [I, II, III] new health targets were defined. The manifestation of cardiovascular disease, diabetes mellitus and its complications and renal function had to be considered. This is a real challenge in daily practice. Purpose Could the five modifiable health targets blood pressure, hbA1c, LDL, weight loss and smoking cessation be changed in primary and secondary prevention immediately after the release of the 2019 ESC guidelines in a prospective observational trial in primary care? Methods Patients from 40 to 75 years of age were identified from 03 SEP to 02 DEC 2019 and followed up three to six months later, until 02 JUN 2020. The CV-risk was calculated. For the informed patient, the best evident therapy was recommended and best support, including lifestyle and diabetes counselling and sport programs provided, as needed. With diabetics, achievements were discussed with the German diabetes pass. Results 303 patients were identified as 63.7% males, 74.9% diabetics, 69.3% impaired renal function, 64.7% in primary prevention. The calculated CV-risk was higher in the elderly (74.2% were ≥60 years of age). 78.2% had a high or very high CV risk. Renal function declined with ageing (Table 1). Blood pressure and HbA1c values remain stable. LDL values, below 100 mg/dl at start, were reduced in all CV-risk groups after 3–6 months. One third (33.6% of n=217) reached their LDL target. In secondary prophylaxis the LDL value was reduced above 10 mg/dl and 29% of n=72 reduced LDL value below 55 mg/dl. In the highest CV-risk group 22.6% dropped LDL <55 mg/dl. The number of reached health targets raised from 2.1 to 2.5 during the observation. At least 36% of patients reached more health targets (Table 2). Conclusions It is difficult to reach LDL targets in Europe documented in an ESC/EAS Survey [IV]. In the START Registry [V] only 3.2% of the very high-risk patients reached LDL values below 55 mg/dl. The proportion of patients with very high-risk that reached an LDL value below 55 mg/dl could nearly be doubled in this observation. But many patients do still not reach at least three of five health targets and nearly two thirds should lower their LDL value further especially in secondary prophylaxis. Disease management programs should be empowered to ask for reached health goals. New therapeutic options are available as PCSK-9 inhibitors, small interfering RNA molecules (inclisiran), ATP-Citrat-Lyase inhibitors (bempedoinic acid) to reduce LDL values in addition to statins or without. Antisense oligonucleotides (pelacarsen) can change prognosis for patients with very high liporotein(a) values. Abbreviations: CV, cardiovascular; CKD, chronic kidney disease; CHD, coronary heart disease; PAD, peripheral artery disease; TIA, transient ischemic attack; ICA, internal carotid artery; UNK, unknown. FUNDunding Acknowledgement Type of funding sources: None. Table 1. Observed population Table 2. Reached health targets

Newborns and Under-5 Mortality in Ethiopia: The Necessity to Revitalize Partnership in Post-COVID-19 Era to Meet the SDG Targets

The Sustainable Development Goals (SDGs) were adopted during the United Nations meeting in 2015 to succeed Millennium Development Goals. Among the health targets, SDG 3.2 is to end preventable deaths of newborns and children under 5 years of age by 2030. These 2 targets aim to reduce neonatal mortality to at least as low as 12 per 1000 live births and under-5 mortality to at least as low as 25 per 1000 live births. Ethiopia is demonstrating a great reduction in child mortality since 2000. In the 2019 child mortality estimation which is nearly 5 years after SDGs adoption, Ethiopia’s progress toward reducing the newborns and under-5 mortality lie at 27 and 50.7 per 1000 live births, respectively. The generous financial and technical support from the global partners have helped to achieve such a significant reduction. Nevertheless, the SDG targets for newborns and under-5 mortality reduction are neither attained yet nor met the national plan to achieve by the end of 2019/2020. The partnership dynamics during COVID-19 crisis and the pandemic itself may also be taken as an opportunity to draw lessons and spur efforts to achieve SDG targets. This urges the need to reaffirm a comprehensive partnership and realignment with other interconnected development goals. Therefore, collective efforts with strong partnerships are required to improve the determinants of child health and achieving SDG target reduction until 2030.

Vaccination in Older Adults: The When and Where

Despite the well-understood benefits of vaccination in older adults, national rates still fall below public health targets, especially among certain racial and ethnic groups. Recent scholarship examining healthcare use patterns in adults revealed that health care providers miss several opportunities to provide vaccination during regular healthcare encounters, including Medicare annual wellness visits. Several barriers to older adult vaccination have been identified, including lack of patient and provider understanding of the importance of vaccination, financial barriers to vaccines covered under Medicare Part D, and patient hesitancy about the safety and effectiveness of vaccines. Strategies to address these barriers will be discussed, including the use of national quality measures to strengthen incentives for adult vaccination. Part of a symposium sponsored by the Health Behavior Change Interest Group.

Progressing Towards Environmental Health Targets in China: A Systematic Review of Achievements in Air and Water Pollution under the “Ecological Civilization and the Beautiful China” Dream

Despite the positive effect of industrialization on health and quality of life indicators across the globe, it is also responsible for the release of chemical toxins into the environment and has nurtured numerous environmental disasters with severe health effects. China alone produces more than a third of carbon emissions in the world and currently has the second highest number of pollution-related deaths, after India. There is no issue that underscores the challenges of environmental crisis in China than the gradual acceptance of the existence of the cancer villages. These are entire towns that have been completely written off as so polluted that simply living there is synonymous with high rate of cancer risk. For years, residents and advocacy groups in villages such as Wuli, Yanglingang, Yangqiao and additional 459 identified cancer villages have waged a desperate war to turn the attention of government to the high risk of stomach, liver, kidney and colon cancer in these areas located near heavy industrial complexes. China responded by promoting an ecological civilization and a beautiful China dream as its sustainability blueprint in 2012. Today, this blueprint has been engraved into the national ideology for socio-economic and political orientation. This review therefore revisits the progress made towards environmental health targets under China’s sustainable development strategy. The study systematic explores the extant works on air and water pollution since the “Ecological Civilization and the Beautiful China” Dream.

Tuberculosis diagnosis or immunodiagnostics in the practice of a pediatric nurse

Tuberculosis is one of the 10 leading causes of death in the world. According to the WHO global strategy, one of the health targets of the Sustainable Development Goals is to end the tuberculosis epidemic by 2030. The article summarizes the basic theoretical data from various professional sources required by the nurse of the vaccination room of the pediatric profile during the performance of measures on tuberculosis diagnostics.