Validity and reliability testing of home care stroke quality indicators

<p>It is disconcerting that until today there are no agencies or research to recommend the appropriate indicators of home nursing care of stroke patients according to Indonesian conditions. Hence, this research aimed to verify the validity and reliability of quality indicators of home nursing care for stroke patient that resulted from Delphy process. Confirmatory factor analysis was carried out for validity and reliability testing with data collected from 350 respondents. Based on the value of loading factors, 62 indicators were declared valid and five indicators were invalid. This study successfully proved the validity of 62 indicators of quality home care for stroke patients. Further research is needed to pilot project this indicator in a larger area.</p>

The epidemiology of burn injury among children during COVID-19 19 pandemic and WFH policy in Malang, East Java, Indonesia

Work from home (WFH) mandate is one of the major changes known during this pandemic, aimed as a preventive way to mitigate the spread of the COVID-19 virus. This study aimed to observe the characteristics of pediatric burn injury during COVID-19 pandemic and WFH mandate's impact on pediatric burn injury admission at some Hospital burn centers in Malang. Every patient’s age, gender, clinical characteristics, parent's background, and other variables such as the possession of siblings, response time using our burn registry form, and comparative analysis of the incident in WFH housewife mother were assessed. The majority were in the group age of under five years old group age (70%) with a mean of 5.5 years. The most frequent part of the burn injured is extremity 36.7%, and hot liquid dominates as the cause of the injury 73.3% with the total body surface area of burn injury group &gt;10% is the most common 56.7%. The burn injury incident happened more frequently in mothers with children less than two in both groups. This study showed that the increase in increasement of the pediatric burn injury during COVID-19 pandemic between housewife mother and WFH mother has no significant difference also showed that parent especially mother unable to supervise the children during WFH. Strategies to mitigate pediatric burn injuries during WFH should be thoughtfully implemented.

Could coronavirus 2019-infected disease patients get cope with the treatment?: A qualitative study

A pandemic of a novel coronavirus-infected disease is currently ongoing in the world. Most patients have to be isolated due to the treatments. This study aimed to make sense of how patients with coronavirus-infected disease understand and experience infectious isolation. The research used a qualitative design with a phenomenological approach. Data collection was conducted with in-depth interviews of nine patients with coronavirus disease-2019 (COVID-19) confirmed who had been in the isolation room. The analysis was conducted on interview transcripts by organizing keywords found into categories, sub-themes, and themes based on Colaizzi's approach. The results indicated that the participants experienced fright due to the isolation and attempted to integrate their isolation experiences. Isolation highlighted a sense of threat posed by cross-infection, a threat that participants experienced as originating from others and from themselves to others. Participants described feeling changes experienced after several days of treatment. Participants reported various symptoms of the disease and received careful care while in isolation. They still communicate with family. Isolated patients are able to deal with the treatment by improving their coping strategies. Participants reported the most support from their families, even from a distance. Future research could explore experiences of isolation from family and staff perspectives and identify the psychological aspect in caring for the COVID-19 patients.

Lifestyle breast cancer patients among Indonesian women: A nationwide survey

Recently, cancer is a major health problem in the world. Lifestyle changes and growing urbanization likely led to increasing breast cancer incidence in such in Indonesia. Therefore, this study aimed to explore lifestyle breast cancer patients among Indonesian women. The investigation was a cross-sectional study distributed among 3,392 females drawn from 13 out of 27 provinces in Indonesia. Multiple binary logistic regressions were conducted to investigate breast cancer risk among Indonesian. A significance level of 0.05 was employed in all analysis. Of the 3,392 respondents included in the analysis, more than half (52.71%; n=1,788) was aged 40–49 years old. The most common marital status of the participants was married (98.20%; n=3,331), followed by no smoking (94.69%; n=3,212) and active exercise (62.12%; n=2,107). Education level was significantly associated with breast cancer (AdjOR_Junior high school=0.21; 95%CI=0.06 to 0.70; p&lt;0.01 and AdjOR_senior high school=0.60; 95%CI=0.15 to 2.26; p&lt;0.05). Education level was significantly related to breast cancer. Lifestyle such as smoking and physical activity was suspected to affect breast cancer indirectly.

Environmental sanitation factors as prevalence support of soil transmitted helminths

The prevalence of soil transmitted helminths (STH) is closely related to the defecation facilities for rural communities, such as: the habit of defecating openly on the ground, in gardens and using open latrines in rivers. The aim of this study was to determine the effect of environmental sanitation risk factors on the prevalence of STH infection. This study was included in an analytical epidemiological study at two locations, using a cross sectional study as the research design. The location were Sri Kembang Village, Bukit Village, which is included in Betung District, Banyuasin Regency, and South Sumatra, Indonesia for 30 days. There were 252 students as the research sample. Data analysis showed that the prevalence of T. trichiura was higher in Sri Kembang State Primary School Number 1 with mild to very severe infection degrees. The intensity of A. lumbricoides infection in Bukit State Primary School Number 1 got a higher prevalence than Sri Kembang. Open defecation, gardens or open latrines, and types of houses with dirt floors indicate environmental sanitation factors that are sufficient to support the prevalence of STH. For further research, it is recommended to examine socio-economic risk factors.

Non-communicable diseases risk factors among government school teachers in Jodhpur, Rajasthan

Non-communicable diseases (NCDs) are considered as life-style diseases. School teachers' behavior in this context could be transmitted to students that may act as determining factor of prevention for NCDs at primordial level. Aim of this study is to assess the prevalence of risk factors among teachers and their practices with respect to common NCDs. A cross-sectional study was conducted in Jodhpur among 394 government school teachers. Questionnaire was adopted from WHO STEPS tool and responses were documented which included socio-demographic details, anthropometric measurements and risk factors including diet, hours of physical activity, smoking and alcohol intake. Mean age of participants was 43 years out of which 23% were found to be having blood pressure more than 140/90 mm of Hg at the time of interview. 4.8% consumed alcohol and 1.5% was smokers. Mean body mass index (BMI) was found to be 25.4 while only 13% had their cholesterol checked post 35 years of age. The 23.6% had knowledge of reducing fat by using the right type of cooking oil, 35.7% were engaged in any daily physical activity and 76% knew that excess salt was not good for health. This survey assessed baseline levels by identifying the overall prevalence and associated risk factors that provided first step towards initiating surveillance for NCDs among school teachers in Jodhpur, Rajasthan, whilst delivering the necessary information concerning with developing a suitable framework for determining priorities over intervention.

Review of social media intervention in adult population during COVID-19 pandemic based on Protection Motivation Theory

During COVID-19 pandemic, social media has become a basis for information deployment, it has the potential to change people opinion and solve many issues in this situation. Based on Protection Motivation Theory (PMT), threat and coping appraisal were predictors to behavioral responses in pandemics. This study aimed to analyze the impact of social media intervention in adult population during COVID-19 pandemic based on PMT. This review was created using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and data collection from electronic databases such as Pubmed, Mendeley app, Europe PMC, Cochrane Databases, Science Direct, and Wiley Online Library. Inclusion criteria consists of English studies, studies related to the topic and match with required variables. There are five cross-sectional studies involving a total of 2.448 participants that were published in 2020. Among all categories based on included studied, it was shown that cyberchondria, perceived severity and perceived vulnerability are predictors in social media, related to behavioral responses during COVID-19 pandemic. Reducing information overload, related to cyberchondria, via the clear structuring and communication of reliable health information is needed. Hence, educating people on responsible and healthy social media use could help alleviate the observed negative consequences from perceived severity and vulnerability.

Public perception on COVID-19 vaccination intention

To resolve the health crisis caused by coronavirus disease (COVID-19), the Indonesian government is trying to implement a mandatory vaccination policy for all Indonesians. It was just that the success of this policy is largely determined by acceptance preceded by the public intention to be vaccinated, in which public perception plays a major role in determining intention. This research, therefore, aimed to evaluate and examine the role of perceived risk, benefit, and susceptibility on the COVID-19 vaccination intention. By using a cross-sectional approach, this quantitative study involved 98 participating respondents who were determined by the purposive sampling method. The results of this study finally found and proven that perceived risk (coefficient β=0.290 and T-value 2.456 with p-value=0.011), perceived benefits (β= 0.394 and T-value 3.873 with p-value=0.000), and perceived susceptibility (β=0.233 and T-value 3,230 with p-value=0.001) had a positive and significant effect on the COVID-19 vaccination intention.

Prevention behavior of community for spreading COVID-19 in West Kalimantan Province, Indonesia

The COVID-19 pandemic caused huge impacts on human being worldwide. The accumulated infected cases are 156,778,078 with 3,272,054 death cases on May 7, 2021. Importantly, not many people practice the prevention behavior of COVID-19 pandemic. This study measured the prevention behavior of COVID-19 in West Kalimantan Province, Indonesia by socio-demographic factors and protection motivations from the community. This study used a cross-sectional design which was carried out for two weeks from the end of July to early August. The study involved 385 respondents from 972,635 people in Municipality Pontianak, Municipality Singkawang, and Ketapang Regency, Indonesia. The result showed the majority of the respondent were female (74.3%), in adult age group (61.3%), graduated from university (51.2%), and have a job (64.9%). Multiple logistic regression showed that respondents had no occupation (Adj. OR=1.87, 95% C.I=1.04- 3.37), low perception of self-efficacy (Adj. OR=3.44, 95% C.I=1.98-5.95), and low the evaluated cost response (Adj. OR=1.94, 95% C.I=1.20-3.14) were statistically significant having correlation with poor prevention behavior of spreading COVID-19. The results can be utilized for the promotion of protocol of prevention COVID-19, for instance, provide personal protective equipment (PPE) for people with high-risk occupation including health personal, promote the importance of practice prevention behavior, and control the price of basic PPE including mask and ensure all people have an access to have the mask.

Modeling and analyzing predictive monthly survival in females diagnosed with gynecological cancers

Cancer ranks as a leading cause of death worldwide; an estimated 1.7 million new diagnoses were reported in 2021. Ovarian cancer, the most lethal of gynecological malignancies, has no effective screening with over 70% of patients being diagnosed in an advanced stage. The aim of this study was to determine the most statistically significant contributing factors through a multivariate regression into the severity of female gynecological cancers. Data from the surveillance, epidemiology, and end results program (SEER) cancer database were utilized in this study. Several attempted multivariate linear regressions were implemented with further reduced models; however, a linear model could not be properly fit to the data. Because of unmet assumptions, a nonparametric moving, local regression, locally estimated scatterplot smoothing (LOESS), was performed. After smoothing factors were included to reduced-models, residual information was minimized although few conclusions can be drawn from the resulting statistics. These issues were prevalent mainly because of the massive variability in the data and inherent lack of linearity. This can be a significant issue with clinical data that does not dive deeper into cancer-dependent factors including genetic expression and cell surface receptor overexpression. General patient demographic data and diagnostic information alone does not provide enough detail to make a definite conclusion or prediction on patient survivability. Increased attention to the acquisition of tumor tissue for genomic and proteomic analysis in addition to next-generation sequencing methods can lead to significant improvements in prognostic predictions.