HUBUNGAN HEALTH BELIEF MODEL DENGAN KEPATUHAN PERAWATAN KAKI PADA PENDERITA DIABETES MELITUS TIPE 2 DI RUANG POLI PENYAKIT DALAM RSUD SULTAN SYARIF MOHAMAD ALKADRIE PONTIANAK

Latar Belakang: Penyakit diabetes melitus tipe 2 merupakan penyakit tidak menular yangmenjadi masalah global, dimana banyak menimbulkan komplikasi. Luka kaki diabetes adalahsatu diantara komplikasi dan yang paling sering terjadi dan ditakuti. Penatalaksanaan untukmencegah terjadinya luka kaki diabetes ini adalah dengan perawatan kaki. Health belief modeladalah model yang menspesifikasikan bagaimana individu secara kognitif menunjukkan perilakusehat maupun usaha untuk menuju sehat atau penyembuhan suatu penyakit. Health belief modeldiasumsikan dapat menjelaskan alasan perilaku ketidakpatuhan penderita diabetes melitus dalammelakukan penalaksanaan, termasuk perawatan kaki. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan health belief model dengankepatuhan perawatan kaki pada pasien diabetes melitus tipe 2 di Poli Penyakit Dalam RSUDSultan Syarif Mohamad Alkadrie Pontianak.Metode: Jenis penelitian kuantitatif dengan desain descriptive correlational melalui rancangancross sectional study. Teknik sampling yang digunakan adalah accidental sampling denganjumlah 93 responden. Instrumen yang digunakan adalah kuesioner Health Belief Model (HBM)dan kuesioner Standard kuesioner Nottingham Assesment of Functional Footcare (NAFF) sertalembar observasi Diabetic Functional Care Behaviour (DFCB).Hasil: Uji statistik yang digunakan adalah Chi Square dengan P value 0.000 (< 0.05).Kesimpulan: Terdapat hubungan antara health belief model dengan kepatuhan perawatan kakipada pasien diabetes melitus tipe 2 di Ruang Poli Penyakit Dalam RSUD Sultan SyarifMohamad Alkadrie PontianakKata Kunci: Health Belief Model, Kepatuhan Perawatan Kaki.Referensi: 50 (1984 – 2018)

Laboratory diagnosis and susceptibility profile of Helicobacter pylori infection in the Philippines

BACKGROUND: Helicobacter pylori diagnosis and susceptibility profile directs the applicability of recommended treatment regimens in our setting. To our knowledge, there is no published data on the culture and local susceptibility pattern of Helicobacter pylori in the Philippines. METHODS: 52 dyspeptic adult patients undergoing endoscopy from the Outpatient Gastroenterology clinic of the University of the Philippines-Philippine General Hospital underwent multiple gastric biopsy and specimens were submitted for gram stain, culture, antimicrobial sensitivity testing, rapid urease test and histology. Antimicrobial susceptibility testing was done by Epsilometer testing (Etest) method against metronidazole, clarithromycin, amoxicillin, and tetracycline. RESULTS: Sixty percent (60%) of the study population was positive for H. pylori infection (mean age of 44 years ± 13), 70% were males. H. pylori culture showed a sensitivity of 45% (95% CI [29.5–62.1]), specificity of 98% (95%CI [81.5–100%]), positive likelihood ratio of 19.93 (95% CI [1.254–317.04]) and a negative likelihood ratio of 0.56 (95% CI [0.406–0.772]). All H. pylori strains isolated were sensitive to metronidazole, clarithromycin, amoxicillin and tetracycline. CONCLUSION: Knowledge of the antibiotic susceptibility patterns in our setting allows us to be more cautious in the choice of first-line agents. Information on antibiotic susceptibility profile plays an important role in empiric antibiotic treatment and management of refractive cases

Assessment of a multiplex PCR and Nanopore-based method for dengue virus sequencing in Indonesia

Abstract: Background: Dengue virus (DENV) infects hundreds of thousands of people annually in Indonesia. However, DENV sequence data from the country are limited, as samples from outbreaks must be shipped across long-distances to suitably equipped laboratories to be sequenced. This approach is time-consuming, expensive, and frequently results in failure due to low viral load or degradation of the RNA genome. Methods: We evaluated a method designed to address this challenge, using the ‘Primal Scheme’ multiplex PCR tiling approach to rapidly generate short, overlapping amplicons covering the complete DENV coding-region, and sequencing the amplicons on the portable Nanopore MinION device. The resulting sequence data was assessed in terms of genome coverage, consensus sequence accuracy and by phylogenetic analysis. Results: The multiplex approach proved capable of producing near complete coding-region coverage from all samples tested (x¯ = 99.96%, n = 18), 61% of which could not be fully amplified using the current, long-amplicon PCR, approach. Nanopore-generated consensus sequences were found to be between 99.17–99.92% identical to those produced by high-coverage Illumina sequencing. Consensus accuracy could be improved by masking regions below 20X coverage depth (99.69–99.92%). However, coding-region coverage was reduced at this depth (x¯ = 93.48%). Nanopore and Illumina consensus sequences generated from the same samples formed monophyletic clades on phylogenetic analysis, and Indonesian consensus sequences accurately clustered by geographical origin. Conclusion: The multiplex, short-amplicon approach proved superior for amplifying DENV genomes from clinical samples, particularly when the virus was present at low concentrations. The accuracy of Nanopore-generated consensus sequences from these amplicons was sufficient for identifying the geographic origin of the samples, demonstrating that the approach can be a useful tool for identifying and monitoring DENV clades circulating in low-resource settings across Indonesia. However, the inaccuracies in Nanopore-generated consensus sequences mean that the approach may not be appropriate for higher resolution transmission studies, particularly when more accurate sequencing technologies are available

フィリピン ニオケル チイキ イリョウ ジュウジ シャ カクホ ノ ザンシン ナ トリクミ : コクリツ フィリピン ダイガク ケンコウ カガクブ ノ ショウカイ (〈トクシュウ〉チイキ イリョウ)

The establishment of the School of Health Sciences(SHS), University of the Philippines Manila (UPM) inLeyte in 1976 was based on the ideas of socially-concernedCollege of Medicine, UPM faculty who were alarmed by thebrain drain and the mal distribution of health manpower in the Philippines. SHS aims to produce a broad range of health manpower who serves the rural communities. It also designs and tests program models for health manpower developmentthat can be replicated in various parts of thePhilippines and in other countries as well.Its unique feature is the step-ladder curriculum---the only one of its kind in the Philippines---which is designed to meet the needs of the rural communities. Here, instead ofthe usual approach to health science education, the trainingof a broad range of health manpower from the barangay(village) health worker to the medical doctor is integratedin a single, sequential, and continuous curriculum. Each programlasts from one to more than 10 quarters( one quarter=11 weeks) and is followed by a service leave of an indefiniteperiod.The curriculum has been featured in many monographs,journals, magazine articles, and official reports of WHO forserving as a model for shifting health science educationfrom the hospital to the community.[Cited from:Improving the health of Filipinos throughexcellent and relevant programs, University of the PhilippinesManila

"TO BE POOR IS TO BE KILLED": A CULTURE-CENTERED VIEW OF CRISIS COMMUNICATION FROM BELOW

Ph.DDOCTOR OF PHILOSOPHY (FASS

Dreamwalker: A web series

Dreamwalker is a five episode web series about Leo Rivera, a 19-year-old fine arts student, whose unresolved grief and trauma surface into his dreams as his roommates. Two years ago, Leo\u27s parents died when their house went up in flames. Deep inside Leo has always blamed himself for their death. Leo\u27s resistance with dealing with his grief and emotions have impeded him from healing. From his subconscious, these neglected feelings manifest in his dreams and take the form of strange roommates. The monk, the astronaut, and the clone. Each of three represents Leo in some sort of way and is a human embodiment of an emotion, feeling, or issue Leo has suppressed. Once Leo awakens from his dreams he finally allows himself to take the first step in dealing with the death of his parents.Dreamwalker is aimed to portray the struggles of teenage bereavement and to highlight the healing power of dreams and its effect in a person\u27s waking life. Bereaved teenagers resist the mourning process and opt to repress their emotions and feelings. This makes bereaved teenagers vulnerable to developing unresolved grief which yields unpleasant results that could ultimately be highly detrimental to one\u27s overall well-being. Dreamwalker intends to depict the use of dreams as a means to aid a bereaved teenager towards healing. Dreams have the capability to shed light on certain aspects, bring resolution to conflicts, and usher the psyche towards healing. The unconscious mind has a way of taking what is repressed and disguises these as dreams in order to take these issues into one\u27s consciousness so that the dreamer could finally confront and overcome these matters. Upon understanding the messages that dreams hold, dreams can become catalysts for transformation and healing

IAMP tackles a void in medical education: leadership.

David Holmes's Profile (Oct 22, p 1455)1 quoted Steve Wesselingh, the dean of Monash University, Melbourne, VIC, Australia, as stating: “academic institutions have an enormous amount of expertise and knowledge, but rarely are they engaged in the process of health and social policy”. The inaugural Inter Academy Medical Panel (IAMP) Young Physician Leaders (YPL) programme held during the third World Health Summit in Berlin, Germany, attempted to address this deficit.2 IAMP sent out a global call for nominations for physicians aged 40 years or younger with demonstrated leadership skills in medicine or public health, and 22 participants were chosen, representing 18 countries—low-income, middle-income, and high-income—and diverse physician specialties. The inaugural YPL group discussed personal and systemic leadership challenges as well as the necessary substrate for leadership development.3 The programme consisted of an interactive brainstorming session aimed at helping participants to develop a strong leadership style. Mentoring and peer-learning relationships were developed through peer and senior faculty interactions. Participants from developing countries acknowledged challenges of limited resources and infrastructure. For example, one participant had been asked to start a centre with US$30 of funding. Common challenges in the developing and developed world were the difficulty of breaking down silos, and that politics, as well as preference for seniority over talent, can often get in the way of success. Participants from all countries shared difficulties in gaining credibility as young leaders and breaking into established hierarchies. Most important from this experience was the sense that the world is small; that the goals, aspirations, and challenges of our junior faculty remain similar despite vastly different cultures and access to resources. Having pioneered this YPL programme for the young physician leaders, the next issue to address is the programme's future.4 The IAMP executive board members will continue to work as personal mentors for each inaugural YPL member, providing their insight and guidance on future career decisions and linking them to other professional leaders in their fields. The inaugural class of IAMP's YPL leadership programme felt that the workshop was a success and the IAMP asks for its member academies to continue supporting these young leaders as they return to their countries and support an annual programme and development of a growing network of young physician leaders. These efforts will help address the dearth of leadership training programmes for young academicians and nurture them as they learn to shape global health policy for millions in need