PERBANDINGAN KUALITAS NYERI DAN KEKAKUAN PADA PENDERITA OSTEOARTRITIS LUTUT GRADE 2 DENGAN DAN TANPA PENGGUNAAN LATERALLY WEDGED INSOLES DI POLIKLINIK ORTOPEDI RUMAH SAKIT UMUM DR. ZAINAOEL ABIDIN BANDA ACEH

Osteoartritis (OA) lutut merupakan salah satu kelainan muskoskeletal yang sering terjadi diseluruh dunia. OA lutut menduduki peringkat tertinggi penyebab nyeri dan hendaya (disability) pada usia tua. Osteoartritis lebih sering terjadi pada wanita dari pada laki-laki dan prevalensinya meningkat sesuai dengan pertambahan umur. Osteoartritis merupakan penyakit pada sendi yang progresifitasnya lambat serta sering terjadi pada usia pertengahan hingga usia tua. Tujuan penelitian untuk mengetahui hubungan penggunaan laterally wedged insoles (LWI) terhadap kualitas nyeri dan kekakuan serta perbandingannya dengan yang tidak menggunakan LWI. Penelitian ini merupakan penelitian uji klinis dengan desain paralel dengan matching. Penelitian dilakukan pada bulan Juli hingga September 2013 di Poliklinik Ortopedi Rumah Sakit Umum Daerah dr.Zainoel Abidin Banda Aceh. Subjek Penelitian ini adalah 44 orang wanita penderita OA lutut grade 2 kompartemen medial. Analisa data yang digunakan adalah t-test berpasangan, Uji Mann-Whitney, t-test tidak berpasangan dan Uji Wilcoxon dengan interval kepercayaan 95%. Hasil analisa data menunjukan terdapat hubungan antara penggunaan LWI terhadap perbaikan kualitas nyeri dan kekakuan dengan p-value masing-masing (

ARTHERY (Action and Rehabilitation to Be Healthy for Geriatry)

ARTHERY (Action & Rehabilitation to be heatlhy for Geriatry) is a social programs that have a long-term goal to improve the quality of life of the elderly who suffer knee osteoarthritis and prevents osteoartristis progression. The program is implemented at the UPTD Rumoh Seujahtra Geunaseh Sayang that is the only nursing home in the city of Banda Aceh for three months. The method applied in this program is introduce laterally wedged insoles and do osteoarthritis exercise. The results of the implementation of this program are improvement average of WOMAC scores on pain and stiffness of knee osteoarthritis in 13 people and 55 other elderly people have undergone knee osteoarthritis prevention program with 12 times oateoartritis exercise and wearing laterally wedged insoles

Knowledge, attitude, and practice regarding dengue virus infection among inhabitants of Aceh, Indonesia: A cross-sectional study

Background: The Indonesian region of Aceh was the area most severely affected by the earthquake and tsunami of 26 December 2004. Department of Health data reveal an upward trend of dengue cases in Aceh since the events of the tsunami. Despite the increasing incidence of dengue in the region, there is limited understanding of dengue among the general population of Aceh. The aim of this study was to assess the knowledge, attitude, and practice (KAP) regarding dengue among the people of Aceh, Indonesia in order to design intervention strategies for an effective dengue prevention program. Methods: A community-based cross-sectional study was conducted in Aceh between November 2014 and March 2015 with a total of 609 participants living in seven regencies and two municipalities. Information on the socio-demographic characteristics of participants and their KAP regarding dengue was collected using a pre-tested structured questionnaire. The KAP status (good vs. poor) of participants with different socio-demographic characteristics was compared using Chi Square-test, ANOVA or Fisher's exact test as appropriate. Logistic regression analysis was used to determine the predictors of each KAP domain. Results: We found that 45% of participants had good knowledge regarding dengue and only 32% had good attitudes and good dengue preventive practices. There was a significant positive correlation between knowledge and attitudes, knowledge and practice, and attitudes and practice. In addition, people who had good knowledge were 2.7 times more likely to have good attitudes, and people who had good attitudes were 2.2 times more likely to have good practices regarding dengue. The level of education, occupation, marital status, monthly income, socioeconomic status (SES) and living in the city were associated with the knowledge level. Occupation, SES, and having experienced dengue fever were associated with attitudes. Education, occupation, SES and type of residence were associated with preventive practices. Conclusion: Our study suggests that dengue prevention programs are required to increase KAP levels regarding dengue in the communities of Aceh

Community Willingness to Participate in a Dengue Study in Aceh Province, Indonesia

Background: Dengue virus infection is the most rapidly spreading vector-borne disease in the world. Essential research on dengue virus transmission and its prevention requires community participation. Therefore, it is crucial to understand the factors that are associated with the willingness of communities in high prevalence areas to participate in dengue research. The aim of this study was to explore factors associated with the willingness of healthy community members in Aceh province, Indonesia, to participate in dengue research that would require phlebotomy. Methodology/Principal Findings: A community-based cross-sectional study was carried out in nine regencies and municipalities of Aceh from November 2014 to March 2015. Interviews using a set of validated questionnaires were conducted to collect data on demography, history of dengue infection, socioeconomic status, and knowledge, attitude and practice regarding dengue fever. Two-step logistic regression and Spearman's rank correlation (rs) analysis were used to assess the influence of independent variables on dependent variables. Among 535 participants, less than 20% had a good willingness to participate in the dengue study. The factors associated with good willingness to participate were being female, working as a civil servant, private employee or entrepreneur, having a high socioeconomic status and good knowledge, attitude and practice regarding dengue. Good knowledge and attitude regarding dengue were positive independent predictors of willingness to participate (OR: 2.30 [95% CI: 1.36-3.90] and 3.73 [95% CI: 2.24-6.21], respectively). Conclusion/Significance: The willingness to participate in dengue research is very low among community members in Aceh, and the two most important associated factors are knowledge and attitude regarding dengue. To increase participation rate, efforts to improve the knowledge and attitude of community members regarding dengue fever and dengue-related research is required before such studies are launched

Application of artificial intelligence technology in monitoring students’ health: Preliminary results of Syiah Kuala Integrated Medical Monitoring (SKIMM)

Health promoting university is a holistic approach to health that uses higher education settings to create a learning environment that improves the health and well-being of the campus community in a sustainable manner. The utilization of technology such as artificial intelligence (AI) could be one of the main success factors in the implementation of health-promoting universities to increase the effectiveness and efficiency of all stages of activities carried out in health promotion and prevention efforts. Integrated monitoring with the utilization of AI in this program is conducted to evaluate the health status of the students. The Syiah Kuala Integrated Medical Monitoring (SKIMM) has three components of continuous health status evaluation: vital signs, nutritional status, and burnout status. Health status monitoring was conducted continuously for three months among medical students at the Faculty of Medicine Universitas Syiah Kuala, Banda Aceh, Indonesia. This system uses the WhatsApp application as a platform to monitor health status. Student health monitoring in this program consists of two main activities: the health measurement phase and the health monitoring phase. The use of the SKIMM system to monitor students' vital signs, nutritional status and burnout status through the use of AI significantly raises students' awareness to conduct timely self-examination and enables sustainable healthy lifestyle behavior change. The adoption of AI technology allows for continuous health promotion to the entire academic community, including students in implementing the health promoting university

Stigma Associated with COVID-19 among Health Care Workers in Indonesia

Objective: The aim of this study was to assess the stigma associated with coronavirus disease - 2019 (COVID-19) among health care workers (HCWs) in Indonesia during the early phase of the pandemic. Methods: A cross-sectional study was conducted in 12 hospitals across the country in March, 2020. A logistic regression was employed to assess the association between stigma and explanatory variables. Results: In total, 288 HCWs were surveyed, of which 93.4 had never experienced any outbreaks. Approximately 21.9 of the respondents had stigma associated with COVID-19. HCWs who were doctors, had not participated in trainings related to COVID-19, worked in the capital of the province, worked at private hospitals, or worked at a hospital with COVID-19 triage protocols were likely to have no stigma associated with COVID-19. Conclusions: The stigma associated with COVID-19 is relatively high among HCWs in the early phase of the COVID-19 pandemic in Indonesia. Adequate dissemination of knowledge and adequate protection are necessary to reduce stigma among HCWs.

Stigma Associated with COVID-19 Among Health Care Workers in Indonesia

Objective: The aim of this study was to assess the stigma associated with coronavirus disease - 2019 (COVID-19) among health care workers (HCWs) in Indonesia during the early phase of the pandemic. Methods: A cross-sectional study was conducted in 12 hospitals across the country in March, 2020. A logistic regression was employed to assess the association between stigma and explanatory variables. Results: In total, 288 HCWs were surveyed, of which 93.4% had never experienced any outbreaks. Approximately 21.9% of the respondents had stigma associated with COVID-19. HCWs who were doctors, had not participated in trainings related to COVID-19, worked in the capital of the province, worked at private hospitals, or worked at a hospital with COVID-19 triage protocols were likely to have no stigma associated with COVID-19. Conclusions: The stigma associated with COVID-19 is relatively high among HCWs in the early phase of the COVID-19 pandemic in Indonesia. Adequate dissemination of knowledge and adequate protection are necessary to reduce stigma among HCWs

La economía del cambio climático en América Latina y el Caribe: una visión gráfica

El cambio climático es uno de los grandes desafíos del siglo XXI debido a sus causas y consecuencias globales y a la magnitud de los esfuerzos necesarios y simultáneos para amortiguar sus impactos negativos, adaptarse a las nuevas condiciones climáticas y llevar a cabo los procesos de mitigación de las emisiones de gases de efecto invernadero. El principal objetivo de esta publicación es presentar las hipótesis y las cifras básicas de la economía del cambio climático en América Latina y el Caribe de forma resumida y gráfica. Estos hechos estilizados buscan contribuir a un mejor diseño, instrumentación y evaluación de las políticas públicas referidas al cambio climático en el siglo XXI, de manera que permitan la transformación del actual estilo de desarrollo y la transición hacia un desarrollo sostenible. Además del prólogo y esta introducción, se incluyen nueve tesis y siete desafíos que definen las características del cambio climático en América Latina y el Caribe

Additional file 3: of Knowledge, attitude, and practice regarding dengue virus infection among inhabitants of Aceh, Indonesia: a cross-sectional study

Distribution of attitude regarding dengue fever among participant groups with different socioeconomic level. (PDF 195 kb

Correlation between willingness to participate (WTP) in dengue research, socioeconomic status and knowledge, attitude and practice (KAP) regarding dengue (<i>n</i> = 535).

<p>Correlation between willingness to participate (WTP) in dengue research, socioeconomic status and knowledge, attitude and practice (KAP) regarding dengue (<i>n</i> = 535).</p