The purpose of the study was to determine the knowledge and attitudes of the community about implementing health protocols during the COVID-19 pandemic in North Birobuli Village. The research method used was qualitative with a case study approach. The number of informants in the study was 12 people obtained through purposive sampling. The results showed that the predisposing factors for knowledge related to COVID-19, symptoms of COVID-19, the transmission of COVID-19, how to prevent COVID-19, and health protocols could be mentioned well by informants. However, the public still had a negative attitude towards COVID-19, who thought that COVID-19 does not exist and did not believe; in this attitude predisposing factor, the informant also explained that he was starting to feel tired of implementing health protocols. Our finding concludes that the community already has fairly good knowledge regarding health protocols during the covid 19 pandemic, and the community's attitude is showing negative attitudes related to covid and feeling tired regarding applying the health protocol.
Background: After disaster happened, the number of ARI (Acute Respiratory Infections) cases could dramatically increase and even ranked top. The public health center (Puskesmas) in Wani is the public health facility that has the highest number of child ARI patients in Donggala Regency after the disaster happened. The public health center handled 149 ARI cases from the total of 1,597 cases occurred. This study was aimed to find out the knowledge and behavior of mothers, facilities, health services, health worker and family support for mothers that the children suffered from ARI at the working area of Wani public health center. Methods: This study is a qualitative research using case study approach. The data were collected through in-depth interviews with 12 informants who were selected through purposive sampling technique. Results: The results of the research showed that mothers' knowledgeable on ARI was still low due to the lack of information. Their behavior related to ARI management was good that was showed by their decision to take immediate medical treatment for their children by buying them drugs and taking them to health facilities. However, there were also mothers decided to give their children self-medication (traditional) that was performed at home by buying self-prescribed medication or even using traditional medicines. The health facilities are adequate to be utilized by the mothers. However, the role of health worker has not been maximized because of the lack of information related to ARI. Some informants got social support from their families in the form of information and emotional supports, but there were also some informants who did not get adequate support from their families. Conclusion. The low level of mothers' knowledge and lack of social support from health workers influenced the mother's behavior in treating of ARI on children at Wani Public Health Center.
Objective: Antiepileptic (AED) drugs are an integral component of the management of seizure disorder; however, they have a wide spectrum of adverse effects. It is important to be aware of these side effects as they have a major impact on the quality of life and are sometimes partially reversible after drug discontinuation. Among them, the influence of AED on thyroid function is an important one. However, there is only limited data available. The objective of this study is to evaluate the effect of AED on thyroid-stimulating hormone (TSH). Methods: A cross-sectional study of 1-year duration (march 2017 – march 2018) was conducted among 150 epileptic patients receiving phenytoin, carbamazepine, and sodium valproate for more than 6 months in a tertiary care center in central Kerala. Serum levels of TSH of patients on AED were compared with that of 50 healthy age- and sex-matched control groups. Data regarding the same were analyzed using SPSS version 16 with the Chi-square test, ANOVA, and independent t-test. Results: A total of 150 epileptic patients with a mean age of 35.54 + 10.72, including 66 males (44%) and 84 females (56%) were enrolled in this study. Fifty adults of mean age 36.5+ 8.4 and male to female ratio 1.10:1 formed the control group. It was found that the mean TSH value of patients on phenytoin (3.97+ 1.47), carbamazepine (3.57+ 1.44), and sodium valproate 3.03 + 1.41 significantly higher than that of the control group (1.91 + 0.72). On comparing the mean serum TSH of the drug group significant difference noted between phenytoin and sodium valproate treated group. Among the 12 patients develop subclinical hypothyroidism 65% taking drugs for more than 5 years. Conclusion: There is a positive correlation between the use of anticonvulsants and thyroid dysfunction and the association increases with the duration of therapy. The clinicians should be encouraged for regular monitoring of thyroid function test to impart a better quality of life to the patients.
Penyuluhan kesehatan tentang pengobatan Rutin TB Paru yang diberikan petugas kesehatan kepada Penderita TB mempunyai tujuan yaitu untuk menambah pengetahuan Penderita TB tentang bagaimana cara minum obat TB yang baik dan benar sesuai dengan petunjuk selama masa pengobatan enam bulan yaitu dengan cara yang berkunjung ke fasilitas kesehatan melakukan pengobatan rutin serta konseling kepada petugas kesehatan. Langkah dilakukan penyuluhan kesehatan kepada penderita TB paru agar menurunkan angka penderita TB yang putus minum obat seara rutin. Penelitian ini bertujuan untuk mengetahui Perbedaan Pengetahuan serta respon penderita TB paru Terhadap Pemberian Penyuluhan Kesehatan Tentang kepatuhan minum obat TB Paru di Wilayah Kerja Puskesmas Tambu Kecamatan Balaesang Kabupaten Donggala. Jenis penelitian ini adalah jenis penelitian Quasi Eksperimental dengan pendekatan one grup pre test-post testdesign yaitu sebuah kelompok sampel dengan subjek yang sama namun men-galami penilaian yang berbeda antara sebelum dan sesudah penyuluhan. Jumlah sampel dalam penelitian ini sebanyak 42 penderita (total populasi). Hasil penelitian menunjukkan bahwa ada perbedaan pengetahuan sebelum dan sesudah dilakukan penyuluhan kesehatan tentang respon pengobatan rutin TB Paru dengan nilai peningkatan pengetahuan sebelum dan sesudah penyuluhan. Penelitian ini merekomendasikan untuk meningkatkan sosialisasi melalui penyuluhan kesehatan tentang respon pengobatan rutin TB Paru ke pelayanan kesehatan untuk mendapatkan pemeriksaan kesehatan dan pengobatan TB Paru.
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