Bal Ex module video is a fully structured homed-based video and audio guided tool developed to assist Peripheral Vestibular (PVD) patients in their treatment process. We aimed to assess the cost effectiveness of this tool as a guide to health policy makers. Complete CEA was conducted on data set prospectively collected from the ORL Clinic, Hospital Universiti Sains Malaysia in 2016 to 2018. More than 53% of the patient's age above 61 years old diagnosed for having PVD. The patients' health outcome was measured by the modified version of MVVS and the cost involved in treating the related patient was calculated based on activity base costing. The health status of the patient increased by 17% and the cost saving appeared positive after 3 months applying Bal Ex at home. It is clearly demonstrated from the CEA plane. Bal Ex module innovation is a cost effective PVD treatment and align with the Sustainable Development Goal to achieve healthy wellbeing by 2030.
Adolescents are the future generation of any country who their nutritional needs are seriously issue of the society. Several factors affect the nutritional status of adolescents, including anemia which the highest risk of suffering are adolescent girls. In this case, anemia can be caused by various causes such as deficiency of folic acid, vitamin B12, vitamin A, and iron. This study aims to determine the prevalence of anemia and its correlation between anemia and nutritional status among adolescent girls in Rural Jatinangor, Sumedang-Indonesia. The study was conducted on 92 adolescent girls (10-19 years old) in Rural Jatinangor. The nutritional status were classified by Body Mass Index (BMI) categories as obese, overweight, normal weight, thinnest, and severe thinnest according to the WHO standard (BMI for Age). Blood sample for the determination of hemoglobin concentration was collected in EDTA bottle which determined by cyanmethemoglobin method. Results: A cross-sectional study was carried out in adolescent girls of seven villages in Rural Jatinangor. Among 92 adolescent girls 26.09% were anemia, and 73.91% were normal. The result for nutritional status 8.70% were overweight, 9.78% were thinnest, 75% were normal, 4.35% were obese, 2.17% were severe thinnest. Data were analyzed according to Lambda Correlation, the result showed p>0.05. The result of this study showed there is no significant correlation between nutritional status with anemia in adolescent girls. Conclusion: Even though the nutritional status did not contribute significantly to anemia, further research is needed to analyze the other factors contribute to anemia among adolescent girls in Rural Jatinangor.
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