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International Journal of Public Health Science (IJPHS)

IJPHS
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Published by Institute of Advanced Engineering and Science

ISSN : 22528806 EISSN : 26204126 DOI : -

Core Subject : Health,

Health Professions

International Journal of Public Health Science (IJPHS) is an interdisciplinary journal that publishes material on all aspects of public health science. This IJPHS provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers world wide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.

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Articles 15 Documents

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Search results for , issue "Vol 4, No 4: December 2015" : 15 Documents clear

A Case Study of Modern Medical Practice and Islamic Complementary Therapy on a Patient with Over 2000 Embedded Nails Nor Azian Ab Rahman; Sagiran Sukardi; Supyan Husin
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

In South East Asia, patients often resort to various forms of complementary therapy apart from utilizing mainstream modern medicine in Hospitals. Islamic-based complementary therapy employs various forms of bio-physical, psychological, social, cultural, and spiritual interventional methods based on the prevailing belief and cultural system to provide a holistic Syariah compliant approach in patient management. The concept of diseases caused by sorcery and paranormal means using intermediaries like Jinn and evil spirits that have been in existence since time immemorial across religions, cultures and societies around the world, for example, Homer in Ancient Greece, the legendary Medea, and Witch of Endor in the Bible. Currently, the practice of black magic and the belief in the paranormal still widely exist in the midst of modern civilization in this region. Modern medical practice has no definitive answer for a person with an unusual medical illness who is believed to have been afflicted by black magic because of its non-specific clinical presentation and non-response to conventional management paradigm which defies medical logic. In this paper, we describe a true case of a lady, 25 years-of-age, who suffered from more than 2000 nails embedded inside her body for one and a half years. Upon admission to a Hospital in Indonesia, she underwent a surgical procedure to remove all of the nails but to no avail; the nails re-appeared at other parts of her body. The surgical team later decided to conduct an Islamic complementary therapy on the patient, and subsequently, managed to extract all of the remaining nails without further bleeding. In conclusion, unusual or mysterious medical illness, sometimes referred to as idiopathic in etiology, not responding to conventional medical or surgical intervention, may potentially benefit from the use of Islamic complementary therapy.

The Effectiveness of Elderly Management Effort Activities towards Geriatric Depression Scale of Permanent Shelter Residents in Post Eruption of Merapi Ekorini Listiowati; Warih Andan Puspitosari; Kellyana Kellyana
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

Disasters can happen due to nature and human being which cause damages, loss, and deteriorating health as well as health care. Psychosocial and mental health problems arise whilst and post disaster since disaster will lead to trauma for those who undergo it. Depression has comorbidity with dementia which decreases the quality of life of the elderly, thus it needs an effective and sustainable treatment with the goal to recover coping mechanism toward physical and psycho-social problem, prevent physical and psycho-social disability, and optimize psycho-social function. The research aimed to analyze the effectiveness of Elderly Management Effort activities towards geriatric depression scale of permanent shelter residents in post Eruption of Merapi. This research is quasi-experimental research using pretest postest design. The subject of this research is 40 people which meet the inclusive criteria: elderly, living in shelter, having non-terminal illnesses, and willing to join the whole research. The exclusive criteria are having a medical record with severe psychological problem and DO which will be used for those who do not join all session completely. The samples were taken using consecutive sampling method. The instruments used in this research are the Geriatric Depression Scale and the Elderly Management Effort. The data were analyzed through t test and chi square. Decreasing of score was found for the Geriatric Depression Scale from 5.2 to 2.1 and back to the score 4.3 at the last intervention in the 10th month. The Elderly Management Effort through the activities in Posyandu including Dance Movement Therapy dan Reminiscence Therapy is proven effective to decrease the Geriatric Depression Scale in post disaster.

Javanese Muslim with Diabetes in Yogyakarta Managing The Daily Self-Care Activity Iman Permana; Muflikh Try Harbiyan
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

Self-care, capability in performing certain activity in maintaining well-being in daily life, was regarded important especially among people with long-term condition such as diabetes. Locus of control and self-efficacy are among the self-agency factors that might influence how people engage with daily self-care activity in diabetes management. While, Javanese and Islamic values and norms are other parts of structure that support the effort. This study aimed to seek further into the experiences and perceptions among the Javanese Muslim on how they managed to do self-care in diabetes management. The study was done utilizing a mixed method approach with the usage of the Summary of Diabetes Self-care Activity (SDSCA) questionnaire to measure the level of self-care and followed by further interview to dig deeper into the perception and experiences and what are the opportunity or obstacle in performing daily self-care. A convenient sample of 100 participants has filled the questionnaires, with further 24 interviews. The study identified the moderate self-care practices as a separate notion, instead of an integrated and comprehensive concept amid the unavailability of a structured education program. Five themes were generated from the interviews, those are: education and knowledge, being in or out of control, Javanese way – sensitivity and surrender, peace of mind and role of Allah or God, and poor access to health care.

Double Burden of Malnutrition among Undergraduates in Ogun State Nigeria Catherine Adebukola Oladoyinbo; Nkereuwem N Ekerette
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

Coexistence of under and over nutrition among the same population group is referred to as the double burden of malnutrition. The objective of this study was to assess double burden of malnutrition among undergraduate students in Ogun State Nigeria. A cross-sectional study involving 1,115 (37.8%) males and 1,835 (62.2%) females was conducted. Body mass index (BMI) was derived from weight and a height measurement, waist circumference (WC) measurement was taken to assess abdominal obesity. SPSS version 16 was used for data analysis. Mean age, height, weight and BMI were 23±0.05years, 1.63±0.001m, 60.99±0.22kg and 22.80±0.08kgm respectively. Mean WC was 82.21±0.32cm and 80.55±0.49cm among males and females respectively. Based on BMI, the Prevalence of underweight, overweight and obesity were 13.4%, 16.9% and 7.5% respectively. BMI did not relate significantly with both age (p=0.464) and gender (P=0.115). About fifty percent (50.64%) of females and 12.36% males who were overweight and obese also had excess abdominal fat. Prevalence of abdominal obesity was significantly higher among females (16.9%) than males (2.5%), (p=0.001). Respondents in this study were faced with problems of both under-nutrition and over-nutrition.

Students’ Perception on Interprofessional Education Salmah Orbayinah; Laksmi Putri Utami
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

Unawareness of the roles and competencies of other health professions has led to many medical and medication errors in the treatment of patients in the hospital. It is considered important to give Interprofessional Education (IPE) to students at pre-clinic and clinical stage in order to have a good understanding about roles of other health professionas. IPE is an interprofessional collaborative learning to support promotive, preventive, curative, rehabilitative and other approches related to health aspect. Perception is among the most important and highly needed skill in the implementation of IPE. This research aimed to determine the effect of IPE learning toward the perception among the students in Faculty of Medicine and Health Science of Universitas Muhammadiyah Yogyakarta (FMHS UMY). This is an observational study adopting a cross sectional design. The sample of students was collected through purposive sampling technique. A number of 94 students met the inclusion criteria, comprised of 21 students of Medical Profession Education, 25 of Dentistry Profession Education, 25 of Nursing Profession Education and 21 Undergraduate students of Pharmacy. Samples were given questionnaire of Interdiciplinary Education Perception Scale. Comparative test was done by Kruskall-Wallis test. From 94 students of FMHS, 75.5% had good perception toward IPE. No significant differences appeared in perception (p=0.285) among the students of FMHS UMY. The Interprofessional Education (IPE) had significant effects toward the perception among the students of FMHS UMY.

Gabapentin and Amitriptilin Treatment toward Living Quality of Post Ischemic Stroke Patients with Neurophaty Pain Pinasti Utami; Zulies Ikawati; Setyaningsih Setyaningsih
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

Stroke becomes a significant problem for developing countries. In Indonesia the data show its incidences 234 per 100.000 people, and around 2 - 8 % stroke patients experiencing cerebrovascular session will get neurophaty pain. It happens because of sensoric deviation after stroke, so the brain does not completely send information to the body correctly. Patients experiencing neurophaty pain are able to face decreasing living quality as the effect of long term painful disturbance. Therefore, it is important to maintain the patients’ living quality. The aim of the study is to investigate the comparison of using gabapentin and amitriptilin toward living quality of ischemic stroke patients with neurophaty pain in the hospitals in Jogja. The method used in this study was quasi experimental with consequtive sampling. The study was conducted on 22nd of April-31st of Juli 2013 by involving 23 patients in gabapentin group and 18 patientsin amitriptilin group that would be evaluated during 1 month. Living quality was assessed by Brief Pain Inventory (BPI) in week 0 and week 4. The result of the study showed that the use of gabapentin and amitriptilin in 4 weeks showed the increase of living quality represented by decreasing the score based on BPI questioner 1.67±0.78 and 1.37±0.80 with p-value>0.05 meaning that there was no significant difference. It can be concluded the comparison of using gabapentin and amitriptilin in post ischemic stroke patient with neuropathy pain not significantly increase the quality of in the hospitals in Jogja.

Evaluation of Medical Officers’ Certificate Programme (MOCP) Course Competency Based Learning Mrudula A Phadke
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

Medical Officers’ Certificate Programme (MOCP) is a 6 months training programme in Pediatrics/Medicine at Medical colleges wherein doctors work like postgraduate students, learn various OPD, IPD, (Out Patients and In Patient Department) procedures, attain hands on skills, perform day and night duties, attend postgraduate training programmes and specialty clinics. This is a course unique to Maharashtra. It has been designed to overcome shortage of Pediatrians & Physicians in the state. Public Health Dept deputed 28 Medical Officers of Primary Health Centers to various Medical Colleges. At the end of 6 months training course they were evaluated during 2012-2013.It was done by questionnaire used before and after training. It was observed that OPD increased by 24% and IPD by 54%. There was a decrease in the number of cases referred to tertiary centers by 24%, post MOCP training. Infant immunization increased by 35% after training. Number of children with severe acute malnutrition/moderate acute malnutrition treated increased by 22%, neonatal emergencies, resuscitation, sepsis, jaundice patients treated, increased by 36%. No of adults with diarrhoea and snake bite treated increased by 40% & 63% respectively. No. of ECGs taken and myocardial infarctions managed also has shown rising trend. Thus, there was tremendous benefit to the patients after MOCP training. Skill of doctors was found to have enhanced. It is therefore recommended that such novel trainings should be imparted in other states of India too.

Stroke Treatment Cost Analysis for Consideration on Health Cost Determination Using INA- CBGs at Jogja Hospital Ingenida Hadning; Zullies Ikawati; Tri Murti Andayani
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

Indonesian Case Based Groups (INA-CBGs) implementation on hospital financing for stroke patient using Jaminan Kesehatan Masyarakat (Jamkesmas) at 3rd class hospitalization requires therapy plan management and cost analysis because stroke is a leading cause of death worldwide and need high treatment cost. It is purposed to skimp the hospital expenditure and avoid deficit suffering. The study objectives was to determine the suitability cost between real stroke treatment cost and health financing based on INA-CBGs, and to determine the highest cost component on stroke treatment at Jogja hospital. This cross sectional observational study used retrospective sampling method. The subjects were taken from all stroke patient population using Jamkesmas insurance at Jogja Hospital, were hospitalized between January 2011-April 2012 and met the inclusion criteria. The subject was then classified based on INA-CBGs. Patient’s length of stay and costs (direct medical and direct non-medical costs) were defined as study variable. Data was analysed using descriptive analysis and Mann Whitney test. Throuh this study we conclude the average rate of real stroke treatment cost at Jogja Hospital was higher insignificantly than INA-CBGs based cost and the highest treatment cost was on the medicine and medical equipment.

A Review of The Anti-diabetic Activity of Andrographis paniculata (Burm. f.) Nees based in-vivo Study Titi Komalasari; Sabtanti Harimurti
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

Diabetes mellitus (DM) is ricing nowadays. DM is a metabolic deasease characterized by increasing of glucose blood level for prolonged time. Patient with DM must take medicine for lowering glucose levels in whole life. Synthetic anti-diabetic agent is commonly used and significantly able to maintain the glucose blood levels. However, many side effects will occur during the treatment. Further, people is trying to find an alternative medicine for DM treatment. This paper will discuss about an alternative medicine for anti-diabetic agent that is called Andrographis paniculata (Burm. f.) Nees based in-vivo study. Search data obtained from PubMed, PMC (PubMed Central), International Food and Research Journal, and Google search engine. Inclution and exclution criteria were used for selection of journals. Inclution criteria were taken is in-vivo study of Andrographis paniculata as anti-diabetic, published in 2000-2014, and free full text journal or PubReader (full text journal in PubMed Central) in English or Indonesian language. Base on reviewed journals that was conducted, anti-diabetic agent of Andrographis paniculata was found in extract, in fractional coumpund (i.e. andrographolide or its analogue AL-1: andrographolide-lipoic acid), and in combination with synthetic drug or other herbal. Therefore, Andrographis paniculata is potentially developed as an alternative anti-diabetic agent.

Knowledge and Behaviour about Adolescent Reproductive Health in Yogyakarta, Indonesia Solikhah Solikhah; Sitti Nurdjannah
International Journal of Public Health Science (IJPHS) Vol 4, No 4: December 2015
Publisher : Intelektual Pustaka Media Utama

Lack of knowledge about reproductive health in adolescent, making teens easily influenced by misinformation and harmful to their reproductive health. Health education plays an important role in increasing their knowledge and behavior of young people in order to maintain good reproductive health. The purpose of the research was to see the impact of health education on the knowledge and behavior of adolescents in reproductive health. Paired t test analysis results indicate that counseling on reproductive health effect on both knowledge about reproductive health (mean difference: 10.216, 95% CI: 6.622 to 13.809) and attitudes about reproductive health in adolescents (mean difference: 65.417, 95% CI: 11,176 to 61.690). Knowledge of adolescents about reproductive health would be beneficial in preparing the young people in good reproductive health issues so expect teenagers do not conflict with the norms prevailing in the community.

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