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24,030 Article Results

Cultural diversity in maternity care in improving the quality of care services: a systematic review

10.11591/ijphs.v13i3.24143
Dwi Indah Iswanti , Rio Ady Erwansyah , I Made Moh. Yanuar Saifudin , Tri Ismu Pujiyanto
This study aimed to elucidate the significance of cultural diversity in maternity care in the context of enhancing the quality of care services. To undertake this systematic review, we conducted searches across multiple databases, including CINAHL, SAGE, ScienceDirect, ProQuest, Scopus, and Springer. The process of article selection was executed through Science Direct and Sage, with adherence to specific inclusion criteria, such as articles published within the last five years, written in English, and focusing on maternity care. This study excluded articles with unclear literature reviews and those written in languages other than English. To analyze the risk of bias and the caliber of the included articles, we used the JBI assessment checklist and the PRISMA flow chart. A total of 20 relevant articles were selected for review. In order to enhance the quality of maternity care services, it is imperative to consider a range of facets, including showing respect and tolerance for cultural diversity, fostering effective communication, and honing relevant skills. Maternity care providers must cultivate an attitude of respect and tolerance towards the cultural diversity of their patients and their families.
Volume: 13
Issue: 3
Page: 1258-1267
Publish at: 2024-09-01

Lifestyle modifications among older adults with prehypertension in primary care

10.11591/ijphs.v13i3.23630
Potsunee Boonsaad , Worawut Chompoopan
In both global and Thai contexts, unhealthy behaviors such as alcohol consumption, smoking, excessive salt intake, and sedentary lifestyles contribute to hypertension. World Health Organization (WHO) recommends lifestyle adjustments for blood pressure control. This quasi-experimental study examined the impact of an intervention on elderly individuals with prehypertension. People living in two villages were selected, matching two others demographically and geographically. The intervention focused on a balanced diet, physical activity, stress management, and reduced tobacco/alcohol use with a low-sodium diet. Blood pressure and heart rate were measured three times after a 10-minute rest using a calibrated sphygmomanometer. The study showed significant improvements with p<0.001. Systolic blood pressure decreased by 5.94 mmHg, diastolic blood pressure decreased by 3.37 mmHg, and heart rate decreased by 4.12  bpm. The findings emphasize the importance of comprehensive lifestyle modifications to manage prehypertension and reduce hypertension-related complications in older people. Further research and interventions are needed to address people with hypertension globally, including in Thailand.
Volume: 13
Issue: 3
Page: 1151-1157
Publish at: 2024-09-01

Innovation diffusion in healthcare: evaluating the 'post-treatment' approach in Indonesia

10.11591/ijphs.v13i3.23937
Novliza Eka Patrisia , Hardi Warsono , Kismartini Kismartini , Reni Shinta Dewi
This article aims to describe and qualitatively analyze the diffusion of innovation in healthcare services, specifically focusing on post-treatment healthcare services in the city of Bengkulu, Indonesia. Based on the innovation diffusion theory and incorporating the theory of reasoned action (TRA), this research explores behavior in the process of organizing and implementing healthcare services to enhance the quality of public services in Bengkulu. The study employs a qualitative descriptive research approach, utilizing data sources such as interviews, direct field observations, and documentation. The results of this study indicate that knowledge serves as the primary foundation in the diffusion of innovation in healthcare services. In the context of post-treatment services, the community lacks knowledge about these services. The findings of this research are expected to provide insights for the local government of Bengkulu, particularly Harapan dan Doa Hospital (RSHD) in Bengkulu, as a healthcare service provider. Through knowledge dissemination among all stakeholders supporting innovation diffusion, each can play their respective roles. Consequently, with knowledge playing a key role in the diffusion of innovation in healthcare services, it is anticipated that it will enhance the quality of healthcare services through effective and efficient service delivery, with a focus on the goals of innovation.
Volume: 13
Issue: 3
Page: 1433-1441
Publish at: 2024-09-01

Interactions and mechanisms of phenolic compounds with human immunodeficiency virus-1 Tat protein

10.11591/ijphs.v13i3.23822
Cherry May S. Delos Santos , June Alexis A. Santos , Danilet Vi M. Mendoza
Human immunodeficiency virus remains a serious health threat, with an increase of 24% newly cases globally. Targeting Tat protein is an emerging therapeutic strategy for inhibiting the feedback loop that drives the exponential increase in viral transcription and particle production of the virus. The study aimed to determine the inhibitory potential of phenolic compounds from Ricinus communis L. and Jatropha curcas L., against the Tat C protein using in silico techniques. Phenolic compounds identified from both plants were screened by absorption-distribution-metabolism-excretion (ADME) analysis using drug-likeness prediction. Molecular docking analysis of the compounds with drug-like properties against the receptor and ligand-protein complexes’ analysis and visualization were performed. The results revealed three phenolic compounds with the highest negative binding affinity to the receptor’s active site: ellagic and neochlorogenic acids with - 7.2 kcal/mol and isohemiphloin with -7.3 kcal/mol. The interacting amino acids of the complexes were majorly His13, Lys19, Lys28, Thr64, His65, Gln66, Pro70, Gln72, and Pro73 via non-covalent interactions: hydrogen bonds, hydrophobic, and electrostatic interactions. The identified phenolic compounds provide a core structure that can be candidate for plant-based antiviral drugs development to potentially aiding in the virus’s therapeutic challenge.
Volume: 13
Issue: 3
Page: 1019-1029
Publish at: 2024-09-01

Translation and validation of the Indonesian version of the chronic otitis media questionnaire-12

10.11591/ijphs.v13i3.23943
Rizka Fakhriani , Asti Widuri , Danu Yudistira
Chronic suppurative otitis media (CSOM) is a pathological disorder affecting the ear, characterized by a persistent and long-lasting middle ear infection accompanied by the absence of an intact tympanic membrane. Multiple measures can be employed to evaluate the quality of life among patients with CSOM. One such instrument is the chronic otitis media questionnaire-12 (COMQ-12), which has demonstrated satisfactory levels of validity and reliability. The utilization of the COMQ-12 questionnaire has the potential to improve the quality of life experienced by CSOM patients. This study aimed to evaluate the validity and reliability of the Indonesian adaptation instrument of the COMQ-12 in patients with CSOM in the Otorhinolaryngology department of multiple hospitals in Yogyakarta. The study was conducted from February to July 2023. The study comprised 48 participants, consisting of 16 males and 32 females. The adapted Indonesian version of the COMQ-12 instrument demonstrates validity and reliability in assessing patients' quality of life with CSOM, as evidenced by a statistically significant r-value of 0.2353. The internal consistency analysis reveals that Cronbach's α coefficient is 0.868. The Indonesian adaptation of the COMQ-12 demonstrates validity and reliability as an assessment tool for measuring the health-related quality of life in patients diagnosed with CSOM.
Volume: 13
Issue: 3
Page: 1012-1018
Publish at: 2024-09-01

The plausible pathway of air pollutants and the respiratory system among COVID-19 patients: a systematic literature review

10.11591/ijphs.v13i3.24124
Hari Rudijanto Indro Wardono , R Susanti , Yuni Wijayanti , Widya Hari Cahyati
Studies evidence links air pollution to increased risk of COVID-19 infection and severity during the pandemic. Nonetheless, those studies are unable to discuss specific pollutants, such as particulate matter, Sox, and NOx. This systematic literature review aimed to summarize the most recent studies on the links between pollutants and their effects on the respiratory system, in this case, mostly on COVID-19 patients. We searched using electronic databases (PubMed, Springer, ScienceDirect, and Sage) in May 2023. The keywords chosen were connected to respiratory diseases and air pollution. All relevant studies published in peer-reviewed journals between 2020 and 2023 and written in English were considered. We excluded letters and non-original articles. Relevant keywords were used to select papers. A total of 11 articles are eligible to be included in the present review study. It was reported that countries with a high prevalence of COVID-19 also have greater concentrations of surface air particles (PM10 and PM2.5) due to vehicle exhaust and industrial pollution. PM-virus aggregates spread easier across the lungs and the top respiratory system, facilitating viral attachment to the lung epithelium. This study found that tiny particles with an aerodynamic dimension fewer than 2.5 μm (PM2.5) or ten μm (PM10) have the most significant potential influence on the respiratory system compared to other pollutants.
Volume: 13
Issue: 3
Page: 1422-1432
Publish at: 2024-09-01

The use of video-based interventions to teach activity of daily living to children with autism spectrum disorder–scoping review

10.11591/ijphs.v13i3.23707
Nurul Khairani Ismail , Hasrul Hosshan , Nurbieta Abd Aziz , Abdul Halim Masnan , Norsayyidatina Che Rozubi , Mohd Muslim Md Zalli , Siti Roshaidai Mohd Arifin
The study aimed to delve into the successful implementation of Video-Based Intervention (VBI) in improving activity of daily living skills (ADL) among children with autism spectrum disorder (ASD). Three primary electronic databases were utilised to perform this review: WOS, Scopus and Google Scholar. The process primarily used the research methodologies by Arksey and O'Malley as a framework. In the course of performing the scoping review, three themes emerged: firstly, a wide range of VBI techniques can be employed to enhance the skills of children with ASD; secondly, when VBI is coupled with adequate implementation support specifically tailored for children with ASD, it can effectively improve their daily living abilities. Essentially, the findings of this study support that VBI implementations can promote desired skills in ADL among children with ASD. Furthermore, additional implementation support complements video modeling, improving skill acquisition in ASD. This research enhances the existing knowledge base dedicated to enhancing the quality of life for children with ASD, providing valuable insights for educators, clinicians, and families involved in their care.
Volume: 13
Issue: 3
Page: 1136-1144
Publish at: 2024-09-01

Expectant mothers' social media emotional support-seeking behavior

10.11591/ijphs.v13i3.23536
Philomina Pomaah Ofori , Thomas Henaku , Vered Asamoah
In developing countries, the use of digital media for health information by expectant mothers is a relatively new phenomenon, in contrast to developed countries. This study explores whether emotional support and satisfaction are linked and how they affect the use of social media for healthcare information. A non-experimental survey design was employed in this study. Expectant mothers were surveyed in five hospitals in Ghana's capital from May to August 2022 using a questionnaire. After reviewing and cleaning the data, 580 usable responses were obtained. The collected data were analyzed using SmartPLS 4 structural equation modeling. The findings of the study indicate that expectant mothers' decision to adopt digital media for health information is influenced by emotional support on social media (ESPSM) and satisfaction with social media (SATSM). Furthermore, satisfaction with social media partially mediated the effect between ESPSM and social media health information usage (SMHIU). These findings highlight the importance of emotional support and satisfaction with social media platforms in promoting digital health information usage. In particular, emotional support plays a crucial role for women, especially during pregnancy. These discoveries provide valuable insights for healthcare professionals on how best to assist expectant mothers.
Volume: 13
Issue: 3
Page: 1201-1207
Publish at: 2024-09-01

Understanding quality-of-life determinants in coronary arterial disease patients

10.11591/ijphs.v13i3.24277
Mulyanti Roberto Muliantino , Yuanita Ananda , Fitri Mailani , Rika Sarfika , Dea Anggun Safitri , Nurul Aulia
The study aimed to examine the correlation of determinant factors of quality of life in coronary arterial disease (CAD) patients, including knowledge of disease, smoking cessation, physical activity, and dietary regulation. A quantitative, cross-sectional study using convenience was conducted among 216 CAD patients from the West Sumatra, Indonesia, outpatient cardiovascular center. Data were collected using the cardiovascular disease knowledge assessment questionnaire, smoking cessation, physical activity, diet questionnaire, and self-assessment questionnaire to measure knowledge of the disease, smoking cessation, physical activity, diet, and quality of life, respectively data analysis using Chi-square, Pearson correlation, and multivariate linear regression test. The result showed that dietary regulation was the most influential variable on the quality of life of CAD patients (B=1.670, SE=0.341), followed by smoking cessation, physical activity, and knowledge about the disease. Our data suggest that dietary regulation, smoking cessation, and regular physical activity as modifiable CAD risk factors and disease knowledge improve the quality of life of CAD patients. Future research and clinician intervention for CAD awareness of lifestyle modification should be expanded to focus on barriers and their challenges during cardiac rehabilitation.
Volume: 13
Issue: 3
Page: 1208-1215
Publish at: 2024-09-01

Evaluation of cardiovascular disease in diabetic patients using machine learning techniques

10.11591/ijphs.v13i3.24213
Silpa Nrusimhadri , Sangram Keshari Swain , Veeranki Venkata Rama Maheswara Rao , Shiva Shankar Reddy , Mahesh Gadiraju
Machine learning (ML) improves operations in many industries, including medicine. It affects the prognosis of several disorders, including heart disease. If predicted, it may provide doctors with new insights and allow them to treat each patient individually. If anticipated, it may provide medical practitioners with valuable information. Our team uses machine learning algorithms to study heart disease risk. This research will compare decision trees, AdaBoost, support vector machines, artificial neural networks (ANN), and customized ANN. The study will include this analysis. The given model will leverage the dataset of general information and medical test results. Our model uses particle swarm optimization (PSO) and k-nearest neighbors (KNN). Algorithm for feature selection. The model reduces dimensionality using evolutionary algorithms and neural networks. We compared the numerous assessment criteria to the current models, our model, and earlier models. Because of this, the suggested model's suitability was rated with the highest accuracy.
Volume: 13
Issue: 3
Page: 1489-1502
Publish at: 2024-09-01

Correlation of offspring thyroid function and maternal iodine status in iodine deficient-coastal area

10.11591/ijphs.v13i3.23794
Ardiana Ekawanti , Suryani As’ad , Rosdiana Natsir , Husaini Umar , Deasy Irawati , Hamsu Kadriyan , Fitriannisa Faradina Zubaidi , Rahmah Dara Ayunda
Thyroid hormone is vital for children's growth and metabolism, relying on sufficient iodine levels for synthesis. Maternal intake determines iodine supply to fetuses and children under two years old. This study aimed to correlate offspring thyroid function with maternal iodine status in coastal areas. A cohort study was conducted, involving pregnant coastal residents. Maternal urinary iodine levels were measured via the ammonium persulfate method, while offspring thyroid stimulating hormones (TSHs) and free thyroxine hormone (fT4) levels were assessed using electro-chemiluminescence immunoassay (ECLIA). Iodine intake was determined through a semiquantitative food frequency questionnaire (FFQ). The correlation between offspring thyroid function and maternal iodine status was analyzed using Pearson’s correlation test. Differences in TSHs and fT4 levels among iodine status groups were examined using the One way-ANOVA test. Maternal iodine status was insufficient with a median urinary iodine of 125 μg/L, resulting in a 60.8% prevalence of iodine insufficiency. Iodine intake (62.20±43.45 μg/day) fell short of recommended levels (RDA). Offspring TSH was 2.29±1.07 μIU/mL, fT4 was 1.26±0.14 ng/dL. TSH and fT4 concentrations showed no significant inter-group differences (p=0.852, p=0.075). Offspring thyroid function did not correlate with maternal iodine status (TSHs: p=0.314; fT4: p=0.258). Offspring thyroid function did not correlate to maternal iodine status in a population of iodine-insufficient and mercury-contaminated coastal areas.
Volume: 13
Issue: 3
Page: 1357-1365
Publish at: 2024-09-01

Correlation of learning engagement and social support affecting the academic stress of Thai high school students

10.11591/ijphs.v13i3.23680
Tanacha Suwajo , Panit Mungkornpanich , Phidpibul Patanapipat , Pitpiboon Luksiri , Ploypraplus Boontanaakrapat , Tanatham Nititham , Sorawit Wainipitapong
High school students face an elevated risk of psychological problems, with multiple determinants contributing to this vulnerability. This cross-sectional study aimed to investigate the relationship between academic stress, social support, and learning engagement among Thai high school students. A total of 109 high school students were recruited from one school located in Bangkok, Thailand. The academic stress, social support questionnaires, and learning engagement questionnaires were completed and analyzed for the correlation using Pearson’s and Spearman’s analysis. Multiple linear regression was done to determine variables influencing on academic stress. Medium level of academic stress was found (mean±SD=3.21±0.73). Academic stress was significantly correlated with social support (r=0.252, p<0.01) in a positive direction; however, the negative correlation with learning engagement did not reach statistical significance (rho=-0.108, p>0.05). Positive influence on academic stress was also found in social support (B=0.119, p<0.007), but not the learning engagement (B=-0.089, p=0.393). Thai high school students had medium level of academic stress, which correlated with and be positively influenced by social support. Our findings emphasize the importance of appropriate social support system to reduce stress and promote well-being among Thai high school students.
Volume: 13
Issue: 3
Page: 1095-1101
Publish at: 2024-09-01

Marching exercise on balance and blood pressure among Thai community-dwelling older adults at risk of falling

10.11591/ijphs.v13i3.23944
Wittawat Boonsa-ard , Worawut Chompoopan
Falls are a major cause of death among older people, and they are becoming a bigger problem as people lose their balance. A quasi-experimental study was conducted to examine the effects of marching exercises on the balance abilities of community-dwelling Thai seniors at risk of collapsing. Thirty-five participants were randomly assigned to the experimental or control group. The experimental group engaged in a 12-week marching exercise program that included a continuous foot-turning phase. The control group did not engage in any form of exercise. Compared to the control group, the experimental group demonstrated significant improvements in their ability to maintain their balance. The experimental group's timed up and go test (TUG) score decreased by 3.54 seconds, 95%CI: (2.13 to 4.95), p<0.001 while the functional reach test (FRT) score increased by 4.80 centimeters, 95%CI: (2.34 to 7.25), p<0.001. The systolic blood pressure decreased by 8.62 mmHg, the diastolic blood pressure by 6.48 mmHg, and the heart rate by 4.04 beats per minute. These findings imply that regular marching exercise may improve balance in at-risk older adults. Further research is necessary to clarify the effects of marching exercise on people diagnosed with chronic diseases.
Volume: 13
Issue: 3
Page: 1165-1171
Publish at: 2024-09-01

The effectiveness oxytocin massage combination moringa leaves and soy milk on breastmilk production postpartum mothers

10.11591/ijphs.v13i3.23570
Umaroh Umaroh , Triana Sri Hardjanti , Mohammad Zen Rahfiludin
Breastfeeding is very influential on infants’ and child’s growth. Survey result in 2018 mentioning the coverage of exclusive breastfeeding is 68.74% in Indonesia and 64.19% in Central Java. Some factors caused breastfeeding obstructions are breast milk didn’t ooze and small quantity of the ooze. Breast milk obstruction caused due lack of oxytocin and prolactin hormone stimulation. This can be cured by giving moringa leaves and oxytocin massage. The study's goal is to examine breast milk production after a combination oxytocin massage with moringa leaves and soy milk. The research design is quasi-experimental with a post-test only control group, and the data analysis design is an independent T-test. Population of this study is postpartum mothers in Central Java. With 83 total samples in Salatiga, Semarang, Grobogan, Rembang, Blora, Kendal and Demak. The group combined with moringa leaves, has 1,183.24 grams difference weight before and after treatment, estimated 185.21 ml volume of breast milk. The group combined with soy milk, has 1,088.04 grams difference weight before and after treatment, with 170.31 ml estimated of breast milk volume. The difference baby's weight from two combination groups was 95.2 grams with a p-value of 0.108. Conclusion of the study is the difference is not significant. The weight gain of infants in the oxytocin massage combination with moringa leaves group was higher than soy milk combination. Recommendation of moringa leaves can be offer for postpartum mother to increase the ooze of breast milk production.
Volume: 13
Issue: 3
Page: 1334-1340
Publish at: 2024-09-01

Analysis of the structure and efficiency of national health care systems

10.11591/ijphs.v13i3.23731
Myroslava Shalko , Anhelina Andriushchenko
It was noted that the right to health care is a key topic of discussion around the world, and ensuring the realization of this right and the opportunity to access the necessary medical care is in the spotlight. The realization of the right to health care in each country directly depends on the national health policy. The analysis is focused on assessing the effectiveness of health care systems of states according to several models. The data for this study were obtained from the existing WHO database, which provides accumulated data for groups of countries. Thus, it was possible to compare different countries, whose state health statistics may have their own characteristics. For data processing, an input-oriented analysis model of a dynamic network data shell was used. The analysis combines the use of traditional and non-traditional methods for measuring health performance. The analysis shows that there are no pure health systems financing models, most states use mixed funding models. The only way to reduce dependence on direct payments is for the government to encourage the use of a prepayment and risk pooling approach.
Volume: 13
Issue: 3
Page: 1442-1451
Publish at: 2024-09-01
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