Browse

You are looking at 1 - 10 of 16 items for :

  • Pharmacy, other x
Clear All
Open access

Ade Kartikasari Sebba, Baning Rahayujati and Isa Dharmawidjaja

Abstract

Pneumonia is one of the deadliest diseases for children under five years-old throughout the world. In Indonesia, pneumonia is the second deadliest disease after diarrhea. In 2015-2016, the Coverage of pneumonia case detection on children under five years-old increased from 22.33% to 36.06% but it had not achieved the detection target (>85%). A program evaluation needs to conduct, consequently. The evaluation aims to observe the implementation of pneumonia investigation program on children under five years-old in Sleman in 2016. The evaluation used a descriptive design performed in June-July 2017. The research subject was the program of Upper Respiratory Infection (ISPA, Infeksi Saluran Pernapasan Akut) implemented in community health centers (puskesmas, pusat kesehatan masyarakat). Twenty respondents as the sample were chosen by using the purposive sampling technique. The surveillance evaluation employed the input, activities, and output. The instruments were structural questionnaires and checklist sheets. The analysis result was presented in forms of tabulation and narration. From the input facet, 100% respondents have not had any special trainings related to pneumonia. 55% respondents have interlocking jobs with the longest service time of three years or more (75%). 70% respondents are able to show ARI Soundtimer. There are only 10% respondents holding the media of communication, information, and education (KIE, Komunikasi, Informasi, dan Edukasi) in forms of flipchart and leaflet; while 100% respondents admit that they have no stamp seal of URI. The proses facet displays that 100% respondents do not arrange any plan. The case investigation is only passive (100%). 80% respondents do socialization of case management and only 15% respondents perform a home visit. 100% respondents have not held trainings for responsible people, alert villages, and private midwives. From the output facet, the scope of case investigation is still low (36.06%).The implementation of pneumonia case investigation program on children under five years-old has been well executed but there are still weaknesses. Hence, public health offices (dinas kesehatan) should improve their human resources by arranging a training program, equalize the use of breath counting tool and make MoU with all health services to report pneumonia cases. Community health centers are recommended to arrange plans, actively attempt to discover pneumonia cases, and train the responsible people, centers for pre-and postnatal health care (posyandu, pos pelayanan terpadu), or midwives related to the subject of pneumonia.

Open access

Emin Cadar, Emilia Mihaela Cadar, Cristina-Luiza Erimia and Aneta Tomescu

Abstract

Seaweed is a natural treasure that can be intensely evaluated for therapeutic purposes. During the past years, it became obvious that the ecosystem presents a marine algae excedent, which should be utilized in one way or another. Marine algae have been intensely studied. The superior exploitation of the marine biomass represents a highly important resource for the pharmaceutical industry, supplying raw material for the extraction of bioactive substances (vitamins, sterols, and aminoacids) and various other substances, the purity of which is strongly connected to the state of the marine ecosystem. In present work the extracts from marine algae are incorporated in type I non-denatured fibrillar collagen matrixes for obtain new pharmaceutical product. In order to obtain therapeutic effects at nanostructure level, it is important to know the rheological characteristics of the relevant mixtures of collagen gels and extracts from marine algae selected for use. In this survey we have studied mixtures made of non-denatured fibrillar collagen hydro-gels where different concentrations of marine algae have been incorporated.

Open access

Andrei Novac, M. C. Tuttle, R. Bota and B. J. Blinder

Abstract

Over the past years, a multi-disciplinary literature on the significance of personal narratives in autobiography and identity has emerged. This subject has been of interest to authors in the fields of humanities, psychology, and medicine alike. In this paper, we are proposing the term Identity Narrative (IdN) to define a cognitive and emotional framework that serves as an implicit (unconscious) scaffolding of memory on which to build human autobiography. The authors first classify narratives into external (universal history, the humanities, culture) and internal (autobiography, based on personal experiences, both directly and indirectly, through identification and education). All philosophy and social commentary has utilized history for the purposes of prediction and meaning-making. Personalities including Aristotle, St. Augustine, Rousseau, Freud, Marx, Spengler, and Benjamin Franklin have reread history to gain insight about human nature. History has inspired the enlightenment and renaissance of a new reality for humanity. It is widely known that history can also be misused to justify aggression and human suffering. The use of history to create deep convictions that annihilate moral imperatives is only possible because of unconsciously consolidated internal narratives, the IdN. IdN is reshaped through life, both by “bottom-up” acquisition of information, as well as a “top-down” learning model, which includes the following circumstances: (a) sudden insight and awareness; (b) experiences with high emotional valence; (c) high frequency of repetition; and (d) prolonged duration of exposure. In this way, IdN, a form of relatively stable unconscious, anoetic memory, provides a “first-person” experience to autobiography. Autobiography then, becomes part of auto-noetic consciousness, the human ability to mentally time travel and have self-knowledge. IdN parallels lifelong growth and development, language acquisition, and maturing of attachment. The extensive brain activation during communication and speech, revealed by neuroimaging studies, will be referred to as the “communication beltway.” We hypothesize that the alternation in activation between the default mode (midline structures) of the brain (previously associated with the Self) and the language brain creates a platform that encodes crucial components of IdN throughout life. In this way, IdN, autobiographical memory, and the language brain are parts of a larger biological substrate of social affiliations.

Open access

Cristina-Luiza Erimia and Laura Alexandra Mureseanu

Abstract

Currently, in Europe there is a close collaboration between the World Health Organization, the European Union and the Council of Europe with the declared aim to support the implementation of coordinated strategies for the implementation of patient rights, the concerns in this field intensifying, mainly, with the development of Amsterdam Declaration on the Promotion of Patients' Rights in Europe, adopted in 1994. To create a modern healthcare system, there is need for it to be cantered on patients’ needs, to have dynamic and integrated structures, adaptable to the different and ever changing health needs of the society in general and of individuals in particular and which, not least, has to recognize the role of the patient as an active partner in health policies. In this context, this article examines the national legal framework governing the rights, duties, responsibilities and penalties applied in the field of patient rights. This article aims to analyse how patients’ rights in the European Union area are implemented and enforced in the national legislation and the role that patients play in the Romanian health system.

Open access

Angeliki Moisidou

Abstract

A statistical analysis has been conducted with the aim to elucidate the effect of health care systems (HSs) on health inequalities assessed in terms of (a) differential access to health care services and (b) varying health outcomes among different models of HSs in EU-15 [(Beveridge: UK, IE, SE, FI, DK), (Bismarck: DE, FR, BE, LU, AT, NL), (Southern European model: GR, IT, ES, PT)]. In the effort to interpret the results of the empirical analysis, we have ascertained systematic differences among the HSs in EU-15. Specifically, it is concluded that countries with Beveridge HS can be characterized more efficient (than average) in the most examined correlations, showing particularly high performance in the health sector. Similarly, countries with Bismarck HS record fairly satisfactory performance, but simultaneously they display more structural weaknesses compared with the Beveridge model. In addition, our empirical analysis has shown that adopting Bismarck model requires higher economic cost, compared with the Beveridge model, which is directly financed by taxation. On the contrary, in the countries with Southern European HS, the lowest performances are generally identified, which can be attributed to the residual social protection that characterizes these countries. The paper concludes with a synthesis of the empirical findings of our research. It proposes some directions for further research and presents a set of implications for policymakers regarding the planning and implementation of appropriate policies in order to tackle health inequality within HSs.

Open access

Abraham P. Buunk and Yvonne A. B. Buunk-Werkhoven

Abstract

Aims: The aim was to examine how sense of defeat and social status are related to perceived oral health, tooth brushing, and oral health-related quality of life among Dutch male forensic psychiatric patients.Methods: The sample consisted of 40 hospitalized forensic psychiatric patients participated. The questionnaire included five questions about moments of tooth brushing, scales for sense of defeat and subjective social status, a scale from 1 to 10 for perceived oral health and a Dutch version of the Oral Health Impact Profile-14 (OHIP-14).Results: The results showed that on the basis of a factor analysis of the OHIP-14, three meaningful scales could be constructed, i.e., functional limitations, social discomfort, and psychological inhibitions. The major results revealed that sense of defeat correlated negatively with tooth brushing after breakfast and before going to sleep, positively with social discomfort because of one’s teeth, mouth, or dentures, not with functional limitations, and negatively with self-perceived oral health. Social status correlated positively with tooth brushing before going to sleep, with psychological inhibitions, but not with social discomfort, and neither with functional limitations.Conclusions and implications: The major conclusion is that sense of defeat and social status have theoretically meaningful relations with oral self-care and oral health. Oral health professionals working with male forensic psychiatric patients should be sensitive to the sense of defeat these patients may experience, and to the fact that this may be associated with problems with their oral health and with a lack of oral self-care.

Open access

Nuraliah

Abstract

One crucial period of woman’s development period is when the age of puberty is begun, indicated by menarche. The age of menarche might be related to a certain sexual that one having earlier menarche is potential to do premarital sexual behaviors. The aim of this research is to analyze the relationship between the age of menarche and premarital sexual behaviors. This research is quantitative research employing secondary data: The Survey of Indonesian Adolescents’ Reproductive Health (SKRRI, Survey Kesehatan Reproduksi Remaja Indonesia) in 2012. The data design hired was the cross sectional survey. Women at the age of 15-24 years-old were chosen as the research population. There were 7,367 samples involved, taken from both urban and rural areas. The dependent variable of this research was the premarital sexual behaviors categorized into non risky behaviors (holding hands) and risky behaviors (kissing, petting, and having sexual intercourse); while the independent variable was the age of menarche. The external variables of this research consisted of age, education, and domicile. This researcher used the univariable analysis, bivariable analysis utilizing the chi-square, and multivariable analysis applying the logistic regression with the confidence level of 95% and value of p = 0.005. The results show that the average age of menarche is thirteen years-old and premarital sexual behaviors are mostly performed by urban women. Based on the results of relationship test, the age of menarche does not have any significant relationship with premarital sexual behaviors. However, there is a significant relationship between premarital sexual behavior with the age and domicile.

Open access

Dorina Bedhia

Abstract

Imagination and images refer jointly ability to imagine. Imaginative therapies operate all within an almost real context. In therapeutical experience, the individual goes through almost real experiences before going through the events in reality, acts before acting in reality and this provokes changes in somatic level. The almost real dimension, namely the imaginative dimension, influences the individual, or rather the individual, starting from the imagination changes himself, his beliefs and perceptions. Imagination as therapeutic intervention is sometimes more efficient and more valuable than other therapies. It is also effective in treating a range of psychological symptoms such as insomnia, depression, obesity, cronich pain, various phobias, anxiety and panic , somatic problems. Given the fact that the images are effective in treating a range of psychological symptoms, including depression we want to see if imaginative techniques help improve symptoms of postpartum depression. This case was treated at University Hospital for Obstetric and Gynecology "Koco Gliozheni" Tirane (Albania). A 35 years young mother showed depressive symptoms associated with post-partum condition, as determined by semi-structured interviews and relevant test EDPS, also by psychiatric consultations. Besides the daily psychological support I proposed some imaginative techniques like self-watching, flooding, guided imagery. Imaginative activity in general, in the case in question, was a valid instrument of the difficulties in everyday life. The patient learned to visualize problematic elements of each situation and this resulted an efficient approach. Imagination helped identify schematic components that have contributed to the formation of inappropriate thoughts and exaggerated ideas. It helped in recognition of the patient's emotional reality and modifying this emotional reality. The patient uses images to manage situations different daily life even by telephone follow up. This case study shows that imagery techniques, elaborated through images, facilitate recovery and provide us with a functional interpretation of the event and its consequences. Working with images intended to make the patient able to withstand and manage the pain that bring different situations and to integrate it in the history of personal life.

Open access

Margarita Stankova and Polina Mihova

Abstract

In the medical profession, communicating bad news about a malignant formation is often associated with experience, obstacles, and problems faced by the medical professionals and related to the communication with the patient. Our survey included 232 medical specialists - doctors and nurses with diverse internship in the profession and working in Bulgarian healthcare facilities. It aimed to find: (i) the most common difficulty in communicating the bad news to cancer patients, (ii) the most difficult aspects of that information, and (iii) the specific words the medical professionals prefer to avoid when communicating the bad news. Also, the medical specialists were asked about the factors with the largest interference with the disclosure of the bad news to the patients. The survey results show that only 66% of the medical professionals are ready to respond directly and definitively to the question from the patient if he/she has cancer. Almost all of the surveyed medical specialists believed that the most difficult part of communicating the bad news was related to the prognosis of the disease and the survival expectancy; many of the medical professionals preferred to avoid the word "cancer", and the fatality of the disease was the most common barrier in communicating bad news, followed by the relatives’ negative position towards bringing up the bad news to the patient, and the low level of patient’s education and the short life expectancy. The study shows the need for support and training of the medical professionals in addressing bad news situations and the importance of the protocols with guidelines and steps to be performed during that communication.