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Background: Infertility is an inability of a spouse to get pregnant within twelve months seeking pregnancy without using any contraception. The duration of infertility affects the chance to get pregnant. Objective: To identify the factors causing infertility patient came late to Polyclinic Merpati RSUP Dr. Kariadi Methods: This study was an observational descriptive with a cross-sectional design. The data were obtained from medical records and questionnaires. Twenty-six respondents were infertility patients who met the inclusion and exclusion criteria and came to Polyclinic Merpati RSUP Dr. Kariadi in September 2020. Results: The number of infertility patients in September 2020 was 76 patients, 72,4% of them came to Polyclinic Merpati late. Most people came after being referred from the previous doctors. Three factors causing infertility patients came late were economic factors, a social factor, and another difficulty. Conclusion: Factors causing the late coming of infertility patients were economic factors, a social factor, and another difficulty

Currently, work in any medical organization carries a risk of coronavirus infection, and, first of all, this applies to medical organizations dealing with the treatment of patients infected with coronavirus. Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus in the provision of medical care in modern conditions, which determines their incidence of COVID-19 [1–3]. The aim of the study is to explore the prevalence of cases of COVID-19 infection in medical workers providing medical care on an outpatient basis. The analysis of the incidence of COVID-19 medical workers in one of the large medical organizations of the Samara region during the period of the pandemic was carried out. The medical staff of the medical organization includes 207 doctors. There are 11 subdivisions in the structure of the medical and prophylactic institution. Research methods: content analysis of the modern regulatory framework (2020-2021), statistical, expert. For the period from May 2020 to March 2021 71 cases of infection of medical workers on an outpatient basis with SARS-CoV-2 were identified, of which 32 doctors (45%) and 39 people (55%) nurses. Based on the results of the expert assessment, the insurance nature of the infection case was established in 50 people (70%). Among the medical and nursing categories of medical workers, the largest number of cases was made by doctors and nurses of primary contact — specialists of the district service: general practitioners (40%), pediatricians (32%), doctors — obstetricians-gynecologists (12%), nurses adults (76%) and children (20%) polyclinic departments. A third of health workers received inpatient treatment for severe COVID-19, an average of 60 days. Medical workers are a risk group of COVID-19 who need support measures, since the possibility of occupational infection has been sufficiently proven, and the risk probably depends on the work performed and the conditions of direct contact of medical personnel, which requires further study in the current persisting epidemic conditions. © 2021, Izmerov Research Institute of Occupational Medicine. All rights reserved.

The novel coronavirus disease (COVID-19) pandemic has become a strength test for the national healthcare systems and medical professional communities. The pandemic gave a revealing insight into the provision of resuscitation care, a shortage of personnel and protective equipment, and the lack of effective drugs to treat a novel, poorly studied infection. Objective. To identify the attitude towards immunoprophylaxis in general and against the coronavirus infection (COVID-19) in particular among medical students and pediatricians and to assess the dynamics of compliance to vaccination in these groups. Materials and methods. The survey was conducted among the 5-6-year students of the medical and pediatric faculties of the Ryazan State Medical University (RSMU) of the Ministry of Health of Russia in 2017 and 2021, the groups of students included 250 and 225 people, respectively. The children’s polyclinic pediatrician groups included 45 and 60 people in 2017 and 2021, respectively. The survey was conducted anonymously, face-to-face, and without compulsion. The identical questionnaires asked students 13 questions and pediatricians 10 questions with suggested response options. Results and discussion. The percentage of students who correctly named the number of vaccine preventable diseases in the National Immunisation Schedule has significantly decreased; the number of students who were not aware of the availability of the chickenpox vaccine has increased by 1.9 times. In 2021, the number of students giving priority to domestic vaccines decreased by 2.3 times, and the number of those choosing imported drugs as better and safer ones has increased by 1.5 times. In 2021, the number of senior students who were vaccinated against influenza doubled as compared to 2017. At the same time, the students agreed to recommend their patients to be vaccinated against influenza 1.4 times more often. During the 2021 pediatrician survey, the number of respondents, who preferred imported vaccines as better and safer ones, increased by 4 times, and the number of domestic vaccine advocates decreased by 1.8 times. In addition, the number of pediatricians who did not decide on this issue has increased by 9.8 times. Сonclusion. The results of the survey showed that there is still a lack of compliance to vaccine prophylaxis in certain groups of the professional medical community. The student cohort showed a decrease in knowledge and confidence in the vaccine prophylaxis. Among practitioners, there has been a positive trend towards an increase in the percentage of pediatricians, who considered it expedient to vaccinate children with chronic pathology.

Background : Cervical cancer is one of the main problems in women's health in the world, including Indonesia. According to the 2018 Global Cancer Observatory from the World Health Organization (WHO), the most common cancer cases in Indonesia are breast cancer, which is 58,256 cases or 16.7% of the total 348,809 cancer cases. Cervical cancer (neck of the womb) is the second most common type of cancer in Indonesia, with 32,469 cases or 9.3% of the total cases. Objective: To determine the risk factors associated with early detection of cervical cancer using Visual Inspection with Acetic Acid (IVA) ) in women of childbearing age in the Work Area of the Ternate City Health Center for Siko Treatment. Methods: This research is a quantitative analytic study with a cross sectional design. Data collection was carried out from December 2020 to January 2021. The population was all patients who underwent examinations at the Maternal and Child Health Polyclinic (KIA) at the Siko Care Health Center in Ternate City as many as 227 patients and a sample of 145 female patients of childbearing age from January to September 2020. Techniques sampling is simple random sampling. Data analysis used univariate and bivariate with chi-square test. The research variable consists of the dependent variable, namely early detection of cervical cancer, while the independent variables are knowledge, husband's support, access to information and culture. Results: Shows that age (46.9%), knowledge of VIA (50.3%), attitude (55.2%), husband's support (52.4%), access to information (62.1%), culture (51.7%), Support Officer (48.3%), early detection of cervical cancer IVA method (55.2%), while the bivariate results include: Age (0.000, OR=19,011; CI=8.095-44,647), knowledge (0.001; OR=2.86; CI=1.563-18.367), attitude (0.000; OR=215.524 CI=53,456-868.955), husband's support (0.002; OR=1.448 CI=1.688-11.933), access to information (0.000; OR=2,294; CI=1,574-15,976), culture (0,003; OR=2,202 CI=1,648-10,717), health worker support (0,000; OR=27,111 CI;11,023-66,680). Conclusion: There is a relationship between knowledge, husband's support, access to information and culture with early detection of cervical cancer against the IVA method. Based on the results of the study, it is recommended that the relevant agencies, namely the Siko Health Center, always improve health education to the community, especially mothers and husbands regarding early detection of cervical cancer through various media tools including leaflets, posters, flipcharts and other media. Through this counseling, it is hoped that the community will be more interested and understand the material presented more quickly

Health statistics help the heads of medical organizations to manage promptly, and doctors to judge the quality and effectiveness of treatment and prevention work. Qualified analysis of statistical data, assessment of events and relevant conclusions allow making the right management decision, contribute to better organization of work, more accurate planning and forecasting. Statistics helps to monitor the activities of the institution, to manage it promptly, to judge the quality and effectiveness of treatment and prevention work, including dental work.

The article describes the history of the creation of the Department of Family Medicine of the NWSMU named after I.I. Mechnikov, notes the role of international projects in its establishment and development of the main areas of activity. Examples of successful long-term cooperation are given, in particular, with the University of Iowa (USA). The main stages of the formation of teaching the specialty General Practice (Family Medicine) within the framework of professional retraining of primary health care doctors and residency are described. The importance of using various interactive technologies in the learning process is emphasized, including the development of skills in simulation conditions, which were introduced at the department long before their use in the process of accreditation of specialists. The features of teaching the discipline Polyclinic Therapy for the 6th year students of the medical faculty, as well as the experience of leading scientific research that was carried out by participants of the student scientific society are noted. The main directions of scientific research carried out at the department in recent years are described, aimed at a comprehensive study of the features of the management of elderly patients in general medical practice and the prevalence of chronic obstructive pulmonary disease (COPD) in St. Petersburg and Arkhangelsk. The role of international cooperation in the implementation of large-scale scientific projects, in particular with the Catholic University of Leuven (Belgium), is emphasized. The perspectives for the development of the Department of Family Medicine in the near future are outlined.

Objective: to study the dynamics of risk factors for cardiovascular diseases in patients who are under dispensary observation for the main disease arterial hypertension and coronary heart disease; the frequency of visits to a medical organization, depending on the status of dispensary observation in a cohort of adults in 2015 and 2018. Materials and Methods: on the basis of the outpatient department of the Scientific Research Institute – Krasnodar Regional Hospital No. 1, we analyzed the incidence of CVD in the adult cohort (n = 1170), which passed of the clinical examination twice in 2015 and 2018. The analysis was carried out in groups depending on the status of the dispensary observation («not on dispensary observation», «total on dispensary observation» and «consisting on dispensary observation with CVD»). Results: a decrease in unhealthy diet by 32.21%, 28.78% and 28%, respectively, was shown in the groups «not on dispensary observation», «total on dispensary observation» and «consisting on dispensary observation with CVD» in 2015 and 2018, (χ2 = 80.45, p = 0.001, χ2 = 59.96, p = 0.001 and χ2 = 47.8; p = 0.001). In the groups «not on dispensary observation», «total on dispensary observation» and «consisting on dispensary observation with CVD» in 2015 and 2018, there was a decrease in low physical activity by 50.33%, 24.72% and 21.85%, respectively (χ2 = 79.16, p = 0.001, χ2 = 30.6, p = 0.001 and χ2 = 22.42; p = 0.001). Against the background of the ongoing preventive measures in 2015 – 2018. the cohort showed an increase in overweight and obesity by 19.2% in the «not on dispensary observation» group (χ2 = 4.84, p = 0.028); an increase in the frequency of elevated blood pressure by 48.33% in the «not on dispensary observation» group and a decrease in its frequency in the «consisting on dispensary observation with CVD» by 24% (χ2 = 19.77, p = 0.001, χ2 = 7.1; p = 0.008). Against the background of the ongoing preventive measures from 2015 to 2018, a tendency to reduce the frequency of FR CVD was revealed. A significant decrease in unhealthy diet (p = 0.001), low physical activity (p = 0.001), was registered in individuals who were on dispensary observation according to the main nosology of hypertension. In the group of individuals who were on dispensary observation according to the main nosology, there was a significant decrease in unhealthy diet (p = 0.006) and low physical activity (p = 0.023). In patients who are on dispensary observation with CVD, there was a favorable dynamics in terms of achieving the target values of the level of blood pressure and cholesterol. The revealed tendency to decrease the frequency of visits due to CVD in patients «consisting on dispensary observation» by 32.2%, including» consisting on dispensary observation with CVD» by 33.8% for the period 2015 – 2018. Conclusions: there was a tendency to decrease the frequency of risk factor CVD and the frequency of visits due to CVD in patients «consisting on dispensary observation», which indicates the effectiveness of measures carried out within the observation, regardless of the nosological group of patients.

Purpose. Increasing the importance and effectiveness of nicotine addiction treatment in patients with diabetes mellitus. Materials and methods . A study of nicotine addiction in patients with type II diabetes mellitus was carried out on the basis of the Department of Endocrinology of the Samara State Medical University Clinics in 2019. The psychological study included 60 men aged 45-60 who are undergoing planned treatment in the endocrinology department for type II diabetes mellitus. Psychological research included: conversation, study of the type of attitude towards illness (TOBOL), study of adherence to treatment (Moriska – Green Compliance Scale). Work with tobacco dependence was carried out according to the WHO recommendations according to the “5 A” principle [14]. Work with patients was carried out in the key of rational, behavioral and gestalt therapy. Results and discussion . In total, 24 group meetings were held – 12 group meetings in each polyclinic group of 26 people. The results obtained showed a decrease in the number of patients with a low level of physical wellbeing, psychological well-being, optimism, self-confidence, and readiness to quit smoking. Along with this, there was an increase in the number of patients with a high level of physical well-being, psychological well-being, optimism), readiness to quit smoking. As for compliance, the overall picture has also improved: there were 39 highly adherent patients among the studied (an increase from 10 % to 75 %), moderately adherent – 13 (a decrease from 73.3 % to 25 %), weakly adherent no (there were 16.7 %). Conclusions . Psychological support of nicotine-dependent patients with diabetes mellitus must necessarily include educational work with patients, work with increasing the level of self-control of the disease and adherence to treatment, with a psychoemotional state. It is optimal to include patients with diabetes mellitus in the group psychotherapeutic process in order to provide mutual assistance and receive effective support in the treatment of tobacco smoking and raise the consciousness of patients in relation to the prevention of complications of diabetes mellitus, and to the disease itself in general.

Одной из задач нашего исследования был анализ данных скрининговой программы по раннему выявлению раковых и предраковых заболеваний шейки матки в ГП №5, который показал, что процент охвата скрининговой программой целевой группы соответствует государственной программе. Качество проведения скрининговой программы в ГП№5 значительно улучшилось, снизился процент неинформативного материала. Большинство женщин, которые умерли от рака шейки матки, относятся к возрастной группе 80 лет и старше. One of the objectives of our study was to analyze data from the screening program for early detection of cervical cancer and precancerous diseases in GP №5, which showed that the percentage of coverage of the target group's screening program corresponds to the state program. The quality of the screening program in GP№5 has significantly improved, and the percentage of non-informative material has decreased. Most women who have died from cervical cancer are in the age group of 80 or older.

Objective: Healthcare professionals play an essential role in the COVID-19 pandemic on the front lines. There have been a limited number of publications and national status reports on COVID-19 infected healthcare professionals. We aimed to determine the factors that play a role in transmitting COVID-19 infection to healthcare professionals. Material and methods: Among healthcare professionals, those evaluated as a possible COVID-19 case and whose Polymerase Chain Reaction (PCR) tests were studied in our Emergency Service and Employee Health Polyclinic were included in the study. Age, gender, task, unit, working in COVID-19 units, Thorax Computerized Tomography (CT) and PCR test result, hospitalization status, suspicious contact, and appropriate use of personal protective equipment (PPE) in the work environment and social environment were investigated. Results: A total of 369 cases were included in the study. 54.7% (n = 207) of potential COVID-19 healthcare professionals worked in COVID-19 units, 22.5% (n = 83) had PCR positive. Employee groups with the highest PCR positivity rate were security guards (88.9%), cleaning staff (31.6%), doctors (26.3%) and nurses (18.8%), respectively. When contact histories with COVID-19 infection were examined; 46.3% of the cases had in-hospital social contact (PCR positivity rate 21.6%), 39.6% had a history of contact with COVID-19 patients (PCR positivity rate 11%). It was determined that 3.3% of the cases (n = 12) were treated in the COVID-19 service, 0.3% (n = 1) was hospitalized in intensive care, 26% (n = 96) were isolated at home, and 70.5 % (n = 260) continued to work. All of the participants were discharged after treatment and returned to their duties. Conclusion: Adequate training should be given to healthcare professionals to protect them against COVID-19 infection. Additionally, healthcare professionals should show the care to prevent infection in social areas inside and outside the hospital as well as at contact points with patients.

The purpose was to identify knowledge and TB stigma, as well as its relationship with health-seeking behavior in HIV and TB co-infection patients. A cross-sectional study was conducted with 115 HIV and TB co-infection patients who visited the VCT Polyclinic in five hospitals in Jakarta. This study was using instruments: Brief HIV-Knowledge Questionnaire (HIV-KQ-18), Knowledge TB survey Questionnaire, Berger HIV stigma Scale, Tuberculosis-Related Stigma Scale. This study showed that respondents had good knowledge of TB (69.6%) and had a low stigma of TB (55.7%), and had a health-seeking behavior that did not delay consultation (55.7%). There was a significant relationship between TB knowledge (p-value: 0.042) and TB stigma (p-value: 0.026) with health-seeking behavior. The results of this study can be used as guidelines to improve education and counseling about TB knowledge and TB stigma in HIV and TB co-infection patients.

Rapid diagnosis significantly reduces the patient's expectation of effective medical care. As a result, rapid or POC-tests are becoming increasingly important in the world. However, the frequency of their use, the availability of tests in medical facilities, the awareness of physicians about diagnostic capabilities and the need for them are currently unclear. The aim of our study was to determine the level of awareness of physicians about the use of rapid tests for influenza, RS-virus, ꞵ-hemolytic group A streptococcus and laboratory markers of inflammation in the form of POC-tests in daily practice. The study was conducted by interviewing 78 pediatricians and family physicians in Kyiv and Kyiv region who work at the primary and secondary levels of medical care. A questionnaire from EAPRASnetT (European Academy of Pediatric Research in the network of outpatient settings) was used for the survey. Our research has shown that hospital physicians are more informed about the use of rapid diagnostics and are more willing to use it in the treatment and diagnostic process. A rapid antigen test for influenza is available to the vast majority of inpatients (78%) and only half of outpatients (46.3%). Half of primary care physicians (56.1%) and the vast majority of secondary care professionals (73%) are willing to use this test in practice if it is available. The results of our study also showed a higher adherence to this rapid test of inpatients, as only 2.7% of them would like to confirm the results of POC-tests by laboratory tests (compared to 22% of outpatients). Most doctors in both outpatient clinics (61%) and inpatients (75.7%) are ready to use a rapid test for respiratory syncytial virus. Only 2.7% of hospital doctors would like to have a laboratory version, and outpatients would be completely satisfied with a quick test. However, due to the lack of trust in 14.6% of cases, they would like to confirm its results by laboratory testing. About a third of physicians (39%) use the rapid test for ꞵ-hemolytic group A streptococcus in the outpatient clinic, but half (51.2%) stated the need for this test and its unavailability. In the hospital, the data obtained were the opposite: half of doctors already use this test (59.5%), and another third would like to have it (35.1%). Rapid C-reactive protein testing is poorly used by physicians in both health care settings (12.2% in the outpatient setting and 29.7% in the inpatient setting) due to low security and lack of awareness. This is confirmed by the fact that 75.6% of primary and 64.9% of secondary care physicians stated that the test is not available, but they are ready to use this test if available. POC-test for C-reactive protein is used more in the hospital than in the outpatient clinic. At the outpatient stage, 12.2% of physicians do not consider it appropriate to use C-reactive protein in the diagnosis of diseases, in the hospital of such physicians 5%. About 10% of doctors in both groups expressed distrust in the rapid CRP-test, as they would like to use only the laboratory version. Doubts about the accuracy of almost twice as many outpatients, as more often would like to check it with a laboratory version (19.5% vs. 10.8% of inpatients). Therefore, one in five physicians in the outpatient clinic would use both the laboratory and POC versions. The rapid test for procalcitonin is used by every 5th doctor in the hospital and only 7% of the primary care, which can be attributed to the low availability of the test in medical practice, poor provision of medical institutions with POC-tests, as 62.2% and 78% of doctors the hospital and the clinic replied that they would use it if it was available. As for the complete general analysis of blood with leukocyte formula, only 17.1% and 35.5% of doctors of the polyclinic and hospital would like to use its POC version. Interviewed physicians would prefer a laboratory version of the test.It is necessary to raise awareness of physicians, especially primary care, about modern diagnostic methods, namely the practice of POC-tests and make them more accessible, which would significantly improve the diagnosis and treatment of patients, would have a positive impact on public health and significant economic effect.

Thalassemia is one of the top eight catastrophic diseases. Data from Yayasan Thalasemia Indonesia dan Perhimpunan Orang tua Penderita Thalasemia Indonesia (YTI/POPTI) have shown that in Indonesia the number of cases of this disease increased from 2011 to 2015. Preschool-aged children who experience thalassemia every month are subjected to invasive measures such as blood transfusions. Repeated blood transfusions make children feel threatened and can trigger various responses, one of which is anxiety. Anxiety is an emotional response to something dangerous, closely related to feeling uncertain and helpless. Puppet play therapy can reduce anxiety in children with thalassemia who undergo blood transfusions. This study aims to determine the effect of puppet play therapy on anxiety of preschool children (3-6 years) with thalassemia at the Thalassemia Polyclinic at Al-Ihsan Hospital, Bandung. The design used in this study used a quasi-experimental study with a one group pre-post test design without control approach using the Wilcoxon test. The number of samples in this study were 30 respondents who were taken by total sampling technique. The instrument used refers to the content / research theme developed from the Spence Children Anxiety Scale. The results of the Wilcoxon statistical test obtained a significance figure, namely p = 0.009, thus p

Objectives: This study aimed to describe patterns of prescribing co-amoxiclav to children aged ≤5 years at a polyclinic in Oman and to assess level of adherence to the antibiotic prescription guidelines outlined by the Omani Ministry of Health (MOH). Methods: This cross-sectional retrospective study was conducted between June and December 2017 at Ibri Polyclinic (IPC) in Ibri, Oman. A random sample of 399 children aged ≤5 years who were prescribed a suspension of co-amoxiclav over the four winter months of 2016 were included in the study. The children’s electronic medical records were reviewed to determine whether the prescription complied with MOH guidelines. Results: The majority of the children were 2–3 years old (52.4%). Overall, 73.9% of prescriptions were written by general practitioners, while 26.1% were written by specialists. Co-amoxiclav therapy was the first line of management in 90.5% of cases, regardless of category of prescriber. Culture tests were ordered in only 43 cases (10.8%), of which five (11.6%) were found to be sensitive to the prescribed co-amoxiclav. Conclusion: Unnecessary antibiotics were prescribed to many paediatric patients attending IPC. Strict enforcement of the MOH antibiotic guidelines is needed to reduce irrational or discretionary prescription of this type of antibiotic. Healthcare providers should receive additional training in evidence-based methods of prescribing antibiotics. KEYWORDS Antibiotics; Children; Co-Amoxiclav; Inappropriate Prescribing; Antibiotic Resistance; Oman.

Prevention aims to create optimal conditions for the formation of children’s health, ensuring the protection of the child’s body from diseases. The goal is to identify priority problems in preventive work with preschool children in outpatient and polyclinic conditions. Materials and methods. Authors studied information from medical documents of 3-6 year children from the children’s polyclinics in Moscow, questionnaires of parents of children observed during 2017-2020. Preventive examinations cover 97.0% of children; a third of children have a chronic pathology. 68.1% of children passed dispensary examinations. 82.1% of children got vaccinated by age. The «Mother’s School» improves the medical literacy of parents. Conclusions. It is necessary to select a specific time for specialists during preventive examinations to intensify healthy lifestyle promotion among parents.

Objective: This study was conducted with the purpose of analysing the effect to diabetes related knowledge and habits of distance learning via videos through mobile phones in individuals with type 2 diabetes. Method: The universe of the study was composed of individuals with type 2 diabetes who were admitted to the diabetes polyclinic of Balikesir Atatürk City Hospital between July 2018-January 2019 whereas the sample group was composed of 100 individuals with Type 2 diabetes in total who met the inclusion criteria of the study and agreed to participate in the study; 50 of them being in the learning group, and the remaining 50 being in the control group. Data collection was performed using the Questionnaire on Diagnosing Individuals with Diabetes and Follow-up form. Data collection forms were applied to the learning and control groups in the first interview. After the first interview, the control group continued to be provided with routine follow-ups in the polyclinic. In the learning group, videos containing 8 episodes of diabetes education were sent to mobile phones of individuals twice a week. In the second interview that took place after 3 months of the completion of training, data collection forms were applied to the learning and control group for the second time. Results: In the study, it was observed that the knowledge level about diabetes increased in the learning group after education via videos were provided to individuals, that the rate of acute complications decreased, that there was a statistically significant difference compared to the control group in terms of complying with the treatment and diet, and the habit of doing exercises. Conclusion:In our study, we demonstrated that the distance learning via videos through mobile phone was an effective method on diabetes related knowledge and habits of Type 2 diabetes., Amaç: Bu çalışma, tip 2 diyabetli bireylere mobil telefonları aracılığı ile uzaktan verilen video eğitimin diyabetle ilgili bilgi ve alışkanlıklara etkisini incelemek amacıyla gerçekleştirildi. Yöntem: Araştırmanın evrenini Temmuz 2018-Ocak 2019 tarihleri arasında Balıkesir Atatürk Şehir Hastanesi diyabet polikliniğine başvuran tip 2 diyabetli bireyler; örneklemi ise araştırmaya dahil edilme kriterlerine uyan ve araştırmaya katılmayı kabul eden 50 eğitim grubu ve 50 kontrol grubu olmak üzere toplam 100 Tip 2 diyabetli birey oluşturdu. Verilerin toplanmasında, Diyabetli Birey Tanılama ve Takip Formu kullanıldı. Eğitim grubuna ve kontrol grubuna ilk görüşmede veri toplama formları uygulandı. İlk görüşmeden sonra, kontrol grubu rutin poliklinik takiplerini almaya devam etti. Eğitim grubunda ise bireylerin cep telefonlarına haftada iki kez, toplamda sekiz bölüm diyabet eğitimi videosu gönderildi. Eğitimin tamamlanmasından üç ay sonra olan ikinci görüşmede eğitim grubuna ve kontrol grubuna veri toplama formları tekrar uygulandı. Bulgular: Araştırmada; bireylere verilen video eğitim sonrası eğitim grubunda; diyabetle ilgili bilgi düzeyinin arttığı, akut komplikasyon yaşama oranının azaldığı, düzenli kan şekeri takibi yapanların oranının arttığı, tedaviye uyum, diyete uyum ve düzenli egzersiz yapma alışkanlığında kontrol grubuna göre istatistiksel olarak anlamlı farklılık olduğu saptandı.Sonuç:Çalışmamızda mobil telefonları aracılığı ile uzaktan verilen video eğitimin Tip 2 diyabetli bireylerin diyabetle ilgili bilgi ve alışkanlıkları üzerinde etkili bir yöntem olduğu belirlendi.

This article discusses the problem of school education as one of the aspects of social adaptation of children diagnosed with epilepsy and / or children with a history of status epilepticus. The authors provide statistical data on the prevalence of epilepsy among children of different ages and information on disease control. We collected the data of patients followed-up in Mytishchi Children’s Polyclinic No. 4. Using our own experience and publications of other authors, we have developed a number of recommendations that can potentially make the presence of a child with a history of epilepsy and / or status epilepticus in an educational institution more comfortable and safe. In particular, we have suggested creating an emergency plan for each child in case of seizures. This plan should be given to a healthcare professional working in the educational institution, as well as to teachers who are responsible for the life and health of the child during classes.

Objectives Self-medication with antibiotics is a common public health problem worldwide. It is the main driving factor for the development of microbial resistance. The world is facing the challenge of losing effective antibiotics. The study aim is to determine the prevalence and related factors of self-medication with antibiotics among visitors of a clinic in Kabul, Afghanistan. Methods A cross-sectional questionnaire-based survey on a sample of 384 consecutively selected visitors of the Central Polyclinic of Kabul, Afghanistan, was conducted. Key findings Approximately 34.9% of the sample self-medicated with antibiotics in the past 12 months. Amoxicillin was the most common antibiotic used for self-medication. The sore throat was a common health problem, and previous experience was the source of recommendation for self-medication. The most common reasons for self-medication with antibiotics were cost-saving, previous experience and lack of time. Conclusions Self-medication with antibiotics was prevalent among visitors to the clinic. Patterns of self-medication with antibiotics indicate the inappropriate practice of medicines. Pharmacists, friends and family approve the self-medication with antibiotics.

Providing remote medical care in a telemedicine center (TMC) is a fundamentally new approach to organizing interaction between patients and doctors in Russia. Subjectively significant stress factors in medical workers of classical types of organizations (polyclinic, hospital) well studied. The importance of these factors may shift in the shopping center, and the study of these factors will help to develop recommendations for reducing the risk of professional burnout. Purpose of research . To research the relationship between professional burnout and subjectively significant stress factors among physicians of a telemedicine center. Material and methods . Assessment of the presence of professional burnout was carried out using a questionnaire: questionnaire of labour stress (Ch. Spielberger, 1994; A. B. Leonova, S. B. Velichkovskaya, 2002); questionnaire Professional burnout for medical workers (N. E. Vodopyanova, 2009). The survey involved 137 doctors who provided remote consultations to patients diagnosed with SARS-CoV-2. Results . It was found that working with the use of telemedicine technologies is one of the predictors of the development of burnout syndrome. There was a statistically significant positive correlation between work experience, age, and the degree of burnout. The main factors of stress development that are predictors of burnout were identified. Analysis of the results of the study showed that among doctors who provide remote medical consultations, the main symptom of burnout was depersonalization.

Arterial hypertension that can lead to the life-threatening conditions such as stroke and myocardial infarction still holds leading positions in the current cardiovascular disease profile in elderly patients. The patients often are not even aware of the existence of their hypertension, and therapy is not conducted. The situation is also aggravated by the widespread combination of concomitant arterial hypertension diseases and target organ damage. We asked our questions about modern ways to solve the problem to the leading domestic experts: GP Dmitry I. Trukhan, Dr. of Med. (Sci.), Associate Professor, Professor of Department of Polyclinic Therapy and Internal Diseases, Omsk State Medical University, and Cardiologist Olga D. Ostroumova, Dr. of Med. (Sci.), Head of Department of Therapy and Polymorbid Pathology, Russian Medical Academy of Continuous Professional Education, Professor of Department of Clinical Pharmacology and Propedeutics of Internal Diseases, I.M. Sechenov First Moscow State Medical University (Sechenov University).

Introduction: Early detection to diagnose PCOS as a promotive and preventive effort is needed in PHC.Method: By using a descriptive research design that was conducted on one of the general practitioners in the Maternal and Child Health Polyclinic (MCH) in 30 PHC was targeted by PCOS from August - October 2019. Result: Thirty general practitioners participated in filling out the questionnaire. Obtained results based on risk factors divided into three categories 33.33% good, 50% sufficient and 16.67% deficient, for causes 6.67% good, 40% sufficient and 53.33% deficient and clinical symptoms 6.67 good%, 40% sufficient and 53.33% deficient. Conclusion: General practitioners at the PHC had a sufficient level of knowledge for risk factors categorized, causes were lacking and symptoms of clinics were lacking. This was an important finding so that it was necessary to increase the specific knowledge of PCOS for the main steps of early detection in PHC.

Aims To assess factors associated with ever receiving prediabetes education, and to explore the health education and communication needs among primary care patients with prediabetes in Singapore. Methods A mixed methods study, consisting of a cross-sectional survey involving 433 patients with prediabetes aged 21–79, and in-depth interviews (IDIs) with 48. Multivariable regression was used to analyse the survey results, while thematic analysis was used to analyse the IDIs. Results The prevalence of ever receiving prediabetes education was 26.6%. This was positively associated with school education, impaired glucose tolerance, number of co-morbidities, having family or peer with diabetes, having support to reduce diabetes risk, confidence to self-manage prediabetes, and negatively associated with age. A common reason among those not receiving such education was not being referred by doctors. The preferred content of health communication messages were to focus on risk and prevention of diabetes, health and family, and to avoid the term ‘prediabetes’ in messages. The top 2 preferred education components were healthy eating and physical activity, and the most desired setting was the community centre. Conclusions More efforts are needed to increase the take-up rate of prediabetes education. Polyclinic healthcare professionals could provide preliminary advice, and subsequently refer patients to community-based programmes or resources.

Introduction: Non-adherence medication is found among patients with pulmonary tuberculosis. Various factors influence patient adherence to medication. The purpose of this study was to analyze the relationship between family health tasks to medication adherence among patients with pulmonary tuberculosis. Methods: The design of this study was cross-sectional, with 45 sample size of pulmonary tuberculosis patients at Polyclinic of Pulmonary Disease in Haji General Hospital Surabaya taken by using a purposive sampling technique. Independent variables of this study were family health task which includes five dimensions, recognizing the family member health problem, making decisions for appropriate treatment measures, caring for sick family members, modifying the healthy environment and utilizing the healthcare facilities. The dependent variable was medication adherence. Data were taken using the questionnaires then analyzed by Spearman rho test. Results: There was a relation between tasks of family health: recognizing the family member health problem (p=0.001), taking decisions for appropriate treatment measures (p=0.000), caring for sick family members (p=0.003), modifying the healthy environment (p=0.006), and utilizing the healthcare facilities (p=0.001) with medication adherence in patients with pulmonary tuberculosis. Conclusion: The research of this study suggests the hospital arrange health education for the family and the patient to increase the quality of health services. The family can provide a conducive environment for the patient and further research can develop better research by using other methods such as direct observation, demonstration, and simulation.

Penatalaksanaan pengobatan skizofrenia merupakan salah satu faktor utama keberhasilan penderita untuk sembuh. Pasien yang tidak patuh pada pengobatan akan memiliki resiko kekambuhan lebih tinggi dibandingkan dengan pasien yang patuh pada pengobatan. Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan minum obat terhadap tingkat kekambuhan pasien skizofrenia di Poli Jiwa RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Jenis penelitian adalah kuantitatif dengan pengambilan data secara observasional prospektif dan retrospektif. Populasi sampel adalah semua pasien skizofrenia yang menjalani pengobatan rawat jalan selama 12 bulan di Poli Jiwa Rawat Jalan RSUD dr. H. Moch. Ansari Saleh Banjarmasin yang memenuhi kriteria inklusi. Jumlah subyek penelitian sebanyak 50 pasien. Hasil penelitian berdasarkan uju statistik Chi-square menunjukkan bahwa ρ-value = 0,01 lebih kecil dari nilai α = 0,05 yang menunjukkan bahwa H0 ditolak, maka terdapat hubungan antara kepatuhan minum obat dengan tingkat kekambuhan pasien skizofrenia di Poli Jiwa Rawat Jalan RSUD dr. H. Moch. Ansari Saleh

Medical activities in the polyclinic room, ward, operating theatre and laboratory. The danger that comes from hospital medical waste which causes disease or injury. Medical waste exposure especially sharp object which causes virus infection like Human Immunodeficiency Virus (HIV)/Acquired Immuno Defeciency Syndrome(AIDS) and hepatitis B and C, who are at higher risk of infection because contamined sharp objects are nurses. This research done at the Sembiring Hospital Delitua Deli Serdang Regency. The objectives of this research is to know the relationship of the employees with the sorting of the medical solid waste. The design of this study was survey analytics design with a cross sectional study. The Univariate and bivariate of this research used Chi Square Test. The population of this research is nurses and the total sample is 65 people with the purposive sampling tehnic. The deficient of respondents knowlegde with the sorting of the medical solid waste as much as 35 people (53,8%). The sufficient of respondents knowlegde with the sorting of the medical solid waste as much as 16 people (24,6%) and the good knowlegde as much as 14 people (21,5%). The resulted of the bivariate analitycs with the knowlegde obtained p value 0.004< α 0.05, there is a relationship of employees knowlegde with the sorting of the medical solid waste, it is expect from the hospital to provide periodic checks in the medical waste producing ward to realize the comfort and cleanliness of the hospital environment.

Background: The increasing number of elderly populations also increases the number of chronic degenerative diseases, including diabetes mellitus (DM). Therefore, diabetes control is needed to prevent various complications and improve the health quality of the elderly patient. This study aims to obtain preliminary information about diabetes control in elderly patients in the geriatric clinic of Karangasem District Hospital to provide appropriate management to improve diabetes control.Method: This research is a cross-sectional study and consecutive sampling of 46 DM patients who seek treatment at the geriatric clinic of Karangasem District Hospital in the period May-July 2019. Inclusion criteria were DM patients aged ≥60 years. We exclude diabetes person with acute infection and end-stage renal disease. The criteria for DM control used in this study is body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting plasma glucose (FPG), postprandial glucose (PPG), and HbA1c levels. Data were analyzed using SPSS version 25 for Windows and depicted descriptively. Results: Among 46 samples, there were 23 (50.0%) male and 23 (50.0%) female enrolled in this study. We find median of each, BMI was 23.2856 kg/m2, SBP 120 mmHg, DBP 70mmHg, 153.5 mg/dl for FPG, 238 mg/dl for PPG, and 7.8% for HbA1c. In this study, patients who met target of diabetes control is 34.8% for BMI, 53.8% for SBP, 76.9% for DBP, 43.5% for FPG, 17.4% PPG, and 28.3 % for HbA1c levels. Conclusion: In this study, it was found that DM control in elderly patients in our Hospital is not optimal on the parameters of BMI, SBP, DBP, FPG, PPG, and HbA1c levels. Better results were obtained in systolic and diastolic blood pressure control.

Introduction: Mental disorders are changes in psychological, mental or cognitive functioning, in which there is impairment, or suffering that impairs life habits, family, social interaction, among others. Objective: To trace the epidemiological profile of psychiatry patients of Gurupi polyclinic -TO. Materials and Methods: Descriptive cross-sectional study with a quantitative approach, performed from the analysis of 104 medical records of patients in the psychiatric specialty attended at Gurupi-TO polyclinic. Data were collected on gender, age, the city of origin, the profession, marital status and medical diagnosis. The data were analyzed from descriptive statistics, in absolute and relative values. Results: It was observed that people aged 6 to 84 years were observed, most of them female (63.5%). In addition, it is noticed that polyclinic users are mostly single (70%), residents of Gurupi city (84%). Regarding the profession, a high percentage of medical records do not contain these responses (58%), of the others are mostly from home (15%). The most prevalent disorders are bipolar affective disorder (34.2%) and depression (27.9%). Conclusion: It is possible to realize that psychiatric disorders are predominantly affecting female patients, aged between 30 and 49 years, single, as a profession of "home", with fixed residence in the city of Gurupi and diagnosed predominantly with mental pathologies related to bipolar affective disorder and depression.

Objectives The aims of this study is to determine the effect of communication patterns on HIV/AIDS prevention efforts in Badung Regency. Method The design of this study is quasi-experiment involving 30 samples selected with purposive sampling technique. The study was conducted at VCT Polyclinic in Badung Hospital. Sample divided into two groups as treatment and control. The treatment group has provided with module to be learned a month. Data was collected by likert-scale questionnaires. Data analyzed with paired t test with α = 0.05. Results The finding of the study showed that there is a significant increase in the average score of HIV/AIDS prevention efforts when comparing between pre and post intervention in the treatment group [3.42 (SD = 0.317) vs 3.76 (SD = 0.218), p = 0.001] and control group [3.18 (SD = 0.279) vs 3.22 (SD = 0.281), p = 0.003]. Conclusion This research has found the effect of communication pattern in family on prevention efforts of transmission HIV/AIDS. Open Communication in family could prevent the transmission of HIV/AIDS to family members. This research recommended health workers to provide counseling plus module.

Aktivnost javnozdravstvene službe u Slavonskom Brodu započinje već u vrijeme Vojne granice, kada je organiziran sanitarni kordon i karantena da bi se spriječilo prenošenje opasnih zaraznih bolesti preko Save. Ipak, razvijenija preventivna djelatnost slijedila je u vrijeme djelovanja Andrije Štampara, jer se osniva Školska poliklinika, održavaju javnozdravstvena predavanja, započinje rad Antituberkuloznoga dispanzera, Ambulante protiv veneričnih bolesti te Stanice protiv bjesnoće. Velik je napredak učinjen 1946. godine osnivanjem Sanitarno-epidemiološke stanice kao zasebne institucije. Pokazala se vrlo uspješnom u suzbijanju poslijeratne epidemije trbušnoga tifusa, eradikaciji malarije i uvođenju masovnoga cijepljenja protiv dječjih zaraznih bolesti. Kroz četrdesetgodišnje razdoblje, u okviru Medicinskoga centra slijedila je izvjesna stagnacija, napose u usporedbi s velikim progresom kliničkih i dijagnostičkih grana medicine. Osnivanjem Županijskog zavoda za javno zdravstvo 1994. godine preventivna djelatnost doživljava znatni razvitak. To se posebno odnosi na praćenje i suzbijanje kroničnih degenerativnih bolesti, malignih tumora, zaštitu školske djece i mladeži, kao i na osvješćivanje sve češće prisutne bolesti ovisnosti u mladoj populaciji., The activities of the public health service in Slavonski Brod began already at the time of the Military Border, when a cordon sanitaire and quarantine were established to prevent the transmission of dangerous infectious diseases across the Sava River. However, a more developed form of preventive medicine was introduced during the time of Andrija Štampar, involving the establishment of the School Polyclinic, the holding of public health lectures, and the founding of the Anti-Tuberculosis Dispensary, the Anti-Venereal Clinic, and the Anti-Rabies Station. A major advance was made in 1946, when the Sanitary-Epidemiological Station was established as a separate institution. It proved very successful in combating the post-war epidemic of abdominal typhus, eradicating malaria, and introducing mass vaccination against children’s infectious diseases. A sort of stagnation followed during the 40-year period within the frame of the Medical Centre, especially when compared to the great progress of clinical and diagnostic medicine. Preventive activity developed significantly after the founding of the County Institute of Public Health in 1994. This is particularly applicable to the monitoring and combating of chronic degenerative diseases, malign tumours, protection of schoolchildren and youths, and increasing attention given to addictive disorders among the younger population.

Amaç: Mayıs 2020 tarihinde Türkiye genelinde yeni vaka sayısı azaldı ve Haziran 2020’de normalleşme sürecine girildikten sonra Diyarbakır ilinde vaka sayıları artmaya başladı. Bu çalışma, pandemi ile mücadelede etkin rol alan kulak-burun-boğaz branşına ait polikliniğe başvuran hastaların COVID-19 farkındalığının sorgulanmasının vaka artışının olası nedenine yönelik bilgi sağlayabileceğinin düşünülmesi nedeni ile planlandı. Gereç ve Yöntemler: Bu kesitsel çalışmaya, 20 Temmuz 2020-24 Temmuz 2020 tarihleri arasında Dicle Üniversitesi Kulak Burun Boğaz Polikliniğine başvuran ve çalışmaya kabul kriterlerini karşılayan 200 hasta alındı. Hastalara, tarafımızca oluşturulmuş sosyodemografik bilgileri sorgulayan (7 soru), polikliniğe başvuru sürecini sorgulayan (2 soru), pandemiye ait temel bilgileri sorgulayan (3 soru) ve 5’li Likert tipi ölçek şeklinde hazırlanmış, bilgi düzeyini karşılaştırmak için kullanılan 21 soru olmak üzere toplam 33 sorudan oluşan anket formu uygulandı. Bulgular: Hastaların en sık boğaz ağrısı, alerjik semptomlar ve kulak ağrısı ile polikliniğe başvurdukları tespit edildi. En sık alerjik rinit, akut farenjit ve otitis eksterna tanılarının konulduğu izlendi. Evde risk grubunda olan bireylerle yaşayanların (p=0,008), gelir düzeyi (p=0,000) ve eğitim düzeyi (p=0,000) yüksek olanların ve salgından Aralık 2019’dan itibaren haberdar olanların (p=0,000) bilgi düzeylerinin daha yüksek olduğu görüldü. Sonuç: Her ne kadar genel pandemi farkındalık düzeyi iyi olsa da düşük eğitim düzeyi ve düşük gelirli bireylerin farkındalık çalışmalarında ana hedef olmaları gerekmektedir. Ayrıca özellikle pandemi sürecinde birinci basamak sağlık hizmetlerinin daha efektif organize edilmesi, ikinci ve üçüncü basamak sağlık kuruluşlarının bu mücadelede daha etkin rol almasını sağlayacaktır. Objective: The number of new COVID-19 cases in Turkey decreased in May 2020 and has begun to increase again in June 2020 in Diyarbakir province after entering into a normalization process. This study was planned since it was thought that questioning the COVID-19 pandemic awareness of patients who were admitted to the ear-nose-throat outpatient clinic, which took an active role in combating pandemic, could provide information on the possible cause of the increase in cases. Material and Methods: This cross-sectional study included 200 patients who were admitted to the ear-nose-throat outpatient clinic of Dicle University between 20 July 2020-24 July 2020 and who met the inclusion criteria. A questionnaire form consisting of a total of 33 questions created by us, questioning sociodemographic information (7 questions), admission process to the outpatient clinic (2 questions), basic information about the pandemic (3 questions), and 21 questions to compare the level of knowledge and prepared as a 5-point Likert type scale was administered. Results: It was found that the patients most frequently presented to the outpatient clinic with a sore throat, allergic symptoms, and otalgia. The most common diagnoses were allergic rhinitis, acute pharyngitis, and otitis externa. It was observed that those living with individuals in the risk group at home (p=0.008), those with a high level of income (p=0.000) and high educational level (p=0.000), and those who were aware of the epidemic since December 2019 (p=0.000) were found to have higher levels of knowledge. Conclusion: Although the general pandemic awareness level was good, individuals with low educational levels and low income level should be the main target population in awareness studies. In addition, a more effective organization of primary health care services, especially during the pandemic period, will ensure that secondary-tertiary health institutions will play a more active role in this combat.

Introduction: Pregnancy is a specific period of a woman's life in which she should pay special attention to her health potential. Certain health risks, such as drug abuse during pregnancy, can have fatal consequences for the outcome of pregnancy and the health of women and newborns. Drugs are classified into several categories according to their risk of harm to the fetus. The classification of the American Food and Drug Administration (FDA) is most often used, which is the purpose of drugs in the categories for pets (A, B, C, D, H). Aim: Examine the information and personal experiences of pregnant women regarding the use of drugs in pregnancy. Methods: The research was conducted in the form of cross-sectional studies. As a research instrument, a questionnaire for pregnant women was constructed, which assesses their level of information about aspects of drug use in pregnancy, as well as personal experiences. The study included a sample of 60 pregnant women, the sample was intentional, the study was conducted at the Jokić Polyclinic, in the period January-June 2020. Participation in the studies was voluntary and anonymous, the research was approved by the competent authorities of the institution. Results: The subjects in the observed sample were pregnant women aged 21 to 35 years. The majority of pregnant women are uninformed about the use of drugs during pregnancy. The most commonly used drugs in pregnancy are antibiotics. A large number of respondents believe that gynecologists and pharmacists should inform pregnant women more on this topic. Descriptive statistics methods were used in the analysis of the results. Conclusion: The results of the research indicate the need for a higher level of education on the safe use of drugs in pregnancy. It is necessary to intensify health education work in cooperation with health institutions of all levels. This need is also felt by pregnant women who feel that they do not know enough about this topic.

Background: Infertility is the inability of a couple to get pregnant after 12 months of regular sexual intercourse at least 2-3 times a week with­out using contraception. Delay in the examina­tion will have a bad impact considering that in­creas­ing age will affect the success of the hand­ling of infertility, especially in women so it is neces­sary to know the factors that influence the delay of the initial examination in order to be over­come. This study aims to determine the factors that influence the late infertility examin­ation. Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted at Sekar Polyclinic, Dr. Moewardi Hospital, Surakarta, Central Java, from June to August 2019. A sample of 90 out­patients was selected by purposive sampling. The depen­­dent variable was late infertility exami­nation. The independent variables were family sup­port, knowledge, accessibility, and education. The data was collected by medical record and question­­naire. The data were analyzed by a multiple logistic regression. Results: Late infertility examination decreased with strong family support (OR= 0.20; 95% CI= 0.06 to 0.62; p= 0.006), high knowledge (OR= 0.29; 95% CI= 0.09 to 0.92; p= 0.036), good accessibility (OR= 0.18; 95% CI= 0.05 to 0.59; p= 0.005), and high education (OR= 3.41; 95% CI= 0.95 to 12.17; p= 0.059). Conclusion: Late infertility examination decreases with strong family support, high know­ledge, good accessibility, and high education. Keywords: infertility examination, family sup­port, accessibility, knowledge Correspondence: Uki Retno Budihastuti. Department of Obstetrics and Gynecology, Dr. Moewardi Hospital,Jl. Kolo­nel Sutarto132, Jebres, Surakarta, Central Java. Email: ukiretno@gmail.com. Mobile: 0812­26­56­140. Journal of Maternal and Child Health (2020), 5(2): 206-212 https://doi.org/10.26911/thejmch.2020.05.02.11

Background Workplace violence (WPV) among nurses has become an increasingly serious public health issue worldwide. Investigating the status quo and characteristics of WPV among nurses in different time periods can help hospital managers understand the current status of WPV and its trends over time. This study aimed to understand the current situation of WPV among nurses in Suzhou general hospitals from 2010 to 2019 and analyze changes over time. Methods A cross-sectional study was conducted to investigate 942, 2,110 and 2,566 nurses in 6 fixed polyclinic hospitals in Suzhou in 2010, 2015 and 2019, respectively. This study used the revised version of the hospital WPV questionnaire. The count data are described as frequencies and percentages, and the measurement data are represented as means and standard deviations. The general data of nurses during different time periods, the incidence of WPV, nurses’ cognition and attitudes toward WPV and the attitudes and measures of hospitals regarding WPV were analyzed by the chi-square test. Results The incidence of WPV among nurses in Suzhou general hospitals in 2015 (69.0 %) and in 2019 (68.4 %) was higher than the incidence of 62.4 % in 2010 (PP˂0.05). Nurses who participated in the surveys in 2015 and 2019 scored higher on “having heard of WPV before”, “thinking WPV coping management organizations are needed” and “supporting a zero-tolerance policy” than those who participated in 2010 (PP Conclusions Despite an increase in nurses’ awareness and attitudes regarding WPV and significant improvements in hospitals’ attitudes and responses to WPV, the incidence of WPV remains high. Hospitals should continue to explore scientific training modes that are in accordance with the needs of nurses to reduce the incidence of WPV.

Introduction: Schizophrenia is a chronic mental illness with symptoms of hallucinations, delusions and inappropriate behavior. Patients require long-term treatment, but many do not adhere to treatment. The purpose of the study was to determine whether there was a relationship between family roles and adherence to medication for schizophrenic patients. Methods: The research design used correlation with a cross-sectional approach. The population of this study was 60 families with schizophrenia who visited the mental polyclinic of Ibnu Sina Hospital on 7-13 July 2019. The sampling technique used accidental sampling with a total sample of 52 respondents. Collecting data on family roles based on Friedman's theory and medication adherence using the Morisky Medication Adherence Scale. The research test used the Spearman rank test SPSS. Ethical Approval by Faculty of Nursing Universitas Airlangga number 1601-KEPK, July 17, 2019. Results: The results of this study showed that the role of the good family was 53.8% and the role of the less family was 46.2%. The medium level of adherence to taking medication was 42.3% and less level of adherence to taking medication was 32.7%. The results of the Spearman test are rho count 0.403 > rho table 0.271, which means that there is a significant relationship. Conclusion: The role of the family is related to medication adherence for schizophrenic patients.

F amily caregiver is the primary care provider for family members w ith spesific illness . It is often the caregiver experiences stress and sleep disturbances d uring the caregiving process. This research is a descriptive study which aims to analyze the stress and sleep quality of caregivers in caring for schizophreni a patients at the Polyclinic of the Bina Karsa Psychiatric Hospital / RSJ Bina Karsa Kota Medan. The study population was 442 caregiver patients with schizophrenia who accompanied the patient routine control from April to May 2019. 40 samples were involved with purposive sampling technique. The criteria of caregiver for schizophreni a patients were the family caregiver (father, mother, child ren , siblings , husband/wife etc.) , provide care for 1-4 years, lived in Medan and patients is the recurrent patients . The instruments in this study were a demographic data questionnaire, a DASS 42 (Depression Anxiety Stress Scale) questionnaire and an SQQ (Sleep Quality Questionnary) questionnaire. The collected data were then analyzed by descriptive test, Annova test, and Kruskal Walis test. Based on the results of this study, the majority of respondents experienced mild stress 28 people (70%) with an average length of stay of 1 year and 3 months. F or the quality of sleep experienced by the caregiver, data was obtained that 24 respondents (60%) experienced poor sleep quality and only 2 respondents (5%) experienced good sleep quality. In 2 respondents who had good sleep quality, the average length of stay was 3 years, 24 respondents had poor sleep quality, the average length of stay was 2 years 5 months, 14 respondents had adequate sleep quality, and the average length of stay was 1 year 10 months. The results of this study can be used as basic data for further assessment of caregivers who are often not a priority in health service policies.

The aim of this cross-sectional pilot survey was to assess patients’ perception and acceptance of a tele(oral)medicine program during the COVID-19 pandemic. We conducted a telephone survey on 84 patients of MoMax ambulatory at the Department of Oral Sciences and Maxillofacial Surgery at “Sapienza” University of Rome, Polyclinic Umberto I. Demographic characteristics of the patients were recorded, and a 24 question-survey was completed. A Chi-square test and an ANOVA test were performed with a significance level of 5% to determine the association between two target questions of the survey (Q22 and Q23) and specific variables such as computer skills, conditions influencing the experience of the conventional visit, and the difficulty in taking intraoral photos. Sixty-two (73.8%) patients declared an interest in the use of a tele(oral)medicine program. Furthermore, 41 (48.8%) participants preferred this type of visit to a conventional odontostomatological visit. Significative statistical associations were found between patients’ interest in a tele(oral)medicine service and computer skills, conditions influencing the experience of the conventional visit, and the difficulty in taking intraoral photos. Our study showed that the tele(oral)medicine program appears to meet the expectations and needs of our patients.

The analysis of opinions of district pediatricians about state and perspectives of development of primary medical sanitary care for children in the Kabardino-Balkarian Republic permitted to obtain competent assessment of quality of polyclinic medical care. The positive tendencies in activities of children polyclinics were established. However, the problem of achieving higher quality of medical care of children continues to be actual. According to survey results, character and direction of organizational managerial decision making concerning improvement of material and technical equipment of children polyclinics in accordance with modern requirements (37.6%), elimination of defects in organization of free medication support (63.6%), improvement of organization of free nutrition supply of children (50%), etc. Among the priority tasks of pediatric service is the solution of the medical personnel issue and full staffing of pediatric districts with physicians (66.7%), paramedical personnel (29.6%) and medical specialists (61.7%), as well as the need to include in staff of the polyclinic positions of child psychologist (54.0%) and social worker (31.5%). One of the main problems of primary medical sanitary care of modern pediatric service remains high work overload of district pediatricians that which undoubtedly impacts quality of medical and preventive activities. The low readiness of district pediatricians to active acceptance of innovative transformations in functioning of children polyclinic, requiring psychological readjustment of medical personnel is established. This was most strikingly manifested by process of implementing information technologies and the National project "Lean Polyclinic". All issues identified by sociological survey significantly strained during coronavirus pandemic in 2020. The pandemic inputted its own adjustments in medical care support of children in the region. Despite the fact that disease did not affect children to large extent, due to prolonged absence of physicians suffering from coronavirus, quality of dynamic monitoring and treatment of children suffered. Factually, no dispensarization activities were implemented and prevention measures as well. The results of survey contributes to the formation of monitoring of quality of out-patient care of children at the regional level and makes the research data highly relevant.

The article deals with the opinion of patients about different activities of medical organizations. It was established that opinion of patients about the activities of medical organizations depends on many factors, among which the most important were the place of residence, social status, level of education, material security and others. Purpose of the study . To study the satisfaction of patients with chronic dermatoses with the medical care they receive in a metropolis. Materials and methods . The satisfaction of patients with chronic dermatoses with the quality of the services provided in dermatovenerological clinics was studied on the basis of a questionnaire survey of 412 patients living in Moscow. Results . It was established that 74.0% of patients were satisfied with the quality of dermatological care, 19.6% were more likely satisfied than not, 5.8% were more unsatisfied than yes, 0.6% were not satisfied. The attentive and friendly attitude of medical personnel to patients in polyclinic and inpatient departments of specialized medical organizations noted in 91.7% of respondents, inattentive — in 0.6% and found it difficult to answer — 7.7%. The majority of respondents (97.8%) rated the schedule of doctors as convenient and waiting time for a dermatovenerologist's appointment in the clinic is not long (96.8%).The minimum proportion of patients (1.3%) indicated a refusal to conduct the necessary in their opinion examinations and treatment. Conclusion . The majority of patients were satisfied with the specialized care received and practically had no difficulties visiting specialized medical organizations in view of their sufficient number in different areas of the city.

Aim. To study the knowledge of clinical recommendations of the Ministry of Healthcare of the Russian Federation, acquired by doctors providing dispensary observation regarding contraindications to administration of antihypertensive drugs. Materials and methods. Questioning of 146 doctors, providing dispensary observation of adults using the standard questionnaire, containing 14 questions-tests. There was implemented the frequency analysis, calculation and comparison of the mean score, Median, Mode in relation to all the group and groups, singled out by the following two signs: work at the hospital for the recent 5 years and awareness of the content of clinical recommendations of the Ministry of Healthcare of RF. Correlation analysis between scores and age was conducted. Results. The mean score was 3.6 3.3 with maximum 14, Median 1, Mode 1. Nobody from respondents got the maximum score, the best result 12 scores was received by 0.7 % of respondents, 0 scores 3 %. No correlation between scores and age (r = 0.1, p = 0.4) was revealed. In the group of doctors, working at the hospital for the recent 5 years, during half a year the mean score 5.4 3.5 was significantly higher (t = 3.8, p = 0.001) than in the group of those who did not work 2.9 2.7. In the group of respondents, who indicated their knowledge of the content of clinical recommendations, the mean score 3.6 3.4 (t = 0.4, p = 0.89) did not significantly differ from the mean score 3.5 3.3 in the group of doctors who were not aware of clinical recommendations on arterial hypertension in adults. Conclusions. The knowledge of clinical recommendations, confirmed by the Ministry of Health of the Russian Federation, should be regularly estimated among the doctors, providing dispensary observation. Practice-oriented training of clinical recommendations is also needed.

OBJECTIVE To assess the level of awareness, acceptance, and any identifiable barriers to the use of postpartum intrauterine devices (PPIUDs) among pregnant women receiving care in a low-resource setting in Nigeria. METHODS A pretested interviewer-administered questionnaire was used to obtain relevant data from all consenting pregnant women receiving antenatal care at Polyclinic and Uwani health center in the city of Enugu from January 1 to March 31, 2018. Data were entered and analyzed using Epi Info statistical software. P

The purpose of the study is to check at a representative level of the components validity of the standard evaluation tools offered by the Ministry of Health of the Russian Federation: methods and primary documents (questionnaires) for an independent system of quality assessment by patients municipal) institutions providing services in the field of health”) and an assessment of the activities of specific medical organizations or stages of medical care (MP), work ersonala. Materials and methods. The study was conducted by questionnaire in the Karabulak city hospital of the Republic of Ingushetia. The sample set formed by the method of random selection of 305 respondents (138 at the polyclinic and 167 at the hospital) complies with the requirements of ensuring the average accuracy of the result. The study used two questionnaires: for the outpatient unit (hereinafter referred to as the polyclinic) and for the inpatient department, based on the sample questionnaires proposed by the Ministry of Health of the Russian Federation municipal) institutions providing health care services. In addition to the standard questionnaire, two classification criteria – gender and age of respondents – were entered into the questionnaires. Results and conclusions. Based on the analysis of the questionnaires for the study of patient satisfaction with outpatient and inpatient care, we were able to obtain an overall favorable picture of the organization of the treatment and diagnostic process in a particular hospital. Regarding the questionnaires themselves, in our opinion, they do not yet allow the obtained information to be taken to the level of judgments, especially official ones, taken into account when making management decisions and in the existing ratings of the evaluation of medical organizations, the health system in the region, and the efficiency of the governing bodies at any level.

Purpose of This Study: The purpose of the study is to analyze the socio-demographic factors and health service procedures in the Puskesmas on patient satisfaction based on the theory of Service Quality (ServQual) by Parasuraman. This is crucial to create a society that has healthy behaviors which includes awareness, willingness, and ability to a healthy live, able to reach good quality health services, live in a healthy environment and have optimal health status, individually, in families, groups and communities. Methodology: This study employs quantitative and qualitative approaches with the survey as its major tool. The survey questionnaires were distributed to the samples of 300 people, 100 people in each Puskesmas(Pusat Kesihatan Masyarakat, Community Health Centre) for the survey.While for the qualitative data collection conducted by researchers and 6 personnel experienced enumerators and educated to the degree of public health.The data collection in every Puskesmas conducted by two enumerators by interviewing outpatients who have received services from registration services at the registration counter, one of examination sites, whether in general polyclinic, KIA, family planning, Dental, IGD and the last services received by patient when taking the medicine (pharmacy). Main Findings: The results showed that the percentages of patients’ satisfaction in three Puskesmas are not much different, the significant difference is responsiveness and empathy element in Puskesmas Kuta Alam. The analysis results of the relationship between socio-demographic and patients’ satisfaction in the three Puskesmas varied. Applications of This Study: This study is beneficial and useful for the learning process of health services procedures on outpatients’ satisfaction. Hence, health service providers could enhance their service satisfaction delivery. The novelty of this study: The patient satisfaction level is analyzed through the Service Quality (ServQual) which is connected with the socio-demography of patients and health service procedures based on Standard Operating procedures (SOP), which became a standard set by ISO 9001:2008.

Hypertension is a condition of elevated abnormal arterial blood pressure that lasts persistently. Some knowledge that should be known by hypertensive patients are such as the meaning of hypertension, the cause of hypertension, the symptoms that come along, and the importance of regular and long term treatment, also knowing the dangers posed if not taking the medication. This study aims to determine the correlation between knowledge and adherence to taking antihypertensive medication in elderly hypertensive patients at the Krian Public Health Center, Sidoarjo Regency. In this study, the population was elderly hypertensive patients who examined themselves or only took control to take medication at the Elderly Polyclinic of Krian Public Health Center in Sidoarjo Regency with 332 populations with 75 samples taken. The result of this research was obtained sig. value = 0,000 (

Thisstudy was performed to evaluate psychosocial health status and health practicesof pregnant women in Turkey. Thiscomparative descriptive study wasconducted at a pregnancy polyclinic of Zonguldak Maternity and Children's Hospital in Tbetween 12.04.2012 – 03.04.2013. A total of 1086 pregnant womenparticipated in the study. Data were collected by usingPregnant Information Form, Pregnancy PsychosocialHealth Assessment Scale and HealthPractices Questionnaire in Pregnancy-II. Numericaland percentage values, student t test, Mann Whitney-U test, One-Way Analysis ofVariance (ANOVA), Kruskal-Wallis variance analysis and correlation analysis were used for dataanalysis. In this study, thereis a positive correlation between psychosocial health status and healthpractices of pregnant women (p < .050). However,psychosocial health status and health practices of pregnant women show significantdifferences based on some characteristics of pregnant women such as age,marital status, family type, education level, employment status, presence ofsocial insurance, economic income, number of children, number of abortion andcurettage, chronic disease status, BMI before pregnancy, number of pregnancy,pregnancy planning status, complication associated with pregnancy and socialsupport (p < .050). Besides physical assessments, evaluation ofpsychosocial health status and health practices of pregnant women, earlydiagnosis of risky conditions and provision of protective and therapeuticservices are recommended during pregnancy follow-ups., Buçalışma, gebe kadınların psikososyal sağlık durumlarını ve sağlıkuygulamalarını değerlendirmekamacıyla yapıldı. Tanımlayıcı-karşılaştırmalı tiptekiaraştırma, Zonguldak Kadın Doğum ve ÇocukHastalıkları Hastanesi’nin Gebe Polikliniği’nde 04.12.2012 – 04.03.2013 tarihleri arasında yürütüldü.Çalışmaya toplam 1086gebe katıldı. Veriler Gebe BilgiFormu, Gebelikte Psikososyal Sağlığı Değerlendirme Ölçeği veGebelikte Sağlık Uygulamaları Ölçeği kullanılarak toplandı. Verilerin değerlendirilmesinde sayı ve yüzde değerleri,student t testi, Mann-WhitneyU testi, Tek Yönlü Varyans Analizi (ANOVA), Kruskal-Wallis varyans analizi ve korelasyon analizikullanıldı. Bu çalışmada, gebelerin psikososyalsağlık durumları ile sağlık uygulamaları arasında pozitif yönde bir ilişki bulunmaktadır(p < .050). Bununla birlikte, gebelerinpsikososyal sağlık durumları ve sağlık uygulamaları gebelerin bazıözelliklerine (yaş, medeni durum, aile tipi, eğitim düzeyi, çalışma durumu,eşin eğitim düzeyi, eşin çalışma durumu, sosyal güvence varlığı, ekonomikgelir, çocuk sayısı, düşük ve küretaj sayısı, kronik hastalık durumu, gebeliköncesi BKI, gebelik sayısı, gebelik sürecini planlama durumu, gebelik ileilgili komplikasyon durumu ve sosyal destek durumu) göre anlamlı farklılıklargöstermektedir (p < .050). Gebeizlemlerinde fiziksel değerlendirmelerin yanı sıra gebelerin psikososyal sağlıkdurumları ve sağlık uygulamalarının değerlendirilmesi, riskli durumların erkendönemde tanılanarak koruyucu vetedavi edici hizmetlerin sağlanması önerilmektedir.

The article presents results of medical and sociological study carried out with purpose of exploring social characteristics of patients of municipal polyclinics in Rostov-on-Don. The derived results were compared with opinions of patients about their own health status, as well as with their perception of dispensarization. The results of the study demonstrated that mostly the patient of municipal polyclinic is characterized as woman (68.2%), aged 65 years and older (22.4%) or 18-25 years (19.1%), with higher education (51.1%) and married (55.9%). The social status of typical female patient of municipal polyclinic is worker (41.6%) or retired person (30.9%), considering her health condition to be rather poor than good (74.5%). The average rate of annual appealability to municipal polyclinic is 3.9 ± 0.3 times per year. At that, high level of patient compliance (78.6% and inadequate awareness of possibilities of dispensarization, including its purpose and tasks (only 24.7% passed dispensarization in 2018-2019) is established. The level of awareness of dispensarization program is related to age of patient (65 years and older), rate of visits to medical organization (municipal polyclinic), awareness of health maintenance and promotion.

Background. Currently, chronic noncommunicable diseases (NCD) cause more than 2/3 of all deaths in the world. Despite the continuous improvement of approaches to drug therapy for chronic low risk infections, they can not be completely cured, and mortality tends to increase. In such conditions, the need for preventive measures comes to the fore. One of the approaches of secondary prevention is to educate patients in Health Schools, the goal of which is to reduce the incidence and progression of complications of NCD, reduce morbidity and mortality. Aim. The goal is to assess the attendance of Schools, the gender and sex composition of patients, the structure of educational activities. Methods. Аssessment of the work of the Health Schools through the analysis of patient case report stored in the clinic’s prevention department. The analysis of the cases was carried out taking into account the age, gender, and results of the patient survey. Results. The data obtained indicate a fairly uniform attendance at Health Schools. The School of Health in hypertension was the most visited (20% of the total attendance), the least - the School of Breast Health (less than 10% of the total attendance). Women visited Health Schools more often than men (71.2%). Men were more interested in the school on the general principles of healthy lifestyles and the School on quitting smoking. The main contingent of Health Schools is the elderly. The average age of the patients of the School for type 2 diabetes and healthy joints was about 65 years, and the School for hypertension - about 73 years. Conclusion. Due to patient education, it is possible to increase adherence to treatment prescribed by a doctor, reduce the effect of FR, help patients lead a healthier lifestyle.