Introduction: Congenital adrenal hyperplasia (CAH) is autosomal recessive disorders that disrupt adrenal steroidogenesis. Congenital adrenal hyperplasia (CAH) has been shown to potentially affect psychological adjustment. However, the behavior effect on glucocorticoid treatment in CAH patient remain unclear. The aim of this systematic review was to assess the internal and external behavior problems in CAH children due to glucocorticoid treatment. Methods: The systematic review was carried out using the PRISMA framework and the search strategy was based on the population, intervention, control, and outcome (PICO) model. The relevant article was search from Cochrane, Google Scholar, PubMed, Science Direct, Springer Link, Wiley Online Library Databases from February and March 2022. Results: Six studies were included in this review. The primary domain identified are internal and external behavior from the CBCL questionnaire. Three studies compared the external and internal behavior of CAH children with glucocorticoid treatment to healthy control, two studies post-natal, and one study during prenatal. Three other studies compared CAH with glucocorticoid treatment and the CAH control group. Conclusion: Children with CAH had better behavioral outcomes, especially in internal behavior in glucocorticoid-exposed children.
Background: Stunting is chronic malnutrition associated with the risk of irreversible loss of cognitive function and stunting-related morbidity. Parental knowledge is essential in preventing stunting as it affects parenting patterns, child feeding practices, and the selection of food ingredients. Therefore, we aimed to analyze the improvement of public knowledge before and after given education about stunting. Methods: This descriptive study involved the community in the work area of the Driyorejo Public Health Center as the participants. We carried out community service in the form of health education about stunting and its prevention. Participants filled out a questionnaire before and after the intervention to evaluate the participants’ knowledge level. The demographic data, including gender, age, educational background, and occupation, are obtained using a self-reported questionnaire. Results: This study involved 85 participants consisting of 91.75% women with educational backgrounds, mostly having completed university (75.29%). The average score obtained before the intervention was 77.94, which increased to 87.35 after the intervention. The number of participants classified as having good knowledge increased from 58.82% to 83.53%, and the number of participants having poor knowledge decreased from 41.18% to 16.47% after the intervention. Conclusions: Health education done by health workers can significantly improve public understanding and increase public awareness about stunting. This emphasizes the important role of health workers as the spearhead in stunting prevention strategies.
Introduction: The number of Patients with Mental Disorders in the Sumberpucung District is very high at 246 individuals. Mental Health Posyandu has yet to be founded in the Sumberpucung Health Center region. This s is due to the absence of Community Health Workers (CHWs) and their lack of mental health competence. It is established that mental health training for CHWs influences the knowledge and attitudes of CHWs about mental health. However, the Sumberpucung Community Health Center has never offered mental health training. Methods: This quantitative study with Quasi Experiment Design approach and the One Group Pretest-Posttest Design. Thirty-three individuals were sampled using the complete sampling technique. Research instruments using pretest and post-test questionnaires. The questionnaire underwent both validity and reliability testing. The intervention took the form of training consisting of distributing mental health-related materials and a workshop on the five implementation tables for mental health posts. Wilcoxon Sign-Rank Test uses non-parametric statistics in contrast to other tests. Results: The Wilcoxon Sign-Rank Test yielded a P value of 0.002 (<0.005) for several tests of CHW knowledge in the pre-and post-tests. This study reveals that between the pre-and post-tests, understanding of CHW is significantly altered. The Wilcoxon Sign-Rank Test revealed a P value of 0,038 (<0,005) between the pre-and post-tests of the attitudes of the CHWs. This study reveals that the attitudes of CHWs change considerably between the pre- and post-test. Conclusion: Mental health CHW training influences mental health CHW knowledge and attitudes.
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