Night work and rotating shift work are found to be detrimental to the health of workers. A cross sectional analytical study was conducted among the employees of a public medical centre in Kuala Lumpur. A total of 380 employees participated in the health screening and questionnaire survey. The majority of the respondents were Malays, females, and with mean age of 49 years old. The shift workers persistently had higher but non-significant proportions of being overweight/ obesity and unhealthy clinical indicators such as systolic and diastolic blood pressure, fasting blood glucose and lipid profile except waist circumferences and HDL-cholesterol. There were also slightly more shift workers diagnosed with diabetes mellitus, hypertension or coronary heart disease (p>0.05). Although the present study could not provide established evidence for a relationship between shift work and cardiovascular risks, this could serve as a pilot study for future studies in this area.
Health Education

Prescribing medication is not without its adverse effects. Complications due to drug therapy are on the rise in Malaysia, especially when antibiotics are used indiscriminately. We reviewed cases admitted to the Acute Medical Ward of University of Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia, over a two-month period from March to April 2009. The authors found that Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) were the most common severe adverse cutaneous reactions due to ingestion or parenteral use of drugs. In this report, is a brief description of the two conditions and ways to manage them. The authors have come to a conclusion that judicious use of medications with adequate patient education is important in order to avoid these adverse effects
Health Education

With 23 inquiry cards devoted for The Inspector chief of The Provincial Health Office, 365 for inspection staff members, concerning the current state of organisation, results showed that: in 100% of provinces, the organization of inspection belong to Health Office was perfected, inspection personel included senior qualified caders with long carrer and good experience in profession and administration. However, in some regions there is a deficiency of manpower, needing a large necessary for training, especially in inspectional profession.
Education ; Health Manpower ; Health Education

Introduction: This study ventured into understanding the dynamics of contraception using the lens of the male end user. It aimed to examine more fully the experience of male acceptors to elucidate why vasectomy failed as a contraceptive modality. Methods: This was a multiple case study which elucidated the in-depth experiences of six participants on failed vasectomy and how they perceived contraception. The analyses of interview transcripts and field notes were based on the inductive approach of identifying data by means of thematic codes which emerged in a four-level process. Results: Subthemes were 1) failure of health education to correct misconceptions, 2) failure in compliance, 3) failure in cognition and understanding, 4) failure in shared decision making, and 5) failure in contraceptive intentions. Themes that emerged as causes of failure in vasectomy were 1) failure of partnership, and 2) failure caused by low level of health literacy. Conclusion Failure of vasectomy was laden with antecedents that greatly influenced the manner by which the male acceptors behaved. The participants' perceptions of contraception were either changed or remained steadfast depending on how they had believed vasectomy to be of worth to them as a husband, father and male acceptor. In all but one participant, vasectomy became of no use to them thereafter.
Contraception ; Health Education ; Health Literacy

The survey was performed on 144 patients with hypertension in Dong Thap Medical-postal Center between 2003 and 2004. Results: The patients' awareness of their hypertension had much limits, 62.5% of patients unknown the disease, 61.81% detected their-self disease by chance, so 95.83% had not blood pressure monitored, 90.97% were not treated regularly and 7.64% were not treated. Health education and treatment record had good results. The percentage of patients had blood pressure monitored increased by 61.8% (compared with 4.17%), regular treatment 46.53% (compared with 1.39%).
Hypertension ; Health Education

PURPOSE: This study was conducted to determine the effect of the performance of Workplace Health Manager at the workplace on presenteeism in the workers. METHODS: Three months before this study, between June 2010 and September 2010, a self-reporting survey of 316 employees in 136 workplaces in each of each hired a Workplace Health Manager was performed at their workplace with explanations of the purpose and methods of this study after their consent was obtained. RESULTS: The average performance score of the Workplace Health Manager as graded by the employees was 3.8 out of 5 points. The duties of the Workplace Health Manager which received higher grades were posting of the Material Safety Data Sheets (MSDS), health education, and future management with respect to the results and procedure of health care-related work. According to the employees' survey, the score for presenteeism was evaluated as 14.3 out of 30 points. Based on the presenteeism analysis results, when (1) the employee was a male, (2) the workplace was established and managed by Industry Safety and Health Committee, (3) the employees were aware of the role of Workplace Health Managers, and (4) Workplace Health Manager fulfilled his/her role actively and successfully, presenteeism was observed to a lesser extent. CONCLUSION: According to the results of the study, presenteeism was observed to a lesser extent when the Workplace Health Manager actively performed his/her role.
Health Education ; Humans ; Male

OBJECTIVES: This study was conducted in order to analyze oral health content and its importance in primary, middle, and high school textbooks. METHODS: A total of 1,176 textbooks was reviewed, and the items under investigation included: textbook division (national/authorized), titles; grade levels, semesters taught, inclusion of educational content for general and oral health, and the number of pages and rows containing the oral health information. The data were analyzed via paired t-tests, frequency analyses, and one-way ANOVAs. RESULTS: Oral health content was found in 12.1 percent of the primary school textbooks, 6.5% of the middle school texts, and 2.1% of the high school textbooks. The total average was 5.4%. Among the textbooks containing health (general and oral) content, the average number of pages (P<0.001) containing general and oral health information were 22.1 and 0.5, respectively. The average number of lines (P<0.001) for both types of health information were 475.1 and 6.2, respectively, in the primary school textbooks. Middle school textbooks included average numbers of health information-related pages (P<0.001) of 45.7 and 0.4 and average numbers of lines (P<0.001) of 1,086.9 and 5.3, respectively. The average number of pages (P<0.001) in the high school books containing general and oral health content were 83.0 and 0.9, respectively, and the average number of lines (P<0.001) were 2,128.6 and 10.7. Our research showed that, regarding the degree of reflecting oral health education objectives, high school textbooks gained 1.00 point (1 objective), middle school books obtained 0.67 point (5 objectives), and primary school books received 0.18 point (39 objectives; P<0.05). CONCLUSIONS: Oral health content in textbooks decreased as school level increased. The objectives of oral health education for primary school were not properly reflected in the textbooks because the objectives were relatively diverse, and the textbook treatment of the material was rather static.
Education ; Humans ; Oral Health*

Background: The health education system has been established in Viet Nam since the early part of the 21st century from district to central level. In 2002, Health education has been considered as a first standard out of 10 national health standards for communal level. But there are few studies assessed the situation of health education activities at district level. Objectives: To discover the situation and identify possibilities to improve the health education activities at district level. Subjects and method: The cross-sectional study was conducted in 4 provinces: Yen Bai, Thai Nguyen, Ha Tay and Thai Binh. The questionnaires were used for interviewing health workers in preventive health centers at district and provincial levels of these provinces. Results. The health education activities have been carried out at district level with different methods, but 35.4% of respondents noted that these activities were not good enough. The significant number of health workers, who were responsible for health education at district level did not possess the proper knowledge and skills to meet the task requirements. The management of health education remained a limitation. 76.1% interviewed health workers said that the plans of health education activities have not been made properly, a lack of equipment and materials for these activities. Most of the respondents believed that the health education activities can be improved with better implementations.Conclusion: The health education management and activities at district level of the 4 investigated provinces has not achieved levels of expectation. The knowledge and skills of health workers had not met the task requirements. Therefore, it is important to strengthen both knowledge and skills for health workers to improve the health education activities at district level.
Health education ; District level

From the education law was paromulgated, the ministry of health always collaborates with the Ministry of Education and Training to prepare for deployment of the law which helped the training the human resources in the health sector according to the education law
education ; Health ; Jurisprudence

Some factors influence the coverage of Health Insurance concluded: sex; town/countryside; age; nationality; 8 areas; education; living standard (5 standards); profession. Depending on each kind of Health Insurance, the factors influence the coverage of Health Insurance were different. In general the coverage of Health Insurance was often low, concentrated at some vulnerable groups as follows: the poor, people who live in the countryside, ethnic minority, low of education.
Insurance, Health ; Epidemiology ; Education