Mass gatherings are events, planned or spontaneous, where the concentration of attendees could strain the planning and response resources of the community or country hosting the event. Typically mass gatherings include festivals, concerts, major sporting events, and religious or cultural occasions such as the Olympic Games, the FIFA World Cup, and the Hajj Pilgrimage
Hepatitis A virus is a water-borne pathogen transmitted by the fecal-oral route. To reduce the risk of contracting HAV while traveling to endemic areas, it is important to maintain hygienic practices such as hand washing with safe water, particularly before handling food, avoiding drinking water or using ice cubes of unknown purity, and avoiding eating unpeeled fruits and vegetables. An HAV vac…
The annual Hajj and Umrah are one of the largest recurring religious mass gatherings across the globe drawing pilgrims from more than 185 countries. The living circumstances and activities of the pilgrims may create an environment for the occurrence and spread of communicable diseases. Each year, the Health authority of the Kingdom of Saudi Arabia, in coordination with international health au…
Many new and challenging risks can be introduced during mass gatherings. The Hajj, as one of the largest mass gatherings, provides an excellent annual opportunity to reflect on the public health risk posed by international and multicultural crowds and the value of mitigation strategies
The Patient Activation Measure (PAM) is one of the most extensively used, widely translated, and tested instruments worldwide in measuring patient activation levels in self-management. This study aimed to determine the validity and reliability of the PAM-13 Malay version among patients with Metabolic Syndrome (MetS) attending a primary care clinic
The number of house calls made by physicians has been declining over the years, while the number of people requiring house calls, especially the elderly, is growing.
One of traditional herbs used as medicine in many countries for various uses is the herb Phyllanthus niruri L. Many pre-clinical studies have explored its activities on the immune system. Further pre-clinical studies were done to determine its safety and immunomodulating characteristics on mice and rats. The results of these studies suggested that Phyllanthus niruri L extract is able to modulat…
Rancangan penelitian adalah eksperimental dengan uji klinik perlakuan. Sampel diambil secara acak sederhana dan buta ganda. Jumlah penderita yang didapat mulai Februari hingga Juni 2004 di Yayasan Kanker Wisnuwardhana Surabaya sebanyak 30 orang yang dibagi menjadi 2 kelompok, masing-masing 15 penderita. Kelompok A mendapatkan Ketokonazol 2x200 mg selama 5 hari. Kelompok B mendapat pengobatan ko…
Penurunan sistem imun pada tuberkulosis paru telah lama diketahui, salah satu keberhasilan dalam penatalaksanaan TB Paru adalah meningkatkan sistem imun penderita dan menggunakan terapi standar yang telah ditetapkan oleh WHO. Ekstrak Phyllanthus niruri telah diketahui dapat meningkatkan sistem imun tubuh. Penelitian ini mencoba untuk mengetahui kadar IFN-g pada pengobatan TB dengan pemberian ek…