Knowledge, Attitude And Practice Towards Sexual And Reproductive Health Including Comprehensive Sexuality Education Among First Year Students Of University Malaysia Sabah (Ums), Malaysia

@#This study aims to assess knowledge, attitude and behavior in sexual and reproductive health (SRH) including comprehensive sexuality education (CSE) among 439 first year students; 213 sciences and 226 arts students from 5 Faculties of University Malaysia Sabah (2016-2017). Exposure of Malaysian students to sexual education is limited to science subjects which are only being taught at upper elementary and secondary high school levels. Arts students are less exposed to sexual education across Malaysia as it is delivered in Basic Science subject only. It was a university-based, cross-sectional, descriptive study. Pretested self- administered questionnaire was anonymously completed by all participants and was conducted from November 2016 to January 2017. Students’ demographic characteristics from Science and Arts streams were same except females, Sabah ethnics and Malays were more in Arts. Awareness of HIV/AIDS, Condom, Wet dream, COC pills and abortion services were more in Science students and statistically significant. 34.3 % and 81.2% of Science students agreed that CSE should be introduced in primary and secondary school but not statistically significant. 22 out of 439 students were sexually active. Science students had more knowledge about SRH and favourable attitude towards sexuality education but less favourable behaviour of watching and reading pornographic materials. It was concluded that there were gaps in knowledge, attitude and behaviour of SRH and need to remedy these by giving appropriate CSE classes to first-year university students in an elective module according to their culture and religious beliefs in accord with International Technical Guidance on Sexuality Education (ITGSE).

HPLC fingerprint of steamed Panax Notoginseng and content determination of multi-components / 中草药

Objective To establish the HPLC fingerprint and simultaneous method for the determination of 11 saponins in steamed Panax notoginseng from different origins. Methods Agilent Zorbax SB-C18 (250 mm × 4.6 mm, 5 μm) column was adopted, the mobile phase consisted of acetonitrile-water with gradient elution at the flow rate of 1.0 mL/min (elution program: 0-30 min, 20% acetonitrile; 30-60 min, 20%-45% acetonitrile; 60-88 min, 45%-75% acetonitrile; 88-98 min, 75% acetonitrile; 98-100 min, 75%-20% acetonitrile), and the detection wavelength was 203 nm. The establishment of steamed P. notoginseng HPLC fingerprint, and determination method of notoginsenoside R1, ginsenoside Rg1, Re, Rb1, 20S-Rh1, 20R-Rh1, Rd, Rk3, Rh4, 20S-Rg3, and 20R-Rg3 index components were studied methodologically. The content of 11 saponins in 10 batches was determined. Results The HPLC fingerprint was establish, and thirty common peaks were selected as characteristic peaks of steamed P. notoginseng. The similarities of different samples from 10 areas were 0.941, 0.938, 0.945, 0.951, 0.913, 0.909, 0.920, 0.928, 0.917, and 0.919. In quantitative analysis, eleven saponins were separated well and the average content was 5.274, 20.515, 2.838, 23.651, 3.476, 1.407, 5.239, 1.784, 1.580,0.904, and 0.294 mg/g, respectively. Additionally, all calibration curves showed good linear regression relationship, with correlation indexes of 0.999 7, 0.999 5, 0.999 5, 0.999 7, 0.999 7, 0.999 6, 0.999 7, 0.999 6, 0.999 7, 0.999 7, and 0.999 6; The average recoveries were 101.23%, 98.52%, 97.67%, 99.62%, 98.17%, 98.92%, 99.44%, 99.14%, 100.25%, 98.23%, and 96.89%, with RSDs of 1.35%, 1.58%, 2.44%, 1.05%,1.48%, 1.56%, 0.85%, 2.34%, 2.85%, 1.25%, and 1.08%. Conclusion This method is sensitive, accurate and reproducible. It can be used to provide a reference for the standard and evaluation of quality of steamed P. notoginseng.

Espejos, diálogos y reflexiones sobre comportamientos y determinaciones en la consulta de mediación intercultural con población inmigrante latinoamericana, desde una perspectiva de géneros / Mirrors, dialogues and reflections on behavior and determinations in intercultural mediation consultation with Latin American immigrant population, from a gender perspective / Espelhos, diálogos e reflexões sobre comportamentos e determinações na consulta de mediação intercultural compopulação imigrante latino-americana, desde uma perspectiva de gêneros

El propósito de este documento es llevar a la reflexión y al análisis la experiencia de mediaciónintercultural en el ámbito sanitario en la ciudad de Valencia, España, con usuarios/as migrantesprovenientes de países latinoamericanos. Los principales problemas de salud de esta poblaciónmigrante registrados en los centros sanitarios de atención primaria se concentran en lasáreas de salud sexual y reproductiva, dentro de los que se destacan una alta frecuencia del“madresolterismo”, incremento de las interrupciones voluntarias de embarazos (IVE); difícil usoy baja aceptación de métodos anticonceptivos, tanto por parte de las mujeres como de los varones,y por último, la identificación de relaciones asimétricas en las parejas. Estas circunstancias sonanalizadas desde una perspectiva de géneros para tener un mejor acercamiento a la realidad social...

The purpose of this paper is to reflect and analyze the experience of intercultural mediation inthe health field in the city of Valencia, Spain, with migrants users from Latin American countries.The main health problems of the migrant population recorded in the primary health carecenters are concentrated in the areas of sexual and reproductive health, there is a high frequencyof “single mothers”, an increased voluntary interruptions of pregnancies (IVE for its acronymin spanish), a difficult usage and low contraceptive acceptance by both women and men, andfinally, an identification of asymmetrical relations in couples. These circumstances are analyzedfrom a gender perspective to have a better approach to social reality...

O propósito deste documento é levar à reflexão e análise a experiência de mediação interculturalno âmbito sanitário na cidade de Valencia, Espanha, com usuários/as migrantes provenientesde países latino-americanos. Os principais problemas de saúde desta população migrante registradosnos centros sanitários de atenção primária concentram-se nas áreas de saúde sexuale reprodutiva, dentro dos que destaca uma frequência alta de “mães solteiras”, o incrementodas interrupções voluntárias de embaraços (IVE); o difícil uso e baixa aceitação de métodosde contracepção, tanto por parte das mulheres quanto dos varões, e por fim, a identificação derelações assimétricas nos casais. Estas circunstâncias são analisadas desde uma perspectiva degêneros para ter melhor acercamento à realidade social...

Evaluation of Functional Ability and Nutritional Risk according to Self-Rated Health (SRH) of the Elderly in Seoul and Kyunggi-do

A functional ability and adequate nutritional status are the major determinants of health status. Self-rated health (SRH) is a worldwide method to assess health status and it is recognized as a predictor of morbidity and mortality in the elderly. This study was designed to evaluate the functional ability and nutritional risk according to SRH in the elderly. Four hundred nine free-living elderly people (118 male, 291 female), aged > or = 65 years were interviewed by trained interviewers using structured questionnaires including demographic information, SRH, anthropometric measurements, functional ability, general health status, and nutritional risk. SRH was divided into three status such as "Good", "Moderate" and "Poor" status. And all the data were analyzed by oneway ANOVA , spearman correlation, and x(2) analysis using SPSS 9.0 version at p < 0.05. Of all the subjects, 48.9% perceived their health status as "poor", and their functional abilities (activities of daily living, instrumental activities of daily living) were more impaired than their counterparts' ("good" and "moderate"). Poor self-rated health was also related to: a higher prevalence of illnesses (p < 0.001) especially in hypertension, arthritis. Self-rated health was significantly related to food security (p < 0.001), food enjoyment (p < 0.001),and nutritional knowledge (p = 0.013). Also NSI checklist total score was the highest in "poor" health status (p < 0.001). Better self-rated health was related to better food security, and better food enjoyment. However, smoking, alcoholic intake, exercise, eating behaviors, and demographic characteristics were not significantly different among the three SRH status. SRH was closely related to chronic diseases, functional ability, and nutritional risk in the elderly. Therefore, public health strategies for the elderly should be focused on the elderly who are "poor" in SRH, to improve nutritional status and functional ability, and to reduce risk factors of chronic diseases.