Introduction: Genital hygiene is an important part of women’s health and is essential for protecting reproductive health. Women adopt many genital hygiene behaviors, which will have direct and indirect effects on genitals and possible sexually transmitted infections. This systematic literature review aimed to know the types of genital hygiene behaviors practiced by women and assess the relationship between genital hygiene behavior and genital infection. Methods: A systematic search of the electronic databases, PubMed, Ovid, Web of Science, Scopus, ScienceDirect, JSTOR, and SAGE, for literature published between January 2001 and 2021. The keywords used were “genital hygiene behavior” AND “genital infections” AND “women OR female.” The inclusion criteria focused on genital hygiene behavior and the incidence of genital infection. The included full papers with observational research methods followed the PRISMA guidelines. After reading the full content of the included studies, key themes and concepts were extracted and synthesized. Results: In total 383 articles were screened. Five articles met the inclusion criteria and were analyzed. The analysis revealed four categories related to genital hygiene behavior among women: underwear hygiene, bathing habits, menstrual hygiene, and coital hygiene. Genital infections included bacterial vaginosis, trichomoniasis, and vulvovaginal candidiasis. The review showed that incorrect and inadequate genital hygiene behavior increases the risk of vaginal infection. Conclusion: A higher incidence of genital infections occurred in women with improper genital hygiene practices. It is necessary for health professionals to educate women about good genital hygiene practices in order to reduce the rate of genital infections.

Background: Over the past few decades, the number of international students has increased dramatically. These students have to adjust to unfamiliar social, cultural, and educational environments. The concept of acculturation has been applied in multiple studies on various health outcomes. This study investigated the relationship between acculturation and self-rated health (SRH) among international medical students. Methods: A cross-sectional study was conducted among international medical students at the University of Szeged, Hungary between April and October 2021. A total of 326 participants filled out questionnaires about sociodemographic characteristics, acculturation, and SRH. The modified Stephenson multigroup acculturation scale (SMAS) was used to assess the acculturation status; the scale defined acculturation as the degree of dominant society immersion (DSI, 12 items) and ethnic society immersion (ESI, 16 items). To measure SRH, participants were asked to rate their current general health and mental health. The data were analyzed by using descriptive statistics and the multiple logistic regression model. Results: 32.5% of the students reported having poor general and 49.7% poor mental health. We have found that acculturation was associated with SRH in multivariable logistic regression models controlling for sociodemographic characteristic. Bidimensional acculturation, such as ESI and DSI significantly influenced SRH as the likelihood of poor general health decreased (OR = 0.50; 95% CI = 0.31–0.81, P = 0.005), when the ESI was higher, whereas the likelihood of poor mental health decreased (OR = 0.52; 95% CI = 0.35–0.79, P = 0.002) if students had a greater DSI. Conclusion: Both types of immersion can affect the students’ SRH. If the student could integrate better into their own ethnic group, their general health was better, and if they could strongly integrate into the Hungarian society, their mental health was more favorable. Acculturation measures should be promoted by academics and public health professionals in order to better understand their role in the behaviors, health outcomes, and health care use of medical international students. These findings will help professionals shape culturally sensitive prevention and counselling strategies for international student populations.

Introduction: The pandemic increased pressure on healthcare services and forced limited care in all health facilities to ensure the care of all patients. Telepharmacy appears as an alternative to the remote pharmacy practice approach through information and communication technologies, but there are no comprehensive tools to measure pharmacists’ knowledge, perception, and readiness to implement telepharmacy. This study developed and validated a questionnaire version of the Knowledge, Perceptions, and Readiness of Telepharmacy (KPR-TP) for pharmacists. Methods: The KPR-TP assessed three domains: knowledge, perception, and readiness. Its factor structure, reliability, and validity were assessed using 7730 pharmacists from 34 Indonesian provinces. The validity of the model's three-factor structure was assessed using confirmatory factor analysis. Cronbach's alpha and composite reliability were used to validate the consistency of our factors, whereas convergent and discriminant validity established significant relationships between them. Results: The goodness-of-fit index indicated that the model was economical and reasonable. Furthermore, the correlation between the three domains revealed a significant positive relationship. KRP-TP is a viable instrument for assessing pharmacists’ perceptions of telepharmacy in Indonesia. Conclusion: Overall, we discovered that our questionnaire contains critical constructs for assessing a pharmacist's knowledge, perception, and level of readiness to implement telepharmacy. This study will help pharmacists identify appropriate strategies for skill improvement.

Circumcision is a minor surgical that will be experienced by every child, especially a Muslim child because It was related religious commandment with. Most children appear to be quite anxious about circumcision. Virtual Reality (VR) Distraction is one of the methods of Researcher to relieve anxiety level of the children during circumcision processes. Virtual Reality (VR) distraction is a type of audio-visual distraction with Google VR tool which helps children divert unpleasant stimuli and make feel relaxed in a familiar environment. The objective of this research is to measure effectiveness of VR distraction in to anxiety level of the children during circumcision. This research is quantitative research that used quasi experimental with control group design. Number of samples are 60 children which divided into 2 groups (treatment group [n=30 respondents] and control group [n=30 respondents]). Anxiety and Fear level was measured by Hamilton Anxiety Rating Scale (HAM-A) and Face Fear Scale also Pulse Oximetry (Objective fear Symptoms). The result of this research indicated that VR Distraction was effective to relieve Anxiety Level during circumcision (p value= 0.000). This research was concluded that VR Distraction is useful to relieve anxiety level of children during circumcision with guide imagery mechanism. Keywords: virtual reality, anxiety level, fear level, circumcision, guide imagery.

Knowledge, Barriers, and Motivation Related to Breast and Cervical Cancer Screening Among Women in Bojonegoro, East Java: A Qualitative Study