Miracle-dz/UniFAR-FTUs huggingface dataset:
REFORM OF THE SYSTEM OF PUBLIC HEALTH INSURANCE FOR THE POOR IN INDONESIA HAS OPPORTUNITY TO INCREASE HEALTH INEQUALITY: CONSIDERING DIFFERENT ACCESSIBILITY OF PUSKESMAS

KATA KUNCI: public health insurance reform, public health insurance claim,health inequality, healthcare accessibility Though the Indonesian government reformed its public health insurance system for the poor since 2008, the country still faces challenges with the disparity of accessibility to community healthcare centres (Puskesmas). This study examines whether the 2008 healthcare system reforms increased health inequality of the poor. Using data from the RAND Indonesian Family Life Survey (IFLS) and The Village Potential Statistics (PODES), this study found an indication that, in the aftermath of the reforms, the gap widened in the tendency for the poor to make insurance claims depending on their level of access to healthcare centres. This indication can be seen from the result of baseline model where access to puskesmas is the main variable that affect public health insurance claim. It is also supported by the regression result using road infrastructure as indicator of access to puskesmas. Therefore, to protect the poor from catastrophic out-of-pocket expenditure, besides the provision of public health insurance, the government needs to be concerned about the accessibility of public health care, which includes not only the provision of direct healthcare infrastructure, but also improvement on the road access conditions.
Children and Video Games: What Do Parents Think? A Study on Dutch Chinese parent’s attitude towards children’s playing of video games

Today, video-game-playing has become one of the most popular entertainment among children and one of the hottest topics among parents. As the devices are more private and the screens are smaller, many parents find that it is more and more complicated to monitor children’s gaming activities. In China, many parents have concerns about video games, especially the possible negative effects on children’s study.Then, do Chinese parents’ in the Netherlands share the same concerns? What are their attitude towards children’s playing of video games as compared to local Dutch parents? Through semi-structured interviews, this research explores parents’ personal thoughts, awareness and method of parenting regarding to children’s gaming activities. 9 Dutch Chinese parents and 3 local Dutch parents were interviewed. The result shows that in general Chinese parents living in the Netherlands have a more negative attitude towards video games than Dutch parents do, though most of them also admit that video games may have positive effects. The effects of video games on study and eye sight are two mostly frequently mentioned reasons when they explain their attitude. As for the strategies and style of parenting, most Chinese parents think they are more restrictive and stricter than Dutch parents, but more lenient than traditional Chinese parents, which could be the result of a combination of Chinese and Dutch culture. It is also interesting to see that Chinese parents with Dutch partners looks more relaxed than those who have Chinese partners. In comparison with Dutch parents, Chinese parents’ awareness of PEGI rating system is lower. Since China has not introduced any rating system for television, film and video games, it is not natural for Chinese parents to be aware of PEGI and to use it. It can be seen that parents of girls are slightly more protective than parents of boys, although the differences are not very significant. The level of integration, children’s age, type of games and device have more significant association with parents’ attitude.
Abundance of Gut Microbiota, Concentration of Short-Chain Fatty Acids, and Inflammatory Markers Associated with Elevated Body Fat, Overweight, and Obesity in Female Adolescents

Background and Aims Overweight is ever more prevalent in the pediatric population, and this cardiometabolic factor can be associated with inflammatory markers, gut microbiota composition, and short-chain fatty acid (SCFA) concentrations. The aim of this study is to evaluate to what extent the abundance of gut microbiota phyla, SCFA concentrations, and inflammatory markers are associated with elevated body fat percentage (BF%), overweight, and obesity in female adolescents. Methods An experimental and comparative study was conducted with 96 girls 14 to 19 years old. They were divided into 3 groups: G1—eutrophic (EUT) and adequate BF%; G2—EUT and high BF%; and G3—overweight (OW) or obese (OB) and high BF%. Waist circumference (WC), waist to height ratio (WtHR), and neck circumference (NC) were analyzed as indicators of central visceral adiposity. The BF% was evaluated by DEXA equipment. A food frequency questionnaire was used to evaluate the main types of food consumed in a week. The abundance of the Firmicutes, Bacteroidetes, and Proteobacteria phyla was measured by real-time polymerase chain reaction (RT-qPCR), and the SFCA concentrations (acetic, butyric, and propionic) were determined by high-performance liquid chromatography (HPLC). The inflammatory markers leptin, tumor necrosis factor-alpha, interleukin-6, and high-sensitivity C-reactive protein (hs-CRP) were assessed. Results Female adolescents in groups G2 and G3 had greater central visceral adiposity and leptin concentration than those in group G1. No association was found between gut microbiota phyla abundance and SFCA concentrations in any of the groups. WC and frequency of consumption of oily and fatty foods were associated with Firmicutes abundance and SFCA concentrations. Girls with high WC also had the greatest leptin (p < 0.001) and hs-CRP (p = 0.035) concentrations. Conclusions Inflammatory markers showed association with increased BMI and high BF% in female adolescents. The abundance of Firmicutes was associated with WC and NC, but not with BMI classification or BF%. Specifically, WC and the consumption of oils and fats showed correlation with SCFA concentrations. Different anthropometric indicators, such as NC and WC, should be incorporated into the clinical evaluation of the nutritional status of individuals in the adolescent population.
Association of Menstrual Extension and Surgery Effectiveness with Ultrasound Parameters of Cesarean Section Scar Diverticulum in Patients Undergoing Transvaginal Uterine Diverticulum Repair

The association of residual myometrium thickness (RMT) and scar defect depth (D) with menstrual abnormalities and the effectiveness of vaginal repair remain to be determined in patients with cesarean section scar diverticulum (CSD). To assess the value of ultrasound to predict vaginal repair effectiveness. This was a retrospective study of patients with CSD treated with vaginal repair between 01/2014 and 02/2016 at Shanghai First Maternity and Infant Hospital (Tongji University). Transvaginal ultrasound was performed before and 3 months after surgical repair. RMT, D, scar defect length (L), and scar defect width (W) were measured. Width (W), D, and L increased along the duration of menstrual period (P < 0.05). When the menstrual extension time was ≥15 days, RMT/D and RMT/(RMT + D) were smaller than in patients with period <15 days (P < 0.05). L was the most positively correlated ultrasonic parameter with menstrual prolongation (r = 0.492). RMT/D and RMT/(RMT + D) were negatively correlated with prolonged menstruation (r = ‐0.304 and -0.305, respectively). RMT/D and RMT/(RMT + D) were associated with the disappearance of CSD after vaginal repair (P < 0.05). The cutoff value of RMT/(RMT + D) was 0.496, with sensitivity of 53.0% and specificity of 61.4%. L of CSD is closely correlated with menstrual extension but has no relationship with the effectiveness of surgery. RMT/(RMT + D) is correlated with menstrual extension time ≥15 days and the effectiveness of vaginal repair.
COMBINATION OF NEW, INNOVATIVE AND DEMONSTRATIVE 3D ELEMENTS WITH CLASSICAL LEARNING METHODS IN HUMAN ANATOMY COURSE

The aim of this work was to study, compare and summarize our experience in combination of innovative and demonstrative 3D elements with classical learning methods in Human Anatomy course. In practical classes 100 students of the 1st study year of the Faculty of Medicine used the virtual dissection Anatomage Table and/or their own prepared anatomical models by 3D printer. 100 students of the 2nd study year used the classical human cadaveric dissections. All participants were asked to discuss about these used teaching methods and complete an anonymous feedback questionnaire. 70% of students were satisfied with the virtual dissection and/or their own prepared anatomical 3D models in group 1, but they liked to highlight the role and necessity of real dissection. Some students were satisfied with the classical learning and teaching of human anatomy when associated it with the use of different 3D elements. 90% of students considered that virtual elements and models were useful in learning the study course outside the practical classes. In group 2 more than 95% of participants indicated that dissections should be regular. There classical learning of anatomical structures obtained better results than only in the innovations supported group. In human anatomy 3D elements together with classical learning methods can motivate students to study the morphological disciplines, increase their interest and the effectiveness of studies.
Depth is relative: the importance of depth for transparent exopolymer particles in the near-surface environment

Abstract. Transparent exopolymer particles (TEPs) are a major source for both organic matter (OM) and carbon transfer in the ocean and into the atmosphere. Consequently, understanding the vertical distribution of TEPs and the processes which impact their movement is important in understanding the OM and carbon pools on a larger scale. Additionally, most studies looking at the vertical profile of TEPs have focused on large depth scales from 5 to 1000 m and have omitted the near-surface environment. Results from a study of TEP enrichment in the sea surface microlayer (SML) in different regions (tropical, temperate) has shown that, while there is a correlation between TEP concentration and primary production (PP) on larger or seasonal scales, such relationships break down on shorter timescales and spatial scales. Using a novel small-scale vertical sampler, the vertical distribution of TEPs within the uppermost 2 m was investigated. For two regions with a total of 20 depth profiles, a maximum variance of TEP concentration of 1.39×106 µ g XG eq 2 L −2 between depths and a minimum variance of 6×102 µ g XG eq 2 L −2 was found. This shows that the vertical distribution of TEPs was both heterogeneous and homogeneous at times. Results from the enrichment of TEPs and Chl a between different regions have shown TEP enrichment in the SML to be greater in oligotrophic waters, when both Chl a and TEP concentrations were low, suggesting the importance of abiotic sources for the enrichment of TEPs in the SML. However, considering multiple additional parameters that were sampled, it is clear that no single parameter could be used as a proxy for TEP heterogeneity. Other probable biochemical drivers of TEP transport are discussed.
Defining the Integrated Performance Measurement Systems in Small and Medium Enterprises: An Advanced Model

Purpose: The purpose of this paper is to propose an “Integrated Performance Measurement System” (PMS) addressing the measurement and management of the financial and non-financial performance and “Intellectual Capital” (IC) for the “Small and Medium Entreprises” (SMEs). The paper relies on the “Integrated New Model” (INM) by Pirozzi and Ferulano (2016) that deals with the same task applied to a specific sector. Thus, we propose the modification of the INM model to define a “Renewed and Advanced Model” called “INM*” as integrated PMS for SMEs. Design/methodology approach: We used a qualitative method with an inductive and deductive approach to obtain an advanced model INM*. Thus, the SMEs characteristics are translated in our advanced INM* model according to the INM* structure and the IC framework. Moreover, we integrated in our proposed model INM* the “Strategic Management Accounting” (SMA) and the “Systems of Innovation” (SI) perspectives. Findings: We proposed the advanced model INM* as integrated PMS. This is a model supporting entrepreneurial and innovative SME as well as a conceptual framework summarizing the interactions and the knowledge conversions that occur between the IC components within the innovation processes. Thus, the proposed model is a useful tool for SMEs organizations. Originality/value: The renewed and advanced model INM* is useful in the academic and practical communities. It exhibits the advantages related to the innovative usage of a unique measurement system devoted to accomplish all the measurement tasks activated by SMEs. In addition, two other models are proposed and, in turn, are available for further research.
The effects of acute interval cycling and blood flow restriction on hematologic factors of beginner cyclists

Blood compositions change as a result of physical activity and an exercise associated with Blood Flow Restriction (BFR) is a new exercise method. This study aims to compare the acute effect of an interval exercise with blood flow restriction on beginner cyclists’ hematologic factors. Twenty students of Shiraz Education Cycling Team with an age average of 16.43 ± 1.36 years, weight of 60.07 ± 11.74 kg and height of 175.46 ± 6.14 cm participated voluntarily in this experimental study. The participants were divided randomly into two equal groups of interval cycling with BFR (n=10) and interval cycling without BFR (n=10). Interval exercise consisted of 10 repetitions for one minute and one-minute rest between repetitions. BFR was applied by cuff with a width of 15 cm and pressure of 160 mmHg. Before and immediately after the exercise, 5 ml blood sample was taken from a brachial vein. The results were extracted using dependent and independent T-test statistical methods at the significance level of P <0.05 by SPSS 23. The results showed the increasing effect of acute interval cycling with BFR on White Blood Cells (WBC), Red Blood Cells (RBC), Hemoglobin (Hb), Hematocrit (Hct) and Platelets (PLT) as well as the increasing effect of acute interval cycling without BFR on WBC and PLT. No significant difference was observed between the effects of the two exercise methods on hematologic factors (P<0.05). Acute interval cycling with BFR increased five hematologic indexes; however, acute interval cycling without BFR increased two hematologic indexes. It seems that interval exercise with BFR makes wide hematologic changes among beginner cyclists.
Use of Geosynthetics for Separation and Stabilization in Low-Volume Roadways

v INTRODUCTION . 1 PURPOSE AND SCOPE . 2 METHODS . 3 Overview . 3 Literature Review. 3 Determination of State of the Practice in Virginia . 4 Analysis of Test Sites With Geosynthetics in Virginia . 4 Development of New LCCA Method . 8 RESULTS . 15 Literature Review. 15 Performance of Sites With Geosynthetics in Virginia . 32 Life Cycle Cost Analysis . 41 DISCUSSION . 50 CONCLUSIONS. 56 RECOMMENDATIONS . 58 SUGGESTIONS FOR FURTHER RESEARCH . 59 IMPLEMENTATION AND BENEFITS . 59 Implementation . 59 Benefits . 59 ACKNOWLEDGMENTS . 60 REFERENCES . 60 APPENDIX A: SURVEY OF VDOT RESIDENT ENGINEERS . 69 APPENDIX B: LAYER DETERIORATION CURVES AND MAINTENANCE SCHEDULE DETERMINATION PROCESS SUPPORTING THE LCCA . 73 APPENDIX C: EXAMPLE OF MAINTENANCE SCHEDULE DETERMINATION PROCESS: NO GTX PAVEMENT OPTION WITH AND WITHOUT PM . 81 APPENDIX D: EXAMPLES OF PAVEMENT MAINTENANCE SCHEDULES WITH AND WITHOUT PREVENTIVE MAINTENANCE . 83 APPENDIX E: PROPOSED SPECIAL PROVISION FOR SUBGRADE SEPARATION AND SUBGRADE STABILIZATION GEOTEXTILES . 85
The rate of cesarean section and its effect factors in Shanghai

Objective:To understand the status of cesarean section rate and its effect factors in Shanghai,provide a scientific basis for making related intervention measures.Methods:The trend of change of cesarean section rate was studied by analyzing relative report forms.The cognitions and choices of pregnant women delivering in the hospital and related medical workers who provided maternal services in 2009 were investigated by field investigation with a questionnaire.Results:The rate of cesarean section in Shanghai showed a increasing trend,fluctuating around 51% in recent 5 years.The willing to choose delivery modes among pregnant women changed during different gestational periods,and the willing to choose cesarean section became stronger when delivery approached.The top three indications for cesarean section were:social factors (34.4%),fetal distress (16.8%) and scar uterus (9.9%). The social factors were the more common factors,especially among Shanghai residents (54.14%),including being afraid of pain,anxiety of fetal safety and advices from medical workers.For Shanghai residents,the choice of cesarean section was affected by personal psychological factors and environment,while for the immigrants,it was affected by economic status and educational level; the low cognition of medical workers to adverse effects of cesarean section,avoidance of medical risks and consideration of profits made the medical workers prefer cesarean section.Conclusion:The effect factors of high cesarean section rate are complicated.Health education,developing proper midwifery technology and improving maternal quality are emergently required to reduce the cesarean section rate.
Sex life during pregnancy: survey among women Spolno

Introduction: Pregnancy involves emotional and physiological changes, which affect the pregnant woman, her partner and their relationship. The sexuality of the couple changes with the onset of pregnancy compared to pre-pregnancy. The aim of the study was to investigate changes in the sex life of women during pregnancy. Methods: Quantitative research based on a questionnaire was carried out in August 2016 on a purposive sample of 685 women who had given birth at least once and women who were in the last trimester of pregnancy when completing the questionnaire. The data analysis included frequencies, percentages, mean values and independent samples t-test calculations. Results: The frequency of sexual intercourse decreased compared to the preconception period. The majority of women (43 %) included in the survey stated that their sexual desire declined during pregnancy. The most common factors that hindered women's sexual activity were fatigue and the feeling of awkwardness. Discussion and conclusion: Psychophysical changes in a pregnant woman may affect the couple's sexuality to a greater or lesser extent, which may in turn affect their relationship. It is therefore crucial that couples be offered quality counseling on sex life by appropriate institutions and programmes.
Calpain Small Subunit 1 Protein in the Prognosis of Cancer Survivors and Its Clinicopathological Correlation

Background/Aims. Calpain small subunit 1 (Capn4) is implicated in tumorigenesis and plays a key role in multiple tumors. This study aimed to fully illustrate the prognostic value of Capn4 protein in cancer patients. Methods A systematic search was conducted against several online databases. Hazard ratios (HRs) or odds ratio (ORs) were used to investigate the relationship between Capn4 protein expression and prognosis as well as clinical parameters in cancer survivors. Results Eleven studies involving 1775 patients were identified. Overall, the results showed that Capn4 protein was associated with poor prognosis of overall survival (OS) (HR=1.74; 95% CI:1.47-2.01; p<0.001) and event-free survival (EFS) (HR=1.73; 95% CI:1.39-2.07; p<0.001) and event-free survival (EFS) (HR=1.73; 95% CI:1.39-2.07; p<0.001) and event-free survival (EFS) (HR=1.73; 95% CI:1.39-2.07; p<0.001) and event-free survival (EFS) (HR=1.73; 95% CI:1.39-2.07; p<0.001) and event-free survival (EFS) (HR=1.73; 95% CI:1.39-2.07; p<0.001) and event-free survival (EFS) (HR=1.73; 95% CI:1.39-2.07; p<0.001) and event-free survival (EFS) (HR=1.73; 95% CI:1.39-2.07; p<0.001) and event-free survival (EFS) (HR=1.73; 95% CI:1.39-2.07; p<0.001) and event-free survival (EFS) (HR=1.73; 95% CI:1.39-2.07; Conclusions Expression of Capn4 protein is associated with cancer survival and clinicopathologic characteristics in patients.
How do nurses experience the use of aromatherapy with lavender in the care of residents with dementia suffering from disturbed sleep patterns? An action research study

The purpose of this study is to gain insight into nurses’ experiences of incorporating aromatherapy into care of residents with dementia who suffer from anxiety and disturbed sleep patterns. Twenty-four residents and twelve nurses from four nursing homes participated in an action research study. Using an aroma diffuser with 12 drops of lavender every night was perceived as an effective care modality, and inspiring to use because it was a natural product with a good smell. Nurses experienced some negative attitudes among colleagues because they considered aromatherapy as CAM and not evidence based. Nurses need access to knowledge of the options available in aromatherapy. Further research is needed to study how smell affects nurses when using aromatic oils in care. 2013 Elsevier Ltd. All rights reserved.
SEEDLINGS PRODUCTION AND FRUIT YIELD OF CUCUMBER ON DIFFERENT ORGANIC SUBSTRATES

Demand for agricultural products with zero or reduced amounts of agrochemicals leads to increasingly healthy production alternatives. Thus, seedling formation and fruit yield of three cucumber cultivars were evaluated on different organic substrates in a protected environment. Marketer, Caipira and Verde Comprido cultivars were grown on five substrates: 100% cassava stems + 0% cattle manure; 75% cassava stems + 25% cattle manure; 50% cassava stems + 50% cattle manure; 25% cassava stems + 75% cattle manure and 0% cassava stems + 100% cattle manure. A completely randomized design in a 5 x 3 factorial scheme (5 substrates X 3 cultivars) was used, with six replications of four seedlings in the seedling formation phase and five replications of two plants in the fruit production phase. The seedlings were produced in trays with 72 cells, and fruit production was conducted in 13liter pots. There was a little influence of the substrates on the emergence of cucumber cultivars: the substrates with 75 and 100% of cattle manure provided the best conditions for seedling formation, as well as the highest yield and the largest amount of fruits. On the best substrates, the cultivar Caipira had fruits with higher mass and larger average fruit diameter, but in smaller numbers.
Equivalence of ensembles in quantum lattice systems

A thermodynamic limit of a quantum lattice system is considered in the microcanonical, the canonical and the grand canonical ensembles. It is shown that we can deduce some properties in one ensemble if they are proved in another. It is shown that the van Hove limit of the thermodynamic functions exists in the canonical and microcanonical formalism and also a property of convexity and monotony in the microcanonical ensemble.