bluuebunny/crossref_metadata_2025 huggingface dataset:
Sosialisasi Undang-Undang Nomer 23 Tahun 2004 Tentang Penghapusan Kekerasan Dalam Rumah Tangga
Authors: Tina Marlina  , Montisa Mariana  , Irma Maulida
Published: July 2022

Dalam rangka membangun sumber daya manusia Indonesia yang berkualitas perlu adanya upaya bersama antara pemerintah, masyarakat dan keluarga dalam menanggulangi permasalahan kekerasan dalam rumah tangga. Sehubungan dengan hal tersebut dalam rangka usaha mencegah dan menanggulangi terjadinya kekerasan dalam rumah tangga sebenarnya Pemerintah telah mengeluarkan peraturan perundang-undangan yang terkait dengan kekerasan dalam rumah tangga yaitu, Undang-Undang No 23 Tahun 2004 tentang Penghapusan Kekerasan Dalam Rumah Tangga. Tujuan yang ingin dicapai dalam kegiatan pengabdian pada masyarakat dengan tema Penyuluhan Hukum dan Sosialisasi UU No.23 Tahun 2004 Tentang Penghapusan Kekerasan Dalam Rumah Tangga adalah untuk mendukung program Perguruan Tinggi sebagai pusat studi Advokasi salah satunya terkait tentang kekerasan dalam Rumah Tangga. Metode yang digunakan dalam kegiatan pengabdian pada masyarakat pada para pengurus/Ibu-ibu PKK Desa Sampiran Kecamatan Talun Kabupaten Cirebon adalah dengan menggunakan metode penyuluhan hukum, pendampingan dan pemberian konsultasi terhadap pemecahan masalah yang terkait dengan penyadaran hukum terhadap penghapusan KDRT yakni mengenai pencegahan dan perlindungan korban KDRT dan penegakan hukum terhadap pelaku KDRT.
Pelatihan Laporan Keuangan Usaha Kecil Menengah Pada Usaha Rumahan Ibu-Ibu Rumahtangga yang Tergabung Dalam PKK RT 002 RW 008 Kelurahan Serpong Tangerang Selatan
Authors: Gojali Supiandi  , Tita Amalya Neneng , Udin Saparudin
Published: July 2022

Laporan keuangan menggambarkan kondisi keuangan dan hasil usaha suatu perusahaan pada saat tertentu atau dalam jangka waktu tertentu. Biasanya laporan keuangan dibuat per periode, misalnya tiga bulan, atau enam bulan untuk kepentingan internal perusahaan. Sementara itu, untuk laporan lebih luas dilakukan satu tahun sekali. Laporan keuangan berfungsi sebagai alat untuk menganalisis kinerja keuangan yang dapat memberikan informasi tentang posisi keuangan, kinerja dan arus kas, sehingga dapat dijadikan sebagai dasar membuat keputusan-keputusan ekonomi. Tujuan dari pengabdian kepada masyarakat ini adalah mengetahui kendala-kendala yang dihadapi UKM dalam menyusun laporan keuangan untuk merancang sistem akuntansi sederhana yang dapat membantu dan memudahkan para pemilik UKM dalam membuat laporan keuangan sesuai dengan standar akuntansi yang berlaku serta membantu memberikan solusi atas permasalahan kaitan dengan sumber daya manusia. Pelaksanaan kegiatan terdiri dari tiga tahap. Pertama tahap persiapan meliputi survei, penyusunan proposal, perencanaan kegiatan, penyusunan materi pelatihan dan koordinasi dengan pihak terkait serta persiapan bahan dan alat pelatihan. Tahap kedua yaitu tahap pelaksanaan pelatihan teori dan praktek. Pelatihan ini melalui praktek langsung dengan memberikan FORM (lampiran) yang sudah tersusun laporan keuangan sehingga peserta PKM (ibu-ibu PKK) dapat langsung mengisi nya berdasarkan usaha yang dijalankan masing-masing peserta didampingi oleh narasumber dalam cara membuatnya. Tahap ketiga yaitu tahap evaluasi dan pelaporan. Setelah dilaksanakan pelatihan ini pertama, peserta mengalami peningkatan pemahaman penyusunan laporan keuangan. Kedua, peserta  menyadari pentingnya dalam membuat laporan keuangan atas usahanya sehingga mengetahui jumlah pengeluaran dan pendapatan yang diperoleh per periodenya. Ketiga, peserta mengalami peningkatan melalui kemampuan mengelola keuangan usahanya.
A Study on Nutritional Intake, Body Composition of College Athletes
Authors:   Korea Integrated Resort Forum, Kim Byoung-Hyeon , Lee Yu-Ri
Published: July 2022

Purpose: The purpose of this study was to examine characteristics between nutritional intake, body composition in college athletes.
Method: Thirty-five participants were recruited in this study and were divided into the Taekwondo athletes (n=24), track and field athletes (n=11). An independent sample t-test was used to compare and analyze the physical characteristics of subjects between groups and the average daily nutritional intake. In addition, Pearson's correlation analysis was conducted to understand the relationship between the physical characteristics of the subjects and the daily average intake nutrients.
Results: In terms of body composition, it was found that there was a difference between groups in height and body fat percentage (p<.05), As a result of comparing the nutritional intake, it was shown that the track and field athletes had a higher intake of nutrients excluding vitamin C than the taekwondo athlete. (p<.001).
Conclusion: There was a significant difference in nutritional intake between taekwondo and track and field athletes, and taekwondo athletes showed significantly less nutritional intake than the recommended intake for the general public. The negative effects of nutritional deficiencies in athletes need to be studied.
Pengaruh Penyuluhan dengan Media Animasi Pencegahan Stunting terhadap Pengetahuan dan Sikap Calon Pengantin
Authors: Nurlinda Nurlinda , Zarkasyi R Rahmat , Wahyuni Sari Rasidah
Published: July 2022

Stunting terjadi akibat tidak terpenuhinya gizi kronis di 1000 hari pertama kehidupan yang mengakibatkan perkembangan anak terganggu. Menurut WHO upaya pencegahan pada stunting dapat dimulai sejak prakonsepsi, wanita usia subur dapat mulai diberikan pengetahuan dan pemahaman mengenai pentingnya pemenuhan asupan gizi sebelum kehamilan. tujuan penelitian ini untuk mengetahui pengaruh penyuluhan dengan media animasi pencegahan stunting terhadap pengetahuan dan sikap calon pengantin.

Metode yang digunakan pada penelitian ini adalah Metode quasi eksperimen, dengan rancangan One-group pre-post test design. Penelitian dilakukan di Kantor Urusan Agama (KUA) Patampanua dan KUA Lembang Kabupaten Pinrang, Waktu  Penelitian dilaksanakan pada bulan Desember 2020- Januari 2021. Penarikan sampel dilakukan dengan menggunakan Total Sampling terhadap 47 responden.

Hasil penelitian ini menyatakan bahwa pengetahuan Responden setelah pemberiann penyuluhan pencegahan stunting dengan media animasi untuk pre-test yaitu 8,62 sedangkan untuk hasil post- test mengalami peningkatan yaitu 13,38. sikap Responden setelah pemberiann penyuluhan pencegahan stunting dengan media animasi untuk pre-test yaitu 20,68 sedangkan untuk hasil post- test mengalami peningkatan yaitu 31,60.

Kesimpulan Ada pengaruh penyuluhan dengan media animasi pencegahan stunting terhadap pengetahuan dan sikap calon pengantin dengan nilai P = 0,000).
Pengaruh Self Manajement terhadap Pengendalian Kadar Gula Darah pada Penderita Diabetes Mellitus Tipe II di UPTD Diabetes Center Kota Ternate
Authors: Yustina Yustina , Tuharea Rosmila
Published: July 2022

Tujuan penelitian ini untuk mengetahui Pengaruh self management terhadap kadar gula darah pada penderita diabetes mellitus tipe II di UPTD Diabetes Centre Kota Ternate. Jenis penelitian ini adalah Rancangan penelitian menggunakan rancangan penelitian Quasi Eksperimen dengan desain penelitian “Non-Equivalent Groups Pretest-Posttest Design”. Populasi dalam penelitian ini adalah penderita diabetes mellitus tipe II yang ada di UPTD Diabetes Center dengan sampel sebesar 31. Analisis data menggunakan Uji Pired Sample t test untuk Variabel Stress dan pola maka, Uji Wilcoxon Test untuk variabel Kontrol gula darah, olahraga, kepatuhan pengobatan dan pemeriksaan kadar gula darah. Hasil penelitian menunjukkan bahwa, Ada perbedaan pengelolaan stress antara sebelum dan sesudah diberikan pelatihan self managent stress dengan nilai sig  0,009 < 0,05. Ada perbedaan pengaturan pola makan sebelum dan sesudah diberikan pelatihan self managent  pola makan dengan nilai sig  0,001 < 0,05. Tidak ada perbedaan kontrol gula darah sebelum dan sesudah diberikan pelatihan self managent  kontrol gula darah dengan nilai sig 0,100 > 0,05. Tidak ada perbedaan olahraga sebelum dan sesudah diberikan pelatihan self managent  olahraga dengan nilai sig 1,100 > 0,05. Tidak ada perbedaan kepatuhan pengobatan sebelum dan sesudah diberikan pelatihan self managent  kepatuhan pengobatan dengan nilai sig 0,195 > 0,05 dan tidak ada pengaruh kadar gula darah sebelum dan sesudah diberikan pelatihan self managent dengan nilai sig 0,439 > 0,05. Peningkatan self management sangat penting untuk mengendalikan kadar gula darah, maka diharapkan penderita lebih mandiri dalam mengontrol kadar gula darahnya sehingga dapat meminimalisir resiko komplikasi diabetes.
Prevention and Infection Control in Dental Practices During the Covid-19 Pandemic: A Literature Review
Authors: Ayu Shintya Ratri , Windusari Yuanita , Adlia Syakurah Rizma
Published: July 2022

Dental practices have a high risk of infected Covid-19 when providing dental and oral health services. The highest infections among all health care professions are dentists, dental assistants, and dental hygienists, because these professions are associated with patients and exposure to salivary secretions and aerosols. To be able to reduce the risk and the transmission of Covid-19 virus in dental practice, it is necessary to prevent and control infection during the Covid-19 pandemic. Therefore, the purpose of this study is to analyze infection control prevention in dental practices during the Covid-19 pandemic. This type of research is a literature review with a qualitative approach through descriptive analysis. The selection of articles according to the specified inclusion and exclusion criteria. The search process for this article was carried out using Google Scholar, Pubmed, DOAJ and Springerlink databases using the keywords "infection control, dental practice, and covid-19". The articles obtained from research year 2019 to 2021. From various literatures it is found that prevention efforts can be carried out in several ways, including through the application of triage to patients, patient management, use of personal protective equipment for dentists and clinical staff, and management of the practice environment.
Pengalaman Lansia Menerapkan Protokol Kesehatan di Masa Pandemi Covid-19: Studi Kualitatif di BPLU Senja Cerah Manado
Authors: Kristamuliana Kristmuliana , Renteng Septriani , Datu Ronald Joy
Published: July 2022

Penerapan protokol kesehatan di seluruh kalangan masyarakat termasuk lansia merupakan salah satu langkah untuk mencegah penularan COVID-19, namun penurunan fungsi fisik dan psikososial pada lansia dapat menjadi salah satu penghambat bagi lansia dalam menerapkan protokol kesehatan yang dimaksud. Penelitian ini bertujuan untuk mengekplorasi pengalaman lansia dalam menerapkan protokol kesehatan di masa pandemic COVID-19 khususnya di Panti Werdha. Peneltian ini adalah penelitian kualitatif yang dilaksanakan di Balai Penyantunan Lanjut Usia (BPLU) Senja Cerah Kota Manado dengan melakukan indept interview kepada 12 (dua belas) lansia sebagai informan utama dan 2 (dua) informan pendukung yang berasal dari pihak pengelola panti. Terdapat 3 (tiga) tema yang dapat disimpulkan dari penelitian ini yaitu 1) Gambaran berbagai pengalaman lansia dalam menerapkan protokol kesehatan (tidak nyaman menggunakan masker, tidak nyaman sering cuci tangan, menjaga jarak bukan sebuah masalah dan sering lupa menerapkan protokol kesehatan); 2) Motivasi lansia dalam menerapkan protokol kesehatan (demi kesehatan, supaya pandemic cepat berlalu dan aturan pemerintah) dan 3) Dukungan lansia dalam menerapkan protokol kesehatan (dukungan keluarga dan dukungan sosial). Kesimpulan dari penelitian ini adalah berbagai pengalaman yang dirasakan oleh lansia dalam menerapkan protokol kesehatan adalah gambaran dari penurunan fungsi fisik dan pasikososial namun lansia tetap termotivasi karena  mengikuti anjuran pemerintah agar tetap sehat dan pendemi segera berlalu serta adanya dukungan baik dari keluarga, dari sesama lansia dan dari pihak pengelola panti.
Gambaran Gejala Klinis dan Gangguan Psikologis Pasien Positif Covid-19 di Kota Pontianak
Authors: Setiawati Linda , Montesori Windi Maria , Boru Tambunan Marcelina , Suawarni Linda
Published: July 2022

Latar Belakang: Kasus pasien positif Covid-19 semakin meningkat sampai saat ini, berdampak pada berbagai aspek kehidupan termasuk psikologis, yaitu kecemasan, depresi, dan insomnia. Namun data tentang gambaran besaran gangguan kesehatan mental pada pasien Covid-19 yang penting untuk menjadi dasar dalam inteevensi lanjut dalam upaya percepatan penyembuhan pasien Covid-19. Tujuan penelitian ini adalah menggambarkan gejala klinis dan ganggunan psikologi pada pasien positif Covid-19 di Kota Pontianak.

Metode: Penelitian ini merupakan deskriptif kuantitatif dengan pendekatan crosssectional. Total sampling digunakan sebanyak 42 orang. Analisa data dilakukan dengan menggunakan program computer. Teknik analisa data menggunakan univariate.

Hasil: Sebagian besar responden juga mengalami gangguan kesehatan mental dalam beberapa level, diantaranya antara lain kecemasan ringan (66,7%), depresi ringan (59,5%), dan insomnia dalam skala ringan-sedang- berat sebesar 76,2%

Kesimpulan: : Pasien positif Covid-19 mengalami gangguan psiklogis sehingga diperlukan intervensi yang tepat untuk mengurangi gejala klinis dan gangguan psikologis yang muncul dalam mempercepat proses kesembuhan
Ten Years of Tutoring in Shadow Education: A Narrative Inquiry into Industry Features and Evolution in China
Authors:   Asian Qualitative Inquiry Association, Hua Bin , Yung Kevin Wai Ho
Published: July 2022

The modernized private tutoring in China appeared in the 1990s and then grew at full speed to become one of the world’s most extensive shadow education systems. Since 2010, the industry has entered an era of deepening institutionalization and capitalization. This paper, through the narrative of an expert tutor, illuminates his experiences of tutoring and managing in this industry from 2010 to 2020 in Mainland China. The narrative was constructed through the tutor’s chronological reflection, which was stimulated by various electronic files he produced during the tutoring period and his ongoing conversations with former colleagues. In making sense of his narrative, the researchers have discussed a neglected phenomenon, three shining points, six gray areas, and four developmental stages of shadow education to demonstrate the industry features and evolution. Through discussing these issues, this paper finds its originality in illustrating at a micro level the industry’s operational mechanism, such as tutor training, curriculum, instruction, and after-class management, from a unique perspective of a tutoring practitioner and entrepreneur.
SMOKING CAUSES A LOW-GRADE SYSTEMIC INFLAMMATION IN THE HUMAN BODY
Authors: Helvaci Mehmet Rami , Salaz Semih , Altintas Engin , Yalcin Atilla , Abyad Abdulrazak , Pocock Lesley
Published: July 2022

Background: There may be some positive and negative acute phase reactants (APR) indicating the possible inflammatory effects of smoking on vascular endothelium all over the body. Method: Consecutive daily smokers at least for a period of six months and age and sex-matched non-smokers were taken into the study. Cases with regular alcohol consumption (one drink a day) and patients with inflammatory, infectious, or devastating disorders including eating disorders, malignancies, acute or chronic renal failure, cirrhosis, chronic obstructive pulmonary disease, hyper- or hypothyroidism, or heart failure were excluded. Results: The study included 150 smokers (99 males) and 162 non-smokers. Interestingly, the mean age of the smokers was 45.9 years, and 66.0% of them were male. Although the mean weight, body mass index, systolic and diastolic blood pressures, and hematocrit values were similar in both groups, triglycerides (163.3 versus 151.8 mg/dL, p<0.05), low density lipoproteins (LDL) (126.1 versus 117.4 mg/dL, p<0.05), erythrocyte sedimentationrate (ESR) (10.8 versus 9.4 mm/h, p<0.05), and C-reactive protein (CRP) (2.5 versus 2.1 mg/L, p<0.05) values were all higher in the smokers, significantly. On the other hand, high density lipoproteins (HDL) (41.1 versus 44.0 mg/dL, p<0.05) and fasting plasma glucose (FPG) (101.9 versus 111.9 mg/dL, p<0.01) values were lower in the smokers, significantly. Conclusion: Smoking causes a low-grade systemic inflammation on vascular endothelium terminating with an accelerated atherosclerosis-induced end-organ insufficiencies in the body. Plasma triglycerides, LDL, ESR, and CRP may be positive whereas HDL and FPG negative APR indicating the inflammatory effects of smoking in the human body .Key words: Smoking, triglycerides, low density lipoproteins, erythrocyte sedimentation rate, C-reactive protein, high density lipoproteins, fasting plasma glucose
FACTORS AFFECTING THE PROMOTION OF BACK CARE PRACTICES AMONG NURSES WORKING IN LONG TERM CARE SETTINGS: AN INTEGRATIVE REVIEW
Authors: Mohamed Nagwa , Johnson Jessie , Al Mutawa Mariam , Forgrave Daniel
Published: July 2022

Background: Work-related musculoskeletal injuries and disorders are multifactorial and have diverse negative occupational, economic, and health impacts, including poor quality of life, high compensation costs, and reduced productivity among the working populations. The impact is noticeable among nurses due to the physical demands of their duties, such as patient positioning and mobilization. Several approaches, including back-care programs, have been implemented to prevent negative impact and reduce the incidence of low back pain among nurses. However, back-care practices are influenced by various factors that affect their success among nurses, especially those working in long-term care settings. Aim: This integrative review aims to identify the factors that promote back-care practices among nurses working in long-term care settings. Method: This integrative review was guided by Whittemore and Knafl’s (2005) framework. Three databases were searched for peer-reviewed studies published between 2011 and 2021 based on set inclusion and exclusion criteria. A hand search was also conducted among the reference lists of the included peer-reviewed articles. The identified articles were critically appraised using the Mixed Methods Appraisal Tool. Data was then extracted, and the various barriers and facilitators of back-care practices were noted based on the three levels of the Socio-Ecological Model: individual, organizational, and environmental. Results: Three main factors that influence back-care practices include lack of knowledge among nurses about the programs, lack of organizational support, and lack of maneuvering space. Conclusion: It is imperative that educational sessions related to the safe handling of patients be provided to nurses to increase their knowledge and implementation of appropriate back-care practices. Keywords: work-related musculoskeletal injuries, long-term care nurses, back care practices, socio-ecological model
POSITIVE AND NEGATIVE ACUTE PHASE REACTANTS IN SMOKERS
Authors: Helvaci Mehmet Rami , Altintas Engin , Yalcin Atilla , Muftuoglu Orhan Ekrem , Abyad Abdulrazak , Pocock Lesley
Published: July 2022

Background: We tried to understand whether or not there are some positive and negative acute phase reactants (APR) indicating the possible inflammatory effects of smoking on vascular endothelium. Method: Consecutive daily smokers at least with a history of one pack-year and age and sex-matched non-smokers were taken into the study. Cases with regular alcohol consumption (one drink a day) and patients with inflammatory, infectious, or devastating disorders, or heart failure were excluded. Results: The study included 247 smokers (173 males) and 167 non-smokers. Interestingly, the mean age of the smokers was 46.2 years, and 70.0% of them were males. Although the mean body weight, body mass index, systolic and diastolic blood pressures, and hematocrit values were similar in both groups, plasma triglycerides (163.1 versus 151.3 mg/dL, p<0.05), low density lipoproteins (LDL) (123.8 versus 117.5 mg/dL, p<0.05), erythrocyte sedimentation rate (ESR) (10.6 versus 9.3 mm/h, p<0.05), and C-reactive protein (CRP) (2.3 versus 2.0 mg/L, p<0.05) values were all higher in the smokers, significantly. On the other hand, high density lipoproteins (HDL) (40.9 versus 44.0 mg/dL, p<0.05) and fasting plasma glucose (FPG) (102.3 versus 111.6 mg/dL, p= 0.007) values and prevalence of diabetes mellitus (8.9% versus 14.3%, p<0.05) were all lower in the smokers, significantly. Conclusion: Smoking may cause a low-grade systemic inflammation on vascular endothelium terminating with an accelerated atherosclerotic process-induced end-organ insufficiencies all over the body. Plasma triglycerides, LDL, ESR, and CRP may be positive whereas HDL and FPG may be negative APR indicating such inflammatory effects in the body. Key words: Smoking, triglycerides, low density lipoproteins, erythrocyte sedimentation rate, C-reactive protein, high density lipoproteins, fasting plasma glucose
Patterns of Social Interaction and Lifeways which Affect Health and Healthcare of Families in Saudi Arabia and the Gulf States
Authors: Alyousef Seham Mansour
Published: July 2022

Background: Lifeways of Saudi Arabia and neighboring Gulf States form a unique pattern. A large portion of healthcare providers are foreign nationals. Purpose: The absence of insight into these unique lifeways by healthcare providers may limit their caring activities. Review of related literature has suggested that dissonance between clients and care providers may be a barrier to care. Method: Purnell’s Cultural Competency framework was utilized to focus on communication, family roles and organization, developmental tasks, social status, family dynamics, workforce issues, biocultural ecology, high-risk behavior, physical activity, nutrition, pregnancy, fertility, birth, spirituality, and death from the standpoint of healthcare delivery. Results: Each of the sectors discussed illuminate important ways in which Saudi and Gulf society are similar and different from the body of research related to this area. Conclusion: This inquiry has added perspectives which may be useful for provision of care by healthcare practitioners who are unfamiliar with some of the health related lifeways in Saudi Arabia and Gulf. Keywords: Lifeways; Health; Healthcare; Families; Gulf-States
A mixed-method study examining family physicians’ perceptions regarding insulin pump therapy
Authors: Alghamdi Hammam I. , Yaghmour Khaled A. , AlShora Weam B. , Ismail Mazen A.
Published: July 2022

Background: Primary health care (PHC) physicians lack sufficient knowledge about insulin pump therapy. Objectives: to assess the level of knowledge and attitude of PHC physicians toward Insulin Pumps. Methods: A cross-sectional study was done on PHC physicians working in primary healthcare settings at the main University Hospital and at the medical services centers at King Abdulaziz University, Jeddah, Saudi Arabia. Data about participants’ demographics, experience, specialty, workplace, and current position were collected. Their knowledge and attitude toward insulin pump therapy were assessed through online Google Forms. A qualitative part of the study was done by interviewing six physicians to report their opinion about insulin pumps therapy. Results: There was a lack of understanding of the function of an insulin pump and the elimination of the usage of finger sticks, however most of them were aware of the different types of insulin dosages and the appropriate age group for insulin pump therapy. The majority of the participants had a favorable attitude toward insulin pump therapy, as evidenced by the qualitative and quantitative findings of the study. Physicians who were 30 to 49 years old, consultants, and those with 10 to 19 years of experience all scored much better on knowledge. Knowledge deficits, a hazy system, financial concerns, the lack of pumps, and the lack of a skilled physician were all barriers to initiating patients on insulin pump therapy. Conclusions: There is a need for training programmes to increase PHC understanding and attitudes about insulin pump therapy. Keywords: knowledge, attitude, insulin, pumps, PHC, Jeddah
Assessment of Female’s Decision Regarding Family Planning and Associated Factors in Tehsil Sohawa, Punjab, Pakistan
Authors: Mujtaba Ali , Komal Nimrah , Jan Sadiq , Nasreen Tahira , Mumtaz Hassan , Shahzad Khurram
Published: July 2022

Family planning enables individuals and couples to anticipate and acquire their planned number of children including the spacing and timing of their births. It’s achieved by the use of birth control methods and the treatment of involuntary infertility. It demonstrates that the Pakistan family planning program has been unable to work efficiently. To understand the constraints, academics are seeking to focus on reasons behind service delivery failures, cultural restrictions, and other relevant aspects. Furthermore, the Pakistan authorities have serious worries such as the socio-economic consequence of unrestrained population increase. The purpose of the study is to illustrate the factors influencing female’s decision regarding family planning. A cross-sectional study was conducted in Tehsil Sohawa, Punjab between August 2020 and December 2020. A data set of 210 individuals was obtained from Tehsil Sohawa, Punjab, Pakistan. The researcher administered questionnaire was adopted for data collection. The study results showed that female’s decision on family planning was mostly affected by education level, household structure, insufficient information about family planning as well and fear of unfavorable impacts of contra conception, and counseling services played a vital part in decision making related family. Keywords: Counseling services, Education, Family planning, Female’s decision
Knowledge and Awareness of mothers and caregivers of Diabetic Children about clinical features and complications of Diabetic Ketoacidosis in Riyadh City: questionnaire study
Authors: Al Kaabba Abdulaziz Fahad , Alzuair Bandar Saleh , AlHarbi Yara Faisal , Alshehri Juhainah Abdullah , Almalki Hanan , Alsalman Reeman , Alsubaie Shoug , Alkhatabi Reema Awad , Hussein Ghaiath
Published: July 2022

Objectives: Diabetic ketoacidosis (DKA) is a life-threatening metabolic disorder in which complications can be avoidable. The purpose of this study is to describe the knowledge of the Saudi caregivers for diabetic children about Juvenile Diabetes Mellitus, its signs and symptoms and prevention and its complications in children under their care. Setting and Participants: A cross-sectional, questionnaire-based study design was conducted in Riyadh city in Saudi Arabia. A sample size of at least 412 was required. The total number of respondents that were included in the analysis was 414. The method of collection of data was done by data collectors. Results: 399 caregivers participated in this study, most of whom were Saudi (376; 94.2%), and gained a university degree (300; 75.2%). The most commonly cited symptom of DM in children was raised blood sugar (225; 56.4%), while the most cited common cause was malnutrition (223; 55.9%), and the most commonly cited manifestation of diabetes was frequent urination (354; 88.7%). Conclusion: This study showed that most type-1 diabetic caregivers had knowledge and awareness regarding DKA in Riyadh, Saudi Arabia. However, some gaps exist. Further studies would assess more factors to enhance the level of knowledge and awareness, and increase the effectiveness toward the right action and response regarding DKA. Keywords: Diabetes Mellitus, DKA, Children, Caregivers, Emergency, Saudi Arabia
Assessing the Use of Contraceptive Methods for Family Planning among Married Women of Rawalpindi [urban]
Authors: Lateef Saira , Komal Nimrah , Ghaffar Mamoona , Zulfiqar Kiran , Minhas Shahid , Mumtaz Hassan , Zakria Muhammad , Salman Muhammad , Sulaimani Saad Yousaf , Khan Shaheer Elahi
Published: July 2022

Qualitative data from a survey of married women living in urban areas of Rawalpindi are presented here in an effort to better understand their views on contraceptive techniques and the factors that impact their use. A purposeful selection strategy was used to choose participants, and only married women of childbearing age were eligible to participate. In total, 12 focus groups were held in the urban region of Rawalpindi. Some modern contraceptive methods were known to the majority, but overall use was extremely low. The prevalence of any form of contraception, including IUDs, was especially low. Modern contraception is not widely used because of concerns about side effects, religious apprehensions about harming the unborn child, a lack of information, or a lack of access to high-quality treatment according to the findings. The number of young women in the Pakistan who utilize contraception is influenced by social, demographic, and economic factors. Young women’s access to contraception may be restricted unless these findings are included into public health programs. Access to family planning information and services for young women is highly recommended. Key words: Contraceptive Methods, Family planning, Urban areas, Rawalpindi
Health Literacy of Migrant Workers in Saudi Arabia: A Cross-sectional Survey
Authors: Alhamidi Sami Abdulrahman , Alyousef Seham Mansour
Published: July 2022

Background: Gulf nations employ large numbers of migrant workers. In Saudi Arabia, for example, migrant workers comprise 30% of its total population. However, the health literacy levels of these workers are reported to be low, and studies focusing on this topic are limited. Objective: The aim of this study is to assess the level of health literacy of migrant workers in Saudi Arabia. Methods: A convenience sample of 127 migrant workers in Saudi Arabia were surveyed using the Brief Health Literacy Screening Tool (BHLST) from September 2019 to November 2019. A comparison of the BHLST scores of the participants was performed. This study adhered to the STROBE checklist. Key Results: Out of the 127 respondents, 28 reported experiencing health problems, such as hypertension, diabetes mellitus, back pain, hepatitis A, rheumatic disorders, allergy, headache, kidney disease, and colitis. The majority of the participants (55.12%) had inadequate overall health literacy levels, 31.50% had marginal health literacy levels, and only 13.38% had adequate health literacy levels. Among the 13.38% participants who had adequate health literacy, more Arabic-speaking individuals than their non-Arabic-speaking counterparts had adequate health literacy by percentage. Conclusion: Overall, the findings of the study revealed that most migrant workers had inadequate or low health literacy levels, as indicated by their BHLST scores. The health authorities in Saudi Arabia and other Arab countries need to develop health literacy interventions geared toward increasing the health literacy levels of their migrant workers. Keywords: Brief health literacy screening tool; Expatriate workers; Health literacy; Migrant workers; Saudi Arabia
The Attitude of Health Care Providers in Saudi Arabia to Covid-19 Vaccine and Implementing Preventive Measures
Authors: Aldhubayban Hissah Naif , Almuammar Sarah
Published: July 2022

Aim: This study would be the first of its kind in the Kingdom of Saudi Arabia, mainly to evaluate the willingness of the community to be vaccinated against the COVID-19 virus, assess attitudes towards continuing to use protective measures after getting vaccinated, and to continue to monitor changes in the spread of the COVID 19 virus after implementation of vaccination. Method: This is a cross-sectional study, questionnaire-based survey. The study includes 302 participants from Makkah region of Saudi Arabia. Statistical analysis was performed using descriptive statistical analysis. Result: Out of 302 participants in the research the age 21-30 was 44.4%. 61.6% of the respondents took the vaccine, and 95.4% of them want to keep using the protective measures after receiving the vaccine. Conclusion: Healthcare providers and co-workers are willing to receive the COVID-19 vaccine. Still, we strongly recommend that healthcare providers need more preparation and an evidence-based approach to address the safety and efficacy of the vaccines in the community and build and maintain public trust in the vaccine. Keywords: Health care providers, COVID-19, Vaccination, Protective measures.
What are the current COVID-19 public awareness levels and practices in Saudi Arabia? Analysis of data from an online survey conducted in 2021
Authors: Albasheer Osama , Gohal Gassem , Somaili Mohammed , Yaqoub Abdulrahman , Alkhaldi Osama , Somaily Abdullah , Abuhadi Hamzah , Hakami Abdulaziz , Awaji Alyazid , Khubrani Saad , Altraifi Ahmed , Abdelmola Amani Osman
Published: July 2022

Background: The World Health Organization (WHO) designated the coronavirus disease (COVID-19) a pandemic in March 2020. Prevention and control measures were implemented worldwide to limit the spread of the disease, and the effectiveness of these measures depend on the degree of awareness and adherence of the populations. This study was conducted to determine the current awareness levels and health practices of the Saudi Arabian population and to assess how much the education programs had improved the public awareness levels and health practices. Methods: This cross-sectional study was conducted in Saudi Arabia from November 2020 to May 2021 and enrolled 1062 participants. The current knowledge levels, attitudes, and practices of the Saudi Arabian population were assessed based on an online questionnaire survey. Results: The mean knowledge score was 29.36 ± 3.80; and 53.7%, 45.2%, and 1.1% of the participants had high, moderate, and low knowledge levels, respectively. The knowledge score was significantly related to the education level (p<0.001). The mean attitude score was 10.28 ± 2.56 and 74.9% of the participants had a high attitude level. The mean practice score was 3.67 ± 0.595, with significant differences that were related to the female sex (p=0.005) and younger age groups (p<0.05) and between those aged 30–34 years and those aged 35–39 or 40 years and older Conclusion: The participants exhibited a high level of public awareness in all sub-scales of knowledge, practices, and attitudes for the prevention of COVID-19. The overall knowledge levels, attitudes, and practices of the Saudi Arabian population had considerably improved since the beginning of the pandemic. Keywords: coronavirus; pandemic; prevention; control measures; practice
The diagnosis and treatment of Bell’s palsy
Authors: Timorkhan Moustafa Abdalhade , Safey Zain Zohair
Published: July 2022

Bell’s palsy is an idiopathic peripheral nerve disorder involving the facial nerve. It is of rapid onset, and almost always unilateral. It is the most common diagnosis associated with facial nerve palsy. It has been described in patients of all ages, but the incidence is slightly higher after age 40. Methods: Using internet search, a comprehensive literature review was done and words such as facial nerve palsy, Bell’s palsy were searched. Results: In confirmed Bell’s palsy, unless contraindicated, corticosteroids should be given to all patients with Bell’s palsy as early as possible, (ideally within 72 hours). Combination therapy with steroids and antiviral agents are recommended for patients with severe to complete paresis. Patients with incomplete eye closure should be given eye protection, with lubricating drops and ointments, to prevent corneal damage. Conclusion: Establishing the correct diagnosis is imperative to avoid missing another treatable condition. Determining whether the facial nerve paralysis is central or peripheral is important. The history of a Bell’s palsy case should include discomfort or sensory symptoms in the distribution of the facial nerve in the hours or days preceding facial palsy, and it is very important to reveal whether the symptoms were progressive in nature. Although many patients with Bell palsy will experience improvement in their facial nerve function without treatment, persistent facial weakness can have implications for quality of life. Choosing the correct treatment options for suitable patients can optimize the likelihood of recovery. Oral steroids should be prescribed within 72 hours of symptoms onset for Bell’s palsy patients. Combined steroid and antiviral treatment are recommended for patients with severe to complete paresis. Physiotherapy may be suggested in severe Bell’s palsy. Surgical decompression is not recommended and may be considered in severe facial nerve degeneration on electroneuronography if the patient is willing to accept the surgical risks. Eye protection remains crucial in preventing long-term eye complications. Clinical and ophthalmological follow-up, and referral to a specialist for patients with no improvement or progressive weakness are recommended. Key words: Facial nerve palsy, Bell’s palsy, Glucocorticoids, Antiviral.
Maternal congenital diaphragmatic hernia complicated with left pulmonary compression in the third trimester of pregnancy
Authors: Zaatari Bayan A. , Marzook Sara A. , Bajaba Rana M. , Malibary Mohammed A. , Alkudsi Abdulrahman M.
Published: July 2022

Cases of symptomatic diaphragmatic hernia in pregnancy are often misdiagnosed due to the nonspecific presentation and lack of experience, placing pregnant women at risk. This case report discusses the presentation and management of a 17-year-old patient who had congenital diaphragmatic hernia complicated with left pulmonary compression in the third trimester of pregnancy Keywords: Maternal, congenital, diaphragmatic, pulmonary, compression, trimester
Die Untreue in der Vertrauensschadenversicherung
Authors: Hofer Tim
Published: July 2022

In diesem Buch werden verschiedene Ausprägungen und Begehungsweisen der Untreue (§ 266 StGB) auf deren Versicherbarkeit durch die Vertrauensschadenversicherung (VSV) überprüft.

Auf dogmatischer Ebene wird das Ineinandergreifen zwischen Strafrecht und Versicherungsrecht dargestellt. Dabei liefert das Werk wertvolle Erkenntnisse über die Auslegung der AVB-VSV mit Blick auf die Untreue. Zudem werden einzelne Klauseln auf deren Wirksamkeit überprüft.

Darüber hinaus soll das Buch als praktische Orientierung für Unternehmen dienen, indem es aufzeigt, inwieweit sich diese vor Untreueschäden finanziell absichern können. Unter Zugrundelegung der AVB-VSV verschiedener Versicherer liefert das Werk einen hilfreichen Überblick über die Reichweite des Versicherungsschutzes der VSV bei der Begehung von Untreue.

Zwischen den einzelnen Bedingungswerken werden Unterschiede herausgearbeitet und Änderungs- sowie Vereinheitlichungsvorschläge unterbreitet. Somit können auch Vertrauensschadenversicherer das Buch dazu nutzen, ihr eigenes Leistungsangebot sowie ihre Einstandspflicht bei Untreuefällen zu überprüfen.
Juristische Einschätzung zur Abschaffung „ewiger“ Lösungsrechte bei Versicherungsverträgen
Authors: Looschelders Dirk , Michael Lothar , Sauer Heiko
Published: July 2022

Das Recht zum Widerruf von Versicherungsverträgen gehört zu den umstrittensten Problemen des Privatversicherungsrechts der letzten Jahre. Nicht nur Änderungen der gesetzlichen Regelungen, sondern auch eine wechselvolle Entwicklung der einschlägigen Rechtsprechung (betreffend insbesondere auch die „Altverträge“ nach dem „Policenmodell“) belegen das. Das Werk greift politische Erwägungen auf, das inzwischen existierende „ewige Widerrufsrecht“ (wieder) zu befristen – und zwar einheitlich auch für alle „Altfälle“. Es behandelt die sich daran anschließenden rechtlichen Fragen. Diese rechtlichen Fragen betreffen das Zusammenspiel von Unionsrecht, Verfassungsrecht und nationalem Gesetzesrecht einerseits und die Grenzen rückwirkender Gesetzgebung andererseits. Das Werk legt einen Regelungsvorschlag vor, der Änderungen sowohl des Unionsrechts als auch des nationalen Rechts vorsieht. Dieser Regelungsvorschlag enthält auch eine Übergangsregelung und bewertet, ob dadurch den Interessen der Widerrufsberechtigten hinreichend Rechnung getragen würde.

Prof. Dr. Dirk Looschelders, Inhaber des Lehrstuhls für Bürgerliches Recht, Internationales Privatrecht und Rechtsvergleichung sowie Privatversicherungsrecht und Direktor des Instituts für Versicherungsrecht an der Heinrich-Heine-Universität Düsseldorf, hat den privatrechtlichen Teil des Gutachtens entworfen. Von Prof. Dr. Lothar Michael, Inhaber einer Professur für Öffentliches Recht und ebenfalls Direktor des Instituts für Versicherungsrecht an der Heinrich-Heine-Universität Düsseldorf, stammt der verfassungsrechtliche Teil des Gutachtens. Prof. Dr. Heiko Sauer, Inhaber des Lehrstuhls für deutsches und europäisches Verfassungs- und Verwaltungsrecht an der Rheinischen Friedrich-Wilhelms-Universität Bonn, war für den unionsrechtlichen Teil des Gutachtens zuständig.
Versicherungsverträge über Großrisiken
Authors: Grunwald Niklas
Published: July 2022

Versicherungsverträge über Großrisiken und die dabei regelmäßig verwendeten AVB spielen in der Praxis eine erhebliche Rolle. Grundlegende Rechtsnorm für die Großrisikoversicherung ist § 210 VVG, der an die höhere Geschäftserfahrenheit von Großrisiko-Versicherungsnehmern anknüpft und in diesem Bereich zur Disponibilität der Schutzvorschriften des VVG führt.

Die Arbeit beschäftigt sich mit der Definition des Großrisikos und den entsprechenden Rechtsfolgen. Aufgrund der überragenden Bedeutung von AVB im Versicherungsrecht stellt sich insb. die Frage, inwieweit die Leitbildkontrolle nach § 307 Abs. 2 Nr. 1 BGB Einfluss auf die Möglichkeiten der Vertragsgestaltung der Großrisikoparteien durch AVB nimmt. Der Schwerpunkt der Arbeit liegt auf der Prüfung, ob ausgewählte Prinzipien des VVG gesetzliche Leitbilder für die Großrisikoversicherung darstellen.

Das Buch richtet sich insbesondere an Parteien von Großrisikoverträgen und Rechtsanwälte, die mit der Erstellung oder Prüfung von AVB in diesem Bereich betraut sind.
Auswirkungen der Digitalisierung auf Abschluss und Gestaltung privater Versicherungsverträge
Authors: Greis Felix
Published: July 2022

Die fortschreitende Digitalisierung hat längst den Versicherungsmarkt erreicht. Die Einsatzgebiete moderner Informationstechnologien sind vielfältig und betreffen insbesondere den Abschluss von Versicherungsverträgen und deren Gestaltung. Die damit verbundenen Rechtsfragen sind von großer Vielfalt und Breite. Ihre Beantwortung erfolgt meist erscheinungsbezogen. Ein leitender Bewertungsparameter fehlt bislang.

Die Arbeit untersucht, inwiefern sich das mit einem Versicherungsvertrag verbundene wirtschaftliche Plansicherungsziel als ein solcher übergreifender Gradmesser anbietet. Bekannte, wie auch digitalisierungsbedingt neue Rechtsfragen werden aufgeworfen, zum Plansicherungsziel in Beziehung gesetzt und differenziert beantwortet.
Nachhaltigkeit und Versicherungsaufsicht
Authors: Dreher Meinrad , Wandt Manfred
Published: July 2022

Der Band „Solvency II in der Rechtsanwendung 2021“ beschäftigt sich mit Rechtsfragen der Nachhaltigkeit und Versicherungsaufsicht. Die Thematik wird aus unterschiedlichen Perspektiven sowohl allgemein als auch hinsichtlich spezifischer Problemfelder beleuchtet.

Das Fundament legt Clauß in ihrem Beitrag aus aufsichtsbehördlicher Sicht. Sie erläutert die europäischen und nationalen Rahmenbedingungen unter Thematisierung der zentralen Rolle der Versicherungswirtschaft für die Umsetzung der Nachhaltigkeitswende und beschreibt die Anforderungen der relevanten Regulierung sowie deren Interpretation durch die BaFin.

Hasse betrachtet die Themenkomplexe Nachhaltigkeit und Governance aus Sicht der Unternehmenspraxis. Ausgehend von der Nachhaltigkeitsposition der deutschen Versicherungswirtschaft beschäftigt er sich ausführlich mit den Nachhaltigkeitsprozessen und Vorgaben im Governancesystem von Versicherungsunternehmen sowie den Anforderungen an die Schlüsselfunktionen im Zusammenhang mit Nachhaltigkeitsaspekten.

Bürkle analysiert die rechtlichen Anforderungen an die Nachhaltigkeitsberichtserstattung der Versicherungsunternehmen. Als Basis schildert er die Entwicklung der rechtlichen Rahmenbedingungen auf europäischer und nationaler Ebene. Sodann widmet er sich im Einzelnen den rechtlichen Auswirkungen sowie Risiken der Nachhaltigkeitsberichterstattung und analysiert Implikationen der Vorgaben zur nachhaltigen Berichterstattung auf versicherungsaufsichtsrechtliche Regelungen.

Die Diskussion zu den Referaten ist in einem Bericht über die wesentlichen Aussagen dokumentiert.

Das Buch richtet sich an Entscheidungsträger:innen der Versicherungswirtschaft und der Versicherungsaufsicht sowie an alle juristischen Berufsträger:innen und Rechtswissenschaftler:innen, die mit Versicherungsunternehmens- und Versicherungsaufsichtsrecht befasst sind.
Die vorvertragliche Anzeigepflicht des Versicherungsnehmers
Authors: Holitzka Patrick
Published: July 2022

Die vorvertragliche Anzeigepflicht der §§ 19 ff. VVG ist eines der Kernthemen im Versicherungsrecht und für den Abschluss und die Durchführung des Versicherungsvertrages von eminenter Bedeutung. Auch über ein Jahrzehnt nach der VVG-Reform 2008 sind immer noch zahlreiche Fragen in der Rechtsprechung und Literatur umstritten und höchstrichterlich nicht geklärt.

Dieses Buch beschäftigt sich mit der Darstellung der Rechte und Pflichten des Versicherungsnehmers und des Versicherers im Zusammenhang mit der vorvertraglichen Anzeigepflicht beim Abschluss eines Versicherungsvertrages und untersucht aktuelle Streitfragen:

Zulässigkeit von Globalfragen und Ausschlussklauseln

Einhaltung der Textform im Online- und Telefonvertrieb

Zeitpunkt der Anzeigepflicht im Invitatio-Modell

Divergenzen zwischen mündlichen und schriftlichen Angaben

Wertungswidersprüche der Rechtsfolgen

Anforderungen an die Belehrung zu den Folgen einer Anzeigepflichtverletzung

Fristbeginn der Ausübung der Gestaltungsrechte des Versicherers

Zeitraum zum Nachschieben von Gründen für die Ausübung der Gestaltungsrechte

Zeitpunkt des Erlöschens der Gestaltungsrechte nach einem Versicherungsfall

Anwendungsbereiche für eine Arglistanfechtung

Das Buch richtet sich sowohl an Studierende der Versicherungswissenschaften als auch an interessierte Praktiker:innen.
Tarifvertragliche Gestaltung der betrieblichen Altersversorgung und die Erweiterung des Vorsorgespektrums durch das Betriebsrentenstärkungsgesetz
Authors: Radstaak Simon
Published: July 2022

Traditionell sind Errichtung, Erhaltung und Ausbau der Infrastruktur Aufgabe staatlichen Handelns. Die stetige Diskussion über marode Infrastruktur zeigt jedoch, dass der Staat diese Aufgabe nur noch unzureichend bewältigen kann. Daher kommt der Einbindung privater Investoren, wie Lebensversicherern, eine hohe Bedeutung zu.

Um die Eignung von Infrastrukturinvestitionen als Kapitalanlage von Lebensversicherungsunternehmen beurteilen zu können, ist eine ganzheitliche Untersuchung der Anforderungen, Investitionsgründe und Herausforderungen sowie der (aufsichtsrechtlichen) Rahmenbedingungen notwendig.

Die vorliegende Arbeit verknüpft dazu die theoretische Untersuchung des Geschäftsmodells mit einer Analyse der aufsichtsrechtlichen Behandlung von Infrastrukturinvestments und einer umfassenden empirischen Erhebung bei deutschen Lebensversicherungsunternehmen. Sie bietet damit einen Beitrag zur wissenschaftlichen Diskussion, richtet sich zugleich aber auch an interessierte Praktiker:innen.