bluuebunny/crossref_metadata_2025 huggingface dataset:
(Nie)Koherencja sankcji penalnych. Prezentacja wyników badań empirycznych
Authors: Janowski Michał
Published: October 2018

The incoherence in judicial punishments, if it exists, may be considered as a form of injustice. The legal system in which the similarly situated cases are not treated similarly may be criticized especially from the point of view of the public understanding the justice idea. The conception of incommensurability of values has a substantial impact on the law application process. Because the judges typically assess cases in isolation, there is no common measure to evaluate the cases and the human way of thinking is category-bounded the judges are susceptible to producing incoherent patterns. However it is believed that if the risk of incoherence is brought to judicial attention, the judges might well be likely to do better, on this count, than non-lawyers (Cass Sunstein, Daniel Kahneman, David Schkade, Ilana Ritov 2001). The article presents an empirical analyses carried out on the judgements that were performed by the unselected group of judges in one of the district courts in Lodz.
Relacje prawo–intymność „ukryte” w Konstytucji Rzeczypospolitej Polskiej (problem instytucjonalizacji małżeństw homoseksualnych w Polsce wobec nieokreśloności prawa)
Authors: Sut Paweł
Published: October 2018

The aim of this article is to consider the hypothesis: relations between law and intimacy should be described and reflected also on the basis of concepts emerging in social sciences and philosophy. Traditional methods and categories of jurisprudence are not enough here. Relations between the law and intimacy are „hidden”, for example, in art. 47 and art. 18 Polish Constitution. Particularly interesting is art. 18 with the following text: „Marriage as a union of a woman and a man, family, motherhood and parenthood are under the protection and care of the Republic of Poland”. This provision is the cause of a legal dispute over the admissibility of the institutionalization of partnerships in Poland. The problem of the institutionalization of partnerships concerns, in my opinion, the relations between law and intimacy. These relations should be considered on the basis of the results of sociological and philosophical research. To solve the dispute about the admissibility of the institutionalization of partnerships in the Polish Constitution, works of, among others, Michel Foucault and Anthony Giddens may be valuable. M. Foucault’s ideas have a huge impact on the contemporary scientific understanding of sexuality. A. Giddens created the transformation of intimacy concept. The concept is consistent with the axiology of modern legal culture.
Orzekanie w polu polityczności
Authors: Mańko Rafał
Published: October 2018

The purpose of this article is to analyse the relationship between adjudication and the concept of the political. By referring to the understanding of the concept of the political developed inter alia by Carl Schmitt and Chantal Mouffe, the article posits that not all judicial decisions (individual instances of adjudication) should be treated as belonging to the sphere of the political, but only those which fulfil jointly two premises: firstly, they are true decisions, involving at least some degree of discretionality (in the sphere of facts, or in the sphere of law, or in the sphere of the legal classification of facts), and secondly, involving a conflict which is structural for the community or society within which this adjudication is performed. Political adjudication should not be perceived as per se wrong, nonetheless it should be subject to a democratic scrutiny and sustained critique to with greater attention than apolitical adjudication, which merely involves the mechanical application of unambiguous legal rules to undisputed facts.
Od możliwości do imperatywu: historia rynku.
Authors: Meiksins Wood Ellen
Published: October 2018

Autorka pokazuje w swoim artykule, że historia kapitalistycznego rynku nierozerwalnie wiąże się z bezprecedensowym w historii użyciem siły i przemocy. Takie konsekwentne spojrzenie na rynek pozwala inaczej interpretować przejście z porządku feudalnego do kapitalistycznego. Autorka wskazuje, że nie było ono „wyzwoleniem” spod feudalnych okowów, ale przeciwnie – wiązało się z podporządkowaniem rynkowym imperatywom produkcji kapitalistycznej, które wynikało nie tyle z technologicznego postępu czy nieomal ponadhistorycznych praw, ale z przekształceń społecznych stosunków własności między chłopami a panami w Anglii. Proponowane w artykule ujęcie kapitalistycznego rynku stawia też w innym świetle przeciwstawione mu alternatywy polityczne.
Numerical study on the impulsive growth of a gaseous plug inside a cylindrical vein with compliant coating
Authors: Shervani-Tabar Mohammad T. , Farzaneh Babak , Ahrabi Reza , Razavi Seyed E.
Published: October 2018

Introduction: Employing of gaseous plugs inside a vein for preventing of blood flow to the damaged or cancerous tissues has been known as a gas embolism in the medicine. In this research, a numerical investigation has been carried out on the delivery of the liquid drug DDFP, encapsulated in the microlipid-coated spheres (MLCSs), to target the human vein for construction of the gaseous plug inside the veins. Methods: The encapsulated liquid drug DDFP were delivered to the vein by injection of an emulsion. Releasing of the liquid drug DDFP results in an explosive growth of a gaseous plug inside the vein. The targeted vein was served as a rigid cylinder with a compliant coating. The boundary integral equation method has been employed for the numerical simulation of the hydrodynamic behavior of the gaseous plug inside the vein. Results: Numerical results showed that in the case of a rigid cylinder vein with an internal compliant coating, the maximum volume of the gaseous plug was smaller than the case of just a rigid cylinder vein. Furthermore, its elapsed time from the instant of bubble generation to the instant when the bubble reaches its maximum volume was shorter. Numerical results also showed that the compliant coating on the internal wall of the rigid cylindrical vein had a tendency of reducing the impact of the explosive growth of the gaseous plug. Conclusion: This numerical research showed that the compliant coating on the internal wall of the rigid cylindrical vein had the tendency of reducing the impact of the impulsive growth of the gaseous plug. Therefore, in the case of having severed arteriosclerosis, treatment of the cancerous or damaged tissues by use of the gaseous embolism must be done very carefully in order to prevent the hazardous effects of the gaseous plug’s impulsive growth.
Why Japan Cannot Break the Stalemate in Its Relations with Russia
Authors: Sun Jing
Published: October 2018

This paper examines the Japanese factors behind the stalemate between Japan and Russia. It treats the territorial dispute not as a core reason but as a consequence of deeper problems, both emotive and structural. Japanese leaders cannot challenge the multiple forces keeping them from ending the stalemate.
Comparison Between Taichi Chuan and Jacobson�s Progressive Muscular Relaxation in Decreasing Cortisol Concentration on Pre-Hypertension Patients
Authors: Kesoema Tanti Ajoe , Chasani Shofa , Chasani Shofa , Handoyo Rudy , Handoyo Rudy
Published: October 2018

Nowadays, the prevalence of hypertension and its concomitant risk of cardiovascular and kidney disease development is increasing as the disability evidence in the society also rises. One of the potential risk factors of prehypertension is anxiety and it has already well-known that cortisol is a marker of anxiety. There are some nonpharmacologic methods to relieve anxiety: exercise and relaxation. Taichi Chuan is a low intensity aerobic exercise that also gives a relaxation effect.This study is organised to find out the effect of Taichi Chuan (TCC) and Jacobsons Progressive Muscular Relaxation (JPMR) on cortisol level in pre hypertension patients. This is a pre and post-test design study with a total of 26 pre hypertension patients included. They were randomly divided into 2 groups. Group I performed Taichi Chuan exercise, while group II performed JPMR for 18 times. The intervention frequency was 3x/week for 6 weeks with 30 minutes duration for each session. In the study, which was held in April-June 2015, there was a decrease but no significant difference of cortisol concentration in both group.The comparison between groups also did not show statistical difference. However there were significant difference noted on the blood pressure before and after intervention in both groups.
Risk Factors and Predictive Model of Diarrhea in Kupang
Authors: Irfan Irfan -
Published: October 2018

Diarrhea is still endemic in NTT province and in Kupang City. The disease also includes as one of the 10 major diseases in Kupang City. Diarrhea prevention will work more effectively if it is conducted based on the knowledge of risk factors for diarrhea. The study aims at analyzing the risk factors of diarrhea and predictive models of diarrhea incidence in Kupang. The observational analytic research used case control design with case samples consisted of 62 patients with diarrhea in June 2015 taken by random sampling and control samples consisted of 62 children who were not listed as diarrhea patients in June 2015. The data was collected through interviews and observation. Bivariate and multivariate analyses were performed using logistic regression. Four variables that significant are age of stop getting breast milk (ASI) (OR 5.673), latrine type (OR 4.527), children age (OR 1.460) and number of family members (OR 0.484). The regression model resulted in the study is ? = -0.630 + 1.736 age of stop drinking breast milk + 1.510 latrine type + 0.379 children age - 0.726 number of family members.
The Increase of Periodontal Tissue in Type 2 Diabetes Mellitus Patients Based on Index CPITN
Authors: Budiman Budiman
Published: October 2018

The prevalence of periodontal disease in Indonesia for all age groups has reached 96.58%. Periodontal disease has been identified as a consequence of diabetes mellitus (DM). The purpose of this study is to determine the differences of periodontal tissues in type 2 diabetes and non-diabetic patients based on CPITN index (Community periodontal index of Treatment index). This study employed case control design. The population of the study consisted of 3.544 visits in the Internal Disease Polyclinic of RSUD Cimahi Cibabat in January 2015. The samples for case group were 50 people (diabetes mellitus type 2) and control group were 50 people (non-DM). The sampling technique used accidental sampling. The study was conducted in 2015 by conducting measurement of periodontal pocket depth using CPITN index. The analysis of data was carried out with independent T test. The results show that the average pocket depth based on CPITN index in the case group of type 2 DM (4.26) is greater than control group of patients without DM (3.14). There is different condition on the periodontal tissue in the group of type 2 diabetes (value-p = 0.002 <0.05). The awareness in increasing the oral health protection is done by providing consultation related to blood glucose.
The Study on Value of Recreational Sports Activity of Urban Communities
Authors: Hanani Endang Sri
Published: October 2018

According to the WHO, health is not merely the absence of disease or infirmity, but a state of complete physical, mental, and social well-being. Recreational sports activities particularly for urban communities could be used as a life style, because it may considered balance individual condition between physical, spiritual and social needs. This study aims to describe and investigate: 1) the reason why recreational sports become urban society choice as weekend activities and holiday activities, 2) the type of recreational sport activities done by urban communities, 3) the value of individuals physical and psychosocial aspects,4) potential space for individual who do recreational sport activities. This research used ethnographic study with empirical and theoretical approaches. We conclude that the recreational sport activities as an option activity for the urban community, and is quite representative to facilitate the needs of sport cultures, and a sense of concern for the environment which useful in maintaining health.
Determinants Failure of Exclusive Breast Feeding on Health in the City Bengkulu
Authors: Suryani Desri , Simbolon Demsa , Elly Nur , Pratiwi Bintang Agustina , Yandrizal Yandrizal
Published: October 2018

The first 1,000 days of life program is a program to improve the quality of children in the future which one of these programs is the provision of exclusive breastfeeding. The decline in infant mortality rates slowed between 2003 to 2012 from 35 to 32 per 1,000 live births, all babies need access to key interventions such as exclusive breastfeeding. The success of these programs are driven by health workers, but the researches that analyze information about exclusive breastfeeding program on health workers, especially in Bengkulu had never been examined. The research design used mixed methods (quantitative and qualitative) on health workers in Bengkulu in 2015 who have infants aged 6-24 months (66 people), which were determined by purposive sampling. The results showed that 69.7% of the mothers did not practice exclusive breastfeeding and 54.5% did not practice early initiation of breastfeeding. Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding. The qualitative analysis showed confidence and perception of little milk production are factor for unsuccessful early initiation of breastfeeding .
The Overview of the Elderly Lifestyle Profile in Surabaya
Authors: Yuliastuti Christina , Anggoro Sapto Dwi
Published: October 2018

The elderly lifestyle may affect their health condition. Based on SUSENAS 2014, the number of elderly in Indonesia reached 20.24 million, with 25.05% morbidity rates, it shows that one in four elderly people have experienced some illness. This study aimed to identifying the lifestyle profile of the elderly in Surabaya. The research design used descriptive method with variable of lifestyle of 210 elderly in Surabaya. This study was conducted from June until July, 2016. The results showed that the elderly living in coastal areas having poor lifestyle (53,256 + 11,6719), while elderly living in urban areas and in nursing homes having moderate lifestyle (66,680 + 9,3923) and (62,347 + 7,8814), respectively. Poor lifestyle found in coastal areas of Surabaya was due to lacking of physical exercise and ignorance of diet pattern. Family as a major support system should provide assistance and attention.
Improving Elderly�s Dental Hygiene Through Nursing Home Staff�s Dental Health Education at the Nursing Home
Authors: Santoso Bedjo , Eko Ningtyas Endah Aryati , Fatmasari Diyah
Published: October 2018

Stomatitis often occurs in elderly at nursing home. They need nursing home staff assistance to maintain their dental and oral health. Therefore, nursing home staff need dental health education. Lecture or discussion methods, which are more effective to improve knowledge, attitude and skill of nursing home staff was the purpose of this research. The research design was quasi-experiment research and pretest-posttest with control group. The sample was 42 nursing home staffs and 74 elderlies, divided into two groups, consisted of 18 nursing home staffs and 33 elderlies using lecture method. Another group consisted of 24 nursing home staffs and 41 elderlies using discussion method. Validity was tested with product moment. Questionnaire of knowledge, attitude and skill correlation was 0.4725 0.6853; 0.47720.6962 and 0.31000.4916. Reliability test with Alpha Cronbach was 0.9292; 0.9273; 0.792. Research result was lecture and discussion methods were effective to improve knowledge, attitude and skill of nursing home staff to increase elderlys dental hygiene. The research concludes that discussion method is effective to improve knowledge while lecture is more effective to improve attitude and skill of nursing home staff.
Meal Pattern of Malnutrition Children Under 5 Years and Related Factors
Authors: Sophia Fanjaniaina , Suherni Suherni , Kuswardinah Asih
Published: October 2018

Malnutrition prevalence in Indonesia has increased from 2007 to 2013. Research was conducted on Kabupaten Brebes which rank 29 of 35 Kabupaten/City on Jawa Tengah province in malnutrition case and meal pattern is found as related factor. The research objective is to obtain malnutrition children under 5 years meal pattern and others related factors. Reseach was conducted in 2016 by quantitative approach and supported with qualitative datas. Sampling method by total sampling from 32 mother and children under 5 years with malnutrition status. Research instrument consist of questionnaire and food recall instrument accompanied with observation guide. The quantitative datas are analysed by descriptive method and chi square statistic test. Result shown most of malnutrition children under 5 years meal pattern is improper (75%) and children under 5 years feeding is not proper to its nutrition requirement. Whether the nutrition, quantity and frequention of the feeding. This is relation between level of knowledge, education, family income with meal pattern (p value < 0.005) and no relation between numbers of family member with meal factor of malnutrition children under 5 years (p value = 1.00) at work region of Puskesmas Brebes. Respondent does not know proper food for children under 5 years, proper food for each children under 5 years age yet aware that the food must be cooked to produce soft texture.
Differences in Risk Factor of Cardiovascular Disease Risk on Rural and Urban Population
Authors: Rosjidi Cholik Harun , Isro�in Laily , Wahyuni Nurul Sri
Published: October 2018

Cardiovascular disease is a global threat. This study aimed to obtain a description of cardiovascular disease pattern among rural and urban population in Ponorogo. Two locations were chosen to represent rural and urban area through cluster sampling. Cross sectional study design was chosen with a sample size of 350 respondents. The research instrument was adopted from WHO STEPS. Difference in prevalence between the two clusters were analyzed with ?2 test, with ?=0.05. The result showed that the prevalence smoking and alcohol consumption among males were higher in rural than urban population (p= 0.04 and p=0.012 respectively). The prevalence of unhealthy fruit consumption was higher in both sexes from rural population (p =0.025 and p=0.012). Hypertension was higher among rural female compared to female living in urban area (p=0.024).
The Role of Husband in Assisting Wife Who Suffer Anemia in Pregnancy
Authors: Fernandes Angelina Da Costa
Published: October 2018

Problem in anemia which is commonly suffered by pregnant women is iron deficiency due to unbalanced nutrition. A qualitative research with Ethnomethodology approach. Participants were pregnant women who are anemic with Hemoglobin levels (Hb) less than 11g/dl. 38 of participants consisting of 19 husbands as focus groups and 19 wives as triangulation group obtained through purposive sampling technique. Data obtained through the method of focus groups discussion and in-depth interview, analyzed using descriptive analysis techniques.The result showed that the husbands role in assisting the wife who suffered from anemia in pregnancy is lacking due to lack of husbnd knowledge about anemia, its causes and how to deal with anemia in pregnancy. The conclusion is the role of husband in assisting wife in pregnancy should be supported with husbands good knowledge about anemia, its causes and how to deal with anemia in pregnancy in order to prevent anemia in their wives pregnancies.
Physician Performance Measurement Barriers in Private General Hospitals Around Medan City
Authors: Lubis Arfah Mardiana , Nasution Puteri Citra Cinta Asyura
Published: October 2018

Study results from early 2016 across 20 private general hospitals around Medan city, show there are 10 hospitals that have a physician performance measurement. However, the Medical Committee perceived some unknown barriers on measurement of physician performance. Should it be known, the hospitals can improve and enhance physician performance measurement effectively and efficiently. Therefore, this study aims to uncover the barriers on physician performance measurement in Private General Hospitals around Medan city. From the interviews with 10 Medical Committees and 6 document studies in 10 Private General Hospitals around Medan city which have a physician performance measurement, we found that the barriers on physician performance measurement are: unsupportive human resources, improper Medical Committee monitoring, unwillingness of physicians to be assessed, and assessors tendency toward giving moderate and good score. Therefore, we recommended that Medical Committee in each Private General Hospital around Medan or supervisors who will assess the performance of the physicians to attend performance measurement training to minimize biases and errors in filling out the sheet of physician performance measurement. Training should also be followed by an explanation that physicians should treat this performance measurement as a positive thing, because it can help the medical profession improve its professionalism.
Caring Environment Model in Emergency Services of Hospitals by Banyumas Public Perception
Authors: Suroso Jebul , Yuliarti Yuliarti , Mardiyaningsih Eko
Published: October 2018

Caring environment for providing service in the emergency departmentof the hospital becomes the need of the society. Caring environment has impact on the satisfaction, safety, and potential success of the services for the patients. The research aims at identifying the perception of society on caring environment as well as confirming the model of caring environment for providing emergency service in the hospital. This research employs descriptive exploration, involving 300 patients of emergency department from three hospitals in Banyumas. The analysis of decriptive data is conducted to categorize the perception of society on caring environment. The construct validity of caring environment is tested using confirmatory factor analysis. The result shows that the perceptions of society on caring environment in emergency department are good (86.3%) and fair (13,7 %). As the construct used to shape the model of caring environment has met the criteria of goodness of fit, involving: GFI; 0.96, RMSEA; 0.031, AGFI; 0,94; NFI;0,98; CFI;1, so it is revealed that the measurement model of caring environment for providing emergency service is fit. Moreover, all indicators are able to explain and support the model of caring environment for providing emergency services, involves; clean and comfortable room, complete facilities and equipments, and room safety. This finding could be the foundation for formulating the policy of caring quality improvement related to the aspect of caring environment for providing emergency services.
Gender-Based Health Disorders in End-Stage Renal Disease Patients in the Hospital Elmarj City of Libya
Authors: Mohammad Amad M , Astuti Ari Yuni
Published: October 2018

End-stage renal disease is the last stage of chronic kidney disease, hence a dangerous disease and poses many problems for the patients. The aim of this study was to analyze the risk factors for end-stage renal disease in Elmarj, Libya. Data was collected by distributing questionnaires to the respondents. The questionnaire was a set of written questions used to obtain information from respondents, be it their personal statements or things that they knew. The questionnaires were distributed to the respondents in person; the researchers distributed questionnaires to the respondents. The aim of this research is to determine the risk factors associated with ESRD (hypertension, DM, urinary tract infection, urinary tract stone, and obesity) among patients with ESRD the hospital Elmarj City Libya. This can be seen as the descriptive risk factors.
Correlation of Energy and Protein Consumption Levels with Physical Endurance of Rhythmic Gymnast Athletes
Authors: Soenyoto Tommy , Mollap Korakot , Mungpong Juthathip
Published: October 2018

Appearance of a gymnast will score additional point in competition. This study aimed to understand the correlation between consumption level of energy and protein with physical endurance of rhythmic gymnast athletes at Wimilia gymnasium in Semarang on 2010. This was an applied study. The study samples are 7 rhythmic gymnasts at Wimilia gymnasium in Semarang. We used total sampling technique. Our analysis found a strong correlation between independent variables and dependent variable. X?Y? = 0.97; X?Y? = 0.77; X?Y? = 0.97; X?Y? = 0.96; X?Y? = 0.94; X?Y? = 0.79; X?Y? = o, 97 and X?Y? = o, 96. Research data suggested that gymnastics Wimilia coach and rhythmic gymnast trainers were to pay more attention to the correlation between dependent variables static balance .
The Representation of Prevention-of-Mother-to-Child Transmission Service System in Surakarta Indonesia
Authors: Demartoto Argyo
Published: October 2018

The data trend showing the increase in number of HIV/AIDS case through perinatal transmission in Indonesia, including Surakarta, is worrying. This qualitative study with exploratory method took place in Surakarta on February to May, 2015. The units of analysis in this study were recipient and provider of Prevention of Mother-To-Child Transmission (PMTCT) service. The informants were selected using purposive sampling. The data was collected using observation, in-depth interview, Focus Group Discussion and documentation, and was then analyzed using Parsons system theory. PMTCT service system in Surakarta was ineffective because of HIV-positive womens limited knowledge and information on PMTCT, unequal relation between provider and recipient of PMTCT service, medical decision making pattern that is inherent to service provider, and inadequate financial resource and supervision process. For that reason, an action plan is required to accommodate the need of women and children in term of budget allocation, program implementation and civil society involvement in PMTCT to prevent and to cope with HIV/AIDS.
Internal Stigma of an HIV-Infected Housewife: a Phenomenological Study
Authors: Wisotowardono Ossie Sosodoro , Ahmad Riris Andono , Prabandari Yayi Suryo , Hakimi Mohammad
Published: October 2018

In connection with the transmission of the HIV virus, housewives may have experienced internal stigma, which can have an effect on HIV prevention and the treatment of AIDS. Twenty-three HIV-infected housewives were interviewed in a qualitative study conducted in North Jakarta. The data were analyzed using a phenomenological approach. Seven themes emerged to explore internal stigma housewives and to compose the essence of the internal stigma. The essence of an HIV-infected housewife who has internalized the stigma can be illustrated as an Indonesian proverb which is Hidup Segan Mati Tak Mau or in English can be interpreted as having lost the will to live, but not wanting to die. This could explain that AIDS forces them to live in anxiety in all aspects of life but as housewives, they must keep thinking about continuing life especially with regard to the future of their beloved children.
Development Model of Household Contacts as a Peer Support to Decrease the Prevalence of Pulmonary Tuberculosis
Authors: Suharyo Suharyo , Mubarokah Kismi
Published: October 2018

Tuberculosis is a global threat, caused mortality of 15 million people in 2014. Drug supervisor is the main strategy in patient adherence. Hence, the need for strengthening the strategy testing and counseling patients by a household contact as a peer support in overcoming the disease. Non randomized one-group pretest-posttest design was used. The identification of the characteristics of the household contact person who will be peer support was done through focus group discussions. Seventeen household contacts became a model of peer support that accompanied each individual patient. Differences in results were used the Wilcoxon test. There was a significant increase of knowledge (p value = 0.03), adherence (p value = 0.02), prevention practice of transmission by patients (p value = 0.03), and the prevalence of pulmonary TB was decreased by 41% after peer support intervention. Peer   support model can be used as an alternative to increase the role of drug supervisor.
The Combination of Probiotic and Calcium Carbonate Decrease Monocyte Count of End-Stage Renal Disease Patient
Authors: Yulistianingsih Ari , Sulchan Mohammad , Maryusman Taufik , Chasani Shofa
Published: October 2018

Elevated monocyte count is correlated to the decrease of renal function and disease progressivity on end-stage renal disease (ESRD) patients. Probiotic that utilize lactobacillus species is known to play a role in maintaining imunity system balance by inducing the monocyte apoptosis. The combination between probiotic and calcium carbonate could increase probiotic colonization in the gatrointestinal tract. The aim of this study was to analyze the effect of probiotic and calcium carbonate combination toward reduction of monocyte count on ESRD patient at Rumah Sehat Terpadu Dompet Dhuafa Bogor Hospital. This study was true experimental research with randomized pre-post test control group design. Twenty four ESRD patient were randomly enrolled into treatment group (n=12) and control (n=12). The treatment group received probiotic and calcium carbonate, whereas control group received standardized calcium carbonate for 21 days. There was a significant decrease of monocyte (p=0.03) after administration of probiotic and calcium carbonate.
Relationship between Oral Hygiene and Dietary Behaviour and Dental Caries Status in Primary School Children
Authors: Nbaia Sara M Mohamed , Yuniastuti Ari , Indriyanti Dyah Rini
Published: October 2018

Tooth decay can be caused by bacteria that live in the mouth. These bacteria feed on food leftovers in the teeth and produce acid. This acid destroys the enamel layer, dentine layer, and pulp. The purpose of this study is to analyze the risk factors of dental caries in primary school children. The subjects of this study were 77 students of SD Sendangmulyo 1 Semarang. We used questionnaires, diagnoses, and interviews for data collection. For data analysis, we used descriptive analysis method. The results showed that the most common dental caries risk factor in primary school children was sugar consumption. Up to 72% of children agreed to bring packed meal, 90.7% were used to have a breakfast, 80% used to clean their mouth every day, 70.7% clean their mouth after meals, 64% brush their teeth after eating candy, and 89.3 % brush their teeth before going to bed. There is a relationship between oral hygiene and dietary behavior and dental caries status of primary school children. In conclusion, there is a relationship between oral hygiene and dietary behavior and dental caries status of primary school children.
Family Structure and Early Marriage on Women in Indramayu Regency
Authors: Muharry Andy , Hakimi Mohammad , Wahyuni Budi
Published: October 2018

Early marriage in Indramayu Regency in the past two years had increased to three times. The purpose of this research was to identify the age of marriage and the factors which caused early marriage by looking at the variables of family structure, education and economic status of the household. This research used matched case control study design. The data were collected using questionnaires and interview guidelines. The samples were taken using simple random sampling technique. The subject consisted of 94 people. The data were analysed using McNemar test and conditional logistic regression. The variables which had significant relationship with early marriage were father’s education, education of the respondents, and economic status of the household. Meanwhile, family structure and mother’s education had no significant relationship with early marriage. It can be concluded that women with low father’s education and came from poor families had greater chance of getting married early.
The Giving of Guava Leaves Boiled Water to Postpartum Perineal Wound Healing
Authors: Zuhana Nina , Prafitri Lia Dwi , Ersila Wahyu
Published: October 2018

Labor often results in a tearing of the birth canal, either primigravida or multigravida with a rigid perineum. Approximately 85% of women who give birth spontaneously vaginal have 32-33% perineal trauma due to episiotomy and 52% are spontaneous lacerations. Perineal trauma may occure perineal infection due to poorly maintained perineal hygiene. This can be prevented by treating injuries. The research aims to know the effect of guava boiled water (psidium guajava linn) on the duration of wound healing of the postpartum nurse’s perineum. This research uses quasi-experimental research method with posttes control group design. Population used all postpartum with perineal sew wound in Pekalongan district in 2017 with sampling technique non probability sampling type consecitive sampling. Data analysis using un-paired t test showed that there was influence of guava leaf decoction (Psidium Guajava Linn) on the duration of wound healing of postpartum nurse perineum with significance value p 0,000 (<0,05).
Community Understanding of 13 General Messages of Balanced Nutrition
Authors: Sukoco Noor Edi Widya , Herawati Maria Holy
Published: October 2018

Indonesia still faces a double burden of nutritional problems, especially in children. It is essential to promote balanced nutrition education to mothers of toddler years old. They are more familiar with “4 Healthy and 5 Complete” which has been replaced by “Balanced Nutrition Guidelines” (PUGS). This cross-sectional study aimed to assess the knowledge of mothers about 13 PUGS messages in East Lombok District. This study was conducted using quantitative approach and supported with qualitative data. Data was collected by interviewing 188 mothers, stakeholders, health workers, cadres and community leaders. Data was analyzed using logistic regression to determine which messages are correlated to nutritional status. The result shows that the majority of mothers do not understand PUGS. There is a relationship between mother’s knowledge with children’s nutritional status. Mother’s knowledge of consuming iron-containing foods, drinking clean and sufficient water are associated with children’s nutrition status. PUGS messages are better understood by health workers compared to mothers.
Children Under Five Year Mother Class Program to Detect the Children Growth and Development
Authors: Meliati Linda , Ekayani Ni Putu Karunia
Published: October 2018

This research objective is to analyze the effect of children under five year mother class program to mother’s knowledge and attitude to detect the children growth and development. The research is dummy experiment with nonrandomized pretest posttest design. The research is applied to mothers having children age 0 – 59 months in Puskesmas (Community Health Service Center) Gunungsari work region as many as 30 persons. The result is there are improvement of average knowledge and attitude score after the class. Previous average score of the mothers knowledge is 0.33 point and attitude 1.8367 point. After one month of the class, average score of the mothers knowledge become 0.67 point and attitude 2.1334 point. Statistic test result that there is effect of children under five year mother class program in mother’s knowledge and attitude to detect the children growth and development. There is no effect of the class implementation to mothers knowledge and there is effect of the class implementation to mothers attitude after one month intervention.
The Change of Knowledge and Attitude of Bride and Groom Candidate After Reproductive Health Pre-Marital Course by KUA Officer
Authors: Nugraheni Sri Achadi , Martini Martini , Kartasurya M I , Johan I , Ambari Reni Pawestuti , Sulistiawati E , Nurchumaida Nurchumaida
Published: October 2018

Reproductive health in Indonesia is still very poor, as evidenced by the still high maternal mortality rate (MMR). MMR decline was slow, as well as in the province of Central Java. The highest is in Brebes Regency which has as many as 53 cases of maternal decease. One of the causes of high MMR is the lack of reproductive health sensitivity of bride and groom candidates. The purpose of this research is to analyze the influence of counseling on bride and groom candidates knowledge and attitude related to reproductive health. This research is a quasi experimental research with pre and post test without control group design. The population was bride and groom candidates listed in KUA of Brebes Regency in July and August of 2017, with a sample of 100 pairs selected according to the inclusion criteria. The interventions in the form of a one-day course by KUA officers on reproductive health with Bride and Groom Candidates Reproductive Healt booklet and flipcharts as the tools. The data of knowledge and attitude are obtained by interviewing the bride and groom candidates. Analysis is conducted with Wilcoxon Match Paired Test. The results showed that there is a difference of bride and groom candidates knowledge and attitude before and after intervention (p <0,05), with mean value increased 2.58 points (knowledge) and 3,21 points (attitude). Recommended advised are the pre-marital program socialized by KUA officers is expanded and multiplication of the booklet as a tool for the officers in pre-marital courses implementation.
Side Effects and Determinant of the Use of 3-Month Contraceptive Injection
Authors: Priyanti Sari , Syalfina Agustin Dwi
Published: October 2018

Acceptor of contraceptive injection increased from 11.7% to 27.8% since 2010-2013. Contraceptive injection of Depo Medroxy Progesterone Acetate (DMPA) is given every 3 months by intramuscular. The long-term use of 3-month contraceptive injetion for more than two years can cause side effects such as menstrual disorders and decreased libido due to accumulation of progesterone hormone in the body that suppressed estrogen effect. This study aimed to analyze the association in long-term use of 3-month contraceptive injetion with menstrual disorders and decreased libido in Puskesmas (Primary health care) Puri, Mojokerto Regency in 2016. The study was observational analytics with cross sectional approach with sample 73 contraceptive acceptors. The data were analyzed by using univariate, bivariate and multivariate analysis with logistic regression and multivariate general model. The results showed that the duration of use of 3-month contraceptive injetion was significant with side effect of menstrual disorders (PR=0.142; 95%CI: 0.040-0.502) and decreased libido (PR=0.275; 95%CI: 0.100-0.756). Conclusion: menstrual disorders and decreased libido associated with the duration of use of 3-month contraceptive injetion.
Postoperative use of somatostatin analogs and mortality in patients with acromegaly
Authors: Postma Mark R , Wolters Thalijn L C , van den Berg Gerrit , van Herwaarden Antonius E , Muller Kobold Anneke C , Sluiter Wim J , Wagenmakers Margreet A , van den Bergh Alfons C M , Wolffenbuttel Bruce H R , Hermus Ad R M M , Netea-Maier Romana T , van Beek André P
Published: October 2018

Objective

To assess the effect of somatostatin analogs (SSAs) on mortality in relation to disease control of acromegaly after pituitary surgery.

Design

A retrospective study in two large tertiary referral centers in The Netherlands.

Methods

Overall, 319 patients with acromegaly in whom pituitary surgery was performed as primary therapy between January 1980 and July 2017 were included. Postoperative treatment with SSA was prescribed to 174 (55%) patients because of persistent or recurrent disease. Disease control at last visit was assessed by IGF1 standard deviation score (SDS). Adequate disease control was defined as IGF1 SDS ≤2. Univariate determinants of mortality and standardized mortality ratios (SMRs) were calculated for groups with and without SSA at any moment postoperatively and at last visit.

Results

In total, 27 deaths were observed. In univariate analysis, determinants of mortality were inadequate disease control (relative risk (RR): 3.41, P = 0.005), surgery by craniotomy (RR: 3.53, P = 0.013) and glucocorticoid substitution (RR: 2.11, P = 0.047). There was a strong trend toward increased mortality for patients who used SSA (RR: 2.01, P = 0.067) and/or dopamine agonists (RR: 2.54, P = 0.052) at last visit. The SMR of patients with adequate disease control who used SSA at any moment postoperatively (1.07, P = 0.785) and at last visit (1.19; P = 0.600) was not increased. Insufficiently controlled patients had a significantly raised SMR (3.92, P = 0.006).

Conclusions

Postoperative use of SSA is not associated with increased mortality in patients with acromegaly who attain adequate disease control. In contrast, inadequate disease control, primary surgery by craniotomy and glucocorticoid substitution are associated with increased mortality.
Konceptualiųjų DIEVO ir JĖZAUS metaforų tinklas Evangelijoje pagal Joną
Authors: Vaivadaitė-Kaidi Eglė
Published: October 2018

[only abstract in English; full article and abstract in Lithuanian]

This article analyses the metaphoric language pertaining to the concepts of GOD and JESUS in the modern translation of the Fourth Gospel into the Lithuanian language (Kavaliauskas 2009). The aim of the research is to reveal the system of conceptual metaphors defining these concepts in the text. The investigation was conducted following MIP(VU) as a method of identifying metaphoric language in discourse following the framework of the Conceptual Metaphor Theory.

The study reveals that the concepts of GOD and JESUS are defined by a complex system of closely related conceptual metaphors related to each other through various conceptual mappings. The system is based on the oppositions of UP and DOWN, LIGHT and DARK, GOOD and BAD, and is constituted of the source domains of FAMILY, POWER RELATIONSHIPS, LAW, AGRICULTURE, and PHYSICAL REALITY. The most common conceptual metaphors are the GOD – FATHER and JESUS – SON metaphors. They are the basis of other cases of personification of GOD and JESUS identified, namely: KING, SHEPHERD, JUDGE, SENDER, SOWER, WINE-MAKER, etc. All these conceptual metaphors may be related through the conceptual mappings of AUTHORITY and POWER. The authority and power of the Father are passed to the Son, who comes to this world to continue the works of his Father and inherits his Father’s place in the hierarchy of the family.
Wizja dziejów Polski w twórczości Celiny Bobińskiej na łamach „Nowych Dróg” – wybrane przykłady
Authors: Pasisz Piotr
Published: October 2018

[full article in Polish; abstract in English]

The article is an attempt to analyse the achievements of Celina Bobińska in the pages of Nowe Drogi, one of the leading magazines of leftist intelligentsia. Bobińska, as a historian, interpreted the main moments of Polish history from the turn of the 18th and 19th century, looking at them through the prism of historical materialism. The analysis will focus on selected articles by Bobińska from the turn of the forties and fifties. The research questions that will be posed are characteristic of historiography historiographer – what was the interpretation of these events and why and what other than theoretical and philosophical assumptions laid at the basis of such a vision of Polish history. Post-war years were a special moment in the history of the Polish intelligentsia, when this layer faced dilemmas of involvement on the side of building a new social order in its material, but also institutional and consciousness aspect. The construction of the latter was especially a task for the intelligentsia, which journalism used to do. Bobińska was one of the leading representatives openly on the side of Marxism (as a certain theory, but also a worldview).
Allegories of the Campus in Polish Academic Narratives
Authors: Kraszewska Marzena
Published: October 2018

[full article and abstract in English]

In the paper, two Polish academic narratives Krzysztof Zanussi’s movie “Camouflage” (“Barwy Ochronne”) of 1976, and Wit Szostak’s novel “A Hundred Days Without Sunshine” (“Sto dni bez słońca”) of 2014 are discussed from the perspective of the use of the campus space as an image of the state. Drawing from the tradition of the British and American campus novel – a literary genre that developed in the 1950s and reached the peak of its popularity in the 1990s, the two narratives, created in two different political realities, make use of the absence of academic campuses in Poland and offer the campus as a miniature of the social space of the state in which conflicting ideas and ideologies clash, revealing the mechanisms of meritocratic privileging and hierarchization of positions. Such elements as imagery, the presentation of characters, forms of narration, literary / film techniques, use of language are analysed in order to show that they are used by the authors to stress an allegorical meaning in the analysed narratives.
Pediatricians’ Participation in Quality Improvement at the Time of Enrollment in MOC
Authors: Freed Gary L. , deJong Neal , Macy Michelle L. , Van Kenton D. , Leslie Laurel K.
Published: October 2018

BACKGROUND AND OBJECTIVES:

Although national bodies have proclaimed the importance of incorporating quality improvement (QI) into the daily fabric of clinical care, the actual proportion of practicing pediatricians who participate in QI activities on an annual basis is unknown. Correspondingly little is known about pediatrician motivations for, attitudes about, and support received for QI participation.

METHODS:

Pediatric diplomates enrolling in the American Board of Pediatrics’ Maintenance of Certification program during calendar year 2016 were provided with the opportunity to complete a brief survey. A portion of the survey was focused on issues related to participation in QI programs.

RESULTS:

Survey responses were received from 8714 of the 11 890 diplomates who enrolled in Maintenance of Certification in 2016 (response rate: 73.3%). Overall, 86.6% of respondents reported participation in at least 1 QI project in the previous year. There was variation in previous-year participation in a QI project by practice affiliation categories, ranging from 79.9% for nonacademic generalists to 92.4% for academic specialists. The extrinsic requirement for QI to maintain board certification was the dominant motivator among all respondents (50.7%), followed by 2 intrinsic factors: identify gaps in practice and implement change (40.3%) and opportunity to collaborate with others (36.9%).

CONCLUSIONS:

Although the results are encouraging, despite almost 2 decades of national attention to the quality of health care and efforts to embed continual QI in health care delivery activities, ∼1 in 5 nonacademic pediatricians and 1 in 10 academic pediatricians did not report participating in any QI activities in the previous year.