bluuebunny/crossref_metadata_2025 huggingface dataset:
Measuring Efficiency of Hospitals by DEA: An Empirical Evidence from Pakistan
Authors: Rasool Syed Aziz , Saboor Abdul , Raashid Muhammad
Published: April 2018

ABSTRACT

There has been increasing focus on efficiency measurement in health sector around the world. This empirical study aims at measuring efficiency level of non-profit private organization by using Data Envelopment Analysis (DEA) in the health sector of Pakistan. DEA is non-parametric linear programming based approach for homogeneous decision making units. Layton Rehmatullah Benevolent Trust (non-profit private organization) will be subject matter for investigational analysis constituting over 16 sub-units spreading across the country. Secondary data of number of patient beds, specialists and nurses in all the 16 branches of LRBT hospitals will be used applying quantitative specification tool, both scale and technical efficiency levels in an environment where multiple of inputs and outputs are in place, will be used for final evaluation. The outcomes so expected will help policy makers to formulate effective plans and programs in order to enhance the efficiency of health measures conducted by non- profit private organizations.

 
Epidemiological Characteristics of Poliomyelitis during the 21st century (2000-2013)
Authors: Ahmad Tahir , Arif Sania , Chaudry Nazia , Anjum Sadia
Published: April 2018

Poliovirus is the pathogenic agent of paralytic poliomyelitis that belongs to the picornaviridae family. Poliomyelitis has an extended history dating over to the Egyptian eighteenth dynasty. It was recognized as distinct disease in the late nineteenth century when the world was ravaged by large number of outbreaks and epidemics in many countries. Paralytic Polio, the rarest but the most severe form of the disease, is characterized by acute flaccid paralysis of any or rarely both of the limbs. Increasing epidemics during the late 19th and 20th centuries lead to the initiation of a worldwide global effort for polio eradication in 1988, super headed by WHO and various other organizations. The launch of Global Polio Eradication Initiative together with the introduction of two polio vaccines resulted in 99% reduction of wild poliovirus cases worldwide while the total number of polio-endemic countries dropped from 24 countries in the year 2000 to only three countries in 2012; Afghanistan, Nigeria and Pakistan. This review will focus on the general biology of poliovirus, some historic and geographic epidemiological aspects of poliomyelitis eradication during the year 2000-2012 and also on the major failing factors associated with the efficiency of the vaccines to eradicate polio in Pakistan.
Nutritional Intakes of Obese Elementary School Children Residing in the Shimokita Peninsula of Aomori, Japan
Authors: Kumagai Takako , Nakamura Yumiko , Naijo Emi , Sugimoto Akiko , Kavanagh Barry , Ito Haruyuki
Published: April 2018

This research examined the lifestyles and eating habits of 42 elementary school fifth graders(20 boys and 22 girls) over a 3-day period; these children resided in theShimokita Peninsula, Aomori prefecture, which has the highest childhood obesityrate in Japan. The children’s nutritionalintakes were recorded via questionnaires and self-documented meal recorddiaries overa 3-day period (1 weekday and the weekend). The meal record diaries recorded which meals the children ate (including snacks) during the 3-day period. A regular feature of these children’s lifestyle was theviewing of at least 3 hours of television per day. Compared with the National Health and Nutrition Survey conductedby the Japanese government, the nutritionaland energy intake levels were the same but when we examined food group intakes,the vegetable intake was lower on weekends in comparison to the weekdays whenthe children were provided school lunches. In addition, salt intake exceededthe recommended standard in more than 80% of the study sample. We suggest thatthe pattern of reduced vegetable intake juxtaposed with high salt intake stemsfrom childhood and is repeated and passed down through generations; therefore, theguardians of these children require nutritional guidance and education.
Factors Influencing Utilization of Health Services in Kenya: The Case of Homa Bay County
Authors: Otieno Stephen Odiwuor , Macharia David
Published: April 2018

In order to improve efficiency in health service delivery in Kenya, the Ministry of Health has developed structures through inter-sectoral collaboration at various levels. Despite efforts by the government and key stakeholders to improve health sector, utilization of health services still remains a major challenge. The purpose of the study was to investigate factors that influence utilization of health services in Homa Bay County, Kenya. The study employed survey design and focused on health beneficiaries, District Health Management Team and other key health stakeholders, and used both quantitative and qualitative data. Quantitative data was collected through household interviews of 384 respondents and qualitative data was generated through Key Informant Interviews of 16 respondents. The study reveals that health financing, service delivery, quality, accessibility and equity influence utilization of health services in Homa Bay County. It is for these reasons that the study recommends that the government should allocate adequate budget towards health services, avail adequate trained health workers, and improve infrastructure in health facilities as well as drugs and other supplies. There is also need for further research on cultural factors influencing utilization of health services.
Public Health Promotion: Autonomy of the Emergency Nurse Practitioner
Authors: Alexander Cheryl Ann , Wang Lidong
Published: April 2018

The purpose of this paper is to examine several key issues in health care reform. From the Patient Protection and Affordable Care Act of 2010 to the cholera epidemic in Haiti, global health care reform is necessary to promote health and wellness among all nations. There is an international shortage of nurses and nursing faculty. Among the providers, it is also necessary to examine autonomy of the most up and coming nurse provider: the emergency nurse practitioner.
The Relationship between Emotional Violence and Learning Achievement of Female Students
Authors: Aulia Reski , Ayu Suci Musvita
Published: April 2018

Violence is a phenomenon social happened and inclined for women as a sacrifice. There are still a few people who know the violence that is happened in relationship. It is because they assume that relationship is amazing time in young age. It is one of ignorance from citizens that they are less of information and data report of violence victim in the relationship. Learning achievement is measured of the success of students in learning activities. Influence factors achievement of study can be classified into two groups, namely the internal self sourced from students and external factors included factors of family, school and community environment factors. The aim of the research was to investigate the relationship between emotional violence and learning achievement of female students in SMK Negeri 6 Yogyakarta, Indonesia. This study was observational analytic employing cross sectional design. The subject of research was 85 students of SMK Negeri 6 Yogyakarta. The results showed that there was no relationship between emotional violence with learning achievement.
High Glucose, but Not Testosterone, Increases Platelet Aggregation Mediated by Endothelial Cells
Authors: Jenie Ikhlas Muhammad , Mulyono Budi , Aswin Soedjono , Soejono Sri Kadarsih
Published: April 2018

Endothelial cells inhibit platelet aggregation by releasing thromboregulators, such as prostacyclin and nitric oxide. Male subject is a traditional risk factor for cardiovascular diseases. Platelet hyperreactivity has been frequently found in patient with diabetes mellitus. To examine whether testosterone and high glucose modify platelet aggregation through endothelial cells, we did an in vitro study using endothelial cells culture from human umbilical vein (HUVEC). Treatments were performed in HUVEC sub culture as either normoglucose (5.6 mM) or high glucose (22.4 mM) medium, with or without testosterone (0, 1, 10, 100 nM), for 24 hours. HUVEC were trypsinized, resuspended, and then incubated with platelet rich plasma from healthy male donors with ratio 1:104 for 3 minutes. Platelet aggregation measured by turbidimetry methode. This study showed that testosterone did not significantly influence platelet aggregation through endothelial cells in normoglucose (p = 0.144) or high glucose (p = 0.916) medium. There was no main effect of testosterone (p = 0.73) as well as no interaction between testosterone and glucose (p = 0.69), but there was a main effect of glucose (p = 0.004), to platelet aggregation through endothelial cells. In conclusion, high glucose, but not testosterone, inhibits platelet aggregation mediated by endothelial cells.
Perceived Parental Monitoring on Adolescence Premarital Sexual Behavior in Pontianak City, Indonesia
Authors: Suwarni Linda , Ismail Djauhar , Prabandari Yayi Suryo , Adiyanti MG
Published: April 2018

Inadaquate parental monitoring is widely recognized as a risk factor for the development of child and adolescent conduct problems, including early premarital sexual behavior. Previous studies examining parental monitoring have largely effect to adolescents premarital sexual behavior. Parental monitoring is the most important and effective factor to prevent early adolescents sexual activity. This paper examines the role of perceived parental monitoring in adolescent’s premarital sexual behavior (study on Adolescent’s Junior High School in Pontianak). A cross-sectional study and proportionated random sampling was conducted among 402 adolescents of junior high school at six subdistricts in Pontianak. SEM analyses was conducted using SMART-PLS. Result of path analysis revealed that parental knowledge (r = 0.389) and parental-adolescence relationship (r = 0.334) had a strong influence on parental monitoring. Then, parental monitoring had a significant indirect relationship with adolescent premarital sexual behavior through attitudes about premarital sexual (path coefficient = 0.063), and attitudes about premarital sexual and intention to sexual behaviour (path coefficient = 0.03). Parental monitoring can act as protective factor in early adolescent premarital sexual behavior. Therefore, risk reduction interventions with adolescents should include their parents to learn about monitoring skill and develop skill that will allow them to buffer negative influences.
A Review of The Anti-diabetic Activity of Andrographis paniculata (Burm. f.) Nees based in-vivo Study
Authors: Komalasari Titi , Harimurti Sabtanti
Published: April 2018

Diabetes mellitus (DM) is ricing nowadays. DM is a metabolic deasease characterized by increasing of glucose blood level for prolonged time. Patient with DM must take medicine for lowering glucose levels in whole life. Synthetic anti-diabetic agent is commonly used and significantly able to maintain the glucose blood levels. However, many side effects will occur during the treatment. Further, people is trying to find an alternative medicine for DM treatment. This paper will discuss about an alternative medicine for anti-diabetic agent that is called Andrographis paniculata (Burm. f.) Nees based in-vivo study. Search data obtained from PubMed, PMC (PubMed Central), International Food and Research Journal, and Google search engine. Inclution and exclution criteria were used for selection of journals. Inclution criteria were taken is in-vivo study of Andrographis paniculata as anti-diabetic, published in 2000-2014, and free full text journal or PubReader (full text journal in PubMed Central) in English or Indonesian language. Base on reviewed journals that was conducted, anti-diabetic agent of Andrographis paniculata was found in extract, in fractional coumpund (i.e. andrographolide or its analogue AL-1: andrographolide-lipoic acid), and in combination with synthetic drug or other herbal. Therefore, Andrographis paniculata is potentially developed as an alternative anti-diabetic agent.
Students’ Perception on Interprofessional Education
Authors: Orbayinah Salmah , Utami Laksmi Putri
Published: April 2018

Unawareness of the roles and competencies of other health professions has led to many medical and medication errors in the treatment of patients in the hospital. It is considered important to give Interprofessional Education (IPE) to students at pre-clinic and clinical stage in order to have a good understanding about roles of other health professionas. IPE is an interprofessional collaborative learning to support promotive, preventive, curative, rehabilitative and other approches related to health aspect. Perception is among the most important and highly needed skill in the implementation of IPE. This research aimed to determine the effect of IPE learning toward the perception among the students in Faculty of Medicine and Health Science of Universitas Muhammadiyah Yogyakarta (FMHS UMY). This is an observational study adopting a cross sectional design. The sample of students was collected through purposive sampling technique. A number of 94 students met the inclusion criteria, comprised of 21 students of Medical Profession Education, 25 of Dentistry Profession Education, 25 of Nursing Profession Education and 21 Undergraduate students of Pharmacy. Samples were given questionnaire of Interdiciplinary Education Perception Scale. Comparative test was done by Kruskall-Wallis test. From 94 students of FMHS, 75.5% had good perception toward IPE. No significant differences appeared in perception (p=0.285) among the students of FMHS UMY. The Interprofessional Education (IPE) had significant effects toward the perception among the students of FMHS UMY.
Medical Students Perception about Doctor's Body Image Using Stunkard Figure Rating Scale (FRS) Method
Authors: Tejoyuwono Agustina Arundina Triharja , Riedha Muhammad
Published: April 2018

Doctor as health workers are obliged to be role models, especially in healthy and active life stlyle projected as having an ideal body image. It beneficial to increase self confidence, improve sucess in counceling and health service satisfaction and as well as gaining patient’s trust. Body image sometimes considered unnecessary, however it could be quite disturbing in health service.Therefore, this study aims to describe medical student’s perception on doctor’s body images as health workers in Tanjungpura University. This resarch used survey in descriptive study with quantitative data. The subject was medical students from medical, pharmacy and nursing grade 2011 to 2014. Triangulation data collected from doctor working in medical school, and Tanjungpura University Hospital. Sample was choosen by purposive sampling and analyzed by descriptive statistic. This research had been approved by medical faculty ethic research admission at Untan no. 3986/UN22.9/DT/2014. A total of 576 medical students were enrolled in this research. 93.06% stated that body image is important for doctor and it will influence the theraphy. 67.2% chose picture 4 (normal nutritional status) in Stunkard Figure Rating Scales the ideal body images for doctors. Nevertheless,17.01% chose picture < 3 (underweight) and 15.8% choose picture > 5 (overweight and obesity) as the doctor’s ideal body images. Doctors that work in Educational field were the most important field that needs a good body image (42.88%0, followed by doctor in hospital (24.83%). Based on triangulation data from 16 medical school doctors, and 7 Tanjungpura University Hospital doctors, suggested that body image will not impact the therapy (82.6%) and the most important field that needs ideal body images was in hospital (43.5%). Body image is very important and it will influence doctor theraphy. Doctor in educational field should have a ideal body image with normal nutrition status.
Serum Level Changes of Neurotrophin-3 after Performing Diabetic Foot Exercise in Diabetic Neuropathy
Authors: Wahyuliati Tri , Pranoto Agung , Wibowo Samekto
Published: April 2018

The research aimed to determine the pattern of changes in serum levels of NT-3 in the improvement of diabetic neuropathy, after doing diabetic foot exercise. A true experimental study with randomaized pre – post test control trial. A total of 36 subjects meeting the inclusion and exclusion criteria were included in the exercise group or the control one with age matched systematic random sampling method. Exercise group had a significant improvement on the score of ABI (p.0.002), systolic blood pressure (p.0.014), diastolic blood pressure (p.0.055), DNS (p.0.01), DNE (p.0.001) and increased of serum level of NT-3 (p.0.049). Control group had result respectively on ABI (p.0.131), systolic blood pressure (p.0.668), diastolic blood pressure (p.0.216), DNS (p.1.00), DNE (p.0.543), and increase of NT-3 (p.0.264). The comparation results of the two groups had a significant different on the score of ABI (p.0.01), systolic blood pressure (p.0.01), diastolic blood pressure (p.0.01), DNS (p.0.01), DNE (p.0.01), and increased of NT-3 (p.0.01). Diabetic foot exercise had a peripheral affect on a clinically significant improvement based on ABI scores, systolic and diastolic blood pressure, DNS and DNE, and increase of serum level of NT-3.
Evaluation of Medical Officers’ Certificate Programme (MOCP) Course Competency Based Learning
Authors: Phadke Mrudula A
Published: April 2018

Medical Officers’ Certificate Programme (MOCP) is a 6 months training programme in Pediatrics/Medicine at Medical colleges wherein doctors work like postgraduate students, learn various OPD, IPD, (Out Patients and In Patient Department) procedures, attain hands on skills, perform day and night duties, attend postgraduate training programmes and specialty clinics. This is a course unique to Maharashtra. It has been designed to overcome shortage of Pediatrians & Physicians in the state. Public Health Dept deputed 28 Medical Officers of Primary Health Centers to various Medical Colleges. At the end of 6 months training course they were evaluated during 2012-2013.It was done by questionnaire used before and after training. It was observed that OPD increased by 24% and IPD by 54%. There was a decrease in the number of cases referred to tertiary centers by 24%, post MOCP training. Infant immunization increased by 35% after training. Number of children with severe acute malnutrition/moderate acute malnutrition treated increased by 22%, neonatal emergencies, resuscitation, sepsis, jaundice patients treated, increased by 36%. No of adults with diarrhoea and snake bite treated increased by 40% & 63% respectively. No. of ECGs taken and myocardial infarctions managed also has shown rising trend. Thus, there was tremendous benefit to the patients after MOCP training. Skill of doctors was found to have enhanced. It is therefore recommended that such novel trainings should be imparted in other states of India too.
Using Email Communication to Increase Expatriate Parents’ Knowledge of the Human Papillomavirus
Authors: Baker Melissa M. , Somrongthong Ratana
Published: April 2018

Expatriates face a unique set of determinants to health which may influence their level of knowledge, perception of available preventative health care alternatives and their health seeking behaviors. The objective of this study is to understand the effect of an email communication intervention on expatriate parents’ level of knowledge of the Human Papillomavirus (HPV). Repeated measurement of knowledge was conducted pre- and post-intervention among parents who received the study intervention (group 1) and those who received standard care (group 2). Intervention effect was measured by any change in knowledge within and between groups. The group 1 had a significant rise in knowledge mean from baseline to first and then second follow-up (m = 0.57 (SD 0.39), m = 0.84 (SD 0.16) and m = 0.87 (SD 0.11), respectively). In addition, after receiving the intervention, group 1 felt they had sufficient information to make an informed decision of whether to vaccinate their child(ren), with a significant difference from baseline to first post test, (χ² (1) = 8.50, p < 0.05). Based on an increase in knowledge, the study’s email intervention proved effective mode to disseminating HPV-related information.
A Short Review On The Development Of Salt Tolerant Cultivars In Rice
Authors: Khan Samiullah , Javed Dr.Muhammad Arshad , Jahan Nusrat , Manan Dr.Fazilah Abd
Published: April 2018

Rice is staple food for half of the world. With a population of almost 9.6 billion by the year 2050, there is a dire need of developing techniques to improve the crop plants, not only in terms of better yield but also to withstand harsh environmental conditions and stresses like drought, temperature, flood and salinity. Salinity is second to drought stress and hence it is very important to develop crops tolerant to salinity stress. This review discusses the mechanisms of salt tolerance and the recent developments in understanding the complex tolerance phenomena. One way to address the salinity issue is to develop tolerant rice varieties using conventional and modern breeding techniques for which screening the rice germplasm for the varieties with desired traits is critical. Conventional methods to develop tolerant rice varieties are discussed along with modern biotechnology techniques are also discussed. Quantitative Trait Loci (QTL) and Marker Assisted Selection (MAS) are promising techniques. In addition to these modern techniques, some recent developments in the fields of transgenic plants, haploid breeding and Somaclonal variations have also been discussed. The limited knowledge about molecular and genetic mechanisms to tolerate abiotic stresses, however is a barrier to efficiently develop tolerant cultivars. A combination of conventional and modern biotechnology techniques could possibly open up the new ways.
Solid Waste Management in Hospital Jogja
Authors: Maulana Muchsin , Kusnanto Hari , Suwarni Agus
Published: April 2018

There are some groups who may get the risks of hospital waste disposal. The first group is the patients who come to hospital to get cure and care. It is the most vulnerable group. The second is hospital’s employees who have direct contact with the patients as main illness’s agents on doing their daily duties. The third group is the visitor or those who accompany the patients; their risk is big as well. The last group is the society, people who live near the hospital, even when the waste siposal is done inappropriately. It causes the decrease of environmental quality which leads to the decline of health quality in the area. Hence, hospital has a responsibility to manage the disposal process of waste correctly and appropriately by conducting sanitation programs in hospital. Jogja Hospital is a Government-owned Hospital run by the Government of city of Jogyakarta. In its daily activities, the hospital produces waste which, if not properly discharged or burned, may cause adverse effect on workers as well as the surrounding area. Jogja hospital has Incinerator, thus simplifying the management such waste. The waste management including the rules, procedures and policymaking need to be explored to investigate the process of waste management of Jogja hospital.
Unmet Need and its Reasons for Nonuse Contraceptive in East Java Province
Authors: Herowati Diyah , Listyawardani Dwi , Yuli Prihyugiarto Titut
Published: April 2018

The primary aim of family planning program is to enable women to fulfill their own needs and desires toward childbearing whether they want to space or limit their birth. However, issues of unmet need in Indonesia, particularly in East Java Province become the urgent problem to be address recently. Based on the data set of the 2014 Mini Survey of Eligible couple in Indonesia, this study attempted to identify the demographic characteristic of women aged 15 – 49 with unmet need, to describe their experienced used contraceptive and to find out reasons for nonuse of contraceptive. This study found that women with unmet need are more likely to be higher among older women, have lower and higher level of education, living in urban areas, and have more number of living children. Most of respondents stated that they had experienced to use contraception before with injectable, IUDs and pill. Other results show a significant number of women mentioned method-related reasons (fear of side effects, health concerns, and inconvenient to use) as most often cited reasons for nonuse. Some important policy implications offered from this study in order to eradicate barriers to the use of contraceptive methods are to improve follow-up, strengthen counselling approaches to address fear of side effects, promote information, education and communication (IEC) on reproductive health and provide availability of the most suitable method according to the need, such as to avoid health problems of women.
The Formulation of High-Calorie and Rich-Fe Biscuits for Pregnant Women with Chronic Energy Malnutrition
Authors: Sunarti Sunarti , Hanim Diffah , Ahda Mustofa , Kusnandar Kusnandar
Published: April 2018

Supplementary food distribution for pregnant women still depends on the local policy. This program is funded using Health Operational Funds and distributed in form of milk, eggs, raw materials such as green beans and others. The field constraints of this program were acceptability and willingness of pregnant women to process the raw materials. This study aims to address the problems of providing supplementary food for pregnant women who suffer from chronic energy malnutrition and anemia by making the formulation of high protein biscuits and Fe using soybean flour substitution catfish eggs and flour as a source of protein and Fe.  Biscuits produced is expected to be one of the snacks and nutritions for women who suffer from chronic energy deficeincy. The ingredients were flour, fish powder, soy flour, eggs,  milk powder, sugar, and maize flour. The method used was pure experimental approach completely randomized design with three times repetition. The formulation of the biscuits proportion between fish and soy flour as much as 2:1, 1:1, and 1:2. Proximate test shows that the proportion of fish and soy flour 1:2 has the highest energy value (496.81 kcal) with a value of 17.74% protein. Organoleptic test indicates that the most favorable taste and tekstur was the formulation with the proportion of fish flour and soy flour 1:2. The formulation of high protein and Fe biscuits for women with chronic energy malnutrition and anemia in Boyolali favoured by third trisemester pregnant women is the one with the proportion of 1:2.
The Support to Improve Self Efficacy and Healing of Drugs Addict
Authors: Rosdiana Rosdiana , Murti Bhisma , Wijaya Mahendra , Suwarto Suwarto
Published: April 2018

Appropriate counseling and education can be adopted to achieve a change in attitude, knowledge and perception. Still there is a wrong perception of a given intervention. Peer support through a process of social learning, the process of growing understanding of how to process information from experience, observational include: attention (attention), given (retention), reproduction of motion (reproduction), motivation (motivation), and communication. The purpose of this study was to analyze resident self-efficacy to regardless of drug addiction through family support. This study employed qualitative approach with case study design. Subjects in this study were residents, ex drugs user, peer support, and resident family. The results showed that peer support from fellow residents and the support of the major on duty (MOD) very meaningful and helpful for resident in the healing process.
Adolescent’s Self-Efficacy for Early Marriage in South Bangka Regency, Indonesia
Authors: Antarini Antarini , Rhadiyah Putri , Permata Tesza , Marcely Rizka , Montovani Dini
Published: April 2018

The percentage of married women under the age of 20 years at 13% with a median age of 20.1 years and the median marriage age of first marriage in the rural lower at 19.7. Pregnancy at a very young age correlated with maternal mortality and morbidity. Girls aged 10-14 are five times the risk of dying during pregnancy or childbirth compared to the age group of 20-24 years, while the risk is doubled in the age group of 15-19 years. This study aimed to analyze several variables that affect the self-forming efficacy of early marriages. The research was explanatory research with cross sectional design. The sample size was 241. Data analysis was performed using correlation analysis Somers. There were very weak positive correlation for Verbal Persuasion (r=0.013), very weak negative correlation for Vicarious Experience (r=-0026) and Emotional Arousal (r=-0075), weak negative correlation between Mastery Experience factor (r=-0035) with early marriage.
Pain and Suffering: The Reality of Being Positive with HIV/AIDS
Authors: Lestari Retno , Carsita Wenny Nugrahati
Published: April 2018

HIV/AIDS remains a global health problem and affects the overall quality of life. People living with HIV/AIDS are at risk for developing mental health problems, such as depression and anxiety. This condition can fuel additional problems, such as non-compliance in taking HIV medications. This study aimed to explore the meaning in life while living with HIV/AIDS among people in West Java.This study used an interpretive phenomenological approach. Data were collected by in-depth interviews among 7 participants who experienced HIV-positive. The results were analyzed by Van Manen method. Four themes were identified in this study: (1) experiencing mental suffering, (2) be free from mental suffering, (3) trust the HIV/AIDS disease is not contagious and there is a hope to liveand (4) performing activities to improve the quality of life. Participantsfeels that living with HIV/AIDS is not easy. They suffered from fear and anxiety, on the other hand it emerged as a hope and decision to seek support, treatment, and performing activities to improve the quality of life.
Subchronic Toxicity of Green Algae (Spyrogyra sp.) Ethanolic Extract on Hematologic Parameters
Authors: Salamah Nina , Widyaningsih Wahyu , Susanti Hari , Devi Anggita , Sejati Anita Wening , Putri Zahra Alya
Published: April 2018

Green Algae, an organism with active substance such as phytomelatonin, has potential to be developed as Indonesian traditional medicine. As the long term addition of Green Algae ethanol extract (Ekstrak etanol ganggang hijau, EEGH) influences the hematology system, in this paper, the safety test was done to ensure the safety of its use through subchronic toxicity test of EEGH on the hematology parameters of Wistar rats. The test group consisted of three groups treated with EEGH 100 mg/kg, 200 mg/kg, and 400 mg/kg, while the control group was given by 0.5% CMC-Na, with 8 rats each respectively. By using blood samples taken from orbital sinus on the 29th day, common hematologic parameters (erythrocytes, leukocytes, and hemoglobin level), the parameters of hemostasis (platelets, pT, aPTT, BT) and immune parameters (Differential Leukocytes Counts include neutrophils segment, lymphocytes, monocytes, and eosinophils) were finally observed and showed that the 28 days-addition of EEGH increase the hematological parameters of Wistar rats.
Human Resource Practices in Public Healthcare Sector: A Perceptual Study among Healthcare Professionals
Authors: G N Sumathi
Published: April 2018

The study is aimed to identify various human resource practices in the public healthcare sector and to measure the level of human resource practices. The study adopts the perceptual view of healthcare professionals such as medical officers and staff nurses working in Primary Health Centres of Tamilnadu. A survey using a questionnaire is used to collect data from healthcare professionals. The results indicated that human resource practices such as job autonomy and job security are perceived to be useful and necessary, while training and performance management system are found to provide necessary inputs for carrying job duties and practices such as career growth opportunities and compensation need the attention of the officials of Health and Family Welfare department of Tamilnadu Government for enhancing the utility of these practices.
The Application of the IMB Model as Primary Prevention on Adolescent’s Premarital Sexual Intention
Authors: Suwarni Linda , Selviana Selviana , Ruhama Ufi , Arfan Iskandar
Published: April 2018

Previous studies showed the information, motivation, and behavioral skills (IMB) model could be used to predict and prevent reducing sexual risk behaviors. This paper examines the effectiveness of IMB interventions in reducing adolescent’s premarital sexual intentions. A quasy experimental nonequivalent pretest-posttest control group design was conducted among 250 students in 20 secondary schools in Pontianak with intervention IMB models and 100 students in the control group. There was a significant differences of information (delta mean = 3.008; 95% CI = 2.329 to 3.687; p value = 0.0001), motivation (delta mean = 1.532; 95% CI = 0.846 to 2.218; p value = 0, 0001), and skills to refuse or delay premarital sexual behavior (delta mean = 1.604; 95% CI = 0.629 to 2.579; p value = 0.001) on adolescents between before and after the application of the IMB model in secondary students in pontianak, Indonesia. In addition, there were significant differences intention adolescents in the control group and the experimental between before and after the IMB intervention (p value < 0.05). IMB model could be applied as primary prevention on adolescent’s premarital sexual intention through integration in school subjects. It is needed a support and debriefing skills in teachers.
The Impact of Physical Education on Childhood Obesity in Ohio School Children: A Hierarchical Analysis
Authors: Cascarelli Jr. Nicholas V. , Larwin Karen H.
Published: April 2018

Obesity that starts in childhood or adolescence creates greater risk for adult health problems such as heart disease, arthritis, stroke, and cancer. The literature shows that childhood obesity increases most rapidly during the early elementary school years. The current investigation examines the issue of obesity using a systematic stratified random sample of Ohio schools that reported their 3rd grader’s BMI scores for the 2009-2010 school year to the Ohio Department of Health. The sample included 25 schools and 1,006 students. Those schools selected were contacted via phone to ask how many minutes per week schools allocated for physical education in grades K-3, and how many minutes per day was allotted for recess in grades K-3. The analysis also examined potential moderators including the percentage of students receiving free or reduced lunch and the school building academic performance designations as indicated on the Ohio Department of Education webpage. The results suggest that the model run at the student level accounts for approximately 1% of the variation in BMI; the model run at the school level was not a significant predictor of the variance.While the model included for Ohio students did not indicate a strong predictor for childhood obesity, schools can play a significant role in addressing the childhood obesity issue.
Needs Assesment of Adolescent Health Services
Authors: Isni Khoiriyah , Handayani Lina
Published: April 2018

Health problems surround the adolescent rises everytime, yet it does unexcelled with their awareness or knowledge about that problems. The adolescent health service that are poorly accesced by the adolescent become the indicator that proves that the adolescent health services are not fully known and utilized yet. The assesment of adolesccent health services need has to be done so that it can be fully understand by the helper, target and stakeholder. This study aimed to analyse the adolescent health service need in Karang Bendo, Banguntapan, Bantul, Yogyakarta, Indonesia. The study was conducted in 2016 using cross-sectional approach. The results revealed that the level of adolsecent’s knowledge are still relatively poor: reproductive health knowledge (44.1%), HIV/AIDS (41.2%), smoke (50%), drugs (58.8%), and healthy lifestyle () (47.1%). The majority of respondents said that they need health services about reproduction health (94.1%), HIV/AIDS (91.2%), smoke (91.2%), drugs (88.2%) and healthy lifestyle (91.2%).
Socio-Cultural Factors Influencing Uptake of Skilled Childbirth Services among Women in Kaiti Division, Makueni District (Kenya)
Authors: Mathulu Anthony Wambua , Mbithi Benard Wambua
Published: April 2018

Each year, over 500,000 women die from the complications of pregnancy and child birth, almost all of them in the developing countries. This trend can be addressed by increasing the rates of skilled care during childbirth. This study therefore sought to establish the socio-cultural factors influencing uptake of skilled childbirth care which has remained low in Kaiti Division. The researchers applied a descriptive cross-sectional study design which involved women of childbearing age (15-49 years). The study was conducted in March 2010 and had a sample size of 246 women which was randomly selected from the estimated target population of 12,077. The researchers applied both quantitative and qualitative approaches. The tests of significance employed included Fisher’s exact test, chi-square, test and logistic regression. The study established that the proportion of women attended to by the skilled attendant within various age cohorts was higher (58.9%) amongst the youth/adolescent (15-24 years) (P-value = 0.091> 0.05, c2 10.915 df 6).). Skilled attendance declined among the grand-multiparas (para4 and above) from 7.7% in Para 4-5 to 2% in Para 6+ (P-value = .000<0.05, c2 34.888 df 3; Para 1(p =0.000, OR 28.391), Para 2-3 (p =0.000, OR 7.564), Para 4-5(p=0.030, OR 3.493) Further findings indicated that the principal decision maker (46.7%) on type of assistant in the last delivery was the woman (P-value = 0.000 <0.05, c2 56.076 df 5). However, the husband was the leading (39.5%) decision maker in use of a skilled assistant in the last delivery (p=0.000, OR 15.667). More than two thirds (70.7%) of the respondents who performed a ceremony prayed for safe delivery in their last delivery. The study concluded that women’s parity, decision making and religion were significant in use of skilled childbirth services.
Hippocampal Brain Derived Neurothropic Factor Levels in Response to Anaerobic Physical Exercises
Authors: Zulkarnain Mohammad , Flora Rostika , Juliastuti Juliastuti , Apriany Anita , Pujiana Dewi , Andrianti Septi
Published: April 2018

Anaerobic physical exercise does not only improve body fitness, but it also increases cognitive functions. The increase of cognitive functions is mediated by the increase of Brain Derived Neurothropic Factor (BDNF) level. Several studies revealed that anaerobic physical exercise can increase the BDNF level inhippocampal tissues. However, it is still questionable whether or notthe frequency of exercise influences the production of BDNF inhippocampal tissues. This study was to find out the BDNF mean level inhippocampal tissue of Wistarrats which were treated with anaerobic physical exercisesconducted in different frequencies.This study used post test only control groupdesign. The research subject was 28 rats ofRattusnorvegicus strain wistardivided into 4 groups; 1 control group and 3 treatment groups (one-time, three-time, and five times a week treatment). The anaerobic physical exercise used animal treadmillrunning in the speed of 35m/min for 20 minutes at four-minute intervals. The mean levels of BDNF were increased in all treatment groups compared with control group (151.588 vs 57.059). The highest mean level of hippocampal tissue BDNF was found in the treatment group of three times a week (177.701). There was a significant difference in BDNF mean levels of Wistar rat brain tissues among the treatment groups.
 
Impact of Dysmenorrhea and Health-seeking Behavior among Female Adolescents
Authors: Gustina Erni , Djannah Sitti Nur
Published: April 2018

Dysmenorrhea is one of common health problems to occur during menstrual period and influences women life quality. The aim of the study is to know the effect of dysmenorrhea and health-seeking behavior to teenage girl. This study belongs to observation analytic using cross sectional design. The sample is girls, which is as many as 188, at the age of 15 to 19. The data are taken through questionnaire containing several questions, such as age of the respondents, age of menarche, effect dysmenorrhea, attitude on dysmenorrhea, and health-seeking behavior. Bivariate analysis is used Chi Square test. The Prevalence of dysmenorrhea is 68.8%. The effect of dysmenorrhea to girls include the absence from school (9.6%), sleep disorders (25%), decreased appetite (25.5%), inability to do exercise (19.7%), and daily activity disruptions (9.6%). There was relationship between the attitude on dysmenorrhea and health-seeking behavior of female adolescents (p=0.029). Adolescents with positive attitude about menstrual problems will develop good health-seeking behavior during menstrual period compared to those who have negative attitude. The needs to design reproduction health program as well as updating the information to create girls awareness on their health management during dysmenorrhea are necessary.
Media Literacy: Smart In Educating Society In Information Technology Era
Authors: MS Darwadi
Published: April 2018

Communication Media has been developed in the form of printed Media and electronic Media.   This development is not only easy to communicate and receive information fast wherever and whenever we go but also cheap. Besides positive impacts, it has negative influence to children and teenagers growth and adults. In other word it brings great influence to people. That is why Media literacy is needed so people will be able to know what Media is. Media presents through a long process. What we see is not 100% true.  There are politics, economics, culture etc in it. People have to know and understand Media. So, media literacy is so important to educate society when they access information in mass media. The program must be doing together, comprehensive from all element in society in structural and cultural way.
The Competence Readiness of the Electrical Engineering Vocational High School Teachers in Manado towards the ASEAN Economic Community Blueprint in 2025
Authors: Tasiam Fid Jantje , Kustono Djoko , Purnomo Purnomo , Elmunsyah Hakkun
Published: April 2018

This paper presents the competence readiness of the electrical engineering vocational high school teachers in Manado towards ASEAN Economic Community blueprint in 2025. The objective of this study is to get the competencies readiness description of the electrical engineering vocational high school teachers in Manado towards ASEAN Economic Community blueprint in 2025. Method used quantitative and qualitative approach which the statistical analysis in quantitative and the inductive analysis used in qualitative. There were 46 teachers of the electrical engineering vocational high school in Manado observed. The results have shown that the competencies readiness of the electrical engineering vocational high school teachers in Manado such as: pedagogical, professional, personality, and social were 13.04%, 19.56%, 19.56%, and 19.56% respectively. The results were still far from the focus of the ASEAN economic community blueprint in 2025, so they need to be improved through in-house training, internship programs, school partnerships, distance learning, tiered training and special training, short courses in educational institutions, internal coaching by schools, discussion of educational issues, workshops, research and community service, textbook writing, learning media making, and the creation of technology and art.
Homeschooling: Indonesia New Trend of Islamic Education in the Global Era
Authors: Suyatno Suyatno , Wibowo Saputro Ichsan
Published: April 2018

Nowadays, concept of school is not only in the formal school concept but also non-formal and informal school. Schooling at home (homeschooling) occur in Indonesia marks a new trend of education which is quite interesting to observe. Moreover, some homeschooling that occurred in recent years has identified itself as homeschooling that applied Islamic education concept. Moreover, the interesting side of this homeschooling is that it’s initiated by the former College Muslim Activists. The movement of College Muslim Activist is interesting to note further because of its role in the Islamization of the educational institutions in Indonesia. This article describes one educational model established by former College Muslim Activist, Homeschooling Group Khairu Ummah Bantul. The results showed that the establishment of Homeschooling Group Khairu Ummah Bantul motivated by four reasons, there are: (1) moral and religious reasons, (2) family unity reasons, (3) academic reasons, and (4) socialization reasons.
Redesigning a University Entrance Interview Protocol: A Case Study with Pre-Service Elementary School Teachers in Korea
Authors: Chung Jinwon , Hong Mihwa , Kim Sangmee , Yang Jeonghye , Yoon Tecnam
Published: April 2018

In Korea, a national university admission is made based on a variety of factors like Grade Point Average(GPA), Statement of Purpose(SOP), Letters of Recommendation, as well as other achievement records and/or descriptions of specific qualifications. In reviewing applications, the admissions committee considers GPA, SOP, recommendation letters and other factors are also taken into consideration in the interview process. An interview test is designed to measure the overall ability of pre-service teachers, particularly focusing on their character and nature. Thus, the purpose of this study is intended to understand the admission processes of a national university in Korea, and to design the interview test questions to choose the ideal pre-service teachers who are to work in the public elementary school after graduation. In order to answer this question, a survey questionnaire was distributed to 478 college students and then results were collected and analysed.
Development and Validation of Web-based Courseware for Junior Secondary School Basic Technology Students in Nigeria
Authors: Anunobi Anunobi , Njedeka Vivian , Gambari Gambari , Isiaka Amosa , Abdullahi Abdullahi , Bashiru Mohammed , Alabi Alabi , Omotayo Thomas
Published: April 2018

This research aimed to develop and validate a web-based courseware for junior secondary school basic technology students in Nigeria. In this study, a mixed method quantitative pilot study design with qualitative components was used to test and ascertain the ease of development and validation of the web-based courseware. Dick and Carey instructional system design model was adopted for developing the courseware. Convenience sampling technique was used in selecting the three content, computer and educational technology experts to validate the web-based courseware. Non-randomized and non-equivalent Junior secondary school students from two schools were used for field trial validation. Four validating instruments were employed in conducting this study: (i) Content Validation Assessment Report (CVAR); (ii) Computer Expert Validation Assessment Report (CEAR); (iii) Educational Technology Experts Validation Assessment Report (ETEVAR); and (iv) Students Validation Questionnaire (SVQ). All the instruments were face and content validated. SVQ was pilot tested and reliability coefficient of 0.85 was obtained using Cronbach Alpha. CVAR, CEAR, ETEVAR were administered on content specialists, computer experts, and educational technology experts, while SVQ was administered on 83 JSS students from two selected secondary schools in Minna. The findings revealed that the process of developing web-based courseware using Dick and Carey Instructional System Design was successful. In addition, the report from the validating team revealed that the web-based courseware is valuable for learning basic technology. It is therefore recommended that web-based courseware should be produced to teach basic technology concepts on large scale.