bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Pengetahuan, Sikap dan Dukungan Suami terhadap Penggunaan Metode Kontrasepsi Tubektomi di Wilayah Kerja Puskesmas Tiban Baru
Authors: Heroyanto Heroyanto , Amru Desi Ernita
Published: March 2020

Pendahuluan: Penggunaan kontrasepsi tubektomi di Wilayah Kerja Puskesmas Tiban Baru Kota Batam lebih rendah dibandingkan dengan metode kontrasepsi lainnya dengan proporsi 1,23%. Rendahnya penggunaan kontrasepsi tubektomi terkait dengan pengetahuan, sikap dan dukungan suami. Tujuan: Penelitian ini untuk mengetahui pengaruh pengetahuan, sikap dan dukungan suami terhadap penggunaan kontrasepsi tubektomi pada akseptor KB di Wilayah kerja Puskesmas Tiban Baru Kota Batam. Metode: Jenis penelitian ini menggunakan desain studi kasus kontrol. Populasi dalam penelitian ini adalah semua akseptor Tubektomi berjumlah 83 orang sebagai kasus dan 83 orang sebagai kontrol. Data diperoleh dengan wawancara menggunakan kuesioner dan dianalisis dengan statistik regresi logistik berganda pada = 5%. Hasil : Penelitian menunjukkan bahwa pengetahuan akseptor KB yang baik tentang sifat program KB akan mempengaruhi mereka dalam memilih metode kontrasepsi yang akan digunakan, sikap akseptor KB tentang penggunaan berbagai alat kontrasepsi Tubektomi misalnya merasa kurang percaya diri saat menggunakan Tubektomi sebagai kontrasepsi. Selain itu, dukungan suami juga mempengaruhi akseptor KB menggunakan kontrasepsi dengan mempertimbangkan jumlah anak yang telah mereka miliki. Kesimpulan : Ada pengaruh pengetahuan, sikap, dan dukungan suami terhadap penggunaan kontrasepsi tubektomi di wilayah kerja Puskesmas Tiban Baru di Kota Batam.
Gambaran Pengetahuan, Sikap, Perilaku dan Status Gizi Pada Remaja di Kabupaten Gorontalo
Authors: Nuryani Nuryani
Published: March 2020

Pendahuluan; Gizi remaja memegang peranan penting dalam penentuan kualitas gizi dan kesehatan pada siklus hidup selanjutnya. Pengetahuan, sikap dan perilaku gizi akab berdampak terhadap status gizi remaja. Tujuan; untuk menilai hubungan antara pengetahuan, sikap dan perilaku gizi dengan status gizi pada remaja. Bahan dan Metode; penelitian menggunakan rancangan cross sectional study, dilakukan di SMK Tekhnologi Muhamadiyah Gorontalo, Pondok Pesantren Al-Falaq dan SMAN 1 Limboto Barat. Pengumpulan subjek penelitian secara accidental sampling yang memenuhi kriteria inklusi sebanyak 122 siswa. Pengukuran variabel status gizi menggunkan indikator TB/U dan IMT/U. Variabel pengetahuan, sikap dan perilaku gizi diukur menggunakan kuesioner. Analisis data menggunakan univariat dan bivariate, uji hubungan antara variabel menggunakan chi square dan pearson chi square (nilai α = 0,05). Hasil; Gambaran pengukuran antropometri menunjukkan berat badan 49,48 ± 9,18 kg, tinggi badan 157,04 ± 8,18 cm dan lingkar lengan atas 25,33 ± 3,44 cm. Sementara hasil pengukuran status gizi indikator IMT/U menunjukkan sebanyak 10,7% status gizi kurus, 9,8% gemuk, sementara indikator TB/U menunjukkan 27,9% pendek, pengukuran Lila sebanyak 31,6% remaja putri mengalami KEK. Analisis pengetahuan, sikap dan perilaku gizi menunjukkan sebanyak 63,9% pengetahun kurang, 46,7% sikap negatif dan 49,2% perilaku gizi tidak baik. Analisis chi square dan pearson chi square menunjukkan tidak terdapat hubungan antara pengetahuan, sikap dan perilaku gizi seimbang dengan status gizi baik indikator IMT/U maupun TB/U pada remaja. Kesimpulan; pengetahuan, sikap dan perilaku gizi seimbang pada remaja masih tergolong rendah, meskipun pada uji bivariat menunjukkan tidak terdapat hubungan dengan status gizi pada remaja.
Pengaruh Penggunaan Kompres Kayu Manis terhadap Penurunan Skala Nyeri pada Penderita Arthritis Gout di Wilayah Kerja Puskesmas Batunadua
Authors: Antoni Adi , Pebrianthy Lola , Harahap Desi Marwiyah , Suharto Suharto , Pratama Muchti Yuda
Published: March 2020

Asam urat disebut juga arthritis gout termasuk suatu penyakit degeneratif yang menyerang persendian, dan paling sering dijumpai di masyarakat terutama dialami oleh lanjut usia (lansia). Namun tak jarang penyakit ini juga ditemukan pada golongan pralansia. Tujuan penelitian ini adalah mengetahui pengaruh penggunaan kompres kayu manis (cinnamomum burmani) terhadap penurunan skala nyeri di wilayah kerja Puskesmas Batunadua tahun 2019. Metode penelitian ini adalah quasy eksperimen dengan rancangan the one group pretest-posttest design. Sampel yang digunakan dalam penelitian ini adalah sebanyak 13 responden. Hasil penelitian melalui uji statistik  wilcoxon menunjukan adanya pengaruh penggunaan kompres kayu manis terhadap penurunan skala nyeri pada penderita arthritis gout dengan pvalue 0.001 < α (0.005). Disarankan bahwa penggunaan kompres kayu manis dapat dijadikan salah satu pengobatan alternatif untuk mengurangi skala nyeri pada penderita arthritis gout
Analisis Penyebab Artritis Reumatoid pada Pekerja di Tempat Pelelangan Ikan Desa Paluh Sibaji
Authors: Sibarani Edi Agus
Published: March 2020

Tempat Pelelangan Ikan (TPI) merupakan salah satu tempat yang berpotensi menyebabkan terjadinya penyakit Artritis Reumatoid (AR) pada pekerja akibat sentuhan kulit dengan larutan es.  Berdasarkan survei terhadap 7 orang pekerja di tempat pelelangan ikan Desa Paluh Sibaji Kecamatan Pantai Labu ditemukan keluhan para pekerja berupa nyeri dan bengkak pada persendian jari tangan dan kaki karena bersentuhan langsung dengan larutan es. Penelitian ini bertujuan untuk menganalisis pengaruh antara usia, masa kerja, pengetahuan tentang AR, penggunaan alat pelindung diri terhadap Artritis Reumatoid (AR) pada pekerja di tempat pelelangan ikan Desa Paluh Sibaji. Jenis penelitian deskriptif analitik desain cross-sectional study. Populasi adalah pekerja di tempat pelelangan ikan Desa Paluh Sibaji Kecamatan Pantai Labu berjumlah 50 orang dan seluruhnya dijadikan sampel. Data diperoleh dengan wawancara menggunakan kuesioner, dianalisis dengan uji chi square dan regresi logistik berganda pada pengujian α=0,05. Hasil penelitian menunjukkan bahwa pekerja di TPI yang mengalami kejadian Artritis Reumatoid pada nyeri rendah sebanyak 15 orang (30%) dimana usia (p=0,042), masa kerja (p=0,047), pengetahuan tentang Artritis Reumatoid (p=0,032), penggunaan alat pelindung diri (p=0,045) berpengaruh  signifikan dengan Artritis Reumatoid pada pekerja di tempat pelelangan ikan Desa Paluh Sibaji Kecamatan Pantai Labu. Diharapkan kepada pekerja menggunakan Alat Pelindung Diri seperti (sarung tangan, sepatu boot) untuk menghindari paparan pajanan es sewaktu memilih.dan mengambil ikan dari peti ikan yang berisi es.
Faktor Risiko Hipertensi pada Lansia di Desa Limau Manis Kecamatan Tanjung Morawa
Authors: Suharto Suharto , Jundapri Kipa , Pratama Muchti Yuda
Published: March 2020

Hipertensi merupakan penyakit tidak menular yang sering terjadi pada lansia. Penyakit ini dapat terjadi karena beberapa faktor risiko yang sebenarnya dapat diubah. Tujuan penelitian ini adalah untuk mengetahui faktor risiko yang berhubungan dengan terjadinya hipertensi pada lansia di desa Limau Manis Tanjung Morawa. Metode penelitian ini adalah penelitian survey analitik dengan desain cross sectional. Pengambilan data secara purposive sampling dengan jumlah responden sebanyak 32 orang lansia yang dilakukan di Desa Limau Manis Tanjung Morawa tahun 2019. Hasil penelitian yang diuji secara univariat didapatkan faktor yang  paling berisiko terjadinya hipertensi di Desa Limau Manis adalah konsumsi natrium (93,75), konsumsi lemak yang berlebih (87,5%), merokok (87,5%), riwayat keturunan (87,5%), aktivitas olah raga yang kurang (84,3%) dan obesitas (65,6%). Kesimpulan penelitian ini faktor komsumsi asupan natirum, lemak jenuh, merokok, kurang olahraga dan obesitas merupakan faktor yang sangat berhubungan dengan prevalensi hipertensi di Desa Limau Manis. Penelitian ini diharapkan dapat menjadi gambaran kepada masyarakat Desa Limau Manis untuk mencegah hipertensi
Is There a Secular Hierarchy in the Norwegian Public Sphere?
Authors: Lillebø Jonas Gamborg
Published: March 2020

The point of departure for this article is to understand how various utterances from Muslims on themes such as secularity, freedom and feminism can be recognized in the Norwegian public sphere. Following the French anthropologist Louis Dumont, I want to show how values and ideals like freedom and feminism lay the foundation for what we could call a “secular hierarchy” within the Norwegian context. This hierarchy remains concealed for both participants and for researchers as long as it is not confronted but has become more visible as various “new” voices want to have a say in the public sphere. My claim in the article is that the variation in Muslim points of view can be understood as different approaches to the same hierarchical obstacle. However, due to our modern ideology we are not theoretically equipped to understand what hierarchy is. A second point in the article is thus to draw on the tradition from Dumont to reflect on the theoretical aspects of hierarchy.
Lorenzo Vidino (ed.), De-Radicalization in the Mediterranean. Comparing Challenges and Approaches (Milan: Ledizioni LediPublishing, 2018)
Authors: Baruchello Giorgio
Published: March 2020

A review of the book: Lorenzo Vidino (ed.), De-Radicalization in the Mediterranean. Comparing Challenges and Approaches (Milan: Ledizioni LediPublishing, 2018)
Efeito de duas técnicas de alongamento no ganho de flexibilidade de cadeia posterior em mulheres sedentáriasS
Authors: Novais Carolina Brito , Santos Kleyton Trindade
Published: March 2020

Introdução: A perda da flexibilidade da cadeia posterior resulta em diversas disfunções biomecânicas, o alongamento apresenta-se como recurso para restauração desse déficit. Objetivo: Verificar o efeito e comparar a eficácia do alongamento estático e da técnica de energia muscular para ganho de flexibilidade de cadeia posterior. Métodos: Estudo de intervenção com grupo controle, que avaliou 27 mulheres, que apresentavam encurtamento de cadeia posterior, divididas em 3 grupos: alongamento estático, técnica de energia muscular e grupo controle. Ao final do perí­odo de intervenção as mulheres foram reavaliadas através do banco de Wells. A comparação das médias, antes e após a realização das técnicas foi avaliada através do Teste T de Student. Já para verificação da classificação das mulheres de acordo com o banco de Wells, foi utilizado o teste de Wilcoxon. Resultados: Houve aumento significativo em relação as médias após o alongamento estático (aumento de 35%, p = 0,001) e da técnica de energia muscular (aumento de 72%, p = 0,001), enquanto o grupo controle se manteve inalterado. Também foi verificado que após a intervenção, as mulheres tiveram melhores classificações de acordo com o banco de Wells. Conclusão: Ambas as técnicas foram positivas, entretanto a técnica de energia muscular mostrou ser mais eficaz.Palavras-chave: exercí­cios de alongamento muscular, fisioterapia, músculos isquiotibiais.
Reabilitação dos membros inferiores na paralisia cerebral diplégica
Authors: Silva Renata Kelen Alves , Souto Deisiane Oliveira
Published: March 2020

Â A paralisia cerebral (PC) é uma das causas mais comuns de incapacidade motora na infância. Resulta de uma perturbação não progressiva no cérebro imaturo. A diplégica espástica (DE) é a forma mais comum de PC e cursa com deficiência nos membros inferiores e no padrão de marcha. Tal limitação tem impacto negativo no desempenho da criança para realizar tarefas básicas de vida diária. O presente estudo objetivou revisar a literatura cientí­fica acerca das principais técnicas utilizadas para reabilitar os membros inferiores de crianças com DE. A pesquisa bibliográfica foi realizada nas bases de dados Lilacs, Scielo, Pubmed e incluiu artigos publicados, entre 2010 e 2018, em inglês e português. Após aplicar os critérios de inclusão e exclusão, um total de 28 estudos foi selecionado para a revisão. As principais técnicas encontradas no tratamento da DE foram: método Pilates, Equoterapia, Esteira, Hidroterapia, Therasuit, Bobath, Estimulação Elétrica Funcional e Realidade Virtual. Todos os estudos encontraram efeitos positivos. Os resultados revelaram que o uso isolado de uma das técnicas não é tão eficaz quanto o uso concomitante de duas ou mais delas. A maioria dos estudos revisados são estudos de caso. Novos estudos controlados e com amostras maiores ainda são necessários.Palavras-chave: paralisia cerebral, membros inferiores, Fisioterapia.
A fisioterapia no pós-operatório de revascularização do miocárdio: reflexões sobre a reabilitação no enfoque da integralidade em saúde
Authors: De Almeida Beatriz Rodrigues , Sassim Paulo Vitor de Souza , Carrera Gabrielli Andreza Gomes , Martins Bruna Figueiró , Soeiro Ana Cristina Vidigal
Published: March 2020

Introdução: A cirurgia de revascularização do miocárdio (CRM) é um procedimento recomendado para pacientes com estreitamentos ou bloqueios importantes das artérias coronárias. No pós-operatório, a fisioterapia cardiorrespiratória é parte essencial no processo de reabilitação, pois objetiva reestabelecer a condição fí­sica, psí­quica e social, favorecendo a retomada das atividades cotidianas de modo ativo e participativo. Objetivo: Identificar as repercussões biopsicossociais da CRM e discutir as contribuições da Fisioterapia no contexto da reabilitação, com enfoque na integralidade das ações. Métodos: Estudo exploratório e descritivo, realizado com 10 pacientes em atendimento fisioterapêutico cardiorrespiratório. A coleta de dados foi realizada com uso de questionário semiestruturado, projetado para responder aos objetivos da pesquisa. Resultados: A maioria dos participantes tinha fatores de risco para cardiopatias e realizaram CRM há mais de 2 meses. De modo geral, as limitações decorrentes da cirurgia impactam nas atividades cotidianas e ocupacionais, com repercussões psicológicas importantes que precisam ser valorizadas e acolhidas pela equipe de saúde. Mesmo descrevendo várias limitações associadas ao perí­odo posterior í  cirurgia, todos os participantes avaliaram a fisioterapia como importante para a melhora da qualidade de vida. Conclusão: A atuação da fisioterapia na reabilitação pós-cirúrgica deve priorizar uma abordagem que contemple a integralidade como princí­pio estruturante do cuidado em saúde, o que demanda a problematização do tema no campo da formação e prática profissional.Palavras-chave: revascularização miocárdica, qualidade de vida, fisioterapia, reabilitação cardí­aca, cirurgia torácica.
Effect of incentive spirometry after cardiac surgery: protocol for a systematic review
Authors: Dos Santos Elinaldo da Conceição , Nunes Pinto Ana Carolina Pereira , De Macedo Juliana Ribeiro Fonseca Franco , Lunardi Adriana Claudia
Published: March 2020

Introduction: Patients receiving cardiac surgeries present high risk of developing postoperative complications. Incentive spirometry (IS) is used for the prevention and treatment of postoperative pulmonary complications in patients undergoing cardiac surgeries. Publications have suggested that IS is ineffective. In contrast, some studies have shown that when IS is adequately used, it may lead to beneficial outcomes. Objectives: To assess the effect of IS in patients undergoing cardiac surgeries. Methods/design: Systematic Reviews with randomised and quasi-randomised trials with adult patients undergoing cardiac surgeries, evaluating the effect of flow or volume-oriented IS. Outcome measures: postoperative pulmonary complications; adverse events; mortality; length of hospital stay; length of intensive care unit stay; reintubation rate; pulmonary function; antibiotic use; oxygenation; and respiratory muscle strength. Search: MEDLINE, EMBASE, CENTRAL, PEDro, CINAHL, LILACS, SCIELO, Allied, AMED, Scopus, Open Grey database, the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP), ClinicalTrials.gov, clinicaltrialsregister.eu, and ReBec. Two authors will independently extract data. PEDro scale will be used to evaluate the methodological quality of the studies. Meta-analysis will be performed using the inverse variance method and the random effects model in RevMan 5.3. We will use the I2 statistic to estimate the amount of heterogeneity across studies in each meta-analysis. Ethics and dissemination: The approval of an ethical committee is not required. Only clinical trials that have complied with ethical guidelines and followed the Declaration of Helsinki, will be included in this systematic review. The findings of this study will help clarify uncertainties about the effects of incentive spirometry in the postoperative period of cardiac surgery and may be disseminated to clinicians, assisting in decision making and including the best evidence in the treatment of their patients. Discussion: This review will clarify the uncertainty over whether IS is a useful technique for patients undergoing cardiac surgeries. While good quality studies have shown IS is an effective prophylactic technique, other studies have suggested that there is no evidence to support IS utilization.Keywords: incentive spirometry, cardiac surgery, postoperative.
Avaliação do equilí­brio em ambiente aquático através da acelerometria em paciente pós acidente vascular cerebral
Authors: Da Conceição Amanda Maria , De Souza Caroline de Cássia Batista , De Souza Maria Clara Porfirio , Ferreira Kétura Rhammá Cavalcante , De Macêdo Leiliane Patrí­cia Gomes , Silva Malkiçedheq Benjamim Celso da Silva , Inocêncio Ana Vitória de Morais , Rodrigues Marco Aurélio Benedetti
Published: March 2020

Introdução: O acidente vascular cerebral (AVC) compromete o Sistema Nervoso Central sendo responsável por uma série de lesões que provocam déficits de equilí­brio. O acelerômetro é utilizado para mensurar a aceleração, podendo calcular a velocidade dos movimentos, a partir das oscilações corporais e pode ser empregado na avaliação do equilí­brio. Objetivo: Avaliar o equilí­brio após um AVC, através da acelerometria. Métodos: Trata-se de um estudo piloto. A pesquisa foi composta por duas etapas sendo a primeira o desenvolvimento de um equipamento para a aquisição e armazenamento de sinais de acelerômetros. O sistema é composto por dois acelerômetros integrados a um microcontrolador com comunicação via Bluetooth. A segunda parte foi a aplicabilidade do instrumento dentro da água e a comparação dos dados obtidos dentro e fora da água. Resultados: Observou-se a velocidade do passo e o deslocamento do centro de massa durante a caminhada através da variação da acelerometria nos eixos (XY). O equilí­brio sofreu poucas variações durante o exercí­cio na água, tornando a caminhada mais constante e sem variações abruptas quando comparado com o solo. Conclusão: Após a análise dos dados concluiu-se que o instrumento foi eficiente para avaliar o equilí­brio dentro e fora da água.Palavras-chave: acidente vascular cerebral, equilí­brio, acelerômetro hidroterapia.
Análise da correlação entre carga mental e alteração na frequência dos sinais biológicos
Authors: Veronesi Junior José Ronaldo
Published: March 2020

O trabalho é necessário para as condições psicossociais do ser humano, porém com o capitalismo instituí­do no mundo global a pressão por produtividade e qualidade no mundo empresarial é uma realidade. Esta condição leva a uma fadiga mental devido a uma exigente carga mental. O cansaço mental é uma das causas mais significativas de acidentes na sociedade moderna, tanto no trabalho quanto em condições da vida diária, como no trânsito. Portanto, o que se propõem nesse estudo é correlacionar a carga mental no trabalho com a alteração dos sinais biológicos humano, em especial a frequência cardí­aca e as ondas cerebrais. Foi realizado um estudo de caráter teórico-conceitual e exploratório, por meio de pesquisa bibliográfica em artigos cientí­ficos indexados em revistas cientí­ficas de grande fator de impacto. Foram pesquisados artigos em inglês, português e espanhol para aqueles que teve relação direta sobre o tema até novembro de 2019. Foram selecionados 41 trabalhos cientí­ficos, entre artigos, trabalho de conclusão de cursos de graduação e pós-graduação, dissertação de mestrado e tese de doutorado. O presente estudo mostrou que a carga mental pode gerar quadro de fadiga, sonolência e como consequência gerar uma distração ao ser humano, culminando em erros em suas atividades laborais ou em sua vida diária, podendo ocasionar inclusive acidentes. A carga mental pode ser avaliada por medidas subjetivas como questionário e medidas fisiológicas como a variação da frequência cardí­aca e frequência das ondas cerebrais. O presente estudo evidenciou que as ondas cerebrais, beta e teta, são mais ativadas durante a carga mental, e estas ondas atualmente podem ser monitoradas e quantificadas por eletroencefalograma, um equipamento portátil e de fácil uso. Mostrou também que a frequência cardí­aca sofre alteração em situações de estresse e carga mental, e que a medida destes sinais pode ser realizada por equipamentos portáteis e de fácil uso como relógios funcionais. Desta forma este estudo apresentou evidências cientí­ficas para a avaliação da carga mental com dispositivos portáteis e de fácil uso, por meio de medidas das ondas cerebrais e frequência cardí­aca, sendo um fator importante no controle da saúde do trabalhador, como no treinamento do comportamento humano seguro para evitar erros e acidentes.Palavras-chave: carga mental, ondas cerebrais, frequência cardí­aca, sinais biológicos, erro humano.
National identity and populism: state aspect
Authors: Kiyanka Iryna , Sharaskin Аndriі
Published: March 2020

This article analyzes the problem of national identity and populism in the context of modern public administration.

The study of populism is important due to the social procurement from interested subjects of the political environment who use populism for the realization of their programmes and power contest.

At the same time, the populist category of «people» – the keepers of all merits, top priorities, the standard of good and evil – that is quite popular today in Ukraine originates from the Ukrainian national democratic movement of the 19th cent. characterized by distinctive populism elements. New Ukrainian national movement took it over as the part of the intellectual legacy from its historical predecessors, all the more so, because it was, as mentioned before, necessary in the period of the final attack on communism.

The problem of national identity is quite popular in Ukrainian scientific society. This is due to the fact that on the one hand, the definition of Ukrainian identity can be a theoretic way to create a nation state, another ideological cliche that some politicians use to invent new arguments in their power games. The populism strategy is a constant reflection on particular things going on in society. It is some sort of system protection and unification of certain symbols useful for the populists. Moreover, it is a characteristic feature of working on human consciousness in the process and historical self-development in the context of ideological norms.

There is always a «combination instinct» in populism. From a psychological point of view, it is the instinct responsible for the ability of people to analyze their relations and bonds with the world and give certain associations, that is to connect one things with others. Ukrainian society has to find effective ways of political development once again.
Modern trends in shaping, implementation, and development of regional social policy in Ukraine
Authors: Kryshen Olena
Published: March 2020

The аtricle presents the analysis of modern trends in shaping, implementation, and development of regional social policy in Ukraine. It breaks into stages shaping the regional social policy in the period of independent Ukranian state: the stage of post-Soviet reconstruction and the Eurointegration stage. Social priorities are ranged on the basis of empirical research in regional strategies of Ukrainian regions. Among top priorities in social development of the regions, in particular, social protection of population is recognized as the regional priority in half of the regions of Ukraine. On these grounds, the article justifies the special role of the department of social protection of population in the regional state administration as a key management subject in the field of regional social policy implementation. It is proved that the functional content load in the activities of executive authorities in the regions is based on the functions of social and service contents and functions of social development (goal-setting, forecasting, monitoring, and outsourcing). The article provides suggestions on the improvement of methodological tools for active implementation of social development function in the conditions of decentralization in the social sphere. It is proved that regional social policy in its development is perspective-oriented, which ensures gradual European integration progression of the Ukrainian state.
Electronic health system implementation as a component of public health management: world experience
Authors: Samofalov Dmytro
Published: March 2020

The article analyses foreign and domestic scientific and practical investigations on the e-Health system in countries with developed and developing Healthcare system. Different approaches to term «e-Нealth» are considered starting from the instruments, which make availability of medical care easier for a patient up to the system of medical information management and wider abilities of public management of healthcare. The level of trust and public perception of different elements of e-Health in different countries is determined. E-Health implementation risks are analyzed. Ways to implement e-Health in public health management in Ukraine are suggested. Today, more and more healthcare providers, healthcare professionals, and health care providers are using Internet technologies to engage in healthcare communication. The main advantages are the speed and convenience of communication activities using e-Health. Healthcare professionals receive accurate and unbiased clinical and statistical data. That made possible to influence public health management, the effectiveness of which depends on the use of modern forms of communication for physicians, population, patients and public management and administration bodies. A wide range of communications with the public, patients, business, politicians, researchers, as well as the implementation of financial and administrative models in health care depend on this system.
Empathy among Medical Students is an Essential Requirement to be a Respectable and Holistic Medical Doctor
Authors: Haque Mainul
Published: March 2020

Abstract not available

Bangladesh Journal of Medical Science Vol.19(3) 2020 p.355-357
Actual aspects of public health policy formation on the example of Ukraine
Authors: Demikhov Oleksii , Dehtyarova Iya , Demikhova Nadiia
Published: March 2020

Our publication is devoted to the evolution of the public health system, its role in public health promotion and determination of the basic notions. According to the definition of the World Health Organization, public health is a science and practice of the diseases prevention, increase in life expectancy and health promotion with the help of the organized actions of the society. Yet in practice, public health formed under difficult conditions. In the article we consider the following questions: stages of public health system formation in the world and in Ukraine; analysis of public health system formation in Ukraine: institutional frameworks and strategic priorities and basic operational public health functions in Ukraine. We propose suggestions on legal procedures state improvement in public health in Ukraine in the context of European integration.

Bangladesh Journal of Medical Science Vol.19(3) 2020 p.358-364
Effects of an eight-week lumbar stabilization exercise programme on selected variables of patients with chronic low back pain
Authors: Abass Ademola O , Alli Abiola R , Olagbegi Oladapo M , Christie Candice J , Bolarinde Samuel O
Published: March 2020

Background: Lumbar stabilisation exercise has been shown to reduce pain and disability in patients with low back pain but information on its potential benefits in term of back muscle endurance is scarce.

Objective: This study was aimed at investigating the effects of augmenting conventional physiotherapy with lumbar stabilization exercises on selected variables of patients with non-specific chronic low back pain (NSCLBP).

Methods: Forty individuals with NSCLBP aged 20-60 years were assigned to one of experimental or control groups (20 in each). The experimental group had lumbar stabilisation exercises in addition to conventional therapy (transcutaneous electrical nerve stimulator and infrared) which was the only treatment for the control group. Both groups were treated thrice weekly. Participants’ pain intensity, disability index, kinesiophobia level and back muscle endurance were evaluated at baseline and after 8 weeks.

Results: There was significant reduction in pain intensity (experimental: 6.74±1.37; 3.48±1.09; control: 6.57±1.40; 2.96±1.13) and disability index (experimental: 46.60±16.67; 26.55±14.78; control: 32.10±16.16; 24.60±15.27) and increase in back muscle endurance (experimental: 11.05±8.39; 14.30±19.24s; control: 10.85±9.79; 13.90±11.63s) for both groups. Experimental group had significantly greater reduction (p < 0.05) in disability index than the controls (p = 0.048).

Conclusion: Augmenting conventional physiotherapy with lumbar stabilisation exercises achieved better reduction in disability than conventional therapy alone in patients with NSCLBP.

Bangladesh Journal of Medical Science Vol.19(3) 2020 p.467-474
Cytotoxic Effect of Geranylphenol Derivatives in the Human Breast Cancer Cell Line MDA-MB-231 and Gastric Cancer Cell Line MKN74
Authors: Espinoza Luis , Taborga Lautaro , Araya Paulina , López Fernando Delgado , León S Pilar Zamora
Published: March 2020

Background: Previous studies have demonstrated that geranyl metabolites, found mainly in marine organisms, exhibit interesting antimicrobial and antifungal activities. In addition, linear geranyl derivatives have been synthesized as drugs and reported cytotoxic and anticancer activities.

Aims: Considering the biological testing and the structural features of these compounds, we evaluated seven linear geranylphenol derivatives on the human breast cancer cell line MDA-MB-231, and the human gastric cancer cell line MKN74.

Results: We found that compounds 2, 5 and 7 were cytotoxic for both cancer cell lines. From them, the most potent was compound 2, with an IC50=7.5 μM for MKN74 cells, and compound 7, with an IC50=14.73 μM for MDA-MB-231 cells. By nuclear staining and inmunocytochemistry, we detected that the three compounds induced cell death, and by Western blot analysis, we observed a remarkable decrease in the expression of cyclin D1 and the retinoblastoma protein, key regulators of the cell cycle.

Conclusion: Considering that compounds 2 and 7 were the most potent compounds inducing cell death, and were able to decrease the expression of retinoblastoma protein and cyclin D1, proteins usually altered in different types of cancers, they appear as promising therapeutic agents against cancer.

Bangladesh Journal of Medical Science Vol.19(3) 2020 p.486-500
Comparative Study of Transmission and Control of HIV/AIDS in Pakistan
Authors: Tirmizi Syed Rizwan Ul Haq , Tirmizi Syed Talha , Khan Nasiruddin , Tirmizi Syeda Amara
Published: March 2020

Background: HIV/AIDS is nowadays considered as the greatest public health disaster of modern time. It has become the challenge for the global population for decades.

Method: In our study, we shall emphasize on comparative study which coordinates the field of health awareness activities on the basis of educational and informational campaigns.

Result: For this purpose we generate a mathematical model having two susceptible classes depending on changes in behavior with educational activities.

Conclusion: We shall try to create stability between the numbers of infected individuals and the cost of the education campaign using optimal control theory.

Bangladesh Journal of Medical Science Vol.19(3) 2020 p.501-508
Examining the relationship between living conditions, work environment and intent to stay among nurses in current posts in rural areas of Odisha state, India
Authors: Behera Manas Ranjan , Behera Deepanjali , Prutipinyo Chardsumon
Published: March 2020

Objectives : The scarcity of nursing workforce in rural and underserved areas are key challenges for healthcare systems across the countries. Such inequities have not only impede quality care but also an impact to population health outcomes especially in developing countries. An understanding about nurses’ retention and attrition are crucial to inform policy and decision makers for improved rural retention among nursing workforce. The aim of the study was to examine the relationship between living conditions, work environment and intent to stay in current posts of work; and the associated factors influencing intent to stay in current posts of work among nurses in rural areas of Odisha state, India.

Methods : A cross sectional survey was conducted among 232 nurses from October 2016 to February 2017. Multistage sampling technique was used to select the study subjects from rural hospitals. Data were collected using structured self-administered questionnaires. Descriptive statistics were computed to summarize the basic characteristics of study sample. Logistic regression model was fitted and odds ratio with 95% of confidence interval was calculated to identify associated factors

Results: The proportion of a nurse’s intent to stay and continue working in rural areas for next 3 years was 73.7%. There was a positive correlation between intention to stay with the living conditions and work environment. Logistic regression shown that age (OR=0.95, 95% CI = 0.89 - 0.98, P = 0.047), living conditions (OR = 1.13, 95% CI = 1.04 - 1.22, P=0.009) and work environment (OR = 1.07, 95% CI = 1.01 – 1.14, P = 0.015) were the significant predictors that are associated with intent to stay in rural areas among the nursing profession.

Conclusion - Improving living conditions and creating a culture of supportive work environment among the nursing community in rural areas can create increased retention in the workforce.

Bangladesh Journal of Medical Science Vol.19(3) 2020 p.527-536
The effct of peer education on the self-efficy and mental adjustment of breast cancer patients undergoing chemotherapy
Authors: Rezaee Rita , Shokrpour Nasrin , Rahimi Maryam , Mani Arash
Published: March 2020

Background: Breast cancer ranks the first common cancer in women in Iran and is the fifth mostcommon cause of death. Peer education on the self-efficacy and mental adjustment of breastcancer patients undergoing chemotherapy can contribute to their easier adaptation to the disease.This study aimed to determine the improved mental adjustment and self-efficacy for womenundergoing chemotherapy through peer education.

Study Design: This study was conductedusing pre- and post-test follow up and control design approach. 70 women with breast cancerwho underwent chemotherapy in Nemazi hospital participated in this study.

Method: Usingconvenient sampling, the participant were selected and randomly assigned into two groups. Theexperimental group was randomly assigned to four groups and peer education was conductedone educational session per week for 6 weeks. To assess mental adjustment and self-efficacybefore and after the study, Mini-Mental Adjustment to Cancer Scale (Mini-MAC) and Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B) questionnaires were used.Chi-square and t-test were used to analyze the data.

Results: For the experimental group, theresults showed statistically significant improvement in self-efficacy (p<0.000) while the controlgroup showed no significant difference in self-efficacy. Mental adjustment inside each groupshowed a significant increase over the time, but no statistically difference was observed betweenthe groups.

Conclusion: It is suggested that peer led education is a useful teaching strategy asa supportive intervention for women undergoing chemotherapy to improve their self-efficacyregarding breast cancer.

Bangladesh Journal of Medical Science Vol.19(3) 2020 p.558-566
Antimicrobial activities of Allium staticiforme and Allium subhirsutum
Authors: Semerci Alican Bahadir , İnceçayır Dilek , Mammadova Vusale , Hoş Ayşegül , Tunç Kenan
Published: March 2020

The antibacterial and antifungal activities of the bulb and flower of Allium staticiforme and Allium subhirsutum were investigated. In addition, DPPH radical scavenging activity and total phenolic contents were determined. The results show that methanolic extracts of A. staticiforme and A. subhirsutum had antifungal activities against Candida albicans, together with a less activity level against Escherichia coli, Staphylococcus epidermidis, S. aureus, Enterecoccus faecalis, Salmonella typhimurium and Pseudomanas aeruginosa. The total phenolic contents of A. staticiforme leaf and bulb were determined as 17 and 2.4 mg of GAE/100 g, respectively. The IC50 of methanolic extracts of A. staticiforme and A. subhirsutum were also determined. In conclusion, both A. staticiforme and A. subhirsutum have antifungal activities with weak antibacterial activities. These plants have DPPH radical scavenging activities.
Video Clip of Methodology:
Disc Diffusion Method: 3 min 04 sec:  Full Screen   Alternate
Larvicidal, leishmanicidal, insecticidal and anthelmintic effects of Sterculia diversifolia stem bark and leaf
Authors: Rabbi Fazle , Zada Amir , Nisar Amna
Published: March 2020

The present study was conducted to evaluate the stem bark and leaf of Sterculia diversifolia for larvicidal, leishmanicidal, insecticidal and anthelmintic activities. In the larvicidal activity, dichloromethane and ethyl acetate fractions of both stem bark and leaf showed significant results, while the ethyl acetate fraction showed mild activity (IC50: 70.09 ± 0.09 μg/mL; 71.25 ± 0.01 μg/mL). In the insecticidal activity of the stem bark, n-hexane fraction showed mild activity (20-40% mortality) against all three subjects, while the insecticidal activity of leaf, methanolic extract and n-hexane fractions showed moderate activity (60% mortality) against Rhyzopertha dominica and Callosobruchus analis. In the anthelmintic activity of stem bark and leaf, ethyl acetate fraction exhibited activity in a dose-dependent manner giving time of paralysis and death shorter followed by dichloromethane fraction with 200 mg/mL concentration. Hence, it is clear that S. diversifolia stem bark and leaf possess larvicidal, leishmanicidal, insecticidal and anthelmintic agents.

Video Clip of Methodology:

Anthelmintic Activity: 5 min 29 sec:  Full Screen   Alternate
HUBUNGAN SELF CARE DENGAN KUALITAS HIDUP PASIEN GAGAL JANTUNG DI RSD MANGUSADA
Authors: Laksmi Ida Ayu Agung , Suprapta Made Ani , Surinten Ni Wayan
Published: March 2020

Long term of heart failure symptoms will affect the patient functional status and ability to do self-care appropriately. Decreasing functional status and self-care ability will certainly affect the quality of life of patients. This study aimed to determine the relationship of self-care with the quality of life of heart failure patients that undergoing treatment at Heart Polyclinic of Mangusada Hospital. The research design was descriptive correlational using cross sectional approach. The study was conducted in January-February 2019. Total respondent participated were 61 respondents and were taken using a purposive sampling technique. Self care of heart index (SCHFI) questionnaire and the Minnesota Living With Heart Failure Questionnaire (MLHFQ) were used. The results showed that the average of self-care score was 45.25 and the average score of the quality of life was 60.67. Analysis using the Spearman Rank test obtained p-value = 0,000 and r = 0.506. It can be concluded that self care had a significant correlation on quality of life patients with heart failure in Mangusada Hospital. We recommended that nursing service providers play an active role in providing education and motivation to heart failure patients to improve self-care abilities.
LAPORAN KEUANGAN SEBAGAI BENTUK TRANSPARANSI PENGELOLAAN ANGGARAN IPDN KAMPUS KALIMANTAN BARAT
Authors: Suwanda Wawan , Pratiwi Dety
Published: March 2020

Budget User Proxy / Property User Proxy must compile and submit a Financial Report which includes Budget Realization Report, Balance Sheet, Operational report, report on changes in equity and Notes to Financial Statements in the context of preparing the Central Government Financial Report (LKPP). IPDN Finance Report West Kalimantan Campus The first semester of 2017 is a report covering all financial aspects managed by IPDN West Kalimantan Campus originating from APBN. Financial Reports of the IPDN Satker in West Kalimantan Semester I of the 2017 Fiscal Year have been prepared and presented in accordance with Government Regulation Number 71 of 2010 concerning Government Accounting Standards (SAP). The purpose of this study is to see how far the form of transparency conducted by IPDN West Kalimantan Campus in conducting budget management presented in the form of Financial Report.Keywords: Financial Report, Transparency and Budget.
ANALISIS PELAYANAN PENANGGULANGAN BENCANA KEBAKARAN OLEH PEMADAM KEBAKARAN PEMERINTAH (STUDI KASUS KOTA PONTIANAK)
Authors: S.stp Hendayana
Published: March 2020

Disasters are events that can occur anytime and anywhere, as well as fire disasters. Along with the frequent occurrence of fire disasters, it is necessary to provide effective, fast response services for fire disasters. Fires occur due to many factors. To reduce losses, it is necessary to improve services to fire services from the government which is one of the minimum services of the government. Analysis is a thinking activity to describe a whole as a component so that it can recognize the signs of components, their relationships with each other and their respective functions in an integrated whole. Service analysis is here to measure fire service levels in Pontianak City. This research is a descriptive qualitative research Measurement of service quality by using 5 (five) dimensions with several indicators of each dimension of Tangible, Reliabelity, Responsiviness, Assurance, Emphaty. Based on the results of research conducted stating that the fire disaster management service carried out by the Pontianak City Fire Department was not optimal This is because there are still problems faced by the Pontianak City Fire Department where firefighting organizations are not yet independent, lack of facilities and infrastructure, lack of resources humans, lack of fire stations, less attention to the apparatus regarding the safety guarantee of fire services especially.
KUALITAS PELAYANAN PUBLIK PADA PELAYANAN ADMINISTRASI TERPADU DI KECAMATAN SUNGAI AMBAWANG KABUPATEN KUBU RAYA
Authors: Halawa Poiman Salfin
Published: March 2020

Tujuan penelitian ini adalah untuk menggambarkan kualitas pelayanan publik pada pelayanan administrasi terpadu di Kecamatan Sungai Ambawang Kabupaten Kubu Raya. Hasil penelitian menunjukkan bahwa kualitas pelayanan administrasi terpadu di kecamatan Sungai Ambawang masih rendah, disebabkan oleh beberapa aspek dalam pelayan publik yang belum terlaksana dengan baik, seperti pada aspek bukti fisik pelayanan masih kurangnya fasilitas pendukung pelayanan. Kurangnya daya tanggap aparatur dalam merespon kebutuhan masyarakat, dan kepastian waktu penyelesaian pelayanan. Masih adanya kesalahan data-data dalam dokumen hasil pelayanan, dan rendahnya kepedulian serta perlakuan yang berbeda-beda dari aparatur dalam memberikan pelayanan kepada masyarakat. Faktor yang mempengaruhi rendahnya kualitas pelayanan juga disebabkan karena kurangnya pendelegasian kewenangan kepada bawahan dalam struktur organisasi sehingga apabila pejabat yang memiliki kewenangan tidak berada ditempat maka proses pelayanan menjadi terhambat, ditambah hirarki struktural dalam jabatan membuat pegawai kurang berkreativitas dalam meningkatkan kualitas pemberian pelayanan kepada masyarakat. Tuntutan masyarakat terhadap kualitas pelayanan seiring dengan kemajuan teknologi merupakan salah satu faktor penyebab rendahnya kualitas pelayanan administrasi terpadu di kecamatan Sungai Ambawang karena belum menerapkan sistem pelayan secara on-line atau dengan aplikasi pelayanan yang bisa membuat proses pelayanan kepada masyarakat lebih cepat dan mudah. Dalam meningkatkan kualitas pelayanan administrasi terpadu di kecamatan Sungai Ambawang diberikan saran untuk melengkapi fasilitas pendukung pelayanan, perbaikan sistem pelayanan, dan peningkatan fungsi individu aparatur pelayanan dalam bekerja.
Applying the MIDAS Touch: An Accurate and Scalable Approach to Imputing Missing Data
Authors: Lall Ranjit , Robinson Thomas
Published: March 2020

We propose an accurate, fast, and scalable approach to multiply imputing missing political science data, which we call MIDAS (Multiple Imputation with Denoising Autoencoders). MIDAS employs a class of unsupervised neural networks known as denoising autoencoders, which were recently developed to optimize the task of dimensionality reduction by corrupting a subset of input data and attempting to reconstruct it through a series of nonlinear transformations. We repurpose denoising autoencoders for multiple imputation by treating missing values as a special case of corrupted data and drawing imputed values from a model trained to minimize the reconstruction error on an additional portion of originally observed values. Systematic tests involving real as well as simulated data demonstrate that MIDAS produces accurate imputed values and parameter estimates and scales more efficiently to long and wide datasets than leading existing multiple imputation algorithms. We provide open-source software for implementing MIDAS in the Python programming environment.
Keynes on Expectations, Uncertainty and Defensive Behavior
Authors: Carvalho Fernando J. Cardim de
Published: March 2020

Keynesianism dominated macroeconomics until the early 1970s in the form of what was called hydraulic Keynesianism, a fundamentally mechanistic approach that assumed that economic agents always reacted in the same way to a certain set of stimuli. The dominance of hydraulic Keynesianism opened the way for the emerging criticism, first by Milton Friedman, and later by New Classical economists, that Keynesianism had no place for expectations. Keynes, however, dedicated close attention to the ways expectations were formed under fundamental uncertainty and how economic behavior was changed when agents acknowledged that the future was uncertain. For Keynes, acknowledging uncertainty meant that agents sought to take precautions against the possibility that their expectations were wrong and the decisions relying on them were incorrect. In The General Theory, Keynes showed that, in practically all fields, behavior would be significantly changed when agents acknowledged uncertainty. Precautionary savings, liquidity preference, conventional behavior, were all particular manifestations of the attempt to get protection against the losses that could result from the disappointment of expectations.