bluuebunny/crossref_metadata_2025 huggingface dataset:
A convolutional neural network for skin cancer classification
Authors: Nafi'iyah Nur , Yuniarti Anny
Published: May 2022

Skin diseases can be seen clearly by oneself and others. Although this disease is visible on the skin, sometimes we worry if this skin disease is not mild. Some people experience skin diseases directly and quickly go to a dermatologist to have their complaints and symptoms checked. This skin protects the body, especially from the sun, so it can lead to death if something goes wrong. One example of a skin disease that can be deadly is skin cancer or skin tumors. In this research, we classified skin cancer into Benign and Malignant using the convolution neural network (CNN) algorithm. The purpose of this research is to develop the CNN architecture to help identify skin diseases. We used a dataset of 3,297 skin cancer images which are publicly available on the Kaggle website. We propose two CNN architectures that differ in the number of parameters. The first architecture has 6,427,745 parameters, and the second architecture has 2,797,665. With both architectures, the accuracy of the first model is 93%, and the second model is 74%. The first model with the number of parameters 6,427,745 We save for use in the creation of the website. We created a web-based application with the Django framework for skin disease identification.
Parents support to the social development of school-age children who use smartphone
Authors: Indriatie Indriatie , Novitasari Aida , Windi Yohanes K.
Published: May 2022

Smartphone is widely used among school-age children. Excessive use of smartphone leads to health and psychological problems for children. Parents are responsible for ensuring that their children use smartphone properly. This study aimed to identify the support of parents to the social development of school-aged children using smartphone. It is a correlational analytic study involved 200 respondents who recruited through clusters random sampling procedure. The variables are social development and parents support for children who using smartphone. The study employed Spearman correlation rank was used to test the association between variables for data analysis. The results obtained that the children who use smartphone do not experience social development disruption. Their parents provide sufficient support when they are using smartphone. The statistical analysis shows the significant correlation between the social development of school-aged children who use smartphone and their parents support. Parents are responsible for providing sufficient support to avoid social development disruption of their children due to smartphone use. The study suggests that parents should maintain their support and actively monitor smartphone use, including the content, duration, and frequency of using smartphone.
Perceived accreditation benefits, participation and organizational commitment in hospital accreditation performance
Authors: Basarah Jivita Catleya , Andry Andry , Tahjoo Anastina
Published: May 2022

Good perceptions on accreditation have an important role to play in achieving five-star accreditation and continuous implementation of accreditation. In the pre-survey, we found that the problem, a low perceived accreditation benefits, participation, and organizational commitment, as well as employees’ performance of the accreditation process that did not meet the target. The purpose of this study was to analyze the impact of the perceived benefits of accreditation on the performance of employees in the accreditation process. The research method used was a causal analysis study with a cross-sectional quantitative approach and a path analysis hypothesis test. The sample was taken by means of an objective sampling of X mother & children hospital (Rumah Sakit Ibu dan Anak/RSIA) health personnel. The results found that the perception of the benefits of accreditation had a positive and significant effect through mediation of participation and commitment to performance. The impact of the perceived benefits of accreditation, participation and organizational commitment on employee performance is 46.9%. This research implies for hospital management to optimize the performance of the accreditation process by increasing the perception of the benefits of accreditation through training, sharing, assessment, award and monitoring and evaluation involving all employees.
The effect of nutrition education on balanced-nutrition knowledge and macronutrient intake among adolescent
Authors: Mardiana Mardiana , Yulianto Yulianto
Published: May 2022

Counseling on balanced nutrition is unknown among the wider community, especially school students. Therefore, it is necessary to socialize the delivery of messages and principles regarding balanced nutrition. The study analyzed comics and booklets on increasing knowledge level of nutrition and macronutrient intake in adolescents. The study employed a quasi-experimental design, which pre-test and post-test intervention compared to control. The sample of this study was junior high school students selected based on the inclusion and exclusion criteria. The respondent in this study was 150 students of junior high school in Palembang, Indonesia. Paired t-test and ANOVA test as well as regression correlation were used as statistical analysis. The results showed differences in knowledge of the balanced nutrition and macronutrient intake after comic intervention compared to booklets and no intervention.
Problems and needs when caring for stroke patient at homes
Authors: Suten Uten , Paluangrit Srimuang , Dangkrajang Supika , Sutthinarakorn Wandee , Prasert Vanida
Published: May 2022

The Thailand health policy aim to develop the patient care system in a community level, especially, the home rehabilitation program for stroke patients. Currently, stroke patients have long term disabilities and recurrent stroke leading to the serious life-threatening and death. The study investigated the problems and needs of caregivers for taking care stroke patients after hospital discharge and caring at home. A qualitative study was conducted in 80 key informants that comprised of 25 post stroke patients, 25 caregivers, 10 local health care officers at the community, 10 community leader, and 10 health volunteers. An in-depth interviews and focus group discussions were designed to collect the data. Caregivers were not confident about ability and skill to care stokes patients at home. Additionally, they were not understood the policy and health care service system. Health volunteers lacked of experience for supporting stroke patients in the community. The community leader and local health care officer needed more knowledge and skills including budgets, equipment, and facilities for caring the stroke patients. Ability, knowledge, skill and experience for caring stoke patients of the health care team should be addressed. Moreover, resources, facilities, equipment and budgets must be properly supported.
Education for parents regarding choking prevention and handling on children: a scoping review
Authors: Pondete Marlyn Anggelina , Barlianto Wisnu , Suryanto Suryanto
Published: May 2022

Choking is a pediatric emergency that threatens life. Choking occurs in 80% of under three-year-old children worldwide. Many children do not receive help since the aid provider fears causing harm due to the absence of choking case knowledge. Improving parent’s knowledge can decrease choking risk in children that threatens life. This scoping review aimed to identify education provision regarding foreign body aspiration on children. This study was a scoping review with choking handling articles to identify education provisions regarding choking handling on children. Article search was carried out using internet databases, i.e., PubMed, Proquest, and Sciencedirect. The selection was performed using a PRISMA flow diagram. The search results obtained 1,081 literatures, title-screening excluded 948 articles and obtaining 98 articles to be tested for eligibility. The 91 articles with unrelated objectives were excluded. Seven remaining articles following the inclusion criteria were identified. Providing education for parents about choking prevention and handling on children is an essential component of the public health approach as video-based e-learning program, direct learning, installation of hazard warning of choking. Educational programs will be effective when utilizing various information sources and assigning additional healthcare providers tasks to educate parents and the community.
Indoor air quality level influence sick building syndrome among occupants in educational buildings
Authors: Ismail Syazwan Aizat , Kamar Haslinda Mohamed , Kamsah Nazri , Ardani Mohd Ibtisham , Dom Nazri Che , Shafie Farah Ayuni , Zulkapri Izwyn , Hock Lim Kuang
Published: May 2022

In educational facilities, good and healthy indoor air quality is critical to ensure students’ focus and academic activities can be carried out efficiently. The goal of this study was to evaluate the link between indoor air quality level with sick building syndrome and health complaints among occupants. A cross-sectional study was conducted which involved 513 occupants. A modified MM040Na questionnaire was used in this study. Occupants’ workspaces were monitored for indoor air quality. The score obtained from the questionnaire and environmental factors were tested using statistical analyses incorporating test of differences namely Chi–Square, t-test, and non-parametric analysis. Logistic regression was conducted to evaluate relationship between exposure and occupants’ complaint. Results shows that some indoor air pollutants (carbon dioxide, formaldehyde, and particulate matter) are related to overall sick building syndrome (Odd Ratio, OR=1.348, 2.493, 1.958 respectively). General score of sick building syndrome (SBS) shows significant relationship with air motion (OR=2.220) and air flow (OR=2.515). Mucosal score of SBS suggest exposure risk towards indoor factors namely formaldehyde (OR=2.799), while dermal effect was associated from the exposure of Particulate (OR=2.88), carbon dioxide (OR=4.000), and air flow (OR=2.679). In educational environments, indoor contaminants have an impact on reported symptoms.
Factors correlated to physical activity among diabetes type 2 patients
Authors: Rofi'i Aby Yazid Al Busthomy , Su'udi Su'udi
Published: May 2022

Physical activity is an important strategy for the management of diabetes type 2 mellitus. However, this recommendation is related to physical barriers. Diabetes mellitus type 2 patients showed lower scores in energy use, number of steps and duration of physical activity compared to healthy individuals. This study aimed to identify factors that affected physical activity among diabetes type 2 patients. A cross-sectional design was used in this study. This study was conducted in Kabupaten Tuban, East Java, Indonesia. A total of 105 diabetes type 2 patients followed the program Prolanis from the community health center. Data was collected using paper-based questionnaires, which were aslked the demographic characteristics, knowledge about physical activity, diabetes management self-efficacy, and international physical activity questionnaire (IPAQ) during March to October, 2020. Ordinal logistic regression was used to examine the factors that affected physical activity of diabetes type 2 patients. This study found that complication, knowledge and self-efficacy have significantly affected physical activity among diabetes type 2 patients. This information is beneficial to develop nursing care interventions and approaches to increase the physical activity of patients with type 2 diabetes mellitus.
Periodontal health status in patients with periodontal disease: A descriptive study among Emirati population
Authors: Bangera Danavanthi , Viswanathan Krishnan , Sreedharan Jayadevan , Natarajan Prabhu
Published: May 2022

Globally, around 10-15% of adults aged 21 to 50 years and around 30% of the elderly are diagnosed with severe periodontitis. About 20-50% of the population is affected with periodontal disease. However, there is a lack of actual national data in the UAE on oral health and periodontal health status. To determine the periodontal health status among the Emirati population aged 18 to 65 years. Periodontal health status of the patients with periodontitis was assessed by measuring plaque index; gingival index, clinical attachment loss (CAL) and community periodontal index treatment need (CPITN). All collected data were processed descriptively by presenting in numbers and percentages and analytically by cross-tabulation between variables. The majority of the patients (84%) had a mild level of clinical attachment loss and 54% had probing pocket depth of 3.5-5.5 mm. Moderate loss of clinical attachment was observed in 30.8% of patients with a medical history of diabetes mellitus and hypertension and 10.8% with no medical history. Most of the patients need non-surgical periodontal treatment that is scaling and root planning along with oral hygiene instructions and maintenance to reduce the progression of periodontal diseases.
COVID-19 concerns, influenza vaccination history and pregnant women’s COVID-19 vaccine acceptance: a systematic review
Authors: Pragitara Chiquita Febby , Rahmasena Naomi , Ramadhani Ayuning Tetirah , Fauzia Sarah , Erfadila Reyna , Faraj Dadang Mutha Wali , Rahmadhanti Diah Caesaria Garindra , Handayani Samsriyaningsih
Published: May 2022

Pregnant women have a higher risk of serious illness during the coronavirus disease 2019 (COVID-19) pandemic. This raises concerns about COVID-19 infection in pregnant women. Other than COVID-19, pregnant women are also a high-risk group for influenza infection. Influenza vaccination is used to prevent coinfection with COVID-19. Thus, this study examined the acceptance of the COVID-19 vaccine in pregnant women based on factors of worry about COVID-19 infection and a history of influenza vaccination. This study was a systematic review that assessed cross-sectional articles of the year 2020-2021 from the Pubmed, Science Direct, and Medrxiv databases with narrative analysis. There were three articles that met the criteria. The three articles showed significant relationships between concerns of being infected with COVID-19 and receiving COVID-19 vaccine acceptance in pregnant women, while a significant relationships between a history of influenza vaccination and accepting COVID-19 vaccination in pregnant women were only found in two articles. Compared to the history of influenza vaccination, the concerns of being infected with COVID-19 in pregnant women were significantly more related to accepting COVID-19 vaccination, so it can be the focus of intervention to increase the acceptance of COVID-19 vaccination in pregnant women.
Nutrition related knowledge and attitudes of mothers and teachers of kindergarten children
Authors: Ormanci Nese , Tasneem Saima , Caliskan Tugba Busra
Published: May 2022

Programs focusing on health and nutrition help ensure children’s early development. Nutrition knowledge of families and teachers has a significant impact on children’s eating habits and dietary patterns. Recently, there is an increase in the number of daycare schools in North Cyprus, offering services between 8 AM to 6 PM and provide two main meals and two snacks during the day. This study was carried out to understand the nutrition-related knowledge of kindergarten teachers and mothers of children aged 2-5 and their attitudes towards nutrition, and find the deficiencies in the knowledge and attitude of both groups as they significantly impact dietary habits of children. The 121 participants from the Kyrenia District, Turkish Republic of North Cyprus were enrolled, 79 were educators in the kindergarten and 42 were mothers. It was observed that there is no statistically significant difference between mothers' and teacher's knowledge and attitude of the nutritional content of foods. Our study also showed that though mothers were educated and possessed knowledge of nutrients yet their attitudes did not reflect it. Our study revealed that the current knowledge status of teachers and caregivers, as well as their attitudes towards various aspects of diet, are not sufficient to lay the foundation of healthy eating.
The impact of gadget use for medical education during covid-19 pandemic on neck pain, neck disability, and sleep quality among medical students in Indonesia
Authors: Budianto Pepi , Kirana Dewi Hayu , Hafizhan Muhammad , Putra Stefanus Erdana , Mirawati Diah Kurnia , Prabaningtyas Hanindia Riani
Published: May 2022

During the COVID-19 pandemic, nation-wide social restriction policy is implemented to prevent virus spread. Medical students are relying on gadget and internet-based services for online learning. Prolonged use of gadget is related to various medical condition. This study aims to determine correlation between duration of gadget use and their relationship to neck pain, neck disability, and sleep quality among medical student. This was a cross-sectional study conducted using Numeric Pain Rating Scale (NRS), Oswestry Disability Index (ODI), and Pittsburgh Sleep Quality Index (PSQI) in online form. Sample was selected with simple random sampling from the population of medical student of Universitas Sebelas Maret, entrance year of 2017-2020. Results: A total of 271 students were included in this study. Statistically significant correlation between duration of gadget uses and neck pain (p=0,014); neck disability (0.471,p=0.042); and sleep quality (0.571,p=0.023). Duration of gadget use increased the incidence of neck pain by 3.028 times (95% CI 2.272-4.327,p=0.037); incidence of neck disability by 2.144 times (95% CI 1.174-3.461,p=0.015); and decreased sleep quality by 2.384 times (95% CI 1.107-3.661,p=0.007). Duration of gadget use increased the incidence of neck pain, neck disability, and decreased sleep quality of medical student. Awareness of the importance of proper ergonomics while using gadget for medical education during COVID-19 pandemic should be raised among students, lecturers, and healthcare professional.
Risk perception of smokers on graphic warning labels: a qualitative study in East Nusa Tenggara, Indonesia
Authors: Ndoen Enjelita Mariance , Ndun Helga Jillvera Nathalia
Published: May 2022

The Indonesian government has mandated Graphic warning labels (GWLs) on cigarette packages to achieve more comprehensive tobacco control interventions. However, smoking prevalence remains a public health issue in Indonesia. This current qualitative research aimed to explore the effect of cigarette GWLs on smokers’ perceptions about smoking and cigarette packaging in East Nusa Tenggara (NTT) and its influence on smoking behavior. The study participants consisted of 15 current smokers who were individually interviewed by using a semi-structured interview guide. Data were analyzed using a thematic analysis technique. Most participants perceived smoking as health-risk behavior yet lowered their risk perceptions of smoking-related diseases due to positive feelings of perceived current benefits of smoking and personal justification for smoking.  None expressed any intention to quit or showed smoking behavior changes due to GWLs exposure on cigarette packages. Participants also implicitly expressed themselves as victims willing to quit but unable and unconfident to act due to smoking addiction and other stressors. In contrast, others perceived themselves as risk-taker who enjoyed smoking. Further research is still needed to provide robust evidence on GWLs effectiveness on smoking perception and smokers’ cognitive and behavioral responses. Behavior change interventions should address positive feelings experienced and rationalization made by smokers to provide effective risk communication.
Post effects associated with SARS-CoV-2 vaccination among health care workers in Pakistan
Authors: Furqan Warda , Naeem Afnan , Usman Javaid , Ellahi Ayesha , Ahmed Fahad , Ahmed Ali Raza
Published: May 2022

The COVID-19 pandemic has witnessed the rapid development of vaccines produced simultaneously form various countries. However, these vaccines were shrouded by a set of myths ranging from serious effects to change of human DNA. Pakistan was one of the countries to start vaccination early and the front-line workers were first to be vaccinated. We undertook to study the vaccinated health care workers for the post effects of vaccines they received. The methodology adopted was through a structured questionnaire comprising 12 questions covering almost all the possible post effects. This was circulated among health care workers of Pak-Emirates Military hospital and Army Medical College/ National University of Medical Sciences, Rawalpindi, Pakistan. Fever was the most frequently encountered post effect, followed closely by pain at site of injection, headache and fatigue. There was a strong association between age and post effects of vaccination. No life threatening or serious side effects were experienced by health are workers indicating that benefits of vaccine outweigh its adverse effects especially with emergence of new variants. No participant required hospitalization following immunization. Therefore, vaccination against SARS-CoV-2 should be carried out on priority basis in order to avoid severe COVID-19 infection.
Nursing and midwifery students’ knowledge and concerns about COVID-19: a descriptive-analytical study
Authors: Ghezeljeh Tahereh Najafi , Shahrestanaki Sahar Keyvanloo , Abbasi Ali , Ghonodi Fatemeh , Emami Azita
Published: May 2022

The coronavirus disease 2019 (COVID-19) pandemic has changed educational trends for all university students, including nursing and midwifery students (NMSs). In the future, these students will play critical roles in healthcare delivery systems. The purpose of the study was to examine knowledge, fear, and anxiety about COVID-19 among NMSs. A cross-sectional descriptive-analytical study involved 600 NMSs were performed through an online survey from February to March 2021 in Iran University of Medical Sciences. Data gathering was done using a demographic questionnaire, the COVID-related Knowledge Questionnaire, The Fear of COVID-19 Scale, and the Corona Disease Anxiety Scale. Instruments were provided to students through WhatsApp, Telegram, or email. The study instruments were completely answered by 415 students. Their age was 24.63±4.97 years, on average. Most participants were female (62.2%) and single (76.9%). The mean scores of their knowledge, fear, and anxiety about COVID-19 were respectively 13.41±1.32 (in the possible range of 0–15), 21.93±6.78 (in the possible range of 7–35), and 19.82±12.77 (in the possible range of 0–54). NMSs have great knowledge, relatively great fear, and mild anxiety about COVID-19. Flexible educational programs, close monitoring of fear and anxiety, and effective need-based education are necessary for NMSs, particularly during pandemics.
Physical activity and anxiety with complaints of PMS in adolescents during the COVID-19 pandemic
Authors: Armini Ni Ketut Alit , Zahriya Arinda Naimatuz , Hidayati Laily , Dewi Kartika Indaswari
Published: May 2022

Premenstrual syndrome (PMS) is a menstrual cycle disorder that frequently appears in women. As a result of the coronavirus disease 2019 (COVID-19) virus pandemic, the school from home program was implemented, which could affect physical activity and anxiety and therefore increase the incidence of PMS. This cross-sectional research analyzed the relationship between physical activity and anxiety with PMS in adolescents. The population was 221 adolescent girls in Surabaya, Indonesia. A consecutive sampling technique was used to select the 143 respondents. The independent variables were physical activity and anxiety while the dependent variable was PMS. The data was collected using a questionnaire and analyzed by the Spearman Rho test with a level of significance α<0.05. The results showed no significant correlation between physical activity and PMS among adolescents, however there was a significant correlation between anxiety and PMS in adolescents (p=0.000; r=0.463). Adolescents with anxiety have higher risk of PMS. The higher level of anxiety will be the more severe the symptoms of PMS.
Hand hygiene knowledge, perception, and compliance among healthcare workers
Authors: Tjoa Enty , Mahendra Cipta , Suryanto Suryanto , Theresia Sandy , Wirjanata Marcella , Soeselo Daniel Ardian
Published: May 2022

Healthcare-associated infections (HAIs) is a great issue to concern in healthcare services because it accounts for prolonged hospital stay and may lead to morbidity or mortality. Proper hand hygiene behavior in the healthcare environment is indispensable in minimizing the risk of HAIs. This study aimed to identify the impact of hand hygiene education on healthcare workers' (HCWs) compliance, knowledge, and perception of hand hygiene at Atma Jaya Hospital, Jakarta, Indonesia. The compliance of hand hygiene was evaluated using the World Health Organization’s (WHO) five moments for hand hygiene as the reference. Data on hand hygiene knowledge and perception were collected using a translated version of the WHO’s hand hygiene knowledge questionnaire and hand hygiene perception questionnaire, respectively. Results showed a significant increase in compliance with hand hygiene after the online session’s intervention had been implemented, except hand hygiene compliance for the ‘after touching patient surroundings’ moment. There was also a significant increase in the HCWs' hand hygiene knowledge after the intervention. The HCWs' perceptions are also found to be positive even before the intervention. This study concludes that the HCWs' knowledge and compliance with hand hygiene at Atma Jaya Hospital increase significantly after an educational intervention had been conducted.
Awareness and likelihood of accepting COVID-19 vaccines among the university students of Bangladesh
Authors: Hoque AKM Fazlul , Huq Saaimatul , Abdullah-Al-Shoeb Mohammad , Mishu Moshiul Alam , Azad Muhammad Abul Kalam
Published: May 2022

Massive vaccination is very important to end the coronavirus disease 2019 (COVID-19) pandemic. This study determined the willingness to receive a COVID-19 vaccine by the university students of Bangladesh and identified their apprehension about the effectiveness and safety of COVID-19 vaccines. Students were invited to complete an online cross-sectional survey (April 3 to June 10, 2021) to explore the intention to receive a COVID-19 vaccine and other factors regarding the responsiveness of the COVID-19 vaccine. Among the 191 respondent students, 52.9% willingly agreed to receive a vaccine, where the remaining was either not decided yet (27.7%) or was not intended to get vaccinated (15.7%). The odd of getting a vaccine were only 1.15. About 83.2% of students were conscious about the severity of COVID-19 and many students responded that they are well-versed about vaccine activity (67.5%) and risk factors (66%). Among the approved vaccines, most students preferred the Oxford-AstraZeneca COVID-19 vaccine ChAdOx1 (38.7%) and Pfizer-BioNTech COVID-19 vaccine BNT162b2 (34%). As some of the students still have lesser intent to accept vaccines, public health officials need to be more proactive to focus on vaccine safety and benefits to enhance vaccine coverage among university students of Bangladesh.
Municipal infectious waste during COVID-19 pandemic: trends, impacts, and management
Authors: Septiariva Iva Yenis , Suryawan I Wayan Koko , Sarwono Ariyanti , Ramadan Bimastyaji Surya
Published: May 2022

The coronavirus disease 2019 (COVID-19) shifts the characteristics of municipal waste. This paper aims to provide an overview of trends, impacts, and management during the COVID-19 pandemic globally. The increase in the generation of plastic waste and infectious waste is a new challenge during the COVID-19 pandemic. It was found that the emergence of plastic waste due to the consumption of food delivery becomes an issue in several countries. Despite the increment of plastic waste generation, the mass layoffs contributed to the decrease in the total urban waste generation in general. In addition to plastic waste, a surge of infectious waste from health facilities and household waste originating from residents infected with the SARS-COV-2 virus was observed. This infectious wastewater potentially leads to environmental disturbances to the rivers and oceans. To tackle global environmental concerns, sustainable waste management is required especially in the development of biodegradable personal protective equipment.
Never smokers with lung cancer in Morocco: epidemiology and gender differences
Authors: Erefai Ouassima , Soulaymani Abdelmajid , Mokhtari Abdelrhani , Hami Hinde
Published: May 2022

Even through smoking is a definite risk factor for lung cancer, it is possible for people who have never smoked to suffer lung cancer. This research aimed to describe the epidemiology of lung cancer in never smokers in Morocco. Also, an assessment of differences between men and women never smokers was performed. The researchers analyzed retrospectively all patients diagnosed with lung cancer between 2014 and 2017. The results showed that of 606 patients, 157 (25.9%) were never smokers. Of these, 79 patients (50.32%) were women. Women were more likely to be younger (p=0.034), had adenocarcinoma (p=0.046), and being in advanced stage of the disease (p=0.032). Men were more exposed to professional carcinogens (p<0.001). Tuberculosis was the most frequent previous lung disease in never smokers, but no difference was noted between men and women. Performance status and comorbidities did not vary by gender. Never smokers in Morocco represent a significant proportion of lung cancer. Evident epidemiologic differences are found between men and women never smokers, notably, age, histological type and risk factor exposure.
The effect of exercise on the reduction of blood pressure among elderly with hypertension: a systematic literature review
Authors: Wahyuni Wahyuni , Romadhoni Dea Linia , Ramadhani Alinda Nur
Published: May 2022

Elderly is a person who enters a period of achievement level of maturity that has shown deterioration, aged 60 years and older. This group which is categorized as elderly is experiencing an aging process which is marked by a decline in the body systems. Cardiovascular disease is responsible for more mortality, especially in people over 60 years of age with a history of hypertension. This study used a literature review method. A systematic search strategy was carried out by accessing the NCBI Pubmed, Elsevier, and PedRo databases online using the keywords "exercise", "hypertension" and "elderly". Based on the result of the search for articles that have been carried out, there were 90 articles. Nine articles that fit the inclusion and exclusion criteria were analyzed and all of them showed impact of exercise on reduction of blood pressure. Aerobic exercise, resistance exercise, breathing exercise and exercise in water affect the reduction of blood pressure in hypertensive elderly. Further studies are needed to determine the effectiveness of these exercises in reducing blood pressure in elderly people with hypertension.
Predictors of childbirth services in Indonesia
Authors: Putri Nuzulul Kusuma , Laksono Agung Dwi
Published: May 2022

The Government of Indonesian implemented maternal health service programs to minimize at-home childbirth services and increase mothers' utilization of its services. There is not enough evidence these policies are effectively decreasing the maternal mortality rate. Hence, this study aimed to analyze the predictors of each specific childbirth services in Indonesia. This study used the secondary dataset of the 2012 Indonesian demographic data survey (IDHS). The sample was 17,769 women ages 15 to 49 years old. We performed logistic regression for the multivariate case to identify the predictors of childbirth service. Geographical, education, and economic condition significantly predict childbirth services. Women who are not residents tend to use a community-based facility than institutionalized health. Women with higher parity, inadequate knowledge on pregnancy danger signs, lower antenatal care visits, and never had any discussion with their husbands about the planned place of giving birth tend to prefer giving birth at home than health facilities. Women's decision to use a safe childbirth service is hindered by demanding access to reach institutionalized healthcare. Our findings highlighted the importance of women empowerment to enable women to utilize safe labor in a health facility.
Lockdown fatigue, personal resilience and coping appraisal of faculty in a state university
Authors: Afan Rodel Dela Cruz , Tariga Jonathan Necor
Published: May 2022

Many countries' lockdown measures have been effective in halting the spread of the coronavirus disease 2019 (COVID-19) pandemic, but there is rising worry about their negative effects on overall health and well-being, particularly among lecturer in the academe. This study aimed to assess the lockdown fatigue, personal resilience and coping appraisal involving 100 lecturers in Quirino State University-Diffun Campus. Four-likert scale questionnaires were adapted and used to gather data including the lockdown fatigue scale (LFS), brief resilience scale (BRS), and coping appraisal. Findings reveal that majority of the respondents are female, 31-40 years old, married, with an on-going Master’s Degree, with a permanent position in the university. The most prominent symptoms of fatigue, according to the respondents in this study, were worry, sadness, depression, tiredness or physical depletion, and anxiety. As to the personal resilience of lecturer, according to the findings, it is difficult for them to react quickly when anything negative occurs. As a result, efforts to reduce lockdown fatigue among lecturer must focus on developing their coping abilities, which will improve their mental and psychological well-being as well as their general health. A positive psychological intervention or program may be implemented to mitigate the negative effect brought by community lockdown.
Patient-perceived indicators as a basis for satisfaction assessment of healthcare
Authors: Windi Yohanes Kambaru , Harnani Baiq Dewi , Asnani Asnani
Published: May 2022

Since satisfaction is a subjective matter, assessing satisfaction should begin from the individual perception of satisfaction. This study aimed to map the satisfaction indicators perceived by the patients as a foundation to develop instruments to assess health care satisfaction. The study adopted sequential exploratory design of mixed method approach. Thirty patients participated in the interviews and 300 patients for the survey. The thematic analysis identifies 159 items of satisfaction. The items were condensed into 34 indicators and distributed into the five components of the service quality (SERVQUAL) model. A survey containing the 34 indicators were developed to measure their validity and reliability. The Product moment test of validity shows the value of correlation table (rn-2; α=r298; 0.05)=0.095. The values correlation tables are >0.095, meaning the validity is achieved. The Cronbach alpha test shows that the values of all indicators are >0.6, reflecting the reliability of the satisfaction indicators. The study concluded there is variation of satisfaction indicators of health care compared to the established instruments and the identified indicators are valid and reliable.
Social support and psychological wellbeing among urbanites during the pandemic: mattering and life satisfaction
Authors: Tan Jun Kit , Prihadi Kususanto Ditto , Satrio Prakrisno
Published: May 2022

The change of social interaction pattern amidst the implementation of social distancing policies during the pandemic had altered the way individuals evaluated themselves and their social environment, including the way they develop perceived social support (PSS) that would lead to another change in the way they develop their satisfaction with life (SWL). This might have affected the development of their psychological wellbeing (PWB), which is highly contingent upon psychosocial constructs. Another variable that might alter the formation of PWB is the sense that we matter to others (Mattering), which was also altered by the limitation of in-person interactions. We purposively recruited 403 Malaysian urban adults affected by the social distancing policies by having to study or work from home, to respond to our survey in order to test the hypothesis that the SWL would fully mediate the association between PSS and PWB among individuals with higher levels of mattering. The results of the bootstrap analysis with 5,000 samples and 95% confident interval supported our hypothesis, with a caveat that the mediation of SWL also occurred among individuals with moderate levels of mattering. PSS was still a significant predictor of PWB when controlling for mattering and SWL, which indicated that the mediation of SWL was only partially occurred.
Black cumin seed oil preparation consumption potentially improves adaptive cellular immune response among healthy volunteers
Authors: Hidayati Titiek , Akrom Akrom , Setianto Arif Budi
Published: May 2022

Oxidative stress and inflammatory reactions are the pathological mechanisms for most degenerative diseases. The black cumin seed oil (BCSO) contains compounds that can act as antioxidants and immunomodulators. Consuming BCSO is thought to improve antioxidant and immunomodulatory parameters in obese people. This study investigated the effect of BCSO consumption on antioxidant and immunomodulatory activity in healthy volunteers. We conducted a quasi-experimental study on 12 healthy volunteers in Yogyakarta, Indonesia. We asked the volunteers to consume BCSO for twenty days. We measured blood pressure, body mass index (BMI), malondialdehyde (MDA) level, Serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvate transaminase (SGPT) activity, CD4Th, and IFN-γ expression before and after consuming BCSO. We carried out the average difference test of the parameters before and after consumption of BCSO by dependent t-test. The results showed that 3x1 BCSO preparation for 20 days reduced MDA levels and increased CDTh and IFN-γ. Consuming BCSO for 20 days potentially improve the adaptive cellular immune response parameters.
Child health and maternal health knowledge: evidence from Vietnam
Authors: Nguyen Tuyen Thi Mong , Thuy To Nguyen Quyen Le Hoang , Nguyen Phong Thanh
Published: May 2022

The care and protection of children are vital because children are the future of the country. Their health links to the development of adult human capital and the national economy. Informal maternal education is the major driver of child health but has never been formalized. This paper investigates the effects of maternal health knowledge on child health using a survey of 200 households in Ho Chi Minh City, Vietnam. The theory of household production has been applied to create a child health model. Anthropometric indicators of weight-for-age and height-for-age are set as the proxies for child health. The models are regressed separately for the weight-for-age and height-for-age Z-scores of children under five. The research results showed that the number of years of maternal schooling does have a positive impact on child anthropometric outcomes but its effects are crowded out by maternal health gained from the mother’s access to health information through pubic media and genetic inheritance, but these are inferior to environmental factors such as housing, sanitation, and health knowledge. The findings confirm that Vietnam can improve the status of child care and protection can be improved even under the constraints of limited access to maternal formal education).
Interpersonal relationship and self-acceptance on emotional intelligence and mental health of college students
Authors: Niu Lezheng , Yao Yongcheng , Mohd Kadri Nursyuhaidah , Sharifullah Farooqi
Published: May 2022

The study aimed to explore the role of interpersonal relationship and self-acceptance as potential moderator of the relationship between emotional intelligence and mental health of college students in China. The online survey platform “Questionnaire Star” was conducted among 367 undergraduates. The questionnaires of self-rated health measurement scale, emotional intelligence scale, interpersonal relationship assessment scale, and self-acceptance questionnaire was used for questionnaire survey and analysis. The self-rated health status was positively correlated with emotional intelligence and self-acceptance (r=0.541, 0.598, p<0.01), and negatively correlated with interpersonal relationships (r=-0.609, p<0.01). Further analysis using multivariate regression found that the interaction between emotional intelligence, interpersonal relationship and self-acceptance is statistically significant (β=-0.02, p<0.05), with the independent effect on health status is 0.7% (ΔR2=0.006), and the negative effect of interpersonal relationship was the biggest (β=-2.691). Conclusion This study highlighted the psychological protection ability of self-rated health, which is influenced by interpersonal relationship, self-acceptance and emotional intelligence. Interpersonal relationship is the main factor that affects the emotional intelligence on self-rated health. Under the same conditions of emotional intelligence and self-acceptance, college students with good interpersonal relationship have better self-measured health status.
An efﬁcient regression method for 3D object localization in machine vision systems
Authors: Van Xiem Hoang , Do Nam
Published: May 2022

Machine vision or robot vision plays is playing an important role in many industrial systems and has a lot of potential applications in the future of automation tasks such as in-house robot managing, swarm robotics controlling, product line observing, and robot grasping. One of the most common yet challenging tasks in machine vision is 3D object localization. Although several works have been introduced and achieved good results for object localization, there is still room to further improve the object location determination. In this paper, we introduce a novel 3D object localization algorithm in which a checkerboard pattern-based method is used to initialize the object location and followed by a regression model to regularize the object location. The proposed object localization is employed in a low-cost robot grasping system where only one simple 2D camera is used. Experimental results showed that the proposed algorithm signiﬁcantly improves the accuracy of the object localization when compared to the relevant works.
Fuzzy logic track control of an automated lawnmower
Authors: Kayode Ajayi Oluwaseun , Ishola Balogun Daud , Olubunmi Ige Ebenezer , John Adeyi Abiola
Published: May 2022

Automation of agricultural and horticultural operations keeps received great attention for over a decade. The control parameters adopted depend on the location and characteristics of likely obstacles and navigation requirements. An automated lawnmower (ALM) with fuzzy logic control is presented in this study. Fuzzy logic was chosen to improve a previous work which was controlled via Bluetooth. Three ultrasonic sensors and two proximity sensors served as the eyes of the ALM for navigation and obstacle avoidance while the cutting blade was made of stainless steel and controlled by a brushless direct current (BLDC) motor. A fuzzy algorithm was implemented on an Arduino controller with the inputs and outputs as directional instructions. Obstacle avoidance was achieved by setting a range of values for the sensors interpreted by the fuzzy logic for the corresponding output in the form of navigations. Three trials tests were conducted on the ALM on a 5 m2 portion of land with an average grass height of 0.09 m. The average cut area was 4.46 m2, therefore achieving an efficiency of 89.2%, which is highly productive. It was observed that the power consumption was minimal compared to the previous design because at the end of the three trials 46% of the battery was left after over 3 hours of operation.
Kinematic analysis and design of a new two-limb parallel Schonflies-motion generator considering isotropic configuration
Authors: Wu Guanglei , Shen Huiping
Published: May 2022

This paper presents a new two-limb parallel Schonflies-motion generator, which adopts a pair of alternative spatial modules equivalent to the parallelogram structure. This modular architecture can ensure the enhanced stiffness of the manipulator normal to the motion of the planar parallelogram structure due to the trapezoidal architecture. The preliminary kinematic problems, namely, the mobility, forward/inverse geometry and singularity, are studied as well as the kinematic isotropy. A neutral isotropic configuration of the robot is identified for the structural design of the link lengths.
Miniature pellet extruder concept for robotic 3D printing application
Authors: Dixit Ankit , Kumar Vikash
Published: May 2022

Additive manufacturing more commonly known as 3D printing has been in the limelight of manufacturing research for a long. Many advances have been made in the past in elementary printing techniques, materials, and post-processing schemes. In this paper, a concept of a miniature pellet extruder is added at the end of the articulated robotic arm. The idea is to create a system that capable to print larger and more complex shapes of any parts with the help of a low payload capacity robotic arm and provide output as a single-piece structure. It also helps to print and handle objects with larger and more complex geometry with an optimized cycle time. Knowledge from this research work will also help to choose not only the right low payload capacity robotic arm, but also provides a logical approach for selecting a pellet extruder over a filament extruder.
Modiﬁed power rate sliding mode control for robot manipulator based on particle swarm optimization
Authors: Sinan Saif , Fareh Raouf , Hamdan Sadeque , Saad Maarouf , Bettayeb Maamar
Published: May 2022

This work suggests an optimized improved power rate sliding mode control (PRSMC) to control a 4-degrees of freedom (DOF) manipulator in joint space as well as workspace. The proposed sliding mode control (SMC) aims to improve the reaching mode and to employ an optimization method to tune the control parameters that operate the robotic manipulator adaptively. Inverse kinematics is used to obtain the joint desired angles from the end effector desired position, while forward kinematics is used to obtain the real Cartesian position and orientation of the end effector from the real joint angles. The proposed enhancements to the SMC involve the use of the hyperbolic tangent function in the control law to improve the reaching mode. Added to that, particle swarm optimization (PSO) is used to tune the parameters of the improved SMC. Furthermore, the Lyapunov function is utilized to analyze the stability of the closed-loop system. The proposed enhanced sliding mode combined with the optimization method is applied experimentally on a 4-DOF manipulator to prove the feasibility and efﬁciency of the proposed controller. Finally, the performance of the suggested control scheme is compared with the conventional power rate SMC in order to demonstrate the enhanced performance of the suggested method.