bluuebunny/crossref_metadata_2025 huggingface dataset:
Strategi Komunikasi Petugas BPJS Dalam Memberikan Informasi Layanan Kesehatan di Puskesmas Kec. Tebing Syahbandar
Authors: Fani Annisa Zulfani , Azhar Anang Anas
Published: June 2023

Annisa Zulfani1,

1,2Program Ilmu Komunikasi, Universitas Islam Negeri Sumatera Utara

annisa0102193147@uinsu.ac.id1, 

 

ABSTRACT.

The community currently does not understand the procedures or requirements for obtaining access to BPJS health services at the puskesmas which is caused by several things, both from the factors of the community's lace mindset and the lack of innovation in socializing these health services. As a result, the BPJS service process that has been designed becomes hampered and not optimal. This study aims to: 1) Know how the Communication Strategy carried out by BPJS Officers in Providing Health Services at Puskemas Tebing Syahbandar, 2) Know what are the obstacles to the Communication strategy carried out by BPJS Officers in Providing Health Services at Puskemas Tebing Syahbandar. The results of this study show that in delivering health service information to the public, BPJS officers have implemented communication strategies including:  1) Determining the Purpose and Object of Receiving Information; 2) Perform persuasive techniques in providing health service information; 3) Build Educational Communication. The obstacles experienced by BPJS officers include: 1) Obstacles in the process of delivering information that occurs because patients are more dominant elderly 2) Social obstacles caused by the existence of people who are difficult to socialize.

Keywords: Communication Strategy, Health Services, BPJS Officers
A Hybrid Fuzzy Model To The Ranking Problem of Companies Operating R&D Activities in Technology Innovation Centers
Authors: TÜMAY ATEŞ Kübra , ŞAHİN Cenk
Published: June 2023

Technology innovation centers where universities share information with industry collaborations and institutions and have a wide range of companies in its field. Developing technology and competition have forced to make innovations, the companies in technology innovation centers operating Research and Development (R&D) activities have tried to prove themselves by proposing different projects to industrial organizations and making innovations and they are still working since they may get some promotions from the government. A decision for ranking companies has a number of criteria, which range from financial incentives and infrastructure to R&D activities. Most of the criteria are based on linguistic terms that decision makers can express with fuzzy statements. For this reason, in this study, the problem for ranking the companies operating R&D activities is solved by using a hybrid model, combining the Fuzzy Analytic Hierarchy Process and Fuzzy TOPSIS methods. Four different main decision criteria, 16 sub-criteria and three random companies were considered for this study. A network was formed, and surveys were carried out with the opinions of the experts on R&D activities and including experts from some technology development zones of Turkey. The proposed hybrid model was applied successfully to a case study for the ranking the companies operating R&D activities in Çukurova University Technology Development Zone in Turkey. Using actual data, it is showed the applicability of the proposed approach and compare the best alternative obtained by the proposed method for three companies in Çukurova University Technology Development Zone in Turkey.
İŞGÜCÜNDE KONUŞULMAYAN TARAF: GÖÇMEN İŞÇİLER, İNSANA YAKIŞIR İŞ VE SOSYAL GÜVENLİK
Authors: GÜLTAÇ Aylin Sinem
Published: June 2023

Dünya çapında 2019 yılında yaklaşık 272 milyon göçmen olduğu tahmin edilmektedir. Uluslararası Çalışma Örgütü (UÇÖ)’ne göre; dünyada 169 milyon civarında göçmen işçi bulunmakta ve bu işçiler işgücünün yaklaşık % 5’ini oluşturmaktadır. Toplumlarda dezavantajlı gruplardan biri sayılan göçmen işçiler genellikle kötü çalışma koşullarında, düşük kazançla ve herhangi bir sosyal güvence sağlanmadan çalıştırılmaktadır. Ayrıca ırkçılık, ayrımcılık, kendi mesleki niteliklerinin tanınmaması, kültürel zorluklar, dil engelleri, iş gücü piyasasında engeller, güvenlik eğitimlerinin eksikliği ve sağlık desteğinden yoksun olma gibi problemlerle de karşı karşıya kalmaktadır. Böylece sağlıklı ve güvenli çalışma koşullarına erişemeyen göçmen işçiler terk ettikleri ülkelerine geri dönmeye zorlanmaktadır. Bu çalışmada göçmen işçiler açısından UÇÖ tarafından ortaya konulan “insana yakışır iş’’ ve sosyal güvenlik uygulamaları kapsamında iş güvencesi kavramlarını ve gerekliliklerini ortaya koymak, göçmenlerin dünyada ve Türkiye’de çalıştırıldığı işler ve göçmen işçilerin karşılaştıkları sorunları incelemek amacı ile ikincil verilerden yararlanılmıştır. Bu çalışma ile Dünya’da ve Türkiye’de göçmen işçilere yönelik politikaların belirlenmesi ve uygulanmasına katkı sağlamak amaçlanmıştır.
Mass Incarceration and Microaggressions: America’s Modern Day Slavery
Authors: Tadros Eman , McCaskill Arika
Published: June 2023

The Black population has historically been disregarded, abused, and overlooked. Its past and present are still marred by white supremacy which displays itself in various ways. This includes but is not limited to racism in the justice system, law enforcement, sports, home-buying, educational institutions, etc. Some members of the Black population have been successful at navigating this reality while others struggle to persevere. Further, individuals of any race can and do engage in criminal behavior, but it is people of color that are incarcerated at disproportionate rates. Facing the stress of an unjust world on a daily basis can manifest physically emotionally, and mentally. This paper analyzes the effects of mass incarceration and microaggressions on Black Americans.
Sociopsychological determinants of career maturity among secondary school students in Osogbo, Osun State, Nigeria
Authors: Adeyemo David Akinlolu , Jegede D.J
Published: June 2023

The study examined socio-psychological factors' influence on secondary school students' career maturity in Osogbo, Osun state. In view of this, the socio-psychological factors identified in the study include emotional intelligence, career self-efficacy, socio-economic status, gender, academic discipline and occupational prestige. Using a descriptive research survey design 300 secondary school students were selected through simple random sampling techniques from five (5) secondary schools in Osogbo. Standardized instruments were used for data collection in the study; these instruments were however revalidated. Three research questions were answered. The data obtained were analyzed using Pearson Product Moment Correlation (PPMC) and multiple linear regression analysis at 0.05 level of significance. The results indicate that career maturity significantly (positive) correlated with Emotional Intelligence career self-efficacy, socioeconomic status, academic discipline and occupational prestige However, the relationship between gender and career maturity was not significant. When pulled together, the six (6) independent variables significantly affect the student’s career maturity. Besides, each of the independent variables significantly contributed to the prediction of career maturity. Career self-efficacy made the most significant contribution to the criterion, followed by emotional intelligence and socio-economic status. However, occupational prestige, gender and academic discipline did not independently predict the career maturity of secondary school students. Based on the findings, it is recommended that counseling psychologists and other helping professionals should work on assessing and considering emotional intelligence, career self-efficacy, socioeconomic status, occupational prestige and the academic discipline in the process of rendering career guidance to students.
Assessment of Psychological Needs and Quality of Life of Penitentiary Security Agents in the State of Paraíba
Authors: Amorim-Gaudêncio Carmen , Da Silva Sayonara Pereira , Braz Lucas Felício Gil
Published: June 2023

The Penitentiary Security Agent (PSA) profession can expose individuals to risk, fear, and violence in the workplace, leading to high levels of stress and anxiety that can impact their quality of life. This study evaluated psychological needs and quality of life characteristics of a group of PSAs in João Pessoa, Paraíba. Anxiety levels, impulsiveness, and quality of life were evaluated in 64 professionals using various scales. The results showed that anxiety was moderate in men only in the Cognitive and Physiological scales and absent in the Motor and General Level of Anxiety scales. In women, moderate anxiety was observed in all four subscales. Quality of life was rated as regular in all four domains, with Social Relations being the best-structured and Environment being the lowest scoring domain. The evaluation of impulsivity showed a low score in the Lack of Concentration and Persistence factor, an extreme lower score in the Cognitive Control and Future Planning factors, and a medium score in the Audacity and Temerity factor. These results differ from the literature, indicating high anxiety scores and low quality of life for PSAs. Thus, further studies are needed to understand the impact of the work environment on the psyche of PSAs and develop actions to improve their psychological needs, manage anxiety and impulsivity, and positively impact their quality of life.
Sosyal Sınıf ve Sınıfçılık: Psikolojik Danışmadaki Yansımaları
Authors: ŞEKER Uğur , KEKLİK İbrahim
Published: June 2023

Dezavantajlı gruplar, dezavantajlı olmayan bireylerle karşılaştırıldığında ruh sağlığı bakımından daha yüksek risk taşımaktadır. Dezavantajı oluşturan unsurun ne olduğu ve bireylerin hayatını nasıl etkilediği konusunda birçok araştırma yapılmıştır. Bireylerin dini yönelim, etnik köken, cinsel yönelim, engellilik, yoksulluk, yaş gibi faktörler bakımından dezavantajlı konumda olabilecekleri sonuçlarına ulaşılmıştır. Sosyal sınıf ve sınıfçılık kavramları ise toplumsal tabakalar arasındaki sosyo-ekonomik refah farkının dezavantajlı bireylerin hayatına olumsuz yansımalarına rağmen araştırma sahasında ihmal edilmiş görünmektedir. Sosyal sınıf farklılıklarının ve bu farklılıkların yarattığı etkilerin ihmal edilmesi, dezavantajlı bireylerin ruh sağlığı hizmetlerinden işlevsel biçimde yararlanamamasına ortam hazırlamaktadır. Bu nedenle ruh sağlığı uzmanlarının hizmet sundukları grupların sosyo-ekonomik statülerini ve sınıfsal parametrelerini göz ardı etmemeleri gerekmektedir. Bu çalışma psikolojik danışmanların sosyal sınıf ve sınıfçılık kavramları, bu kavramların psikolojik danışma sürecine yansıma biçimleri hakkındaki farkındalıklarının iyileştirilmesinin amaçlandığı bir derleme çalışmasıdır. İlk olarak sosyal sınıf ve sınıfçılık kavramları tanımlanmış, ardından psikolojik danışma sürecinde yaşanabilecek zorluklara değinilmiştir. Son olarak psikolojik danışmanlar için öneriler sunulmuştur.
CHALLENGES OF CREATIVE DEVELOPMENT BY ADVERTISING INDUSTRY PLAYERS IN MALAYSIA
Authors: Shamsuddin Fahizah , Rahamad Mohamad Saleeh , Zanuddin Hasmah
Published: June 2023

This study focused on understanding challenges within creative development of advertising industry in Malaysia. This will be analysed through the adaptation that needed to be made by key industry players from two advertising self-regulatory guidelines in Malaysia which are Malaysia Advertising Codes of Practice and Malaysian (The Code) and Multimedia Content Forum of Malaysia (the Content Forum). Both code of conduct is a crucial part of the advertising regulatory framework as it justifies the mechanism behind industry implementation in any kind of advertising messages intended. Using Sternberg & Lubart (1995) Investment Theory of Creativity, this article analyses the idea behind regulatory bodies' rules, focusing on the role of the contemporary advertising creative quality and whether it generates the ability in moulding freedom or restrictions towards industry players. Through purposive sampling, informants were selected within advertising industry professionals such as advertising agencies and brand experts. The historical context and current state of Malaysia's advertising environment were better understood due to the insights from and in-depth interview conducted between regulatory bodies, brand experts, and advertising agency representatives. Outcome of the findings have developed six key concepts to reflect the challenges such as Relationship between client and advertising agencies, Societal acceptance of the creative work, Invasion of social media in advertising, Limited resources for prestige award submission, Layers of approval authority, and Decreasing creative talent pool within Malaysia.
Adherence to the Ayres Sensory Integration® Fidelity Measures: Malaysian Occupational Therapists’ Practices
Authors: Rahman Farah Samsu , Kadar Masne , Harun Dzalani
Published: June 2023

Introduction: A popular intervention for paediatric clients, Ayres Sensory Integration® (ASI) must adhere to sensory integration (SI) fidelity. This study describes fidelity adherence in ASI intervention by occupational therapy practitioners in Malaysia. Methods: A questionnaire on ASI fidelity was developed before being tested for its validity by seven experts and for its internal consistency and test-retest reliability by 30 occupational therapists. The questionnaire was then used nationally to collect data on ASI practitioners. Data were collected from 161 occupational therapists working in various settings. Results: The mean of the sub-scales I-CVI was excellent, ranging between 0.97 and 1.00. The total S-CVI/Ave of the form was also reported as excellent, at 0.98, with subscales S-CVI ranging between 0.75 and 1.00. Cronbach’s alpha was 0.80 for the questionnaire’s internal consistency and the ICC for test-retest reliability ranged from 0.80 to 0.95. The survey received 161 responses, indicating that most respondents perceived themselves as having ‘moderate competence’ and showing ‘high interest’ in ASI implementation. Most fidelity aspects were addressed in their practices. Majority of the respondents adhered to the process elements. It was indicated that three aspects of physical space under the structural elements could not be provided by most occupational therapists in the study. Conclusion: To implement evidence-based practice, adherence to fidelity when providing ASI is important to ascertain its effectiveness. Improvements to ensure optimal space, ASI certification, and more related training are the first steps that can be taken by the related agencies to ensure effective ASI intervention could be delivered.
Development of Discharge Planning Instruments Based on Patient Family-Centered Care in the COVID-19 Inpatient Room, Universitas Airlangga Hospital, Surabaya
Authors: Apriyanto Yogo , Nursalam Nursalam , Nur Rosyid Alfian , Sukartini Tintin , Fitryasari Rizki , Krisnana Ilya
Published: June 2023

Introduction: The current era of the COVID-19 pandemic requires innovation in the provision of discharge planning by involving family members through the media safely and effectively. This study aimed to develop a discharge planning instrument based on patient family-centered care. Method: Research design Research and Development. The sampling technique used purposive sampling with a total sample of 110 medical record documents, 23 focus group discussion participants, and 2 experts (expert consultation). Data were collected through observation sheets, focus group discussions, and expert consultations. Data analysis using descriptive analysis, and validity test using I-CVI. Results: Development of a patient family centered care-based discharge planning instrument at the beginning of the patient’s admission (admission), namely sorting and adding assessment items to the level of knowledge of the disease, information and education needs, values, and beliefs, cultural background as well as physical and psychological. During treatment, namely arranging and sorting discharge planning items, providing information and education according to the assessment results using a media approach and the method according to the COVID-19 pandemic protocol. Towards home that is adding items; readiness or environmental conditions (environment), referral plans (Outpatient referral), and continued treatment while at home (Medication). Conclusion: The developed instrument tested is valid. As a result of this development, the new instrument can be tested and applied, and researched in the next stage on the outcomes of patient family-centered care.
Malaysian Newspapers’ Coverage of Anti-vaxxers: Implication on Vaccine Intakes
Authors: Iskandar Iylia Marsya , Mohamed Shafizan
Published: June 2023

Introduction: The World Health Organization (WHO) named anti-vaxxers as one of the top ten public health hazards in 2019. Anti-vaxxers are a health danger since they are mostly responsible for the re-emergence of deadly contagious diseases such as measles, which has increased in recent years. The media such as newspapers, are responsible for disseminating messages and public knowledge about health issues, particularly health hazards. To particularly combat anti-vaccine views online, newspaper must provide critical information, such as scientific and verifiable facts. Newspapers need to also take a clear stand against anti-vaccine sentiments. Method: A quantitative content analysis was conducted on four newspapers (Harian Metro, Berita Harian, New Straits Times, and The Star) over a three-year period beginning 1 January 2019 and ending 30 September 2021. The 43-month period offered adequate data for analysing reporting trends. Result: The findings suggested that newspapers do significantly report about the antivaxxers with 247 news were focused on them. Conclusion: However, the newspapers tend to only publish generic information about the antivaxxers and rarely make compelling arguments against them.
Development of “Moroca” as a Learning Media for Reproductive Health Services in Disaster Situations
Authors: Sari Rati Purnama , Yuliva Yuliva , Doni Alsri Windra , Ira Maisarah Ira Maisarah
Published: June 2023

Introduction: Due to its geographical, geological, and demographic conditions, Indonesia is facing the risks of natural disasters such as floods, landslides, earthquakes, and volcanic eruptions. Midwives as health workers have a strategic role as providers of reproductive health services, including in disaster situations. This study aims to develop learning media for reproductive health services in a disaster situation based on the monopoly game. Methods: The research employed research and development (R&D) design. The development of learning media for reproductive health services in disaster situations is based on the monopoly game, which consists of the following steps: seeing the potential and problems, data collection, product design, validation by experts, product trials, and product revisions. Results: The learning media is named “Moroca” (Monopoli Kesehatan Reproduksi pada Situasi Bencana / Monopoly of Reproductive Health Services in Disaster Situations). Validation was carried out by two experts and the media was declared feasible and valid for use. The product trial was conducted on 22 students of Midwifery Program. The statistical test used the Wilcoxon test. The results of the analysis showed that there was a significant increase in the level of knowledge about reproductive health services in disaster situations among students after using “Moroca”. Conclusion: Learning media is needed to increase the knowledge and skill of the students. Moroca is can be used as one of the alternative media in education for midwifery students.
Family Support to Improve Knowledge, Attitude, and Practices of Occupational Health and Safety (OHS) in the Informal Sector
Authors: Sukismanto Sukismanto , Hartono Hartono , Sumardiyono Sumardiyono , Andayani Tri Rejeki
Published: June 2023

Introduction: Occupational Health and Safety (OHS) for formal sector workers is held along with regulations, joint commitments, training, and continuous monitoring. This condition cannot be applied for informal sector, so it approaches that can be performed such as activating social support from workers’ environment. This study aimed to determine for social support to improve the knowledge, attitude and practice of OHS workers in informal sector. Methods: This study a quasi-experimental with pre-posttest and control group design. Subjects were 90 limestone workers taken by Multistage Sampling from Gunungkidul Regency, Indonesia. Subjects were divided into health promotion by family support and peer support (FS&PS), peer support (PS), family support (FS), and control (C) group with treatment period of one month. Variables were measured using a knowledge, attitude, and practice questionnaire. The obtained data then analyzed using Kruskal-Wallis test and Mann-Whitney test. Results: There was a significant difference (p<0.001) in the knowledge, attitude and practice of OHS in limestone workers. FS&PS group gave the highest score for knowledge variable. There was no significant differences between OHS attitude between FS&PS and FS only (p=0.787). The biggest influence of attitude changes was from the FS group. The OHS practice has no significant differences between PS and C group (p=0.696), while other groups have significant differences. Conclusion: The biggest influence of changes in OHS practice was in the FS group. The combination of FS&PS is more effective in increasing knowledge, while attitude and practice are more effective if involving FS.
Assessment of pH and Copper Content among Raw and Commercial Areca Nut Products, Contributing Factor towards Oral Submucous Fibrosis
Authors: S. Reddy Sujatha , Azmi Rizwana , Shwetha Shwetha , T Pavan , Nagi Ravleen , Radhaprashanth Radhaprashanth , N Rakesh N Rakesh
Published: June 2023

Introduction: The increased prevalence of oral submucous fibrosis (OSMF) in the last few years relates to the increased consumption of areca nut(AN) products. OSMF is a premalignant condition and risk to progression to oral cancer is more when AN is chewed along with tobacco. Moreover, high copper content in AN is responsible for fibroblast dysfunction and fibrosis. This study was conducted with aim to assess and compare pH and copper content of raw AN and popular Indian commercial AN based (with and without tobacco) products. Method: Six samples each of twelve different brands of AN based commercial products i.e. six without tobacco (pan masala) and with tobacco were analyzed for pH and then the samples were dried, and powdered for estimation of the copper content.
Results: For the six raw areca nuts (sample 1-6), the pH was found to range from 3.06±1.08 to 5.04±0.81, among the six non tobacco containing samples (sample 7-12), the pH was found to range from 6.03±1.08 to 9.09±0.81, and for six tobacco containing samples (sample 13-18), the pH was found to range from 9.18±0.90 to 11.07±0.09. The mean copper concentration among raw areca nut samples (sample 1-6) was 4.05±0.18 μg/g, among non-tobacco containing samples (sample 7-12) it was 10.17±1.08μg/g and among tobacco samples (sample 13-18),it was 18.09±1.08 μg/g (p<0.001). Conclusion: High copper content present in quid and commercial AN may be a causative factor for an increased fibrosis in OSMF, our findings need evaluation by further research and standardization.
Hydroxychloroquine for COVID-19: A Single Center, Retrospective Cohort Study
Authors: Ho Wen Chung , Wei Xin Yong , Tan Khai Shin , Woh Yon Mak , Gill Mandeep Kaur , Lok Agnes Hui Ching , Zulkifli Shazwani , Idris Salmah , Khalid Khairil Erwan , Chee Loon Leong , How Kang Nien
Published: June 2023

Introduction: The outbreak of coronavirus disease (COVID-19) in December 2019 called for a rapid solution, leading to repurposing of existing drugs. Due to its immunomodulatory effect and antiviral properties, hydroxychloroquine (HCQ) has been used in early 2020 for treatment of COVID-19 patients. This study was conducted to evaluate the treatment outcome of HCQ monotherapy in Malaysia. Methods: A retrospective cohort study was conducted in COVID-19 ward in Hospital Kuala Lumpur (HKL), from March to April 2020. A total of 446 COVID-19 patients were recruited, only 325 patients were finally included for analysis. Statistical analysis was done using SPSS, with a significant value set at p<0.05. Results: The mean age of the patients were 38.5 ±15.5. They were majority male, (n=210, 64.6%) Malaysian (n=239, 73.5%) and Malay ethnicity (n=204, 62.8%). Ninety-one (28%) patients received HCQ monotherapy. HCQ monotherapy was associated with worse outcome (OR: 10.29, 95% CI 1.17-90.80). There was a significant difference in mean length of stay between those with and without HCQ treatment (t323=5.868, p<0.001, 95% CI, 2.56-5.31). The average length of stay for HCQ treated group was 3.84 days longer than those without treatment. 6.6% of the patient receiving HCQ monotherapy encountered adverse drug effects. Conclusion: Similar to study reported worldwide, our study demonstrated that HCQ did not improve length of stay and the outcome of COVID-19 patients.
Trauma and Coping in Battling the COVID-19 Pandemic Among Malaysian Healthcare Workers
Authors: Mohd Noor Norhafizah , Ariffin Ahmad Azuhairi , Silim Umi Adzlin , Md Said Salmiah
Published: June 2023

Introduction: Prolonged COVID-19 pandemic with high morbidity and mortality may cause traumatic events to Healthcare Workers (HCW), resulting in Post-Traumatic Stress Disorder (PTSD) symptoms. Hence, this study aims to determine the prevalence of PTSD symptoms and its association with coping strategies among HCW in managing COVID-19 pandemic at Klang Valley Public Hospitals in Malaysia. Methods: A cross-sectional study with total of 424 eligible respondents were recruited through stratified random sampling. Data was collected from 6th May until 6th June 2021 using a self-administered online questionnaire adopted from MPCL-5 and Brief COPE instruments. IBM Statistical Package for Social Sciences Version 26 was used to analyse data. Result: 25% of the respondents demonstrated PTSD symptoms. Respondents who are single (aOR=3.319, 95% CI: 1.912, 5.762, p-value <0.001) and had history of positive COVID-19 (aOR= 2.563, 95% CI:1.058, 6.209, p-value=0.037) were more likely to experience PTSD symptoms. Frequently coping with self-blaming (aOR= 7.804, 95% CI: 3.467, 17.568, p-value < 0.001), behavioural disengagement (aOR= 7.262, 95% CI: 1.973, 26.723, p-value =0.003), humour (aOR= 5.303, 95% CI: 1.754, 16.039, p-value =0.003), venting emotion (aOR= 3.287, 95% CI: 1.521, 7.105, p-value =0.002) and less planning (aOR= 2.006, 95% CI:1.154, 3.487 p-value =0.014) are significant predictors for PTSD symptoms. Conclusion: One in four HCW managing COVID-19 in Klang Valley public hospitals experienced PTSD symptoms. Therefore, urgent interventional program targeting HCW who are single with history of positive COVID-19 is beneficial to prevent PTSD. Maladaptive coping strategies like self-blaming, venting emotion, humour and behavioural disengagement should be replaced with more adaptive coping strategies like planning, self-compassion, self-care and self-reflection.
Prognostic Factors of Non-epithelial Ovarian Cancer in a Tertiary Hospital in Indonesia
Authors: Novitasari Khoirunnisa , Tjokroprawiro Brahmana Askandar
Published: June 2023

Introduction: Non-epithelial is a rare type of ovarian cancer but the most common ovarian neoplasm in reproductive age. This study analyzed the correlation of clinical characteristics to disease-free survival (DFS) and 3-year survival in non-epithelial ovarian cancer. Methods: A cohort analysis of medical records of 30 patients with non-epithelial ovarian cancer from 2016 to 2017 at Dr. Soetomo General Academic Hospital. Survival analysis was performed using Kaplan–Meier test, log-rank test, and Cox regression to determine the correlation of characteristics including age, stage, tumor size, tumor residue, histopathology type and chemotherapy status as prognostic factors for recurrence and mortality. Results: DFS was significantly affected by stage (p=0.049), tumor residue (p<0.0001), and chemotherapy (p=0.005). Stage I, no residual disease, and adequate chemotherapy had the highest DFS and mean DFS rates (94.1% and 35.6 months; 95.5% and 35.7 months; 75% and 31.94 months, respectively). Highest recurrence rates were found in patients with unstaged disease (hazard ratio [HR]=10.08), residue >0 cm (HR=23.13), and inadequate chemotherapy (HR=6.55). Three-year survival was significantly affected by stage (p=0.001), tumor residue (p<0.0001), and chemotherapy (p<0.0001). Stage I, no residual disease, and adequate chemotherapy had the highest 3-year survival rate and mean survival time (94.1% and 35.47 months; 95.5% and 35.7 months; 87.5% and 33 months). The highest mortality were found in patients with unstaged disease (HR=19.99), residue >0 cm (HR=11.33), and inadequate chemotherapy (HR=11.71). Conclusion: Stage, tumor residue, and chemotherapy status in patients with non-epithelial ovarian cancer are significant prognostic factors for DFS and 3-year survival.
Anti-Obesity Effect of Methanolic Extracts of Local Punica granatum in High-Fat Diet-Induced Obese Rats
Authors: Abdul Halim Nuruljannah Alhany , Karim CF , Mohammed Imtiaz K. , Rozila Ismail , Mahadi Mahani , Yusuf Zauyah , Shaharuddin Shazreen , Abdul Rahman Shamima
Published: June 2023

Introduction: Obesity has been linked to coronary artery disease, type II diabetes, metabolic syndrome, stroke, and cancer. Pomegranate (Punica granatum; PG) has been used extensively in folk medicine for several therapeutic purposes. The goal of this study is to investigate the anti-obesity effect of PG peel and pulp methanolic extracts in high-fat diet (HFD)-induced Sprague-Dawley rats. Methods: The animals were separated into 7 groups namely Normal control group (normal diet); HFD-induced only as negative control group, and positive control group (HFD-induced + orlistat); treatment group included HFD-induced + peel 125 mg/kg, HFD-induced +peel 250 mg/kg, HFD-induced + pulp 125 mg/kg and HFD-induced + pulp 250 mg/kg. Results: It was observed that methanolic extract of peel and pulp PG 250 mg/kg showed low increment of body weight with a reduction in weight of liver, visceral fat, and subcutaneous fat. Compared to the negative control group, total cholesterol, triglyceride, and low-density lipoprotein levels were shown to be lowered for PG peel and pulp groups also showed higher values in high-density lipoprotein. Conclusion: PG reduced obesity-related markers in blood, liver, and adipose tissue and inhibited obesity caused by a high-fat diet probably because of its antioxidant properties.
The Prevalence of Online Natural Health Products Purchase: A Systematic Review
Authors: Ang Ju-Ying , Ho Rhu-Yann , Tong Seng-Fah , Abd. Aziz Fatimatuzzahra’ , Ooi Guat-See
Published: June 2023

Aim and design: This systematic review aimed to estimate the prevalence of online natural health products (NHPs) purchases among consumers. Data Sources: Four databases (PubMed, Science Direct, Scopus and Web of Sciences) were searched for articles published up to July 1, 2021. Review Method: Studies included were those reporting the prevalence of online NHPs purchases, those excluded were case reports, commentaries, letters, editorials, review articles, theses and non-English studies. The risk of bias of selected studies was assessed using the Joanna Briggs Institute’s checklist, and the pooled prevalence of online NHPs purchases was generated using the random-effect model.
Results: A total of 30 studies were included in the meta-analysis, representing a total of 40,535 respondents. The pooled prevalence of online NHPs purchases was estimated at 7.60% (95% CI: 5.49, 10.01). Prevalence was higher in studies conducted in recent years, among physically active populations and when sports nutrition was included within the scope of NHPs. More than half of the selected studies have a moderate risk of bias, and considerable heterogeneity was observed across the selected studies. Conclusion and Impact: Online purchases of NHPs are not common among consumers, but they have become more common in recent years. A wide range of NHPs were investigated across studies, which may have contributed to the considerable heterogeneity reported in this review. It is suggested that future studies investigating online NHPs purchases consider reporting individual prevalence statistics specific to each NHP type, to facilitate meaningful comparisons between studies.
Review of the Benefits of Eggshell Content in Body Tissue Structure Repair
Authors: Herman Hastuti , Minhajat Rahmawati , Muis Mirna , Umar Batari Todja , Cangara Muhammad Husni , Zainuddin Andi Alfian
Published: June 2023

Eggshell (ES) is a waste material that cannot be consumed with low economic value. ES mainly contains calcium carbonate (CaCO3) and an organic matrix in the form of proteins, glycoproteins, and proteoglycans. Meanwhile, the eggshell membrane (ESM) contains osteopontin collagen, fibronectin, keratin, histones, avian beta defensins, ovocalyxin-36, apolipoproteins, protocadherin, chondroitin sulfate, ovotransferrin, hyaluronic acid, and sialic acid as well as various amino acids. Recently, ES has been widely used in industry, agriculture, food, and medical fields. The potential of ES in the medical field is interesting to discuss, especially in relation to tissue repair. Efforts to reduce the prevalence of wounds that generally originate from acute wounds but become chronic due to various factors that are neglected in their management. In particular, this review will describe the benefits of ES content in repairing body tissues. ES-derived active ingredients such as CaCO3, brushite, and hydroxyapatite exhibit osteoconductive properties that promote bone regeneration. Calcium ions can increase insulin and leptin sensitivity in the liver and can induce repair of acute kidney injury. Meanwhile, ESM contributes positively to neural tissue repair and plays an important role in wound healing, response to external stimuli, defense response, inflammatory response, cell-substrate adhesion, promoting cell growth, migration, differentiation, and tissue remodeling.
Breastfeeding Education: A Scoping Review
Authors: Ummah Faizatul , Rosida Luluk , Putri Aulia Kurnianing
Published: June 2023

The aim of this scoping review was to explore the evidence related to breastfeeding education in postpartum mothers from relevant databases (PubMed, Science Direct, and Wiley). There were nine eligible studies in which all of them used quantitative design. The data was organized into seven themes including targets, materials, methods, media, officers and places, time, and the effect or influence of breastfeeding education. Almost all (8/9) articles informed breastfeeding education targets. There were 5/9 articles that reported the methods, 6/9 articles discussed the media, 8/9 articles talked about the officers and places, 7/9 articles concerned about the time of implementation, and all studies reported the effect of breastfeeding education. Breastfeeding education included at least 5 existing components. Breastfeeding education must be planned properly and must be carried out continuously from the antenatal until the postnatal period.
Effects of Chemically Interesterified Palm Olein on Lipid Profiles in Hamsters
Authors: Che Idris Che Anishas , Kim Teng-Tiu , Mohd Mutalip Siti Syairah , John Kwong Siew Shia
Published: June 2023

Palm olein (POo) has been perceived as atherogenic due to its high proportion of palmitic acid (41.2%) content. It is interesting that most of the palmitic acid of POo is located at stereospecific numbering sn-1 and sn-3 positions of the triacylglycerol (TAG) backbone. The present study aims to investigate the effects of positional distribution of fatty acids on the lipid profiles of POo or chemically interesterified palm olein (CIE POo) fed hamsters in comparison to high oleic sunflower oil (HOSO) fed hamsters. Male weanling Syrian golden hamsters (n=10 for each group), were fed diets formulated with the above oils for 12 weeks. There was no significant difference between CIE POo and HOSO groups for total cholesterol (TC). CIE POo with increased amount of palmitic acid (43.2%) at sn-2 position did not cause significant increases in TC levels compared to the HOSO group. In addition, the POo group has significantly higher high-density lipoprotein cholesterol (HDL-C) than that of the HOSO group, P = 0.011 (< 0.05) while the HOSO group has significantly lower total cholesterol (TC) levels than that of the POo group, P = 0.012 (< 0.05).
The Role of Non-Contrast CT in the Diagnosis of a Rare Cause of Small Bowel Obstruction Due to Bezoar
Authors: Koa Ai Jiun , Teh Yong Sim
Published: June 2023

Contrast Enhanced CT Abdomen is usually used to investigate the source of the small bowel obstruction. A 13-year old girl presented with signs of small bowel obstruction and was complicated with acute renal injury. Non-contrast CT Abdomen showed findings consistent with bezoar, and the findings are similar to the features seen in a contrast study. This case shows that both the plain and the contrast CT abdomen give similar findings of bezoar, one not inferior to the other.
Aggregatibacter actinomycetemcomitans Endocarditis in a Patient with Chronic Periodontitis: A Case Report
Authors: Chua Hui Shan , Soh Yih Harng , Shih Keng Loong , Abu Bakar Sazaly , Amin Nordin Syafinaz , Zakariah Siti Zulaikha , Ibrahim Rosni
Published: June 2023

The HACEK organisms consist of the non-influenzae Haemophilus sp., Aggregatibacter sp., Cardiobacterium sp., Eikenella corrodens and Kingella sp. are responsible for a sizable percentage of infective endocarditis cases worldwide with the mortality rate of 18%. Amongst them, Aggregatibacter actinomycetemcomitans is the most common pathogen strongly associated with infective endocarditis. A. actinomycetemcomitans forms part of the oral microbiota and is also the etiological agent of periodontitis. Here, we present a case of a 37-year-old man with underlying obstructive uropathy, that sought treatment for postural hypotension and symptomatic anaemia with fever. Later, he had developed decompensated congestive cardiac failure with aortic regurgitation. A cardiac echocardiogram revealed the presence of vegetation on the aortic valve. Blood culture grew A. actinomycetemcomitans, and he was treated with furosemide and ceftriaxone. A further dental examination showed the patient is having chronic periodontitis, which could be the possible source of A. actinomycetemcomitans causing infective endocarditis. The patient was then transferred to the National Heart Centre for the first time for further management after completion of 4 weeks of intravenous antibiotics. As the pathogen is fastidious, rapid and newer technology like MALDI-TOF mass spectrometry provides rapid and accurate identification for appropriate patient clinical management.
Intermittent EGFR-TKI Therapy is Associated with Durable Response in Advanced EGFR-Mutant NSCLC: A Case Report
Authors: Tan Sin Nee , Ibrahim Aishah , Abdul Razak Megat Razeem , Abdul Azih Muhammad Naimmuddin , How Soon Hin
Published: June 2023

Madam S, who diagnosed to have stage IV lung adenocarcinoma with exon 21 L858R point mutation (T3N2M1a) was admitted for massive pericardial effusion in April 2016. She was ECOG 4 on admission. Her ECOG improved to 1 after pericardial tapping and initiation of free sample erlotinib 100 mg daily. Repeated CT thorax post treatment showed the disease was partial responded. Due to financial constraints, she had never bought any EGFR-TKI. She was given a free sample of erlotinib intermittently for total of 12 months followed by intermittent afatinib supply for 2 years. Due to this limited supply, she took half doses of afatinib by cutting a 40 mg tablet once every few days to sustain the continuation of cancer treatment. No major side effects were observed and she remained ECOG 0 with good weight gain. Up to her last clinic visit in September 2021, her PFS was more than 5 years. Intermittent doses of EGFR-TKI may prolong PFS in patients with advanced EGFRm+ NSCLC who has limited treatment options.
Squamous Cell Carcinoma of the Finger Nail Bed: An Onychomycosis Like Lesion
Authors: Nagaretnam Vinodharan , Looi Collin
Published: June 2023

Squamous cell carcinoma is a form of skin malignancy that involves squamous cells lining the epidermis. It is the second most common form of non-melanoma skin malignancy. We describe a case of squamous cell carcinoma involving the nail bed of an elderly gentleman that was initially diagnosed as a case of fungal infection of the nail bed.
The Development and Evaluation of a Hand Hygiene Educational Module for Preschool Children
Authors: Mohamed Nurul Azmawati , Ramli Shalinawati , Solehan Hana Maizuliana , Mohd Rani Mohd Dzulkhairi
Published: June 2023

Introduction: The world has been badly affected by the spread of a novel virus known as Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) that was first reported in Wuhan, China back in December 2019. As the virus is transmitted through aerosol, respiratory droplets and close contact, hand hygiene and wearing mask are the most important preventive measures for COVID-19. Studies showed hand hygiene intervention improved compliances. This paper discussed the development of a hand hygiene intervention module, validation, usability and effectiveness reports. Methods: This study involved 5 stages; need analysis, module development, validation, usability and effectiveness studies. Need analysis and module development were carried out through brainstorming and literature search. The content was evaluated by three experts, whereas the usability was screened by four preschool teachers. The effectiveness of knowledge transfer was evaluated via pre and post intervention surveys. Results: The hand hygiene educational module received valuable comments from the content expert and the end-users (teachers). Knowledge score related to COVID-19 transmission, prevention and hand hygiene moments among pre-school children were significantly increased after the intervention. Conclusion: This module can be used to improve teaching method related to COVID-19 and hand hygiene. The ‘learn and play’ approach may increase excitement, thus make learning process enjoyable and memorable.
Changes to GFAP Immunoreactive Astrocytes in Medial Prefrontal Cortex Following Exposure to Chronic Stress and Antioxidant Supplementation in Rat Model
Authors: Asari Mohd Asnizam , Md Nawi Faizah , Mohd Amin Mohammad Syabil Ikhwan , Mohd Yusof Nurul Aiman , Sirajudeen KNS
Published: June 2023

Introduction: Astrocytes are responsible for many essential functions of neurons in CNS. It has been recognised that chronic stress affects the morphology of astrocyte. Natural antioxidant such as honey has been used as one of the therapeutic strategies to lessen the damaging effect of chronic stress on our body. Therefore, the aim of the study is to explore the effect of natural antioxidant, Tualang honey (TH) on the morphology of astrocytes following chronic stress exposure. Methods: Thirty-two male rats were randomly divided into the 4 groups: (i) control, (ii) stress, (iii) honey, (iv) stress plus honey groups.TH was administered via oral gavage at dose of 1.0 g/kg body weight pre and post experiment. Chronic stress was exposed to animals in group (ii) and (iv) for consecutive 21 days. Anti GFAP immunohistochemistry method was employed to label astrocytes in the medial prefrontal cortex. The number of GFAP+ astrocytes and several parameters related to astrocyte processes were measured. Results: The present study showed that chronic stress reduced the GFAP immunoreactive astrocyte number and percentage of GFAP immunoreactive material. Chronic stress also caused a reduction in astrocyte process ramification as indicated by a reduction in astrocyte total number of processes, average length of processes and maximum number of intersections. However, antioxidant treatment using TH could not reverse these stress-induced changes to the astrocytes. Conclusion: These results demonstrate that chronic stress decreases the number of GFAP immunoreactive astrocyte and cause shrinking of astrocyte processes in stress-sensitive brain region, but these changes cannot be reversed by antioxidant treatment.
Sivil havacılık işletmeleri bağlamında uçuş emniyetiyle ilgili teknik olmayan insani faktörler ve rasyonel karar verme ilişkisi
Authors: KAYNAK Özlem Munise , YASLIDAĞ Beyhan
Published: June 2023

Sivil havacılık alanında uçuş emniyetinin sağlanması hususunda Ekip Kaynak Yönetimi (CRM) becerileri çerçevesinde insani faktörler (teknik olmayan beceriler) olarak ele alınan iletişim, iş yükü yönetimi, ekip çalışması gibi teknik olmayan beceriler, en önemli faktörlerden birini oluşturmaktadır. Bu araştırmada, uçuş emniyetinin sağlanmasında teknik ve teknolojik faktörlerin yanı sıra, insani faktörlerin (teknik olmayan becerilerin) de oldukça önemli olduğundan hareketle, temel olarak uçuş emniyeti bağlamında insani faktörlere odaklanılmıştır. Bu doğrultuda, kabin ekibi üyelerinin sahip olduğu teknik olmayan becerileri ile rasyonel karar verme eğilimleri arasındaki ilişkilerin tespit edilmesi amaçlanmıştır. Ayrıca ele alınan değişkenler bakımından demografik ve mesleki özelliklerinin istatistiksel olarak anlamlı farklılık gösterip göstermediğinin belirlenmesi araştırmanın alt amacını oluşturmuştur. Bu amaçlar çerçevesinde bir nicel araştırmaya dayalı olarak anket yöntemiyle 387 kabin ekibi üyesinden veri elde edilmiş, veriler SPSS 24 istatistik paket programında analiz edilmiştir. Analizler sonucunda elde edilen bulgular, uçuş emniyetiyle ilgili insani faktörler olarak iletişim-etkileşim, liderlik, iş yükü yönetimi, ekip çalışması ve hata tanımlamanın rasyonel karar verme ile doğrusal ilişkili olduğunu göstermiştir. Rasyonel karar vermeyle en yüksek düzeyde ekip çalışması ve liderlik becerisi ilişkilenmiştir. Sonuçlar, insani becerilerinin uçuş emniyetini hususunda önem arz ettiğini ortaya koymuştur.
Yoğun Bakım Hemşirelerinin Tıbbi Hataya Eğilimlerinin Kendini Sabotaj ile İlişkisinin İncelenmesi
Authors: BOZKURT Gülçin , TEPEHAN ERASLAN Selma
Published: June 2023

Giriş: Zor koşullarda çalışma hemşirelerin uygulamaları sırasında hata yapma olasılığını arttırmaktadır. Kişiler performansları düştüğünde başarısız veya yeteneksizmiş gibi algılanmak istemezler. Bu durumda da kendini sabotaj stratejileri kullanarak başarısızlığını haklı göstermeye çalışabilirler.

Amaç: Çalışmanın amacı yoğun bakım hemşirelerinin tıbbi hataya eğilimlerinin kendini sabotaj ile ilişkisini incelemektir.

Yöntem: Tanımlayıcı ve kesitsel tipteki araştırmanın örneklemini, Türkiye’nin iki ilinde bulunan beş kamu hastanesinde görev yapan 289 hemşire oluşturdu. Veriler “Kişisel Bilgi Formu”, “Hemşirelikte Tıbbi Hataya Eğilim Ölçeği” ve “Kendini Sabotaj Ölçeği” aracılığı ile toplandı. Çalışma Nisan-Temmuz 2018 tarihleri arasında yürütüldü.

Bulgular: Çalışma grubundaki erkek, bekar ve yoğun bakımda 40 saat çalışan hemşirelerin tıbbi hataya eğilim puanlarının istatiksel olarak daha yüksek olduğu saptandı (p=0,01). Hemşirelerin tıbbi hataya eğilim ölçeği toplam puanları ile kendini sabotaj arasında negatif yönde çok zayıf bir ilişki olduğu bulundu (r=-0,22; p=0,001). Hemşirelerin; yaş (r=0,15; p=0,001, meslekte ve yoğun bakımda çalışma süresi (r=0,19; p=0,001) ile tıbbi hataya eğilim arasında pozitif yönde, meslekte çalışma süresi ile kendini sabotaj arasında ise negatif yönde çok zayıf düzeyde (r=-0,12; p=0,05) anlamlı bir ilişki olduğu belirlendi.

Sonuç: Erkek, bekar ve yoğun bakımda 40 saat çalışan hemşirelerin tıbbi hataya eğilimleri daha azdır. Hemşirelerin tıbbi hata yapma eğilimi arttıkça, kendini sabotaj eğilimi artmaktadır. Yaş, meslekte ve yoğun bakımda çalışma süresi artıkça tıbbi hata yapma eğilim düşmektedir.