bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient Safety Applications for Improving Health Care Quality
Authors: Rosyidah Rosyidah , Jatmika Septian Emma Dwi 
Published: November 2019

Patient safety is the fundamental thing that needs to be taken care of by medical staff when giving healthcare to patient especially in the Emergency Installation. PKU Muhammadiyah Public Hospital at Bantul has implemented Patient safety well in providing services for patients. Expected to be a reference for other hospitals to implement Patient safety as well as efforts to improve the quality of health services, but do not close the possibility there were still some deficiencies that could be made a suggestion for the PKU Muhammadiyah Bantul Hospital. There for researchers interested to review more detail how application of Patient safetyin Emergency Installation PKU Muhammadiyah Bantul Public Hospital in 2014. This research was qualitative observational study, using research subjects: The Head of the medical service, 1 Officer of Emergency Installation, the head of disaster management, 1 medical doctor, 1 nurse, and 4 patients that were taken with inclusion criteria: getting inpatient class III Hospitals in Yogyakarta, have inpatient more than 1 day.<strong> </strong>All the input items on the application of patient safety which include facilities, equipment, drugs, procedures, and activities of officers at Emergency Installation at PKU Muhammadiyah Bantul Hospital, as well as the application process is in compliance with the Guidelines of Observation Guidelines Patient Safety 2008 Survey and Guidelines for Accreditation of Hospital Emergency Services Specific Guidelines (revised edition 2007), ACT No. 44 Hospital in 2009, and patient safety procedures 2008. Patient perceived output includes five dimensions of quality (Tangible, Reliable, Responsiveness, Assurance and Empathy) all have the same perception of good and satisfying. Application on standard input, process and output is suit with Observation Guidelines for Patient Safety 2008 Survey and Guidelines for Accreditation of Hospital Emergency Services Specific Guidelines (revised edition 2007), ACT No. 44 Hospital in 2009, and patient safety procedures 2008.
Maternal Mortality in Ghana: Impact of the Fee-Free Delivery Policy and the National Health Insurance Scheme
Authors: Sofo Seidu , Thompson Emmanuel 
Published: November 2019

<p>Maternal mortality (MMR) is the second largest cause of female deaths in Ghana. Yet, many households cannot afford the cost of skilled delivery The study utilized the Panel Data Model to examine the impact of the fee-free delivery (FDP) and the National Health Insurance Policy (NIP) exemptions on MMR in Ghana. The Demographic and Health Survey reports on Ghana from 2002 to 2009 served as the main data source. Data were analyzed using Panel data model with within group fixed effects estimator. MMR declined significantly over the period studied. Both FDP and NIP positively impacted MMR at a 5% level of significance. In addition, skilled delivery was a significant predictor of MMR. Stakeholders would do well to ensure NIP is adequately funded in order to sustain the decline in MMR.</p><p> </p><p><strong><br /></strong></p>
Double Burden of Malnutrition among Undergraduates in Ogun State Nigeria
Authors: Oladoyinbo Catherine Adebukola , Ekerette Nkereuwem N 
Published: November 2019

Coexistence of under and over nutrition among the same population group is referred to as the double burden of malnutrition. The objective of this study was to assess double burden of malnutrition among undergraduate students in Ogun State Nigeria. A cross-sectional study involving 1,115 (37.8%) males and 1,835 (62.2%) females was conducted. Body mass index (BMI) was derived from weight and a height measurement, waist circumference (WC) measurement was taken to assess abdominal obesity. SPSS version 16 was used for data analysis. Mean age, height, weight and BMI were 23±0.05years, 1.63±0.001m, 60.99±0.22kg and 22.80±0.08kgm respectively. Mean WC was 82.21±0.32cm and 80.55±0.49cm among males and females respectively. Based on BMI, the Prevalence of underweight, overweight and obesity were 13.4%, 16.9% and 7.5% respectively. BMI did not relate significantly with both age (p=0.464) and gender (P=0.115). About fifty percent (50.64%) of females and 12.36% males who were overweight and obese also had excess abdominal fat. Prevalence of abdominal obesity was significantly higher among females (16.9%) than males (2.5%), (p=0.001). Respondents in this study were faced with problems of both under-nutrition and over-nutrition.
Developing Comprehensive Diabetes Education Materials for Structured Patient Education Programs in Primary Care Setting
Authors: Hilman Agrimon Oryzati , Street Jackie 
Published: November 2019

Diabetes education is a key factor for a successful diabetes care. Comprehensive diabetes education materials for conducting structured diabetes education programs were rarely found in primary care setting in Indonesia. There was a need for developing new, comprehensive diabetes education materials for low-literate readers. Developing these education materials followed standard steps in developing print materials, and took account tips for writing low literacy materials for poor readers. The new diabetes education materials consisted of ten various leaflets, also printed as14 posters and 14 x-banners. The ten diabetes leaflets were pre-tested to 5 people with type 2 diabetes (T2D). After minor revisions, the leaflets were printed and distributed to 88 people with T2D attending two structured diabetes education programs in Yogyakarta City. These 88 people were requested to evaluate the leaflets using an evaluation form consisting of four items on language usage, font size, use of pictures, and diabetes information with a 1-10 rating scale; and an open-ended question for improvement. Descriptive statistics were used to analyze the results. Most participants thought that the leaflets were easy to understand and read, interesting, and simple. Majority of participants (79.7%) gave favorable comments without providing suggestions for improvement, such as: “The diabetes leaflets are already good and easy to understand” One third of the participants gave suggestions for improvement. The comprehensive diabetes leaflets developed were well received and highly appreciated by people with T2D attending diabetes education programs.
Periodontal Disease on Pregnant Women (Case Study: Pondok Labu Village, South Jakarta, Indonesia)
Authors: Rikawarastuti Rikawarastuti , Ngatemi Ngatemi , Harahap Nita Noviani 
Published: November 2019

During preganancy, women periodically concern about ANC due to fetus growth, but ignore their own periodontal health. This research was conducted to acknowledge the effect of age, educational background, parity, body mass index (BMI), diabetes mellitus, smoking habit and oral hygiene with periodontal disease on pregnant women. Analytical observation study with cross sectional design was conducted to pregnant women in Pondok Labu Village<em> (Kelurahan)</em>, South Jakarta. Purposive sampling was performed among 101 respondents. Chi Square and logistic regression were used for the analysis. Results shown that periodontal disease on pregnant women were 73.2% (66.3% were calculus and 6.9% were having periodontal pocket of 4-5 mm). It is proven that there is relationship between age, educational background, parity, BMI, diabetes mellitus, and smoking habit to the periodontal disease. On the other hand, oral hygiene highly affected the periodontal disease on pregnant woman. Poor oral hygiene is the dominant factor of periodontal disease on pregnant women after being controlled by age (OR= 21.33, p value 0.005). It is advised for pregnant women to improve their knowledge on how to care for their oral hygiene prior to and during pregnancy, as well as, go through treatments with dentists.
Meta-Analysis of the Relationship Between Ethnicity, Obesity, and Type 2 Diabetes of Adults in Urban Populations of Central America
Authors: Wuenstel William G , Johnson James A. , Humphries James , Samuel Cheryl 
Published: November 2019

The purpose of this meta-analysis was to examine the impact of ethnicity and obesity as it relates to Type-2 Diabetes (T2D) in specific Central American countries. A meta-analysis was conducted to determine the association of ethnicity, obesity, and T2D. Four studies that qualified for inclusion were identified by searching MEDLINE and PubMed databases. The studies on the association of ethnicity and T2D had a combined population resulted in 265,858 study participants. Two studies on the association of obesity and T2D had 197,899 participants. An analysis of the data was conducted utilizing the relative risk ration, odds ratio, and forest plots. The comparison of the relative risk of T2D across ethnic categories by studies range for Blacks was 1.59 to 2.74, Asians was 1.43 to 2.08, and Hispanics .92 to 2.91. The ethnic difference in the prevalence of diabetes was almost two-fold higher in all ethnic groups than among the Caucasians with a significance level of 95%. A comparison of relative risk of T2D across weight categories was significantly higher among those with a diagnosed of diabetes in all reported areas. The odds ratio was very close to the risk ratio in both ethnicity and obesity to the development of T2D. The meta-analysis findings documented that an association does exist between ethnicity and obesity to the development of type 2 diabetes.
Modifiable Risk Factor of Coronary Heart Disease Incident on Patients with Diabetes Mellitus Type 2
Authors: Dt Mangguang Masrizal , Hardian Sri 
Published: November 2019

The aim of this research is to determine the risk factors related to coronary heart disease incidence in type 2 diabetes mellitus patient at Dr. M. Djamil Padang Hospital. This was an analytic research with case control study design around October 2014 until May 2015. Samples consisted of 39 cases and 39 controls with matching age and sex. The data were analyzed by using univariate, bivariate by using McNemar test, multivariate by using regression logistic test and stratification. The result showed that hypertension p=0.002 (OR=5, 95%CI 1.09-22.82), obesity p= 0.0001 (OR=6, 95%CI 2.08-17.29), duration of DM p= 0.01 (OR=3.2, 95% CI 1.17-8.73) and smooking p= 0.002 (OR=7, 95%CI 1.59-30.80) were associated with coronary heart disease incidence in type 2 DM patient. The most dominant risk factor that was associated with coronary heart disease incidence in type 2 DM patient at Dr. M. Djamil Hospital was obesity p= 0.0001 (OR=10.2, 95% CI 3.08-33.81). Hypertension OR=11.25, duration of DM OR=18, smooking OR=16.2, sport activity OR=18.6 and income level OR=15.7 had interaction of the association between obesity and coronary heart disease incidence in type 2 DM patient. Hypertension, obesity, duration of DM and smooking were risk factors that associated to coronary heart disease incidence in type 2 DM patient. Then, the most dominant risk factor that associated to coronary heart disease incidence in type 2 DM patient at Dr. M. Djamil Padang was obesity. Hypertension, duration of DM, smooking, sporct activity and income level had interaction of the association between obesity and coronary heart disease incidence in type 2 DM patient.
Evaluation of Lactation Promotion as Part of Baby Friendly Hospital
Authors: Inayah Arsani Lailatul , Handayani Lina , Saufi Azidanti 
Published: November 2019

<p>Decrease of maternal and infant mortality as well as increasing of the exclusive breastfeeding are major public health priorities in Indonesia. In decreasing the maternal and infant mortality, the government developed a program for the community as Baby Friendly Hospital (BFH) to prevent the effects, to support, and to promote breastfeeding. PKU Muhammadiyah hospital in Yogyakarta was one of the BFH program managers. The purpose of this study was to determine the breastfeeding promotion activities as part of BFH at PKU Muhammadiyah Hospital in Yogyakarta.This was a qualitative descriptive study. The findings of this study were inputs consisting of 1) the knowledge and skills to better convey information indicates the quality of human resources. 2) promotion of the policies for all workers to reach the goal. 3) financial promotion is supported by the operating system in the hospital. 4) supporting facility to promote lactation leaflets, posters, ANC class, a breastfeeding counselor and nursing areas. Implementation of lactation promotion was conducted in accordance with program planning of BFH. </p>
Supplementation of Vitamin A and D in the Medication of Lung Tuberculosis
Authors: Pratiwi Rita Dian , Pramono Dibyo , Iswanto Iswanto , Junaedi Junaedi 
Published: November 2019

<p><span>At District of Wonosobo</span><span lang="EN-US">, Indonesia</span><span> incidence rate of lung </span><span lang="EN-US">tuberculosis</span><span lang="EN-US">(</span><span>TB</span><span lang="EN-US">)</span><span> is increasing over years. In 2011 sputum conversion rate had reached 83.8%. Incidence rate of lung TB is still relatively high. This is influenced by many factors, one of which is the process of transmission. Potential of transmission may still occur until end of intensive medication (2 months). Vitamin A and D as <em>immunoprotection</em> can be used as supplements that can accelerate sputum conversion. To find out effect of vitamin A and D supplementation in accelerating sputum conversion of lung TB patients during intensive phase.<strong> </strong>The study was true experimental <em>(</em>double blinded randomized controlled trial).<em> </em>Subject of the study consisted of two groups; one comprised as many as 30 positive acid fast bacillus lung TB patients supplemented with vitamin A at dosage of 1 x 5000 IU/day and vitamin D at dosage of 1 x 400 IU/day whereas another group was placebo during intensive phase. There was effect of vitamin A and D supplementation to acceleration of sputum conversion with score of p 0.003; HR 2.45. Sputum conversion acceleration occurred in the experiment group during the second week with vitamin A and D supplementation as much as 86%. Vitamin A and D supplementation could accelerate the incidence of sputum conversion as much as 2.45 times greater than placebo group; thus vitamin A and D could be used as complementary supplements in the medication of lung TB medication during intensive phase.</span></p>
An Assessment of Health-Economic Burden of Obesity Trends with Population-Based Preventive Strategies in a Developed Economy
Authors: Bhasin Prerna 
Published: November 2019

The burden of obesity varies with age, ethnicity, socio-economic status and state economies. All new projections should hence accommodate population ageing, and other population changes such as immigration, health-care system reform, or technological advances for disease treatment for a comprehensible assessment of global burden. The unfordable and expensive nature for reversing the obesity tide arises from policies developed to combat obesity. Most of these approaches aim at bringing the problem under control, rather than affecting a cure, and obviously require a multi-disciplinary and intensive regimen. Prevention is the only feasible option and is essential for all affected countries. Yet it is not simple to have population based UK-wide strategic framework for tackling obesity. Besides existence of multiple layers of governance, there are clear demarcations between targets in diet; nutrition and physical activity level between regions some of which are not realistic. Population based approaches target policies and process, aiming for a transition towards healthy population diets, activity levels and weight status. It is essential to understand these aspects differ culturally and between and within countries. There are still no clear and appropriate answers about answer when, where, why, and, how costs accrue in obese populations, further long term commitments are required for the same. Most population-based prevention policies are cost effective, largely paying for themselves through future health gains and resulting reductions in health expenditures. Therefore these prevention programs should be high on the scientific and political agendas.
Model to predict duty of community nurses in promotive and preventive care
Authors: Sismulyanto Sismulyanto , Nursalam Nursalam , Efendi Ferry , Putra Made Mahaguna , Pratama Aditha Angga 
Published: November 2019

<p>Community nurses had important role in promotive and preventive care in community. Aim of the study was to make model to predict community nurses role in promotive and preventive care based on Health Promotion Model (HPM). Design of the study was used explanatory with cross sectional approach. Sum of participant was 161. This study was conducted in 11 Public Health Center in Banyuwangi at 1 January to 30 January 2018. Methods of data collection was cluster sampling. The data was analysed using smartPLS software.. Inner model: personal factors (t=1.981), interpersonal influences (t=4.036), situational influences (5.720), commitment (t=5.138) had affected to community nurses duty in promotive and preventive care. This model could predict community nurses duty in promotive and preventive care in high level (Q=0.998). That was important to enhance of community nurses duty through modifying commitment of nurses, interpersonal influence factors, personal factors and situational influence factors. </p>
Medical staff services quality to patients satisfaction based on SERVQUAL dimensions
Authors: Budi Setyawan Febri Endra , Supriyanto Stefanus , Tunjungsari Feny , Nurlaily Hanifaty Wa Ode , Lestari Retno 
Published: November 2019

Hospital service quality was a degree of discrepancy between patients’ perceptions and their expectations about hospitals services. Service quality which was provided by medical staff emphasizes the actual hospital service process. In the hospital, patients’ satisfaction could be widely used to determine hospital service quality. The purpose of this study was to analyze the influence of medical staff services quality on patients satisfaction based on SERVQUAL dimensions. This study used an analytic observational design with cross-sectional approach. There were 314 respondents taken from inpatients hospital admission using simple random sampling. Based on regression analysis results, five dimensions of health services quality affect patients’ level of satisfaction and obtained the equation of Y = 0.026 + 0.226X1 + 0.332X2 + 0.1X3 + 0.075X4 + 0.235X5, this explained that patients’ satisfaction was affected by all dimensions of health service quality (RATER) simultaneously. However, different values will be obtained if all dimensions were measured separately, range from 10% to 33.2%. It could be concluded that patients’ satisfaction were influenced by the quality of medical staff services through its five components: reliability, assurance, tangible, empathy and responsiveness.
An assessment of risk of iodine deficiency among pregnant women in Sarawak, Malaysia2018
Authors: Kuay Lim Kuang , Chin Tan Beng , Kassim Mohd Shaiful Azlan , Mahmud Nur Azna , Salle Ruhaya , Man Cheong Siew , Wong Norazizah Ibrahim , Ying Chan Ying , Aris Tahir 
Published: November 2019

<p>Previous findings from a state-wide Iodine Deficiency Disorders (IDD) study among pregnant women (PW) in Sarawak indicated that PW are at risk of IDD and further assessment is needed. This paper describes the methodology used in conducting this study for an assessment of risk of iodine deficiency among pregnant women in Sarawak, Malaysia. A total of 30 maternal child health care clinics (MCHCs) were selected using probability proportional to population size (PPS) sampling technique. The PW sample size was calculated based on 95% confidence interval (CI), relative precision of 5%, design effect of 2, anticipated IDD prevalence of 65.0% and non-response rate of 20%. Thus, the total sample size required was 750 (25 respondents per selected MCHC). The WHO Expanded Programme on Immunization (EPI) surveys approach was used to randomly select the first respondent and subsequent respondents were chosen until the required number of PW was met. The required data were obtained through: face-to-face interviews (socio-demographic and food frequency questionnaire), clinical assessments (thyroid size, and hyper/hypothyroidism) and biochemical analysis (urine and blood serum). <strong>A</strong> total of 677 PW responded in the study with a response rate of 90.2%. Majority of the PW were at second gravida, aged 25-29 years old and of Malay ethnicity. The methodology used in this study was based on international guidelines which may provide state’s estimates. All the necessary steps were taken into consideration to ensure valid and reliable findings on current iodine status among PW.</p>
Prevalence and Risk Factors of White Matter Lesions in Tibetan Patients Without Acute Stroke
Authors: Jin Haiqiang , Ding Zhijie , Lian Siqing , Zhao Yuhua , He Shihua , Zhou Lewei , Zhuoga Cidan , Wang Huali , Xu Jun , Du Ailian , Yan Guiying , Sun Yongan 
Published: November 2019

Background and Purpose—
Studies on the prevalence and risk factors of white matter lesions (WMLs) in Tibetans living at high altitudes are scarce. We conducted this study to determine the prevalence and risks of WMLs in Tibetan patients without or with nonacute stroke.

Methods—
We undertook a retrospective analysis of medical records of patients treated at the People’s Hospital of Tibetan Autonomous Region and identified a total of 301 Tibetan patients without acute stroke. WML severity was graded by the Fazekas Scale. We assessed the overall and age-specific prevalence of WMLs and analyzed associations between WMLs and related factors with univariate and multivariate methods.

Results—
Of the 301 patients, 87 (28.9%) had peripheral vertigo, 83 (27.3%) had primary headache, 52 (17.3%) had a history of stroke, 36 (12.0%) had an anxiety disorder, 29 (9.6%) had epilepsy, 12 (4.0%) had infections of the central nervous system, and 3 (1.0%) had undetermined diseases. WMLs were present in 245 (81.4%) patients, and 54 (17.9%) were younger than 40 years. Univariate analysis showed that age, history of cerebral infarction, hypertension, the thickness of the common carotid artery intima, and plaque within the intracarotid artery were related risks for WMLs. Ordered logistic analysis showed that age, history of cerebral ischemic stroke, hypertension, male sex, and atrial fibrillation were associated with WML severity.

Conclusions—
Risk factors for WMLs appear similar for Tibetans residing at high altitudes and individuals living in the plains. Further investigations are needed to determine whether Tibetans residing at high altitudes have a higher burden of WMLs than inhabitants of the plains.
A Simple, Biologically Plausible Feature Detector for Language Acquisition
Authors: Endress Ansgar D. 
Published: November 2019

Abstract
Language has a complex grammatical system we still have to understand computationally and biologically. However, some evolutionarily ancient mechanisms have been repurposed for grammar so that we can use insight from other taxa into possible circuit-level mechanisms of grammar. Drawing upon recent evidence for the importance of disinhibitory circuits across taxa and brain regions, I suggest a simple circuit that explains the acquisition of core grammatical rules used in 85% of the world's languages: grammatical rules based on sameness/difference relations. This circuit acts as a sameness detector. “Different” items are suppressed through inhibition, but presenting two “identical” items leads to inhibition of inhibition. The items are thus propagated for further processing. This sameness detector thus acts as a feature detector for a grammatical rule. I suggest that having a set of feature detectors for elementary grammatical rules might make language acquisition feasible based on relatively simple computational mechanisms.