bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tverrprofesjonelt samarbeid om Folkehelse og livsmestring i skolen
Authors: Walseth Kristin , Langnes Tonje , Lund Siv , Bratten Judith Helene 
Published: November 2024

Denne artikkelen er en del av et større forskningsprosjekt (Literacies for Health and Life Skills) om folkehelse og livsmestring i skolen (FoL). Vi har i denne artikkelen tatt utgangspunkt i det potensialet som ligger i en interprofesjonell utdanning med lærer- og helsesykepleierstudenter. Formålet med artikkelen er å undersøke hva lærer- og helsesykepleierstudenter anser som sentrale kilder til helseinformasjon i hverdagen, og hvordan de reflekterer rundt disse kildenes troverdighet. På bakgrunn av dette vil vi utforske studentenes forståelse av helsebegrepet. Datamaterialet er samlet inn ved bruk av visuelle metoder; 51 karttegninger der studentene viser hvor de lærer noe om helse, samt lydopptak fra studentenes gruppesamtaler.
Analysen av datamaterialet viser at begge studentgruppene vektlegger offentlige nettsider som troverdige kilder til helseinformasjon i hverdagen. Lærerstudentene argumenterer derimot også for at ikke-forskningsbaserte kilder som sosiale medier og podkaster kan gi nyttig helseinformasjon. Dette underbygger tidligere forskning, som viser at lærer- og sykepleierprofesjonen representerer forskjellig syn på hva som er troverdig kunnskap. Resultatene viser at helsesykepleierstudentene vektlegger en helhetlig helseforståelse, mens lærerstudentene i større grad vektlegger fysisk helse gjennom trening og kosthold. Vi argumenterer for et styrket tverrprofesjonelt samarbeid i utviklingen av FoL i skolen. Det helhetlige perspektivet på helse i helsesykepleierutdanningen kan bidra til å motvirke den dominerende «helseisme» diskursen, hvor barn og unge ansees som ansvarlige for egen helse, og som formidler at god helse er lett å oppnå gjennom individuell innsats, disiplin og moral.
The Effect of Adjuvant Therapy on Metabolic Syndrome in Schizophrenia Patients at Madani Hospital
Authors: Kurnia Utami Indah , Yasinta Rakanita  , Patricia Novina Nurak  , Niluh Puspita Dewi  
Published: November 2024

Background: Schizophrenia is a mental disorder that impacts behavior, emotions, and communication. In recent years, atypical antipsychotics have been increasingly prescribed because they significantly reduce both positive and negative symptoms. However, the long-term effects of atypical can cause metabolic syndrome. Additional therapy is provided to maximize the primary therapy and reduce the side effects.
Method: This study used a quasi-experimental design with a single-blind, pretest-posttest approach. Patients who had been using atypical antipsychotics, either monotherapy or combination therapy, for more than 3 were examined pretest to determine metabolic syndrome levels. Group A received adjuvant therapy, while Group B did not receive adjuvant therapy. Based on this data, an analysis of the reduction in metabolic syndrome categories was conducted.
Result: The percentage of schizophrenia patients by gender was dominated by males (60%). By age, the majority were adults (87%). In Group A, the incidence of metabolic syndrome decreased from 53% in the pretest to 40% in the posttest after being given vitamin A, B, and folic acid therapy. The most commonly used other medication was THP (38%).
Conclusion: The administration of adjuvant therapy with vitamins A, B, E, and folic acid can reduce the value of one or two of the five metabolic syndrome criteria for schizophrenia patients (p = 0.052) compared to the group of patients who did not receive vitamins A, B, E, and folic acid adjuvant therapy. Future research should use a longer duration to observe the effects of vitamins A, B, E, and folic acid and evaluate their therapeutic doses. Additionally, it should narrow down the criteria for medication use, focusing solely on the atypical antipsychotic’s clozapine or olanzapine.
Implementation of the Standard Inpatient Class Policy at RSUP Dr. Tadjuddin Makassar
Authors: Muhammad Alwy Arifin  , Andi Luthfiyyah Anna  , Dian Saputra Marzuki  , Sukri Palutturi  , Ryryn Suryaman Prana Putra  
Published: November 2024

Background: Based on Presidential Regulation No. 59 of 2024, which replaces Presidential Regulation No. 82 of 2018 on Health Insurance, the implementation of the Standard Inpatient Class (KRIS) is mandated for four types of hospitals in Indonesia, including RSUP Dr. Tadjuddin Chalid Makassar. The KRIS policy must be implemented in all hospitals in Indonesia cooperating with BPJS Health by June 30, 2025. However, the current implementation of KRIS primarily focuses on adjusting medical facilities and infrastructure toward a single class. To analyze the implementation of the KRIS policy at RSUP Dr. Tadjuddin Chalid Makassar in 2024 based on Input and Process aspects.
Method: This study employed descriptive research with a qualitative approach, using interviews, observations, and document reviews conducted from February to March 2024 at RSUP Dr. Tadjuddin Chalid Makassar. Eleven informants were selected using purposive sampling.
Result: The "Man" input is adequate but faces obstacles. There is no specific budget allocation ("Money") and no difference in financial management before and after policy implementation. "Material" needs are not fully met, and there are established "Methods" or rules for implementing the KRIS policy.
Conclusion: Overall, the implementation of KRIS at RSUP Dr. Tadjuddin Chalid Makassar, as a pilot hospital for KRIS, has been successful. However, several variables still need improvement. It is recommended that the hospital enhance its strategies in various aspects of KRIS policy implementation.
Vitamin D Deficiency in Patients with Type 2 Diabetes Mellitus with and without Pulmonary Tuberculosis
Authors: Wahiduddin Wahiduddin , Agung Pranoto  , Sudjarwo Sudjarwo 
Published: November 2024

Background: Vitamin D has a role in the body's calcium balance and immunodeficiency effects, and stimulates dendric cells, monocytes, T cells, macrophages in pathogenic microbes’ elimination. The variation occurrence as polymorphism on VDR might cause problem in production, transportation, and activity of vitamin D. The gap between the occurrence findings in previous studies shows that there are indication factors of VDR levels that probably associate with the T2DM range in comorbid with pulmonary tuberculosis. To determine vitamin D levels and factors associated with vitamin D deficiency in Type 2 Diabetes Mellitus (T2DM) patients with and without pulmonary Tuberculosis (TB).
Method: The design of this study was cross-sectional. T2DM subjects with pulmonary TB were 45 people, and 43 people without pulmonary TB were 43 people. Sampling was done by consecutive sampling from October to December 2017. We collected data through interviews and examination of plasma vitamin D (25-OH) levels by ELISA. Data analysis using the Mann-Whitney test, and chi-square test with a confidence level of 95%.
Result: There were 88 T2DM patients who met the inclusion criteria, consisting of 43 T2DM patients without pulmonary TB and 45 T2DM patients with pulmonary TB as the study subjects. There were differences in the distribution of T2DM subjects based on sex and BMI measurements. The mean plasma vitamin D levels in T2DM with pulmonary TB and T2DM without pulmonary TB were 20.08 ng/ml (SD ± 0.83 ng/ml) and 20.29 ng/ml (SD ± 0.81 ng/ml), respectively, we found no significant result in statistic (p = 0.287). Vitamin D deficiency was not associated with the incidence of pulmonary TB in T2DM, whereas female sex, age> 50 years, BMI ? 25.0 kg /m2, and duration of T2DM> 5 years were associated with vitamin D deficiency (p <0.05). This research has contributed in novel findings of the correlation between sex and BMI associated in duration of T2DM impacted the Vitamin D insufficiently.
Conclusion: Sex, age, BMI, and duration of T2DM had a significant correlation with vitamin D deficiency in T2DM patients with and without pulmonary TB.
Risk Analysis of Groundwater Contaminant in Rural Areas Using Spatial Distribution
Authors: Herawati Herawati , Kanan Maria , Anwar Mallongi  , Bidullah Ramli , Sakati Sandi N. , Balebu Dwi Wahyu 
Published: November 2024

Background: Water is a very important material for the life of creatures in nature and its function for life cannot be replaced by other compounds. Groundwater is an important resource for humans, especially in rural areas that depend on Groundwaters as the main source of clean water. However, the quality of groundwater in many areas has decreased due to pollution from human activities, such as agriculture and industry.
Method: This study aims to analyse the level of pollution risk of groundwaters in rural areas of Masama District, Banggai Regency using descriptive quantitative methods. Spatial analysis of pollution risk was conducted on 516 Groundwaters selected as samples. Spatial data is collected by recording the location of each well using GPS, which is then used to create a spatial map. The pollution risk analysis is based on the Sanitation Inspection results, using 11 key indicators.
Result: The results showed that 4 Groundwaters (0.78%) were in the very high pollution risk category, 115 Groundwaters (22.29%) were in the high-risk category, 204 Groundwaters (39.53%) were classified as medium risk, and 193 Groundwaters (37.40%) had low pollution risk. The results indicate that most Groundwaters in the study area are at moderate to high risk. Groundwaters with high and very high risk are dominated by Groundwaters located in Minang Andala, Purwo Agung and Kembang Merta villages, which are agricultural areas with sufficient area and most of the people have livestock around their homes which could potentially be a source of contaminants.
Conclusion: This study shows that the majority of Groundwaters in the study area have a moderate to high risk of pollution, with high and very high-risk categories found in villages that have agricultural and livestock activities. This emphasises the need for more intensive groundwater management and protection measures.
Analysis of Circadian Rhytme Variations on Glucose Examination Results
Authors: Rahmani Putri Ziddanur , Jiwintarum Yunan , Tatontos Erlin Yustin , Pauzi Iswari 
Published: November 2024

Background: Circadian rhythm is a term used to describe the 24-hour physiological rhythm of organisms. According to Minister of Health Regulation no. 43 of 2013 concerning How to Organize a Good Clinical Laboratory, the Circadian rhythm variation is explained in the body as levels of certain substances change from time to time. Changes in substance levels that are influenced by time can be cyclical, such as daily cycles (diurnal variations), monthly cycles (menstruation), or linear/straight lines, such as age. Classic experiments using a 72-hour glucose clamp methodology, demonstrated that humans exhibit a robust Circadian rhythm in insulin secretion, independent of food and glycemia. Additionally, a cell-autonomous Circadian clock appears to oversee the diurnal rhythm in glucose-induced insulin secretion.Research Objectives: Knowing the analysis of Circadian rhythm variations on glucose examination results. Research Methods: Analytical observational analysis using cross sectional methods and purposive sampling techniques. The sample population of applied TLM undergraduate students class of 2020 had blood serum taken and using the Slovin formula to determine the sample size, 36 samples were obtained with respondents without a history of diabetes mellitus. Data analysis used the Paired t-test statistical test. Research Result: The results obtained from the examination of the average glucose level at the time of sampling in the morning were 80.25 mg/dl, in the afternoon 96.5 mg/dl, and in the evening 85.91 mg/dl. The results of the paired t-test statistical analysis obtained Sig. (2-tailed) or p 0.010 means p < 0.05 there is a difference in the average glucose results at the time of sampling in the morning and afternoon and Sig. (2-tailed) or p 0.115 means p > 0.05 there is no difference in the average glucose test results at the time of sampling in the morning and evening. Conclusion: Blood glucose levels taken in the morning have lower average levels than during the day and evening.
Perceptions of indirect treatment comparisons as an evidence base in oncology decision-making: results of an international survey of health technology assessment and payer decision-makers
Authors: Katsoulis Ioannis , Graham Alex , Thompson Allison , Gharibian Norbek , Pawar Vivek , Khurana Vivek , Ferreira Rui , Panikar Abhishek , Kearney Mairead 
Published: November 2024

Aim:
Health technology assessment (HTA) and payer organizations are often faced with early decision-making in oncology. To design and conduct robust indirect treatment comparisons (ITCs), it is important to better understand HTA and payer decision-maker perceptions of ITCs. Here we aim to describe what individuals with HTA and payer experience see as the acceptability of ITCs for HTA and payer organization coverage and reimbursement decision-making.
Materials & methods:
This survey included 30 current and former HTA and payer decision-makers from five countries: Australia, France, Germany, the UK (n = 5 each) and the US (n = 10). Main outcomes included the ratings of acceptance of ITCs and the presence of well-defined methodological guidance for ITCs.
Results:
ITCs are generally accepted by participants in Australia and the UK but are more likely evaluated on a case-by-case basis in France, Germany and the US. Four of five participants in Germany and the UK, two of five in Australia and one of five in France reported that well-defined and prescribed criteria regarding the use of ITCs were in place.
Conclusion:
There is a need for harmonization of methods used to assess ITCs by HTA and payers, especially in the rapidly evolving treatment landscape in oncology.
Problematika fluktuace vysokoškolsky vzdělaných knihovníků v ČR
Authors: Zadražilová Iva 
Published: November 2024

Účel – Cílem této výzkumné studie je zjistit důvody fluktuace vysokoškolsky vzdělaných knihovníků v České republice. Odhalení těchto důvodů je klíčové pro zlepšení strategií udržení zaměstnanců v knihovnách a zajištění stabilní a motivované pracovní síly. Studie si klade za cíl identifikovat klíčové faktory, které vedou knihovníky k opuštění zaměstnání po několika letech praxe.

Design / metodologie / přístup – Pro výzkum byla použita kvalitativní metoda s využitím polostrukturovaných rozhovorů s bývalými zaměstnanci knihoven. Do výzkumného vzorku bylo zařazeno 14 participantů z různých knihoven. Kvalitativní přístup byl zvolen kvůli nedostatku existujících výzkumů na toto téma a umožnil hlubší zkoumání motivací, které vedou knihovníky k rozhodnutí opustit svá místa. Data byla zpracována pomocí tematické analýzy, která pomohla identifikovat a analyzovat výsledné tematické kategorie.

Výsledky – Studie zjistila, že hlavními důvody fluktuace mezi vysokoškolsky vzdělanými knihovníky jsou neuspokojivé pracovní podmínky, problémy související s vedením knihoven a nedostatek příležitostí k profesnímu rozvoji. Kromě toho byly často zmiňovány problémy týkající se nedostatečného finančního ohodnocení a identifikace s firemní kulturou. Z rozhovorů s knihovníky vyplynulo, že rozhodnutí opustit zaměstnání bylo často ovlivněno více faktory a žádný jediný důvod nebyl identifikován jako převažující.

Originalita / hodnota – Tento výzkum poskytuje jedinečný pohled na fluktuaci vysokoškolsky vzdělaných knihovníků v České republice. Jedná se o oblast, která nebyla dosud rozsáhle zkoumána. Zjištění mohou informovat vedení knihoven o možných problémech a motivovat k zásahům ke zlepšení udržení a spokojenosti zaměstnanců v knihovnách.
Three new species of the spider genus Meotipa Simon, 1895 from Guangxi Zhuang Autonomous Region, China (Araneae: Theridiidae)
Authors: Liang Yun , Yin Haiqiang , Xu Xiang 
Published: November 2024

Three new species of Meotipa Simon, 1895 are described based on specimens collected from Guangxi Zhuang Autonomous Region, China: Meotipa lingulata sp. nov. (female), M. pseudomultuma sp. nov. (both male and female) and M. tortuosa sp. nov. (both male and female). Detailed descriptions, photographs, line drawings, sequences of histone H3, and a distribution map of the three new species are provided.
Privacy and Security for Digital Health: Assessing Risks and Harms to Users
Authors:   ,   Karlstad University, Wairimu Samuel 
Published: November 2024

Electronic Health (e-Health), such as mobile health (mHealth) and Health Information Systems (HIS), benefits healthcare consumers and professionals. However, it also poses potential privacy risks, as security, privacy, and human factors remain challenges in the rapid digitization of healthcare. Considering an impact assessment of the planned processing helps identify and prevent privacy risks early in the development of digital health technologies. When such risks are exploited, they can result in various privacy harms to individuals, including physical, psychological, financial, reputational, and societal harms. This thesis deals with the overarching objective of analyzing security and privacy risks in health-related systems. Specifically, it focuses on four main topics: (i.) the analysis of a selected category of mHealth apps, specifically, COVID-19 contact tracing apps; (ii.) the exploration of the potential impact on the privacy of patients in the context of cyberwar; (iii.) identification and modeling of privacy harms after a healthcare data breach; and, (iv.) an assessment of whether privacy harms enhance privacy risk assessments. It incorporates empirical methods, including in-depth document analysis through narrative reviews and a systematic literature review. A qualitative approach is also applied, using semi-structured interviews and a privacy risk assessment (PRA) exercise. Our results show that rapidly developed digital health apps present security and privacy risks that could impact healthcare consumers' privacy. While integrating Information and Communications Technology (ICT) in healthcare is advantageous, it also introduces new risks. State-sponsored attackers may exploit these risks, potentially causing privacy harm to healthcare service users. We identify actual privacy impacts and use this to model privacy harms by modifying a PRA methodology. In addition to identifying methods for evaluating Privacy Impact Assessments (PIAs) and PRAs, we assess the coverage of privacy harms within these existing methodologies. Furthermore, we gain insight into the operationalization of privacy harms from practitioners and how this improves PRAs. Among the main contributions, the research creates an awareness of the risks associated with a lack of data protection mechanisms, and data breaches as well as their impact on patient privacy. In addition, a comprehensive systematic literature review on PIAs and PRAs was conducted, which led us to focus on operationalizing privacy harms that can be integrated into PRAs to assess the impact on the privacy of healthcare consumers. As a result, privacy experts and IT practitioners in healthcare will be better informed and guided in understanding privacy harms during privacy risk assessments. This ensures that appropriate safeguards are in place to prevent the materialization of actual privacy harms
Khảo sát tình hình sử dụng kháng sinh dự phòng tại khoa ngoại tổng hợp bệnh viện A tỉnh Khánh Hoà năm 2021
Authors: Huỳnh Thị Ái Nhân Huỳnh Thị Ái Nhân , Phạm Thị Quỳnh Yên 
Published: November 2024

Mục tiêu: Khảo sát đặc điểm bệnh nhân và tình hình sử dụng kháng sinh dự phòng (KSDP) tại khoa ngoại tổng hợp Bệnh viện A tỉnh Khánh Hoà năm 2021. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang từ 06/2021 hồi cứu đến 01/2021, lấy mẫu toàn bộ thu được 150 hồ sơ bệnh án của bệnh nhân có chỉ định phẫu thuật tại khoa ngoại tổng hợp Bệnh viện A tỉnh Khánh Hoà. Kết quả: Trong 150 hồ sơ bệnh án của bệnh nhân thu thập, về đặc điểm mẫu nghiên cứu ghi nhận chỉ có 18,4% bệnh nhân trên 60 tuổi. Bệnh lý mắc kèm được ghi nhận tập trung chủ yếu ở các nhóm trên 60 tuổi (20.7%), trong đó có hơn 50% bệnh nhân mắc tăng huyết áp. Tình trạng bệnh nhân trước phẫu thuật phân loại theo thang điểm ASA ≥ 3 (American Society of Anaesthesiologists) chiếm tỷ lệ nhỏ (3.4%). Đa số phẫu thuật thuộc loại sạch (57.3%) và sạch – nhiễm (40.7%). Có 95% bệnh nhân có điểm nhiễm khuẩn vết mổ bằng 0 khi đánh giá nguy cơ theo thang điểm NNIS (National Nosocomial Infection Surveillance). Về đặc điểm sử dụng KSDP, chỉ 27.3% bệnh nhân được đưa liều đầu kháng sinh đúng với khuyến cáo của ASHP (2013) và Bộ Y Tế (2012) trước thời điểm rạch da 60 phút. Hơn 65.0% phác đồ kháng sinh được lựa chọn là ceftizoxim đơn trị liệu hoặc phối hợp với metronidazol/ cefotaxim/ cefuroxim có tỷ lệ là 58.9%. Có 6 phác đồ với nhóm phẫu thuật thoát vị được đánh giá là không phù hợp với khuyến cáo của ASHP (2013) chỉ định sử dụng cefazolin đơn độc. Chỉ 3.3% bệnh nhân được ngừng kháng sinh theo khuyến cáo trong vòng 24h và đến 71.3% bệnh nhân được sử dụng kháng sinh kéo dài 4 ngày sau khi đóng vết mổ. Kết luận: Về mặt lý thuyết, việc tuân thủ sử dụng KSDP theo các phác đồ, khuyến cáo còn khá thấp nhưng về mặt thực tế trên lâm sàng, 100% bệnh nhân đều đáp ứng tốt, không xuất hiện nhiễm khuẩn sau phẫu thuật và xuất viện với tình trạng vết mổ khô, sức khoẻ tốt.

Từ khóa: Kháng sinh dự phòng; nhiễm khuẩn vết mổ; phẫu thuật ngoại khoa; khoa ngoại tổng hợp
Desarrollo de un modelo humano plano para la simulación de ensayos de choque en vehículos
Authors: Muñoz Abella Belén , Díaz López Vicente 
Published: November 2024

Se presenta el desarrollo de un modelo humano plano para la simulación de ensayos de choque frontal en vehículos. Aunque ya existen modelos similares mucho más complejos y que ofrecen excelentes resultados en la simulación, el realizado pretende ser una herramienta, tanto para la docencia como para cálculos preliminares, que permita estudiar la sensibilidad del cuerpo humano ante las variaciones de parámetros en la colisión sin necesidad de tener que conocer muy profundamente el problema abordado y que sea relativamente fácil de manejar. El modelo se ha desarrollado con el programa de simulación de mecanismos planos Working Model 2DTM y se ha validado comparando los resultados obtenidos con datos procedentes de ensayos de choque reales.