bluuebunny/crossref_metadata_2025_split huggingface dataset:
Double Burden of Malnutrition among Undergraduates in Ogun State Nigeria
Authors: Oladoyinbo Catherine Adebukola , Ekerette Nkereuwem N 
Published: April 2018

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.
Knowledge and Behaviour about Adolescent Reproductive Health in Yogyakarta, Indonesia
Authors: Solikhah Solikhah , Nurdjannah Sitti 
Published: April 2018

<p>Lack of knowledge about reproductive health in adolescent, making teens easily influenced by misinformation and harmful to their reproductive health. Health education plays an important role in increasing their knowledge and behavior of young people in order to maintain good reproductive health. The purpose of the research was to see the impact of health education on the knowledge and behavior of adolescents in reproductive health. Paired t test analysis results indicate that counseling on reproductive health effect on both knowledge about reproductive health (mean difference: 10.216, 95% CI: 6.622 to 13.809) and attitudes about reproductive health in adolescents (mean difference: 65.417, 95% CI: 11,176 to 61.690). Knowledge of adolescents about reproductive health would be beneficial in preparing the young people in good reproductive health issues so expect teenagers do not conflict with the norms prevailing in the community.</p>
Magnitude of Out of Pocket Health Expenditures and Associated Factors among Civil Servants
Authors: Geremew Mekuanenet , Gedefaw Molla , Tsegay Girmay , Kassa Getachew Mullu 
Published: April 2018

<p>In Ethiopia, as other developing countries, public health care is provided at nominally low prices and free to those that does not afford to pay. But the health care consumer population is still to make considerable amount of out-of-pocket health expenditure for various reasons. A cross sectional quantitative study from January to May 2013 was done. Study population was civil servants in Debre Markos town. A total of 467<strong> </strong>study participants were selected by using simple random sampling method. Data were collected by trained high school graduates and then the collected data were entered into a computer by using Epi-Data version 3.1 and analysis was performed by using SPSS version 16 for windows. Possible associations between out of pocket health expenditure and its predictors were analyzed by using both bivariate and multivariate analysis.<strong> </strong>The mean age of the study participants were 41 years. Majorities were between 25 and 44 years of age, 258 (55.2%). The level of education among the study participants indicated that most 380 (81.4%) were graduates of higher education (HE) and majority were Orthodox Christian which accounted 446 (95.5%) followed by Muslims 13 (2.8%). To put it briefly, the study identified that the median of out of pocket health care expenditure accounted 8.26% of total household income. Health status of the household (with or without chronic illness), debt on any of the household, house on construction owned by any household member, educational fee for at least one member of the household and predominantly used health institution were the associated factors that have significant impact on household out of pocket health expenditure. <strong>T</strong>here is economic burden as a result of health care at household level. Based on the results, the recommendation was introducing social health insurance for all civil servant employees in the study area.</p>
The Difference of Satisfaction Level in BPJS Health Insurance Patient and Non Insurance Patient toward Health Service
Authors: Dewi Arlina , Ramadhan Naufal Kurnia 
Published: April 2018

National Health Insurance (JKN) developed in Indonesia is part of the National Social Insurance System (SJSN). One way to assess the services quality is to measure the patient satisfaction level. This research is a quantitative research with the <em>cross sectional </em>research design. The subjects of this research were the BPJS health insurance patients and non insurance patients with 200 people as the samples. The data was analyzed by the independent t-test, gap analysis,<em> CSI (Customer satisfation index) </em>and <em>IPA (Importance performance analysis).</em> The result showed that significant (ρ value &gt;0,05) in all dimensions which mean that there is no difference of patient satisfaction level in Social Security Organizing Body (BPJS) participants and non insurance patients toward health services in Negara General Hospital. The biggest satisfaction in non insurance patients is on the <em>Assurance</em> variable (-1,002) and the smallest satisfaction is on the <em>Tangibles</em> variable<em> </em>(-1,357) and the biggest satisfaction of BPJS health insurance patients is on <em>Assurance </em>variable (-1,085) and their smallest satisfaction is on <em>Responsiveness</em> variable<em> </em>(-1,367). The non insurance patients gap is (-0,217) and the BPJS health insurance patients gap is (-1,206), both of them were classified into low satisfaction level. The result of Importance performance analysis value of non insurance patient showed <em>Responsiveness</em> attributes that should be prioritized and improved while in BPJS health patients showed <em>Responsiveness</em> and <em>Reliability</em> attributes that should be prioritized and improved by Negara General Hospital.
Model of Empowerment to Improve Autonomy Directly Observed Treatment (DOT) Tuberculosis Patients
Authors: Khariroh Syamilatul , Soedirham Oedojo , Hamidah Hamidah , Abdullah Endang 
Published: April 2018

<p>Empowerment as not yet optimal health promotion efforts done to enhance the autonomy of Directly Observed Treatment (DOT), which affect the success of the recovery of patients with pulmonary tuberculosis. The purpose of research was to develop a model empowerment based on Health Promotion and Health Literacy with approach to nursing intervention in an effort enhance the autonomy of the DOT - pulmonary TB patients. The method was an observational analytic with cross sectional approach. Multistage random sampling was DOT-pulmonary TB patients to decide the district and simple random sampling was assigned to choose the participants, a total of 253 DOT- pulmonary TB patients new case with acid resistant bacilli positive on the advanced phase in this study. The study conducted in five districts in Surabaya City (center, north, south, east and west). Data were collected by questionnaire on variables namely personal, cognitive and affective, nursing intervention, commitment, family supports, health literacy and DOT- autonomy. Structural Equation Modeling (SEM) with LISREL is used for constructing predictive model. Result : This study found a new model which was developed based on combination of Health Promotion Model (HPM) and Health Literacy (HL). Statistical result confirm that personal, cognitive and affective, health literacy and family support considered as important factors in improving DOT-autonomy. Conclusion : DOT- autonomy will improve by considering four main factors, personal, cognitive and affective, health literacy, family support. This model can be adapted by District Health Office Surabaya City as the main actor regional health development. In addition, this model may become a reference for other district in improving their nursing intervention in community setting.</p>
Acute and Chronic Toxicity of Mercury Exposure in Seafood and Human Populations near a Small-Scale Gold Mining Area
Authors: Sofia Sofia , Husodo Adi Heru , Sugiharto Eko 
Published: April 2018

<p>Gold amalgamation processes using mercury were practiced in small scale gold mining activities in Krueng Sabee, Aceh Province. Seafood (fish, mollusc, shrimp) and human hair samples were collected to assess mercury concentrations. Acute and chronic toxicity symptoms which arise among the populations were observed as well as personal protective equipment used by gold miners. The range of mercury concentrations varied among fish, shrimp, and molluscs. The highest mercury levels were recorded in fish <em>Puntius latristriga</em> (172.299 ± 10.626 µg/g wet wt.), followed by mollusc, <em>Polymesoda caroliniana </em> (160,032 ± 0,522 µg/g wet wt.), fish <em>R.kanagurta</em> (149 ±2,000 µg/g wet wt.), shrimp <em>Penaeus monodon</em> (116.975 ± 4.807 µg/g wet wt.). The variation of mercury concentrations in hair samples of 72 respondents were detected from 5.7 µg/g to 88.1 µg/g. The most frequent acute and chronic intoxication symptoms documented were headache, muscle cramps, cough, and aphthous ulcers. Personal protective equipment which has correlation with high mercury levels in gold miners were respirator/mask, gloves, and apparel (p &lt; 0.05). All seafood samples exceeded 0.5 µg Hg/g MoH Food and Drug Administrasion threshold level and hair samples over 10 µg/g as set by WHO tolerance limit.</p>
Deep Breathing Relaxation Techniques Improve Emotional Control on Tuberculosis Patients
Authors: Namuwali Domianus , Mendrofa Fery Agusman , Dwidiyanti Meidiana 
Published: April 2018

Tuberculosis is an infectious disease caused by Tuberculosis Mycobacterium. Based on WHO report in 2014, the world population suffering from tuberculosis were 9.6 million people while in Indonesia it was amounted 324 539 people. Tuberculosis patients have a tendency to experience emotional disturbance due to the illness. A deep breathing relaxation is a nursing action for controlling emotions of tuberculosis patients. The study design is quasi-experimental design with one group pre-test-post-test. Data were collected by using a questionnaire adapted from Gross and John (2003). Data were analyzed using paired t test. The results of this research is deep breathing relaxation technique is effective to control emotions of tuberculosis patients with p value = 0,001
Modifiable Risk Factor of Coronary Heart Disease Incident on Patients with Diabetes Mellitus Type 2
Authors: Dt Mangguang Masrizal , Hardian Sri 
Published: April 2018

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.
Availability of Adequately Iodized Salt at Household Level and Associated Factors in Dire Dawa, Eastern Ethiopia
Authors: Yaye Anteneh Berhane , Baraki Negga , Endale Birhanu Seyum 
Published: April 2018

In Ethiopia, Iodine Deficiency Disorder has been recognized as a serious public health problem for the past six decades. In 2011, an estimated <br /> 12 million school-age children were living with inadequate iodine, and <br /> 66 million people were at risk of iodine deficiency. One out of every <br /> 1000 people is a cretin mentally handicapped, due to a congenital thyroid deficiency, and about 50000 prenatal deaths are occurring annually due to iodine deficiency disorders. Only 5.7% of the households were using iodized salt in Dire Dawa city Administration, which is below the legal requirement.This study assessed availability of adequately iodized salt at household level and associated factors in Dire Dawa town, East Ethiopia. Community based cross-sectional study was carried out among households in Dire Dawa town during March 16-26, 2015. Multistage sampling technique was used. Data were collected using a pretested and structured questionnaire by a face-to-face interview technique. Bivariate and multivariate analyses were performed to check associations and control confounding. A total of 694 participants were participated. The availability of adequately iodized salt (≥15 parts per million) in the study area was 7.5% (95% CI; 5.6-9.5). Multivariate result showed that health information about iodized salt (AOR=8.96, 95% CI; 4.68-17.16) (p=0.03), good knowledge about iodized salt (AOR=9.23, 95% CI; 3.34-25.5) (p=0.01) and using packed salt (AOR=3.99, 95% CI; 1.48-10.73) (p=0.006) were associated with availability of adequately iodized salt at household level. Availability of adequately iodized salt at household level was very low. Hence, households should be sensitized about importance of iodized salt and its proper handling at the household level.
The Level of Malondialdehyde in People Exposed to Air Pollution
Authors: Aguscik Aguscik , Ikob Ridwan , Putra Sumitro Adi 
Published: April 2018

Air pollution cannot be avoided by people especially those living in big cities. Rubber factories and landfill sites are two examples of activities that can trigger air pollution. H<sub>2</sub>S gas produced from rubber factories and landfill sites can create unpleasant smells and air contamination and increase free radicals in environment. This study was to assess the level of oxidative stress in people living near rubber factories and landfill sites. This was cross-sectional study involving 60 people as the study sample. The level of H<sub>2</sub>S gas was measured to determine the presence of air pollution. Blood collected from vena mediana cubiti was drawn to determine the level of malondialdehyde (MDA) as a marker of oxidative stress. Data obtained from this study were analyzed using independent t-test. The levels of H<sub>2</sub>S gas from landfill site were higher than those from rubber factory (0.482 ppm vs. 0.332 ppm). On the other hand, the average level of MDA in people living near the rubber factory was higher than that living near the landfill site (0.847 ± 0.269 nmol/mL vs 0.748 ± 0.253 nmol/mL). It was found no significant difference (p &lt;0.05) in the average levels of MDA between people living near the rubber factory and those living near the landfill site. There was no significant difference in the average levels of oxidative stress between people living near rubber factory and those living near landfill site.
An Assessment of Health-Economic Burden of Obesity Trends with Population-Based Preventive Strategies in a Developed Economy
Authors: Bhasin Prerna 
Published: April 2018

<span lang="EN-US">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.</span>
Spotlight on Neuroimmunology: Illustrations from Neurodegenerative Diseases
Authors: Ghanemi Abdelaziz , Boubertakh Besma 
Published: April 2018

<span lang="EN-US">The immune system plays key roles in the defense of the organism. However, the effects of the immune system are not limited to the immune functions and have impacts beyond the anti-pathogenes role. Indeed, neuroimmunology is a representative field of how the immune system affects non-immune biological and physio-pathological functions. Herein, we have selected a number of neurodegenerative diseases as illustrative examples to put a spotlight on this important field. Importantly, clarifying the links and interactions between the immune system and the nervous system represents key elements for the understanding neurodegenerative diseases since it will lead to new theories about the pathogenesis and the mechanisms underlying the related processes and thus, provide us with new data and novel tools to both describe the related pathways and develop new therapeutic approaches as well as diagnostic approaches and research methodologies based on such new discoveries.</span>
Awareness, Knowledge, Proficiency, Training and Expertise of Public Elementary School Teachers in Tacloban City on Education for Sustainable Development
Authors: Mazo Generoso Nielo 
Published: April 2018

Education for Sustainable Development is a thrust pursued by the United Nations to ensure that future generations are protected from key issues that tend to heighten the deterioration of the present society and environment. Using the descriptive survey method this study focused on the awareness, knowledge, proficiency, training and expertise of 112 teachers in the Philippine public elementary schools in Tacloban City. Collected data were processed through SPSS. Fifty-two (52) or 46.42% respondents were not aware of ESD. Some 31 or 27.67% were aware of ESD. The overall mean on the knowledge of teachers stood at 3.68 interpreted as having More than Enough Knowledge. On Proficiency the overall mean stood at 3.57 interpreted as a Beginner. On Training and Expertise the overall mean stood at 3.45 interpreted as Novice.
Abilities of Reasoning and Mathematics Representation on Guided Inquiry Learning
Authors: Yumiati Y. , Noviyanti Mery 
Published: April 2018

This research initiated by some research result regarding the lower Reasoning and Mathematics Representation of student on the math learning. In order to upgrade the abilities is passing through the guided inquiry learning. The aim of the reasearch is to analyze comprehensively on accomplishment reasoning and math representation of student who gain the guided inquiry learning and conventional learning. The research is applying experiment method by design of one group pretest-posttest. The result of research indicates the guided inquiry learning is more effective in accomplishment and improvement of student representation capabilities and student comprehend compared with the conventional learning. Reasoning and Mathematics Representation of group student or guided inquiry learning is higher from the group student of conventional learning. The improvement of Mathematics Reasoning of Group Student of guided inquiry learning values 0.33 on the medium category, while the improvement of Mathematics Representation of group student of conventional learning values 0.19 on the low category. The amount of improvement on Mathematics Representation of group student of the guided inquiry learning is 0.41 on the medium category, and the improvement on Mathematics Representation of group student of conventional learning is 0.26 is on the low category.
The Needs for Multicultural Knowledge in Instructional Material on Theme 7 "Beautiful Diversity in My Country" Grade 4th Elementary School
Authors: Jannah Latifatul , Suharno S. , Triyanto T. 
Published: April 2018

The aims of research consist of the following (1) to know need analysis of Curriculum 2013 instructional materials in elementary school (2) to develop instructional material based on multicultural values.The study employs descriptive qualitative method which the data are collected by interview, observation, and document analysis.The observation and interview results about instructional materials of Curriculum 2013 in some elementary school in Surakarta consist of the following (1) teachers need additional materials in order to deliver suitable material of Curriculum2013 for students. (2) teachers get difficulties in selecting suitable additional material. (3) teachers need additional material which can develop students good characters by adding Indonesian multicultural knowledge in all subjects. By enriching and developing multicultural values for students so it can be integrated in instructional materials such as tolerance, nationalism, and spirit of unity in diversities.
The Influence Process of Science Skill and Motivation Learning with Creativity Learn
Authors: Bhakti Yoga Budi , Dwi Astuti Irnin Agustina 
Published: April 2018

This research aims to understand the influence process of science skill and motivation learning with creativity learn. Data about the process of scince skill, motivation and creativity learn collected by test questioner instrument. Data analysis with regression analysis and correlation. Research shows that: There is the influence of skill process of science to the process of creativity learn with correlation coefficient r=0.634, there is the influence of motivation learn students to creativity learning with correlation coefficient r=0.55, the process of science skills and motivation to study for students influence of creativity learn with correlation coefficient r=0.935. This study concluded that skill process of science and the motivation to study student could creative learning.