bluuebunny/crossref_metadata_2025_split huggingface dataset:
Acceptability of Flipped Classroom Approach in Ophthalmology Clerkship Teaching
Authors: Jin Guangming , Young Charlotte Aimee , Chen Aiming , Zou Yuxian , Zheng Danying 
Published: May 2019

Abstract
Purpose Flipped classroom is a new teaching model which has received a large amount of attention, but the overall acceptability and effectiveness of this approach in different fields of medical education is still controversial. The purpose of this study was to evaluate the acceptability of the flipped classroom in ophthalmology clerkship teaching.
Methods A learning model of a traditional lecture-based approach was changed to a flipped classroom approach for a group of 5-year Clinical Medicine Program students. The flipped classroom included provided pre-session learning resources and objectives before each weekly session. In-session activities emphasized knowledge application and active learning strategies. Data regarding students’ acceptability of the new approach was obtained by anonymous questionnaires that students filled out immediately after class.
Results Feedback was received from 94/94 (100%) medical students. 62.8%(59/94) of respondents preferred the flipped classroom approach over the traditional approach. Interacting with peers and needing more time/effort for preparation were the aspects liked most and least (respectively) for the flipped classroom by students. Flipped classroom was considered better in helping to train students' ability in clinical problem solving, the search and study of literature, cooperating with others, academic exchange, and self-directed learning when compared with the traditional approach. The flipped classroom approach was thought to be a more effective and inspiring way of teaching (P<0.001). Both males and females thought the flipped classroom was a useful way to help students find and solve problems, consider problems comprehensively, learn from literature, and cooperate with others.
Conlusions The flipped classroom has a good acceptability in ophthalmology clerkship teaching. Further evaluation is needed when it be implemented
Development of domain-specific epistemological beliefs of physiotherapists: A longitudinal study
Authors: Bientzle Martina , Cress Ulrike , Kimmerle Joachim 
Published: May 2019

Abstract
Background

Epistemological beliefs (EBs) and therapeutic health concepts are two important factors of influence that affect how healthcare professionals deal with treatment-relevant medical information. A previous investigation compared physiotherapy students’ EBs and therapeutic health concepts with those of professionals in a cross-sectional study. That study design, however, did not allow for any conclusions about the temporal development of these concepts. This shortcoming has been addressed in the study presented here.

Methods

In a longitudinal study, physiotherapists filled in a questionnaire that measured their personal EBs about physiotherapy and about medicine, as well as their biomedical and biopsychosocial therapeutic health concepts. The participants were first examined during their medical training. The follow-up measure was 3 years later when the participants had become professional physiotherapists. We examined the development of their EBs using paired sample t-tests.

Results

The analysis was based on 41 participants who filled in the questionnaire at both time points and were working as physiotherapists at the time of the second measurement. We found a development of physiotherapy-related and a development of medicine-related EBs: Physiotherapy-related as well as medicine-related EBs were more sophisticated when physiotherapists had already entered the working world than during their physiotherapy training. Due to psychometric problems of the scales, we could not analyze the development of their therapeutic health concepts.

Conclusions

EBs are an important factor for (lifelong)learning. We found that physiotherapy-related and medicine-related EBs developed similarly in both domains. This is an indication that the temporal development of EBs is an expression of professionalization of healthcare personnel in their occupational field. Our findings demonstrate that the development of EBs is not completed at the end of vocational training; it appears to be a continuing development throughout one’s working life.
Inhibition Effects of Phenolic Compounds on Human Serum Paraoxonase-1 Enzyme
Authors: TÜRKEŞ Cüneyt 
Published: May 2019

Metabolic processes in living organisms are closely related to the catalytic activity of enzymes. Inhibition or induction of enzymes leads to toxicities and metabolic interactions. This studyaims to contribute to the growing drug design field by studying PON1-phenolic compound interactions. For this purpose, the paraoxonase-1 enzyme was purified from fresh human serum byusing rapid and different chromatographic techniques. Additionally, it was investigated the inhibitory effects of some phenolic substances on the PON1 and was found that the purified enzyme had themolecular weight of 43 kDa and the specific activity of 3945.15 EU mg-1. These compounds showed potent inhibition against PON1, especially homovanillic acid exhibited a significant inhibition profileagainst PON1 with an IC50 value of 13.84±0.08 mM. Ki constants were 6.10±0.26 mM for homovanillic acid and 16.96±0.76 mM for phloridzin dihydrate. Homovanillic acid had competitiveinhibition while the phloridzin dihydrate inhibited the PON1 as non-competitive. Also, molecular docking computations were performed by using the Glide XP mode. Glide energy of the homovanillicacid determined to be -23.95 kcal mol-1.
The motives and gratification of university students to use sport programs in the Kurdish satellite Channels
Authors: Hasan Karwan Muhammad 
Published: May 2019

This study aims to identify the motives of the students of the Faculty of Physical Education at the University of Sulaymaniyah for sport programs in the Kurdish satellite channels, As well as to identify the motives Which viewers of students achieve, A descriptive study, used the survey methodology, on an intentional sample of (144) students from the Faculty of Physical Education at the University of Sulaymaniyah, The study found several results: the majority of members of the sample always watch the sports programs in the Kurdish satellite channels, The results shows that most important types of sports programs preferred by the sample and watch it lot Are "sports matches" ranked first, Then "sports news programs" ranked second, and the "Sports Talks" ranked third, This study shows that the majority of university youth are very keen to watch the sports programs in the Kurdish satellite channels, The results shows There is Statistical Associative relationship between the exposure of university students to the sample of the study And utilitarian and ritualistic motives of their exposure to sports programs in the Kurdish satellite channels, also existence of statistical significant Associative relationship Between the exposure of university students to the sample of the study and the saturation of their exposure to sport programs in the Kurdish satellite channels.
Mental Health Promotion Among University Students Using Text Messaging: Protocol for a Randomized Controlled Trial of a Mobile Phone–Based Intervention
Authors: Thomas Kristin , Bendtsen Marcus 
Published: May 2019

Background
There is a growing understanding that well-being and mental illness are 2 separate dimensions of mental health. High well-being is associated with decreased risk of disease and mental illness and increased longevity.

Objective
This study aims to test the efficacy of a mobile phone–based intervention on positive mental health.

Methods
We are conducting a 2-armed randomized controlled trial of university students in Sweden. Recruitment will last for 6 months by digital advertising (eg, university websites). Participants will be randomly allocated to either an intervention (fully automated mobile phone–based mental health intervention) or control group (treatment as usual). The primary outcome will be self-assessed positive mental health (Mental Health Continuum Short Form). Secondary outcomes will be self-assessed depression anxiety symptomatology (Hospital Anxiety Depression Scale). Outcomes will be investigated at baseline, at 3, 6, and 12 months after randomization. Mediators (positive emotions and thoughts) will be investigated at baseline, midintervention, and at follow-ups using 2 single face-valid items.

Results
Data will be collected between autumn 2018 and spring 2019. Results are expected to be published in 2020.

Conclusions
Strengths of the study include the use of a validated comprehensive instrument to measure positive mental health. Mechanisms of change are also investigated. A potential challenge could be recruitment; however, by setting a prolonged recruitment period, we believe that the study will recruit a sufficient sample.

Trial Registration
International Standard Randomized Controlled Trial Number: 54748632; http://www.isrctn.com/ ISRCTN54748632

International Registered Report Identifier (IRRID)
PRR1-10.2196/12396
USE OF DIOSGENIN, YAMOGENIN, TIGOGENIN AND NEOTIGOGENIN FOR TREATMENT OF HYPERLIPIDEMIA BY INHIBITING CHOLESTEROL ABSORPTION IN GIT
Authors: M Shahina , Murad Shah , Jahan Badar , Niaz Khalid , Khokhar Aamna , Ghaffar A 
Published: May 2019

High plasma lipids interact with free radicals in human body leading to develop coronary artery disease. We in this study have compared hypolipidemic effects of Fenugreek, Curcuma Longa, and lemon. Study was conducted at Jinnah Hospital Lahore-Pakistan from January 2018 to May 2018. Ninety hyperlipidemic patients of age group 19 to 70 were included in the study. Exclusion criteria were diabetic, alcoholic additives, hypertensive patients and those whose kidney or liver functions were impaired. Consent was taken from all participants. Their base line lipid profile was taken in biochemistry laboratory of the hospital. They were divided in three groups i.e. 30 patients in each group. Group-I was advised to take 500 mg of Curcuma Longa (haldi) mixed in fresh milk without cream, thrice daily for two months. Group-II patients were advised to take 100 grams of Fenugreek leaves mixed with salad in each meal (thrice daily) for the period of two months. Group-III patients were advised to take 40 ml of fresh lemon juice mixed with 40 ml mineral water thrice daily for two months. They all were advised not to take heavy meal rich with any type of fat like junk food etc. One hour daily brisk walk was advised to all participants. 15 days follow up visit was scheduled for them. After two months their lipid profile was re-determined. When results were compiled and statistically analyzed by applying paired ‘t’ test, it revealed that Curcuma Longa decreased total cholesterol, TG, LDL cholesterol 16.10, 20.01, and 17.59 mg/dl respectively. Fenugreek decreased total cholesterol, TGs, and LDL cholesterol 14.70, 17.33, and 17.06 mg/dl respectively. Lemon in two months therapy decreased total cholesterol, TGs, and LDL cholesterol 15.45, 10.13, and 11.97 mg/dl respectively. None of the above mentioned herbs raised HDL cholesterol significantly. It was concluded from this research work that Curcuma Longa, Fenugreek leaves and Lemon are mild to moderately effective hypolipidemic herbs to lower total plasma cholesterol, triglycerides, and LDL cholesterol but have no potential to raise HDL cholesterol when analyzed biostatistically.
PERSPEKTIF MASYARAKAT TENTANG AKSES PELAYANAN KESEHATAN
Authors: Megatsari Hario , Laksono Agung Dwi , Ridlo Ilham Akhsanu , Yoto Mohammad , Azizah Arsya Nur 
Published: May 2019

Access to health services is often seen only from the provider perspective, while from the community side as a user is less noticed. Improving the quality of health services access requires a complete perspective on two diff erent sides. This research is designed descriptively qualitative. Data were collected by Focus Group Discussion (FGD), in-depth interview and observation. The research was conducted in Malang Regency in June-August 2018. The study results showed health services access generally the community believes that there are still perceived defi ciencies. Especially on the aspect of physical access, due to poor facilities and infrastructure. In addition, social access was also considered inadequate, because there were still health workers who served with less friendly. This study concludes that people still feel access to physical and social aspects is still diffi cult. It should be recommended to the local government for eff orts to improve physical access, and the Health Offi ce to disseminate health information about the rights of patients to the community.
Abstrak
Akses pelayanan kesehatan seringkali dilihat hanya dari perspektif pemberi pelayanan saja, sementara akses dari sisi masyarakat sebagai pengguna kurang terperhatikan. Perbaikan kualitas pelayanan kesehatan dari sisi akses memerlukan perspektif yang lengkap dari dua sisi yang berbeda. Penelitian ini didesain secara deskriptif kualitatif. Data dikumpulkan dengan Focus Group Discussion (FGD), wawancara mendalam dan pengamatan. Penelitian dilakukan di Kabupaten Malang pada bulan Juni–Agustus 2018. Hasil penelitian menunjukkan aksesibilitas pelayanan kesehatan yang ada, secara umum masyarakat berpendapat bahwa masih ada kekurangan yang dirasakan. Terutama pada aspek akses secara fisik, dikarenakan sarana dan prasarana yang kurang baik. Selain itu akses secara sosial juga dirasa kurang, karena masih ada tenaga kesehatan yang melayani dengan kurang ramah. Penelitian ini menyimpulkan bahwa masyarakat masih merasa akses dari aspek fisik dan sosial masih sulit. Perlu direkomendasikan pada pemerintah daerah setempat untuk upayaperbaikan akses secara fi sik, dan Dinkes untuk mendiseminasikan informasi kesehatan mengenai hak pasien kepada masyarakat.
HUBUNGAN USIA, JENIS KELAMIN DAN BERAT BADAN LAHIR DENGAN KEJADIAN ANEMIA PADA BALITA DI INDONESIA
Authors: Faiqah Syajaratuddur , Ristrini Ristrini , Irmayani Irmayani 
Published: May 2019

Anemia is a condition where haemoglobin is below the normal value. Anaemia is often meet at children and pregnant women. Many factors cause anaemia i.e. iron, deficiency of folic acid and vitamin B12, Babies who are born prematurely or have a low birth weight . The aim of this research was to know correlation between age, sex, birthweight with anemia. This study is a part of Basic health research (Riskesdas) 2013 data. The study population was children under five years old, who were respondents Riskesdas 2013, analysis used in this study is the Chi-Square test. The results showed that 194,668 children, the highest anemia at the age of 12-24 months 36,1%, female gender 57,9%, low birth weight 20,6%, prevalence anemia 20,4%. Based on bivariate analysis it is known that the related variables (p <0.05) with the incidence of anemia were age and sex (p = 0.0001). Variables unrelated to anemia are birthweight. There is a significant relationships between age and sex with the incidence of anemia among children in Indonesia, it needs to be counseling on the parents of children to provide adequate nutrition so that it can prevent the incidence of anemia in infants, especially at the age of 12-24 months with female sex.
Abstrak
Anemia adalah suatu kondisi di mana hemoglobin berada di bawah nilai normal. Anemia sering ditemukan pada anak-anak dan wanita hamil. Banyak faktor yang menyebabkan anemia yaitu kekurangn zat besi, defisiensi asam folat dan vitamin B12, bayi yang lahir prematur atau memiliki berat badan lahir rendah. Tujuan penelitian adalah untuk mengetahui hubungan antara Usia, Jenis kelamin dan berat badan lahir dengan anemia pada balita. Penelitian ini merupakan penelitian analitik kuantitatif dengan pendekatan Cross Sectional. Populasi penelitian adalah anak-anak berusia di bawah lima tahun, yang menjadi responden Riskesdas 2013, analisis yang digunakan dalam penelitian ini adalah uji Chi-Square.Penelitian menunjukkan dari 194,668 balita, yang mengalami anemia tertinggi pada usia 12 – 24 bulan yaitu 36,1%, jenis kelamin perempuan yaitu 57,9%, berat badan lahir rendah sebanyak 20,6%, prevalensi anemia 20,4%. Berdasarkan analisis bivariat diketahui bahwa variabel yang berhubungan (p < 0,05) dengan kejadian anemia adalah usia dan jenis kelamin (p = 0,0001). Variabel yang tidak berhubungan dengan anemia adalah berat badan lahir. Ada hubungan yang signifikan antara usia dan jenis kelamin dengan kejadian anemia pada balita di Indonesia, perlu dilakukan penyuluhan pada orang tua balita memberikan asupan nutrisi yang adekuat sehingga dapat mencegah kejadian anemia pada balita terutama pada usia 12 – 24 bulan dengan jenis kelamin perempuan.
UNIT COST RUMAH SAKIT DAN TARIF INA-CBGS:
Authors: Handayani Lestari , Suharmiati Suharmiati , Pratiwi Niniek Lely 
Published: May 2019

Various comments either support or rejection made by the hospital since the introduction of INA-CBGs tariff of the National Health Insurance (JKN) in January of 2014. Some hospitals complained about the unfairness of tariff s that are considered inconsistent with the real cost of health services. INA-CBGs tariff s are subject to regulations. reviewed at least every two years. The Government evaluates and revises the tariff s determined based on Unit cost (UC) calculations and takes into account various aspects. The results showed that in general UC calculation result with step down method for inpatient and outpatient service at 84 Public Hospital BLU / BLUD is lower than INA-CBGs Tariff . It can be concluded that the implementation of INA-CBG tariff s still meet the sense of justice and can be applied. It is recommended that the tariff review also takes into account the UC change and global / regional / national economic conditions so it should not be done every two years. On the other hand, hospitals need to manage INA-CBGs health services fi nancing effi ciently in order to maintain the quality of service and to meet the patients demand.

ABSTRAK
Berbagai komentar baik dukungan ataupun penolakan dilontarkan pihak rumah sakit (RS) sejak diberlakukan tarif INACBGs pada tahun 2014 dalam Jaminan Kesehatan Nasional (JKN). Sebagian RS mengeluhkan ketidak adilan besaran tarif yang dianggap tidak sesuai dengan biaya riil pelayanan kesehatan. Tarif INA-CBGs sesuai peraturan. ditinjau minimal setiap dua tahun. Pemerintah melakukan evaluasi dan revisi terhadap Tarif yang ditetapkan berdasar atas perhitungan Unit cost (UC) serta memperhitungkan berbagai aspek terkait. Hasil penelitian menunjukkan bahwa secara umum hasil perhitungan UC dengan metode step down untuk pelayanan rawat inap, dan rawat jalan di 84 RS Umum BLU/BLUD lebih rendah dari Tarif INA-CBGs. Dapat disimpulkan bahwa pemberlakuan tarif INA-CBG masih memenuhi rasa keadilan dan dapat diterapkan. Direkomendasikan agar peninjauan tarif disamping memperhitungkan perubahan UC juga kondisi ekonomi global/regional/nasional sehingga dapat dilakukan sesuai kebutuhan dan tidak harus dilakukan setiap dua tahun. Di pihak lain. RS perlu mengelola pembiayaan INA-CBGs untuk pelayanan kesehatan secara efi sien agar dapat menjaga mutu pelayanan sesuai harapan masyarakat.
Hambatan Akses ke Puskesmas pada Lansia di Indonesia
Authors: Laksono Agung Dwi , Nantabah Zainul Khaqiqi , Wulandari Ratna Dwi 
Published: May 2019

The elderly are one of the most vulnerable groups with very high dependency rates. This condition has the potential to cause other problems for the caregiver or his family. The elderly also has the potential to suffer from catastrophic diseases that have costly consequences. This research is a further analysis of Riskesdas 2013 data, that presented in descriptive quantitative. The results showed that elderly people living in urban as well as rural areas have a tendency of moderate access barrier to Puskesmas. There are still 15% of very poor elderly people who have major access barrier to Puskesmas. This study concludes that although elderly access to Puskesmas is quite good, but the access of very poor elderly is still need more attention. The government needs to provide basic health care facilities in more rural areas. The government also needs to realize a National Health Insurance with tax-based funding, to ensure universal coverage regardless of the ability to pay the community.
Abstrak

Lansia adalah salah satu kelompok rentan yang memiliki angka ketergantungan sangat tinggi. Kondisi ini berpotensi menimbulkan masalah lain bagi yang merawat atau keluarganya. Lansia juga berpotensi menderita penyakit katastropik yang menimbulkan konsekuensi biaya yang mahal. Penelitian ini merupakan analisis lanjut data Riskesdas 2013, yang disajikan secara deskriptif kuantitatif. Hasil penelitian menunjukkan bahwa lansia yang tinggal di perkotaan maupun perdesaan mempunyai kecenderungan hambatan akses sedang untuk ke Puskesmas. Masih ada 15% lansia sangat miskin yang memiliki hambatan besar ke Puskesmas. Penelitian ini menyimpulkan bahwa meski akses lansia ke Puskesmas sudah cukup baik, tetapi akses lansia yang sangat miskin masih perlu mendapat perhatian lebih. Pemerintah perlu menyediakan fasilitas pelayanan kesehatan dasar di wilayah perdesaan yang lebih banyak. Pemerintah juga perlu mewujudkan sebuah Jaminan Kesehatan Nasional dengan pendanaan berbasis pajak, untuk memastikan cakupan secara universal dengan tanpa menghiraukan kemampuan membayar masyarakat.
Den spirituelle vending - og den permanente undtagelsestilstand
Authors: Hjort Katrin 
Published: May 2019

Den italienske jurist og politiske filosof Georgio Agamben taler om undtagelsestilstanden, hvor den suveræne, der er garant for sikkerhed - lov og ret - sætter lov og ret ud af kraft af hensyn til statens sikkerhed. Agamben taler om voldsomme begivenheder i det 20. århundredes historie. Han beskriver de lejre, hvor ekskluderede er blevet isoleret, og han viser, hvordan den retsløshed, der først gjaldt for nogle i nogen tid, kan blive permanent for alle altid. De tendenser, Agamben beskriver, ligner påfaldende noget, vi ser i Danmark i dag i forbindelse med det såkaldte paradigmeskift i migrations- og asylpolitikken. Ligheden er specielt tydelig i forbindelse med ghettoplanen og hjemsendelsesydelsen, men også i forbindelse med lejren Sjælsmark og øen Lindholm. Som Ivan Krastev formulerer det, så erstattes den europæiske civilisations drøm om Utopia - frihed og demokrati - af drømmen om Nativia - det sted, hvor alle de forkerte og uønskede kan sendes hen. Denne dagdrøm – kan - som Ernst Bloch sagde - udnyttes politisk og polarisere samfundet, men også udgøre et håb, vi kan lære os at følge.