bluuebunny/crossref_metadata_2025_split huggingface dataset:
Morbidity Pattern among Out-Patients Attending Urban Health Training Centre in Srinagar
Authors: Kumar Santosh , Ali Haroon , Singh Amit Kumar , Raj Abhishek 
Published: April 2019

<p>The current study was designed to identify the morbidity pattern of out-patients attending Urban Health Training Centre in an urban area of a medical college in Srinagar, Pauri Garhwal district, Uttarakhand, North India. The present study record-based retrospective study was conducted among the out-patients attending the regular clinic at the Urban Health Training Centre, of a medical college in Srinagar city of Uttarakhand State of North India during the study period of one year in 2014. Data was retrieved from the OPD registers maintained at the clinic. Data was collected pertaining to socio-demographic profile, morbidity details and treatment pattern. Diseases were identified using the International Classification of Diseases (ICD-10) code. Descriptive analysis was done.<strong> </strong>During the study period, a total of 9343 subjects attended the OPD. Among them, majority of them (60%) were females. More than half (56 %) belonged to the age group of 35-65 year age-group. The association of disease classification was found to be statistically significant with respect to gender. The leading morbidity of communicable disease was found to be certain infectious and parasitic diseases especially Typhoid whereas musculoskeletal system and connective tissue disorders were the most common cause among morbidity due to NCDs. Out of all, typhoid was found to cause maximum of morbidity among the subjects. The present study highlights the morbidity pattern of communicable and NCDs among the population of hilly areas of Garhwal, Uttarakhand India. Priority should be preferred for the regular tracking of diseases in terms of preventive and promotive aspects. Morbidity in the out- door clinics reflects the emerging trend of mixed disease spectrum burden comprising communicable and non-communicable diseases.</p>
Patient Safety Culture Status and Its Predictors among Healthcare Workers
Authors: Mitiku Mengistu , Aregay Alemseged , Hailu Tesfay 
Published: April 2019

<p>Good patient safety culture of healthcare professionals brings about fine consequences for patients. This study, therefore, aimed in evaluating the current status and predictors of safety culture among healthcare workers in Mekelle Zone hospitals, Tigray, Northern Ethiopia. A cross-sectional survey was conducted among 325 healthcare workers in three hospitals of Mekelle city from February to May, 2017. Simple random sampling technique was employed to select study subjects. Data was analyzed using SPSS. Logistic regression was used to determine the predictors of patient safety culture among healthcare workers at 95% confidence level and 5% level of significance. Statistical significance was set at p &lt;0.05. Of the 325 Healthcare workers, 21.6% rated the culture of patient safety as satisfactory and 78.4% rated as unsatisfactory. Old aged healthcare workers (AOR=21.9, 95% of CI: 2.51-61.69) and ‘hospital management support for patient safety’ (AOR=2.68, 95% CI=1.06-6.79) were strong predictor of satisfactory patient safety culture. Satisfactory patient safety culture grade obtained was only 21.6%, indicating that health care professionals are not delivering patient centered service and there is a lot of work to be done in the hospitals to improve culture of patient safety among healthcare workers. </p>
Sustainability Capacity of HIV Programs in National Capital Region, Philippines
Authors: B. Cawaling Euris John , Cunanan Dennise U. , Bernarte Racidon P. 
Published: April 2019

<span lang="EN-US">Across all the regions in the Philippines, the National Capital Region (NCR) got the highest percentage (37%) for HIV newly diagnosed cases based from the July-August 2017 HIV/AIDS and ART Registry of the Philippines’ report. The National HIV, AIDS, and STI Prevention and Control Program (NASPCP) of the Department of Health (DOH) lead the different health services in the prevention of HIV transmission. Anchored with the NASPCP, different HIV programs of DOH’s selected partner institutions and organizations within NCR continuously exist. However, due to the increase on the number of newly diagnosed HIV cases in the country, ensuring its sustainability through assessing the different domains of their program was in need to be studied. This article was based from an undergraduate thesis study which aimed to assess the sustainability capacity of HIV programs among DOH’s selected partner institutions and organizations within NCR, Philippines, scoping the eight domains specifically the environmental support, funding stability, partnerships, organizational capacity, program evaluation, program adaptation, communications, and strategic planning. The study used a quantitative approach; 17 government institutions specifically city health offices and 13 non-government HIV-related organizations for a total of 30 respondents. Survey method was utilized using the standardized Program Sustainability Assessment Tool adapted from the Washington University in St. Louis. Based from the results and findings of the study, generally, all the domains were leaning either in great and greater extent as verbally interpreted. From the conclusion, all the domains of the HIV programs of the respondents were sustainable. However, the study recommended to the DOH and all the HIV program implementers the developed and proposed narrative-type action plan. By that means, future researchers can assess again and see if the NCR achieved the vision of the Health Sector Plan for HIV and STI for the year 2015-2020 to have zero new infections, zero discrimination, and zero AIDS-related deaths.</span>
The Effect of Kangaroo Mother Care Method toward Weight Gain and Length of Stay among Low Birth Weight Baby
Authors: Muliani Muliani , Lisnawati Lisnawati 
Published: April 2019

<span lang="EN-US">Infant mortality needs to get serious attention. Special efforts are relatively easy and inexpensive in the handling and care is through treatment methods can improve the stability of</span><span lang="IN">Kangaroo Mother Care</span><span lang="IN">(</span><span lang="EN-US">KMC</span><span lang="IN">)</span><span lang="EN-US"> for babies and breastfeeding</span><span lang="IN">.</span><span lang="IN">The effort hopefully will</span><span lang="EN-US"> contribute to weight gain which take effect on the duration of treatment</span><span lang="IN">.</span><span lang="EN-US"> The study design </span><span lang="IN">was </span><span lang="EN-US">Quasi Experiment with Prepost one group design. Samples were mothers with a history of low birth weight deliveries, with sample selection technique in consecutive sampling and sample number 36 babies. The samples criteria were infants birth weight between 1,000-2,100 gr, weight of infant when KMC was started between 900-2,100 gr, weight of infants post KMC were<br /> 1,300-2,500 gr, babies born with premature or small period of pregnancy. KMC method has the potential to improve the Weight on Low Birth Weight (LBW)</span><span lang="IN">.</span><span lang="IN">D</span><span lang="EN-US">uration of KMC has no effect on weight gain but can accelerate the length of LBW in hospital. The longer do KMC, the shorter duration of hospital LBW in hospital. LBW </span><span lang="IN">should be treated </span><span lang="EN-US">KMC to accelerate weight gain and reducing the length of hospitalization. </span>
Trajectory and Determinant of Functional Independence among Patient with Traumatic and Non-Traumatic Spinal Cord Injury
Authors: Sakti Yudha Mathan , Ferdiana Astri , Putramega Dananjaya , Lanodiyu Zikrina A. , Sakadewa Galih Prasetya , Magetsari Rahadyan 
Published: April 2019

<p>The level of functional independence was directly proportional to life satisfaction and quality of life in patients with spinal cord injury. By knowing the determinants that predict changes in functional independence, medical treatment and rehabilitation can be better planned to improve the patient’s quality of life. We conducted a prospective cohort study on 49 patients with spinal cord injury at Dr. Sardjito general hospital Yogyakarta from April to June 2016. The data were taken before patient underwent surgery, before discharged from the hospital, and 3 months after underwent surgery. We found that most common spinal cord injury was at the level of lumbar vertebra with 28 patients (58%). There was a positive trajectory of the patients with spinal cord injury with ASIA grade B-E classification. However, patients with spinal cord injury with ASIA classification grade A have a neutral trajectory.We conclude there was a positive trajectory between functional independence and traumatic or non-traumatic spinal cord injury except in patients with ASIA grade A classification spinal cord injury. The determinants that affected the trajectory of patients with spinal cord injury were the level of the injured vertebra and severity of the neurological deficit. </p>
Black Cumin Seed Oil Antidiabetogenic by Increasing Pancreatic P53 Expression
Authors: Akrom Akrom , Nurfadjrin Rizma , Darmawan Endang , Hidayati Titiek 
Published: April 2019

<span lang="EN-US">Black cumin seed oil (BCSO) contains many thymoquinone and unsaturated fatty acids that act as antioxidants. Thymoquinone was thought to inhibit pancreatic damage and prevent hyperglycemia by involving p53. The study aim</span><span lang="IN">ed</span><span lang="EN-US"> to determine the BCSO effect on Malondialdehyde</span><span lang="IN"> (MDA)</span><span lang="EN-US"> levels and p53 expression of pancreatic tissues in alloxan-induced Sprague Dawley (SD) rats. This study used Pre and Post Test with Control Group Design with 49 male Sprague Dawley rats aged 30 days weighing 150 - 300 gram. Rats were divided into 7 groups: Group I, the normal control group receiving standard feeding and drinking; Group II, the negative control group receiving alloxan; Group III &amp; IV, the treatment groups, receiving BCSO with a dose of 6.9 mg/KgBW (BCSO6.8) and 68 mg/KgBW (BCSO68 group); Group V, the positive control 1 group receiving simvastatin 10 mg/KgBW; Group VI, the positive control 2 group receiving vitamin C 18 mg/200mgBW; Group VII, the solvent control receiving DMSO. The treatment groups received two different doses per day for 9 days orally. Blood MDA and glucose levels were determined by spectrophotometry and p53 expression of pancreas tissues were read by a pathologist. The results show that the BCSO68 group had a decreased activity of MDA and glucose but a higher expression of p53 in pancreatic tissues compared to the BCSO6.8 group. Decreased Malondialdehyde levels in the BCSO68 group were similar to those in the vitamin C group but lower than those in the simvastatin group (p&lt;0.05). It can be concluded that the BCSO administration of 68 mg/KgBW per day can decrease blood Malondialdehyde and glucose levels and increase p53 expression. </span>
Quality of Care Received by Children from 1 to 23 Months: Realities in The City of Antananarivo
Authors: Randriatsarafara Fidiniaina Mamy , Rakotovao-Ravahatra Domoina Zafindrasoa , Ravaoarisoa Lantonirina , Faramalalatiana Rafanomezantsoa Ando , Marie Rakotomanga Jean De Dieu , Dieudonné Randrianarimanana Vahiniarison 
Published: April 2019

<span>Children's health depends on the proper care they receive from their mothers. This study aims to describe the quality of care received by children from 1 to 23 months in the city of Antananarivo. This is a cross-sectional and analytical study for a period from December 2016 to April 2017 in the city of Antananarivo which is the capital of Madagascar. The study population was made up of 420 mother-child dyads living in the city of Antananarivo. Regarding the care received by children, 47.6%, 95% Confidence Interval (CI) [42.8–52.4] benefit from quality nutrition care, 92.3%, 95% CI [89.8-94.8], have a social care and 45.5%, 95% CI [40.9–50.5] receive health care. The hygiene of life 66.4%, 95% CI [61.6–70.6] and the body hygiene 35.3%, 95% CI [30.6–39.8] improve as the child grows up. The care received by children was complete for the five types in 7.6%, 95% CI [5.1–10.1]. With regard to the profile of the mother, mothers under the age of 18 (OR=3.25, 95% CI [1.07-9.46]) and those who are single (OR=3.47, 95% CI [1.24-9.35]) offer more acceptable care to their infants. Infant care depends on the socio-economic and demographic profile of the mother. Thus, it is important to strengthen the communication strategy on infant first aid gestures and mothers' education on childcare.</span>
Mercury or Mercury Free Restorations in Oral Cavity
Authors: Yadav Rakesh Kumar , Verma Umesh Pratap , Tiwari Rini , Chaurasia Akhilanand 
Published: April 2019

<span>Amalgam is basically a concoction of metals that has been used as a potent filling material in dentistry for the last 150 years. Amalgam usually consists of silver, mercury, tin and copper. Dental amalgam is a material used to fill cavities of tooth. Over the years, amalgam has become a topic of concern because it contains mercury. Mercury is a naturally occurring metal in the environment. Mercury exists as a liquid in room temperature but when heated, it becomes a gas. Flexibility of amalgam as a filling material is due Mercury. An alloy powder, a compound that is soft in nature when mixed with mercury makes it enough to mix and condense into the tooth. It hardens quickly and offers strong resistance to the forces of biting and chewing. There are studies reported on the safety of amalgam fillings. In 2005, European Union launched a comprehensive mercury strategy to reduce use of mercury. In 2008, countries like Norway and Denmark restricted the use of dental amalgam containing mercury. In 2009, this research was evaluated by U.S. Food and Drug Administration (FDA) and found no rationale to limit the use of amalgam. There are certain restorative materials that are available commercially that are mercury free in nature like Gold, Porcelain, Gallium alloys, Composite resin restoratives etc. They offer many advantages over amalgams containing mercury like: seals the dentin from future decay, reinforces remaining tooth structure, provides smooth and bonded margins, conservative and it blends naturally.</span>
Acceptance of Health Information System for Public Health Centre in North Borneo, Indonesia
Authors: Kusumawati Nurul Irma , Sulistyawati Sulistyawati 
Published: April 2019

<p><span lang="EN-GB">This study sought the factor associated with own acceptance of HIS for PHC by using the modification of Technology Acceptance Model (TAM) in the Sebengkok PHC, Central Tarakan Subdistrict, Tarakan City, North Borneo, Indonesia. A cross-sectional approach was conducted through a survey on the 37 of PHC’s user. A set of questionnaires which was adopted from the previous research was used to collect the information from the participant. The model was developed by involving job relevance, output quality, result demonstrability, screen design, terminology, facilitating condition, perceived of usefulness, perceived ease of use, intention to use and system use (actual usage) as the construct. According to the hypothesis testing, perceived usefulness predicted by terminology, perceived ease of use is significantly predicted by screen design and terminology, perceived usefulness significantly predicts the intention of use and perceived ease of use, while system use which predicted considerably by the intention of use and facilitating condition. This study may have a contribution to the future improvement of HIS for PHC and guide the next coming research to dig the difference acceptance among the user. </span></p>
Role of Curcuma longa in the Management of Gingivitis
Authors: Verma Umesh Pratap , Abhaya Gupta , Disha Sharma 
Published: April 2019

<p>The most prevalent form of periodontal disease is gingivitis. The bleeding on probing, erythema, edema and ulceration are important signs of gingivitis. Previously conventional periodontal therapy has relied almost exclusively upon mechanical debridement of tooth surface. But as of today conventional periodontal therapy alone is not sufficient because pathogenic bacteria has been demonstrated not only in gingival tissue but even up to the crest of alveolar bone itself. Because of the side effect of non-steroidal anti-inflammatory drug, the use of medicinal plants for treatment of this disease was advocated. Amongst the herbs, <em>Curcuma longa </em>belonges to family Zingiberaceae, commonly available in India and used in various domestic affairs popular as Haldi. The present study has been conducted with aims to evaluate the anti-inflammatory effect of extract of <em>Curcuma longa</em> as topical and irrigant in various concentrations (0.5&amp;1%) on inflamed gingival tissue of patient with gingivitis. All the subjects were divided into two groups. Group one was control, Group two (Test Group) was further subdivided in to IIa and IIb. Results revealed the extract of Curcuma longa play a significant role in reducing the inflammatory response of the gingiva like reduced gingival score, bleeding on probing and probing depth.</p><p> </p>
Risk Factors of Drug Abuse among Adolescence
Authors: Sofiana Liena , Musvita Ayu Suci , Wibowo Marsiana , Gustina Erni , Muhtori Satriawan Jaohandhy 
Published: April 2019

<p>Yogyakarta City, which is known as the center of education is a potential place for drug abuser to distribute illegal substance to the youth. It is evident in the great number of drug users in Yogyakarta City, in which 50% of them are adolescents and university students. The research aimed to know the relationships predisposing, enabling, and reinforcing factors and the drug abuse among adolescents in Yogyakarta City. The research employed cross sectional design. The samples were taken using multistage random cluster sampling. The data were taken through questionnaire given to 481 youth, at the age of 15-19 years in 18 senior high school and the equals in Yogyakarta City. The data were then analyzed using Chi Square test. Attitude, self-confidence, family role, and peer’s role are related to drug abuse. Knowledge, information sources, and teacher’s role are not related to drug abuse. </p>
Predicting Smoking Behaviors among Junior High School Students in Ghana
Authors: Thompson Emmanuel , Sofo Seidu 
Published: April 2019

<p><span lang="EN-US">Despite the rising rate of smoking in sub-Sahara African countries, measures to control the tobacco epidemic have been limited to developed countries. The purpose of the present study was to recommend predictive models for determining predictors of smoking tendencies among junior high school students in Ghana. The 2009 Global Youth Tobacco Survey (GYTS) served as the data source. The GYTS is a school-based survey designed to enhance the ability of countries to monitor tobacco use among youth and to guide the implementation and evaluation of tobacco control and prevention programs. Logit model and forward selection were used to choose predictive variables for smoking tendencies and behaviors. Receiver Operating Characteristic (ROC) curve, Area under the curve (AUC) and C-Index were validation tools used to assess the predictive power of recommended models. Results showed promising potential for different predictive models: where students smoked, having friends who smoked, having people smoke in their presence, chewing tobacco products, and a student’s sex significantly predicted their smoking tendencies. </span></p>
Atuação da Terapia Ocupacional no Consultório na Rua
Authors: Prodocimo Camila Regina , Milek Glenda , Ferigato Sabrina Helena 
Published: April 2019

Este artigo é resultado do trabalho de conclusão de curso intitulado “Corpos de criação: A atuação da Terapia Ocupacional no Consultório na Rua” e apresenta as contribuições da Terapia Ocupacional nas ações no Consultório na Rua. Objetivos: o estudo teve como objetivo geral conhecer e analisar a atuação da Terapia Ocupacional no Consultório na Rua junto às equipes e usuários deste dispositivo e como objetivos específicos buscou identificar, descrever e diferenciar as ações no campo da Atenção Primária em geral e no núcleo profissional junto à população atendida. Métodos: O estudo tem como enfoque uma pesquisa de abordagem qualitativa com caráter exploratório através da análise de cinco entrevistas semiestruturadas realizadas em 2017 com terapeutas ocupacionais em três municípios do estado de São Paulo. Resultados: As intervenções da Terapia Ocupacional no Consultório na Rua foram apresentadas em dois grupos I) ações do campo da Atenção básica e II) ações do núcleo da Terapia Ocupacional. Conclusão: A incorporação das terapeutas ocupacionais na equipe e no trabalho in loco, permitiu a ampliação de estratégias de cuidado, para além das ações curativas ou preventivas. Às ações de núcleo se apresentaram como uma das potências do serviço, ampliando a apropriação do usuário em relação à seu cuidado. Os terapeutas ocupacionais atuam principalmente proporcionando encontros, experimentações de si e do mundo por meio de atividades, frente as inúmeras possibilidades que a vida cotidiana na rua oferece.
Pectus excavatum repair using bridge fixation system
Authors: Vinh Vu Huu , Khanh Huynh Quang , Binh Nguyen Hoang , Khoi Nguyen Van 
Published: April 2019

BackgroundThe stability of the pectus bar is an important determinant of the success of pectus excavatum repair surgery. In practice, several different types of fixation method are in use for stabilizing pectus bars. The aim of this study was to compare the performance of the bridge fixation system with previous fixation systems for stabilizing pectus bars.MethodsWe performed a retrospective review of 1760 pectus excavatum repair cases conducted in the Thoracic Department of Choray Hospital and its satellite hospitals, between 2007 and 2017. We compared the results of 560 patients who had the bridge fixation system with the previous 1200 patients who had other fixation techniques.ResultsThe bridge fixation system with 2 bars in 560 patients gave better results in terms of bar stabilization, operative time, and postoperative complications, compared to the previous 1200 patients who had other stabilization techniques. The average skin-to-skin surgery time using the bridge fixation system was 55 min. Of the 560 cases, only one patient showed trivial one bar dislocation, and one had a postoperative complication (pneumothorax).ConclusionsWe found the bridge fixation system to be superior not only in terms of stabilizing the bars but also for minimizing the time of surgery and postoperative complications, compared to other fixation systems. The bridge fixation system with 2 bars showed excellent results. Use of 3 bars is not necessary. One bar was used in the other fixation techniques and the results were found to be inferior compared to those using 2 bars.