bluuebunny/crossref_metadata_2025_split huggingface dataset:
MOOCs, Graduate Skills Gaps, and Employability: A Qualitative Systematic Review of the Literature
Authors: Calonge David Santandreu , Shah Mariam Aman 
Published: November 2016

<p class="3">The increasing costs of higher education (HE), growing numbers of flexible anytime, anywhere learners, and the prevalence of technology as a means to up-skill in a competitive job market, have brought to light a rising concern faced by graduate students and potential graduate employers. Specifically, there is a mismatch of useful skills obtained by students through HE institutions which is evident upon graduation. Faced with this dilemma, “graduate students,” or more specifically newly graduated students, with a with bachelor’s degree, and a growing number of employers are turning to Massive Open Online Courses, or MOOCs, as a complimentary mechanism through which this skills gap may be bridged. </p><p class="3">It is found in the literature that MOOCs are often discussed within the capacity of their development, their retention rates, institutional policies regarding their implementation, and other such related areas. Examinations into their broader uses, benefits, and potential pitfalls have been limited to date. Therefore, this paper aims to analyse the literature highlighting the use of MOOCs as a means to reduce the mismatch in graduate skills. As such, this literature analysis reviews the following relevant areas: higher education and graduate skills gap, today’s graduates and employability, and MOOCs and graduate skills. Through analysing the literature in these areas, this paper identifies gaps in the existing literature. </p>
Determinants of Teachers’ Attitudes Towards E-Learning in Tanzanian Higher Learning Institutions
Authors: Kisanga Dalton Hebert 
Published: November 2016

<p class="3">This survey research study presents the findings on determinants of teachers’ attitudes towards e-learning in Tanzanian higher learning institutions. The study involved 258 teachers from 4 higher learning institutions obtained through stratified, simple random sampling. Questionnaires and documentary review were used in data collection. Data were analysed using statistical package for the social sciences (SPSS). Chi-square was performed to examine the association of variables.</p><p class="3">It was found that teachers have positive attitudes towards e-learning where computer exposure played a statistically significant contribution to their attitudes. It is recommended that training in e-learning needs to be provided to teachers to widen their understanding of e-learning. There is also a need to strengthen factors associated with teachers’ positive attitudes towards e-learning. Results from this study are of particular importance to both teachers and the education stakeholders in Tanzania.</p>
Total Joint Arthroplasty in Patients with Human Immunodeficiency Virus
Authors: Shah Kalpit N. , Truntzer Jeremy N. , Touzard Romo Francine , Rubin Lee E. 
Published: November 2016

➢ With the advent of highly active antiretroviral therapy (HAART), total joint arthroplasty has become a safe and effective procedure for patients infected with the human immunodeficiency virus (HIV).➢ A correlation between a low CD4+ count (<200 cells/mm3) and major postoperative complications such as deep joint infection has been postulated, although high-level studies are not available in the literature.➢ As most studies have not demonstrated an increase in the incidence of deep-vein thrombosis in patients with HIV/AIDS (acquired immunodeficiency syndrome), our recommendation is to use the standard prophylaxis that is followed by the operating surgeon.
Frekuensi dan Determinan Kontrasepsi Pria di Indonesia
Authors: Ahmad Ahmad 
Published: November 2016

Pertumbuhan penduduk Indonesia terlihat tinggi (1,25%) dengan pertambahan sekitar 7,3 juta penduduk setiap tahun. Sejak tahun 1980,program keluarga berencana berkontribusi terhadap penurunan angka fertilitas dari 5,61 menjadi 2,6 pada tahun 2002. Kontribusi pria menggunakan kontrasepsi berhubu-ngan dengan banyak faktor antara lain meliputi pengetahuan, sikap, praktek, keterbatasan informasi aksesibilitas fasilitas pelayanan kontrasepsi pria, keterbatasan jenis kontrasepsi, dan persepsi masyarakat yang kurang menguntungkan. Penelitian ini bertujuan untuk mengetahui berbagai faktor yang berhubungan dengan penggunaan kontrasepsi pria di Indonesia. Penelitian ini menggunakan sumber data sekunder Survei Demografi Kesehatan Indonesia (SDKI) tahun 2002-2003. Disain penelitian yang digunakan adalah Cross Sectiona l dengan metode analisis Regresi Logistik. Hasil penelitian menunjukkan proporsi penggunaan kontrasepsi pria didasari pada Current User dan Ever User 2002/ 2003 masih rendah (7,7%). Sebaran metode kontrasepsi pria pada responden ( 504, 3,1%) dan senggama terputus (593, 3,6%). Variabel usia, pendidikan, tempat tinggal kemandirian mendapatkan kontrasepsi, pengetahuan berhubungan secara bermakna dengan penggunaan kontrasepsi pria. Variabel pendidikan berinteraksi dengan kemandirian. Variabel yang berhubungan sangat erat dengan penggunaan kontrasepsi pria adalah pengetahuan (nilai-p = 0,000; OR = 28,211; 95% CI; 18,936-42,027. Kata kunci: Kontrasepsi pria, pengetahuan.AbstractPopulation growth in Indonesia is high (1.25%), with additional 7,3 million people each year. Since 1980, family planning gives contribution to the reduction of fertility rate from 5.61 to 2.6 in year 2002. Male contribution by using contraceptive methods is related to many factors such as knowledge, attitude, practice, information limitation, contraception availability and community perception on male contraceptive. This study is aimed to gain information about factors related to the use of male contraceptive methods in Indonesia. This study uses secondary data from SDKI 2002-2003. Study design used is cross sectional with statistical logistic regression analysis. The study results show that proportion of male using contraceptive method is low, only about 7.7%. The methods used include vasectomy 0.5%, condom 2.4%, abstinence 3.1%, and withdrawal 3.6%. Factors related to male contraceptive use are age, education level, residential areas, autonomy in family planning service, knowledge about family planning and male contraceptive, and interaction variable is education*auto-nomy in family planning service. The most dominant factor to male contraceptive is knowledge about family planning and male contraceptive at p value 0.000, OR=28.211, 95 % CI=18.9 – 42.0.Keywords: Male contraceptive, knowledge.
Kinerja Sanitarian Puskesmas
Authors: Ardinal Ardinal 
Published: November 2016

Program penyehatan air bersih dilaksanakan untuk pemenuhan akses masyarakat terhadap air bersih yang mencakup aspek jumlah dan kualitas. Untuk itu, perlu kerja keras pemegang program penyehatan air, khususnya sanitarian puskesmas yang merupakan ujung tombak pelaksanaan program di puskesmas. Tujuan penelitian ini mendapatkan gambaran kinerja petugas sanitasi Puskesmas dan faktor-faktor yang berperan di Kabupaten Solok Tahun 2007. Penelitian ini menggunakan pendekatan kualitatif melalui wawancara mendalam, Diskusi Kelompok Terarah dan observasi, dengan informan sanitarian puskesmas dilanjutkan triangulasi sumber dengan Kepala Puskesmas dan Kepala Bidang PL & PKM Dinas Kesehatan Kabupaten Solok. Kinerja sanitarian puskesmas dalam pelaksanaan program penyehatan air bersih yang rendah terlihat pada cakupan rendah, penyuluhan kurang, pembinaan pokmair kurang, pengawasan air kurang, sistem informasi program tidak jalan. Faktor yang berperan dalam kinerja sanitarian meliputi; kemampuan dan keterampilan kurang, supervisi dari Kabupaten dan Puskesmas kurang; pelatihan sanitarian yg kurang dan tidak sesuai kebutuhan, motivasi sanitarian rendah, imbalan dan dana operasional kurang, beban kerja tambahan, sarana dan prasarana tidak memadai, prioritas program kurang, akses wilayah kecamatan terisolir tidak lancar, serta prog-ram air bersih yang belum prioritas. Kata kunci : Program penyehatan air bersih, petugas sanitasi, air bersihAbstractHealthy and hygienic water program is implemented to fulfill public access to hygienic water, not only in quantity but also the quality of hygienic water consumed by public. This study aim is to describe performance of sanitation officer in community health center and factors related in Solok District in 2007. This study used qualitative method by in-depth interview, focus group discussion and observation; informant is sanitation officer in community health center, which was source triangulated with the head of community health center and head of PL and PKM of District Health Office. Low performance of sanitation officer was reflected in low coverage, low frequency of counseling, low frequency of community training, low frequency of water monitoring, information system program was not functioned well. Factors which are important on sanitation officer performance include: less ability and skill of sanitation officer, less supervision of district and community health center head, less training frequency of sanitation officer and the need is not matched, low motivation of sanitation officer, less reward and operational fund, many extra jobs, facility and basic facility are not adequate, less program priority by head of community health center, access to several working areas is not good especially in the isolated subdistrict, and budget policy of District Health Office which is not prioritizing sufficient budget for health and hygienic water program.Keywords: Healthy and hygienic water program, sanitation officer, hygienic water
Indonesia Diagnosis Related Groups
Authors: Rivany Ronnie 
Published: November 2016

Di Amerika dan Australia, Kelompok Diagnosis Terkait (Diagnosis Related Group’s ) (DRGs) adalah suatu cara mengidentifikasi dan mengelompokkan pasien yang mempunyai kebutuhan dan sumber yang sama dirumah sakit berdasarkan alur perjalanan klinis (Clinical Pathway ). Penyakit yang mempunyai co morbidity atau co mortality, disebut Casemixdan mempunyai kode yang memperlihatkan derajat keparahan kelompok penyakit sehingga secara linear akan mem-pengaruhi besaran biaya perawatan. Dengan demikian, pembayaran perawatan di rumah sakit akan dilakukan berdasarkan “kesembuhan“ (cost of treatmentper diagnosis ), dan bukan berdasarkan penggunaan pelayanan medis dan non medis (fee for services). Di Indonesia sampai kini belum ada model perhi-tungan biaya untuk pembayaran perawatan mulai pasien masuk sampai sembuh dan keluar rumah sakit berdasarkan diagnosis (cost of treatment per diag-nosis). Pola pembiayaan yang digunakan di rumah sakit masih didasarkan pada fee for services. Dalam bentuk tesis, konsep Indonesia – DRG/ INA –DRG kami kembangkan di Fakultas Kesehatan Masyarakat Universitas Indonesia, mengacu pada Australian DRG.Kata kunci : INA-DRG, kelompok diagnosis terkait, alur perjalanan klinisAbstractIn America, and Australian, Diagnosis Related Groups, known as DRGs is a method to identify and classify inpatients that have the same resources within hospitals based on Clinical Pathway. It has numbering/coding system used like a menu for determining the cost. The co morbidity and/or co mortality of a di-sease is called the Casemix, where it has numbering/coding that shows the degree of severity, which the cost linearly increased. Therefore the financing is based on the in-patients’ ”recovery” (cost of treatment per diagnosis), and not based on the utility of the medical and non medical treatments ( fee for services). One of the issues arise in Indonesia’s health financing system is that it does not have the costing model for health care financing, for inpatients from ad-mission to discharge (cost of treatment per diagnosis). Therefore the financing system used is based on fee for services. Using Australian DRG as reference, the concept of Indonesia–DRG / INA–DRG is developed by the researcher with Graduate Students in the Public Health and Hospital Administration Program, Postgraduate Studies Faculty of Public Health University of Indonesia, in Thesis.Keywords : INA-DRG’s, diagnosis related groups, clinical pathway
Kepuasan Pasien dan Kunjungan Rumah Sakit
Authors: Hafizurrachman Hafizurrachman 
Published: November 2016

Kepuasan pasien ternyata tidak selalu meningkatkan kunjungan pasien di fasilitas pelayanan kesehatan. Penelitian ini bertujuan mengetahui hubungan kepuasan pasien dengan jumlah kunjungan di rumah sakit. Penelitian ini menggunakan data primer survei pelayanan di rawat jalan dan rawat inap selama 9 periode pengukuran pada 2007 – 2009 dan data sekunder kunjungan rumah sakit pada periode yang sama, jumlah sampel adalah 125 pasien per periode yang diambil dengan metoda stratified random sampling. Analisis dilakukan secara analisis time series dengan metode tren kuadrat terkecil (Least Square Method ), analisis regresi sederhana dan analisis uji perbedaan tiga atau lebih rata-rata (Uji-Kruskal Wallis). Penelitian ini memperlihatkan tingkat kepuasan pasien berpengaruh terhadap variasi jumlah kunjungan dengan nilai nol pada rawat jalan dan sangat kecil pada rawat inap. Pada rawat jalan tingkat kepuasan pasien tidak berbeda untuk setiap periode, tetapi pada rawat inap berbeda. Terlihat perbedaan tingkat kepuasan pasien rawat jalan dan di rawat inap, te-tapi secara statistik diketahui tidak telihat perbedaan tingkat kepuasan antara jumlah kunjungan pasien rawat jalan dan rawat inap pada setiap periode pengu-kuran di suatu rumah sakit swasta di Tangerang tersebut.Kata kunci : Kepuasan, kunjungan, kualitas, tren AbstractTo improve services in order to increase patient satisfaction, does not necessarily means to cease the search for innovative effort to improve the quality of health service hospital. One way to know the value of customers is through customer satisfaction surveys. Based on the customer satisfaction survey it can be known what is the indicators of customer satisfaction and customer expectations, which in turn may increase the expected visit. The purpose of this re-search is to know the level of patient satisfaction in a private hospital in Tangerang in 2007 until 2009. Survey research design is used to find the differences between the level of satisfaction in out-patient and inpatient services during the 9 period of measurement in 2007-2009, and the secondary data of hospital visit in the same period. Number of sample is 125 patients per period taken with a stratified random sampling. Analysis done in time series analysis methods with the smallest quadratic trends (Least Square Method), simple regression analysis and Kruskal-Wallis test. The result is that the patient satisfaction level affect the number of visits for both types of patient. Among the out-patient, there is no difference found in the level of patient satisfaction among different periods, while the situation is contrary among the inpatient at a private hospital in Tangerang 2007-2009.Keywords : Satisfaction, visits, quality, trends
Makanan Etnik Minahasa dan Kejadian Penyakit Jantung Koroner
Authors: Kandou Grace Debbie 
Published: November 2016

Penyakit jantung koroner yang menjadi kausa utama kematian di seluruh dunia merupakan masalah kesehatan masyarakat yang penting di seluruh dunia, termasuk Indonesia dan Sulawesi Utara. Kebiasaan makan yang dipengaruhi oleh faktor budaya, adat istiadat, agama dan kepercayaan berperan penting dalam proses kejadian penyakit. Penelitian ini bertujuan mengetahui pengaruh kebiasaan makan etnik Minahasa terhadap kejadian penyakit jantung koro-ner. Penelitian di RSU Prof. Dr. R.D. Kandou ini menggunakan disain studi kasus kontrol dengan ukuran sampel 128 kasus dan 128 kontrol. Data frekuensi makan dikumpulkan dengan Food Frequency Quationnaire (FFQ). Makanan etnik Minahasa ditentukan berdasarkan 41 jenis makanan yang dikompositkan. Asam lemak jenuh pada setiap jenis makanan etnik Minahasa umumnya mengandung ALJ dengan kisaran kadar 0,01-10,46% food per 100 gram.Pengkomsumsi makanan Mihahasa dengan frekuensi makan ≥ 2 kali/ bulan berisiko PJK 4,43 kali lebih besar daripada pengkonsumsi ≤ 1 kali/ bulan setelah dikontrol dengan variabel daging babi hutan(OR=4,3 95%CI:1,66-11,05), kotey(OR=7,15 95%CI: 1,70-30,08), merokok (OR=2,76 95% CI: 1,36-5,61), usia(OR=1,96 95%CI: 1,36-2,83), jenis kelamin(OR=2,86 95%CI: 1,41-5,78) dan hipertensi (OR=5,86 95%CI: 2,94-11,66). Kebiasaan makan dengan freku-ensi sering berisiko 5,4 kali lebih besar untuk terkena PJK daripada yang mempunyai kebiasaan makan jarang setelah dikontrol variabel jenis kelamin, riwa-yat keluarga PJK dan diabetes.Kata kunci: Kebiasaan makan, penyakit jantung koronerAbstractCoronary Heart Disease (CHD) is the leading cause of disability and mortality in the world, including Indonesia and North Sulawesi province. There are many factors that has contribution to the development of CHD. Food habit that influenced by culture and religion is known as a risk factor. The objective of this study is to know the effect of food habit and food variety of Minahasan to the risk of CHD. The methodology used in this research was case control, with respondents drawn from the Prof. Dr. R.D. Kandou General Hospital, Manado, North Sulawesi province. The samples were consisted of 128 cases of CHD and 128 controls of noncoronary heart diseases. Eating frequencies were collected through a Food Frequency Questionnaire (FFQ). Those who were eating “ babi putar ” (roasted pork) more than twice a month had potentially 4.43 times to develop CHD compare to those who were eating less than once a month con-trolled by consumption of “ babi hutan ” (wild boar) (OR=4,3 95% CI: 1,66-11,05), “ kotey/sa’ut ” (OR=7,15 95% CI: 1,70-30,08), smoking (OR=2,76 95% CI: 1,36-5,61), age (OR=1,96 95% CI: 1,36-2,83), gender (OR=2,86 95% CI: 1,41-5,78) and hypertension (OR=5,86 95% CI: 2,94-11,66). Those with food habit which include higher frequency of consumption of composite of “high risk” 41 Minahasan food items has 5.4 times higher risk to develop CHD compared to thosewho has lower frequency, after controlled by gender, family history of CHD and Diabetes Mellitus.Keywords: Food habit, coronary heart disease
A Study among Community Living Underneath SUTET about The General Health Condition and The Electromagnetic Fields Exposures
Authors: Wawolumaya Corrie , Darwanto Djoko 
Published: November 2016

SUTET or the Extra High Voltage Transmission Line of 500 kV has passed through larger residential areas in the community. The aim of study is to provide the description of general health condition of community residing under SUTET in the urban poor of Jakarta and surrounding. The design of study was cross sectional, carried out among 1200 respondents which were taken stratified proportional purposively, based on zones of the electromagnetic field exposures. Data were collected through observation, interview and physical examination. The electric field and the magnetic field exposures were separately measured outside and inside the houses. The highest electromagnetic field exposures were measured at one meter height above the ground , for the electric field 3,1 kV/m. and the magnetic field 550 mA/m or 687,5.10-3µT, were identified in zone 1 0-20 ms. The magnetic field was decreasing gradually through zone2 300mA/m and nearing zero in zone 3. Both the highest electric field and the magnetic field exposures were below the threshold values stated by SNI 2003, 5 kV/m dan 0,1 mT or 80.104 mA/m (note: 1 A/m = 1,25 µT). The highest electric field exposure was identified at one meter height from the ground 2,5 kV/m at 02.00–03.00 hours a.m and the highest magnetic field 2400 mA/m at 12.00-16.00 hours p.m. The biggest portion of houses was poor ( 30 %) were beinghoused for morethan 30 years. The major diseases were found similar in all zones i.e., dental diseases, myopia and hypertension.Keywords: SUTET, zones, physical examination, 10 major diseases.AbstrakJaringan SUTET Perusahaan Listrik Negara banyak melalui daerah pemukiman. Tujuan penelitian mendapatkan gambaran kesehatan penduduk yang bermukim di bawah SUTET dan di daerah urban miskin Jakarta dan sekitarnya. Penelitian disain kroseksional ini dilakukan pada sample 1200 kepala keluarga yang ditarik secara stratifikasi proportional purposif berdasarkan zona kuat medan elektromagnet. Data dikumpulkan dengan metoda observasi, wawancara dan pemeriksaan kesehatan. Kuat medan listrik dan medan magnet diukur terpisah di luar rumah, dan di dalam rumah. Ditemukan kuat medan listrik tertinggipada ketinggian 1 meter di atas tanah 3,1 kV/m. Kuat medan magnet 550 mA/m atau 687,5.10-3µT diidentifikasi dalam zona 1 0-20 m yang menurun be-rangsur pada zona 2 300mA/m dan mendekati 0 pada zona 3. Medan listrik dan medan magnet berada di bawah nilai ambang SNI 2003, 5 kV/m dan 0,1 mT atau 80.104 mA/m (note: 1 A/m = 1,25 µT). Medan listrik tertinggi ditemukan pada ketinggian 1 meter dari tanah 2,5 kV/m pada jam 02.00–03.00 pagi danmedan magnet ttinggi 2400 mA/m pada jam 12.00-16.00 .Jenis rumah terbanyak adalah rumah kumuh ( 30 %) telah dimukimi lebih 30 tahun. Penyakit uta-ma di semua zona adalah gangguan gigi geligi, myopia dan hipertensi yang tidak berbeda antara zona.Kata kunci : SUTET, zona, kondisi kesehatan, 10 penyakit utama.
Gangguan Akibat Kekurangan Iodium di Indonesia: Tinjauan Epidemiologis dan Kebijakan Kesehatan
Authors: Pramono Laurentius Aswin 
Published: November 2016

Gangguan Akibat Kekurangan Iodium (GAKI) merupakan penyebab retardasi mental terbesar di seluruh dunia yang dapat dicegah. Dewasa ini, GAKI masih merupakan masalah kesehatan masyarakat yang penting di Indonesia karena belum mampu mencapai kondisi eliminasi seperti yang diharapkan. Hasil survei tahun 2003 dan Riskesdas 2007 menunjukkan bahwa pencapaian program penanggulangan GAKI di Indonesia masih jauh dari target Universal Salt Iodization dan Indonesia Sehat 2010. Artikel ini bertujuan mengevaluasi berbagai eviden epidemiologi yang berhubungan dengan kebijakan GAKI di Indonesia. Padamasa mendatang, berbagai komitmen lintas sektoral sangat diperlukan bagi pencapaian kondisi eliminasi GAKI. Perhatian klinisi dan ahli epidemiologi ter-hadap permasalahan GAKI di Indonesia masih rendah. Demikian pula, publikasi ilmiah yang mengkaji GAKI dari sudut pandang epidemiologi dan aplikasinya bagi kebijakan kesehatan. Artikel ini diharapkan dapat memberi gambaran dan perspektif epidemiologi yang luas bagi para klinisi dan ahli kesehatan masyarakat.Kata kunci: GAKI (Gangguan Akibat Kekurangan Iodium), penanggulangan, epidemiologi, kebijakan kesehatan.AbstractIDD (Iodine Deficiency Disorders) is the most common cause of preventable mental retardation in the world. Nowadays, IDD still one of the most important public health problems in Indonesia. Up to now, Indonesia has not yet reached the target of IDD elimination as expected. National IDD Survey at 2003 and National Health Survey at 2007 show the achievement of IDD control program in Indonesia is still below the target of Universal Salt Idozation and Indonesia Health 2010 (RAN KPP GAKI strategy). Cross-sectoral commitment is very important for the elimination of IDD in the future. Clinicians and epidemiologist concern for IDD elimination in Indonesia is still low, so does the publications in the field of IDD from epidemiology and health policy perspective. It is expec-ted that this literature review can give broad description and epidemiological perspective for clinicians and public health experts. Key words: IDD (Iodine Deficiency Disorders), control program, epidemiology, health policy.