bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Community Health Worker Model: A Grass-Roots Approach for Measles Prevention in Refugee Camps
Authors: Baier Kristina , Deonandan Raywat 
Published: January 2017

ABSTRACTSyria’s protracted civil war has resulted in massive population movements into refugee camps. Such movements, in conjunction with lower vaccination rates, potentiate infectious disease outbreaks. Measles transmission is a continuous threat in refugee camps, and a sustainable approach to providing preventative medicine in camps is warranted. The community health worker model can be used to identify unvaccinated persons, detect probable cases and refer individuals to health clinics within the camps for prophylaxis and medi­cal care, respectively. Through this grass-roots approach, community health workers become an on-the-ground surveillance system that can determine demographic trends and facilitate public health responses to potential outbreaks. RÉSUMÉL’interminable guerre civile en Syrie a entraîné des déplacements massifs de population vers des camps de réfugiés. De tels mouve­ments de population, en concomitance avec de plus faibles taux de vaccination, accroissent les risques de flambées épidémiques. La transmission de la rougeole est une menace continue dans les camps de réfugiés, et une solution durable dans l’administration de médecine préventive dans ces camps est justifiée. Le modèle des agents de santé communautaires peut être adopté pour identifier les personnes non vaccinées, détecter les cas probables et adresser ces individus aux cliniques de santé des camps pour qu’ils puissent y recevoir de la prophylaxie et des soins médicaux, respectivement. Grâce à cette approche locale, les agents de santé communautaires forment un système de surveillance sur le terrain qui permet de déterminer les tendances démographiques et de faciliter les interven­tions de santé publique contre les épidémies potentielles.
A study on common pathogens associated with nosocomial infections and their antibiotic sensitivity
Authors: Ahirrao Varsha Suresh , Mauskar Anupama , T. Ravi 
Published: January 2017

Background: S. aureus, coagulase negative staphylococci, enterococci, a variety of gram-negative bacilli, and Candida spp. are responsible for the vast majority of infections. Coagulase negative staphylococcal infections have increased dramatically in past 2 decades, almost entirely because of increase in the frequency of blood stream infections caused by these organisms.Methods: Appropriate microbiological samples were taken from the site of infection from all the patients included in the study. Whenever necessary, required serological examinations are sent.Results: Of 30 episodes of nosocomial infections from which any pathogen was isolated, three episodes were polymicrobial. Gram-negative organisms were more frequently (76.67%) isolated than gram-positive organisms (20%), and fungi (3.33%).Conclusions: Almost all gram-negative bacteria showed 100% sensitivity to Imipenem. Pseudomonas isolates showed sensitivity of 100% to Imipenem, 83.33% to Piperacillin+Tazobactum. Klebsiella showed sensitivity of 83.33% to Ciprofloxacin and Amikacin.
Factors determining the knowledge related to tuberculosis in a rural community, a community based cross sectional study
Authors: Rushender C. Rajan , Kumar G. Dinesh , Logaraj M. 
Published: January 2017

Background: Tuberculosis (TB) remains a major public health problem. It is reported that, globally, about 9 million people developed tuberculosis and about 1.5 million people died due to tuberculosis across the globe in 2013.Methods: A descriptive cross sectional study was conducted in the Rural Health Training Center, SRM Medical College to assess knowledge and practice regarding tuberculosis using a pretested Interview schedule. Adult population, who are residing in the field practice area were considered as study population. The study period was between August 2013 to February 2014.Results: A total of 246 study subjects were included in the final analysis with the majority of the participants to be between 21 to 40 years (39.40%). Cough and expectoration as symptom of TB was known to 82.5% of study subjects. Only 22.8% of the study subjects are aware of at least one extra pulmonary for of tuberculosis. The proportion of subjects with good overall knowledge about TB was highest in subjects aged 61 and above, lowest in 41 to 60-year age group. The proportion of subjects with good knowledge had gradually increased with increasing socio economic status.Conclusions: Culture specific IEC interventions and their delivery mechanisms need to be designed, considering the highly heterogeneous nature of population in India.
Efficacy of analgesics in patients undergoing arthroscopic repair of rotator cuff at Gujarat Adani institute of medical science, Bhuj, Kutch, Gujarat
Authors: Kotak Abhinav , Rudani Suresh 
Published: January 2017

<p class="abstract"><strong>Background:</strong> To evaluate analgesic efficacy when catheters are positioned with assistance of arthroscope to block suprascapular and axillary nerves in patients undergoing arthroscopic repair of rotator cuff under general anesthesia<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> Present study was performed at department of orthopedics, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat. 24 patients who experienced arthroscopic repair of rotator cuff between July 2015 and October 2015 were catheterized to block suprascapular and axillary nerves through shoulder arthroscopy were incorporated in the study. Clinical outcomes were assessed using visual analog scale (VAS) scores preoperatively and at 0 h, 6 h, 12 h, 18 h, 24 h, and postoperative day 2.<strong></strong></p><p class="abstract"><strong>Results:</strong> Preoperative and postoperative 0 h, 6 h, 12 h, 18 h, 24 h, and day 2 mean VAS scores were 6.37±0.91, 0.45±0.39, 0.59±0.40, 0.62±0.39, 0.61±0.42, 0.51±0.35, and 1.54±0.50, respectively. No statistical difference was found among 0 h, 6 h, 12 h, 18 h, and 24 h time points; however, assessment of postoperative day 2 and postoperative 0 h, 6 h, 12 h, 18h and 24 h VAS scores showed statistically significant difference (P<em> </em>&lt;0.05). All patients were discharged at the end of 24 h with no complication. The mean time (in minutes) required for blocking suprascapular nerve and axillar nerve were 14.38±3.21 and 3.75±0.85, respectively<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> These results confirmed that blocking two nerves with arthroscopic approach was an excellent pain management method in postoperative period. Accordingly, patients could recover rapidly and patients’ satisfaction could be improved<span lang="EN-IN">.</span></p><p class="abstract"> </p>
APLIKASI MODEL EDUKASI POSTNATAL MELALUI PENDEKATAN FAMILY CENTERED MATERNITY CARE (FCMC) SEBAGAI STRATEGI OPTIMALISASI COMPETENT MOTHERING
Authors: Asmuji Asmuji , Indriyani Diyan 
Published: January 2017

Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support. Methodology: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents. Result: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00. Discussion: This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively. Keywords: Postnatal Education Model, FCMC, Competent Mothering
HUBUNGAN EKSPRESI HSP 70 DAN EKSPRESI RESEPTOR OPIOID MU PADA PENURUNAN NYERI TERAPI BEKAM BASAH
Authors: Subadi Imam , Laswati Hening , JM Harjanto 
Published: January 2017

Latar belakang. Terapi bekam basah banyak digunakan untuk mengurangi nyeri, namun mekanisme penurunan nyeri terapi bekam basah belum jelas. Peregangan dan tusukan pada terapi bekam basah menimbulkan stres pada sel. Sel yang mengalami stres mengekspresikan HSP 70 dan reseptor opioid mu.Tujuan penelitian. Penelitian ini bertujuan membuktikan korelasi peningkatan ekspresi HSP 70 dan peningkatan reseptor opioid mu pasca terapi bekam basah.Bahan dan Metode. Jenis penelitian ini adalah penelitian eksperimental dengan rancangan randomized control group post test only design. Dua puluh empat tikus jenis Wistar (Rattus norvegicus) secara random dibagi menjadi tiga kelompok yang masing-masing terdiri dari 8 ekor tikus yaitu kelompok kontrol negatif (tikus normal), kelompok induksi nyeri dengan Complete Freund’s Adjuvant (CFA) saja (kontrol positif) dan kelompok yang diberi induksi nyeri dan terapi bekam basah (10 tusukan dan tekanan negatif: - 200 mmHg, 5 menit). Sampel diambil dari kulit dan dilakukan pemeriksaan imunohistokimia dengan antibodi monoklonal anti reseptor opioid mu. Waktu reaksi ambang nyeri diukur memakai hot-plate. Data dianalisa dengan Anova oneway dan Pearson Correlation dengan menggunakan SPSS versi 17.Hasil. Penelitian ini menunjukkan bahwa terdapat peningkatan ekspresi HSP 70 (20,25 ± 3,53; p< 0.05) dibandingkan kelompok kontrol positif (10,50 ± 2,44; p< 0,05) dan peningkatan ekspresi reseptor opioid mu (21,00 ± 6,34; p< 0.05) dibandingkan kelompok kontrol positif ( 4,25 ± 3,58; p< 0.05). Terdapat peningkatan waktu reaksi ambang nyeri (22,81 ± 6,34; p< 0,05) dibandingkan kontrol positif (11,78 ± 3,56). Terdapat korelasi antara peningkatan ekspresi HSP 70 dan peningkatan reseptor opioid mu (β= 0.893; p= 0.000) dan ada korelasi antara peningkatan reseptor opioid mu dengan waktu reaksi ambang nyeri (β= 0.713; p= 0.002).Kesimpulan. Terjadi peningkatan ekspresi HSP 70 dan reseptor opioid mu pada terapi bekam basah dan terdapat korelasi antara peningkatan ekspresi HSP 70 terhadap ekspresi reseptor opioid mu.Kata kunci : HSP 70, reseptor opioid mu dan bekam basah
PERSEPSI ANAK DAN ORANG TUA TENTANG KUALITAS HIDUP ANAK PENDERITA DIABETES MELLITUS TIPE 1
Authors: Agustini Nur - , Allenidekania Allenidekania , Efendi Meriam 
Published: January 2017

Type-1Diabetes mellitus (T1D) management is important to increase the quality of life in diabetic children. This research aimed to explore and to compare the parents and children perspective in the quality of life related to T1D. Cross sectional method was used to 35 dyad children (8-18 years old) and their parents. Children have been registered in top referral hospital in Indonesia. They filled the PedsQL® Module Diabetes 3.2 by self-report. Data were analyzed by t-test. The characteristic of respondents consist of the children and parents age, length of being diagnoses with T1D and the number of visit in the last 6 months. Quality of life dimensions were measured in the last month since data collected. It consists of sign and symptom, disease and therapy, T1D management concern related to complication and communication. The result showed that the children mean age was 13.11 + 2.85 years old compared to parents (41.03 + 8.34 years old). The average length of being diagnoses with T1D was 4.54 +2.87 years and the average number of visit in the last 6 months was 5.8 + 1.79. Total score of quality of life from parents and children perspective were 64.41% + 10.97 and 63.09% + 13.25. Moreover, t-test analysis found that there was significant difference in parent perspective compared to the children perspective regarding quality of life related to T1D. In conclusion, children have relatively lower perception in evaluating their quality of life in T1D compared to the parents. Therefore, it is necessary for nurses to explore the influencing factors as well as coping mechanism related to T1D management so that nurses can develop individual nursing plan to increase the T1D children's quality of life.
Psychometric Evaluation of the Quality of Nursing Care Scale for Hospitalized Acute Respiratory Infection Children in Indonesia
Authors: Suza Dewi Elizadiani 
Published: January 2017

Introduction: Psychometric Evaluation of the quality of nursing care scale is a vital key to improve the quality of nursing care for hospitalized acute respiratory infection (ARI) children in order to decrease morbidity and mortality of ARI children, especially in Indonesia. Method: Construct validity was identified using the exploratory factor analysis (EFA), contrasted group approach, and reliability. Results: Construct validity: 1) EFA found that the QNCS-HARIC consisted of 37 items with four factor and total variance explained of 42.92% and factor loadings ranged from .30 to .70; 2) contrasted group approach found that the mean scores of the 37 items QNCS-HARIC between two groups were significantly different (t = -22.91; p = .000); and 3) Cronbach’s alpha coefficient of the total 37 item QNCS-HARIC was .93. Cronbach’s alpha coefficients of Factor 1, 2, 3, and 4 of the 37 item QNCS-HARIC were .87, .80, .77, and .76, respectively. Discussion: Although the 37 items QNCS-HARIC model was acceptable, it was less representative, especially in the socio-cultural dimension of ARI children and family because it consisted of only 3 from 10 items which could not measure the complate dimension of the socio-cultural aspect.Key words: Psychometric Evaluation, Quality of Nursing Care Scale, Acute Respiratory Infection, Children
PENGARUH PSYCOEDUCATIVE FAMILY THERAPY TERHADAP PENGETAHUAN, DUKUNGAN KELUARGA DAN STIGMA KUSTA DENGAN MODEL PENDEKATAN CALGARY DI PUSKESMAS BALEREJO KABUPATEN MADIUN
Authors: Putri Mega Arianti , Harmayetty Harmayetty 
Published: January 2017

Introduction: A person with leprosy present disability and lesions caused by related nerve damage. Without treatment leprosy can permanently damage skin, feet and eyes. Leprosy-related documents show that stigma is typically a very deep rooted social process. It refers to unfavourable attitudes and beliefs directed toward someone or something. The stigma against leprosy not only burdens the affected individuals but also their family members. This research aims was to analyze the influence of family on knowledge psychoeducative intervention, family support and the self stigma. Method: The design was a quasy experiment. The samples were the intervention and the comparison group each of 30 respondents. The sample consisted of respondent and respondent's family. Sampling technique is using purposive sampling. The research instrument was a questionnaire used by researchers. Result and Analysis: The result showed that not only psychoeducative family influence level of knowledge, support family and self stigma. The other factor are family characteristics and respondent characteristics. The statistical result shown that a significant relationship between psychoeducative family with knowledge (p=0,000), family support (p=0,000) and the stigma of leprosy (p=0,004). Discuss and Conclution: Level of knowledge, family support and self stigma have relations to each other. Families who have less knowledge about leprosy will influence to be given family support. Leprosy patients who have high self stigma caused by lack of knowledge and they feel there have not symphaty, attention and support from their families.
Reformas sin mejora: las leyes de fiscalización superior en Jalisco
Authors: Figueroa Neri Aimée 
Published: January 2017

En este trabajo se analiza la evolución del ordenamiento jurídico de la fiscalización superior de Jalisco, México, del año 2000 al 2009 en materia de rendición de cuentas, con el referente de la legislación federal de ese mismo periodo y el contexto nacional. El objetivo es valorar si las reformas a las normas jurídicas jaliscienses apuntaron hacia la mejora de la estructura y sistema de rendición de cuentas. También se incluyen los principales avances detectados, los retrocesos y las áreas de riesgo para el control de los recursos públicos.
Conflicto socioambiental entre el gobierno y los mineros: la historia de un área natural protegida en el norte de México
Authors: Pallanez Murrieta Maribel , Moreno Vázquez José Luis 
Published: January 2017

Aquí se describe la dinámica del conflicto ocurrido de 1997 a 2003 entre un grupo de mineros, como opositores, y de instituciones del gobierno mexicano, como promotores, derivado de la propuesta de decreto del área natural protegida denominada Reserva de la Biosfera Mavavi, que cubría 780 114 ha, en una zona de relevancia hidrológica para los estados de Sonora, en México, y de Arizona, en Estados Unidos. El proceso parecía exitoso, pero se complicó debido a los elementos empleados por los opositores, quienes lograron la no política de conservación. En el artículo se analizan las dinámicas, los actores y las estrategias seguidas por cada una de las partes, que derivaron en la cancelación del decreto, ya que los mineros no tuvieron contrapeso en los promotores, como resultado de elementos de política nacional y local, ausencia del involucramiento público y falta de coordinación de las agencias gubernamentales que promovían la propuesta.
Intraosseous lipoma - A rare cause of ‘cystic’ lesion of calcaneum
Authors: Vijayan P , Babitha AM , Ilias LM , Ponniah A 
Published: January 2017

Intraosseous lipoma is an uncommon benign bone neoplasm with most of them detected incidentally on multimodality imaging while being evaluated for an unrelated pathology. Long and cancellous bones are commonly involved. This lesion can present a diagnostic challenge to those uninitiated in its appearence because they can be often mistaken for other benign or malignant bone lesions such as enchondroma, fibrous dysplasia, osteoblastoma, bone infarct, bone cyst and chondrosarcoma. Here we report a case of symptomatic calcaneal lipoma in a 50 year old lady who presented with heel pain. Plain X-ray suggested cystic lesion of calcaneum. MRI revealed the presence of intralesional fat and histopathological examination confirmed the diagnosis. We present this report for its rarity and the clinching MRI features of this lesion, the excellent prognosis and near negligible recurrence rates, so that misdiagnosis leading to unnecessary workup, biopsy and treatment may be avoided, especially in asymptomatic patients.
The efficacy of functional supports in mediating the effects of exercise on shoulder joint position sense
Authors: Wilson Lynsey M. , Greig Matt 
Published: January 2017

BACKGROUND: Prolonged exercise and joint position sense are considered aetiological risk factors for shoulder injury in overhead sports. OBJECTIVE: To investigate the efficacy of a neoprene sleeve and kinesiology tape (KT) in mediating the effect of exercise on shoulder joint position sense. METHODS: 25 overhead sports participants (women - 10, men - 15) completed 30 maximal isokinetic repetitions at 120°/s of three shoulder exercise protocols: 9090 (seated 90° shoulder abduction, 90° elbow flexion), modified neutral (seated 45° shoulder abduction, 90° elbow flexion in the scapular plane) and diagonal (seated GHJ flexion, abduction, external rotation and extension, adduction and internal rotation). Absolute error in active reproduction of passive positioning was assessed pre- and post-exercise at 10°/s. This was conducted for end range internal and external rotation, and mid-range. RESULTS: A repeated measures general linear model revealed no significant main effect for gender or exercise in any test position. A main effect for support condition was observed pre-exercise in the KT condition, with JPS significantly (p< 0.01) impaired (5.30 ± 2.16°) relative to baseline control scores (4.11 ± 2.81°) in end range external rotation at the 9090 position. CONCLUSION: Results indicated that neither neoprene nor kinesio-tape were more effective in limiting the effects of exercise on joint position sense (JPS). Healthy, un-injured overhead athletes may not need to consider taping or supportive device, indeed KT application was observed to impair JPS in specific movements.
Morphometric characterization of Katjang goat of Malaysia
Authors: Khandoker MAMY , Syafiee M , Rahman MSR 
Published: January 2017

Morphometric characterization of Katjang goat in Malaysia is important for conservation and for further genetic improvement. With this idea in view the present study was carried out to characterize the morphometry and to estimate the relationship among the important morphometric traits of indigenous Katjang goat. The study was conducted at the Faculty of Sustainable Agriculture (FSA), surrounding area of FSA Sandakan, Sabah and Batu Pahat, Johor in Malaysia. Characteristics of body weight (BW), body length (BL), heart girth (HG), wither height (WH), hip height (HH), fore leg length (FLL), hind leg length (HLL), head length (HeL), head width (HW), ear length(EL), ear breadth (EB), tail length (TL), scrotal length (SL) and scrotal circumference (SC) were gathered. In a single parameter as body weight of Katjang bucks at below 1 year, 1-2 year and > 2 years ages were recorded to be 7.41 ± 0.27, 14.20±0.20 and25.83 ± 0.99 kg, respectively. On the hand, body weight of Katjang does at 1-2 year and > 2 years ages were observed to be 12.41 ± 0.41 and 23.65±0.87 kg, respectively. In both sexes, head length, head width, tail length, ear length, ear breath, body weight, body length, hearth girth, wither height, leg length, hip height increases with the increment of the age of goat. On the other hand, all the parameters contemplated found comparatively higher in bucks than that of does. Strong positive correlation was observed between scrotal length and scrotal circumference in Katjang bucks.Bang. J. Anim. Sci. 2016. 45 (3): 17-24