Miracle-dz/UniFAR-FTUs huggingface dataset:
THE EFFECT OF PARTICIPATION IN JKN ON UNMET NEEDS FOR HEALTHCARE SERVICES

Background: The National Health Insurance or Jaminan Kesehatan Nasional (JKN) program is one of the steps taken by the Indonesian government in developing Universal Health Coverage (UHC). However, increased participation in the National Health Insurance is not followed by an increase in met needs for healthcare services. Aims: This study aimed to examine the effect of participation in the National Health Insurance on unmet needs for healthcare services in poor and non-poor population groups. Methods: This study used data from the 2018 National Socio-Economic Survey/ Survei Sosial Ekonomi Nasional (SUSENAS) and Village Potential Survey/ Survei Potensi Desa (PODES). Data were processed using binary logistic model analysis to identify the effect of participation in the National Health Insurance on the unmet needs for healthcare services. Results: Participation in the National Health Insurance, including beneficiary program for poor groups could reduce the risks of unmet needs for healthcare services by 7.7%, while non-beneficiary program could reduce the risks of unmet needs for health services for non-poor groups by 10.4%. Conclusion: Both beneficiaries and non-beneficiaries affect the unmet needs for health services for both poor and non-poor groups. However, the non-beneficiary program is more elastic than beneficiary program to fulfill needs for both sample groups. Keywords: Healthcare services, national health insurance, logit, unmet need
Association Between Obesity, Hypertension and Target Organ Damage in Children

Background: The author analysed the association between obesity and hypertension as well as the association between the degree of hypertension and target organ damage. Methods: 61 children with suspected hypertension were evaluated. Ambulatory blood pressure monitoring was done in all of them. An echocardiogram and ophthalmologic examination were done in all children with confirmed hypertension and high-normal blood pressure and testing for microalbuminuria in most of them. The association between obesity and hypertension and between the degree of hypertension and target organ damage was tested using the chi-squared (χ2) and exact Fisher (if needed) statistical test. Results: Nine children with confirmed hypertension (50%), 13 children with high normal blood pressure (61.9%), and 10 children with normal blood pressure (45.5%) were obese. There was no statistically significant association between obesity and hypertension (p = 0.82). 66.7% of patients with hypertension and 38.1% of those with high-normal blood pressure had left ventricular hypertrophy (p = 0.14). 38.9% of patients with hypertension and 9.5% of those with high-normal blood pressure had hypertensive retinopathy (p = 0.34). 43.8% of patients with hypertension but 57.9% of those with high-normal blood pressure had microalbuminuria (p = 0.69). There was no statistically significant association between the degree of hypertension and left ventricular hypertrophy, hypertensive retinopathy, or microalbuminuria. Conclusion: The presented study did not prove a statistically significant association between obesity and hypertension or between the degree of hypertension and target organ damage.
Evidence-Based Practice and Its Associated Factors among Health Professionals Working at Public Hospitals in Southwest Ethiopia

Introduction “Evidence-based practice” (EBP) is the process of incorporating clinical expertise and taking patient values and preferences into consideration when making clinical decisions. It is used to describe the provision of high-quality patient care. Objective This study is aimed at assessing evidence-based practice and associated factors among health professionals working at public hospitals in Illu Aba Bora and Buno Bedele Zones, Oromia Region, Southwest Ethiopia, in 2022. Methods An institution-based cross-sectional study design was conducted from May 8 to June 20 at public hospitals in Illu Aba Bora and Buno Bedele Zones, Oromia Region, Southwest Ethiopia. A total of 423 health professionals were included, using proportional allocation and simple random sampling. The data were collected using a self-administered questionnaire. Data was entered using EpiData version 4.6, and the collected data was cleared, arranged, coded, and then analyzed using Statistical Package for the Social Sciences version 26. Descriptive statistics and bivariable and multivariable analyses of logistic regression with AOR (95% CI) were performed at p < 0.05. Result The study revealed that 36.2% of health professionals had good evidence-based practice. The factors found to be significantly associated with good EBP include having training in EBP (AOR = 5.43; 95% CI: 4.323, 9.532), good knowledge (AOR = 1.91; 95% CI: 1.065, 3.541), a favorable attitude (AOR = 1.91; 95% CI: 1.884, 2.342), and work experience greater than 5 years (AOR = 1.58; 95% CI: 1.482, 2.437). Conclusion The evidence-based practice of health professionals was poor. Evidence-based practice should included in the curriculum, and also planned trainings need to be delivered to all health professionals, inorder to enhancing their knowledge as well as their attitudes by motivating them to increase evidence-based practice.
Idiopathic Nephrotic Syndrome in Children in Chad: Epidemiology and Clinical Outcomes

Introduction: Nephrotic syndrome (NS) remains the most common presentation of glomerular diseases in children. Moreover, NS is primarily idiopathic, accounting for 90% of cases, with an average onset age between 2 and 10 years. The objective of our study was to describe the characteristics and outcomes of NS in children from three major hospitals in one of the world’s poorest countries, Chad. Patients and Methods: This observational, cross-sectional, descriptive, and multicenter study took place over a period of 36 months (1 January 2019–31 December 2021) and was carried out in three hospitals in N’Djamena, Chad. Children aged 1–15 years presenting with NS were included in the study. Results: Out of 16,776 children hospitalized or followed up with in outpatient clinics, 24 cases of NS were identified, yielding a prevalence of 0.14%. The median age at presentation was 6.16 years (1–10). Nineteen children were male (sex ratio 3.8). Eight cases were classified as impure NS (33.3%). Edema was present in all patients, while oliguria was present in 29.16% (n = 7), and arterial hypertension was present in 20.83% (n = 5) of cases. Mean proteinuria, albuminemia, and total proteins were 2.86g/L, 19.13g/L and 30.41g/L, respectively. The median serum creatinine was 87.3 µmol/L (75–1375 µmol/L). Three patients experienced acute renal failure upon admission. Four patients had secondary NS. All idiopathic NS patients (n = 20) who had received corticosteroid therapy had a 90% response rate to steroids. Non-responsive or relapsed patients underwent kidney biopsy (n = 7), revealing focal segmental glomerulosclerosis (FSGS; n = 4) as the most common histological lesion, followed by minimal change disease (n = 2) and membranoproliferative glomerulonephritis (n = 1). The median length of hospitalization stay was 10.67 (5–27) days. None of the patients with idiopathic NS died. At the last follow-up, sixteen patients (80%) achieved long-term complete remission with normal renal function; however, four of those had subsequent relapses. One patient with secondary NS died. Conclusion: In Chad, childhood idiopathic nephrotic syndrome predominantly affects young males; steroid sensitivity is as high as 95%, and in the long-term, 80% of patients achieve remission with normal renal function.
Aerosol optical properties measurements by a CAPS single scattering albedo monitor: Comparisons between summer and winter in Beijing, China

Aerosol optical properties were measured in Beijing in summer and winter using a state‐of‐the‐art cavity attenuated phase shift single scattering albedo monitor (CAPS PMssa) along with aerosol composition measurements by aerosol mass spectrometers and aethalometers. The SSA directly measured by the CAPS PMssa showed overall agreements with those derived from colocated measurements. However, substantial differences were observed during periods with low SSA values in both summer and winter, suggesting that interpretation of low SSA values needs to be cautious. The average (±σ) extinction coefficient (bext) and absorption coefficient (bap) were 336 (±343) Mm−1 and 44 (±41) Mm−1, respectively, during wintertime, which were approximately twice those observed in summer, while the average SSA was relatively similar, 0.86 (±0.06) and 0.85 (±0.04) in summer and winter, respectively. Further analysis showed that the variations in SSA can be approximately parameterized as a function of mass fraction of secondary particulate matter (fSPM), which is SSA = 0.74 + 0.19 × fSPM (fSPM > 0.3, r2 = 0.85). The contributions of aerosol species to extinction coefficients during the two seasons were also estimated. Our results showed that the light extinction was dominantly contributed by ammonium sulfate (30%) and secondary organic aerosol (22%) in summer, while organic aerosol was the largest contributor (51%) in winter. Consistently, SPM played the major role in visibility degradation in both seasons by contributing 70% of the total extinction.
Assistance in Making Dynamic Electricity KITs Based on Scientific Argumentation Skills for Physics Teachers in Sidoarjo Senior High School

Physics learning cannot be separated from studying abstract concepts and practical activities to help students understand concepts in real terms. In the learning process, practical tools are needed to made easily and used in learning. The limited equipment in the laboratory is one of the obstacles to the lack of optimal learning activities, especially in practical activities. Therefore, teachers are required to be more creative and innovative in utilizing the tools around them so they can be used as practical tools. Dynamic electricity is also seen as an abstract concept requiring a practicum so that students can understand the concept real and meaningfully. Then, the other obstacle is scientific argumentation skills that still need to be better trained or not contained in the learning materials. It makes students' skills in scientific argumentation still lacking. The solution is: Synergize with the Physics Senior High School Teachers in Sidoarjo. They are trained through training to make physics practicum tools. Thus, the training participants can make these practical tools, can arrange student worksheets according to these tools and based on scientific argumentation skills. They can apply them in learning at their school. The result of this training is that the response of the Physics Senior high school teachers to the materials and demonstrations is very enthusiastic and interesting. This is evidenced by the average response questionnaire results of 3.44 with the maximum value of the questionnaire being 4. The maximum value obtained based on the response questionnaire is 3.66 and the lowest is 3.28.
Racial, Ethnic, and Geographic Disparities in Immunization Rates Among Patients With Inflammatory Bowel Disease

Abstract Background and Aims Racial and ethnic disparities exist in the treatment of IBD. These disparities exist in adult vaccine uptake among the general population and may extend to patients with IBD. The primary aim of this study was to determine whether racial, ethnic, or geographic disparities existed in influenza vaccine uptake among patients with IBD. Methods We performed a multicenter, retrospective cohort study evaluating adult vaccine uptake among patients with IBD seen at two tertiary referral centers between September 2019 and February 2020. The primary outcome was to determine if racial/ethnic and geographic disparities existed in influenza vaccine uptake for the two prior seasons. Our secondary outcomes were to determine if disparities existed for pneumococcal, zoster, or hepatitis B vaccines. Results Among the 2453 patients who met the inclusion criteria, most identified as non-Hispanic White (89.9%), were on immunosuppressive therapy (74.5%), and received the influenza vaccine in both seasons (56.0%). Older age (prevalence ratio (PR) 0.98; 95% confidence interval (95%CI) 0.98-0.99; P < . 001) and non-Hispanic White patients (PR 0.76, 95%CI 0.59–0.98, P < 0.03) were significantly more likely to be immunized. Black patients (PR 1.37; 95%CI 1.18–1.59; P < .001) and those living in underserved geographic areas (PR 1.35; 95%CI 1.17–1.56; P < 0.001) were less likely to be immunized. Racial/ethnic and geographic disparities were identified for pneumococcal, zoster, and hepatitis B vaccine uptake. Conclusions Racial and ethnic vaccination uptake disparities exist among patients with IBD; patients from medically underserved areas are also vulnerable to these disparities Studies identifying patient, provider, and system-level opportunities to address these disparities are needed.
AST-001 Improves Social Deficits and Restores Dopamine Neuron Activity in a Mouse Model of Autism

Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder characterized by impaired social communication and social interaction, restricted and repetitive behavior, and interests. The core symptoms of ASD are associated with deficits in mesocorticolimbic dopamine pathways that project from the ventral tegmental area (VTA) to the nucleus accumbens (NAc) and medial prefrontal cortex (mPFC). AST-001 is an investigational product currently in a phase 3 clinical trial for treating the core symptoms of ASD, with L-serine as the API (active pharmaceutical ingredient). Because the causes of ASD are extremely heterogeneous, a single genetic ASD model cannot represent all autism models. In this paper, we used the VPA-exposed model, which is more general and widely used than a single genetic model, but this is also one of the animal models of autism. Herein, we conducted experiments to demonstrate the efficacy of AST-001 as L-Serine that alters the regulation of the firing rate in dopamine neurons by inhibiting small conductance Ca2+-activated K+ channels (SK channels). Through these actions, AST-001 improved sociability and social novelty by rescuing the intrinsic excitabilities of dopamine neurons in VPA-exposed ASD mouse models that showed ASD-related behavioral abnormalities. It is thought that this effect of improving social deficits in VPA-exposed ASD mouse models is due to AST-001 normalizing aberrant SK channel activities that slowed VTA dopamine neuron firing. Overall, these findings suggest that AST-001 may be a potential therapeutic agent for ASD patients, and that its mechanism of action may involve the regulation of dopamine neuron activity and the improvement of social interaction.
Sensitivity and specificity of mobility scoring for the detection of foot lesions in pasture based Irish dairy cows.

Lameness is an important production disease in dairy cows worldwide and has detrimental effects on cows' welfare, production, and reproductive performance, thus impacting the sustainability of dairy farming. Timely and effective detection of lameness allows for effective treatment, minimizing progression of disease and maximizing the prognosis of recovery. Mobility Scoring (MS) is a 4 point (0-3) visual lameness scoring system that is the industry standard in several countries. However, few studies have examined the sensitivity (Se) and specificity (Sp) of MS to detect foot lesions. The aim of this observational study was to determine the Se and Sp of MS to detect foot lesions in dairy cattle in a pasture-based system. 595 primi- and multiparous cows were randomly selected from 12 commercial Irish dairy farms and recruited for the study. Recruited cows were mobility scored and passed through a foot paring crate where all 4 feet were lifted for examination. The team recorded the anatomical location and severity of any foot lesions present based on appearance only. Then, based on the type and severity of the lesions present, cows were classified according to 3 case definitions Case Definition 1: Any lesion present; Case Definition 2: Moderate lesions present (excluding minor lesions expected to have a low probability of impacting gait); and Case Definition 3: Severe lesions present (only including lesions most likely to result in a detectable gait abnormality). Sensitivity and specificity of MS was calculated based on a threshold of MS ≥2, defined as impaired (MS = 2) or severely impaired (MS = 3) mobility for each of the 3 case definitions, at the overall level and disaggregated by parity. The overall cow-level lesion prevalence based on the Case Definition 1 was 0.54 with significant between-herd variation. The overall Se and Sp of MS for the detection of foot lesions, was 0.18 and 0.96; 0.35 and 0.94; 0.43 and 0.94 for the in Case Definitions 1, 2 and 3 respectively. Our findings showed poor sensitivity, but high specificity of MS for the detection of cows with foot lesions in a pasture-based system.
SISTEMAS DE INFORMAÇÃO – TEMAS DE PESQUISA ACADÊMICA NO BRASIL ENTRE 1994 E 2013

Retrieving the Brazilian academic research in Information Systems (IS) recent history is a welcome challenge, as it permits to evaluate its impact and to define the pathway to the future. This paper focuses on the topics identified in the set of 1,105 papers published between 1994 and 2013 in the proceedings of EnANPAD (Information Management – ADI – division) and EnADI. We analyze the papers as they fit the current areas of interest listed by the ADI division, separating the coverage period in two major subperiods: from 1994 to 2002 and from 2003 to 2013. The first subperiod is considered the IS leverage period while the second corresponds to the IS consolidation period in Brazil. The consolidation period parallels the time interval in which several Brazilian institutions formed and consolidated research groups of interest in IS. Not coincidentally, the paper’s coverage period corresponds to the existence of AMCIS, which has turned into an international gathering of scholars interested in the IS field. In its 2014 call for papers, AMCIS stimulated researchers from around the world to concern about the area's own history. We seek to gain consciousness about the road to take into the future of IS in Brazil, aiming to generate synergy among different actors in the field. The paper offers a list of important IS topics originated within the Brazilian research communities, observed in a longitudinal perspective. With significant contributions from a dozen institutions along the years (specially from UFRGS, USP and FGV), the proceedings of EnANPAD (ADI division) and EnADI form a representative set of scientific contributions from which one can grasp a set of key ideas established in the two studied periods.
Relationship between Forward Head Posture, Neck Pain, and Disability among Dentists with Mechanical Neck Pain

Background: Dentistry is a high-risk profession for neck pain due to stressful work positions such as neck flexion, arm abduction, and inflexible postural positions, which can cause a forward head posture (FHP). Objective: This study aimed to explore whether there is a relationship between FHP and the severity of neck pain and disability among dentists with mechanical neck pain. Methods: A cross-sectional study was carried out on twenty-six dentists with FHP and chronic mechanical neck pain lasting more than 3 months. All participants were assessed for FHP by photometric measurement of cranio-vertebral angle (CVA), neck pain through the visual analogue scale Arabic version (VAS-AR), and neck disability through the neck disability index Arabic version (NDI-AR). Results: The forward head and the neck disability had a weak, inverse, and non-significant correlation (r = -0.250, p = 0.219). While, the forward head and pain had a weak, direct, and non-significant correlation (r = 0.132, p = 0.250). Conclusion: Forward head posture may contribute to the exacerbation of neck pain and disability among dentists.
A Neural Network-Based Random Access Protocol for Crowded Massive MIMO Systems

Fifth-generation (5G) and beyond networks are expected to serve large numbers of user equipments (UEs). Grant-based random access (RA) protocols are efficient when serving human users, typically with large data volumes to transmit. The strongest user collision resolution (SUCRe) is the first protocol that effectively uses the many antennas at the 5G base station (BS) to improve connectivity performance. In this paper, our proposal involves substituting the retransmission rule of the SUCRe protocol with a neural network (NN) to enhance the identification of the strongest user and resolve collisions in a decentralized manner on the UEs’ side. The proposed NN-based procedure is trained offline, admitting different congestion levels of the system, aiming to obtain a single setup able to operate with different numbers of UEs. The numerical results indicate that our method attains substantial connectivity performance improvements compared to other protocols without requiring additional complexity or overhead. In addition, the proposed approach is robust regarding variations in the number of BS antennas and transmission power while improving energy efficiency by requiring fewer attempts on the RA stage.