bluuebunny/crossref_metadata_2025_split huggingface dataset:
Respiratory Symptoms and Diminished Lung Functions Associated with Occupational Dust Exposure Among Iron Ore Mine Workers in Iran
Authors: Gholami Abdollah , Tajik Reza , Atif Khaula , Zarei Amin Allah , Abbaspour Sedigheh , Teimori-Boghsani Gholamheidar , Attar Mohsen 
Published: February 2020

Background:
Dust exposure at quarry mines is inevitable and can result in poor air quality. This research aimed to assess pulmonary symptoms and lung functions of dust-exposed workers at an iron-ore mine in eastern Iran.

Methods:
An environmental cross-sectional study sampled 174 dust-exposed mine workers and 93 unexposed administrative employees as the reference group. A standardized questionnaire on respiratory symptoms was completed in accordance with recommendations of the American Thoracic Society(ATS). Calibrated spirometer measured Pulmonary Function Tests (PFTs). Data were analyzed via SPSS-21, integrating independent samples t-test, Chi-square and linear or logistic-regression models.

Results:
There was no significant variation between dust-exposed and reference groups in terms of age, weight, height, work experience and the number of smokers (P>0.05). Mean levels of exposure to inhalable and respirable mineral-dust were 15.09±2.34 and 3.45±2.57 mg/m3 respectively. Pulmonary capacities of dust-exposed group were considerably decreased as compared to others (Forced Vital Capacity [FVC] 86.55±13.77 vs. 105.05±21.5; Forced Expiratory Volume in 1 second [FEV1] 88.06±16.8 vs. 105.81±21.55; FEV1/FVC 103.03±18.17 vs. 93.3±12.49; and Peak Expiratory Flow [PEF] 89.82±22.58 vs. 98.09±20.60) (P<0.001); with a higher prevalence of cough (P=0.041), wheezing (P=0.032), and dyspnea (P=0.035) among formers. Age along with exposure to respirable-dust significantly reduced FVC, FEV1 and FEV1/FVC. Cigarette consumption attenuated FVC and FEV1 on an average of 5 to 9 units.

Conclusion:
Controlled occupational dust-exposure is a definitive pre-requisite to reduce respiratory problems among quarry workers, with an explicit consideration towards mineral- mine workers. Modifiable accomplices like smoking and non-compliance of PPEs usage should be amicably resolved.
A Comparison between Multimedia and Traditional Education in Encouraging Adherence to Treatment Regimen in Patients with Hypertension
Authors: Bijani Mostafa , Tehranineshat Banafsheh , Ahrari Fatemeh , Beygi Najimeh 
Published: February 2020

Background:
Adherence to treatment regimen plays a crucial part in the prevention of the consequences of hypertension, thus identification and employment of effective educational methods to enhance patients' adherence to their treatment plans is important.

Objective:
The present study compares the effectiveness of multimedia and traditional methods of patient education in persuading patients with hypertension to stick to their treatment regimens.

Methods:
Conducted in 2019, the present study is an experimental work of research which lasted for 5 months. A convenience sample of 160 patients who visited the clinic and cardiac sections of a hospital located in the south-west of Iran was selected and then randomly divided into an intervention and a control group. The intervention consisted of multimedia education provided in 6 sessions and telephone follow-ups. The control group was given the traditional care. The research instruments were a demographics questionnaire and a medication adherence scale. Data were collected before, immediately after, and one month after the intervention. The collected data were analyzed using SPSS v. 19, independent t-test, and chi-square test.

Results:
The difference between the adherence to treatment regimen scores of the two groups as calculated immediately after and one month after the intervention was found to be statistically significant (P<0.001).

Conclusion:
Patient education via multimedia can significantly increase patients' adherence to their treatment regimens. Accordingly, it is recommended that nurses and other healthcare providers utilize this new educational approach to facilitate patient education and enhance adherence to treatment plan in patients with hypertension.
Demokrasi dan kapitalisme global pasca perang dingin
Authors: Budiawan Budiawan 
Published: February 2020

Democracy do not just measure can take place it general election by prosedural in a state, but core of democracy that is confessing of mirror democracy have to in it. More than that journey and prospect democracy in Indonesia, goodness of level of national and also local there is tendency determined by those who own the capital. Indicator that democracy determined by visible capital owner at legislative institute good process recruitment and also executive. Correct expression to depict the situation "power of capital of bow of power moral". From other side the problem recruitment opening opportunity to be influenced by capital owner also at public policy determination Grow on the problem causing political life domain determined by those who own the capital or incidence of process of subduing of moral power by capital power is because of global capitalism victory after ending of cold war, what is won by capitalism ideology- neoliberalism. Indonesia state as part of existing state in child take care of the international capitalism strength over a barrel to secede from the grasp from international capital strength clutch. Have the power the capital has ended almost entire all political life domain. For overcome this problem, is hence needed by the make-up of society ability for the self-organization and fight for the importance and also its requirement. This society ability represents the last fortress to weaken the danger neo­ liberalism.
Civic virtues dalam pendidikan moral dan kewarganegaraan di Indonesia era orde baru
Authors: Samsuri Samsuri 
Published: February 2020

This paper described the role of New Order Regime in Indonesia to build the citizen characters through the educational system. The regime effort to inculcate its interpretation on Pancasila (Five Principles) such as "Pedoman Penghayatan dan Pengamalan Pancasila" (P4). Citizens have been forced to receive and agree what regime intentions on Pancasila. They should be loyal to what regime interests on Pancasila. In the schooling, the New Order Regime has established P4 as core contents of civic virtues to build "good citizen" characters. Some policies in the educational (schooling) system released namely "Pendidikan Moral Pancasila" (Education of Moral Pancasila, PMP) and "Pendidikan Pancasila dan Kewarganegaraan" (Pancasila dan Civic Education, PPKn). This paper seemed the political decision making on how civic virtues have been implemented in the textbooks and two curriculum periods (1984 and 1994). The last, this paper examined the opportunity and prospect the new paradigm of civic education post-1998, i.e. the transitional democracy period after the fall of Suharto as leader profile of the New Order Regime.
Pembelajaran Pendidikan Kewarganegaraan berbasis portofolio
Authors: Budimansyah Dasim 
Published: February 2020

The conduct of civic teaching up to now still faces some barriers and limitations so its mission to make good citizen is not yet being realized in value-based education corridor. Based this reality, it is imperative to conduct a comprehension study on basic problems so the civic education can be empowered as a poweifu1 learning area characterized by contextual learning experience such as meaningful, integrated, value-based, challenging, and activating. Through these kinds of learning experiences, student be facilitated in constructing democratic civic knowledge, attitude, and skills in constructive psycho-pedagogic corridor.
Peranan Pendidikan Kewarganegaraan sebagai pilar pendidikan hak asasi manusia
Authors: Warsono Warsono 
Published: February 2020

Human Rights are a fundamental problem in every country. especially in the developing countries such as Indonesia. Even though, the state had given protection of human right for everybody, but in Indonesia there are many breakdowns of it. As a democratic state, Indonesia has to regard human right. It is because the human rights were the core of democratic principle. So, the human rights must be trained in the school for every student. By using this way, everybody can know what their rights and obligations very well Civics education can be a vehicle for this goal, because it's one of lessons that talk about human rights and be learned in all school.
Membangun masyarakat demokratis yang bermoral lewat Pendidikan Kewarganegaraan
Authors: Sunarso Sunarso 
Published: February 2020

Expectation which still be remained from Indonesian nation in order to get out of various crises is by improving education system. National education is aimed at developing the competence of student to become pious and religious human which have civilized and kindness, healthy, knowledgeable, capable, creative, self-supporting, and become democratic citizen and responsible. Civic Education owns the strategic role in forming demo­cratic and responsible citizen and building the democratic society. Hoped competences after undergoing civic education is the awning of a set smart action, full of responsibility from a citizen in relating to state, and also able to have a share in finding various problem faced by the society, nation and state as according to profession and capacities of each.
Penguatan hukum masyarakat di era otonomi daerah
Authors: Kusdarini Eny 
Published: February 2020

Development cf law within human dan societallfie is influnced by manyfactors, wether inside of the society itself or fivm outside. In National politics oflaw of a country included Indonesia some changes happen and influence application the law. After Indonesian reform, regulation on local autonomy which is broad, tangible, and accountable needs reinforcement of law among society in its application. Itis urgently neccessary according to the principles of that the essence of democracy is form, by, and for the people. Reinforcement ofsocietallaw will be effective if there was effort to empower society by means of atmosphere or climate which enables the development ofpotentials ofit It will be if there is an attempt to protect weak society form being weaker.
Hubungan kompetensi pedagogis dan kompetensi profesional guru PPKn dengan prestasi belajar siswa sekolah menengah
Authors: Larasati Vinta , Gafur Abdul 
Published: February 2020

Tujuan penelitian ini adalah untuk mengetahui hubungan kompetensi pedagogis dan kompetensi profesional guru PPKn dengan prestasi belajar siswa di SMA Negeri se-Kota Yogyakarta. Metode penelitian ini adalah korelasional dengan pendekatan kuantitatif. Data penelitian dikumpulkan melalui angket dan dokumentasi. Analisis data untuk pengujian hipotesis menggunakan korelasi product moment sederhana dan regresi berganda. Hasil penelitian membuktikan bahwa: 1) terdapat hubungan positif dan signifikan antara kompetensi pedagogis guru PPKn dengan prestasi belajar PPKn siswa. Kekuatan hubungan menunjukkan arah kekuatan dalam kategori sangat kuat. 2) terdapat hubungan positif dan signifikan antara kompetensi profesional guru PPKn dengan prestasi belajar PPKn siswa. Kekuatan hubungan antara kedua variabel menunjukkan arah dalam kategori sangat kuat. 3) Terdapat hubungan positif dan signifikan kompetensi pedagogis dan kompetensi profesional guru PPKn dengan prestasi belajar siswa.--------------------------------------------------------------------------------------------------------------------------------------This research was aimed at explaining the relationship between pedagogical and professional competency among PPKn teachers and students’ achievement at SMAN (State-owned Senior High Schools) in Yogyakarta city. It was a correlational study with quantitative approach. Data was analyzed statistically to test the hypotheses using product moment test. The results are follows. 1) there is a positive and significant correlation between teachers’ pedagogical competency and students’ achievement. 2) there is a positive and significant correlation between teachers’ professional competency and students’ achievement. 3) there is a positive and significant correlation between teachers’ pedagogical and professional competency and students’ achievement.
A Pedometer-Guided Physical Activity Intervention for Obese Pregnant Women (the Fit MUM Study): Randomized Feasibility Study
Authors: Darvall Jai N , Wang Andrew , Nazeem Mohamed Nusry , Harrison Cheryce L , Clarke Lauren , Mendoza Chennelle , Parker Anna , Harrap Benjamin , Teale Glyn , Story David , Hessian Elizabeth 
Published: February 2020

Background
Obesity in pregnancy is a growing problem worldwide, with excessive gestational weight gain (GWG) occurring in the majority of pregnancies. This significantly increases risks to both mother and child. A major contributor to both prepregnancy obesity and excessive GWG is physical inactivity; however, past interventions targeting maternal weight gain and activity levels during the antenatal period have been ineffective in women who are already overweight. Pedometer-guided activity may offer a novel solution for increasing activity levels in this population.

Objective
This initial feasibility randomized controlled trial aimed to test a pedometer-based intervention to increase activity and reduce excessive GWG in pregnant women.

Methods
We supplied 30 pregnant women with obesity a Fitbit Zip pedometer and randomized them into 1 of 3 groups: control (pedometer only), app (pedometer synced to patients’ personal smartphone, with self-monitoring of activity), or app-coach (addition of a health coach–delivered behavioral change program). Feasibility outcomes included participant compliance with wearing pedometers (days with missing pedometer data), data syncing, and data integrity. Activity outcomes (step counts and active minutes) were analyzed using linear mixed models and generalized estimating equations.

Results
A total of 30 participants were recruited within a 10-week period, with a dropout rate of 10% (3/30; 2 withdrawals and 1 stillbirth); 27 participants thus completed the study. Mean BMI in all groups was ≥35 kg/m2. Mean (SD) percentage of missing data days were 23.4% (20.6%), 39.5% (32.4%), and 21.1% (16.0%) in control, app group, and app-coach group patients, respectively. Estimated mean baseline activity levels were 14.5 active min/day and 5455 steps/day, with no significant differences found in activity levels between groups, with mean daily step counts in all groups remaining in the sedentary (5000 steps/day) or low activity (5000-7499 steps/day) categories for the entire study duration. There was a mean decrease of 7.8 steps/day for each increase in gestation day over the study period (95% CI 2.91 to 12.69, P=.002).

Conclusions
Activity data syncing with a personal smartphone is feasible in a cohort of pregnant women with obesity. However, our results do not support a future definitive study in its present form. Recruitment and retention rates were adequate, as was activity data syncing to participants’ smartphones. A follow-up interventional trial seeking to reduce GWG and improve activity in this population must focus on improving compliance with activity data recording and behavioral interventions delivered.

Trial Registration
Australian and New Zealand Clinical Trials Registry ACTRN12617000038392; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370884
The Sign 4 Little Talkers Intervention to Improve Listening, Understanding, Speaking, and Behavior in Hearing Preschool Children: Outcome Evaluation
Authors: Davidson Rosemary , Randhawa Gurch 
Published: February 2020

Background
Gaining age-appropriate proficiency in speech and language in the early years is crucial to later life chances; however, a significant proportion of children fail to meet the expected standards in these early years outcomes when they start school. Factors influencing the development of language and communication include low income, gender, and having English as an additional language (EAL).

Objective
This study aimed to determine whether the Sign 4 Little Talkers (S4LT) program improves key developmental outcomes in hearing preschool children. S4LT was developed to address gaps in the attainment of vocabulary and communication skills in preschool children, identified through routine monitoring of outcomes in early years. Signs were adapted and incorporated into storybooks to improve vocabulary, communication, and behavior in hearing children.

Methods
An evaluation of S4LT was conducted to measure key outcomes pre- and postintervention in 8 early years settings in Luton, United Kingdom. A total of 118 preschool children were tested in 4 early years outcomes domains—listening, speaking, understanding, and managing feelings and behavior—as well as Leuven well-being scales and the number of key words understood and spoken.

Results
Statistically significant results were found for all measures tested: words spoken (P<.001) and understood (P<.001), speaking (P<.001), managing feelings and behavior (P<.001), understanding (P<.001), listening and attention (P<.001), and well-being (P<.001). Approximately two-thirds of the children made expected or good progress, often progressing multiple steps in educational attainment after being assessed as developmentally behind at baseline.

Conclusions
The findings reported here suggest that S4LT may help children to catch up with their peers at a crucial stage in development and become school ready by improving their command of language and communication as well as learning social skills. Our analysis also highlights specific groups of children who are not responding as well as expected, namely boys with EAL, and who require additional, tailored support.
Occupational Exposure to Needle Stick Injuries and Hepatitis B Vaccination Coverage Among Clinical Laboratory Staff in Sana’a, Yemen: Cross-Sectional Study
Authors: Al-Abhar Nabil , Moghram Ghuzlan Saeed , Al-Gunaid Eshrak Abdulmalek , Al Serouri Abdulwahed , Khader Yousef 
Published: February 2020

Background
Laboratory staff handling blood or biological samples are at risk for accidental injury or exposure to blood-borne pathogens. Hepatitis B virus (HBV) vaccinations for laboratory staff can minimize these risks.

Objective
The aims of this study were to determine the prevalence of occupational exposure to needle stick injuries (NSIs) and assess HBV vaccination coverage among clinical laboratory staff in Sana’a, Yemen.

Methods
A cross-sectional survey was conducted among clinical laboratory staff who were involved in handling and processing laboratory samples at the main public and private clinical laboratories in Sana’a. Data collection was done using a semistructured questionnaire. The questionnaire was divided into 3 parts. Part 1 included information on sociodemographic characteristics of participants. Part 2 included information on the availability of the personal protective equipment in the laboratories, such as lab coats and gloves. Part 3 included questions about the history of injury during work in the laboratory and the vaccination status for HBV.

Results
A total of 219/362 (60%) participants had been accidentally injured while working in the laboratory. Of those, 14.6% (32/219) had been injured during the last 3 months preceding the data collection. Receiving the biosafety manual was significantly associated with lower risk of injury. Out of those who were injured, 54.8% (120/219) had received first aid. About three-quarters of respondents reported that they had been vaccinated against HBV. The vaccination against HBV was significantly higher among laboratory staff who were working at private laboratories (P=.01), who had postgraduate degrees (P=.005), and who received the biosafety manual (P=.03).

Conclusions
Occupational exposure to NSI is still a major problem among laboratory staff in public and private laboratories in Sana’a, Yemen. The high incidence of injuries among laboratory staff and the low rate of receiving first aid in laboratories combined with low vaccination coverage indicates that all laboratory staff are at risk of exposure to HBV. Therefore, strengthening supervision, legalizing HBV vaccinations for all laboratory staff, and optimizing laboratory practices regarding the management of sharps can minimize risks and prerequisites in Yemen.
A Virtual Multidisciplinary Care Program for Management of Advanced Chronic Kidney Disease: Matched Cohort Study
Authors: Kaiser Paulina , Pipitone Olivia , Franklin Anthony , Jackson Dixie R , Moore Elizabeth A , Dubuque Christopher R , Peralta Carmen A , De Mory Anthony C 
Published: February 2020

Background
It is not well established whether a virtual multidisciplinary care program for persons with advanced chronic kidney disease (CKD) can improve their knowledge about their disease, increase their interest in home dialysis therapies, and result in more planned outpatient (versus inpatient) dialysis starts.

Objective
We aimed to evaluate the feasibility and preliminary associations of program participation with disease knowledge, home dialysis modality preference, and outpatient dialysis initiation among persons with advanced CKD in a community-based nephrology practice.

Methods
In a matched prospective cohort, we enrolled adults aged 18 to 85 years with at least two estimated glomerular filtration rates (eGFRs) of less than 30 mL/min/1.73 m2 into the Cricket Health program and compared them with controls receiving care at the same clinic, matched on age, gender, eGFR, and presence of heart failure and diabetes. The intervention included online education materials, a virtual multidisciplinary team (nurse, pharmacist, social worker, dietician), and patient mentors. Prespecified follow-up time was nine months with extended follow-up to allow adequate time to determine the dialysis start setting. CKD knowledge and dialysis modality choice were evaluated in a pre-post survey among intervention participants.

Results
Thirty-seven participants were matched to 61 controls by age (mean 67.2, SD 10.4 versus mean 68.8, SD 9.5), prevalence of diabetes (54%, 20/37 versus 57%, 35/61), congestive heart failure (22%, 8/37 versus 25%, 15/61), and baseline eGFR (mean 19, SD 6 versus mean 21, SD 5 mL/min/1.73 m2), respectively. At nine-month follow-up, five patients in each group started dialysis (P=.62). Among program participants, 80% (4/5) started dialysis as an outpatient compared with 20% (1/5) of controls (OR 6.28, 95% CI 0.69-57.22). In extended follow-up (median 15.7, range 11.7 to 18.1 months), 19 of 98 patients started dialysis; 80% (8/10) of the intervention group patients started dialysis in the outpatient setting versus 22% (2/9) of control patients (hazard ratio 6.89, 95% CI 1.46-32.66). Compared to before participation, patients who completed the program had higher disease knowledge levels (mean 52%, SD 29% versus mean 94%, SD 14% of questions correct on knowledge-based survey, P<.001) and were more likely to choose a home modality as their first dialysis choice (36%, 7/22 versus 68%, 15/22, P=.047) after program completion.

Conclusions
The Cricket Health program can improve patient knowledge about CKD and increase interest in home dialysis modalities, and may increase the proportion of dialysis starts in the outpatient setting.