bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Health Literacy Questionnaire: Initial Validity Testing in a Norwegian Sample
Authors: Urstad Kristin Hjorthaug , Andenaes Randi , Wahl Astrid K. , Kvarme Lisbeth G. , Helseth Sølvi , Moum Torbjørn 
Published: October 2020

Background:
The Health Literacy Questionnaire (HLQ) is a multidimensional generic questionnaire developed to capture a wide range of health literacy needs. There is a need for validation evidence for the Norwegian version of the HLQ (N-HLQ).

Objective:
The present study tested an initial version of the Norwegian HLQ by exploring its utility and construct validity among a group of nursing students.

Methods:

A pre-test survey was performed in participants (
N
= 18) who were asked to consider every item in the N-HLQ (44 items across nine scales). The N-HLQ was then administered to 368 respondents. Scale consistency was identified and extracted in a series of factor analyses (principal component analysis [PCA] with oblimin rotation) demanding a nine-dimension solution performed on randomly drawn 50% of the samples obtained by bootstrapping. Correlations between the nine factors obtained in the 13-factor PCA and the scale scores computed by the scale scoring syntaxes provided by the authors of the original HLQ were estimated.

Key Results:
The pre-test survey did not result in the need to rephrase items. The internal consistency of the nine HLQ scales was high, ranging from 0.81 to 0.72. The best fit for reproduction of the scales from the original HLQ was found for these dimensions: “1. feeling understood and supported by health care providers,” “2. having sufficient information to manage my health,” and “3. actively managing my health.” For the dimensions “7. navigating in the healthcare system” and “8. ability to find good health information,” a rather high degree of overlap was found, as indicated by relatively low differences between mean highest correlations and mean next-highest correlations.

Conclusions:

Despite some possible overlap between dimensions 7 and 8, the N-HLQ appeared relatively robust. Thus, this study's results contribute to the evidence validation base for the N-HLQ in Norwegian populations.

[
HLRP: Health Literacy Research and Practice
. 2020;4(4):e190–e199.]

Plain Language Summary:
This study tested the Norwegian version of the Health Literacy Questionnaire. The questionnaire (44 items across nine scales) was completed by 368 nursing students. Despite some overlap between scale 7 (“navigating in the health care system”) and scale 8 (“ability to find good health information”), the questionnaire appears to serve as a good measurement for health literacy in the Norwegian population.
Addressing Firearm Safety Counseling: Integration of a Multidisciplinary Workshop in a Pediatric Residency Program
Authors: McKay Sandra , Bagg Michael , Patnaik Anish , Topolski Natasha , Ibraheim Marina K. , Zhao Ning , Aitken Mary E. 
Published: October 2020

ABSTRACTBackgroundFirearm-related injuries are the second leading cause of death among US children. Given this, firearm injury prevention should be a key aspect of pediatric anticipatory guidance.ObjectiveWe assessed the impact of a firearm safety counseling workshop on pediatric resident knowledge, self-efficacy, and self-reported practice patterns.MethodsSixty of 80 residents (75%) participated in a 2-hour multimodal workshop, including video, didactics with experts, and role-play scenarios. Participants were invited to complete pre-workshop, immediate post-workshop, and 3- and 6-month post-workshop self-reported questionnaires evaluating knowledge, comfort, perceived barriers, and reported practice patterns. Data comparing pre- and 6-month post-workshop practice patterns were analyzed via Fischer's exact test. Remaining statistical analysis utilized a one-sided, unpaired Mann–Whitney U test. A binomial exact proportions test was used for open-ended responses.ResultsAfter the workshop, the percentage of participants with perceived concern regarding parental barriers decreased significantly (24% to 7%, P = .001). Participants 6 months post-workshop were 5.14 times more likely to counsel their patients on firearms during more than 75% of their well visits than prior to the intervention (P = .010). Participants reported greater comfort asking patients about firearms, with mean Likert scores increasing from 3.81 pre to 4.33 post (P = .022), which was similar to 3-month (4.39, P = .06) and 6-month evaluations (4.54, P = .003).ConclusionsEducation on firearm safety counseling improved pediatric resident comfort level in discussing the topic. This impact persisted 6 months after the workshop, implying a sustained change in attitudes and behaviors.
Ghrelin, resistin and insulin in obese diabetic women in Wad-Madani, Sudan
Authors: Aliya  Elamin Mohammed , Mohammed Youseif Sukkar , Azhari Mohammed Hamid 
Published: October 2020

Background: Obesity in the Sudan is increasing at alarming rate with the tendency of reaching an epidemic proportion in women. It is commonly associated with type 2 diabetes (T2D). Some adipokine hormones such as resistin are associated with obesity.
Objectives:. To study how the levels of resistin, ghrelin and insulin are associated with obesity,fat distribution and (T2D) and to ascertain any interrelationships between them.
Subjects and methods: 150 women, age ≥18 years old, resident in Wad-Madani town, Sudan were participated in the study. They were divided into 3 groups according to body mass index ( BMI) value: I (normal weight), II (overweight) and III (obese diabetic). Fasting serum resistin and ghrelin concentrations were measured using ELISA method. Insulin levels were determined by radioimmunoassay(RIA).
Results: The mean±SD levels of resistin 5.80±4.91ng/mL,Ghrelin107.60±26.67pg/M and Insulin 11.92±8.54mLU/ml in obese diabetic were found to be greater than in normal or overweight women.In normal weight values were 3.07±2.15 ng/ mL 83.30±13.38pg/mL, and 6.62±6.77mLU/ml for resistini, ghrelin and Insulin, respectively. Values for overweight women 3.64±2.63 pg/mL 90±17.35 pg/mL and 8.13±7.54 mLU/ml for resistin, ghrelin and insulin respectively.
Conclusions and recommendations: Increased BMI, waist circumference (WC) and hormones (ghrelin and resistin) were associated with insulin resistance.Further studies are needed to accept or refute these findings.
Keywords: Obesity; BMI; WC; T2D; ghrelin; resistin; insulin resistence (IR).
Barriers and facilitators to implementing coronary care networks in South Africa: a qualitative study
Authors: Stassen Willem , Kurland Lisa , Wallis Lee , Castren Maaret , Vincent-Lambert Craig 
Published: October 2020

Background: ST-elevation myocardial infarction (STEMI) is on the rise in sub-Saharan Africa. South Africa consistently fails to deliver timely reperfusion to these patients, possibly due to under-developed coronary care networks (CCN).
Objectives: To determine the current perceived state of CCNs, to determine the barriers to optimising CCNs and to suggest facilitators to optimising CCNs within the South African context.
Methods: A qualitative descriptive approach was employed, by performing two structured in-depth and two focus group inter- views (n=4 and 5, respectively), inviting a purposely heterogeneous sample of 11 paramedics (n=4), doctors (n=5), and nurses (n=2) working within different settings in South African CCNs. Recorded interviews were transcribed verbatim and subjected to content analysis.
Results: Participants described an under-resourced, unprioritised and fragmented CCN with significant variation in perfor- mance. Barriers to CCN optimisation resided in recognition and diagnosis of STEMI, transport and treatment decisions, and delays. Participants suggested that thrombolysing all STEMI patients could facilitate earlier reperfusion and that pre-hospital thrombolysis should be considered. Participants highlighted the need for regionalised STEMI guidelines, and the need for fur- ther research.
Conclusion: Numerous barriers were highlighted. Healthcare policy-makers should prioritise the development of CCNs that is underpinned by evidence and that is contextualised to each specific region within the South African health care system.
Keywords: Health care system; emergency care; cardiovascular disease.
Association between the Interleukin-10 -1082 G/A polymorphism and risk of hepatocellular carcinoma
Authors: Wang Yingwei , Hu Peiyang 
Published: October 2020

Background: Inconsistent results have been reported from studies investigating the relationship of the interleukin-10 (IL-10) -1082 G/A polymorphism and the susceptibility of hepatocellular carcinoma (HCC). Therefore, a thorough literature review of relatedstudies was performed in this meta-analysis to examine the association of the interleukin-10(IL-10) -1082 G/A poly- morphism with HCC susceptibility.
Methods: Electronic databases were searched for literature on the relationship between interleukin-10(IL-10) -1082 G/A poly- morphism and the risk of HCC in accordance with the inclusion and exclusion criteria. The selected studies were analyzed using the Stata 12.0 software. Finally, the strength of the associations was evaluated using the odds ratio (OR) and 95% confidence intervals (95% CI).
Results: A total of six case-control studies were enrolled into the current meta-analysis, which included a total of 911 patients and 1889 control subjects. Our data revealed no association between the IL-10 -1082 G/A polymorphism and the risk of HCC (GG vs AA:OR=0.84, 95%CI=0.57-1.25; AG vs AA:OR=0.85, 95%CI=0.70-1.05; Dominant model: OR=0.85, 95%CI=0.70- 1.03; and Recessive model: OR=0.92, 95%CI = 0.64-1.32). Similarly, no association was found in sub-group analysis based on ethnicity.
Conclusion: The results of our study suggest no association between IL-10 -1082 G/A polymorphism and the risk of HCC.
Keywords: Hepatocellular carcinoma; IL-10 polymorphism; risk analysis.
Improving healthcare: a guide to roll-out best practices
Authors: Ten Ham-Baloyi Wilma , Minnie Karin , Van der Walt Christa 
Published: October 2020

Background: Best practices comprise recent, relevant, and helpful nursing practices, methods, interventions, procedures or techniques based on high-quality evidence. Best practices should be implemented to improve individual patients’ health outcomes the overall quality of health care, and to strengthen the health system at large. Four facilitators (benefit levers) to effectively roll-out best practices in healthcare organizations were identified: alignment, permeation plans, leadership for change, as well as supporting and reinforcing structures.
Purpose of the research: To develop and review a guide for an operational plan to facilitate the roll-out of best practices in healthcare organizations.
Methodology: The content of the guide was based on findings of an integrative literature review and interviews. This article discusses the development of the guide using the logic model as format (phase One) as well as its review including five key informants using the Delphi method (phase Two).
Results: The Logic Model provided a feasible format for the guide. Two Delphi rounds were required to review the guide’s design and content. This guide addresses pre-roll-out resources; pre-roll-out activities, best practices (outcomes) during and after roll-outs; and impact.
Conclusion: The guide should be tested in different healthcare organizations and adapted accordingly to have an impact on improved patient and health outcomes. The guide can be used by managers wishing to roll-out best practices in their healthcare organizations to achieve improved health outcomes for individual patients.
Keywords: Best practices; guide for an operational plan; healthcare organizations; implementation of best practices; roll-out of best practices.
Assessment of Nutritional Status in Children with Cerebral Palsy
Authors: Mohana  
Published: October 2020

Background: Cerebral palsy refers to a group of disorders that affect movement or posture. The present study was conducted to nutrition status in children with cerebral palsy.Subjects and Methods:The present study was conducted on 120 children age ranged 7-16 years diagnosed with cerebral palsy. Nutritional status assessment was based on the TSF and AFA estimates derived from TSF and mid-upper arm circumference (MUAC) measurements. Children were classified into underweight, <5th normal weight, 5-84.89th and overweight, >85th.Result:There were 70 boys and 50 girls in present study. Common type was spastic in 90, dyskinetic in 20 and ataxic in 10 patients. GMFCS levels was level I in 30, level II in 15, level III in 18, level IV in 9 and level V in 48 patients. The mean TSF and AFA Z-scores were significantly lower in low functioning children than in moderate functioning children (P< 0.05).Underweight and overweight prevalence were 13.1 % and 4.9 % respectively. The underweight prevalence was significantly higher in girls than in boys (P< 0.05), whereas overweight prevalence was significantly higher in boys than in girls (P< 0.05). Both underweight (P- 0.148) and overweight (P- 0.421) prevalence was not significantly different across age groups. Underweight prevalence was significantly higher in the low functioning group (P< 0.05).Conclusion:Authors found that cerebral palsy children face nutritional challenges. It is more common in underweight as compared to overweight children.
Study of Clinico-Radiological Profile in Childhood Tuberculosis
Authors: Triya Malde  , Gaurang Pabani  , O.P. Shukla  
Published: October 2020

Background: Tuberculosis still is one of the deadliest diseases in the world killing nearly 2 million people every year. In India, two deaths occur every three minutes from tuberculosis. The actual global disease burden of childhood tuberculosis is not known, as childhood Tuberculosis is notoriously difficult to diagnose because of the absence of a ‘gold standard’ as bacteriologic confirmation is rarely achieved. The present study was designed to study clinical profile of various forms of childhood TB. Objective of this study was to study clinic-epidemiological profile of various forms of childhood TB.Subject and Method:Retrospective analysis of clinical profile of 100 patients of childhood TB in the age group of 6 months to 12 years. A detailed clinical history, family history of contact with Koch’s disease, history of BCG vaccination of each child was recorded. A complete examination was carried out and findings regarding the general and systemic examination were recorded. Result:Age distribution in our study showed that 51% cases in the age of 5-12 years, 47% cases in the age group 1-5 years and 2 % cases falling in the age group 0-1 years, with male to female ratio of a 1.27:1. 95% of the patients belonged to the lower socio-economic class. The distribution of TB was- pulmonary tuberculosis(42%),TBME(30%),pleural effusion(12%),abdominal TB (12%), TB lymphadenitis(4%), Osteotuberculosis(2%), miliary TB(2%). 12% of the patients had mild to moderate malnutrition (PEM Grade I, II)and 57 % were severely malnourished. 72% of the patients were BCG vaccinated and history of Koch’s contact were present in 21% of all cases. The most frequently seen symptoms were fever (88%), cough (65%), weight loss in 50%, anorexia in 35% of cases and in physical examination cachexia was the most common (50%) followed by hepatomegaly (40%),lymphadenopathy(16%) and Splenomegaly (8%) of cases. Conclusion:childhood TB is commonly seen in children more than 1 year, lower socioeconomic class and in severely malnourished children.
AGUSTUS VERSUS KRISTUS DI SURAT FILIPI (BAGIAN 2): Pembacaan Anti-Imperial terhadap Filipi 2:6-11
Authors: Surif Surif 
Published: October 2020

Abstrak: Artikel ini adalah kelanjutan dari artikel sebelumnya dengan judul yang sama. Tesis yang ditawarkan adalah bahwa Filipi 2:6-11 adalah narasi Injil Yesus Kristus dan perlu dipahami di dalam konteks konfrontasi teologis-ideologis terhadap injil Kaisar Agustus yang semarak dipropagandakan otoritas Romawi di banyak wilayah kekuasaan Romawi, termasuk di kota koloni Romawi Filipi, pada masa itu. Di dalam kerangka ini, Yesus Kristus digambarkan sebagai antitesis dari figur Agustus, kaisar terbesar Romawi pada saat itu. Narasi Injil Kristus di dalam Filipi 2:6-11 mengklaim sebagai berikut. Pertama Yesuslah, dan bukan Agustus, yang berstatus Ilahi (ay. 6) yang sesungguhnya karena karya pelayanan-Nya bagi semua umat manusia (ay. 7-8). Kedua, Yesuslah, dan bukan Agustus, yang ditinggikan oleh Allah sebagai Tuhan atas semesta (ay. 9). Ketiga, pada akhirnya Yesuslah, dan bukan Agustus, yang akan disembah sebagai Tuhan oleh seluruh ciptaan (ay. 10-11). Pembacaan yang demikian akan memberikan perspektif baru bagi pemahaman pergumulan jemaat Kristus di Filipi maupun bagi pemahaman atas berbagai nasihat Paulus yang tercantum di dalam surat Filipi.
Abstract: This article is the continuation of the previous article “Augustus Versus Christ in Philippians.” It is proposed in this second article that Philippians 2:6-11 is a narratival gospel of Jesus Christ, and it needs to be understood in the context of Paul’s theological and ideological confrontation with the gospel of Caesar Augustus that had been popularly propagated at that time by the imperial authority in many parts of Roman empire, including in the Roman colonial city of Philippi. In this framework, it is argued that Philippians 2:6-11 portrays Jesus Christ as the antithesis of Augustus, the greatest Roman Caesar at that time. This narratival gospel makes claims as follows. First, it is Jesus, and not Caesar Augustus, who is the real divine (v. 6) on account of his benefactional minisrty to all humankind (vv. 7-8). Second, it is Jesus, and not Caesar Augustus, who has been highly exalted by God himself as the lord of the whole universe (v. 9). Third, at the end, it is Jesus, and not Caesar Augustus, who will be worshiped as the Lord by the all creatures (vv. 10-11). This reading will give us a better understanding on the struggle of the Philippians church, and thus on Paul’s paranesis in his letter to this church.
MAKNA ROHANI DALAM EKSEGESIS PRA-MODERN: Sebuah Pengantar Kepada Teologi Eksegesis Henri de Lubac
Authors: Edy Jhon Piter Gurning  
Published: October 2020

Abstrak: Dalam 25 tahun terakhir ini, Theological Interpretation of Scripture (TIS) berkembang dan menjadi pokok diskusi para sarjana biblika dan teologi sistematika. Sebagai sebuah cara untuk memahami Alkitab, TIS mengapresiasi metode hermeneutika pra-modern. Bertentangan dengan pemahaman modern bahwa hanya ada satu makna dalam teks, para pendukung TIS mempercayai ada banyak level makna dalam teks Alkitab. Penulis akan berargumentasi untuk membuktikan kebenaran argumen akan adanya banyak level makna dalam teks Alkitab dengan menelusuri pemikiran Henri de Lubac.

Abstract: In the last 25 years, Theological Interpretation of Scripture (TIS) has developed and become the subject of discussion of scholars of biblical and systematic theology. As a way to understand the Bible, TIS appreciates the pre-modern hermeneutics method. Contrary to the modern understanding that there is only one meaning in the text, TIS supporters believe there are many levels of meaning in the biblical text. The author will argue for the existence of many levels of meaning in the biblical text by tracing Henri de Lubac's thoughts.
PENGARUH KOMPETENSI DAN PENGALAMAN KERJA TERHADAP KUALITAS SUMBER DAYA MANUSIA: STUDI KASUS PERUM DAMRI
Authors: Lilyana Besti 
Published: October 2020

Damri Lampung Public Company is a company located on Jalan Captain Abdul Haq No. 28, Bandar Lampung which was established as a Public Transportation Bus company within the City and between Cities or Provinces. In Damri Lampung Public Company, several problems occur including: lack of motivation, personal character problems, self-concept problems, lack of knowledge and skills. The aim of this research is to determine the effect of Competency and Work experience simultaneously and partially on the Quality of HR. With a total of 118 respondents, this research uses multiple linear regression analysis methods. To determine the effect of the independent variable partially on the dependent variable, the t test is used. Whereas to determine the effect of the dependent variable simultaneously, the F-test is used. The analysis technique uses SPSS 16.0. The results of multiple linear regression analysis show that the t-count is 1.768 while the F-test show a value of 105.349 with the R square value in this research is 0.647 or 64.7%. The results of this research indicate that competency and work experience have a significant effect on the quality of human resources.
Keywords: Competencies, Work Experience, Human Resources Quality

Perusahaan Umum Damri Lampung merupakan perusahaan yang berlokasi di jalan Kapten Abdul Haq No. 28, Bandar Lampung didirikan sebagai perusahaan Bus Angkutan Umum dalam Kota dan antar Kota atau Provinsi. Di Perusahaan Umum Damri Lampung terjadi beberapa permasalahan diantaranya: motivasi yang kurang, masalah karakter pribadi, masalah konsep diri, minimnya pengetahuan dan keterampilan yang kurang. Tujuan penelitian ini adalah untuk mengetahui pengaruh Kompetensi dan Pengalaman kerja secara simultan dan parsial terhadap Kualitas SDM. Dengan jumlah responden sebanyak 118 orang karyawan. Penelitian ini menggunakan metode analisis regresi linier berganda. Untuk mengetahui pengaruh variabel independen terhadap variabel dependen secara parsial, digunakan uji t. Sedangkan untuk mengetahui pengaruh variabel dependen secara simultan, digunakan uji-F. Analisis menggunakan SPSS 16.0,. Hasil analisis regresi linier berganda diperoleh bahwa t-hitung adalah 1,768 sedangkan uji-F diperoleh nilai sebesar 105,349 dengan nilai R square pada penelitian ini adalah 0,647 atau 64,7 %. Hasil penelitian ini menunjukkan bahwa Kompetensi dan Pengalaman kerja berpengaruh signifikan terhadap Kualitas SDM.
Kata kunci: Kompetensi, Pengalaman Kerja, Kualitas SDM
Is There a Relationship between Productivity and Relative Prices in South Africa?
Authors: Rapapali Mpho , Steenkamp Daan 
Published: October 2020

Abstract
The Balassa–Samuelson hypothesis proposes that there should be a direct relationship between a country’s real exchange rate and its productivity performance. Given South Africa’s (SA’s) poor relative productivity performance, a weak and depreciating real exchange rate would be expected under this hypothesis. However, the real effective exchange rate has been relatively stable since the early 2000s. We construct tradable and nontradable price and productivity measures and show that tradable sectors have tended to experience more rapid productivity growth than nontradable sectors in both SA and the United States. However, we show that there is not a strong relationship between sectoral productivity and prices in SA, or with the real exchange rate with the United States. Better explanations for SA’s deteriorating international competitiveness (shown by higher relative prices) are a relatively high domestic inflation rate caused by nontradable sectors, as well as disproportionately large increases in government wages over the post–global financial crisis period.