bluuebunny/crossref_metadata_2025_split huggingface dataset:
Social Media Use in Adolescents With Functional Abdominal Pain
Authors: Samuel Eshan , Lahiri Sharmistha , Hashmi Syed , Navarro Fernando 
Published: November 2020

Social media use is increasing in children in the U.S., which could be related to the high prevalence of functional gastrointestinal disorders in this population.Objective: To investigate the relationship of social media use with the severity of gastrointestinal symptoms in patients with a functional abdominal pain or irritable bowel syndrome diagnosis.Study Design: We administered a questionnaire to collect information about screen time, demographics, and a modified Validated Varni PedsQL Gastrointestinal symptom scale which assesses the severity of gastrointestinal (GI) symptoms.Results: We surveyed a total of 59 subjects, which included 26 subjects with functional abdominal pain and 33 age-matched healthy controls. The median score across all 8 scales was about a third less for cases (median: 63; IQR: 55–78) than controls (median: 93; IQR: 83–95) (p &lt; 0.001). Mean screen time in the study group (341 min/day) was very similar to that in the control group (331 min/day). There was no statistically significant association between screen time per day and the number of platforms used for either the cases or controls. YouTube (92%) and Instagram (88%) were the first and second most popular platforms used by the children with functional abdominal pain; Instagram (97%) and Snapchat (82%) were the most popular platforms in the healthy controls. Interestingly, social media were more often used for entertainment, reading, and productivity by the children with functional abdominal pain (p &lt; 0.05).Conclusion: The amount of screen time/day and the number of social media platforms used does not correlate with the severity of abdominal pain and other GI symptoms in adolescents with FGID. Further research will be needed to confirm if the platforms are used differently by children with functional gastrointestinal disorder.
Association of Diet Quality Indices with Longitudinal Changes in Kidney Function in U.S. Hispanics/Latinos: Findings from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
Authors: Missikpode Celestin , Ricardo Ana C. , Durazo-Arvizu Ramon A. , Manoharan Anjella , Mattei Josiemer , Isasi Carmen R. , Mossavar-Rahmani Yasmin , Talavera Gregory A. , Sotres-Alvarez Daniela , Daviglus Martha L. , Lash James P. 
Published: November 2020

Background
Recent studies suggest an association between diet quality and incident CKD. However, Hispanics/Latinos were under-represented in these studies. We examined the relationship of diet quality with change in kidney function in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).

Methods
Individuals who participated in HCHS/SOL visits 1 (2008–2011) and 2 (2014–2017) were analyzed (n=9921). We used Alternate Healthy Eating Index 2010 (AHEI-2010), Dietary Approaches to Stop Hypertension (DASH), and Mediterranean Diet (MeDS) scores as measures of dietary quality. Scores were calculated from two 24-hour dietary recalls administered at visit 1 and categorized into quartiles of each dietary score (higher quartiles correspond to a healthier diet). Kidney function was assessed at both visits using eGFR and urine albumin-creatinine ratio (UACR). Annualized change was computed as the difference in eGFR or UACR between visits divided by follow-up time in years. Weighted linear-regression models were used to examine the association between quartiles of each dietary quality index and annualized change in eGFR and UACR, adjusted for potential confounders.

Results
At visit 1, the mean (SD) age of participants was 41 (0.28) years, and 56% were female. The baseline mean eGFR was 107.1 ml/min per 1.73 m2, and baseline median UACR was 6.1 mg/g. On average, eGFR declined by 0.65 ml/min per 1.73 m2 per year, and UACR increased by 0.79 mg/g per year over a 6-year period. Lower AHEI-2010 quartiles were associated with eGFR decline in a dose-response manner (P trend=0.02). Higher AHEI-2010 quartiles showed a trend toward lower annualized change in UACR, but the result did not reach significance. Neither MeDS nor DASH scores were associated with eGFR decline or change in UACR.

Conclusions
Unhealthy diet, assessed at baseline by AHEI-2010, was associated with kidney-function decline over 6 years. Improving the quality of foods and nutrients according to the AHEI-2010 may help maintain kidney function in the Hispanic/Latino community.
Pathways Project: Development of a Multimodal Innovation To Improve Kidney Supportive Care in Dialysis Centers
Authors: Lupu Dale E. , Aldous Annette , Harbert Glenda , Kurella Tamura Manjula , Holdsworth Laura M. , Nicklas Amanda , Vinson Brandy , Moss Alvin H. 
Published: November 2020

Current care models for older patients with kidney failure in the United States do not incorporate supportive care approaches. The absence of supportive care contributes to poor symptom management and unwanted forms of care at the end of life. Using an Institute for Healthcare Improvement Collaborative Model for Achieving Breakthrough Improvement, we conducted a focused literature review, interviewed implementation experts, and convened a technical expert panel to distill existing evidence into an evidence-based supportive care change package. The change package consists of 14 best-practice recommendations for the care of patients seriously ill with kidney failure, emphasizing three key practices: systematic identification of patients who are seriously ill, goals-of-care conversations with identified patients, and care options to respond to patient wishes. Implementation will be supported through a collaborative consisting of three intensive learning sessions, monthly learning and collaboration calls, site data feedback, and quality-improvement technical assistance. To evaluate the change package’s implementation and effectiveness, we designed a mixed-methods hybrid study involving the following: (1) effectiveness evaluation (including patient outcomes and staff perception of the effectiveness of the implementation of the change package); (2) quality-improvement monitoring via monthly tracking of a suite of quality-improvement indicators tied to the change package; and (3) implementation evaluation conducted by the external evaluator using mixed methods to assess implementation of the collaborative processes. Ten dialysis centers across the country, treating approximately 1550 patients, will participate. This article describes the process informing the intervention design, components of the intervention, evaluation design and measurements, and preliminary feasibility assessments.

Clinical Trial registry name and registration number:
Pathways Project: Kidney Supportive Care, NCT04125537.
Necessities of Life from Palaikali
Authors: M Usharani , M Sutha 
Published: November 2020

we couldn’t not find any news that were not told in Tamil literature two thousand years ago. The species formed in the world are uncountable among them who has the thinking power and the knowledge of how to lead a life is only human race. To enrich the race of human wealth has become a necessity. In whole Sangam literature so many imprints are there about the need of money. esspecially in Kalithogai which is honor by the educated men there is a part called Palaikali. Many pieces of writings are there about wealth in this Palaikali. Befitting the words of Thiruvalluvar as this world is not for the man without money in the importance of wealth had been registered in a beautiful manner that too in many places in this Palaikali. whether it is family life or life of an ascetic money is important without wealth one cannot perform ones duty perfectly in family life where men and women lead their life more meaningfully money has become a must to perform their duties more meaningfully both inside the house and outside in this world this idea registered so firmly in this Palaikali. The same has become the aim of this article too.
Citra Perempuan dalam Novel "Kala" Karya Stefani Bella dan Syahid Muhammad
Authors: Wardani Hanif Ivo Khusri , Sudaryani Rina Ratih Sri 
Published: November 2020

Penelitian bertujuan untuk mendeskripsikan citra perempuan pada tokoh utama dalam novel “Kala” karya Stefani Bella dan Syahid Muhammad dengan kajian feminisme ideologis. Penelitian dilakukan secara deskriptif kualitatif. Pengumpulan data dilakukan dengan teknik kepustakaan dan teknik baca-catat serta metode membaca sebagai perempuan. Hasil penelitian adalah sebagai berikut: (1) citra fisik Lara adalah perempuan dewasa yang sederhana, apa adanya, dan tidak suka bersolek, (2) citra psikis Lara adalah perempuan yang berjiwa kuat, tegar, tanggung jawab, dan mandiri, (3) citra sosial Lara dalam keluarga adalah anak perempuan yang berbakti kepada orang tuanya, dan (4) citra sosial Lara dalam masyarakat adalah perempuan yang ramah, mudah bergaul, dan aktif berkegiatan. Sosok perempuan dalam novel “Kala” ini menggambarkan sosok perempuan yang berhasil menyetarakan kedudukannya dengan laki-laki khususnya dalam bidang pekerjaan di ranah publik. Ketidakadilan yang dihadapinya karena jenis kelamin tidak menjadikan perempuan lemah dan terpuruk tetapi membangkitkan semangatnya menjadi perempuan yang mandiri.Katakunci: citra, perempuan, feminis ideologisAbstract:The study aimed to describe the woman’s image reflected by the main character of Kala, a novel written by Stefani Bella and Syahid Muhammad. The woman’s image was viewed from an ideological feminism approach. The research was descriptive qualitative of which the data were collected through library study and note-taking, as well as reading as woman. The study results in several findings. First, Lara’s physical image was described as modest, natural, and not keen on prinking herself. Second, psychologically, Lara’s image was strong, tough, responsible, and independent. Third, Lara’s social image in the family was filial to her parents, and fourth, Lara’s social image in society was described as friendly, sociable, and active. The woman’s figure in the novel shows the one who is able to equalize the position with men, especially in occupations related to the people. The inequality as experienced by the character should not weaken women. Instead, it should encourage women to be independent.Keywords: image, women, ideological feminism
Penggunaan Gaya Bahasa pada Puisi Siswa Kelas VIII SMP Negeri 1 Pasirkuda
Authors: Dewi Risna Fitria , Pamungkas Daud , Adawiyah Aprilla 
Published: November 2020

Artikel ini mengungkapkan penggunaan gaya bahasa pada puisi siswa SMP Negeri 1 Pasirkuda. Penelitian dilakukan untuk mengetahui bagaimana kemampuan siswa dalam menggunakan gaya bahasa repetisi, hiperbol, dan personifikasi ketika menulis puisi. Selain itu, penelitian dilakukan untuk mengetahui gaya bahasa yang paling dominan digunakan oleh siswa. Metode yang digunakan adalah metode deskriptif kualitatif dengan teknik pengumpulan data berupa dokumentasi untuk mengumpulkan data sekunder. Hasil penelitian menunjukkan bahwa terdapat 22 gaya bahasa yang digunakan siswa pada puisinya; gaya bahasa personifikasi paling mendominasi gaya bahasa pada puisi siswa, yakni ditemukan 9 kali penggunaan gaya bahasa personifikasi; gaya bahasa hiperbol menduduki urutan kedua gaya bahasa yang paling banyak digunakan pada puisi siswa, yakni digunakan sebanyak 8 kali; dan gaya bahasa repetisi menduduki urutan terakhir gaya bahasa yang paling banyak digunakan pada puisi siswa, yakni digunakan sebanyak 5 kali.Kata kunci: puisi, repetisi, hiperbol, personifikasiThis article reveals the use of language style in poetry of SMP Negeri 1 Pasirkuda students. The study was conducted to find out how students' abilities in using repetition, hyperbolic, and personification style when writing poetry. In addition, research was conducted to find out the most dominant language style used by students. The method used is a descriptive qualitative method with data collection techniques in the form of documentation to collect secondary data. The results showed that there were 22 styles of language used by students in his poetry; personification language style dominates the language style of students' poetry, which is found 9 times the use of personification language style; hyperbolic language style ranks second most widely used language style in student poetry, which is used 8 times; and repetition style ranks last in the style of language most widely used in student poetry, which is used 5 times. Keywords: poetry, repetition, hyperbolic, personification
PERSAINGAN USAHA TIDAK SEHAT ANTARA MINIMARKET DENGAN KELOMPOK USAHA KECIL DAN MENENGAH DI KABUPATEN CIANJUR
Authors: Rozi Mumuh M. 
Published: November 2020

The recent growth of minimarkets in Cianjur Regency, is considered to have indirectly threatened and paralyzed, traditional traders. Therefore, the regional government of Cianjur Regency was asked to think about the fate of small traders who could lose their livelihoods due to being run over by large companies. The government is required to review the issuance of permits for the establishment of these minimarkets. Shopping Malls and Modern Stores. The research objective was to determine the impact of the establishment of a mini-market on the climate of small and micro businesses and the policies of the Cianjur Regency Government in creating a healthy business climate. Legal protection for small or micro businesses for the presence of Minimarket in Cianjur Regency. The research method of normative juridical research is research that is focused on examining the application of the norms or norms in positive law which is carried out by examining various legal rules. The results of this research show that the franchise policy limitation is in accordance with the policy objectives, but the results of this policy cannot directly have a major impact on the business activities of grocery stores and traditional shops. This is also caused by external factors beyond the influence of the policy itself, namely the taste and tendency of consumers to prefer shopping at minimarkets rather than at grocery stores or traditional stalls. Meanwhile, from the internal side, the UMKM itself is less touched by the existence of this regulation, namely regarding the empowerment of MSMEs and growing and increasing the capacity of MSMEs to become strong and independent businesses. Keywords: Business Competition, Minimarket, Micro, Small and Medium Enterprises.
STUDI KASUS SISTEM PERADILAN PIDANA TERHADAP ANAK PELAKU TAWURAN ANTAR PELAJAR PADA TAHAP PENYIDIKAN
Authors: Rozi Mumuh M. 
Published: November 2020

Fighting between students is actually only one form of delinquency in adolescents. There are many more psychological and criminal problems that are often experienced and carried out by adolescents. Deviant behavior by adolescents, commonly known as juvenile delinquency, is juvenile delinquency referring to a form of behavior that is not in accordance with the norms that live in the community.The identification of this problem is the background of children conducting brawls between students, Protection of child brawlers at the stage of the investigation, Obstacles and obstacles in the investigation of brawls between students.Writing this thesis uses normative and empirical juridical methods. The sources come from library research and interviews, namely by studying or analyzing secondary and tertiary legal materials. Thus, the normative juridical approach in research is used to analyze problems relating to the legal protection of children as brawls among students.The results of the study showed that 1) Student brawl can be caused by 2 (two) factors, namely internal and external factors 2) Protection of children in conflict with this law underwent fundamental changes, namely strict regulation of "restorative justice and diversion" intended to avoid and keep children away from the judicial process, so as to avoid the stigmatiziation that can be done at every level of decision makers at the police, prosecutor and court level. 3) That there are reasons or arguments that encourage investigations tend to be less restorative justice-based both internally and externally, so the writer will analyze internal and external factors and take advantage of legal culture theory. Keywords: Legal Protection; Student Fight; Child Investigation.
VALIDACIÓN DE UN MODELO SIMULADO INANIMADO BASADO EN IMPRESIÓN 3D DE URETERORRENOSCOPÍA FLEXIBLE
Authors: Neira Soto Rodrigo , Varas Cohen Julián , Astroza Eulufi Gastón 
Published: November 2020

Objetivo: Establecer validez aparente, de contenido y constructo de un programa de simulación de ureterorrenoscopía flexible.Materiales y métodos: Se desarrolló un modelo de simulación de silicona para ureterorrenoscopía flexible, en el cual se establecieron 8 marcas de colores en los distintos cálices. Para la validación, se reclutaron urólogos expertos y residentes de urología con experiencia variable en este procedimiento. Se separaron en 3 grupos: G1 para residentes sin experiencia en ureteroscopía, G2 para residentes con experiencia variable y G3 para urólogos expertos. Se les solicitó realizar una navegación completa del modelo, en un tiempo máximo de 600 segundos. Al finalizar, cada participante contestó una encuesta respecto a la utilidad y realismo del modelo. Además, se midió tiempo total, número de puntos encontrados y cantidad de veces de reingreso a los cálices para validación de constructo.Resultados:15 personas participaron en la evaluación. Se obtuvo una mediana de 8,6 puntos para la utilidad del modelo y 6,75 puntos para el realismo de este. Los tiempos totales de navegación fueron 504, 293 y 133 segundos para G1, G2 y G3 respectivamente (p=0,02). De las 8 marcas, se encontraron en promedio 5,1, 6.6 y 7,3 (p=0,18), presentando un promedio de 9,5, 3,8 y 1,3 reintentos de exploración de los cálices en los respectivos grupos (p=0,11).Conclusiones: Se establece validez aparente y contenido para un modelo de ureterorrenoscopía flexible. El programa de simulación de ureterorrenoscopía flexible establecido, permite diferenciar novatos de expertos en cuanto a reducción en los tiempos de navegación.
INDICACIONES INHABITUALES DE TRASPLANTE HEPÁTICO. RESULTADOS
Authors: Troncoso Andres , Briceño Eduardo , Cancino Alejandra , Dellepiane Paulina , Soriano Humberto , Gana Juan Cristóbal , Benítez Carlos , Wolff Rodrigo , Barrera Francisco , Montaña Rodrigo , Concha Mario , Pattilo Juan Carlos , Jarufe Nicolás , Guerra Juan Francisco , Dib Martin , Martínez Jorge 
Published: November 2020

Introducción: El trasplante hepático (TH), es una terapia establecida en el tratamiento de diversas enfermedades del hígado agudas y crónicas terminales y del carcinoma hepatocelular (CHC). Las principales indicaciones en nuestro medio son la cirrosis de diferentes etiologías, el CHC, la atresia de vías biliares en niños y la falla hepática fulminante (FHF). Menos del 10% corresponden a indicaciones inhabituales, que incluyen pacientes con una miscelánea de enfermedades entre las cuales están la enfermedad poliquística hepática (EPH), enfermedades metabólicas (Niemann – Pick, otras), el síndrome hepato/portopulmonar, metástasis de diferentes tumores, etc.Objetivo: Describir y evaluar los resultados obtenidos con el trasplante hepático en estas indicaciones.Material y Método: Estudio de cohorte no concurrente que incluyó los TH por indicaciones inhabituales realizados entre marzo de 1997 y diciembre de 2016. De 295 TH realizados, 34 (11,5%) fueron por estas indicaciones.Resultados: Las causas más frecuentes fueron el síndrome porto/hepatopulmonar en 11 (40,7%) pacientes y la EPH en 9 (26,5%). Las enfermedades metabólicas representaron la tercera indicación, con 5 (14,7%) casos. 7 (20,6%) pacientes eran menores de 18 años. Las complicaciones más frecuentes fueron biliares y la trombosis de arteria hepática en 6 (17,6%) y 4 (11,8%) casos respectivamente; estos últimos eran portadores de una EPH masiva. 4 (12,5%) pacientes requirieron retrasplante. La mortalidad a 90 días fue de 2 (5,9%) enfermos. Conclusión: El TH es una opción factible en este grupo de pacientes con resultados similares a los obtenidos en las indicaciones clásicas.
Uma experiência de trabalho colaborativo e aprendizagem da língua inglesa em um projeto integrador no curso técnico de Eletromecânica
Authors: Pacheco Letícia Priscila , Soares Jr Imar de Souza , Bianchini Ieda Maria Cassuli , De Barros Marcelo , Stangarlin Henrique Wild 
Published: November 2020

Esta narrativa apresenta o trabalho desenvolvido por uma equipe de professores no último semestre do curso técnico subsequente de Eletromecânica, em campus do Instituto Federal Sul-rio-grandense. O trabalho visou à construção de protótipos de scooters articuladas através da construção de conhecimentos entre as disciplinas específicas da área técnica e a disciplina de inglês instrumental. A disciplina de inglês instrumental contribuiu com a ação através da construção de manual de instruções bilíngue e de uma apresentação pessoal oral, em língua inglesa. A integração com as disciplinas proporcionou a consolidação das aprendizagens dos elementos linguísticos, bem como o despertar para a emergência da comunicação em língua estrangeira para oferecer um trabalho de qualidade ao mercado. O projeto conseguiu integrar as aprendizagens e a construção do conhecimento, visto que o trabalho foi efetuado de forma coletiva desde seu planejamento, passando pela aplicação das ações conjunta e a avaliação integrada com olhar apurado para os mais diversos aspectos do trabalho em equipe. A principal aprendizagem construída foi o crescimento dos estudantes em seu trabalho em equipe e a conscientização para a importância da integração dos conhecimentos profissionais em relação às necessidades da sociedade e a construção do perfil profissional para atender ao mercado.
Edukasi SADARI (pemeriksaan payudara sendiri)di Kelurahan Murni Kota Jambi
Authors: Nurfitriani Nurfitriani 
Published: November 2020

Breast cancer is a condition in which cells develop abnormally so that they form a mass of malignant tissue entering the surrounding tissue and can spread throughout the body. Of the 10 types of cancer in the world, breast cancer is the second largest with 12.90% of deaths after lung cancer. While the prevalence of cancer in Indonesia, Jambi Province ranks 13th out of 34 provinces in Indonesia with 1287 patients in 2017 (Jambi Provincial Health Office Data, 2017). Kelurahan Murni one of Kelurahan in Danau Sipin Subdistrict, where there are still many communities in the region who do not understand breast self-examination as a detection of breast cancer. Based on field observations, it was found that the Posbindu group was not optimal in organizing educational activities for the community due to the lack of knowledge of theKader well as the optimal health center program that supervises them. The targets of this community service activity are Kader Posbindu and group in the Kelurahan Murni. This activity aims to increase the knowledge of kader and group Kelurahan Murni socialization BSE as an early detection of Breast Cancer in the form of education, socialization and demonstration of Breast Self-Examination (BSE), with the hope that kader and group are able to understand and be motivated to do BSE every month so as to prevent early prevention. the incidence of breast cancer and 100% increased knowledge of the participants.