bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative Analysis between Real Cost and INA-CBG’s claims of Service Costs in Chronic Kidney Disease Patients with Hemodialysis
Authors: Nadhira Riqqah , Saputra Irwan , Usman Said , Bakhtiar Bakhtiar , Nurjannah Nurjannah 
Published: November 2020

This study was an observational analytic study conducted in the Hemodialysis unit of Zainal Abidin Hospital (RSUDZA), Banda Aceh, Indonesia. Data collection was carried out by taking secondary data from CKD patient visits in January-December 2019. The study population was all CKD patients in the registry of 2019 in the hospital, with a total of 406 patients enrolled. The highest unit cost of care based on real costs was the cost of surgical procedures, and the cost difference between INA-CBG’s and hospital tariffs in the treatment of patients with CKD is significantly different (p-value = 0.014, with gap difference of IDR 2,146,086). It is suggested an urgent evaluation and scrutinization for the management of CKD patients with hemodialysis to prevent the different treatment costs in the service
Factors Related to Fruit Vegetable Consumption of Adolescent in Rural and Urban Areas
Authors: Fayasari Adhila , Amelia Chika Meidiana , Wijayanti Tri Sari 
Published: November 2020

Vegetables and fruit consumption contain many benefits. Even though, in Indonesia consumption of vegetables and fruit still less than a recommendation, especially in adolescent. The purpose of this research is to identify the factors affecting the consumption of fruit vegetables consumption (FV) adolescents in urban area (Jakarta) and Rural (Bogor). This research used cross-sectional design in 213 junior high school student in Jakarta and Bogor from January- Februari 2020. Knowledge, self-efficacy, parental influence and availability fruit vegetable were collected by self-questionnaire, and consumption of fruit and vegetable were collected by SQ-FFQ. Data were analysed using chi-square test. Low vegetables and fruit consumption were 24.3% and 13,2%, in urban and rural, respectively. There were significant relationship between self -efficacy (p 0.034; OR 2,61), availability vegetables and fruit (p 0.048; OR 0,41), parental influence (p 0.032; OR 2,95), in urban but, there was no significant relationship between all factors to FV consumption
The Effect of Positive Affirmations to Anxiety level and 2nd stage of labor length
Authors: Rahayu Esty Puji , Rizki Lailatul Khusnul 
Published: November 2020

The maternal mortality rate by sectio caesarea was 40-80 per 100,000 live births. Secto Cesarean can occur because the mother herself is not sure of her ability to normal birthing. Positive affirmations made by mothers are believed to be one of the supports so that mothers are sure that they can give birth normally and reduce anxiety about childbirth. This type of research is observational analytic with a quasi-experimental design, the type of post test only group design. Based on the results of data analysis with the T test, it was found that there was an effect of giving Positive affirmation on anxiety and 2nd stage of labor with p = 0.000 (p <0.05). Positive affirmation with flashcard affirmation greatly affects the level of anxiety of mothers in labor and it is easier to self-affirm so that negative thoughts about childbirth will be reduced
The Effect of Giving A Compress of Sirih Leaves Boiled Water on The Level of Scabies
Authors: Ramayanti Eva Dwi , Nurseskasatmata Satria Eurika 
Published: November 2020

Scabies is a type of skin disease that often attacks santriwati. The purpose of this study is to know the influence of compression of betel leaf boiled water to level scabies.This research is Pre Experimental. The population in this study are all santriwati who experience tingkat scabies. Sample 18 respondents based on Simple Random Sampling. The test used is Wilcoxon. Based on Wilcoxon test, p-value is 0.000, because p-value <α (0.05) then H0 is rejected and H1 is accepted which means there is influence of compression of boiled water of betel leaves to level scabies santriwati, it is found that the test result is Negative rank Meaning between before and after given Compost Water Supply boiled betel leaves there is a decrease in level scabies santriwati. Is expected to increase the knowledge of responden in preventing and lowering scabies an can improve the quality of health
Gut microbiota and metabolic syndrome
Authors: Grinevich V. B. , Radchenko V. G. 
Published: November 2020

Metabolic syndrome is associated with current diseases, such as obesity, diabetes, hypertension, which are accompanied by changes in the intestinal microbiota and the functioning of the immune and neuro-humoral systems of the body. Without detracting from the role of heredity and environmental factors, the intestinal microbiota makes a signiﬁcant contribution to the development of metabolic disorders and obesity by modulating cascading enzymatic reactions of the macroorganism, interacting with receptors directly and/or using its own metabolites and signaling molecules.The purpose of study was to analyze the literature data obtained in the study of the role of the intestinal microbiota in the development of metabolic syndrome (MS).Results: A review of current literature on the role of intestinal microbiota in the development of metabolic syndrome is presented. The features of the mucosal microﬂora of the colon, the role of bacterial ﬁlms, epithelial lining of the intestinal mucosa in the formation of the intestinal microbial-tissue complex as the leading links of metabolic disorders are discussed. The article presents data on the variability of short-chain fatty acids, bacterial genome in the development of obesity and type 2 diabetes.
The evolution of the concept of the intestinal microbial-tissue complex
Authors: Grinevich V. B. , Kravchuk Yu. A. , Sas E. I. 
Published: November 2020

The human gastrointestinal tract is one of the largest in area — points of contact between the internal environment of the host and environmental factors.The most important functional element of this interaction is the microbial — tissue complex of the gastrointestinal tract, and its permeability is deﬁned as a key option in the implementation of the mechanisms of adaptation and homeostasis.The microbiota is represented in various interpretations by the main four domains (archaea, bacteria or eubacteria, eukaryotes and viruses). The combination of these domains into the Biota taxon suggests the need to use the term biota-tissue complex, which more fully reﬂects the sophisticated interactions of all microbial-tissue complexes of the body.
Park City: A New Paradigm Leading Urban Development in the New Era
Authors: Gu Zhimeng , Zhao Sudan 
Published: November 2020

When President Xi Jinping came to Sichuan for an inspection, he first put forward the major proposition of "Park City", and deeply answered the fundamental questions of what kind of city to build in the new era, how to build a city, and so on, to construct a new paradigm for planning and promoting urban development in a new historical position. From the perspective of combining theory and practice, this paper expounds the time position, historical heritage, main connotation and advancement path of park city construction.
The Effect of Storytelling Technique towards Students' Speaking Ability
Authors: Yanto Hairi 
Published: November 2020

Abstract
The main purpose of teaching English is students able to active or passive communicate in English well. This research was experiments research with using a quantitative approach. This research focus on use storytelling techniques on speaking ability, to determine whether storytelling techniques give a significant effect towards students' speaking ability, and to determine components of speaking skill that improved by implementation of storytelling technique on studentsâ€™ speaking abilities such as vocabulary, pronunciation, grammar, fluency, and understanding. The populations in this research were all students in grade Salido, amounting to 239 people in seven classes spread. Technique of sampling in this researchuster random sampling; where one each class has the same chance to be made as a sample. Then the sample was selected class XI IPK 1 as an experiment classes totaling 30 students and the class XI IPK 2 as a control class with the number of students were 35 students. The experiment class used the storytelling technique one time a week while the control class was not trained on this technique. The instruments in the researchers was used a pre-test and post-test of speak data collections was administered to all subjects for examining their ability in speaking skill. Independent sample t-test and paired t-test were performed for data analysis. The results showed that the story-telling technique gave a significant effect towards studentsâ€™ speaking ability. And components of speaking skill that can be improved by implementation of story-telling technique on students at class eleven are pronunciations. It can be concluded that the story telling technique is very effective used in speaking of learning and positive implications for increasing students' speaking ability.
Seed analysis of Dichromanthus aurantiacus, terrestrial orchid from Toluca valley, México
Authors: Sandoval Reyes J.B. , Aguilar Morales M.A. , De la Cruz Olvera Armandina , Laguna Cerda Antonio , Cruz Monterrosa Rosy G. , Jiménez Guzmán Judith , García Garibay Mariano , Martínez García Carlos G. , Rayas Amor Adolfo A. 
Published: November 2020

Objective: The objective of this work was to analyze the viability and germination of Dichromanthus aurantiacus seeds, a terrestrial orchid from Toluca valley, México.
Design/methodology/approach: The size and color were evaluated. Two methods determined the viability: 1) the tetrazolium test (imbibition for 24 hours in the water, 2 hours in calcium hypochlorite (CaCOCl2), and drops of Tween-80). 2) the asymbiotic seed germination by in vitro culture (imbibition for 24 hours in the water, and the concentration of MS medium plus natural extracts).
Results: The seeds of this specie showed approximately 0.2 mm long and 0.05 mm wide; they possess an embryo and a brownish testa. There were significant differences (P<0.05) between the treatments finding a positive effect with the tetrazolium test, achieving up to 91.4% viability. In the in vitro germination, the imbibition of the seeds favored contamination. The concentration of MS and the addition of natural extract presented significant differences (P<0.05), the 50% MS plus 10% of coconut water showed up to 92.8% of germination at 60 days.
Study limitations/implications: The results are preliminary of a long-term experiment.
Findings / Conclusions: The seeds of Dichromanthus aurantiacus showed brown testa and an oval embryo with dimensions of 0.2 mm long and 0.05 mm wide. The tetrazolium test’s viability showed 91.4% viability when they were soaked in sodium hypochlorite solution (CaCOCl2) for two hours, 24 hours soaking in tetrazolium solution (1%) plus two drops of Tween-80. The asymbiotic in vitro culture showed up to 92.8% germination in 60 days using MS medium at 50% enriched with 10% coconut water
Prácticas Exitosas en el Programa Nino Migrante (PRONIM) en Sonora
Authors: Torres-Arcadia Celina , Esquivel Mendívil Rosa María , Martínez-López Marcelina 
Published: November 2020

Resumen
Este artículo presenta 8 prácticas exitosas documentadas por participantes del Programa de Educación Básica para Niñas y Niños de Familias Jornaleras Agrícolas Migrantes (PRONIM), el cual está dedicado a brindar educación básica a la población migrante de Sonora, que está en una situación de vulnerabilidad y/o rezago educativo. PRONIM contribuye a superar la marginación y el rezago educativo de los niños de familias agrícolas migrantes, que van de región en región, en busca del trabajo que proporcionan las cosechas de distintos cultivos, lo hacen a través de docentes que se instalan en esos lugares de cultivos para ofrecer educación a los hijos de los jornaleros. Las condiciones en que laboran estos docentes pueden ser precaria, por lo que la documentación de prácticas exitosas representa una oportunidad de compartir experiencias valiosas en las diferentes zonas donde existe PRONIM, lo que pudiera favorecer la práctica de otros participantes en el programa. Este artículo se centra en prácticas representativas de las regiones agrícolas de Sonora en donde opera el PRONIM y se concluye con el impacto de las mismas en el cumplimiento de los objetivos del PRONIM. Las prácticas que se presentan en este artículo fueron documentadas por 46 docentes en el taller “Estrategias y Mejores Prácticas para una Planeación Escolar Participativa”, esta capacitación fue dirigida a docentes y directores de las escuelas PRONIM y como parte de las necesidades de capacitación y actualización, que pretenden impulsar los procesos académicos e impactar en el logro educativo de los centros para migrantes.
¿Educación moral para la autonomía? Fundamentos y contradicciones
Authors: Reyes Pérez Betzabeth 
Published: November 2020

A partir de la ilustración se presumió de la libertad de autogobernarse, el ser humano pasó a ser el centro de lo existente y por lo tanto, ser responsable de lo que sucedía. Kant es quien dio un giro copernicano al estudio moral, incluye como una de sus más importantes aportaciones morales el estudio de la autonomía, que constituye la tercera fórmula del imperativo categórico. A mi consideración éste podría ser el fundamento filosófico de la educación moral, pues posterior a Kant Piaget se encargó de realizar estudios sobre la moral en los niños. Tarea que complementó Kolhberg y que desencadeno en la propuesta de educación moral que permeó los programas de educación en México. Formar sujetos autónomos es una de las ambiciones que la mayoría de los sistemas educativos pretende, incluyendo el nuestro. Parece ser un interés cada vez más ambicioso, particularmente explicitado en los programas de Formación cívica y Ética en educación secundaria. Conocemos las condiciones desfavorables que hacen convulsionar nuestro país y ante esas problemáticas, se le ha dado a la escuela la responsabilidad para evitar (en alguna medida), escenarios decadentes de vida a través de educación moral por medio de la asignatura antes referida en educación secundaria. El análisis de los elementos provistos en esta asignatura se inclina en gran medida hacia una conceptualización de autonomía desde el punto de vista kantiano. Tomo elementos de ésta concepción para discutir posteriormente si es o no posible la enseñanza de la misma.
Deserción universitaria en Ingeniería en Sistemas Computacionales. El caso de la Universidad Politécnica Metropolitana de Puebla
Authors: Bautista Pérez Elvia 
Published: November 2020

La disciplina en ingeniería en sistemas computacionales es un campo amplio de investigar debido a que es una carrera nueva y multidisciplinaria. Sin embargo existe un problema latente: el índice de deserción. En el periodo de Enero a Abril de 2013 al 2015 en la Universidad Politécnica Metropolitana de Puebla se registró un 60 % de desertores; para encontrar las causas a este problema, de deserción se realizaran la medición de algunas variables que influyen en dicha problemática como: factores económicos, reprobación y plan de estudios. Debido a que los factores de deserción pueden ser multifactoriales, se aplicó un instrumento que permitió conocer las causas de la deserción. Para poder darles solución y ayudar a todos los involucrados en dicha situación. Los resultados se realizaron con los datos obtenidos del cuestionario aplicados a 11 desertores, todo esto expuesto en las gráficas que permitieron un mejor entendimiento de la información recopilada.
Marketing jako proces tworzenia wartości w dobie pandemii COVID-19
Authors: Brzeziński Stanisław 
Published: November 2020

Marketing w ogólnym
ujęciu oznacza sposób podejścia do biznesu, zaś w ujęciu funkcjonalnym polega
na identyfikowaniu potrzeb klienta, a następnie określeniu, którą z nich w jak
najwyższym stopniu zaspokoić poprzez wytworzenie i zaproponowanie odpowiednich
produktów bądź usług. Do realizacji tych działań służy zbiór instrumentów
marketingowych. W związku z tym przedsiębiorstwa podejmują działania
marketingowe ukierunkowane na rynek docelowy, przede wszystkim mając na uwadze
dobro klienta. Choć nakłady na cele marketingowe są ogromne, to organizacje
decydują się na te koszty w trosce o zaspokojenie potrzeb konsumenta oraz
pozyskanie przewagi konkurencyjnej. Klient dziś zna swoją wartość, dlatego
zwraca uwagę na wszystkie aspekty nabywanych produktów (marek) i oczekuje, iż
zarówno cena, jak i jakość będą go satysfakcjonowały, mając świadomość tego, że
i on stanowi wartość dla producenta. Ostatnie wydarzenia związane z pojawieniem
się koronawirusa doprowadziły do zamrożenia światowej gospodarki, a
dotychczasowe standardy jakości naszego życia, a co za tym idzie zachowania
konsumenckie, musiały ulec zmianie. W artykule autor stara się pokazać na przykładzie
marketingu jako procesu tworzenia wartości, jak obecna sytuacja
przewartościowuje dotychczasowe priorytety na konsumpcyjnym rynku i zmienia nas
nabywców w sferze mentalnej. Autor stawia tezę, iż wiele
obserwowanych w trakcie pandemii COVID-19 zmian w zachowaniach konsumentów
będzie miało charakter trwały i w rezultacie spowoduje głębokie i długookresowe
zmiany w strategiach marketingowych przedsiębiorstw.
Innowacyjny potencjał przedsiębiorstwa i strategia jego efektywnego wykorzystania
Authors: Oksanych Oleksandr 
Published: November 2020

Proinnowacyjny rozwój przedsiębiorstw wymaga
stworzenia i skutecznego wykorzystania potencjału innowacyjnego. W oparciu o teorię zasobów
przedsiębiorstwa autor przedstawia własną koncepcję kreowania potencjału
innowacyjnego, którego głównym składnikiem jest potencjał wiedzy. Artykuł
zawiera klasyfikację strategii wykorzystania potencjału innowacyjnego w
zależności od charakteru innowacji (własnej lub przeniesionej) oraz metody
pozyskiwania kapitału intelektualnego (tworzenie kapitału własnego lub
korzystanie z usług kapitału zewnętrznego). Przedstawiono schemat tworzenia i
wdrażania strategii wykorzystania potencjału innowacyjnego.Celem artykułu jest przedstawienie definicji
potencjału innowacyjnego przedsiębiorstwa, czynników wpływających na jego
wielkość oraz modelu tworzenia i wdrażania strategii jego wykorzystania. Wykorzystano metody analizy krytycznej i
syntezy, uogólnienia i metody logiczne oraz metodę desk research.

Wnioski przedstawione
w artykule mogą być przydatne w procesie zarządzania innowacjami w
przedsiębiorstwie, zwłaszcza przy wyborze strategii rozwoju.
Awareness and Attitude Regarding Cervical Cancer Screening among Reproductive Age Women
Authors: Baral Pramila , Pokharel Jyotsana , Gachhadar Rashmi 
Published: November 2020

Background: Cervical cancer is preventable so awareness can be as effective as any other method to prevent it.The study aims to assess awareness and attitude regarding cervical cancer screening among reproductive age women in a tertiary level hospital, Kathmandu, Nepal.
Methods: A descriptive cross sectional study was carried out among 170 reproductive age women attending Nepal Medical College Teaching Hospital using purposive sampling technique. A semi structured interview schedule was used to collect data via face to face interview. Data was summarized using frequency, percentage, mean and standard deviation. Multiple logistic regression was used to determine the factors associated with awareness and attitude.
Results: Among 170 reproductive age women, mean age was 31.49 ± 8.70 years. Majority 151 (88.8%) of the women had heard of cervical cancer while 119 (70%) of them had heard about cervical cancer screening. Among them, only 17 (11.3%) had adequate awareness regarding cervical cancer screening. Seventy five (46.6%) of the women had positive attitude towards cervical cancer screening. Employment status [95% CI (0.01-0.38), AOR=0.06, p=0.003] was associated with awareness whereas, ethnicity, employment status and marital status were associated with attitude.
Conclusions: Most of the women were unaware about the cervical cancer screening but nearly half of the respondents had positive attitude. Therefore it is very crucial to provide health education and awareness through supervised client education. Focused group discussion as an effective approach of awareness program can be conducted in order to include specific group such as unemployed and unmarried women.
Keywords: Attitude; awareness; cervical cancer; reproductive age women; screening
Correlation of Ultrasonographic Parameters with Serum Creatinine and Estimated Glomerular Filtration Rate in Patients with Echogenic Kidneys
Authors: Gupta Prashant Kumar , Kunwar Laxman , BC Bom , Gupta Aarti 
Published: November 2020

Background: Ultrasonography is widely used to evaluate the kidney status. Serum creatinine and glomerular filtration rate assess the functional status of the kidney. This study tried to find the association between renal parameters in ultrasonography, serum creatinine and estimated glomerular filtration rate in patients with echogenic kidneys.
Methods: Study was done in 61 patients. Four sonographic renal parameters (renal echogenicity grade, renal length, cortical thickness, parenchymal thickness) were obtained from patients showing echogenic kidneys irrespective of cause during ultrasonography of abdomen. Glomerular filtration rate was calculated using Modified Diet in Renal Disease formula after obtaining patient’s serum creatinine level. Sonographic renal parameters were compared with serum creatinine and estimated glomerular filtration rate using Pearson’s correlation coefficient and one-way ANOVA tests.
Results: The study showed significant correlation of only renal echogenicity grade and parenchymal thickness with eGFR. However, all four sonographic renal parameters showed significant correlation with serum creatinine level. Renal echogenicity grading had strongest correlation with both serum creatinine (r=0.571, p=0.000) and estimated glomerular filtration rate (r= -0.349, p=0.006). Mean serum creatinine (in mg/dL) ± standard deviation was 1.9(±1.5), 4.0(±3.7), 5.8(±3.7), and 15.4(±5.3) for grade I, II, III, and IV echogenic kidneys respectively. Similarly, mean eGFR (in ml/min/1.73m2) ± standard deviation was 50.2(±22.9), 35.9(±40), 15.7(±13.4), and 3.4(±1.1) for Grade I, II, III, and IV echogenic kidneys respectively.
Conclusions: Renal echogenicity is a better sonographic parameter that correlated well with both eGFR and serum creatinine. Renal ultrasound should be routinely used for early diagnosis, grading and monitoring of kidney disease.
Keywords: Correlation; estimated glomerular filtration rate; renal echogenicity; serum creatinine; ultrasound