bluuebunny/crossref_metadata_2025_split huggingface dataset:
Proses Pengambilan Keputusan Menjadi LGBT pada Individu dengan Karakteristik Religius
Authors: Indrayati Nafia Kusuma , Dwicahyani Nastiti , Prastowo Helsa Evania , Vinasthika Putri Anindita , Ganies Gitajiwa Sekarnusa 
Published: June 2020

Penelitian ini bertujuan untuk meperoleh gambaran proses pengambilan keputusan menjadi LGBT pada individu yang religius. Pendekatan yang digunakan adalah kualitatif fenomenologi. Penelitian dilakukan di Surabaya dengan satu informan lesbian dengan karakteristik religius. Data dalam penelitian menggunakan wawancara semi terstruktur. Metode analisis data menggunakan analisis Interpretative Phenomenological Analysis (IPA). Hasil penelitian menunjukkan bahwa partisipan. Hasil penelitian menunjukkan bahwa individu dengan karakteristik religius mengambil keputusan menjadi lesbian melalui beberapa tahapan yaitu menilai tantangan, mensurvei alternatif, mempertimbangkan alternatif, menyatakan komitmen, bertahan terhadap feedback negatif. Faktor yang berperan dalam pengambilan keputusan terdiri dari faktor internal berupa religiusitas partisipan yang memberi pertimbangan terkait pengambilan keputusan, serta faktor eksternal berupa dukungan sosial dari pasangan, teman dekat, keluarga dan ketiadaan penolakan secara langsung dari lingkungan sekitar. Dimensi religiusitas yang dimiliki pada partisipan adalah dimensi intelektual, dimensi ideologi, dimensi ritualistik, dimensi perasaan dan dimensi konsekuensial. This study aimed to find out the decision-making process of religious lesbian individual. The approach used was qualitative phenomenology. The study was conducted in Surabaya with one lesbian informant, who was identified as a religious person. The data were collected with semi-structured interview. The method of data analysis was Interpretative Phenomenological Analysis (IPA). The results showed that the individual, who was identified as religious person, decided to be a lesbian through stages of decision making. The stages were assessing challenges, surveying alternatives, considering alternatives, expressing commitment, and surviving negative feedback. Factors that played a role in the decision making were internal factor, participant's religiosity affected the the decision making, and external factor, social support from partners, close friends, family and the acceptance from her circle. The dimensions of religiosity of the participant were intellectual dimensions, ideological dimensions, ritualistic dimensions, feelings dimensions, and consequential dimensions.
Resiliensi Pascabencana Tsunami
Authors: Sasmita Nursakinah Oktaviana , Afriyenti Lenny Utama 
Published: June 2020

Adanya bencana alam tsunami di Wilayah Pandeglang dan sekitarnya hingga ke pesisir Lampung menyebabkan warga banyak yang mengalami kehilangan baik materi, ataupun sanak saudara. Bencana alam telah memberikan dampak yang sangat signifikan terhadap fisik, psikologis dan sosial. Kejadian tersebut mengakibatkan trauma kepada korban bencana. Upaya untuk bangkit dari kondisi mental yang tidak menguntungkan diperlukan kemampuan resiliensi.( dalam Satria dan Sari, 2017). Ada tujuh kemampuan yang membentuk resiliensi, yaitu; regulasi emosi, pengendalian impuls, optimisme, empati, causal analysis, efekasi diri dan reaching out. Pada dasarnya setiap orang mempunyai semua faktor tersebut, namun yang membedakan adalah bagaimana seseorang mempergunakan dan memaksimalkan faktor tersebut agar berguna untuk menghadapi masa-masa sulit seseorang. (Reivich dan Shatte, 2002). Penelitian ini bertujuan untuk mengetahui tingkat resiliensi para korban tsunami di daerah Sumur, Pandeglang. Metode penelitian menggunakan metode kuantitatif. Populasi berjumlah 220 kepala keluarga dengan sampel sebanyak 50 orang. Skala yang digunakan adalah Resilience Scale dari Reivich yang berjumlah 56 item, namun dalam penelitian ini hanya akan menggunakan 21 item saja. Analisis data menggunakan regresi ganda, menghasilkan 0.92% terhadap variable resiliensi. Sedangkan variable yang terbesar mempengaruhi adalah variable causal yang memberikan sumbangan sebesar 25.5%.
Endometrioma surgery and possibilities of early disease control
Authors: Tanos Vasilios , Sowah Elsie 
Published: June 2020

Aim: The purpose of this study is to investigate the efficacy of surgical management in ovarian endometrioma for early disease control and long-term fertility preservation in adolescents and women of very young age. A history of cyclic pains in adolescents is highly associated with endometriosis. Sonography enables the diagnosis of small endometriomas 1-2 cm in diameter. Although it is obvious that the risk of damage to normal ovarian tissue is diminished when operating and removing a 2 cm endometrioma, it is not approved since there are currently no tools available to identify at-risk patients. Additionally, performing laparoscopic surgery with 5 mm instruments in patients with small endometriomas will likely cause more harm than benefit.
Methods: A literature review was performed using key words for endometrioma surgery, in vitro fertilization (IVF), implantation rate, pregnancy rate and adolescents. The pros and cons of surgical removal prior to assisted reproductive therapy (ART), outcomes of endometrioma surgical treatment before IVF, and current recommendations for endometrioma removal were investigated.
Results: The total patient population from articles supporting removal of endometrioma before assisted reproductive therapy and evidence against were 30,741 and 9983 respectively. However, the only study reporting a statistically significant result found an 8.2% implantation rate for the surgical removal group vs . 12% in the direct-to-IVF group, and 14.9% pregnancy rate in the surgical removal group vs . 24.9% in the direct-to-IVF group. Damage to ovarian reserve and function due to surgery is exacerbated by large cyst size, stripping of the pseudocapsule and older age. Larger endometrioma, ablation of the endometrioma base and younger age are associated with higher recurrence rate.
Conclusion: The patient’s age, in addition to the size and type of endometrioma, can direct and indicate the timing of surgical management. Bilateral endometriomas and those larger than 7 cm are associated with more damage to ovarian reserve due to disease and surgery, as compared with unilateral lesions and those smaller than 7 cm. High-risk adolescents and very young women seeking fertility treatment can thus benefit from an early diagnosis of endometrioma. Treatment by trans vaginal hydro-laparoscopy of selected cases can probably be suggested for the treatment of small endometriomas, since 5fr instruments are used following microsurgery principles. Therefore, an early diagnosis of endometrioma, especially in young patients, must be encouraged, improved and standardized, through stepwise clinical reasoning and diagnostic testing.
Predictors of intra-hospital mortality in patients with diabetic foot ulcers in Nigeria: data from the MEDFUN Study.
Authors: Adeleye Olufunmilayo O , Ugwu Ejiofor T , Gezawa Ibrahim D , Okpe Innocent , Ezeani Ignatius , Enamino Marcelina 
Published: June 2020

Abstract
Background: Diabetic foot ulcers (DFU) are associated with high morbidity and mortality globally. Mortality in patients hospitalized for DFU in Nigeria is unacceptably high. This study was undertaken to determine factors that predict mortality in patients hospitalized for DFU in Nigeria.Methods:The current study was part of Multi-centre Evaluation of Diabetic Foot Ulcer in Nigeria (MEDFUN), an observational study conducted in six tertiary healthcare institutions across the 6 geopolitical zones of Nigeria. Consecutive type 1 or 2 diabetic patients hospitalized for DFU who consented to participate were recruited and subjected to relevant clinical, biochemical and radiological assessments and multidisciplinary care until discharge or death. Data for type 1 diabetes mellitus (DM) patients were expunged from current mortality analysis due to their small number.Results: Three hundred and twenty three type 2 DM subjects with mean age and mean duration of DM of 57.2 11.4 years and 8.7± 5.8 years respectively participated in this study. The median duration of ulcers was 39 days with a range of 28 to 54 days and majority (79.9%) presented with advanced ulcers of at least Wagner grade 3. Mortality of 21.4% was recorded in the study, with the highest mortality observed among subjects with Wagner grade 5. Variables significantly associated with mortality with their respective p values were DM duration more than 120 months (p 0.005), ulcer duration > one month (p 0.020), ulcer severity of Wagner grade 3 and above (p 0.001), peripheral arterial disease (p 0.005), proteinuria (p <0.001), positive blood cultures (p<0.001), low HDL (p <0.001), shock at presentation (p<0.001), cardiac failure (p 0.027),and renal impairment (p <0.001). On Multivariate regression analysis, presence of bacteraemia (OR 5.053; 95% CI 2.572-9.428) and renal impairment (OR 2.838; 95% CI 1.349 – 5.971) were significantly predictive of mortality independent of other variables.Conclusions: This study showed high intra-hospital mortality among patients with DFU, with majority of deaths occurring among those with advanced ulcers, bacteremia, cardiac failure and renal impairment. Prompt attention to these factors might be helpful in improving survival from DFU in Nigeria.
Changes in health-related quality of life before and after a 12-month enhanced primary care model among chronically ill primary care patients in Australia.
Authors: John James , Tannous Kathy , Jones Amanda 
Published: June 2020

Abstract
Purpose: Evidence suggests that Patient-centred Medical Home (PCMH) model facilitates person-centred care and improves health-related quality of life for patients with chronic illness. This study aims to evaluate changes in health-related quality of life (HRQoL), before and after enrolment into a 12-month integrated care program called ‘WellNet’. Methods: This study includes 616 eligible consented patients aged 40 years and above with one or more chronic conditions from six general practices across Sydney, Australia. The WellNet program included a team of general practitioners (GPs) and clinical coordinators (CCs) providing patient-tailored care plans configured to individual risk and complexity. HRQoL was recorded using the validated EuroQol EQ-5D-5L instrument at baseline and 12 months. Additionally, patients diagnosed with osteoarthritis also reported HRQoL using short versions of Knee and/or Hip disability and osteoarthritis outcome scores (KOOSjr and HOOSjr). A case-series study design with repeated measures analysis of covariance (ANCOVA) was used to assess changes in mean differences of EQ-5D index scores after controlling for baseline covariates. Per-protocol (Model 1) and multiple imputation models (Model 2), the latter using a fully conditional specification (FCS) of Markov Chain Monte Carlo (MCMC) algorithm was analysed. Additionally, backward stepwise multivariable linear regression models were conducted to determine significant predictors of EQ-5D index scores at follow-up. Results: Out of 616 patients, 417 (69%) reported EQ-5D scores at follow-up. Almost half (48%) of the WellNet patients reported improved EQ-5D index scores at follow-up. After controlling for baseline covariates, the adjusted mean difference was statistically significant whilst also meeting the bare minimal clinically important difference (MCID) with a change of 0.03 (95% CI 0.01, 0.05). However, the imputed model failed to meet statistical significance. The multivariable regression models determined that baseline EQ-5D scores, positive diagnosis of a respiratory illness, and private health insurance status were significant predictors of HRQoL at follow-up. There were significant improvements across both KOOS and HOOS assessments, specifically, the pain and symptom scores in both scales met statistical significance in addition to meeting the MCID.Conclusion: Patient-tailored CDM plans designed by team of GPs and CDM clinical coordinators could lead to better HRQoL among primary care patients.
Mechanical, Pure Fatigue and Corrosion Fatigue Properties of Pack Carburizing Low Carbon Steel Aisi 1020 by Using Waste Organic Materials in 3.5% Nacl
Authors: Hassan Kharia Salman , Razooqi Ahmed Ibrahim , Ridha Munaf Hashim 
Published: June 2020

Abstract
The influence of pack carburizing by different leftover organic materials was studied.Egg shell, dropping flower,orang shell mixed with charcoal, was used as refresher and its effect on corrosion fatigue of low carbon steel 1020 AISI (American Iron and Steel Institute) was studied. Carbon steel 1020 originally used for manufacturenumerousdevice parts such as gears, shaft, connecting rod.Severalsamples for the tensile and fatigueexaminationsareequipped from the based metalagreeing toASTM (American Society for Testing and Materials)descriptions. Pack carburizing is carried outby charcoal for liberation atomic carbon.The diffusion procedure on selectedsamples were pack carburizing using charcoal with addition leftover organic materialsas energies withratio of30% pack carburizing and at925 for two hours. After that, the samples quenched in water and tempered. Tensile,hardness, microstructures examination were implemented. Corrosion fatigue wascarried by rotating bending device in sea water 3.5% NaCl. The results showed that all carburizing compound causes an improving in corrosion fatigue due to the change in microstructure between the surface of specimens,its core and the comparative residual stress which produce by carburizing process.Egg shell give the high value and charcoal the lower value with respect to the basemetal.
Elevated Serum Free Carnitine Levels in Children with Kawasaki Disease and Their Relation to Unresponsiveness to Intravenous Immunoglobulin: retrospective study
Authors: Muto Taichiro , Nakamura Nami , Masuda Yu , Numoto Shingo , Kodama Shunsuke , Miyamoto Ryosuke , Miyata Kenji , Hayakawa Tomohito , Mori Hiromitsu , Kuroyanagi Yoshiyuki , Akaihata Mitsuko , Iwayama Hideyuki , Kurahashi Hirokazu , Shimomura Yasuhito , Nagai Takuhito , Hori Toshinori , Agata Hiroatsu , Okumura Akihisa 
Published: June 2020

Abstract
Background: Carnitine plays an essential role in transfer of long-chain fatty acids to mitochondria for subsequent β-oxidation. No studies to date have characterized carnitine in children with KD. The objective of this study is to investigate the characteristics of serum free carnitine (FC) in hospitalized pediatric patients with Kawasaki disease (KD). Methods: In total, 45 patients with KD measured the levels of serum FC from October 2018 to December 2019 were analyzed retrospectively. We analyzed the clinical and laboratory parameters just before the Intravenous immunoglobulin (IVIG) including serum levels of serum FC with respect to the IVIG response. We also analyzed the relationship between serum FC and liver deviation enzymes or the duration of fever at diagnosis. Results: The median age was 33 months. IVIG was effective in 33 children (responders) and was ineffective in 12 (non-responders). The serum FC levels were higher in non-responders than in responders [(35.3 mmol/L (range, 26.8-118.4 mmol/L) vs. 31.4 mmol/L (range, 20.9-81.2 mmol/L), p value = 0.0496]. The FC levels before intravenous immunoglobulin (IVIG) in four-fifths of responders were below the normal range. The levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin, and FC were higher in non-responders than in responders. There were no different in patient characteristics and laboratory data according to fever duration at diagnosis. There was a correlation between FC and AST (R2=0.364, P=0.0015) and between FC and ALT (R2=0.423, P<0.001) levels. Conclusion: FC levels were upregulated in patients with KD who were refractory to IVIG. Additionally, FC levels in children with KD correlated with AST and ALT levels. The pathogenesis resulting in the elevation of FC levels remains elusive. Further studies are necessary to understand more precisely carnitine properties in patients with KD.
Effect of Antifoaming Agent on Colorectal Benign Tumours in Colonoscopy: A Meta-Analysis
Authors: Zhang Hu , Liu Jing , Ma Lin Song , Zhang Heng 
Published: June 2020

Abstract
Background: Although several trials have showed that addition of antifoaming agent to polyethylene glycol (PEG) can improve bowel preparation, whether PEG plus antifoaming agent has a beneficial role in detection of benign tumours during colonoscopy has yet to be confirmed. Our aim was to clarify whether adding simethicone to PEG solution could improve the effect of detection of colorectal benign tumours.Methods: The PubMed, EMBASE, and Cochrane Library databases were searched for articles published prior to September 2019. The outcomes included the detection rates of colorectal adenomas and polyps.Results: Twenty studies were eligible. Although there was no difference in the colorectal adenoma detection rate (ADR), a significant effect of simethicone for diminutive adenomas (< 10 mm) was revealed in the group with simethicone. We also found that simethicone could significantly improve the ADR in proximal colon, but did not affect the colorectal polyp detection rate (PDR). Furthermore, the subgroup analyses revealed that the beneficial effect of simethicone in the ADR among Asian (P=0.005) and ADR < 25% (P =0.003). Moreover, it was a significant finding that the low dose simethicone was as effective as the high dose one with respect to the detection of colorectal benign tumours.Conclusions: In summary, the addition of simethicone to PEG might benefit to improve diminutive adenomas in the right colon for colonoscopy in Asia. The low-dose simethicone was recommend to the detection of colorectal benign tumours. However, large clinical trials are necessary to validate our results and determine the ideal dose of simethicone.
Dietary diversity practice and associated factors among pregnant women attending ANC in Kolfe Keranyo sub city health center, Addis Ababa, Ethiopia.
Authors: Brhanie Tsegahun Worku , Tefera Walelgn , Dereje Mamo 
Published: June 2020

Abstract
Background: Adequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on the prevalence of dietary diversity among pregnant women. This study was aimed to assess the dietary diversity practice and associated factors among pregnant women attending antenatal care in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05. Results: The mean Dietary Diversity Score of pregnant women was 5. 45+-1. 83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women who learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26, 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5,000 ETB had more dietary diversity than income less than 2,000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second antenatal care visit had more dietary diversity than at the first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times better dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)].Conclusions: The mean Dietary Diversity Score of pregnant mothers was 5.45. And 60.9% of pregnant women had a good dietary diversity score, whereas 39.1 % of them had a poor diet diversity score. Mothers’ education, monthly income, second and third antenatal care visit and nutrition information had a significantly associated with pregnant mothers’ dietary diversity.
Hepatocyte Parafﬁn 1and Arginase-1 Are Effective Panel of Markers in Hbv-related Hcc Diagnosis in Fine-needle Aspiration Specimens
Authors: Moudi Bita , Mahmoudzadeh-Sagheb Hamidreza , Heidari Zahra , Farrokh Parisa 
Published: June 2020

Abstract
Objective:In order to make successful treatment for HBV-related hepatocellular carcinoma, an early diagnosis is necessary. In this research we aimed to evaluate the IHC staining pattern of HepPar- 1 and Arg-1and their performance in early diagnosis of HCC.The incidence of HepPar- 1 and Arg-1 were evaluated by IHC, using core liver fine-needle aspiration biopsies from 121 patients (HBV, HCC, HBV+HCC) and 30 healthy subjects.Results:Arg-1 had significantly increased sensitivity in identification of HBV+HCC patients compared to HepPar-1 (P<0.001).The sensitivity of arginase-1 is 96.3% whereas, the sensitivity of HepPar-1 is 72.7%. Arg-1 had higher specificity in identification of HBV+HCC patients compared to HepPar-1 (P<0.05).with one positivemarker, the sensitivity, the specificity and the PPVs and NPVs were 84.3%, 82.4%, 88.6% and 85.4% respectively, and the sensitivity and negative predictive value were significantly higher compared to the both 2 positive combinations. It was concluded that Arg-1 can improves the ability to detect HBV+HCC patients when compared with HepPar-1.When, both markers being positive, the specificity and PPVs of this combination were fairly higher. Concurrent use of these two proteins may be one of the best HCC detection patterns in needle specimens.
First Detection and Molecular Characterisation of Pseudocowpox Virus in a Cattle Herd in Zambia
Authors: Ziba Maureen Wakwamba , Chitala Chanda , Settypalli Tirumala Bharani K , Mumba Malama , Cattoli Giovanni , Fandamu Paul , Lamien Charles Euloge 
Published: June 2020

Abstract
Background: Pseudocowpox virus (PCPV) of the genus Parapoxvirus in the family Poxviridae causes pseudocowpox in cattle worldwide and presents a zoonotic concern. Most poxviruses produce diseases of similar clinical signs in affected animals, which are impossible to differentiate clinically or by serology. It is, therefore, vital to use molecular assays to identify the causative agents of poxvirus infections rapidly. This study aimed to detect, diagnose, and characterize the causative agent of pox-like skin lesions in a cattle herd in Zambia, initially suspected to be infected with the Lumpy Skin Disease virus.Methods: We used a high resolution melting (HRM) analysis assay to detect the PCPV genome and sequenced the major envelope protein (B2L) gene for comparative sequence and phylogenetic analysis. Results: Our field investigations showed cattle presenting atypical skin lesions and high morbidity within the herd. The laboratory diagnosis based on an HRM assay revealed the PCPV genome in the samples. Phylogenetic and comparative sequence analyses confirmed PCPV in the samples. They revealed genomic differences between samples collected in 2017 and 2018 from the same farm.Conclusion: Our work is the first documented report of PCPV in Zambia. It shows the strength of molecular methods to diagnose pox-like infections in cattle and discriminate between diseases causing similar clinical signs for better veterinary interventions.