bluuebunny/crossref_metadata_2025_split huggingface dataset:
Acute Renal Injury in Cardiac Surgery Patients
Authors: Rey S. I. , Berdnikov G. A. , Zimina L. N. , Rubtsov N. V. , Mazanov M. K. , Kosolapov D. A. , Sokolov V. V. 
Published: October 2020

Background. Acute kidney injury following cardiac surgery remains a common and serious complication.Aim of study. To identify risk factors for the development and morphological features of acute renal injury, to assess the use of renal replacement therapy in patients after cardiac surgery.Material and methods. The study involved 66 patients who were treated in the Department of Cardiac Resuscitation of the N.V. Sklifosovsky Research Institute for Emergency Medicine from 2009 to 2018. Of these, 45 men (68.2%) and 21 women (31.8%). The mean age of the patients was 56.3±13.2 years. Clinical and anatomical analysis of material from 19 deceased patients was carried out. Depending on the use of methods of renal replacement therapy, patients were divided into two groups: Group 1 included 23 patients with acute renal injury requiring the use of renal replacement therapy; Group 2 included 43 patients where methods of renal replacement therapy were not used.Results. Hospital mortality in Group 1 was lower (34.8 and 41.9%, respectively), however, the differences were statistically insignificant (p=0.372). To identify the factors in the development of acute renal damage, a stepwise regression analysis was performed by constructing a regression model of Cox proportional hazards. Age, history of chronic kidney disease, serum creatinine level on the first day after surgery, severity of the condition according to the APACHE-II scale, increased lactate level on day 2 of the postoperative period, decreased urine output on the first day after surgery were statistically significant.Conclusion. Risk factors for the development of ARI after cardiac surgery under cardiopulmonary bypass are advanced age, CKD in history, the severity of the patient’s condition, assessed by the APACHE-II scale, increased serum creatinine on the first day after surgery, increased lactate on day 2 of the postoperative period, a decreased diuresis on day 1 after surgery. The use of RRT in patients after surgery under the conditions of AC was accompanied by a tendency to improve treatment results: in-hospital mortality in the group of patients who underwent RRT was 34.8% versus 41.9% in the group without RRT methods. Morphological and functional features of renal failure in patients with ARI were preceding chronic renal pathological processes of different etiology, mainly affecting the glomeruli, vessels and stroma, as well as acute pathological processes aggravating ARI (dyscirculatory disorder, degenerative changes, necrosis and necrobiosis tubular epithelium).
Indicators to Evaluate the Institutional Effectiveness of National Climate Financing Mechanisms
Authors: Sheriffdeen Muhammad , Nurrochmat Dodik Ridho , Perdinan Perdinan , Di Gregorio Monica 
Published: October 2020

Over the past few decades, tackling climate change has persistently featured in international discussions, with the main issues centring on mobilising adequate global response and effectively coordinating and channelling this response at the sub-national levels. In order to effectively mobilize and harmonize resources to address climate change at country level, the idea of establishing national climate finance institutions (NCFIs) with the duty to mobilise, manage and allocate funds to implement climate change actions has gained prominence among developing countries. This study develops an indicator-based framework to evaluate the institutional effectiveness of the Indonesian Climate Change Trust Fund (ICCTF) as a case study. Building on previous frameworks and principles of climate finance, a total of 21 indicators were identified, these indicators were categorized into five effectiveness components, which are: were identified, and these indicators were categorized into five effectiveness components, which include: legal and regulatory framework, fund mobilization and sustainability, fund management and allocation, monitoring and evaluation, and transparency and accountability. We find that the major and fundamental weakness of the ICCTF is its inability to adequately mobilize funds, while its strength is in management and allocation of available resources. Inclusion of the legal and regulatory framework component, which has been largely absent in previous studies, further enabled us to identify critical legal gaps in the operationalization of the ICCTF. While the current legal foundation of the ICCTF ensures transparency and accountability, it significantly constrains the ICCTFs flexibility and innovative potentials.
Attitudes and Perceptions of Tobacco-Related Products in College Students
Authors: Dang Yen H. 
Published: October 2020

Background – Despite the highly publicized health consequences, some college students do not perceive tobacco consumption as harmful. Historically-Black College and Universities (HBCUs) have the lowest rates of tobacco-free policies compared to other colleges, universities, and minority-serving institutions, making their students at higher risk for tobacco abuse. A campus Alcohol, Tobacco, and Other Drug Prevention Committee (ATDP) was formed and led by a pharmacist to develop all tobacco cessation policies at the HBCU.
Objectives – (1) To determine the knowledge and attitudes of cigarettes, cigars, smokeless tobacco, electronic cigarettes, and hookah among college students in a rural area with high tobacco usage; (2) To assess perceptions on the effectiveness of smoking cessation resources on the college campus led by the ATDP committee.
Methods – A cross-sectional study was conducted on 99 students between 18 – 26 years attending a HBCU in Maryland. The online survey was disseminated to assess student’s health behaviors and attitudes towards tobacco products and their successfulness in abstinence using campus resources with the Health Belief Model.
Results – Participants had more perceived harms with smoking tobacco (cigarettes and cigars) and smokeless tobacco, and greater perceived benefits with using electronic cigarettes and hookah (P < 0.001). Most students had limited knowledge of the four tobacco categories (5.8 ± 2.6 on a 10-point Likert scale). Self-efficacy to quit was 4.2 ± 1.7 on a 10-point Likert scale despite the current resources at the HBCU.
Conclusion – Students had a perceived benefits sequential rank order with hookah, e-cigarettes, smokeless tobacco, followed by smoking tobacco. Campuses should investigate barriers for abstinence, raise awareness about the dangers of tobacco, and create programs that enhance self-efficacy when quitting.
Innovation and Practice Implication - This is the first study of its kind that compares all major tobacco products head-to-head in a rural and underrepresented population. Additionally, the development of a campus-wide tobacco policy was novel as it was pharmacist-led. The results show this population has limited knowledge of tobacco products with more perceived benefits among newer nicotine delivery systems. Targeted education and public health programs should be implemented to prevent this susceptible group from initiating and continuing tobacco products.

Article Type: Original Research
GPAs, PCATs, and Coupons: Wilting Quality in Pharmacy School Admissions and the Impact on Pharmacy Faculty
Authors: Thompson Sara 
Published: October 2020

Introduction: The number of available seats in US pharmacy schools has reached unprecedented numbers as applications are on the decline. A combination of forces signals that admissions to pharmacy school are becoming less selective.
Commentary: The conflict of balancing a need to fill the incoming class while maintaining selectivity is a growing problem in pharmacy education. Faculty may notice changes in the student quality and ultimately, program and graduate quality. Pressure from administration hinders faculty governance with negative consequences that impact faculty morale and the profession as a whole. Maintaining a firm position in the face of reduced applications is challenging but necessary if we are to protect the students we seek to support as faculty and stewards of the pharmacy profession.
Implications: Faculty governance is at risk as pressure exists to admit less-prepared students into programs. Faculty must advocate for responsible leadership by initiating dialogue on admissions and selectivity. Furthermore, faculty mentorship programs need a new level of discussion that includes analysis and understanding of this paradigm in pharmacy academia.

Article Type: Commentary
UMA ANÁLISE ESPACIAL SOBRE A SAÚDE NOS MUNICÍPIOS BRASILEIROS EM 2010
Authors: MARCONATO MARCIO , DAL MORO ODIRLEI FERNANDO , PARRE JOSE LUIZ , FRAVO JACKELLINE 
Published: October 2020

O objetivo do presente estudo foi analisar as condições de saúde básica nos municípios brasileiros no ano de 2010 e verificar sua relação com as variáveis renda per capita, gasto per capita com saúde, educação e infraestrutura domiciliar. A metodologia utilizada foi a Análise Exploratória de Dados Espaciais (AEDE) e os modelos econométricos espaciais. Os resultados apontaram auto correlação espacial positiva do indicador de saúde nos municípios brasileiros, a análise local revelou que os clusters com elevado indicador estão situados nas regiões Sul, Sudeste e Centro-Oeste, as aglomerações com baixo índice estão no Norte e Nordeste.
HUBUNGAN PENGETAHUAN IBU TENTANG EFEK SAMPING DENGAN MOTIVASI PENGGUNAAN IUD PADA PUS (PASANGAN USIA SUBUR) DI DESA BENDASARI KECAMATAN SADANANYA TAHUN 2017
Authors: Setiati Nova Winda 
Published: October 2020

Indonesia merupakan negara berkembang dengan jumlah penduduk sebanyak 252.124.458 jiwa dengan luas wilayah 1.913.378,68 km2 dan kepadatan penduduk sebesar 131,76 jiwa/km2 (Depkes RI, 2014).Provinsi Jawa Barat masih menjadi salah satu provinsi teratas sebagai penyumbang angka kematian ibu dan bayi di Indonesia. Menurut laporan Dinas Kesehatan Provinsi Jawa Barat di tahun 2015 jumlah kasus kematian ibu melahirkan karena hamil, persalinan, dan nifas meningkat cukup tajam dari 748 kasus di tahun 2014 menjadi 823 kasus di 2015. Kondisi serupa juga terjadi pada bayi baru lahir, yakni meningkat dari 3098 kasus di tahun 2014 menjadi 3369 kasus di tahun 2015. Rata-rata setiap hari provinsi Jawa Barat pada tahun 2015 kehilangan 2 ibu dan 9 bayi akibat kematian tersebut. (KemenKes Jabar , 2016) Kontrasepsi IUD merupakan salah satu jenis kontrasepsi efektif, yaitu pemakaian IUD dengan satu kali penggunaan untuk jangka yang lama. Perkembangan bentuk IUD serta kesadaran yang meningkat akan perlunya pengendalian kesuburan dengan teknik penggunaan yang benar, maka kini IUD telah dapat di terima secara luas di kalangan masyarakat (wiknjosastro. 2007). Untuk mengetahui tentang hubungan pengetahuan ibu tentang efeksamping dengan motivasi penggunaan IUD pada PUS (Pasangan Usia Subur) di Desa Bendasari Kecamatan Sadananya Tahun 2017. Populasi dalam penelitian ini adalah adalah PUS (Pasangan Usia Subur) yang ada di Desa Bendasari Kecamatan Sadananya sebanyak 787 orang. dan kemudian ditarik sampel menggunakan simple random sampling menjadi 98 orang. Hasil penelitian didapatkan hasil bahwa terdapat hubungan pengetahuan Ibu tentang efek samping penggunaan IUD dengan Motivasi Ibu terhadap penggunaan alat kontrasepsi IUD dengan nilai value 0.00. Disarankan bagi responden yang masih memiliki tingkat pengetahuan yang kurang supaya menambah pengetahuanya dengan cara lebih banyak membaca ataupun mencari tahu lewat media informasi yang ada
Aumento na incidência de trombose venosa cerebral em região endêmica de febre amarela
Authors: Machado Alex Nagem , José Debora Nagem Machado , Filha Giane Prata da Costa , Santiago Luiza Gomes , Peixoto Yan Ker Marrara 
Published: October 2020

Objetivo: O estudo tem a proposta de investigar o evento adverso relacionado com a elevada incidência de trombose venosa cerebral em região endêmica de febre amarela. Métodos: Analisou-se a incidência de 17 casos, em um intervalo de 5 meses, com quadro clínico de hipertensão intracraniana. Os pacientes foram submetidos a propedêutica por imagem do encéfalo, revelando sinais de trombose venosa cerebral (TVC). Resultados: A avaliação epidemiológica revelou que 4 dos pacientes apresentavam fatores de risco para TVC, no entanto 4 casos manifestaram sinais clínicos e laboratoriais de meningite asséptica. A exposição direta ou indireta ao o vírus vivo atenuado da vacina de febre amarela foi observado em 16 pacientes. A investigação sorológica foi realizado em 10 pacientes. Conclusão: Os resultados sorológicos mostraram-se indetectáveis, no entanto o tempo de coleta após 8º dia favorece resultados falso negativos, sendo os dados clínicos e epidemiológicos recomendados para a confirmação do diagnóstico. O tratamento indicado foi o uso de anticoagulante com recuperação total em 15 pacientes e a melhora funcional parcial observada em 2 casos.
L'art des funambules: les albums pour tous des Éditions Ipomée
Authors: L. Beckett Sandra 
Published: October 2020

On a reconnu le rôle important que les Éditions Ipomée ont joué dans la renaissance de l’édition jeunesse en France à partir des années 1970. Mais leurs livres marquent aussi une étape notable dans le parcours de ce que l’on appelle dans le monde anglo-saxon la littérature « crossover ». Les livres pour tous les âges existent depuis des siècles mais ce n’est que vers la fin des années 1990 que l’on commence à parler du phénomène du « crossover ». Au début, on avait tendance à réserver le terme aux romans et à passer sous silence les albums et les livres illustrés, bien que ces genres soient plus susceptibles que tout autre à s’adresser à tous les publics. Déjà, dès les années 1970, les Éditions Ipomée, avec quelques autres maisons d’édition innovatrices, publiaient des albums qui remettaient en question les conventions et les codes traditionnels de la littérature de jeunesse et offraient aux lecteurs de véritables albums « crossover ». Cet article veut rendre hommage aux Éditions Ipomée et à tous leurs collaborateurs, autant de « funambules », qui ont su se balancer sur la corde raide tendue au-dessus du gouffre entre littérature jeunesse et littérature pour adultes.Mots clés : crossover, les livres pour tous les âges, Éditions Ipomée, albums, illustration.
album codé: un outil d'apprentissage des genres?
Authors: Hamaide-Jager Eléonore 
Published: October 2020

L’article propose d’étudier quelques exemples d’albums codés, comme ceux de Warja Lavater ou de Sonia Chaine et Adrien Pichelin, sans texte hormis le titre et une légende. Il s’agit de s’interroger sur la réception comme album et/ou comme conte par des élèves : en effet, ces objets livres sont complexes à lire et convoquent les connaissances génériques pour déchiffrer la complexité des personnages et l’implicite des contes mis en images dans ces albums. Le codage d’autres contes invitent en revanche à s’emparer des spécificités de l’album pour donner du sens aux images et proposer une lecture iconographique éclairante. Plusieurs formes de lectures expertes sont convoquées par la lecture et la création d’albums codés.
The Effect of Agriculture on Health in Neolithic Populations in the Levant
Authors: Masood Fatima 
Published: October 2020

The purpose of this paper is to analyze the effect that the onset of agriculturalism had on the lives and health of the various Neolithic populations in the Levant during that time. Analysis of bones found at the site of Abu Hureyra (which was occupied by both hunter-gatherers and agriculturalists) show evidence for increased physical stress in the skeletons of agriculturalists, which was due to the physical stress of agriculture (Molleson 1994). Furthermore, musculoskeletal markers on Neolithic male skeletons were shown to be more symmetrical than on Natufian male skeletons. This correlates with the shift from hunting to farming (Eshed et al. 2004). It was also found that the agricultural lifestyle increased the infectious disease rate of farming populations when compared to their Natufian counterparts (Eshed et al. 2010). The shift to an agricultural lifestyle brought about many changes for dental health as well. In Neolithic populations, the rates of dental caries increased, while the wear on their teeth decreased (Eshed, Gopher, and Hershkovitz 2006; Richards 2002). This was due to the increased consumption of carbohydrates and the decreased use of teeth as tools, respectively (Eshed, Gopher, and Hershkovitz 2006; Richards 2002). Furthermore, the mandible was shown to decrease in size in the Neolithic populations when compared to Natufians (Pinhasi, Eshed, and von Cramon-Taubadel 2015). These dental changes were also seen in other areas during the agricultural shift, such as South Asia and South America (Eshed, Gopher, and Hershkovitz 2006).
Strategi Diversifikasi Atraksi Budaya Dalam Mendukung Pengembangan Wisata Desa Wakatobi
Authors: Suni Muhadjir , Badollahi Muh. Zainuddin 
Published: October 2020

This study aims to determine and analyze the Diversification Strategy of Cultural Attractions in Support of Tourism Development in Wakatobi Village. This research method is qualitative research. The determination of the informants in this study was obtained by purposive sampling. The informants are community leaders and traditional leaders who are key informants. The results show that the opportunity for Wakatobi Regency to become a cultural tourism destination can be opened, because it is supported by the exoticism of local communities with their cultural diversity. The strategy that can be prioritized in the development of Wakatobi village tourism is the diversification of cultural attractions that are organized through institutions or Tourism Awareness Groups initiated by the community and funded by the local government and acting as an active facilitator. It seems that the political will and political commitment of leaders to maximize local government efforts need to be supported by tourism stakeholders from the government, private sector and the wider community, this is a weakness that needs to be covered so that the strategy in developing Community Base Tourism (CBT) tourism in Wakatobi provides a diversification of attractions. tour which is actually quite interesting to witness. Penelitian ini bertujuan untuk mengetahui dan menganalisa Strategi Diversifikasi Atraksi Budaya Dalam Mendukung Pengembangan Wisata Desa Wakatobi. Metode penelitian ini adalah penelitian kualitatif. Penentuan informan penelitian ini diperoleh secara Purposive sampling. Adapun informan yaitu tokoh masyarakat dan tokoh adat yang merupakan informan kunci. Hasil penelitian menunjukkan peluang kabupaten wakatobi menjadi destinasi wisata budaya dapat terbuka, karena didukung oleh eksotisme komunitas lokal dengan keberagaman budaya yang mereka miliki. Strategi yang dapat diprioritas dapat dalam pengembangan wisata desa Wakatobi adalah diversifikasi atraksi budaya yang terorganisasi melalui kelembagaan atau Kelompok Sadar Wisata yang diprakarsai masyarakat dan didanai oleh pemerintah daerah serta berperan sebagai fasilitator yang aktif. Tampaknya political will dan political comitment pemimpin untuk memaksimalkan upaya pemerintah daerah perlu di dukung oleh stekholder pariwisata dari pihak jajaran pemerintah, swasta dan masyarakat luas hal merupakan kelemahan yang perlu ditutupi agar strategi dalam pengembangan wisata Community Base Tourism (CBT) di Wakatobi menyajikan adanya diversifikasi atraksi wisata yang sesungguhnya cukup menarik untuk disaksikan.
SEJARAH SYAIR GULUNG DI KETAPANG
Authors: Yulita Hera , Noor Agus Sastrawan , Kusnoto Yuver 
Published: October 2020

<p class="Default" align="center"><strong>Abstrak</strong></p><p class="Default">Penelitian ini berjudul “Sejarah Syair Gulung di Ketapang”. Adapun rumusan masalah dalam penelitian ini adalah bagaimanakah sejarah syair gulung di Ketapang. Hasil penelitian ini diharapkan dapat memberikan kontribusi bagi masyarakat dan peneliti sejarah lokal yang ada di Kalimantan Barat. Penelitian ini adalah penelitian sejarah maka peneliti menggunakan metode sejarah yang ditulis dengan deskriptif analitis dengan langkah atau tahapan, yaitu : 1). Heuristik, 2). Kritik Sumber, 3). Interpretasi, 4). Historiografi. Dalam memperoleh data-data penelitian ini, peneliti menggunakan metode sumber primer, sekunder dan tradisi lisan atau folklor di dalam heuristik dengan menggunakan metode sejarah lisan.Hasil penelitian syair gulung pada awalnya hanyalah sebuah bentuk karangan atau disebut kengkarangan yang berada di Tanah Kayong, Tanah Tanjungpura yang sekarang bernama Kabupaten Ketapang. Ada juga yang menyebutnya Syair Layang karena isinya hanya selayang pandang. Lambat laun berubah menjadi syair gulung dikarenakan ditulis di atas kertas kemudian digulung dan disimpan di dalam parug burung. Isinya berupa bait-bait kata yang mengandung nasehat dan petunjuk hidup kepada masyarakat Melayu. Terdapat tiga fase syair gulung, yakni fase Kerajaan Tanjungpura yang diwakili oleh Syair Pangeran Syarif, fase kedua fase syair gulung jenaka, fase ketiga fase syair gulung berisi kritik sosial.</p><p class="Default"> </p><p class="Default"><strong>Kata kunci: </strong>sejarah, Syair Gulung, Ketapang</p><p class="Default"> </p><p class="Default" align="center"><strong><em>Abstract</em></strong></p><p class="Default"><em>The tittle of of this research is “The history of Syair Gulung”. The main problem of this research is how the history of Syair Gulung in Ketapang. The results of this research hopely could giving a contribution for the mass society and the researchers of local history studies in West Kalimantan. The research is a historical research. The methods of the research is descriptive-analitic includes four stages : 1) heuristic 2) verification 3) interpretation 4) historiography. The methodologies of research have been with a primary source, a secondary source, and oral tradition or folklore in heuristic with the oral history methods.The results of this research is in the beginning with namely of Syair Gulung is Kengkarangan, in Kayong Land, Tanjungpura Kingdom in nowdays becoming popular with Ketapang Regency. The several society knowing Syair Gulung with Syair Layang. At this time people knowing with Syair Gulung due to writed in paper and then rolled up and saved in the bird beak. The contents of Syair Gulung is a stanzas with the advice and life wisdom for Malay societies. The Syair Gulung includes three phases, such as The Tanjungpura Kingdom phase with with Syair Pangeran Syarif, The witty phase, and the social critics phase. </em></p><p class="Default"><em> </em></p><strong><em>Keywords:</em></strong><em> history, Syair Gulung, Ketapang</em>