bluuebunny/crossref_metadata_2025_split huggingface dataset:
Validity and Reliability of the Arabic Version of the Wisconsin Upper Respiratory Symptom Survey (AWURSS-11)
Authors: Farahat Mohamed , Mesallam Tamer A. , Alrasheed Abdullah A. , Malki Khalid H. 
Published: March 2021

Background:
The Wisconsin Upper Respiratory Symptom Survey (WURSS) is a patient-oriented tool that has been developed to evaluate patient QOL in a disease-specific manner

. Objectives:
This study aimed to generate an Arabic purview of Wisconsin Upper Respiratory Symptom Survey WURSS-11 (AWURSS-11) and to assess its validity and reliability in normal subjects and common cold patients.

Materials and Methods:
This cross-sectional study has been carried out in King Abdulaziz University Hospital and Prince Sultan Medical Military City Riyadh, Saudi Arabia, between October 2017 and May 2018. The generated AWURSS-11 was administered to 197 patients with common cold and 67 asymptomatic participants. Cronbach's alpha tested the internal consistency of the AWURSS-11, while intraclass correlation coefficient was used to study test-retest reliability. The patients and control results were compared to test the clinical validity of the AWURSS-11.

Results:
AWURSS-11 showed good internal consistency (Cronbach's α = 0.896). Furthermore, good test-retest was found for the three domains and the total scores with significantly high intra-class correlation coefficient (ICC = 0.93). Significant difference was resulted between the AWURSS-11 score of the patients and the asymptomatic group (P = 0.0001).

Conclusion:
The results showed that the AWURSS-11 is a tool that is valid and reliable and can be even be used to assess common cold symptoms in patients who are Arabic speakers.
Diagnostic value of fibroblast growth factor 23 for abdominal aortic calcification in Indonesian hemodialysis patients
Authors: Muzasti Riri Andri , Lubis Netty Delvrita 
Published: March 2021

Objective:
Homeostasis of serum phosphorus and calcitriol level is regulated mainly by fibroblast growth factor 23 (FGF23). Studies show that elevated serum FGF23 level was significantly associated with aortic calcification severity, peripheral blood vessels, and a higher score of coronary artery calcification in patients undergoing hemodialysis. We did this cross-sectional study to determine the FGF23 diagnostic value for abdominal aortic calcification in Indonesian hemodialysis patients.

Materials and Methods:
This study included seventy-five, chronic hemodialysis patients. An enzyme-linked immunosorbent assay method was used to measure serum intact FGF23 level, and abdominal aortic calcification was detected by lateral lumbar X-ray. The diagnostic value of FGF23 was analyzed using receiver operating characteristic (ROC) curves.

Results:
fifty-one (68.0%) patients had abdominal aortic calcification (AAC). Serum intact FGF23 level ranged from 217 to 950 pg/mL with a median level of 328 pg/mL. The FGF23 levels in the serum of patients with AAC were significantly higher than those without AAC (P < 0.001). The best cutoff point was 277 pg/mL. The calculated area under the ROC curves was 0.959 (95% confidence interval, 0.912–1.00); sensitivity was 94.0% and specificity was 84.0% (P < 0.001).

Conclusion:
serum intact FGF23 level may be proposed as a proper tool for abdominal aortic calcification in Indonesian hemodialysis patients.
Eleven Absorbed Constituents and 91 Metabolites of Chuanxiong Rhizoma Decoction in Rats
Authors: Xu Feng , Zhang Lei , Zhao Xin , Zhou Qi-Le , Liu Guang-Xue , Yang Xiu-Wei , Yang Dong-Hui , Cai Shao-Qing 
Published: March 2021

Objective:
Chuanxiong Rhizoma (CR, the dried rhizomes of Ligusticum chuanxiong) is a well-known traditional Chinese medicine that promotes qi to activate blood, dispels wind, and relieves pain. To date, more than 118 constituents of CR have been isolated and identified. However, the in vivo mechanism of CR decoction is unclear and needs further investigation. In addition, to clarify the effective forms of CR, it is essential to reveal the absorbed constituents and metabolites of CR.

Materials and Methods:
The absorbed constituents and metabolites in urine and plasma samples of rats orally administered with CR decoction were screened and characterized using a high-performance liquid chromatography with diode array detector and combined with electrospray ionization ion trap time-of-flight multistage mass spectrometry technique.

Results:
In total, 102 compounds, including 11 absorbed constituents (eight phthalides and three phthalic acids) and 91 metabolites (71 phthalide-related and 20 phenolic acid-related), were detected in drug-containing rat urine and plasma samples, among which 33 were new metabolites of either CR or its constituents. Based on the structures of these metabolites, six phthalides (ligustilide, senkyunolide I/H, senkyunolide J/N, and butylidenephthalide) and three phenolic acids (ferulic acid, isoferulic acid, and caffeic acid) were proposed as their precursors. They were also deduced to be the main absorbed constituents of CR decoction, which should have closer relationships with its pharmacological effects than other constituents. Phthalide-related metabolites were formed through the metabolic reactions of hydration, hydroxylation, cysteine conjugation, acetylcysteine conjugation, methanethiol conjugation, mercaptomethanol conjugation, glucuronidation, and sulfation, whereas the phenolic acid-related metabolites were mainly formed by glucuronidation and sulfation.

Conclusions:
Six phthalides and three phenolic acids were shown to be the main precursors of the metabolites of CR, and 33 compounds were new metabolites of either CR or its constituents. These results are helpful for further understanding of the in vivo mechanism and effective forms of CR.
Hubungan Status Gizi Dan Anemia Dengan Kejadian Bayi Berat Badan Lahir Rendah Di Rumah Sakit Dustira Cimahi Tahun 2018
Authors: Lestari Endah 
Published: March 2021

Di Indonesia batas ambang LILA dengan resiko KEK adalah 23,5 cm hal ini berarti ibu hamil dengan resiko KEK di perkirakan akan melahirkan bayi BBLR. Pada ibu hamil yang menderita anemia berat kemungkinan melahirkan bayi BBLR dan premature lebih besar. Tujuan Penelitian ini yaitu untuk menganalisa hubungan Status gizi dan Anemia dengan kejadian BBLR di Rumah sakit Dustira Kota Cimahi. Metode penelitian ini menggunakan survey analitik dengan rancangan Cross sectional. Sampel kasus sebanyak 100 orang. Sampel penelitian ini yaitu ibu bersalin. Pengukuran menggunakan data primer dengan lembar cheklis. Hasil uji chi-square menunjukan bahwa nilai p sebesar 0,006, berarti p<0,05 maka disimpulkan bahwa “Terdapat hubungan antara status gizi dengan kejadian BBLR”. Nilai p sebesar 0,025, berarti p<0,05 maka disimpulkan bahwa “Terdapat hubungan antara anemia dengan kejadian Berat Badan lahir rendah (BBLR) di Rumah Sakit dustira Kota Cimahi
Measurement of The Green Waste Index Study in Bandung City
Authors: Indrawati  , Fariz Indra Permana  
Published: March 2021

The rise of population is one of the factors on the increasing amount of waste in urban area. Aside from the mentioned factor, the increase of waste also caused by changes in society consumption pattern which significantly affect the waste amount, especially in urban areas. The changes in consumption pattern shown from daily lives of urban residents, for example the habit in fast food consumption which generates garbage in the form of food container, disposable spoon and forks, and wrappers. In the City of Bandung area, to increase the effectivity in waste management, the government strengthen the waste management regulation, from home to industrial scale. Managing waste from its source is a strategic point in supporting the success of waste management. This research aims to determine Bandung green waste index, in which green waste index in a waste management concept using 3R (Reduce, Reuse, Recycle), which also an attribute of green city.
This research was performed by conducting interviews to 30 respondents, screened using the quadruple helix concept: government, expert/researcher, business actors, and general society. Based on the method, this research is categorized as a mixed-method study whereupon the researcher employed both qualitative and quantitative methods. Triangulation, peer debriefing, and word association were the qualitative methods employed while validity and reliability, spearman rank, and index tabulation were the quantitative methods used.
The results of the research indicate that the green waste index of city of Bandung was 72.44, which falls in the category “adequate.” The results illustrate that although the green waste management is acceptable, several aspects were still lacking. This refers to the grading scale utilized by assessors of the Indonesian Ministry of Research and Technology/National Research and Innovation (RISTEKDIKTI)
Maintaining The Teacher’s Performance of Saint Peter Primary School Kelapa Gading Teachers During Home Online Learning Amidst Covid 19 Pandemic
Authors: Della Herpriyanti Yovita , Simbolon Bintang R 
Published: March 2021

This qualitative research which has purpose to analyze how to maintain teacher’s performance during home online learning is using descriptive analysis method. Saint Peter Primary School has been using Microsoft 365 and Zoom application in all process of teaching learning and interaction between colleagues and all students during the pandemic time. The use of digital application features have been formed the primary basis of school administration which is conducted individually by teacher of Saint Peter Primary School and was monitored by the school principal. This research was conducted by processing the qualitative data obtained from in-depth interview towards informant of school staff and teachers of Saint Peter Primary School. The data collection was conducted through observation, in-depth interview towards informant and so was documentation. The subjects of this research are the school principal and also the teachers. In this qualitative research it is known that teacher’s performance appear in preparing, implementing and assessing the teaching learning with the use of digital applications during the online learning in pandemic time. Despite the all the weakness circumstances of home online learning, it is known that the quality of education is obviously adequate.
Urinary Tract Infections are becoming Multi-drug Resistant due to Extended Spectrum Beta-lactamases-producing Klebsiella pneumonia
Authors: Hackman Henry , Annison Lawrence , Arhin Reuben , Azumah Bright , Boateng David , Nwosu Blessing 
Published: March 2021

Introduction: Klebsiella pneumoniae are among the most common cause of urinary tract infections such as cystitis and pyelonephritis. These multi-drug resistant K. pneumoniae are producers of extended spectrum beta-lactamases (ESBL) that are capable of hydrolyzing beta-lactams and non-beta-lactams. This laboratory-based study sought to establish the increase of ESBL-producing K. pneumoniae in multi-drug resistant urinary tract infections and determine the effective antibiotic treatment options.
Methods: One hundred and seventy five K. pneumoniae isolates obtained from urine cultures were randomly collected and the combined disc synergy method was used to determine the ESBL-producing K. pneumoniae. The Vitek 2 system (bioMérieux, France) was used to perform antimicrobial susceptibility testing of 17 commonly used antibiotics. The data from the work was collated and statistically analysed using the chi-square test and Mann-Whitney U test. P values < 0.05 were considered significant.
Results: Of the 175 K. pneumoniae responsible for urinary tract infections, 73.7% were producing ESBL suggesting that most urinary tract infections caused by K. pneumoniae will be multi-drug resistant. The antimicrobial resistance differences between ESBL-producing and non-ESBL-producing Klebsiella pneumoniae indicated a significance difference with p < 0.05. This study indicated that imipenem and amikacin are the antibiotic of choice for the treatment of multi-drug resistant urinary tract infections caused by ESBL-producing K. pneumoniae. Cephalosporins and nitrofurantoin are suitable for the treatment of urinary tract infections due to non-ESBL-producing K. pneumoniae.
Conclusion: This study indicated that imipenem (carbapenem) and amikacin are the antibiotic of choice for the treatment of multi-drug resistant urinary tract infections caused by ESBL-producing K. pneumoniae. The third and fourth generation cephalosporins and nitrofurantoin are suitable for the treatment of urinary tract infections due to non-ESBL-producing K. pneumoniae. Rational use of antibiotics and evidence based antibiotic prescription will help to control the spread of resistance by ESBL-producing K. pneumoniae. There is the need to intensify research in the use of natural products to treat multi-drug resistant urinary tract infections emanating from ESBL-producing K. pneumoniae
Comparative Analysis of Women's Rights and Post-Marriage Nationality
Authors: Ahangaran Sentot , Pitoyo Fitriani 
Published: March 2021

In the nineteenth century, a school known as "The Unity System of Couples Nationality" expressed that women ought to obtain the nationality of their spouses after marriage. In different words, the nationality of men ought to be forced on women. In any case, in the twentieth century, a development known as woman's rights developed which prompted the arrangement of a school named "Arrangement of Nationality Independence".
This school supported the partition of marriage and nationality and accepted that women’s nationality ought not to change following marriage. The previously mentioned legitimate schools have had various indications in the positive laws of various nations and some of the time it is difficult to order them into a single lawful school. The lawful frameworks of nations can be ordered into two gatherings: lawful frameworks upholding the burden of spouses' nationality on spouses; lawful frameworks restricting the inconvenience of spouses' nationality on wives.
Barriers to an Effective Maternal Health Service Delivery Network: A Qualitative Study among Health Providers in Legazpi City, Albay
Authors: Cagayan Maria Stephanie Fay , Ang-Bon Rita Mae , Garcia Fernando , San Juan Filomena , Llave Cecilia , Banwell Catherine , Llamas-Clark Erlidia 
Published: March 2021

Objectives. To A functioning referral system is critical to the maternal health program, especially in the management of obstetric emergencies. This study explored supply-side barriers affecting the effective implementation of the said service delivery network (SDN) in Legazpi, Albay in the Bicol Region of the Philippines.
Methods. Face-to-face in-depth interviews using semi-structured questionnaires were performed with health care providers involved in the SDN in Albay. Extensive note taking was done by the primary investigator while participants were observed during performance of duties from June - November 2018. Interviews were audio-recorded, transcribed, translated into English, and analyzed thematically along with the observation notes using NVivo. A deductive-dominant approach was utilized for the data content analysis.
Results. Referral system barriers identified were cross-cutting across the different components of the health system such as governance, human health resource, service delivery and information systems. The barriers were further classified into individual, organizational and external-related factors in relation to the SDN. Examples of barriers included lack of knowledge of protocols and guidelines, lack of coordination between facilities, poor data management, inadequate capacity building opportunities, and constantly changing political landscape and policies.
Conclusions. The study is the first to explore barriers to effective service delivery network in maternal health in the country. Findings from the study provide significant insight to areas of improvement in the SDN that must be addressed to strengthen local health systems, especially with the country’s movement towards Universal Health Care where local health systems play a key role.
A Call for an Evidence-informed Criteria Selection to Guide Equitable Health Investments in the Era of Universal Health Care: Policy Analysis
Authors: Silva Ma. Esmeralda C. , Zarsuelo Ma-Ann M. , Naria-Maritana Marianne Joy N. , Zordilla Zenith D. , Lam Hilton Y. , Mendoza Michael Antonio F. , Buan Ara Karizza G. , Nuestro Frances Karen A. , Dela Rosa Janvic A. , Padilla Carmencita D. 
Published: March 2021

Background. The passage of the Universal Health Care (UHC) Act in the Philippines in early 2019 intensified the need to ensure equitable health investments by the government. Exploring the different criteria and indicators that are used to determine areas that are most in need of health services can help local and national health authorities determine priorities for health investments given finite resources.
Methods. A systematic review of literature on determinants of health equity and other indicators was conducted as pre-work to generate discussion points to the roundtable discussion participated by all major key stakeholders. Shared insights and expertise were thematically analyzed to produce a policy paper with consensus policy recommendations.
Results. Based on the review of the literature and the discussion, indicators (mainly physical inaccessibility and socio-economic factors) for identifying Geographically Isolated and Disadvantaged Areas (GIDA) in DOH Administrative Order 185, s. 2004 is used to prioritize municipalities for health investments. Review of other policies and guidelines to determine the level of health needs and prioritizing investments yielded to four laddered domains: geographic, population characteristics (e.g., social and cultural determinants of access), health system (e.g., health service delivery), and health status. These domains may provide a more equitable set of metrics for health investment. The Local Investment Plan for Health (LIPH) is the current process used for health-related investments at the local level and may be revised to be more responsive to the requirements set by the UHC Act 2018. Hot spotting to concentrate health services by communities may be a more rapid approach to investment planning for health. Bed capacity as a specific metric in the UHC Act 2018 highlights the need for a review of the Hospital Licensure Act 2004.
Conclusion and Recommendations. To aid in determining priorities for health investments, a comprehensive integrated analysis of resources, determinants, and indicators should be done to determine the need and the gaps in the available resources. Innovative strategies can also be best implemented such as mathematical models or formulas. Lastly, current strategies in the development, monitoring, and evaluation of investment planning for health at different levels should be strengthened, expanded, and harmonized with other existing development plans.
FINANCIAMENTO DA EXPANSÃO DA EDUCAÇÃO INFANTIL EM CONDIÇÕES DE QUALIDADE: UM ESTUDO DOS MUNICÍPIOS DA REGIÃO METROPOLITANA DE CURITIBA A PARTIR DO SIMCAQ
Authors: Alves Thiago , Silveira Adriana Aparecida Dragone , Bruno Dhaiene de Jesus dos Reis 
Published: March 2021

Este artigo tem como objetivo realizar uma projeção do financiamento necessário para a ampliação da Educação Infantil em condições de qualidade, atendendo as metas de expansão do PNE, em municípios com diferentes contextos. Para este exercício, utilizou-se como referência 12 municípios da Região Metropolitana de Curitiba. Para a análise do orçamento necessário foi utilizado o Simulador de Custo-Aluno Qualidade (SimCAQ), possibilitando a comparação entre a receita vinculada para a educação e o efeito da expansão de matrículas e da adequação das condições de oferta no financiamento. Os resultados revelam a desigual capacidade financeira das redes municipais de cidades tão próximas e a necessidade de aperfeiçoamento das políticas de financiamento para que o direito à educação das crianças não seja diferenciado pela capacidade de financiamento dos entes federativos.
Palavras-chave: Educação em condições de qualidade; Educação Infantil; Financiamento da Educação Básica; Planejamento educacional
“PUBLIQUE OU PEREÇA": EFEITOS DO PRODUTIVISMO ACADÊMICO NA PRODUÇÃO EM PERIÓDICOS DE UM PROGRAMA DE PÓS-GRADUAÇÃO EM EDUCAÇÃO (2000-2018)
Authors: Silva Matheus Estevão Ferreira da 
Published: March 2021

Neste artigo, por meio de revisão bibliográfica, investigam-se os possíveis efeitos gerados pelo produtivismo acadêmico na produção em periódicos de um Programa de Pós-Graduação em Educação. Considerou-se o estado atual da produção de pesquisa brasileira que tende a aderir ao produtivismo acadêmico e à formação do(a) pesquisador(a) em detrimento da formação do(a) professor(a) universitário(a). Delimitou-se a investigação elegendo-se, por critério aleatório, um Programa de Pós-Graduação da área de Educação e, para se medir os efeitos do produtivismo, levantou-se a produção em periódicos do corpo docente desse Programa considerando o período de 2000 a 2018. Depreendem-se, de fato, efeitos na produção do Programa, com um aumento muito significativo e que se relaciona com a assunção e política da CAPES na avaliação da pós-graduação.
Palavras-chave: Produtivismo. Pós-Graduação. Produção acadêmica.
Evangélicos e conservadorismo – afinidades eletivas: as novas configurações da democracia no Brasil
Authors: Souza Junior Paulo Gracino de , Souza Carlos Henrique Pereira de 
Published: March 2021

Neste artigo partimos da hipótese de que a afinidade que atrai evangélicos e conservadorismo está muito mais ligada às condições discursivas que engendram os sujeitos e suas subjetividades, do que as características intrínsecas à teologia cristã ou, especificamente, evangélica pentecostal. Com isso não queremos dizer que conformações teológicas específicas não ensejaram discursos religiosos regressivos, que a maioria de nós classificaria como conservador. Assim, chamamos a atenção, tanto para o caráter relacional, posicional das identidades evangélicas, que engendram o discurso conservador, quanto para a base material deste discurso, ligando, portanto, sujeitos e formas de sujeição e subjetivação. Interessam-nos, as formas políticas em que se precipitarão os antagonismos articulados a partir dos grupos de identidade evangélica, bem como os deslocamentos na base material destes sujeitos, que possibilitam o engendramento de subjetividades atomizadas e refratárias a solidariedades coletivas exógenas a sua comunidade. Defenderemos que, embora evangélicos tenham ganhado relevo no espaço público por pautas reativas à ampliação de direitos de minorias, tais ações não se devem unicamente a aspectos intrínsecos à teologia pentecostal, ou ao seu caráter alienante ou irracional, mas, principalmente a forma como se posicionam no jogo político nacional, ou melhor, como se publicizaram, bem como a forma como o discurso de fundo conservador é acionado como estratégia de sobrevivência nas grandes cidades.