bluuebunny/crossref_metadata_2025_split huggingface dataset:
Particulars of the perioperative management of patients with end stage renal disease during hip and knee replacement arthroplasty
Authors: Petrova E. N. , Polushin Yu. S. , Shlyk I. V. , Tsed A. N. 
Published: July 2019

The world prevalence of chronic kidney disease (CKD) stages 1 to 5 ranges from 11.7 to 15.1%. Incidence of fractures in patients with CKD stage 5 is 5-fold higher than that in the general population, which is related to mineral metabolism disorders, secondary hyperparathyroidism, and osteoporosis. By damaging multiple organs and systems, CKD triggers a whole pathological cascade. There are hematopoietic abnormalities, cell lineages, direct toxic effect on blood cell elements, with simultaneously increased risk of bleeding and a high and extremely high risk of thrombi formation and thromboembolic complications. Calcium and phosphorus metabolism disorders lead to calcification and mineralization of vasculature, myocardium and heart valves; progressive renal dysfunction affects the course of heart and vessel diseases, aggravating their clinical manifestations. Cardiovascular disorders become the main cause of death of such patients, and the development of pulmonary hypertension is associated with increased morbidity and mortality. At the same time, protein and energy deficiencies do occur, with disturbance of the acid-base balance, water and electrolyte balance; uremic toxins exert unhealthy effects on the gastrointestinal tract. Various extra-renal pathologies, specific pharmacokinetics, regimen and frequency of renal replacement therapy needed to maintain an adequate volume status make it necessary to thoroughly prepare the patients for surgery and define special requirement to perioperative management in arthroplasty. Currently, there are no guidelines on the perioperative management of this patient category. In this review article we consider specifics and particulars of preoperative, intraoperative and postoperative management of the end stage CKD patients during knee and hip replacement arthroplasties.
Aspectos motivacionales en la selección de carrera universitaria: un estado del arte
Authors: Uzcátegui Yulimer del Valle 
Published: July 2019

La selección de carrera universitaria es una de las acciones humanas más importantes para la vida individual y colectiva, se podría decir que es trascendental, pues se realiza, generalmente, en la adolescencia. Las razones para su elección, provienen de aspectos motivacionales que pueden ser intrínsecos y/o extrínsecos, sin embargo, son pocas las investigaciones enfocadas a conocer las razones que promueven ese tipo de motivaciones. En esta investigación se busca comprender sobre los factores motivacionales que influyen en la selección de carrera, para esto se realizó un Estado del Arte, utilizando como base de datos el portal SciELO y tomando como concepto descriptivo central motivación, conectándolo con los términos: educación, selección de carrera, profesional, universidad y educación superior. Finalmente se encontraron dieciocho artículos, que fueron procesados mediante un Análisis de Contenido, encontrando cuatro categorías: 1. Motivación para aprender, 2. La autodeterminación en la Motivación, 3. Motivación escolar y finalmente 4. Motivación en la selección de carrera universitaria. El estudio de estas categorías nos llevó a concluir que la motivación puede ser tanto intrínseca, como extrínseca, existiendo subniveles entre ellas, así mismo, que existe una escala de comprometimiento e interés por la realización de actividades, las cuales permiten pasar de una motivación extrínseca a una intrínseca. Además de que la motivación en un contexto académico depende de factores intervinientes, como son los sentimientos, las percepciones, las necesidades, las metas y el desempeño académico, como puntos fundamentales en la determinación de un comportamiento motivado.
Agro Edu Wisata Desa Swaru Kecamatan Pagelaran Kabupaten Malang Provinsi Jawa Timur
Authors: Sudiyono Sudiyono , Kurniawati Maris , Mustikowati Rita Indah 
Published: July 2019

<p>Pertemuan dan diskusi dengan perangkat desa serta para tokoh masyarakat menyepakati untuk berusaha mengembangkan Desa Suwaru yang juga dikenal sebagai “Kampung Salak” tersebut untuk menjadi desa wisata dengan kekhasannya pada wisata Agro, outbound, serta kesenian. Pengembangan Suwaru menjadi desa wisata sejalan dengan program utama Pemerintah Kabupaten Malang yang salah satu program besarnya adalah pengembangan bidang pariwisata. Saat ini Wisata Petik Salak di desa Suwaru dijadikan salah satu bagian dari pengembangan wisata Kabupaten Malang. Metode yang ditawarkan melalui PPDM untuk mengembangkan “Agro-eduwisata desa Suwaru” tersebut adalah (1) Pemantapan dan penguatan pengembangan desa agro-eduwisata, (2) Alih teknologi dalam pengelolaan wisata desa, (3) Pelatihan dan pendampingan dalam manajemen pariwisata desa, (4) Studi banding pengelolaan desa wisata, (5) Pengembangan dan pengisian spot-spot wahana wisata, (6) Pelatihan, pendampingan, dan penyiapan SDM pengelola wisata, (7) Pelatihan dan pendampingan dalam manajemen pemasaran wisata.</p>
Pengembangan Bahan Ajar Pendidikan Agama Islam Menggunakan Metode al-Qur`an Tematik
Authors: Indrawari Karliana , Habiburrahman Sayyid 
Published: July 2019

Abstract: The teaching materials of Islamic Education in Public Universities in South Sumatra almost all refer to the existing curriculum, but the sources of material in the verses of the Qur’an are still minimal. In fact, it’s time to introduce the contents of the verses of the Qur’an to students. In this study, the author feels the need to develop Islamic religious education materials in public universities that have existed in South Sumatra into a teaching material for Islamic Education, which later can be used as a guide in teaching and learning activities. The procedure for developing teaching materials is analysis, planning, developing, evaluation, and revision. The results of this development are expected that Tridinanti, Stifi, Bina Dharma and UIGM universities have a source of guidance for lecturers and students in teaching and learning activities, making it easier for students to understand and explore the contents of the Qur’an, add insight and innovation to scientific thinking and education enrich the treasure and give new colors to the material of Islamic Education in public universities. ملخّص: مدّة التّعليم التّبية الإسلاميّة في جامعة العّامة بسمطرة الجنوبية تقريبا كلّهم قد اشار إلى التّخطيط الموجودة. ولكنّ فى الحقيقة منذ الآن. يعلم العلم القرآنيّة إلى الطّلاب الجامعة. في هذا البحث يحتاج الكاتب إلى التطوير في مدّة التّبية الإسلاميّة في جامعة الموجودة بسمطرة الجنوبيّة ليكون مدّة التّعليم الاسلاميّة. الّذي بعده يستطيع أن يكون اسوة في برنامج التعليم المتعلم. وأمّا طريقة التّطوير المدّة التّعلّم هم التّحليل، التّخطيط، التّطوير، التّقويم ومراجعة. ان يملك UIGM و ،Tridinanti، Stifi، Bina Dharma وحاصل من هذا التّطوير يرجى إلى الجامعة ممنوع العلوم لمحاصر والطّلاب في برنامج التّعليم و المتعلم لتسهيل الطّلاب في تفهيم علوم القرآن. وتزديد العلوم وإبكار التّفكّر العلميّة في علوم التّبيّة وتكثير الخزانة تلوين الموجودة في مدّة التربيّة الإسلاميّة بجامعة العّامة.
MORAL RECONSTRUCTION OF ELEMENTARY EDUCATIONAL LEVEL STUDENTS IN MILLENNIAL ERA: A Scientific Approach Perspective
Authors: Saputro Budiyono , Khoerani Anis , Faizah Laylatul , Azizah Bikrotul 
Published: July 2019

Abstrak: Penelitian ini bertujuan untuk mendapatkan model rekonstruksi moral siswa jenjang pendidikan dasar era mileneal dari perspektif pendekatan sainstifik. Jenis penelitian ini adalah penelitian diskriptif kualitatif. Pembentukan model dan diskripsi model mengacu pada Kurikulum 2013 jenjang pendidikan dasar. Model rekontruksi moral dibangun secara adaptif berdasarkan langkah-langkah metode Research & Development. Subyek penelitian ini adalah Guru Sekolah Dasar/Madrasah Ibtidaiyah yang sedang studi lanjut pada Magister Program Pendidikan Guru Madrasah Ibtidaiyah Program Pascasarjana IAIN Salatiga, Indonesia. Data penelitian diambil dengan metode observasi, wawancara, angket skala likert. Hasil penelitian menunjukkan bahwa siswa sekolah dasar melakukan pelanggaran moral di lingkungan formal maupun non-formal sebesar 30% per tahun. Analisis kebutuhan konsep model rekonstruksi moral siswa dengan rerata 3.15 termasuk kategori butuh. Model rekonstruksi moral hasil penelitian memiliki tahapan yang secara langsung dapat membangun habituasi nilai-nilai ilmiah dalam perilaku kehidupan sehari-hari siswa, yaitu: mendengar, memperhatikan, komunikasi, kerjasama, bertanya, melakukan, berpikir, saling menghargai, jujur, tanggung jawab dan disiplin.ملخص: يهدف هذا البحث إلى الحصول على نموذج لإعادة الإعمار الأخلاقي للطلاب في مستوى التعليم الأساسي في العصر الحاضر بالمدخل العلمي. والنوع هذا البحث هوالبحث الوصفي النوعي. يشير تشكيل النماذج والأوصاف النموذجية إلى منهاج 2013 لمستوى التعليم الأساسي. تم بناء نموذج إعادة الإعمار الأخلاقي بالتكيف على أساس خطوات منهج البحث والتطوير. موضوع هذا البحث هو معلمي المدارس الابتدائية والثانوية الذي يتّصل الدراسة فى برنامج الماجستير في كلّية تربية المعلم المدرسة الإبتدائية بجامعة سلاتيجا الإسلامية الحكومية، اندونيسيا. وأدوات جمع البيانات في هذا البحث هي الملاحظة والمقابلة واالاستبيان بمقياس ليكرت. أظهرت النتائج أن طلاب المدارس الابتدائية ارتكبوا انتهاكات أخلاقية في البيئات الرسمية وغير الرسمية بنسبة 30 ٪ في السنة. وتحليل الاحتياجات المفاهيمية علي نموذج لإعادة الإعمار الأخلاقي للطلاب مع متوسط 3.15 بما في ذلك فئة الحاجة. يحتوي نموذج لإعادة الإعمار الأخلاقي للطلاب في هذا البحث على مراحل يمكن أن تبني عادات القيم العلمية في سلوك حياة الطلاب اليومية ، وهي: الاستماع، الاهتمام، التواصل، التعاون، العمل، التفكير، الاحترام، الأمانة، المسؤولية والنشاطة
An assessment for Diagnostic and Therapeutic Modalities for Management of Pediatric Iron Defficiency Anemia in Saudi Arabia: a Cross-sectional Study
Authors: Sulayyim Hadi J Al , Omari Ali Al , Badri Motasim 
Published: July 2019

Abstract
Background: Iron deficiency anemia (IDA) is a global public health issue that affect more than 2 billion individuals worldwide. However evidence for optimal management of IDA is lacking.
Objectives: To assess the diagnostic criteria and therapeutic modalities for pediatric IDA employed by physicians in a major public healthcare facility in Riyadh.
Methodology: A validated questionnaire including demographic data and patient case-scenarios related to diagnosis and treatment of IDA was employed. Robust regression analysis was used to identify factors associated with overall score of participants.
Results: Of the 166 physicians surveyed 147(88.6%) were included in the study. Wide variability was observed in IDA diagnosis and therapy practises. For nutritional IDA, only 15.6% recommended no other laboratory tests in addition to CBC. The majority preferred treatment with ferrous sulfate (77.6%) divided into two doses (57.1%), but the total daily elemental iron doses varied widely from 2 to 6 mg/kg. For intravenous iron, 42.9% recommended iron dextran, 32.7% iron sucrose, and 13.4% would continue oral iron. Of all assessed factors, median score was significantly highest in pediatric hematologists compared with pediatricians, family medicine specialists and GPs; p=0.007, and those work in tertiary care compared with those in primary care; p=0.043. However, in multivariate robust regression analysis, overall score was only significantly associated with professional qualification [pediatric hematologist β=13.71,95%CI 2.48-24.95, p=0.017; pediatrician β=1.77,95%C (-6.05-9.59, p=0.66; family medicine β=2.66,95%CI-4.30-9.58, p=0.45 compared with general practitioner].

Conclusion: Wide variations exist among physicians in diagnosis and treatment of pediatric IDA. Intervention programs and national guidelines are urgently needed.
Investigation of correlation between autoimmune antibodies and real-time ultrasound elastosonography scores in patients with Hashimoto’s Thyroiditis
Authors: Xiangqi Li 
Published: July 2019

Abstract
Objective To investigate the correlation between autoimmune antibodies,ultrasonic elasticity scores,elasticity coefficients in patients with Hashimoto’s thyroiditis.Methods Detected the thyroid function,the thyroid globulin antibody (TgAb) and the titer of thyroid peroxides antibody(TPOAb) by chemiluminescence from the fasting serum of 258 patients suffering with Hashimoto’s thyroiditis; The ultrasonic elasticity scores and elasticity coefficients were evaluated after detecting the patients’ thyroid with GELOGIQ3 type Color Doppler Ultrasound Diagnostic System and getting a satisfactory elastosonography.Then the correlation between autoimmune antibodies,ultrasonic elasticity scores and elasticity coefficients were analyzed respectively.Results Serum thyroid stimulating hormone (TSH),TGA and TPO in 258 patients with HT increased significantly,the titer of TgAb was positively correlated with elastic coefficients,r=0.62,P<0.001,and also positively correlated with elastic scores,r=0.65,P<0.001;TPOAb was positively correlated with elastic coefficients,r=0.63,P<0.001,and positively correlated with elastic scores as well,r=0.62,P<0.001.Conclusions It’s helpful to increase the accuracy rate of HT diagnosis with detection of thyroid autoimmune function combined with Real-time ultrasound elastosonography scores.
The powdery mildew disease of rubber (Oidium heveae) mainly controlled by the winter temperature in the Xishuangbanna, China
Authors: Zhai Deli , Thaler Philippe , Luo Yiqi , Xu Jianchu 
Published: July 2019

Abstract
Background:
Rubber powdery mildew disease (Oidium heveae) is a serious threat to the natural rubber production in some rubber developing regions of the world. Many factors affect the powdery mildew disease. As many of these influencing factors found in previous studies are strongly correlated, unraveling their effects and their relative importance is a challenge. We assessed the three main groups of factors: temperature variables, the timing of leaf phenologies, and the duration of leaf development. In total, we investigated the effects of forty-one factors on the infection rate of powdery mildew of rubber trees (Hevea brasiliensis) by using Partial Least Squares (PLS) regression methods over 9-year records (2003–2011).
Results:
Among these factors, we found that the most influential variables were the temperature variables (winter and spring mean temperature, and daily temperature differences in winter) and the duration of leaf development to maturation, from copper brown stage to leaf aging, which explained 72% and 58% of the variations in the infection rate. We found the controlling role of winter mean temperature, for the first time, on the infection rate of powdery mildew, and the duration of leaf maturation was also influenced by the winter mean temperature.
Conclusions:
The controlling role of winter temperature may have directly increase the infection rate when winter temperature is high, and indirectly increase the infection rate through the prolongation of the leaf maturation duration, although the duration itself, from copper brown to leaf aging had smaller influences. We detected a warming trend of the winter temperatures from 2003 to 2011, which indicates that the rubber plantations will experience increasing of infection rate of powdery mildew if the winter warming continues.
Association of Childhood Socioeconomic Status with Edentulism Among Chinese Middle-aged Adults
Authors: ZHANG XIAONING , CHEN SHUANG 
Published: July 2019

Abstract
Objectives

The purpose of this study was to examine the association between childhood socioeconomic status (SES) and edentulism using directed acyclic graphs (DAGs) for the selection of confounders, and after adjusting for childhood health, adult SES, adult health-related behaviors and father’s health-related behaviors.

Methods

Chinese respondents in a Health and Retirement Longitudinal Study (CHARLS) were assessed at age 45 and 59 years. Childhood SES was determined using the father’s education, parents’ occupation, father’s working status, family’s financial situation, self-perceived childhood health, relationship with the father, mother’s effort to care for her child, mother’s love and affection, parents quarrel and fight, residential community safety, primary residence, neighbors’ help, neighborhood relation, enough food availability and access to medical care and convenience. Father’ health-related behaviors were established by taking into account smoking and drinking habits. Childhood health was determined by considering childhood hospitalization and self-perceived childhood health status. Adult SES was established based on adulthood educational achievements. Adult health-related behaviors were determined by taking into account smoking and drinking habits, as well as physical activities and sleep time. Edentulism was determined using self-reported lost all of teeth. The mediators were selected using DAGs, cross-tabulation and binary logistic regression models based on DAGs. Model assessment of the regression equation was evaluated by Hosmer-Lemeshow goodness-of-fit test.

Results

Data from a total of 7,459 respondents were available, 140 of whom were edentulous (1.9%). The prevalence of edentulism at ages 45 and 59 years was substantially higher among those with low childhood SES. In all adjusted models based on DAGs, edentulism was negatively associated with father’s occupation as farmer (OR = 5.7, 95% CI = 1.3–25.0) and neighbor’s unwillingness to help (OR = 4.9, 95% CI = 1.6–15.4).

Conclusion

Childhood SES was associated with the prevalence of edentulism among middle-aged Chinese adults, whereas the father’s occupation, and neighbor’s help were negatively associated with edentulism. The experiences in early life associated with low SES contributes to poor dental health. Therefore, more attention needs to be paid to childhood SES in order to determine optimal recommendations and develop more effective intervention strategies.
Home Injury Prevention Attitude and Performance: A Community-Based Study in a WHO Safe Community
Authors: Sadati Mohammad , Tabrizi Jafar Sadegh , Rezapour Ramin , Kalajahi Riaz Alaei 
Published: July 2019

Abstract
Background

Unintentional injuries in the home are one of the threats to childhood quality of life which is considered as a social determinant of health. Regarding mother's leading role in taking care of the children in Iranian families, the present study was conducted to investigate mothers' home-injury prevention attitude and performance and its contributing factors in Sahand, Iran.

Methods

This was a cross-sectional study conducted in 2017. Sampling was done using random sampling method among all mothers of children less than five years old who attended the health centers to receive child care services. A valid attitude questionnaire and safety performance checklist were used for data collection. Data were analyzed through SPSS-24 software using descriptive (Frequency, mean, etc.) and inferential statistics (chi-square, Kruskal-Wallis) method.

Results

The Mean age of mothers was 30.58 (±5.01). About 65% of the mothers held high school diplomas or lower degrees. The mean score of mothers' attitude was calculated to be 72.12(±6.79). More than 58% of the mothers had an appropriate level of attitude. The mothers' injury prevention performance mean score was 66.59 (±12.85). Family socioeconomic status, Mother's age, educational level, and job, father's job, age and gender of the child were the contributing factors (p<0.05).

Conclusions

Most of the mothers had an appropriate level of home-injury prevention attitude and low level of performance. Deprived residency areas should be considered for higher support to prevent injuries. Strengthening Primary Health Care system in safe communities could have a significant role in child safety promotion through mothers KAP promotion.
Magnitude And Associated Factors Of Delayed Immunization Among Children Aged11 -23 Months In Edagahamus Town, Tigray, Ethiopia, 2018
Authors: Hagos Merhawit Gebremeskel , Gebremeskel Teferi Gebru , Kassahun Selam Shushay , Gebrezgi Birhane Hailu , Woldegebriel Manay Kifle 
Published: July 2019

Abstract
Background

Delay in receiving immunization is a major public health problem that has been associated with vaccine preventable disease epidemics. In Ethiopia, many children have not received the benefits of age appropriate immunization; thus more than 90% of child deaths are largely due to preventable communicable diseases. Therefore, assessment of magnitude and associated factors of delayed child immunization is essential to prevent morbidity and mortality among children.

Objective

To assess magnitude and factors associated with delayed immunization among 11 -23 months old children in Edagahamus Town, Tigray, Ethiopia, 2018 G.C.

Method and materials

A community based Cross-Sectional study was carried out on July1-30, 2018. Simple random sampling method was used to select study participants. Information was collected using structured, pre-tested questionnaire. Vaccination dates were obtained from children immunization cards and timeliness assessed based on the recommended age ranges. Data were entered and analyzed using SPSS version 20.0. Variable with P-value < 0.2 in bivariatewere exported to multivariate. The strength of association was identified using odds ratio with 95% confidence interval (CI) and P-value of <0.05 in multivariate was taken statistically significant.

Results

In this study the overall magnitude of delayed immunization was29.5%(95%CI 26.7-45). Private firm work of mothers(AOR=0.205 95% CI 0.068-0.617), sickness of the child(AOR= 11.8, 95% CI 6.16-22.65), Mothers who attend tertiary education (AOR 0.169, 95% CI 0.032-0.882) and secondary education (AOR 0.269, 95% CI 0.114-0.636) were significantly associated with delayed immunization.

Conclusion

From the study it is concluded that the magnitude of delayed immunization for children aged 12-23 months is high (29.5%) in Edagahamus. Delayed immunizations of children were predicted by Mother’s occupation, education and experience of illness of the child.
External fixation assisted reduction in the treatment for obsolete hip dislocations with limb discrepancy
Authors: Li Pengyu , Song Wenhao , Dong Jinlei , Qiu Daodi , Zhou Dongsheng 
Published: July 2019

Abstract
Abstract
Background: The purpose of this study is to evaluate a new method for treating obsolete acetabular dislocation with limb discrepancy by external fixation assisted pre-reduction.
Methods: Thirteen patients admitted from January 2010 to February 2018 with a mean duration from injury to surgery of 5.0±2.1 months and an average preoperative leg-length discrepancy of 7.7±2.3 cm were enrolled in this study. The dislocation and associated acetabular fracture type, clinical outcomes and residual limb equality were evaluated.
Results: All patients were posterior dislocations and nine presented with acetabular fractures and were followed-up at least 12 months. The average traction duration of external fixators was 28.8±8.0 days and all patients received second-stage open reduction and internal fixation. Six patients showed residual limb discrepancy within 2 cm. Patients showed significant improvement in hip function and pain relief. Complications including avascular femoral head necrosis and osteoarthritis occurred in 3 patients.
Conclusion: Effective correction of limb discrepancy and improved function showed in patients with obsolete acetabular dislocations and limb equality using traction by external fixation combined with second-stage open reduction. The long-term outcomes need continued follow-up.