bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinicopathological features of pediatric renal biopsies in the plateau regions of China
Authors: Wang Nini , Zhu Tingting , Tao Yuhong 
Published: July 2018

Objective This study aimed to analyze the clinicopathological features of pediatric renal biopsies from plateau regions of China. Methods Clinicopathological features of pediatric renal biopsies were compared between plateau and non-plateau regions in patients who were admitted to West China Second University Hospital, Sichuan University between April 2001 and March 2017. Patients were children younger than 18 years. Results The proportion of primary glomerular disease in the plateau group was lower than that in the non-plateau group (45.56% vs 62.09%, respectively). In the plateau group, IgA nephropathy (IgAN) was the major primary glomerulonephritis (GN) pathology. IgAN accounted for 36.54% and 21.63% of GN cases with nephrotic syndrome and hematuria, respectively. Henoch-Schönlein purpura nephritis was the most common secondary GN in both groups. The proportion of hepatitis B virus-associated GN was higher and that of lupus nephritis was lower in the plateau group than in the non-plateau group. Conclusions There are differences in renal pathological types between children in plateau regions and those in non-plateau regions. Among children in plateau regions, IgAN and Henoch-Schönlein purpura nephritis were the most common kidney diseases.
Histopathologic differentiation as a prognostic factor in patients with carcinoma of the hepatopancreatic ampulla of Vater
Authors: Radojkovic Milan , Stojanovic Miroslav , Radojković Danijela , Jeremic Ljiljana , Mihailovic Dragan , Ilic Ivan 
Published: July 2018

Objective Periampullary carcinomas are a group of neoplasms with variable histopathology that originate from the anatomical junction of different epithelial types including the bile duct, pancreatic duct, and duodenal mucosa. This study was performed to determine whether the histopathologic type of these tumors should be considered an independent prognostic factor. Methods We analyzed the specimen histopathology of 37 patients who underwent radical cephalic pancreatoduodenectomy for carcinoma of the ampulla of Vater during a 5-year period. We excluded patients with other tumors with an indication for Whipple’s procedure and those in whom R0 resection was not achieved. Results The carcinomas of the hepatopancreatic ampulla were intestinal in 23 (62%) patients, pancreatobiliary in 13 (35%), and mixed type in 1 (3%). The analysis demonstrated significantly more advanced local tumor spread, a more aggressive lymph node metastasizing pattern, and more frequent lymphatic and perineural invasion in patients with pancreatobiliary than intestinal and mixed type tumors. Conclusion Pancreatobiliary type of ampullary carcinoma is associated with a poorer prognosis than intestinal and mixed types because of its more aggressive behavior. Histopathology should be regarded as an independent predictor of survival and may have therapeutic and prognostic implications for patients.
Discourses Reproducing Gender Inequities in Hospice Palliative Home Care
Authors: Sutherland Nisha , Ward-Griffin Catherine , McWilliam Carol , Stajduhar Kelli 
Published: July 2018

Background As home is a site where gendered attitudes, beliefs, and practices are reproduced, it is imperative that policies and practices promote gender equity in end-of-life care at home. Purpose The purpose of this study was to critically analyze gender relations in the sociopolitical context of hospice palliative home care. Methods Using a critical feminist perspective, we examined gender relations between and among clients with cancer, their family caregivers, and nurses in hospice palliative home care. Ethnographic methods of in-depth interviews (n = 25), observations of home visits (n = 9), and review of documents (n = 12) were employed to expose gender (in)equities. Findings This critical analysis sheds light on institutional discourses that reproduce gender inequities: discourses of difference and denial; discourses of individuality, autonomy, and choice; and discourses of efficiency, objectivity, and rationality. Although gender was discounted, these neoliberal discourses reinforced traditional gender relations. Discussion Neoliberal discourses frame health and health-care experiences as resulting primarily from individual behaviors and biomedical factors, permitting health-care providers and policy makers to overlook power relations and the sociopolitical forces that obscure gender inequities. A critical perspective is needed to consider how social structures significantly shape everyday gendered experiences in hospice palliative home care.
Stroke Care Services in Africa: A Systematic Review
Authors: Akinyemi Rufus O. , Adeniji Olaleye A. 
Published: July 2018

Background: Stroke is the second leading cause of death and adult-onset disability globally. Although its incidence is reducing in developed countries, low- and middle-income countries, especially African countries, are witnessing an increase in cases of stroke, leading to high morbidity and mortality. Evidently, a new paradigm is needed on the continent to tackle this growing burden of stroke in its preventative and treatment aspects. Aims and Objectives: The aim of this study was to determine the scope of stroke care services, where they exist, and their relationship with currently existing health systems. Methods: A detailed literature search was undertaken referring to PubMed and Google Scholar for articles from January 1960 to March 2018, using a range of search terms. Of 93 publications, 45 papers were shortlisted, and 21 reviewed articles on existing stroke services were included. Results: The literature on models of stroke services in Africa is sparse. We identified focused systems of care delivery in the hyperacute, acute, and rehabilitative phases of stroke in a few African countries. There is a continent-wide paucity of data on the organization of prehospital stroke services. Only 3 African countries (South Africa, Egypt, and Morocco) reported experiences on thrombolysis. Also, the uptake of dedicated stroke units appears limited across the continent. Encouragingly, there are large-scale secondary prevention models on the continent, mostly within the context of experimental research projects, albeit with promising results. We found only 1 article on the interventional aspects of stroke care in our review, and this was a single-center report. Conclusions: The literature on the organization of stroke services is sparse in Africa. Dedicated action at policy, population, community, and hospital-based levels is urgently needed toward the organization of stroke services to tame the burgeoning burden of stroke on the African continent.
Intersex Bodies in Premodern Islamic Discourse
Authors: Gesink Indira Falk 
Published: July 2018

Abstract
Sexuality scholarship demonstrates the historical production of the male/female sexual binary in scientific discourse. While some scholars have applied the insights of this scholarship to modern Islamic contexts, studies on intersex persons (khuntha) in premodern Islamic societies often underestimate the nonjudgmental character of legal and medical discourse. Based on analysis of medical, lexicographical, and juridical discourse from the eighth to the eighteenth centuries, this article argues that the dominant strand of this discourse tolerated ambiguity and flexibility regarding nonbinary sex embodiments. This discourse widely recognized three to five sexual categories, including khuntha mushkil, a “medial sex” with intersex physical characteristics difficult to categorize as predominantly male or female. Jurists and physicians treated such persons as indeterminate or complex, even when assigning them a “provisional” legal sex. Premodern Islamic experts largely understood intersex as ambiguous and mutable when addressing inheritance, prayer, burial, dress, travel, and marriage.
Counselling on iron and folic acid supplementation (IFAS) is associated with improved knowledge among pregnant women in a rural county of Kenya: a cross-sectional study
Authors: Kamau Mary , Kimani Samuel , Mirie Waithira 
Published: July 2018

Background:The demand for iron and folic acid, is greatly increased during pregnancy. The high demand is not met through diet due to insufficiency or reduced bioavailability of nutrients among women from low income countries. Thus, iron and folic acid supplementation (IFAS) is a promising interventional strategy for control of anaemia during pregnancy. Kenya adopted the global IFAS intervention with a target of 80% coverage by 2017, however, the compliance remains low. Increasing awareness, counselling, communication and community education on IFAS have improved compliance among pregnant women. Thus, we aimed to determine: availability, practices, and content of IFAS counselling on knowledge of antenatal mothers attending health facilities in Kiambu County, Kenya.Methods:A cross-sectional study involving 364 pregnant women aged 15-49 years attending antenatal clinic. A two stage cluster sampling, including one sub-county and five public primary health facilities were used. A pre-tested structured questionnaire consisting of socio-demographic data, maternal knowledge and counselling on IFAS was used. An observation checklist was used to observe practices and content of antenatal counselling session in each facility. Data was analysed using STATA in which descriptive and inferential statistics were computed.Results:Of 364 respondents, less than half (40.9%) scored high on knowledge on IFAS. Women who were counselled on duration of IFAS intake, side effects, and their mitigation were more likely (p <0.005) to have high IFAS knowledge. Although all the health facilities had varied IFAS posters displayed, none had key IFAS counselling documents.Conclusion:Content of counselling substantially contributed to high level of knowledge on IFAS among pregnant women. Counselling information on the duration of IFAS supplementation, IFAS side effects, and their management are the predictors of IFAS knowledge among pregnant women. This underscores the need to strengthen focused and targeted IFAS counselling for pregnant women to improve compliance and pregnancy outcomes.
Provider perspectives on demand creation for maternal vaccines in Kenya
Authors: Bergenfeld Irina , Nganga Stacy W. , Andrews Courtni A. , Fenimore Vincent L. , Otieno Nancy A. , Wilson Andrew D. , Chaves Sandra S. , Verani Jennifer R. , Widdowson Marc-Alain , Wairimu Winnie N. , Wandera Susan N. , Atito Raphael O. , Adero Maxwell O. , Frew Paula M. , Omer Saad B. , Malik Fauzia A. 
Published: July 2018

Background. Expansion of maternal immunization, which offers some of the most effective protection against morbidity and mortality in pregnant women and neonates, requires broad acceptance by healthcare providers and their patients. We aimed to describe issues surrounding acceptance and demand creation for maternal vaccines in Kenya from a provider perspective. Methods. Nurses and clinical officers were recruited for semi-structured interviews covering resources for vaccine delivery, patient education, knowledge and attitudes surrounding maternal vaccines, and opportunities for demand creation for new vaccines. Interviews were conducted in English and Swahili, transcribed verbatim from audio recordings, and analyzed using codes developed from interview guide questions and emergent themes. Results. Providers expressed favorable attitudes about currently available maternal immunizations and introduction of additional vaccines, viewing themselves as primarily responsible for vaccine promotion and patient education. The importance of educational resources for both patients and providers to maintain high levels of maternal immunization coverage was a common theme. Most identified barriers to vaccine acceptance and delivery were cultural and systematic in nature. Suggestions for improvement included improved patient and provider education, including material resources, and community engagement through religious and cultural leaders. Conclusions. The distribution of standardized, evidence-based print materials for patient education may reduce provider overwork and facilitate in-clinic efforts to inform women about maternal vaccines. Continuing education for providers should address communication surrounding current vaccines and those under consideration for introduction into routine schedules. Engagement of religious and community leaders, as well as male decision-makers in the household, will enhance future acceptance of maternal vaccines.
Eliminating malaria by 2040 among agricultural households in Africa: potential impact on health, labor productivity, education and gender equality
Authors: Willis Derek W. , Hamon Nick 
Published: July 2018

Background: Ambitious goals have been established to eradicate malaria by the year 2040. Suppressing malaria in rural agricultural communities in sub-Saharan Africa represents one of the greatest challenges to achieving malaria eradication given the poverty and high intensity of malaria transmission in these regions. The objective of this study is to examine how suppressing malaria among smallholder agricultural households in sub-Saharan Africa over the next two decades will affect progress towards achieving the Sustainable Development Goals.Methods: Using agricultural census data and malaria morbidity data, we developed estimates of the number of malaria cases among smallholder agricultural households for each country in sub-Saharan Africa. Using these estimates as well as additional data from the literature, we analyzed how achieving malaria eradication by 2040 would affect indicators related to four Sustainable Development Goals: health, poverty, education and gender equality.Results: Our analysis found that achieving malaria eradication would prevent approximately 1 billion malaria cases and thereby decrease the number of lost work-days among agricultural households due to malaria morbidity by approximately 3.8 billion days. Eradicating malaria by 2040 would also increase the number of school days attended by children by 4.5 billion days while also reducing the number of caregiving days by women for malaria cases by approximately 1.9 billion days.Conclusions: This article analyzed the impact of eradicating malaria among smallholder agricultural households in sub-Saharan Africa in terms of four of the Sustainable Development Goals. Greater recognition of the non-health benefits of achieving malaria eradication could catalyze the agricultural sector to intensify their contributions to eradicating malaria.
Lost in Translation: A Reply to Shyman (2016)
Authors: Cox David J. , Villegas Andrea , Barlow Molly A. 
Published: July 2018

Abstract
A recently published article sought to determine the extent to which behaviorism and humanism can be reconciled (Shyman, 2016). However, the “current” conceptions of behaviorism and applied behavior analysis (ABA) used for the analysis were based on mischaracterizations, rendering moot many of the points made. Nevertheless, Shyman (2016) highlighted a very important question we believe all helping professionals should attend to: Should normalization be the focus of therapeutic goals? This response article was written to provide readers of this journal an accurate representation of behaviorism and ABA. We have also offered an alternative approach to answering the question of normalization that uses a behavior-by-behavior approach and individual client values as the deciding factors.
Pengembangan Kawasan Minapolitan (Studi Kasus : Pelabuhan Perikanan Samudera Cilacap)
Authors: Pancawati Yuliarti Dian 
Published: July 2018

Cilacap district has the fishery potential of 72,000 tonnes per year, but only about 21% utilization. Ocean Fishing Port Cilacap Determination by the Ministry of Maritime Affairs and Fisheries as one of the pilot minapolitan-based fisheries led to the development of strategic Minapolitan to be implemented and is expected to provide a multiplier effect in the development of the region in Cilacap and improve the well-being of communities around the minapolitan region. This research was conducted with the aim to formulate the direction of development Minapolitan Ocean Fishing Port Cilacap. The technique of collecting data using interviews, documentation and observation. The sampling technique used is purposive sampling and snowball sampling. The analysis method used in this research is descriptive method qualitative and SWOT analysis. Based on the analysis and calculation of the external and internal factors Minapolitan Ocean Fishing Port Cilacap, the value of internal strengths and weaknesses by 2.2 by 0.9, so that the difference of the rersebut factor is 1.3. External factors obtained by the probability of 2.4 and 1.0 so that the difference between the value of the threat of these two factors is equal to 1.4. Ocean Fishery Port Minapolitan Cilacap have external internal position at the point (1,3; 1,4), namely in quadrant I. In other words, Minapolitan has strengths and opportunities that can be used to support aggressive growth policy (growth oriented strategy). SWOT analysis of the development Minapolitan Ocean Fishing Port Cilacap generating leads recommendation subsystem upstream, downstream subsystem, and subsystem support. As to realize it takes a strong commitment and coordination involving the relevant stakeholders.
Model Prediksi Kawasan Rawan Bencana Tanah Longsor di Kecamatan Karangkobar
Authors: Hutomo Izzan Arif , Maryono Maryono 
Published: July 2018

Since 2010, landslides incident always occured in Banjarnegara District and the frequency of that incident has rapidly increase over the years. Finally at the end of 2014, one of the biggest landslide disaster ever in Indonesia happened in this region. This incident was demolished one sub-village and approximately killed 122 people. Based on those explanation, there should be a study to provide an overview and information on the phenomenon of landslides, the causative factors and which areas have the opportunity to occurs the landslides, especially the chances of landslides in residential areas in the future. In achieving these goals, this study used a mathematical model of logistic regression analysis and application of Geographic Information Systems (GIS) that based on the data of variables cause landslides such as type of soil, the geological structure, topography, land use, precipitation, road and drainage networks. Results of the analysis that has been conducted shows that the District Karangkobar has five levels of the chances of landslides ie, 0-4%, from 4 to 12.7%, from 12.7 to 22%, from 22 to 32.5%, and 32, 5-50%, whereas this percentage is obtained based on predictive models of dua variables that have a significant influence on the occurrence of landslides these are road networks and drainage networks variable. In addition, it is known also that the settlement area that has the largest land area ratio against the highest odds landslides (32.5 to 50%) is a settlement area in the village Jlegong with a land area of 3.33 hectares, or approximately 43% of the total area settlement region.
Analisis Pemilihan Moda Transportasi Penduduk Kelurahan Pabuaran-Cibinong Pasca Pengoperasian Kereta Komuter (KRL) Jalur Nambo (Cibinong) – Citayam – Jakarta
Authors: Rosnaeni Rosnaeni , Buchori Imam 
Published: July 2018

Congestion in Cibinong areas is mainly caused by highly vehicle usage, while the supply of road network is very limited. therefore it is needed a modal shift from private vehicles and optimizing the role of mass public transport (railway). This study aims to determine the modal choice of Pabuaran community, after the operational of commuterline (KRL) lane Nambo (Cibinong) - Citayam - Jakarta. This study uses a simple descriptive method to identify the factors that influence the mode choice of Pabuaran community, crosstab analysis method to identifying the movement of population, and binary logistic models to analyze the probability the change transport modes of Pabuaran community. The result of this study show that the probability of potential users for using commuterline are 91%, it is influenced by several factors such as the distance of the settlement to the station, travel time, travel expenses, employment status and the existence of public transport/feeder to the station. The improvement of railway services in Cibinong station such as an increase in the frequency, timeliness, travel time, expected to attract the community to using rail services in their activities.
Pengaruh Karakteristik Penumpang Pesawat Terhadap Peluang Pemilihan Moda Menuju Bandara Baru Kulonprogo
Authors: Wibowo Wahadi , Rudiarto Iwan 
Published: July 2018

The growth of air passengers impacted not only on the addition of fleets number and flight routes, but also on the provision of airports and facilities. Airport facilities are not only about terminal space and air-side facilities, but also related to the provision of intermodal facilities to and from the airport. In Indonesia, some airports have increased number of passengers, and some of them decided to move the old airport to a new location. Adi Sutjipto Airport in Yogyakarta plans to move its location to Kulonprogo district which is still in Yogyakarta province. The existence of a new location in Kulonprogo will affect on the selection of transportation modes. On the other hand, the mode choice goes to the new airport are not just overcome, but there are some characteristics factor from the passengers which are influence it . The passengers characteristics are the distance, kind of jobs, the monthly income, private vehicle ownership, the age level and the genders of passengers. The analytical techniques in this study are quantitative descriptive with clustering based on certain criteria using cross tabulation techniques. This study was carried out by giving a questionnaire on air passengers in Adi Sutjipto airport to gain an understanding of their characteristics and their selection of modes transport used when the new airport will be operate. The result of the research is the existence of relationship between characteristics of air passengers with the selection of modes transport to the new airport. Preference for the modes selection to new airport can be taken into consideration in decision-making related to the development of inter-mode facilities to the new airport in Kulonprogo in the future.
Hyperspectral imaging in perfusion and wound diagnostics – methods and algorithms for the determination of tissue parameters
Authors: Holmer Amadeus , Marotz Jörg , Wahl Philip , Dau Michael , Kämmerer Peer W. 
Published: July 2018

Abstract
Blood perfusion is the supply of tissue with blood, and oxygen is a key factor in the field of minor and major wound healing. Reduced perfusion of a wound bed or transplant often causes various complications. Reliable methods for an objective evaluation of perfusion status are still lacking, and insufficient perfusion may remain undiscovered, resulting in chronic processes and failing transplants. Hyperspectral imaging (HSI) represents a novel method with increasing importance for clinical practice. Therefore, methods, software and algorithms for a new HSI system are presented which can be used to observe tissue oxygenation and other parameters that are of importance in supervising healing processes. This could offer an improved insight into wound perfusion allowing timely intervention.