bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perceptions of patients and providers on the use of acupressure services at Public Health Centres, Tabanan District, Bali
Authors: Sukawinaca I Made , Sari Komang Ayu Kartika , Wirawan I Made Ady 
Published: April 2019

Background and purpose: Acupressure services are available at some public health centres (PHCs) in Bali, but the service utilisation remains low. The purpose of this study is to explore the perception of patients and service providers on the use of acupressure services at PHC in Tabanan.Methods: This study used a qualitative design based on observation and in-depth interviews with 13 informants consisting of patients, health service practitioners, head of PHC and programÂ manager at Tabanan Health Office. The informants were chosen purposively and the data were analysed thematically.Results: There were different perceptions regarding the benefits of acupressure services between patients utilising the services and those who had not. Patients who had undergone acupressure demonstrated positive perception of the service. Acupressure services are considered to be effective in dealing with patient complaints, have no side effects, and patients reported being satisfied with the services provided by the PHC. Patients who did not utilise acupressure services, view acupressure as an ineffective therapy with potential side effects that may endanger their health. These patients experienced trauma from similar massage techniques. Service providers lamented the absence of government support in the form of local regulations that would enable them to access funding, increase human resources and facilitate promotion of the services.Conclusions: Patient perceptions of acupressure services still vary, with some contraints in the implementation that consist of local regulation, operational fund and human resources. Acupressure services still require synergy between central and local government policies to support its implementation.
Engaging the private sector to improve antimicrobial use in the community
Authors: Wulandari Luh Putu Lila , Wiseman Virginia 
Published: April 2019

Antimicrobial resistance (AMR) is one of the worldâ€™s most pressing public health threats. It increases the cost of health care through longer duration of illness and hospital stays,Â additional tests,Â and the need for more expensive drugs.AMR refers to the ability of a microorganism to stop an antimicrobial (such as an antibiotic, antiviral or antimalarial) from working against it. As a consequence of AMR, standard treatments become ineffective, and infections persist and may spread to others. The impact of AMR is far-reaching and equates to the situation before the discovery of antibiotics, when even small infections were difficult, or very often impossible to treat, and medical procedures too risky to perform due to the potential of untreatable infection.
Hospital facilities, occupational safety environment and self-efficacy as predictors of healthcare-associated infections prevention and control compliance in nurses of inpatient care units
Authors: Adiningsih Luh Yulia , Nopiyani Ni Made Sri , Wirawan I Made Ady 
Published: April 2019

Background and purpose: The implementation of healthcare-associated infectionsÂ (HAIs)Â prevention and control programÂ in hospitals remains sub-optimal. The present study aims to determine the relationships between nurseâ€™s self-efficacy, hospitalâ€™s occupational safety environment, and the availability of facilities, with the compliance on HAIs prevention and control in hospital inpatient care units.Methods:Â Cross-sectionalÂ survey was conducted with 128 nurses selected usingÂ systematic random samplingÂ at Buleleng DistrictÂ Hospitalâ€™s inpatient care units. Data collection was conducted in March 2018 using self-administered questionnaires.Â Bivariate analysis was conducted to calculate the Pearson correlation coefficients between variables. Multivariate analysis was performed with multiple linear regressions to determine the association between self-efficacy, occupational safety environment and availability of facilities with the compliance on HAIs prevention and control.Results:Â The study shows that 56.2% of nurses reported good compliance on HAIs prevention and control practices. Bivariate analysis shows a significant correlation between HAIs prevention and control compliance scores and self-efficacy (r=0.45; p=0.00), occupational safety environment (r=0.53; p=0.00), and the availabilityÂ of facilities (r=0.65;Â p=0.00).Â Multivariate analysis shows that the availability of facilities is a significant predictor of HAIs prevention and control compliance (Î²=0.49; p<0.01) while self-efficacy and the occupational safety environment are also found to be significant predictors, although with lower standardized coefficients: Î²=0.16 (p=0.03) and Î²=0.17 (p=0.04), respectively.Conclusion:Â The availabilityÂ of facilities is a significant predictor of the compliance on HAIs prevention and control.Â Self-efficacy and hospitalâ€™s occupational safety environment are also significant predictors with lower standardized coefficients.Â This study highlights the importance of optimizing the availability of facilities, improving the occupational safety environment, and enhancing nurses' self-efficacyÂ in order toÂ reduce the incidence of HAIs in hospitals.
Szanse i zagrożenia lokalnej demokracji w Polsce. Zarys problematyki
Authors: Piasecki Andrzej 
Published: April 2019

<p>Artykuł zawiera przegląd dotychczasowych doświadczeń administracji jednostek samorządu lokalnego w zakresie funkcjonowania demokracji bezpośredniej. Uwzględnia ewolucję tego zjawiska na przestrzeni 25 lat oraz jego systematykę. Obejmuje referenda obligatoryjne i fakultatywne, konsultacje społeczne, zebrania mieszkańców, inicjatywy obywatelskie oraz inne formy lokalnej demokracji bezpośredniej. Autor poddaje tytułowe zagadnienie naukowemu wartościowaniu, przedstawiając również możliwe rozwiązania ustrojowo polityczne. </p>
PENGARUH PEMBELAJARAN EKONOMI ISLAM TERHADAP MINAT MAHASISWA MENABUNG DI BANK SYARIAH (STUDI PADA MAHASISWA IPS UIN SYARIF HIDAYATULLAH JAKARTA)
Authors: Nuraeni Neng Sri , Umaryati Siti 
Published: April 2019

ABSTRAK
Penelitian ini bertujuan untuk mengetahui pengaruh pembelajaran Ekonomi Islam terhadap minat mahasiswa menabung di bank syariah khususnya pada mahasiswa IPS. Penelitian ini dilaksanakan di UIN Syarif Hidayatullah Jakarta. Metode penelitian yang digunakan adalah metode kuantitatif. Analisis yang digunakan dalam penelitian ini adalah analisis regresi linier sederhana. Sumber data penelitian ini menggunakan data primer dan data sekunder. Teknik pengambilan sampel dalam penelitian ini dilakukan dengan simple random sampling. Hasil penelitian ini menunjukkan bahwa pembelajaran Ekonomi Islam terhadap minat mahasiswa menabung di bank syariah khususnya pada mahasiswa IPS UIN Syarif Hidayatullah Jakarta memiliki pengaruh yang positif, berdasarkan tabel anova, diperoleh nilai Sig. = 0,027 yang berarti < taraf signifikansi (0,05) atau Ho ditolak, di mana persamaan regresinya Y = 14,186 + 0,289X adalah signifikannya dan berpola linear yang berarti jika pemahaman tentang bank syariah dalam pembelajaran Ekonomi Islam bertambah satu satuan maka minat menabung di bank syariah meningkat senilai 28,9%. Adanya pengaruh pembelajaran Ekonomi Islam terhadap minat menabung di bank syariah mengandung pengertian bahwa semakin besar pemahaman tentang bank syariah dalam pembelajaran Ekonomi Islam, maka akan semakin besar minat mahasiswa menabung di bank syariah.
AKUNTANSI UNTUK CRYPTOCURRENCY
Authors: Nuraliati Ayke , Azwari Peny Cahaya 
Published: April 2019

Cryptocurrency di indonesia sudah mulai berkembang serta mulai banyak digunakan oleh pelaku bisnis di indonesia. Hal inimenjadifenomenadalammemandangperlutidaknyaperlakuan akuntansi untuk transaksi cryptocurency. Penelitian ini mencoba menggali dan menguji crypto currency dan teknologi block chain dengan pendekatan dan tinjauan PSAK di Indonesia danfokus pada perlakuanakuntansi untuk cryptocurrency di Indonesia. Tujuan penelitian ini adalah melakukan kajian tentang akuntansi untuk crytocurrencyberdasarkan PSAK yang berlaku di indonesia. Penelitian ini menggunakan model literatur review untuk mengetahui akuntansi untuk cryptocurrency. Hasil penelitian menunjukkan belum adanya perlakuan akuntansi untuk transaksi cryptocurrency apakah diperlakukan sebagai kas, aset, atau persediaan.
Cryptocurrency in Indonesia has begun to develop and is starting to be widely used by business people in Indonesia. This is a phenomenon in view of the need for accounting treatment for cryptocurency transactions. This research attempts to explore and test cryptocurrency and blockchain technology with the approach and review of PSAK in Indonesia and focus on the accounting treatment for cryptocurrency in Indonesia. The purpose of this study is to conduct a study of accounting for crytocurrency based on the applicable PSAK in Indonesia. This study uses a review literature model to find out accounting for cryptocurrency. The results of the study indicate that there is no accounting treatment for cryptocurrency transactions whether treated as cash, assets, or inventory.
Factors Associated with Alcohol Consumption Among Students in High Cost Schools in Lusaka, Zambia
Authors: Siwale Chongo Clays , Siziya Seter 
Published: April 2019

Introduction: The prevalence of alcohol consumption among adolescents is very high in Zambia, in-spite knowledge on the negative effects of alcohol consumption on adolescents. The objective of this study was to determine factors associated with alcohol consumption among secondary school students in high-cost school.
Methodology: A cross-sectional study of 357 students in Grades 8 and 11 was conducted. Data were collected using structured questionnaires. The associations and correlations between explanatory variables and the outcome of interest was established using Chi-square or the Fishe's exact test. Magnitudes of association were estimated using Odds ratio.
Results: The prevalence of alcohol consumption was 43.7%. Factors predictive of students' alcohol use were attitude towards alcohol consumption (AOR=3.15, 95% CI [1.04,9.56]), parental monitoring (AOR=0.69, 95% C.I [0.69, 0.94]), parental alcohol use (AOR= 1.76, 95% C.I [1.39,2.23]) and pocket money availability (AOR= 1.52, 95% CI [1.03,2.26]).
Discussion: The prevalence of alcohol consumption was high. Students with positive attitudes towards alcohol consumption are 3.15 times more likely to drink alcohol compared to students with negative attitudes. Students who are highly monitored by their parents are 31% less likely to drink alcohol compared to those rarely monitored by parents. Students whose parents drink alcohol are 76% more likely to drink alcohol compared to those whose parents do not drink alcohol. Students with high amount of pocket money are 52% more likely to drink alcohol compared to those without pocket money.
Conclusion and Implication for Translation: Results indicate a high prevalence of alcohol consumption. Potential interventions should focus on inclining students' attitudes against alcohol consumption, encouraging increased parental monitoring, and teaching students how to use their pocket money appropriately.
Key words: • Adolescent Alcohol Consumption • Attitude towards alcohol • Parental Monitoring • Parental Alcohol Use • Pocket Money

© 2019 Siwale and Siziya. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Different EPHX1 methylation levels in promoter area between carbamazepine-resistant epilepsy group and carbamazepine-sensitive epilepsy group in Chinese Population
Authors: lv yudan , zheng xiangyu , shi mingchao , wang zan , cui li 
Published: April 2019

Abstract
Background: Epigenetics underlying refractory epilepsy is poorly understood. DNA methylation may affect gene expression in epilepsy patients without affecting DNA sequences. Herein, we investigated the association between Carbamazepine-resistant (CBZ-resistant) epilepsy and EPHX1 methylation in a northern Han Chinese population, and conducted an analysis of clinical risk factors for CBZ-resistant epilepsy.
Methods: 75 northern Han Chinese patients participated in this research. 25 cases were CBZ-resistant epilepsy, 25 cases were CBZ-sensitive epilepsy and the remaining 25 cases were controls. Using a CpG searcher was to make a prediction of CpG islands; bisulfite sequencing PCR (BSP) was applied to test the methylation of EPHX1. We then did statistical analysis between clinical parameters and EPHX1 methylation.

Results: There was no difference between CBZ-resistant patients,CBZ-sensitive patients and healthy controls in matched age and gender. However, a significant difference of methylation levels located in NC_000001.11 (225806929.....225807108) of the EPHX1 promoter was found in CBZ-resistant patients, which was much higher than CBZ-sensitive and controls. Additionally, there was a significant positive correlation between seizure frequency, disease course and EPHX1 methylation in CBZ-resistant group.
Conclusion: Methylation levels in EPHX1 promoter associated with CBZ-resistant epilepsy significantly. EPHX1 methylation may be the potential marker for CBZ resistance prior to the CBZ therapy and potential target for treatments.
The effects of epidural anesthesia and analgesia on cluster of differentiation and cytokines in patients after gastric cancer resection.
Authors: Liang Si , Wang Liping , Chen Hong , Xu Yang , Wang Yu 
Published: April 2019

Abstract
Background: Epidural use can prevent peri-operative neuro-endocrine stress responses, improve pain after surgery , and reduce opioid volume which lead to immunosuppression.
Methods: Forty cases of patients with gastric cancer were finally enrolled into the study. Patients who received general anesthesia (GA group, n=20), a combination of general anesthesia and peri-operatve epidural use (EGA group, n=20), were given intravenous analgesia or epidural analgesia, respectively. We collected visual analogue scale ( VAS ) scores, length of hospital stay, the first passage of flatus time and incidence of postoperative nausea and vomiting (PONV). We also collected the Cluster of Differentiation (CD)3+, CD4+, CD8+, CD4+/CD8+, Interleukin (IL)-4, IL-6, Interferon (IFN)-γ before surgery, as well as the postoperative days 1, 3 ,7.
Results: VAS scores and PONV in GA group were higher than EGA group in the postoperative 3 days. CD3+, CD4+, CD4+/CD8+ were declined in the postoperative 3 days, and nearly recovered to the baseline in the seventh days after surgery in both of the two groups. CD3+ in the GA group decreased more than EGA group. IL-4, IL-6, IFN-γ were increased in the postoperative 3 days, and nearly recovered to the baseline in the seventh days after surgery in both of the two groups, IL-4, IL-6 in the GA group increased more than EGA group. IFN-γ in the EGA group increased more than GA group.
Conclusions: A combination of general anesthesia and peri-operatave epidural use can relieve postoperative pain and PONV. A combination of general anesthesia and peri-operatave epidural use decreases immunosuppression in gastric cancer resection.
Nutritional Composition of Grain Legume Leaves and the Impact of Leaf Removal on Yield
Authors: Bulyaba Rosemary , Lenssen Andrew W. 
Published: April 2019

Core Ideas
Soybean, cowpea, and lablab leaves differed in nutritive value.
Soybean and cowpea grain yield responded differently to leaf harvesting done at Vegetative Stage 6 (V6).
Legume plants from which two leaves (66%) are harvested at V6 may have similar grain yield to those whose leaves are not harvested.
Grain legumes can thrive in adverse environments, making them a climate‐smart technology for hunger mitigation. Although several countries rely immensely on grain legumes to meet daily protein intake requirements per capita, the potentiality of leaf utilization for protein and other nutrients has not been widely considered; additionally, insufficient information is available on leaf removal effects on yield and leaf nutritional composition of grain legumes. A 2‐yr experiment was conducted in central Iowa, USA, to determine the effects of leaf removal rates on nutritive value of removed leaf tissue and subsequent grain yield of cowpea [Vigna unguiculata (L.) Walp.], lablab [Lablab purpureus (L.) Sweet], and soybean [Glycine max (L.) Merr.]. Across entries, dry leaf mean nutrient concentration was 229 g kg–1 for CP, and 17,832, 4461, 21,991, 3702, 113, 205, and 86 mg kg–1 for Ca, Mg, K, P, Mn, Fe, and Zn, respectively. Yield and major yield attributes were affected by leaf removal rate in 2014, but not in 2013. In 2014, grain legumes with 0% leaf removal had 20, 32, and 35% greater yield and seeds weighed 6, 11, and 12% more than those with 33, 66, and 99% leaf removal, respectively. Aboveground biomass, yield, and yield components also differed among entries both years. Grain legume leaf utilization as vegetable or forage may improve human and ruminant nutrition by using leaves, especially in developing countries.
Agronomic Traits in Durum Wheat Germplasm Possessing Puroindoline Genes
Authors: Kiszonas A. M. , Higginbotham R. , Chen X. M. , Garland-Campbell K. , Bosque-Pérez N. A. , Pumphrey M. , Rouse M. N. , Hole D. , Wen N. , Morris C. F. 
Published: April 2019

Core Ideas
Durum wheat is an underutilized crop due to it hard kernel texture; soft kernel durum removes this limitation.
Initial soft kernel durum lines show favorable agronomic performance, including grain yield and pest resistance.
Soft durum lines show strong potential for future growth in the Pacific Northwest.
ABSTRACTDurum wheat (Triticum turgidum subsp. durum) represents only 5% of global wheat production. Durum production is limited by its very hard kernel texture, which requires specialized milling and limits end‐product utilization. However, soft kernel durum wheat was recently developed to remove these constraints, but it has not until now been examined for its agronomic potential and pest resistance, which were the focus of this study. The soft durum lines were compared with two commercial hard red spring wheat varieties, Buck Pronto and Alum. Soft durum lines were relatively competitive for grain yield (i.e., >90%) with Buck Pronto at 16 of 34 locations. Increasing seeding rate did not increase grain yield of soft durum. The soft durum lines showed no tolerance of acid soils/Al, but exhibited moderate‐to‐strong resistance to stripe rust (caused by Puccinia striiformis f. sp. tritici). Good resistance to stem rust (caused by Puccinia graminis f. sp. tritici) and near complete resistance to dwarf bunt (caused by Tilletia controversa) were observed. Resistance to Hessian fly (Mayetiola destructor) was observed in some of the plants, with three of the durum lines showing a larger proportion of resistant plants. Varying levels of resistance to cereal cyst nematode (Heteroderma filipjevi) were recorded, with some lines highly resistant. These studies show that there is good agronomic potential in the current soft durum lines for moderate yield and good pest resistance. Further breeding efforts and germplasm introgression will likely improve the competitiveness of soft durum wheat with currently grown hard red spring wheat.
Effects of Gypsum Application Rate and Frequency on Corn Response to Nitrogen
Authors: Chaganti Vijayasatya N. , Culman Steve W. , Dick Warren A. , Kost David 
Published: April 2019

Core Ideas
Corn response to N at different gypsum application rates and frequencies was evaluated.
Gypsum did not improve corn response to N at any of the study sites.
Corn yield response to gypsum applications was very inconsistent and site‐specific.
Frequent gypsum applications at lower rates were better than a one‐time large application.
ABSTRACTThe effects of gypsum as a soil amendment and its interaction with nitrogen (N) applications in corn (Zea Mays L.) production are largely unknown. A 4‐yr field study was conducted in Ohio, USA to evaluate (i) the effects of gypsum rates and rate frequencies at varying fertilizer N rates on corn grain yields, ear‐leaf and grain nutrient concentrations, and on soil nutrients, and (ii) the interactive effects between N and gypsum applications. A split‐plot experimental design was used with N rates (0, 84, 168, and 252 kg N ha−1) as the main plot factor and either gypsum application rate (0, 1.1 and 2.2 Mg ha−1) or application rate frequencies (i.e., 1.1 Mg ha−1 annually, 2.2 Mg ha−1 bi‐annually, and 4.4 Mg ha−1 once every four years) as subplot factors. Overall, corn yield response to gypsum applications was inconsistent. A positive corn yield response to gypsum application occurred only in 2017 at the Northwest site. Gypsum applied at 4.4 Mg ha−1 significantly decreased yields at the Northwest site in 2017 and at the Wooster site in 2016 suggesting that the best management strategy may be to apply lower gypsum rates either annually or biannually. Gypsum applications did not improve corn response to N at either study site but significantly increased tissue, grain and extractable soil S concentrations with concentrations decreasing as the application frequency decreased. This suggests that where S deficiencies may occur, an annual rate of 1.1 Mg ha−1 or a bi‐annual application of 2.2 Mg ha−1 would increase S availability.
Dissolved Reactive Phosphorus Loads to Western Lake Erie: The Hidden Influence of Nanoparticles
Authors: River Mark , Richardson Curtis J. 
Published: April 2019

Increased dissolved reactive phosphorus (DRP) fluxes in the Maumee River in the Western Lake Erie watershed have been cited as a cause of recent hypoxia and toxic algal blooms in Western Lake Erie. Dissolved reactive P is operationally defined as the molybdate‐reactive P that passes through a 0.45‐μm filter. Unfortunately, this 0.45‐μm cutoff is not based on solute chemistry; rather, it is based on tradition dating back to the 1940s. This dissolved versus particulate operationally defined threshold may be limiting scientific understanding of the transport of reactive P in the Lake Erie watershed (and beyond). Naturally occurring nanoparticles smaller than 0.45 μm can pass through filters, inflating DRP values, as has been suggested by studies in other watersheds. Transmission electron microscopy of filtered samples from the Maumee River revealed nanoparticles of various mineralogy, which are rich in P. By analyzing public data, we estimate that approximately half of the DRP flux in the Maumee River is not truly dissolved orthophosphate; it is instead particulate P that has passed through 0.45‐μm filters. We also conducted a centrifugation experiment on previously filtered samples that likewise removed 40% of DRP and 75% of Fe. The influence of nanoparticles on DRP loads to Lake Erie has implications, including (i) helping to elucidate where reactive P originates on the landscape, (ii) designing best management practices, and (iii) improving our models of ecological response of nonpoint P loading.Core Ideas
The role of nanoparticles in transporting P to Lake Erie is largely ignored.
0.45‐μm filtrate contained nanoparticles rich in P, inflating dissolved reactive P concentrations.
Nanoparticles were responsible for approximately half of dissolved reactive P flux.