bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bleeding complications after percutaneous kidney biopsies – nationwide experience from Brunei Darussalam
Authors: Lim Chiao Yuen , Khay Sai Laung 
Published: December 2023

BACKGROUND
Kidney biopsy serves as a valuable method for both diagnosing and monitoring kidney conditions. Various studies have identified several risk factors associated with bleeding complications following the procedure, but these findings have shown inconsistency and variation.
AIM
To investigate the risk of bleeding complications following percutaneous kidney biopsy in Brunei Darussalam. We sought to explore the relevant clinical and pathological risk factors associated with these complications while also considering the findings within the broader international literature context.
METHODS
We conducted a retrospective study of all adult patients who underwent kidney biopsy in Brunei Darussalam from October 2013 to September 2020. The outcomes of interest were post-biopsy bleeding and the need for blood transfusions. Demographics, clinical, laboratory and procedural-related data were collected. Logistic regression analysis was used to identify predictors of outcomes.
RESULTS
A total of 255 kidney biopsies were included, with 11% being performed on transplanted kidneys. The majority of biopsies were done under ultrasound guidance (83.1%), with the rest under computer tomography guidance (16.9%). The most common indications for biopsy were chronic kidney disease of undefined cause (36.1%), nephrotic syndrome (24.3%) and acute kidney injury (11%). Rate of bleeding complication was 6.3% – 2% frank hematuria and 4.3% perinephric hematoma. Blood transfusion was required in 2.8% of patients. No patient lost a kidney or died because of the biopsy. Multivariate logistic regression identified baseline hemoglobin [odds ratio (OR): 4.11; 95% confidence interval (95%CI): 1.12-15.1; P = 0.03 for hemoglobin ≤ 11 g/dL vs. > 11 g/dL) and the presence of microscopic hematuria (OR: 5.24; 95%CI: 1.43-19.1; P = 0.01) as independent risk factors for post-biopsy bleeding. Furthermore, low baseline platelet count was identified as the dominant risk factor for requiring post-biopsy transfusions. Specifically, each 10 109/L decrease in baseline platelet count was associated with an 12% increase risk of needing transfusion (OR: 0.88; 95%CI: 0.79-0.98; P = 0.02).
CONCLUSION
Kidney biopsies were generally well-tolerated. The identified risk factors for bleeding and transfusion can help clinicians to better identify patients who may be at increased risk for these outcomes and to provide appropriate monitoring and management.
Antihypertensive prescribing patterns in non-dialysis dependent chronic kidney disease: Findings from the Salford Kidney Study
Authors: Chinnadurai Rajkumar , Wu Henry H L , Abuomar Jones , Rengarajan Sharmilee , New David I , Green Darren , Kalra Philip A 
Published: December 2023

BACKGROUND
Hypertension is commonly observed in patients living with chronic kidney disease (CKD). Finding an optimal treatment regime remains challenging due to the complex bidirectional cause-and-effect relationship between hypertension and CKD. There remains variability in antihypertensive treatment practices.
AIM
To antihypertensive prescribing patterns amongst CKD patients.
METHODS
The Salford Kidney Study is an ongoing prospective study that has been recruiting CKD patients since 2002. All patients are followed up annually, and their medical records including the list of medications are updated until they reach study endpoints [starting on renal replacement therapy or reaching estimated glomerular filtration rate (eGFR) expressed as mL/min/1.73 m2 ≤ 10 mL/min/1.73m2, or the last follow-up date, or data lock on December 31, 2021, or death]. Data on antihypertensive prescription practices in correspondence to baseline eGFR, urine albumin-creatinine ratio, primary CKD aetiology, and cardiovascular disease were evaluated. Associations between patients who were prescribed three or more antihypertensive agents and their clinical outcomes were studied by Cox regression analysis. Kaplan-Meier analysis demonstrated differences in survival probabilities.
RESULTS
Three thousand two hundred and thirty non-dialysis-dependent CKD patients with data collected between October 2002 and December 2019 were included. The median age was 65 years. A greater proportion of patients were taking three or more antihypertensive agents with advancing CKD stages (53% of eGFR ≤ 15 mL/min/1.73m2 vs 26% of eGFR ≥ 60 mL/min/1.73m2, P < 0.001). An increased number of patients receiving more classes of antihypertensive agents was observed as the urine albumin-creatinine ratio category increased (category A3: 62% vs category A1: 40%, P < 0.001), with the upward trends particularly noticeable in the number of individuals prescribed renin angiotensin system blockers. The prescription of three or more antihypertensive agents was associated with all-cause mortality, independent of blood pressure control (hazard ratio: 1.15; 95% confidence interval: 1.04-1.27, P = 0.006). Kaplan-Meier analysis illustrated significant differences in survival outcomes between patients with three or more and those with less than three antihypertensive agents prescribed (log-rank, P < 0.001).
CONCLUSION
Antihypertensive prescribing patterns in the Salford Kidney Study based on CKD stage were consistent with expectations from the current United Kingdom National Institute of Health and Care Excellence guideline algorithm. Outcomes were poorer in patients with poor blood pressure control despite being on multiple antihypertensive agents. Continued research is required to bridge remaining variations in hypertension treatment practices worldwide.
Should videolaryngoscopy be routinely used for airway management? An approach from different scenarios in medical practice
Authors: Becerra Gómez Cristian Camilo , Ángel Rojas Miguel 
Published: December 2023

During the past two decades, the videolaryngoscope (VDL) has become a valuable and effective tool for the management of the airway, not just in the realm of anesthesiology, but also in other medical specialties in clinical scenarios requiring tracheal intubation. In countries such as the United States, this represents over 15 million cases in the operating room and 650,000 outside the OR. The overall accumulated incidence of difficult airway is 6.8% events in routine practice and between 0.1 and 0.3 % of failed intubations, both associated with complications such as desaturation, airway injury, hemodynamic instability and death. Notwithstanding the fact that the VDL has proven advantages such as improved visualization of the glottis, higher first attempt success rates, and a shortened learning curve, most of the time its use is limited to rescue attempts or as a secondary option. The objective of this article is to review the advantages and limitations of the VDL vs. the direct laryngoscope in a wide range of clinical settings, including the operating room, intensive care units, emergency departments, pediatrics, obstetrics, and Covid-19 to consider its routine use.
Postgraduate medical education in Colombia. Proposals to improve it
Authors: Navarro-Vargas José Ricardo , Ruiz-Ávila Héctor Andrés , García–Araque Hans Fred 
Published: December 2023

After 70 years of the formalization of medical specialties in Colombia, very little progress has been made in the educational models for the acquisition of clinical competencies in these postgraduate programs.
Furthermore, although there is already a law on human resources in health, the Colombian medical education system lacks specific regulations on the training of health professionals (physicians) in the different medical specialty programs offered in the country.
Likewise, at present, factors such as the financial crisis of public hospitals, the limited number of accredited hospitals and the growing number of medical schools and specialization programs, affect the comprehensive and equal development of medical competencies of professionals who are trained as specialists in the different postgraduate medical programs offered in Colombia.
In view of the above, the purpose of this article is to present a proposal for postgraduate medical education that prioritizes the adequate acquisition of competencies over compliance with the time required to complete the curricula of the different medical specialties. However, this involves several prerequisites: a regulatory body in charge of overseeing and monitoring the training of medical residents or specialists in the country; strong training in university teaching for professors practicing in medical schools and university hospitals; the standardization of the graduates profile; adequate financing of university hospitals, as well as appropriate support in the process of accreditation as such, and the self-evaluation and continuous improvement of postgraduate medical programs.
Depiction of wild boar at Petroglyph
Authors: Munkhtsooj Sugar-Erdenne 
Published: December 2023

The article aims to discuss the depiction of pigs in Mongolian petroglyphs. There are a number of depictions of pigs in the petroglyphs of the western part of Mongolia, however, they are very rare in the central and southern regions. In this article, I tried to explain the importance of pigs in the lives of the Mongols in the Stone Age, Early Bronze Age, Late Bronze Age, Iron Age, and Early Iron Age, and how pigs were imagined. It is important to compare and clarify the dates of the various depictions of pigs in petroglyphs. By composition, pigs’ depictions are divided into four parts in rock art.
Хадны зураг дахь гахайн дүрслэл
Товчлол. Тус өгүүлэлд Монгол орны нутагт буй хадны зураг дахь гахай дүрслэлийн талаар авч үзжээ. Монгол орны баруун хэсгийн хадны зурагт гахайн дүрслэл цөөнгүй тохиолдох ба төв болон өмнөд хэсэгт тун ховор тохиолдож байна. Ингэхдээ Монголын чулуун зэвсгийн үеэс эхлүүлэн түрүү хүрлийн үе, хөгжингүй хүрлийн үе, хожуу хүрлийн үе болон түрүү төмрийн үеийн хүмүүсийн амьдралд гахай чухам ямар ач холбогдолтой байсан, тэд гахайг хэрхэн төсөөлөн дүрсэлдэг байсан талаар өгүүлэв. Ингэхдээ хадны зураг дахь гахайн олон янзын дүрслэлийн он цагийг харьцуулан тодотгохыг чухалчлан үзсэн байна. Хадны зураг дахь гахайн дүрслэлийг зохиомжийн хувьд дөрвөн хэсэгт хуваан үзэв.
Түлхүүр үг. Хадны зураг, буган чулуун хөшөө, гахайн дүрслэл, хүрэл зэвсгийн үе, түрүү төмрийн үе
Tamga of winter place Yamaan Usny am
Authors: Batsuuri Ankhbayar , Buyan-Orshikh  , Tsedendorj Bolorbat , Tsend Amgalantugs , Gonchig Batbold 
Published: December 2023

In 2018-2019, the Mongolian-Chinese joint archaeological field research team conducted research in the region of Galuut Sum and Tsagaan Turuut River valley in Bayankhongor province. In the course of this research, we presented about a tamga that was found in the Yamaan usny am winter place at the foot of Han Mountain. We determined the shape, size, description method and characteristics of the tamga, based on comparision with the seals found in the territory of our country, we believe that it belongs to the Xiongnu impire.
Ямаан усны өвөлжөөний тамга
Товчлол. Монгол-Хятадын хамтарсан археологийн хээрийн шинжилгээний анги 2018-2019 онд Баянхонгор аймгийн Галуут сумын нутаг, Цагаан Туруут голын хөндийд хайгуул судалгаа хийсэн юм. Энэхүү судалгааны явцад Хан уулын өвөрт орших Ямаан усны амны өвөлжөө хэмээх газраас олдсон нэгэн тамганы тухай энд өгүүлнэ. Бид тус тамганы хэлбэр, хэмжээ, дүрслэлийн арга барил, онцлогийг тодорхойлж, манай орны нутаг дэвсгэрээс олдсон тамга тэмдгийн дүрслэлүүдтэй харьцуулан үзсэний үндсэн дээр Хүннүгийн үед холбогдоно хэмээн үзэж байна.
Түлхүүр үг. Цагаан Туруутын гол, Хүннү, Ямаан усны амны өвөлжөө, Тамга
EFEKTIVITAS MEDIA JOBSHEET UNTUK PENCAPAIAN KOMPETENSI DALAM PEMBELAJARAN KECANTIKAN DASAR SISWA SMK NEGERI 6 MAKASSAR
Authors: Nur Maidah Andi , Burhanuddin Izmi 
Published: December 2023

Penelitian ini adalah penelitian deskriftif, untuk memberikan gambaran media jobsheet sebagai bentuk proses pembelajaran dalam memperoleh tiga rana yaitu aspek kognif, aspek afektif dan aspek psikomotor dalam pembelajaran kecantikan dasar pada siswa SMKN 6 MAKASSAR untuk memudahkan penyampaian materi baik teori maupun praktik, yang dapat dijadikan pegangan kepada pendidik dan siswa di dalam kelas. Media yang digunakan dalam proses pembelajaraan ini berupa jobsheet. Tujuan penelitian ini untuk mengetahui gambaran tingkat efektivitas dengan menggunakan Jobsheet dalam pembelajaran Kecantikan Dasar. Metode penelitian yang digunakan adalah metode deskriptif yaitu penelitian tindakan kelas dengan teknik pengumpulan data tes, kuisioner, observasi, dan dokumentasi serta analisis data presentasi. Dari hasil penelitian bahwa pencapaian kompetensi siswa dalam pembelajaran kecantikan dasar adalah 65.00% atau 25 siswa yang memenuhi KKM, siklus I mengalami peningkatan 75.25% atau 35 siswa dan siklus ke II menjadi 81.52% atau 100%, karena pada siklus II semua siswa yang berjumlah 50 orang dinyatakan mencapai nilai Kriteria Ketuntasan Minimal yaitu 70% Frekuensi pendapat siswa tentang efektivitas penggunaan media jobsheet menunjukan bahwa 97.05% sangat setuju dan 2.95%. setuju. Berdasarkan hasil penelitian, disimpulkan bahwa melalui penggunaan media jobsheet keefektifan media dalam pelaksanaan proses pembelajarannya sangat bermanfaat dan menguntungkan untuk pencapaian kompetensi pada pembelajaran kecantikan dasar siswa SMKN 6 MAKASSAR
KAJIAN YURIDIS PENANAMAN MODAL ASING YANG MEMPEKERJAKAN TENAGA KERJA ASING BERDASARKAN HUKUM KETENAGAKERJAAN DI INDONESIA
Authors: Umboh Karel Yossi , Friend Henry Anis  , Ollij Anneke Kereh  
Published: December 2023

This research was carried out with the aim of knowing and analyzing the legal regulations for foreign investment employing foreign workers in Indonesia and the application of the law regarding the use of foreign workers in North Sulawesi. The method used in this research is a normative legal research method which uses a statutory approach to study the legal regulation of foreign workers and an empirical method to determine the application of foreign labor laws.
The research results show that the regulation of foreign workers in Indonesia is contained in Law No. 13 of 2003 concerning Employment and its derivative regulations and is also contained in the Job Creation Law as regulated in Law No. 6 of 2023. In the Employment Law, provisions for foreign workers are contained in Article 42 to 45. Several provisions regulate that every employer who employs foreign workers is required to have written permission from the Minister or appointed official. Foreign workers can be employed in Indonesia only in an employment relationship for certain positions and certain times. The implementation of the law regarding the use of foreign workers in North Sulawesi is carried out by several agencies, namely those at the center, in this case the Ministry of Manpower, as well as agencies in the regions, namely the Manpower Service and the Immigration Office..
Imunização contra o Papilomavírus Humano (HPV): aspectos para a imunização na adolescência
Authors: De Moura Lucyanna Cavalcante , De Oliveira Ana Emília Araújo , Silva João Felipe Tinto , Fagundes Guilia Rivele Souza , Valentim Maria Luana Andrade , Lima Mariel Wágner Holanda , Mattos Márcia Laís Fortes Rodrigues , Araújo Yasmin Emanuelly Leal , Da Silva Neto Benedito Medeiros , Medeiros Natalee da Silva , Batista Laudeci Brito , Da Silva Jackeline Ruth Rodrigues , Da Silva Maria Nauside Pessoa 
Published: December 2023

O estudo objetiva abordar sobre os aspectos da vacinação contra o HPV, discutir o papel dos pais e responsáveis na adesão à vacinação contra o HPV na adolescência e abordar sobre os desafios encontrados na campanha de vacinação contra o HPV na adolescência. Trata-se de uma revisão integrativa da literatura realizada através da Biblioteca Virtual em Saúde (BVS). Foram identificados 707 estudos e, após aplicação dos critérios de inclusão e exclusão e análise dos estudos, apenas 11 artigos foram selecionados. Os resultados foram apresentados em três categorias temáticas: Aspectos sobre a vacinação contra o HPV; O papel dos pais e responsáveis na adesão à vacinação contra o HPV; Os desafios encontrados na campanha de vacinação contra o HPV; e Conhecimento dos adolescentes acerca da vacinação contra HPV. A transmissão por via sexual do HPV ainda é um tema difícil de ser debatido quando associado ao público-alvo que é formado por jovens. Existe uma dificuldade de abordar o tema de infecções sexualmente transmissíveis (IST) com crianças e adolescentes que estão em fase de descobertas e alterações proporcionadas pela puberdade. O estudo possibilitou evidenciar que fatores socioculturais, econômicos e religiosos influenciam diretamente na adesão à vacinação contra o HPV, assim como o nível de educação dos pais e responsáveis.
Scientific Mapping of Publication on Climate Change Education (CCE) using Bibliometric Analysis
Authors: Hariyono Eko , Rizki Iqbal Ainur , Nisa Khoirun , Praharni Binar Kurnia , Mubarok Husni , Eliyawati  
Published: December 2023

Objective: Analyzing scientific mapping research activity on climate change education (CCE) is essential for future research and communities’ lives. The objective of this study was to assess research activity on CCE.

Method: The authors used the VOSviewer application and Scopus database to perform bibliometric analysis. The year range used was 2013 to 2022, and found 8248 documents.

Result: In 2021, most of these studies were published. The United States is the most productive region regarding articles, with English being the most widely used language. The most common subject area is earth and planetary sciences, and the most common source is the Sustainability Switzerland Journal. The most productive authors are Azeiteiro from Portugal and Keller from the United States. The University of British Columbia is the most productive institution.

Implication: This research provides insight into the field's current state, helps identify knowledge gaps, and informs future research directions, policy decisions, and collaborative efforts in the domain of CCE.
Organic Mulch Innovation from Straw Waste in the Context of Realizing Climate Smart Agriculture as an Acceleration of Green Economy Achievement
Authors: Karsinah  , Prajanti Sucihatiningsih Dian Wisika , Amelia Dhea Rizky 
Published: December 2023

Purpose: The general aim of this research is to encourage sustainable agricultural practices through innovative practices of organic mulch materials.

Theoretical Framework: The theoretical framework of sustainable agriculture provides a conceptual basis for understanding and implementing agricultural practices that seek to balance environmental, social, and economic dimensions. At its core, sustainable agriculture is guided by the principles of ecological integrity, economic viability, and social equity. Ecological integrity emphasizes the importance of maintaining and enhancing the health of ecosystems, recognizing the interconnectedness of soil health, biodiversity, and water resources.

Method: This research method consists of three stages. The first step is identifying the characteristics of straw, the initial stage of organic mulch production. The second stage is testing the characteristics of mulch, organic mulch innovation, testing the effectiveness and efficiency of organic mulch. The third stage is a business feasibility study analysis, mass mulch production, promotion and marketing analysis.

Results: The results showed that identifying the characteristics of straw and organic mulch production is an important step in sustainable farming practices. This initial stage involves determining the type of straw that will be used as organic mulch and preparing the mulch. During this entire process, it is important to consider the type of crop being planted, local climatic conditions, and available resources in order to choose the right straw and manage organic mulch effectively. This practice can help improve soil health, reduce soil erosion, and increase agricultural productivity in a sustainable way.

Conclusions: Identification of straw characteristics and production of organic mulch are important steps in sustainable agricultural practices. This initial stage involves determining the type of straw that will be used as organic mulch and preparing the mulch. During this entire process, it is important to consider the type of crop being planted, local climate conditions, and available resources to select the right straw and manage organic mulch effectively.
Research Status and Trends of Household Energy in China under the Background of Sustainable Development
Authors: Li Lin , Babatunde Kazeem Alasinrin , Talib Zunirah Mohd 
Published: December 2023

Objective: This article primarily discusses the current status and trends of research on household energy in China within the context of sustainable development. The academic community in China considers addressing the consumption structure of household energy as one of the essential means to drive domestic sustainable development.

Methods: Utilizing the literature visualization analysis software, Citespace, we conducted a quantitative visual map of the research field of household energy in China and analyzed the evolutionary path of research in this domain.

Results: The study reveals a scarcity of literature and insufficient research outcomes in the field of Chinese household energy. Clusters of keywords such as rural households, rural energy, energy poverty, and household consumption indicate a research bias towards rural and impoverished areas. Keyword emergence analysis over a one-year time slice identified 10 keywords, suggesting a lack of diversity in the research field of Chinese household energy.

Conclusion: The continuous improvement of research related to household energy has driven the transformation and upgrading of China's household energy consumption structure. The use of research findings enriches theoretical aspects and innovative practical methods related to Chinese household energy consumption, promoting the continuous development of research related to household energy. Throughout different stages of household energy research, it is observed that the intermediary effects of smart grids and low-carbon awareness drive the reform of China's household energy consumption system and practical applications, such as promoting reductions in carbon emissions. However, there is currently a lack of micro-level research on household energy within the Chinese academic community.