bluuebunny/crossref_metadata_2025_split huggingface dataset:
Health literacy and self-care among patients with chronic kidney disease in a primary care setting
Authors: Ho Han-Kwee , Koh Eileen Yi-Ling , Abdullah Adina , Tan Ngiap-Chuan 
Published: January 2024

Abstract

Introduction:
The study objective was to determine the levels of self-care and health literacy (HL) and their associations among patients with chronic kidney disease (CKD).

Methods:
This was a cross-sectional, questionnaire-based study conducted in a public primary care setting in Singapore. A total of 289 participants aged 21–80 years with hypertension were recruited. Self-care profiles were measured using the Hypertension Self-Care Profile (HTN-SCP; range 0–240, domain range 0–80). Health literacy was measured using the Short-Form Health Literacy Scale (HLS-SF12; range 0–50, limited literacy ≤33).

Results:
The mean self-care score was 182.7 (standard deviation [SD] 23.2). The median HL score was 34.7 (interquartile range [IQR] 31.9–40.3), and 31.1% of participants had limited HL. Self-care was not associated with age, CKD status, household income and education, but was associated with gender and HL score. In the final regression model, lower HL scores (adjusted β = 1.03, 95% confidence interval [CI] 0.7 to 1.36, P < 0.001) and male gender (adjusted β = −5.29, 95% CI −10.56 to −0.03, P = 0.049) were associated with lower self-care scores. The HL scores were associated with self-care domains of self-efficacy (HL: β = 0.30, 95% CI 0.17 to 0.42, P < 0.001), motivation (HL: β = 0.40, 95% CI 0.26 to 0.53, P < 0.001) and behaviour (HL: β = 0.38, 95% CI 0.26 to 0.50, P < 0.001).

Conclusion:
Thirty-one percent of the participants had limited HL. Self-care was not associated with age, race, CKD status, household income or education. Male gender and limited HL were associated with lower self-care. Self-care was associated with self-efficacy, motivation and behaviour. Future research could focus on more targeted approaches to improve self-care and HL among patients with CKD.
Caregivers’ Satisfaction with Telemedicine for Aural Rehabilitation of Cochlear Implant Patients during Coronavirus Disease 2019: A Cross-sectional Study
Authors: Hajr Eman , Almufleh Auroabah , Alotaibi Tahani 
Published: January 2024

Abstract

Objective:
During the coronavirus disease 2019 (COVID-19) pandemic, teletherapy was a reasonable alternative to in-person therapy. However, teletherapy has certain limitations, including technological issues, reduced rapport, and challenging difficulties in engaging with patients. Therefore, this study aimed to investigate the effectiveness of virtual rehabilitation sessions during the COVID-19 pandemic in children with cochlear implants (CIs).

Materials and Methods:
This cross-sectional study was conducted in a specialized tertiary care ear center to assess virtual aural rehabilitation after cochlear implantation during the COVID-19 pandemic. We included prelingually deaf children aged ≤7 years who underwent unilateral or bilateral CIs and were enrolled in aural rehabilitation with a minimum of one virtual rehabilitation session during the COVID-19 pandemic. Children with other disabilities or technical issues related to the implant devices were excluded. Parental experience and satisfaction with the virtual rehabilitation were evaluated using an interview-based questionnaire scored on a five-point Likert scale.

Results:
We recruited 34 participants, including 19 males (55.9%) and 15 females (44.1%). Only nine participants (26.5%) had siblings with CIs. None of the participants disagreed with the survey questionnaire. When caregivers were stratified based on their level of education, family experience with CIs, and place of residence, no significant differences were found in ease of access to the virtual sessions.

Conclusion:
High levels of satisfaction were observed between caregivers and professionals regarding usage comfort. However, future studies are required to evaluate the effectiveness of telemedicine rehabilitation compared with conventional methods, particularly after the COVID-19 pandemic, with respect to different age groups.
Clinical Practice Trends in Otolaryngology for the Prevention of Ear Ventilation Tube Blockage
Authors: Alenazi Abdulaziz Saud , Alzhrani Atheer Ahmad , Alshehri Waleed M. , Alherz Ahmed Hussain , Ashoor Mona Mohammed Saleh 
Published: January 2024

Abstract

Context:
Tympanostomy tube (TT) placement has become one of the most common surgical procedures performed in children. The tube drains fluid trapped behind the eardrum, thereby maintaining middle ear cavity ventilation and preventing hearing loss. One of the common postoperative complications is obstruction of the TT lumen.

Aims:
We aimed to identify common practices among general otolaryngologists (not subspecialized) and pediatric otolaryngologists for the prevention of middle ear TT blockage in children.

Settings and Design:
The design involves a cross-sectional, web-based survey.

Subjects and Methods:
The survey was conducted using Google Forms and delivered through e-mails to general and pediatric otolaryngologists between January and December 2022. Otolaryngologists of >2 years’ experience were included in the study.

Statistical Analysis Used:
For the descriptive analysis of the data, frequency, percentages, and bar diagrams were used. For inferential analysis, the Chi-square test was used to study the relationship between two categorical variables.

Results:
Among the 196 otolaryngologists who participated in this survey, 78 (39.8%), 68 (34.7%), 44 (22.4%), and 6 (3.1%) were residents, consultants, specialists, and fellows, respectively. A majority of the practitioners were pediatric otolaryngologists (n = 140, 71.4%). A higher proportion of respondents (60.5%) with <5 years of experience in ear, nose, and throat practice agreed that ear drops should be prescribed postoperatively, than respondents with >5 years of experience (44.2%) (P = 0.029).

Conclusions:
This study identified the different practices used for managing ventilation tube blockage postoperatively. Further studies are required to determine optimal approaches for the prevention of postoperative tube blockage.
Characterization of Coinfections in Patients with COVID-19
Authors: Pai Alexander , Kanji Zahra , Douglas James Joshua 
Published: January 2024

Background: Little is known about coinfections in patients with COVID-19, with antibiotics often initiated empirically. Objectives: To determine the rates and characteristics of early and late coinfections in COVID-19 patients and to characterize the use of anti-infective agents, especially antibiotics.
Methods: This retrospective chart review involved patients with COVID-19 who were admitted to Lions Gate Hospital (Vancouver, British Columbia) between January 1 and June 30, 2020. Data were extracted from electronic medical records, and descriptive statistics were used to analyze the data.
Results: Of the 48 patients admitted during the study period, 10 (21%) were determined to have coinfections: 3 (6%) had early coinfections and 7 (15%) had late coinfections. Early empiric use of antibiotics was observed in 32 (67%) patients; for 29 (91%) of these 32 patients, the therapy was deemed inappropriate. Patients with coinfections had longer hospital stays and more complications.
Conclusions: Despite low rates of early coinfection, empiric antibiotics were started for a majority of the patients. Most late coinfections occurred in patients in the intensive care unit who required mechanical ventilation. Patients with coinfections had poorer outcomes than those without coinfections.
RÉSUMÉ
Contexte : On sait peu de choses sur les co-infections chez les patients atteints de COVID-19, les médicaments antibiotiques étant souvent initiés de manière empirique.Objectifs : Déterminer les taux et les caractéristiques des co-infections précoces et tardives chez les patients atteints de COVID-19 et caractériser l’utilisation d’anti-infectieux, en particulier les antibiotiques.
Méthodes : Cet examen rétrospectif des dossiers portait sur des patients atteints de COVID-19 qui ont été admis à l’hôpital Lions Gate, à Vancouver (Colombie-Britannique), entre le 1er janvier et le 30 juin 2020. Les données ont été extraites des dossiers médicaux électroniques et des statistiques descriptives ont été utilisées pour analyser les données.
Résultats : Sur les 48 patients admis au cours de la période d’étude, 10 patients (21 %) présentaient des co-infections : 3 patients (6 %) avaient des co-infections précoces et 7 (15 %), des co-infections tardives. Une utilisation empirique précoce d’antibiotiques a été observée chez 32 patients (67 %); pour 29 de ces 32 patients (91 %), le traitement a été jugé inapproprié. Les séjours à l’hôpital des patients co-infectés étaient plus longs et ils présentaient davantage de complications.
Conclusions : Malgré de faibles taux de co-infection précoce, des antibiotiques empiriques ont été instaurés pour la majorité des patients. La plupart des co-infections tardives sont survenues chez des patients de l’unité de soins intensifs nécessitant une ventilation mécanique. Les résultats des patients avec co-infections étaient moins bons que ceux sans co-infections.
Urinary exosomal microRNA-145-5p and microRNA-27a-3p act as noninvasive diagnostic biomarkers for diabetic kidney disease
Authors: Han Lu-Lu , Wang Sheng-Hai , Yao Ming-Yan , Zhou Hong 
Published: January 2024

BACKGROUND
Diabetic kidney disease (DKD), characterized by increased urinary microalbumin levels and decreased renal function, is the primary cause of end-stage renal disease. Its pathological mechanisms are complicated and multifactorial; Therefore, sensitive and specific biomarkers are needed. Urinary exosome originate from diverse renal cells in nephron segments and partially mirror the pathological changes in the kidney. The microRNAs (miRNAs) in urinary exosome are remarkably stable and highly tissue-specific for the kidney.
AIM
To determine if urinary exosomal miRNAs from diabetic patients can serve as noninvasive biomarkers for early DKD diagnosis.
METHODS
Type 2 diabetic mellitus (T2DM) patients were recruited from the Second Hospital of Hebei Medical University and were divided into two groups: DM, diabetic patients without albuminuria [urinary albumin to creatinine ratio (UACR) < 30 mg/g] and DKD, diabetic patients with albuminuria (UACR ≥ 30 mg/g). Healthy subjects were the normal control (NC) group. Urinary exosomal miR-145-5p, miR-27a-3p, and miR-29c-3p, were detected using real-time quantitative polymerase chain reaction. The correlation between exosomal miRNAs and the clinical indexes was evaluated. The diagnostic values of exosomal miR-145-5p and miR-27a-3p in DKD were determined using receiver operating characteristic (ROC) analysis. Biological functions of miR-145-5p were investigated by performing Gene Ontology analysis and Kyoto Encyclopedia of Genes and Genomes pathway enrichment.
RESULTS
Urinary exosomal expression of miR-145-5p and miR-27a-3p was more upregulated in the DKD group than in the DM group (miR-145-5p: 4.54 ± 1.45 vs 1.95 ± 0.93, P < 0.001; miR-27a-3p: 2.33 ± 0.79 vs 1.71 ± 0.76, P < 0.05) and the NC group (miR-145-5p: 4.54 ± 1.45 vs 1.55 ± 0.83, P < 0.001; miR-27a-3p: 2.33 ± 0.79 vs 1.10 ± 0.51, P < 0.001). The exosomal miR-145-5p and miR-27a-3p positively correlated with albuminuria and serum creatinine and negatively correlated with the estimated glomerular filtration rate. miR-27a-3p was also closely related to blood glucose, glycosylated hemoglobin A1c, and low-density lipoprotein cholesterol. ROC analysis revealed that miR-145-5p had a better area under the curve of 0.88 [95% confidence interval (CI): 0.784-0.985, P < 0.0001] in diagnosing DKD than miR-27a-3p with 0.71 (95%CI: 0.547-0.871, P = 0.0239). Bioinformatics analysis revealed that the target genes of miR-145-5p were located in the actin filament, cytoskeleton, and extracellular exosome and were involved in the pathological processes of DKD, including apoptosis, inflammation, and fibrosis.
CONCLUSION
Urinary exosomal miR-145-5p and miR-27a-3p may serve as novel noninvasive diagnostic biomarkers or promising therapeutic targets for DKD.
Otaku Dadakan: Studi Kasus Penggemar Anime One Piece di Kalangan Mahasiswa
Authors: Yasim Muh. Nur Rahmat 
Published: January 2024

nime (Japanese animation) which currently become popular in the community has resulted in the emergence of various anime products, such as action figures, posters, comics, and even animated films. One of the most popular anime is One Piece, and its rabid fans are known as anime otaku. This anime otaku phenomenon not only occurs in Japan, but also throughout the world, including Indonesia. This article deals with newcomers who are interested in popular anime, and call themselves otaku, labeled as impromptu otaku by anime otaku.
Using a qualitative approach, this research was conducted through social media Instagram and TikTok. The research informants were ten students, who came from public and private universities in the city of Makassar. They consist of six men and four women, whose age range between 19 and 25 years. Data was collected using in-depth interview and observation techniques.
One Piece is one of the anime that has a high rating and is the most popular anime of all time. For impromptu otaku, this is considered as “the king of anime", so that fanaticism towards anime is only focused on the One Piece anime, even though there are many other anime that also have high ratings. While anime otaku are not just fans of one anime. In the process of choosing anime One Piece, a person goes through three stages, namely selection, interpretation, and reaction stages. One of the aspects that makes One Piece as an interesting anime for otaku is how One Piece is able to raise spirits through motivational words uttered by certain characters in the One Piece anime. The identity of impromptu otaku is shown through their involvement in various activities, showing that they are fans of One Piece anime, namely following One Piece developments on the internet and social media, collecting One Piece-themed merchandise, and joining the fan community. This indicates that impromptu otaku realizes their "class" when compared to anime otaku. Thus, by participating in related activities they hope to be aligned as anime otaku.
Penonton Boys’ Love: Ketertarikan, Respon, dan Orientasi Seksual
Authors: Yunita Millah Ananda 
Published: January 2024

With the issuance of Minister of Health Regulation Number 9 of 2020 concerning Guidelines for Large-Scale Social Restrictions in the Context of Accelerating the Handling of Corona Virus Disease 2019 (Covid-19), the government recommended that all community activities be carried out from home (work from home). The amount of time spent at home causes people to become bored and need entertainment, one of which is by spending time to watch film. One of the shows that is currently booming is Boys' Love which is a fictional media (manga, anime, series) that focuses on homoerotic and homoromantic relationships between men. This article discusses how audiences are attracted to, respond to, and question their sexual orientation.
Using qualitative approach, this study combined in-depth interview and observation as data collection methods. his research was conducted online through the brightforwin fanpage community which took place from August 2021 to February 2022. There are eleven informants involved in this study who are the audiences of Boys’ Love. They vary according to age (between 19 and 42 years), sex (eight women and three men), and status (three housewives and eight college students).
The study shows that Boys' Love series became popular because it is not only focused on sexual activity, but also on how to build relationships between characters, to express sexuality, and to deepen relationships between viewers. The public's response to this series was varied, some were suddenly interested and became big fans of the Boys' Love series, some didn’t care, and others clearly reject this series. In regard to the sexual orientation of Boys' Love audience, there are differences between male and female audience. Male audience of Boys' Love series is considered as transgender or gay. For female audiences, there is a difference between married and single women. For married women, their sexual orientation is not questioned because of their marital status, while for single women, their orientation is questioned by others. But, as the fan and viewer of Boys’ Love some single men and women also question their sexual orientation.
Strategi Bertahan Mahasiswa Perantau di Tengah Pandemi Covid-19 di Kota Makassar
Authors: Andau Nopri Anti 
Published: January 2024

The Covid-19 pandemi has had a number of impacts on students in the City of Makassar. Many students choose to remain in the City of Makassar than to go back to their hometown in the midst of uncertain and insecure conditions from Covid-19. This article discusses the strategies adopted by students in the City of Makassar to survive during the Covid-19 pandemi.
This research was conducted in the City of Makassar involving ten students who studied and stayed in this city during the Covid-19 pandemi. They consist of one man and nine women aged between 19 and 21 years, whose come from various tertiary institutions, study programs (prodi), and semesters. I combined in-depth interview and observastion as my data collection methods.
The study indicates that many students did not return to their hometown during the Covid-19 pandemi and this was based on three reasons, namely: first, fear that they would be regarded as carriers of the virus when they returned home; second, the fear of being infected with Covid-19 while on the way to their hometown; third, limited facilities and infrastructure that support online lectures in their hometown. However, when they choose to stay in the City of Makassar they face many challenges, and to overcome them they carry out various strategies in order to survive. In general, the survival strategies implemented by these students are divided into three, namely strategies related to preventing Covid-19 by adhering to health protocols, limiting mobility, and keeping busy playing with their cellphones; strategies related to online lectures which consists of solidarity among fellow students and taking advantage of neighbors' help; and strategies for fulfilling daily needsby (utilizing the distribution of groceries by government and regional organization, working part time, living super-efficiently.
“Dari Mata Turun ke Hati”: Penggunaan Eyelash Extensions di Kalangan Siswi Sekolah Menengah
Authors: Valensia Putri Aurelia 
Published: January 2024

Being attractive and beautiful has its own charm which will certainly increase self-confidence. For this reason, women try to improve their appearance, one of which is by doing facial treatment to make them look more attractive. One of the current trends is eyelash extensions which are widely used by women. This article deals with this.
This research used a qualitative approach, and it was conducted in Makassar, involving ten female Junior and Senior High School students in Makassar. They are between 14 and 18 years old. Data collection was carried out througuh in-depth interview and observation.
Beauty is every woman's dream regardless of age. There are various ways to look beautiful. Eyes are the main aspect of beauty because as a saying state: "from the eyes down to the heart". Eye makeup has a significant influence on the overall beauty of one’s face, even though other parts of the face are not touched by decorative cosmetics. Therefore, special attention is given to apply eye makeup, one of which is by using eyelash extensions. Eyelash extensions also have various forms, namely basic lash or natural eye, soft doll, cat eye, perfect long, open eye. The form of eyelash extensions that is popular among young women is the basic lash type because even if someone uses eyelash extensions, the appearance of this type of eyelash is more natural and not excessive. In addition, there are two types of eyelash extensions, namely classic and premium. However, choosing the form and type of eyelash extensions really depends compatibility on the shape of the user's eyes. The reasons why teenage girls use eyelash extensions are: first, because of the influence of people in their immediate environment who have used eyelash extensions; second, social media has a very significant influence on females teenagers' decisions to use eyelash extensions, through which celebrities and influencers inspire them to use eyelash extensions; third, using eyelash extensions enhance one’s self confidence; and fourth, the relatively affordable price of eyelash extensions motivates female teenagers to use them. However, despite the desire to become more beautiful by using eyelash extensions, there is a "price" that must be paid. Using eyelash extensions has an impact on one's eyes and self. If the former causes itching, irritation, and loss of eyelashes; then the latter makes eyelash extensions users addicted.
Double Standard dan “Open Minded”: Stigma Terhadap Social Justice Warrior pada Isu Feminisme di Twitter
Authors: Sari Nur Amelia , Idrus Nurul Ilmi 
Published: January 2024

Social Justice Warrior (SJW) is a pejorative term for someone who espouses progressivist views, such as civil affairs, multiculturalism, identity politics, and feminism. The accusation that someone is a SJW implies that they are seeking self-justification rather than truly believing in their views and are pretending to join in the debate. This creates a stigma against SJWs. Previous studies on stigma have focused more on sexual orientation and on people with certain diseases. This article will focus more on SJW on the issue of feminism.
This qualitative research was conducted virtually examining stigma toward SJW in Twitter. It involves ten informants, consisting of a male and nine female informants whose age ranges between 20 and 33 years old. Data was collected using in-depth interview and observation.
The study shows that SJW are stigmatized because the way they deliver their opinions that are considered to demean others, they have liberal thought, they equalise feminists as women who hate men and controversial opinions. There are two form of stigma to label SJW on Twitter, namely “open minded” and “double standard” insinuations. It turns out that stigma is impacted on SJW itself, which consist of being a victim of doxing, verbal abuse, and receiving blasphemy.