bluuebunny/crossref_metadata_2025_split huggingface dataset:
La décentralisation et la démocratie locale
Authors: Verpeaux Michel 
Published: January 2023

La démocratie locale ne bénéficiait pas, constitutionnellement, d’une reconnaissance explicite, en dehors de la mention selon laquelle les collectivités territoriales s’administrent librement par des conseils élus, semblant exclure aussi bien les organes exécutifs que les citoyens ou les administrés. Pendant longtemps, les élections locales ont paru déconnectées des exigences démocratiques s’imposant aux élections nationales et inscrites à l’article 3 de la Constitution. La jurisprudence du Conseil constitutionnel y a mis fin en admettant le caractère « politique » des élections locales et la soumission à ces règles. La révision du 28 mars 2003 a voulu consacrer des droits nouveaux au profit des seuls électeurs, que ce soit par la voie du référendum décisionnel ou par celle du droit de pétition. Leur pratique reste limitée mais il existe d’autres formes de démocratie qui ne trouvent pas nécessairement leur source dans la Constitution.
Effects of Smartphone Social Applications on Elderly People’s Quality of Life
Authors: Hosseini Seyed Ebrahim , Charters Stuart , Anthony Patricia 
Published: January 2023

As people age, maintaining and improving their Quality of Life becomes increasingly important. To understand the impact of smartphone technology and communications applications on Quality of Life, a quasi-experimental study was conducted with elderly people living in Shiraz-Iran. The study population included all the registered senior in public health centers in Shiraz, Fars, Iran during 2018 and 2019. Overall, 119 elderly people participated in the study. The study randomly categorized participants into intervention (59 participants with mean age 66.19±2.73) and control (60 participants with mean age 66.67±3.00) groups. They were asked to answer the validated Persian version of the Control, Autonomy, Self-realisation, Pleasure scale (CASP-19) scale questionnaire for Quality of Life assessment. A significant mean difference was observed by the paired t-test between pre-and post-test (t= -8.61, p<0.00), post-and follow-up-test (t= -2.24, p=0.02), and pre-test and follow-up test (t= -8.42, p<0.00) in the intervention group. The results of paired t-test for the control group showed no significant mean difference between pre-test and post-test (t= 1.35, p=0.18), post-test and follow-up test (t= 0.38, p=0.70) and pre-test and follow-up test (t= 1.94, p=0.06) for Quality of Life. The rationale for this study, along with the educational training associated with it, was to help families, and the aging field practitioners to understand the importance of modern communication technology teaching to promote a greater Life Quality in the community of the elderly.
Measurement of the awareness of venous thromboembolism in the Saudi population
Authors: Alaklabi Ali , AlNujaim Shouq Mohammed , Alghaihab Sarah Mohammed , AlDakhil Sadeem Ahmed , AlKethami Obeid Mohammed , Rajendram Rajkumar 
Published: January 2023

BACKGROUND:
Venous thromboembolism (VTE) causes significant morbidity and mortality. International studies have suggested poor public awareness of VTE, with a few data from Saudi Arabia. The aim of this study was to investigate the knowledge and awareness of VTE in the Saudi population. Awareness of other important diseases was also investigated to allow contextualization.

METHODS:
A cross-sectional survey study was conducted throughout Saudi Arabia from April to June 2021. A nonprobability, purposive, social media-driven, snowballing sampling technique was used to distribute a validated online questionnaire to Saudi adults (aged over 18 years) from the general population.

RESULTS:
Of 1226 respondents, 214 were excluded as they were health-care professionals. The majority of the participants were unaware and unconcerned about VTE. They were more aware of other medical conditions such as hypertension. Immobility and old age were frequently recognized as risk factors for VTE. While less than half of the participants were aware that thrombosis is the cause of VTE, most participants correctly identified leg pain and tenderness as symptoms of deep venous thrombosis. The majority of the participants identified chest pain and breathlessness as symptoms of pulmonary embolism. However, leg paralysis and slow, shallow breathing were frequently identified as symptoms of VTE. The majority of subjects disagreed with the statement, “having a blood clot is not considered a medical emergency.“ Awareness of VTE varied significantly with age.

CONCLUSION:
In Saudi Arabia, the public awareness of VTE is poor. To improve outcomes, public health initiatives must increase awareness, introduce preventive measures, encourage early diagnosis, and ensure compliance with treatment.
Nintedanib and pirfenidone for idiopathic pulmonary fibrosis in King Abdulaziz Medical City, Riyadh
Authors: Khan Mohammed Ayaz , Sherbini Nahed , Alyami Sami , Al-Harbi Abdullah , Al-Ghamdi Majed , Alrajhi Suliman , Rajendram Rajkumar , Al-Jahdali Hamdan 
Published: January 2023

BACKGROUND:
Idiopathic pulmonary fibrosis (IPF) is a chronic progressive age-related lung disease causing relentless fibrosis of the lung parenchyma. Currently, pirfenidone and nintedanib are the two antifibrotic drugs, approved for the treatment of IPF. Both are shown to slow progression by preserving lung functions from rapid decline compared to a placebo. We are reporting a real-life patient experience using these two antifibrotic medications (AFMs) in our tertiary care hospital.

METHODS:
A retrospective cohort study was conducted for all IPF cases diagnosed in multidisciplinary meetings between 2015 and 2020 at KAMC, Riyadh (Saudi Arabia). We are reporting patients' demographics, lung function, survival, tolerance, side effects, or death in patients taking AFMs.

RESULTS:
A total of 81 cases were identified. The majority of patients aged 67 years (68%) were men with a median age of 68 years. Late presentation, severe disease, and definite usual interstitial pneumonia patterns were reported in 60% of our patients. The average number of hospital admissions before starting treatment was 1 (range: 0–3) in the nintedanib group and 1.4 (range: 1.2–5) in the pirfenidone group. There was an increase in the number of hospital admissions in the group started on pirfenidone 1.7 (range: 1.9–8) compared to nintedanib 0.5 (range: 0–3), P = 0.001. The observed mortality outcome in this cohort was 4 (11%) and 12 (27%) for nintedanib and pirfenidone, respectively. The predominant side effects were gastrointestinal symptoms for both the groups 18 (22%).

CONCLUSIONS:
Pirfenidone and nintedanib are the available approved antifibrotic agents used for many years to treat IPF patients. Real-life data showed better tolerability than reported in the West, good compliance, and a manageable side effect profile in this group of elderly and severe IPF patients.
Managing the Nursing Shortage During the Covid-19 Pandemic
Authors: Sri Hariyati Rr. Tutik , Handiyani Hanny , Erwin Erwin , Widawati Sri , Riyanto Welas , Herawati Rita , Lasmani Patricia S. , Nyoman I.Gusti A. 
Published: January 2023

Background:
Nursing care contributes to the safety and the quality of care of patients. During the COVID-19 pandemic, nurses became frontline care providers.

Materials and Methods:
A qualitative study was conducted using an online focus group discussion of eight nurse committee members from six hospitals. After the data were collected, the study continued with inductive thematic analysis. The data were organized and extracted to identify meaningful statements and formulate meanings. Inductive thematic analysis was used, resulting in three themes and six subthemes.

Results:
The themes related to managing the nursing workforce, schedules, rosters, shifts, goals of re-design staffing, and the nurse-patient ratio.

Conclusions:
The management of the nursing staffing was modified to protect nurses during the COVID-19 pandemic. The nurse manager redesigned workforce planning to ensure a safe environment for nurses.
Adaptation of Interdisciplinary Clinical Practice Guidelines to Palliative Care for Patients with Heart Failure in Iran
Authors: Bagheri Imane , Yousefi Hojatollah , Bahrami Masoud , Shafie Davood 
Published: January 2023

Background:
Clinical Practice Guidelines (CPGs) have been recommended to manage palliative care and take the best treatment measures and decisions. This study aimed to adapt the interdisciplinary CPG to provide palliative care for patients with Heart Failure (HF) in Iran based on the ADAPTE method.

Materials and Methods:
Guideline databases and websites were systematically searched up to April 2021 to determine appropriate publications related to the study topic. Followed by assessing the quality of the selected guidelines via the Appraisal of Guidelines for Research & Evaluation Instrument (AGREE II), those with appropriate standard scores were selected to be used in designing the initial draft of the adapted guideline. The developed draft contained 130 recommendations and was evaluated by a panel of interdisciplinary experts in terms of its relatedness, comprehensibility, usefulness, and feasibility in two phases of Delphi.

Results:
In the first phase of Delphi, the adapted guideline was derived from five guidelines and evaluated by 27 interdisciplinary pundits working in the universities of Tehran, Isfahan, and Yazd cities. After the assessment in Delphi Phase 2, four recommendation categories were removed because they did not receive the required scores. Finally, 126 recommendation items were included in the developed guideline, which were classified into three main categories of palliative care features, essentials, and organization.

Conclusions:
In the present study, an interprofessional guideline was designed to enhance palliative care information and practice in patients with HF. This guideline can be administered as a valid tool for interprofessional team members to provide palliative care to patients with HF.
Primiparous Mothers' Perception and Expectations Regarding Social Support During the postpartum period
Authors: Sharifipour Foruzan , Javadnoori Mojgan , Moghadam Zahra Beboodi , Najafian Mahin , Cheraghian Bahman , Abbaspoor Zahra 
Published: January 2023

Background:
Social support has been found to positively influence the mothering experience. Yet little is known concerning primiparous mothers' perceptions of social support following childbirth. This qualitative study aims to explore primiparous mothers' perception and expectations regarding social support during the postpartum period.

Materials and Methods:
This qualitative study with content analysis approach was conducted on 11 postpartum mothers who had been routinely referring to comprehensive health service centers in Kermanshah, Iran, from October 2020 to January 2021 for receiving postpartum care within the first 6 months after birth. Also, to further enrich the study data, interviews were conducted with healthcare providers (n = 6) and husbands (n = 3). Twenty-two semi-structured interviews were conducted individually through a purposive sampling method. Two participants were interviewed twice. Interviews were recorded and transcribed verbatim in Persian and analyzed using conventional content analysis.

Results:
Three main categories and thirteen subcategories emerged. The main categories were: “comprehensive support”, “support barriers,” and “support promotion strategies.” The main perception and expectation of mothers regarding social support was the sense of not being alone and receiving comprehensive support, especially from the husband and increasing his awareness about this support.

Conclusions:
An understanding of a comprehensive support, support barriers, and support promotion strategies with respect to social support can help healthcare professionals to develop interventions and programs aimed at promoting mothers' social support in the postpartum period.
A Systematic Review and Meta-Analysis of Health Care Quality in Iran Based on the Comprehensive Quality Measurement in Health Care Model
Authors: Markazi-Moghaddam Nader , Balaye Jame Sanaz Zargar , Nikoomanesh Mahdi , Rezapour Ramin 
Published: January 2023

Background:
Comprehensive assessment of health care quality is the first step in improving care and achieving health service goals. Therefore, this study aimed to conduct a systematic review and meta-analysis of health care quality in Iran based on the Comprehensive Quality Measurement in Health Care model.

Methods:
In this study, the databases of PubMed, Scopus, Web of Science, Iranian Scientific Information Database (SID), MagIran, and Google Scholar were searched using English and Iran keywords without time limit. STATA 16 software and a random effect model were used for conducting meta-analysis.

Results:
Of the 750 articles found, 20 were finally included; 13 of which were related to service quality, five to customer quality, and four to technical quality. Overall mean score of service quality was 7.79 [95% CI 7.43–8.15, df = 12, I2 = 98.48, P value < 0.000] out of 10, and overall mean score of customer quality was 73.20 ± 4.56 [95% CI 65.18–81.22, df = 5, I2 = 99.34, P value < 0.001] out of 100. Among the 12 dimensions of service quality, the confidentiality dimension (9.55 ± 0.12) had the highest mean score and the group support dimension (5.92 ± 0.901) had the lowest score. In general, from the viewpoint of service receivers, the technical quality is relatively favorable.

Conclusions:
According to the results of this study, the quality of health care in Iran is significantly far from ideal. Therefore, planning to improve providing health care is essential.
Cognitive Evidence on EEG-P300 in Healthy Individuals with High Depression Scores
Authors: Öz Didem , Özbek Yağmur , Kiyi İlayda , Öztürk Bilge Targitay , Öztura İbrahim , Yener Görsev G. 
Published: January 2023

Background:
Depression is common among elderly and middle-aged individuals and is a reason for decreased quality of life. Depression may lead to impairments in cognitive abilities. The P300 potential is one of the most used event-related potentials (ERPs) to evaluate cognition. This study investigated the P300 amplitude differences between individuals with depressive symptoms and nondepressed healthy elderly individuals.

Materials and Methods:
The current study included twenty individuals with high depression scores (high DS, age: 64.80 ± 7.22, 6 M/14 F) and twenty demographically matched participants with low depression scores (low DS, age: 64.20 ± 6.21, 7 M/13 F). The Geriatric Depression Scale (GDS) was used to evaluate whether participants have depressive symptoms. All of the participants were underwent a comprehensive neuropsychological battery. The ERPs were recorded with a visual classical oddball paradigm. The P300 amplitudes were measured in the 250–550 ms time window.

Results:
High DS group had lower P300 amplitudes than low DS individuals regardless of electrode location. Correlation analyses showed that there was a significant correlation between GDS scores and the P300 amplitudes recorded from the Fz electrode.

Conclusion:
The current study showed the reduced P300 amplitudes on individuals with high GDS scores. The P300 potential may be a useful tool to determine possible changes or impairments due to subthreshold depressive symptoms.
Residual torsion-free nilpotence, bi-orderability, and two-bridge links
Authors: Johnson Jonathan 
Published: January 2023

AbstractResidual torsion-free nilpotence has proved to be an important property for knot groups with applications to bi-orderability and ribbon concordance. Mayland proposed a strategy to show that a two-bridge knot group has a commutator subgroup which is a union of an ascending chain of para-free groups. This paper proves Mayland’s assertion and expands the result to the subgroups of two-bridge link groups that correspond to the kernels of maps to
$\mathbb{Z}$
. We call these kernels the Alexander subgroups of the links. As a result, we show the bi-orderability of a large family of two-bridge link groups. This proof makes use of a modified version of a graph-theoretic construction of Hirasawa and Murasugi in order to understand the structure of the Alexander subgroup for a two-bridge link group.
Interleukin-18 Promoter Gene Polymorphisms in Chinese Patients With Systemic Lupus Erythematosus: Association With CC Genotype at Position –607
Authors: Xu Qian , Tin Soe Kyaw , Paramalingam Sivalingam Suppiah , Thumboo Julian , Koh Dow-Rhoon , Fong Kok-Yong 
Published: January 2023

Introduction: Interleukin-18 (IL-18) is a Th1 cytokine, which is postulated to play a role in systemic lupus erythematosus (SLE). Two single nucleotide polymorphisms (SNPs) in the IL-18 promoter gene region were found to influence the quantitative expression of the IL-18 protein. The aim of this study was to determine whether IL-18 promoter gene polymorphisms are associated with SLE.

Materials and Methods: One hundred and thirteen Chinese SLE patients and 218 Chinese healthy individuals were recruited. Genomic DNA was extracted from peripheral venous blood. Sequence-specific primer PCR and restriction fragment length polymorphism (RFLP) analysis were used to genotype the DNA samples for SNP-137 and SNP-
607.	The following genotypes were obtained: SNP(-607) AA, AC, CC and SNP(-137) GG, GC, CC. Plasma IL-18 concentrations of patients and control subjects were measured by enzyme-linked immunosorbent assay.

Results: the frequency of SNP-607/CC genotype was significantly higher in SLE patients (Pc < 0.05) while genotype SNP-607/AC was significantly decreased in SLE patients compared to the control group (Pc <0.05). Plasma IL-18 concentrations were significantly higher in SLE patients than in control subjects (P <0.05). Both patients and control subjects with CC and AC genotypes have significantly higher IL-18 concentrations than those with AA genotype.

Conclusion: The IL-18 promoter gene polymorphism SNP–607 C allele is associated with SLE and may result in the enhanced production of IL-18 protein in SLE and normal individuals.

Key words: Cytokines, Genotype, Single nucleotide polymorphisms
PENGARUH MOTIVASI BELAJAR DAN GAYA BELAJAR TERHADAP PRESTASI BELAJAR SISWA SMP SWASTA SE-KOTA TANGERANG PADA PELAJARAN BAHASA INGGRIS
Authors: Elawati Elawati  , Muljadi  , Sutrisno  
Published: January 2023

This study aims to examine 1) Is there an effect of learning motivation on learning achievement, 2) is there an effect of learning style on learning achievement, and 3) is there an effect of learning motivation and learning style on learning achievement together.
This type of research includes quantitative research with conclusions drawn through statistical analysis. The research location is in private junior high schools throughout the city of Tangerang, the population is 263 students, and the research sample is 159 students. Based on the results of the study: (1) There is a positive and very significant effect between Learning Motivation (X1) on Learning Achievement (Y) with a correlation coefficient score of ry1 = 0.773a, the influence of High Motivation (X1) will have a strong influence on Learning Achievement (Y) private junior high school students in the city of Tangerang with a determination coefficient score of r2y1 = 0.595. 2) There is a positive and very significant relationship
between Learning Style (X2) on Learning Achievement (Y) of private junior high school students in the city of Tangerang, with a correlation coefficient score of ry2 = 0.761a, on Learning Style (X2) High will provide a strong relationship on the increase in Learning Achievement (Y), with a coefficient of determination score produced by r2y2 = 0.579. 3) and there is a positive and very significant effect between motivation (X1) and learning style (X2) together on learning achievement (Y) with a correlation coefficient score of ry1.2 = 0.799a, the effect of learning motivation (X1) and Learning style (X2) together with strong learning achievement (Y) will have a large relationship with learning achievement (Y), with a determination coefficient score of r2y3 = 0.639. Contribution or influence of 6.39%, the remaining 36.1% was contributed by other variables that have a relationship with increasing learning achievement (Y).
GLOSSAIRE DES MOTS TECHNIQUES FRANÇAIS-TSHILUBA UTILISE EN ARCHITECTURE-BATIMENTS ET TRAVAUX PUBLICS EN REPUBLIQUE DEMOCRATIQUE DU CONGO
Authors: LUTUMBA Delphin LUTUMBA , BUASHI Ir Maurice TSHISHIMBI , MPOSHI YEFILE , MUSEU NTUNDA Gaston 
Published: January 2023

Cet article se propose d’examiner les niveaux de connaissance des mots et termes techniques en langue TSHILUBA KASAI ORIENTAL par les étudiants de l’architecture, de bâtiments et des Travaux Publics et par les personnes intellectuellement indiscriminés du milieu.
En effet cette connaissance en sa langue propre, surtout maternelle, facilitera sans doute l’usage correcte de chaque mot ou terme lors de la construction ou de réalisation des diverses œuvres d’arts.
Role of Natives in Diaspora and Africa Development. A Critical Literature Review
Authors: Kinyua Jane Njeri 
Published: January 2023

Purpose: Diaspora matters have consistently attracted attention of many global actors. Today, many international organizations, as well as continental, regional and national entities, engage with their diaspora across the globe. The overall objective of this study was to examine role of natives in diaspora and Africa development. A critical literature review
Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps.
Findings: This study concluded that relevant Governments are crucial and instrumental in promoting meaningful contributions by the diaspora towards economic development of homeland. Therefore, the government was required to increase her involvement through various ways to encourage the participation of stakeholders as well as building an enabling environment for diaspora abroad to increase their contributions towards the economic development. It was incumbent upon the government to create a strict investor environment and level playing ground regulations as well as the rule of law for the diaspora abroad aimed at promoting their participation in the economic development of the country.
Unique Contribution to Theory, Policy and Practice: This study recommended that there was a need to establish diaspora database to include diaspora geographic distribution, mapping out of diaspora economic activities, investment flows, diaspora skills, and competencies. The database should also include annual economic trends especially regarding African diaspora contributions towards Africa economic development. The information from the database would inform definite plans for adequate engagement with diaspora as well as harness their contributions. There was need to deploy and embrace new technologies, particularly, digital technologies that facilitate increased social networks, connectivity, and timely information sharing. The new technologies would create a platform where all stakeholders in diaspora matters would interact more freely as they share their experiences and thoughts.