bluuebunny/crossref_metadata_2025 huggingface dataset:
Medical Research Oversight and Conduct During COVID-19 Pandemic: A Case Study of the Kenya Medical Research Institute
Authors: Kiplagat Timothy , Cheruiyot Daisy , Kebenei Enock Kipchirchir , Msee Gideon Cornel , Nguya James , Bukusi Elizabeth
Published: September 2023

The containment measures introduced by the government of Kenya to minimise the spread and impact of SARS-CoV-2 inadvertently disrupted both the conduct of research and research oversight. At the Kenya Medical Research Institute (KEMRI) Scientific and Ethics Review Unit (SERU), submission of paper-based research protocols for review and in-person committee meetings were disrupted. In response, the KEMRI SERU changed operations from in-person to virtual meetings and from paper-based to e-mail submission of research protocols. This paper examines the continuity of research conduct and oversight during the COVID-19 pandemic. This was a cross-sectional study that utilised a qualitative approach. We successfully conducted 50 in-depth interviews with the following: KEMRI SERU committee members (18), KEMRI SERU-based research administrators (8), principal investigators affiliated with KEMRI (18) and principal investigators from other research institutes who utilise KEMRI SERU for review (NON-KEMRI affiliated PIs) (6). The participants were purposively sampled. Data was analysed thematically using Dedoose, with selected quotations chosen to illustrate key themes and sub-themes presented in text form. The study found that the adoption of e-mail submission of research protocols and virtual meetings ensured continuity of research conduct and oversight during the COVID-19 pandemic. The virtual meetings increased members’ attendance at the KEMRI SERU committee meetings, reduced travel and saved time and other costs related to in-person meetings. The email submission eliminated the need for physical storage of paper documents, enhanced flexibility, and saved resources like printing and handling bulky paper documents. The challenges included unstable internet connectivity and unfamiliarity with online platforms during virtual meetings. Despite some challenges, the transition to email submission and virtual meetings enabled research conduct and oversight continuity
Smooth Homotopy 4-Sphere
Authors: Kawauchi Akio
Published: September 2023

It is shown that every homotopy 4-disk with boundary 3-sphere is diffeomorphic to the 4-disk, so that every smooth homotopy 4-sphere is diffeomorphic to the 4-sphere. As a consequence, it is also shown that any (smoothly) embedded 3-sphere in the 4-sphere splits the 4-sphere into two components of 4-manifolds which are both diffeomorphic to the 4-ball. The argument used for the proof also shows that any two homotopic diffeomorphisms of the stable 4-sphere are smoothly isotopic if one diffeomorphism allows a local diffeomorphism change, so that they are smoothly concordant and piecewise-linearly isotopic.
Early Diagnosis of Typhoid Fever: Uses of Clinical Profile, Blood Culture and IGM Antibody: A Prospective Study from a Tertiary Care Centre in Western Uttar Pradesh
Authors: Ahuja Anjali  , Goel Yogesh  , Kohli Bhawna  , Navaney Hiru
Published: September 2023

Objective:• To study clinical profile of typhoid in children.• To study Comparison of clinical profile and its correlation with blood culture and IgM antibody detection testfor early diagnosis of fever.• To study blood culture and widal at tertiary care centre in western UP.Methods: The study was carried out in Department of Pediatrics, Saraswathi Institute of Medical Sciences, Hapur,UP. All the children presenting with fever, aged from 6 months to 18 years, visited in the pediatric OPD(outpatientdepartment) and IPD(in patient department) of Saraswathi Institute of Medical Sciences from November 2020 toOctober 2022 were included in the study.Results: IgM antibody test was found positive in total 167 cases and negative in 63 cases. Also, blood culture wasreported positive in 157 cases and negative in 73 cases. Out of total positive IgM antibody, 138 showed positivefor blood culture and 29 were reported negative in blood culture. Out of total negative IgM antibody, 19 showedpositive for blood culture and 44 were reported negative in blood culture.Conclusion: Present study shows that typhoid IgM procedure is more sensitive than the established Widalagglutination assay and results can be obtained within 15 minutes while widal agglutination test can be doneafter 1 week. Typhi IgM test can be done after 72 hours of illness as IgM antibody becomes positive after 3 days ofinfection with Salmonella typhi. It is cost effective and can be done bed side.
Study of Eye Problems among Long Term Computer users in Ahmedabad City
Authors: Patel Jaiminkumar Pravinbhai  , Thekdi Komal Pukur  , Pandor Jyotsna
Published: September 2023

Background: India being the forerunner in the cyber world the occupational health problem is slowly awakeningto this group of modern occupational diseases, which are slowly taking its roots among the information technology(IT) professionals. Studies have also shown that computer users are at greater risk of developing eye problems andvisual fatigue.Methodology: Cross sectional study was carried out over a period of one year time among 800 participants tostudy the eye problems among computer users.Results: Out of 800 participants; 70.25% participants had any computer related eye problem. If participants workmore than four hours in a single spell prevalence of eye problems was 84.49%. Prevalence of visual problem wasmaximum (76.67%) who use computer for seven to nine hours per day.Conclusion: It is observed that occurrence of visual problems are related more to number of hours spent gazing atthe screen than number of years of work.
Clinical Based Feedback
Authors: R.Shreen  , S.N. Rathod
Published: September 2023

According to the Merriam-Webster dictionary, feedback is the transmission of evaluative or corrective information about an action, event, or process to the original or controlling source, or the return to a portion of a machine, system, or process’s output. Feedback is an essential component of the learning and development process for students. Among the most important forms of teacher-learner interaction is feedback. Medical educators have identified feedback as one of the primary catalysts needed to improve performance. Feedback on effectiveness should be provided immediately after students have observed performance behavior. Feedback is at the heart of medical education in the promotion of learning and the achievement of objectives. This paper investigates the significance of feedback in the learning experience, as well as feedback obstacles andpractical feedback guidelines.
Factors Influencing Institutional Delivery and Its Associates among Antenatal Women in Surat city: A Cross Sectional Study
Authors: Geeta Patel  , Harshad Patel  , Anjali Modi  , Abhishek Mukherjee  , J. K. Kosambiya
Published: September 2023

Background: India has focused to incentivize institutional delivery. Skilled care is key for reducing maternaland neonatal mortality. We examined the determinants influencing institutional delivery, its associates amongantenatal women and birth preparedness among 310 pregnant women attending an urban health centre.Methods: A facility based cross-sectional study conducted among 310 antenatal women at Urban Health TrainingCentre attached to Government Medical College, Surat, Gujarat. Predesigned, semi- structured, pretestedquestionnaire was used for data collection after informed written consent.Results: This study was conducted among 310 pregnant women attending an urban health centre. Mean age ofparticipants was 22.9+3.6 years. Highest educational level for most of participants (38.4%) was higher secondary.Around three-fourth 238 (76.7%) of participants were satisfied with institutional delivery whereas one-tenth(9.7%) participants were not ready for institutional delivery out of 72 (23.2%) unsatisfied participants. Majority196 (63.2%) participants were aware about Janani Suraksha Yojana. Time required to reach health facility wassignificantly associated with birth preparedness.Conclusion: Study results shows that 23.2% participants were unsatisfied with institutional delivery and some9.7% were opting for home delivery. Institutional delivery can be increased by promoting awareness aboutgovernment schemes and fulfilling the need of participants.
Prevalence of Risk Factors for NCDs and its Associated Factors in Rural Field Practice Area of RDJMMCH, Turki, Muzaffarpur
Authors: Madhu Rendra Kumar  , Tulika Singh  , Pawan Kumar Jha  , Arun Kumar
Published: September 2023

Introduction: Non-communicable diseases (NCDs) are diseases that are not transmissible directly from one personto another. NCDs mainly consists of cardio vascular diseases, diabetes, stroke etc.It accounts for 68% of globaldeaths. The prevalence rates in India is 1.6% to 7.4% and 1% to 13.2% in rural and urban population respectively.Objective: To determine the prevalence and associated risk factors for NCDs in rural field practice areas ofRDJMMCH, Turki, Muzaffarpur.Methods: A cross-sectional study done among people above 30 years of age residing in study area from March toApril, 2023. Data was collected using CBRA (community based risk assessment) checklist for NCDs. Sample sizeof 157 was calculated assuming the prevalence of risk factor for NCDs being 30% with 95% confidence interval andabsolute precision of 7.5%. Systematic random and simple random sampling was applied.Results: Mean age of participants was 47.9 years. Majority of them were females (56%) belonging to Hindu religion(98%). 41% were illiterate and major occupation practiced was farming (74%). Prevalence of risk factor for NCDswas 17.2%. On performing Chi-Square test smoking, alcohol, physical inactivity and family history of NCD’s werefound to be significantly associated.Conclusion: As prevalence of risk factor for NCDs is 17.2%. Thus, it is the need of hour to have timely updateabout the disease and motivate them for healthy lifestyle
A Link between Anxiety and Sattvik Food as a Potential Pathway
Authors: Mansi  , Parul Sharma  , Khyati Jain
Published: September 2023

One of the main causes that has put a person’s social and physical health under stress but also significantlyimpacted their mental health is epidemic. The most prevalent and well observed mental condition is anxiety. It cancause a paradigm shift in the eating habits of an individual. The 5000-year-old Indian medical system Ayurveda,which educates about hostile care for the mind, body, and spirit relates major psychological stress like anxiety withimproper diet. Following a sattvik diet helps a person lead a stress-free life and reduces a person’s risk of illnessto mental disorders like depression, anxiety, mood disorders, and hyperacidity; Sattvik diet/ aahar is consideredas one of the safe, organic and energetic food. People who eat a diet high in whole food such as fruits, nuts, wholegrains, legumes and unsaturated fats are up to 35% less likely to develop depression than those who eat less ofthese. A healthy digestion of meal with proper engagement of gastric juices, its digestion and absorption aredirectly related to hormonal balance and production of serotonin level.
Enforcement of Section 5 of COTPA in a District in South India: Hits and Misses
Authors: Naresh Kumar S J  , Prasanna Kamath B T  , Ananta Bhattacharyya  , Waseem Anjum
Published: September 2023

The Cigarettes and Other Tobacco Products Act (COTPA) has been enacted in the year 2003 and came into force inthe following year. Section 5 of COTPA prohibits advertisement of cigarette and other tobacco products. Despitebeing in force for more than 15 years COTPA has not been enforced to its fullest extent.Objectives: The study’s goal was to assess the current level of compliance to Section 5 of COTPA in Kolar.Methodology: A sample size of 423 Points of Sale (PoS) shops was calculated based on 95% confidence level, byusing Open Epi software 3.01, a 50% anticipated compliance rate and a 5% error margin with a design effect of 1.1.Data analysis was done using SPSS Version22.Results: Among the 423 PoS surveyed very few were found displaying advertisements in the form of boards (6Nos,1.4%), Posters (6 Nos,1.4%), banners (2 Nos,0.5%), or stickers (2 Nos,0.5%). In fact, no shop was found to havedisplayed any dangle, LCD, product show case, illuminated boards, black lit or offering promotional gifts andinserts.Conclusion: The study revealed a fair amount of compliance to Section 5 of COTPA in Kolar. In fact the very absenceof any shop displaying dangles, LCDs, illuminated or black lit advertisement boards or offering promotional giftsand inserts were encouraging findings.
Obstacles and Challenges in Gaining Access to Family Planning Services in Covid Era: A Cross-Sectional Descriptive Study
Authors: R. K. Vidhyalakshmi  , M. Anuradha  , Saswati Tripathy  , Dhruva Nandi  , Satyajit Mohapatra
Published: September 2023

Introduction: Although WHO recommended continuing sexual and reproductive health services duringCOVID-19 pandemic, the services were either stopped completely or limited. Hence our study aims to determinethe challenges in the accessibility to family planning services as well as the impact on contraception and safeabortion services during COVID-19 era.Methods: This is a cross-sectional descriptive study conducted in the department of Obstetrics & Gynaecology,SRM hospital, Chennai from September 2021 to November 2021. Random sampling method was used to enrollparticipants after considering the inclusion and exclusion criteria.Results: Almost half of the study population (49.24%) faced difficulty in following any form of contraceptivemeasure amid pandemic. Non-availability of contraceptive supply (14.72%) was the major hurdle during thepandemic. Among the respondents who had terminated the pregnancy, the majority had done by general medicalpractitioner (66.67%) while only thirty-three percent terminated under specialist care. While comparing thecomplications during pregnancy termination, general medical practitioner approach led to more complicationsthan specialist care.Conclusion: Non-availability of contraceptive supplies, FP services amid COVID-19 pandemic has exerteddetrimental impact on the women reproductive health. Continuing FP and safe abortion services are essentialduring pandemic to sustain the success of high-quality reproductive services.
Role of Montelukast on Vitamin D Levels in Asthma and Seasonal Allergic Rhinitis in Eastern India
Authors: Rahul K Jaiswal  , Niranjan Kumar  , Manuprita Sharma Agrawal  , Arvind Kumar Swrankar  , Rahul Nayak  , Apala Lahiri  , Pradip Kumar Agrawal  , Vineet Kumar Khemka
Published: September 2023

Background: Allergic rhinitis and asthma are both chronic heterogeneous disorders, with an overlappingepidemiology of prevalence, health care and social costs in quality of life. Both are inflammatory disorders with asimilar pathophysiology and vitamin D has a significant role in the pathogenesis of the disease.Aims and Objective: The objective of this study was to evaluate the role of serum vitamin D in patients withsymptomatic allergic rhinitis and active asthma during the allergy season and observe the effect of montelukast10 mg daily as treatment.Materials and methods: This study included 130 asthmatic and seasonal allergic rhinitis patients following asingle-blind, placebo run-in period of 3 days–5 days, patients were randomized to oral montelukast 10 mg (n = 68)or placebo (n = 62) daily during the 2-week, double-blind, active-treatment period. The serum vitamin D was alsoevaluated in both the groups.Results: The serum vitamin D levels were found to be higher in patients taking monteleukast compared to placeboafter 2 weeks (p< 0.001). Montelukast reduced the Total Nasal symptoms score which includes Daytime nasalsymptoms and Nighttime symptoms compared to placebo after 2 weeks (p < 0.001). Conclusion: Montelukastprovides significant relief from symptoms of seasonal allergic rhinitis, while also conferring a benefit for asthma,in patients with both allergic rhinitis and asthma. Further, it has a beneficial role in improving vitamin D levels.
Assessment of Exposure to Factors Favoring Covid 19 Transmission among Medical Students in South Kerala during the First Wave of the Pandemic
Authors: Remya G  , Jeena Ramesh  , O Sasikumari  , Habeeb Naseem  , Shihas P M
Published: September 2023

Transmission of SARS -Cov occurs primarily primarily between people through direct, indirect, or close contactwith infected people through infected secretions such as saliva and respiratory secretions. To prevent transmissionthere are several measures implanted by health authorities all over the world like social distancing, use of facemasks, hand washing or use of sanitizer, contact tracing and quarantine, isolation, etc. This study was intendedto determine medical students’ exposure (while at home due to lockdown) to environmental factors favoring thetransmission of Covid 19. After getting institutional ethical clearance a cross-sectional study was done among82 medical students. The mode of data collection was through google forms. The students were asked to report thefactors (already practicing) that favor covid 19 transmission to which they were exposed during the last 2 weeks.All the study subjects were tested for Covid 19 during the next 2-week period. Data were analyzed descriptivelyto find out the number and percentage. The median age of the sample was 22 years ( Q1 21, Q3 23). Comorbiditiesthat could favor covid 19 transmission were present in 12.2% of students. The percentage of students who visitedcrowded places in the last 2 weeks which could increase the risk of transmission ranged from 6 % to 29%. Socialdistancing was practiced by 51%, Wearing a mask was practiced by 62%, and using soap/sanitizer by 73% ofmedical students. Out of the total 82 medical students 4 tested positive for Covid 19. The study concluded thatexposure to risk factors of covid 19 transmission was optimum among medical students during the pandemicphase.
Study of Coagulation Profile in Iron Deficiency Anaemia in Antenatal Patients and Effect of Oral Iron Therapy
Authors: Shital Sameer Dharrao  , Sameer Balasaheb Dharrao
Published: September 2023

Background: Iron deficiency anaemia (IDA) is a quite common factor during pregnancy in under developedcountries. It impairs the coagulation factors of the blood and leads to frequency of pre-term labour and low birthweight infantsMethod: 150 pregnant women having Hb% (gm/dl) less than 10% were compared with 100 normal (controlled)groups. The haematological and coagulation profile in both patients were studied and compared.Results: The haematological parameters Hb%, TLC, DLC, MCV,(fl)MCH (pg) MCHC had significant p value(p<0.001) in both groups comparison. In the study of coagulation profile of both groups comparison except BT(bleeding time) all values were highly significant.Conclusion: The present study will be a tool for physician, gynaecologist to treat such patient efficiently to presentmorbidity and mortality of mother and infant as well.
Comparison of glycosyl donors: a supramer approach
Authors: Orlova Anna V , Malysheva Nelly N , Panova Maria V , Podvalnyy Nikita M , Medvedev Michael G , Kononov Leonid O
Published: September 2023

Development of new methods of chemical glycosylation commonly includes comparison of various glycosyl donors. An attempted comparison of chemical properties of two sialic acid based thioglycoside glycosyl donors, differing only in substituent at O-9 (trifluoroacetyl vs. chloroacetyl), at different concentrations (0.05 and 0.15 mol·L–1) lead to mutually excluding conclusions concerning their relative reactivity and selectivity, which prevented us from revealing a possible influence of remote protective groups at O-9 on glycosylation outcome. According to the results of the supramer analysis of the reaction solutions, this issue might be related to formation of supramers of glycosyl donors differing in structure hence chemical properties. These results seem to imply that comparison of chemical properties of different glycosyl donors may not be as simple and straightforward as it is usually considered.
Performance tests of paint coatings used for masking armaments and military equipment
Authors:   Kielce University of Technology, Radek Norbert
Published: September 2023

The paper presents an analysis of the operational properties of paint coatings foruse in military technology in the field of masking. The assessment of the propertieswas performed on the basis of measurements of the surface geometric structureand adhesion using the peel method. The measurements of specular gloss, colourin the range of 400-700 nm and reflectance in the range of 350-1200 nm weremade in relation to the requirements of the Polish Defence Standard NO-80-A200.Coating systems are characterised by their low roughness and good adhesion. Dueto their operational properties, the developed coating systems can be used onarmaments and military equipment.
Religion and Politics in the Context of National Development
Authors: Dada Oluwapelumi Mary
Published: September 2023

The quest of every nation in the world upon attaining the status of a state is to attain sustainable national development aimed at improving the socio-economic well-being of its citizenry. National development is a multi-faceted transformation of every sector of a nation vis-a-vis economy, politics, religion, science and technology, and medicine among others. This will improve citizens’ standard of living, reduce the mortality rate and improve the life expectancy rate. This national development goal can only become a reality through the interplay between the various systems that make up a nation. One of the major systems within a nation that can determine its development is religion and politics. Religion and politics are inseparable in a religiously pluralistic society like Nigeria. Religious influence on politics is very glaring. Religious politics can be a catalyst for national development if its positive side can be explored. The aim of this paper is therefore to highlight the role that religious politics can play in national development. Descriptive and analytical research method has been adopted based on library and internet materials within the theoretical framework of Aristotle’s political theory of constitution which underscores the fact that everything government does must be for the good of the populace. This correlates with the religious ethical value of doing good to all. The paper finds out that religion and politics are inseparable and if positively explored can help in national development. It is recommended that religious ethical values should be the guiding principles in our political landscape which is essential for national development.
Descifrando al Consumidor: Herramientas, Estrategias y Habilidades para Satisfacer las Necesidades del Consumidor de Guayaquil
Authors: Murillo Valverde Roberto , Castro Tacuri Jessica , Arreaga Torres Narcisa , Vallejo Zurita Walter , Gaibor García Irma Inés
Published: September 2023

En un mercado altamente competitivo y en constante evolución, las empresas enfrentan una problemática crucial: la dificultad de comprender y satisfacer las necesidades del consumidor”. Esta falta de comprensión adecuada puede tener consecuencias negativas para las empresas, puesto que se arriesgan a ofrecer productos y servicios que no cumplen con las expectativas y demandas de los consumidores. El objetivo del presente articulo científico es el de destacar la importancia de comprender al cliente y desarrollar habilidades sólidas en la satisfacción de sus necesidades Mediante la aplicación de una encuesta exhaustiva a una muestra representativa de consumidores del cantón Guayaquil. Los resultados del análisis revelan que la calidad y el precio son los factores más significativos al elegir un producto o servicio, mientras que las redes sociales y las recomendaciones personales desempeñan un papel crucial como fuentes de información previa a la compra. Aunque el comercio electrónico está en crecimiento, la mayoría de los consumidores aún prefiere las tiendas físicas para realizar sus compras. La atención al cliente también juega un papel clave, con un énfasis en la amabilidad, el trato personalizado, la rapidez en la respuesta y la solución efectiva de problemas. Además, se identificó que el boca a boca sigue siendo una estrategia de marketing poderosa, con consumidores dispuestos a recomendar productos o servicios en diferentes grados.
Konsep Sayyidah Maryam untuk Inovasi Desain Arsitektur Ruang Persalinan
Authors: Munafiah Durrotun , Afriani Anita Indra , Gurnita Fauziah Winda
Published: September 2023

Setiap wanita menginginkan  pengalaman hamil dan bersalin yang menyenangkan, sehat, nyaman. Dari penelitian ditemukan bahwa lingkungan merupakan faktor yang paling besar dalam proses penyembuhan di dalam fasilitas medis yaitu sebesar 40%. Bukti menunjukkan bahwa dua dari faktor yang berkontribusi mungkin dikarenakan budaya rumah sakit dan lingkungan fisik  di rumah sakit dimana tempat wanita tersebut bersalin. Pengembangan desain kamar persalinan yang memperhatikan kesejahteraan ibu dan janin dengan konsep Sayyidah Maryam. Penelitian Pengembangan (Design Research), model pengembangan, prosedur pengembangan, dan uji desain untuk mengasilkan karya arsitektur pengembangan desain kamar bersalin dengan konsep Sayyidah Maryam. Ruangan didesain penuh ketenangan, rangkaian kaligrafi firman Alloh Subhanahu Wata’ala, musik murotal memiliki irama yang indah dan juga secara psikologis dapat memotivasi dan memberikan dorongan semangat dalam menghadapi persalinan.Pendekatan metode snoezelen meliputi ruangan yang segar, harum, lampu-lampu yang unik dan terang meningkatkan kenyamanan dan relaksasi serta meditasi terapi warna dapat memberikan ketenangan pikiran dan kedamaian jiwa
Technological trends in wheeled armoured vehicle from patent analysis
Authors: Kwon Jina , Kim Gakgyu , Cho Yongju , Won Kyoungchan
Published: September 2023

This study analyzed the domestic and foreign patent applications and technology trends of wheeled armored vehicles. Patents for wheeled armored vehicles have been steadily filed since 2009. As the technology development of armoured vehicles has achieved maturity, this technology has entered stabilization period. The scope of patent technology search is to select patent documents from the five major patent application countries that have applied for a large number of patents globally in both quantity and quality, and the search focused on patents published and registered between 1990 and August 2019 using the WIPS ON program. In particular, the main technologies of wheeled armored vehicles, such as protection, mobility, firepower, and body technology, were analyzed. Technological trend data from patents can be used to create requirements for weapons systems. If technology trends are not sufficiently reflected when raising requirements for a weapon system, problems such as obsolete technology development and lack of operational effectiveness may occur, if an excessive required operational capability (ROC) is set without considering the technology, there is a risk that the target performance may not be reached, costs may be incurred and additional time may be needed. So, for the development of weapon systems, it is necessary to analyze the trends of major technologies and find promising technologies in the long term and of wheeled armored vehicles and the latest development trends of major countries are investigated, as well as the technical information necessary for the establishment of the maneuvering system, which is the cornerstone of Army TIGER 4.0.
Hastane Öncesi Acil Sağlık Hizmetlerinde Tıbbi Sosyal Hizmet: Türkiye’ye Yönelik Bir Model Önerisi
Authors: ULUCAN ÖZKAN Elvan , DAŞBAŞ Serap
Published: September 2023

Hastane öncesi acil sağlık hizmetleri sağlık hizmetlerinin temel yapı taşlarından birini oluşturur. Yaşamı tehdit eden hastalık, kaza veya yaralanmaya maruz kalan insanlar için çoğunlukla ilk temas noktasıdır. Hastane öncesi acil sağlık hizmetlerinden yararlananların sağlık hizmetine olan ihtiyacı, sadece fiziksel olarak tıbbi boyutta değil, bununla birlikte acil ve krizin doğası gereği sağlığın psikolojik ve sosyal boyutunu da içermektedir. Aşırı iş yükü olan ve sürekli travmatik olaylara maruz kalan sağlık çalışanları ambulansla olay yerine gittiklerinde hızlı bir şekilde tıbbi müdahaleye odaklanırlar ve ortaya çıkan psikososyal ihtiyaçlar göz ardı edilir. Bu durumda hem hastaların hem de ailelerinin acil psikososyal sorunları ve takibi için sosyal hizmet uzmanlarının becerilerine ihtiyaç vardır. Bu çalışmada hastane öncesi acil sağlık hizmetlerinin yapısı düşünüldüğünde, sağlığın göz ardı edilen psikososyal boyutuna vurgu yapılarak sağlığa yönelik bütüncül bir yaklaşım hedeflenmektedir. Bu kapsamda, hastane öncesi acil sağlık hizmetleri, tıbbi sosyal hizmet, hastane öncesi acil sağlık hizmetlerinde tıbbi sosyal hizmetin önemi ve aralarındaki ilişki ele alınarak daha kaliteli ve etkin bir sağlık hizmeti sunumu için hastane öncesi acil sağlık hizmetlerinde tıbbi sosyal hizmet birimi modeli önerilmektedir. Bu model önerisinin hem bütüncül bir yaklaşımla erken psikososyal müdahale ile tedavi planlarına yardımcı olabileceği hem de psikososyal nedenlerle yapılan aramalara çözüm üreterek sisteme olan bağımlılığı azaltabileceği düşünülmektedir.
Erken ve Geç Dönem Postmenopozal Kadınlarda Fiziksel Aktivite, Yaşam Kalitesi, Depresyon, Anksiyete, Yorgunluk ve Uyku Kalitesinin Karşılaştırılması
Authors: YILMAZ Rüveyda Özge , BOZTAŞ ELVERİŞLİ Gizem , ATILGAN Esra
Published: September 2023

Çalışmanın hedefi, erken ve geç postmenopozal dönemde olan kadınların yaşam kalitesi, fiziksel aktivite, depresyon, anksiyete, yorgunluk ve uyku kalitelerini karşılaştırmaktı. Çalışmada ilişkisel tarama modeli kullanıldı. Araştırma verileri, postmenopozal dönemde olan ve çalışmaya katılmayı gönüllü olarak kabul eden 60 kadından elde edildi. Menopoz sonrası 1-4 yıl içinde olan kadınlar erken postmenopozal dönem grubuna, 5-8 yıl içinde olanlar kadınlar geç postmenopozal dönem grubuna dahil edildi. Veriler kişisel bilgi formu, Uluslararası Fiziksel Aktivite Anketi-Uzun form (UFAA-UF), KF-36 (KF-36) Yaşam Kalitesi Anketi, Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Yorgunluk Şiddet Ölçeği (YŞÖ), Pittsburgh Uyku Kalite İndeksi (PUKİ) ile toplandı. Verilerin analizi betimsel istatistikler, Spearman korelasyon ve çoklu regresyon analiziyle yapıldı. Çalışmada erken postmenopozal dönemde bulunan kadınların fiziksel aktivite seviyelerinin, postmenozal geç dönemdeki kadınlardan yüksek olduğu belirlendi. Fiziksel aktivite seviyesi ile postmenopozal süre arasında negatif, anlamlı ve zayıf düzeyde bir ilişki olduğu görüldü. Yaşam kalitesi ölçeği alt parametresi olan emosyonel rol güçlüğüyle ve katılımcıların fiziksel aktivite düzeyleri arasında zayıf düzeyde, pozitif ilişki bulundu. Menopoz sonrasında geçen süre uzadıkça fiziksel aktivite düzeyinde azalma olduğu bulundu. Postmenopozal kadınlarda fiziksel aktivitenin azalmasının yaşam kalitesini olumsuz etkilediği görüldü.
Cerrahi Hemşirelerinin Hasta Mahremiyetini Koruma ve Sürdürme Durumlarının Belirlenmesi
Authors: KARAVELİ ÇAKIR Selda , DEMİRARSLAN Esra
Published: September 2023

Tanımlayıcı kesitsel tipteki bu çalışma, cerrahi servislerde çalışan hemşirelerin hasta mahremiyetini koruma ve sürdürme durumlarının belirlenmesi amacıyla 13 Eylül-18 Ekim 2022 tarihleri arasında yürütülmüştür. Çalışmanın örneklemini araştırmaya katılmayı gönüllü olarak kabul eden 166 cerrahi hemşiresi oluşturmuştur. Araştırmanın verileri Kişisel Bilgi Formu ve Hasta Mahremiyet Ölçeği (HMÖ) kullanılarak yüz yüze görüşme tekniği ile toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, tek yönlü varyans analizi (Anova), kikare ve Spearman korelasyon analizi kullanılmıştır. Çalışmada hemşirelerin %62,7’sinin mahremiyet ile ilgili hizmet içi eğitim aldıkları, hasta hakları yönetmeliğini mahremiyet ile ilgili bölümünü okudukları ve % 89,8’inin mahremiyeti hastanın sağlık-hastalık verileri ve hasta bedeni ile ilişkili olduğunu düşündükleri bulunmuştur. Çalışmada hemşirelerin mahremiyete verdikleri önem yüksek bulunmuştur (124,48 ±11,47). Ölçek alt boyutlarında en yüksek puan “özel hayat ve kişisel bilgilerin gizliliği” alt boyutundan, en düşük puan “bedensel mahremiyet” ve “uygun ortam oluşturma” alt boyutundan alınmıştır. Hemşirelerin yaş, eğitim, medeni durum, meslekte ve cerrahi birimde çalışma yılı ile HMÖ toplam puan ortalamaları arasında anlamlı fark olmadığı belirlenmiştir (p>0,05). Kadın hemşireler kendini koruyamayanların mahremiyeti alt boyutu ve cinsiyete ilişkin mahremiyet alt boyutundan erkeklere göre anlamlı derecede yüksek puan almışlardır (p>0,05). Araştırma kapsamına alınan cerrahi hemşirelerinin demografik özelliklerinden HMÖ ile korelasyonunda az sayıda değişken arasında pozitif yönde zayıf ve orta düzeyde ilişki olduğu saptanmıştır (p
Dijital Oyun Oynama Süresinin Günlük Yaşam Alışkanlıkları Üzerine Etkisi (Karma Yöntem Araştırması)
Authors: AVCI Pelin , SATILMIŞ Nuray , KILINÇARSLAN Gökmen , BAYRAKTAR Işık , BAYRAKDAR Akan
Published: September 2023

Bu araştırma üniversite öğrencilerinde dijital oyun süresinin beden kompozisyonu, günlük adım sayısı, beslenme ve uyku alışkanlıkları üzerine etkisinin incelenmesi amacıyla yapılmıştır. Araştırmada hem nitel verilerin hem de nicel verilerin birlikte kullanıldığı karma yöntemler araştırması modeli kullanılmıştır. Araştırmaya katılan bireylerin ortalamaları yaş 22,56 yıl, boy 1,73 m, vücut ağırlığı 65,61 kg, Beden Kütle İndeksi (BKI) 21,74 kg/m2 ve günlük adım sayıları 7233 olarak belirlenmiştir. Günlük dijital oyun süresi arttıkça BKI değerinde artış ve günlük adım sayısında azalış olduğu tablo 1’de görülmektedir. Günlük dijital oyun süresi ile BKI arasında pozitif yönlü ilişki (p
Turkish Validity and Reliability Study of Breast Cancer Self-Efficacy Survivor Scale
Authors: USLU Yasemin , ER Seda , SUBAŞI SEZGİN Derya , URAS Cihan
Published: September 2023

The purpose of this research was to define the Turkish validity and reliability of the Breast Cancer Self-Efficacy Survivor Scale. The study was methodological design and was carried out in the breast clinic of a university hospital between January-May 2023 in Istanbul. The study included 217 women who were survivor after breast cancer. The scale contains one dimension, eleven items, and is scored on a five-point Likert scale. Translation-back-translation method was used for language equivalence, expert opinion received, and Exploratory and Confirmatory Factor Analysis were performed for construct validity. Cronbach's α was applied for internal consistency analysis, while Pearson correlation was used for item-total score correlation. The retest was conducted with 55 participants 3 weeks after the initial data collection. Intraclass Correlation Coefficient (ICC) was estimated for test-retest reliability. General Self-Efficacy Scale was used for the convergent validity of the scale. Content Validity Index and Cronbach α reliability coefficient of the scale adapted to Turkish as a result of expert opinions came out to be 0.969, and 0.852 respectively. The correlation coefficients of the scale items were calculated between 0.50 to 0.61. Factor analysis revealed that 11 items with eigenvalues greater than 1 were grouped under 2 factors. Confirmatory factor analysis validated this structure. The study concluded that the Breast Cancer Survivorship Self-Efficacy Scale is a valid and reliable measurement instrument in Turkish society.
Predictive Power of Leisure Boredom on Social Media Addiction in University Students
Authors: UGURLU Aylin
Published: September 2023

People have become active users of Internet and social media applications going into every aspect of life. The purpose of this study was to investigate social media addiction and perception of boredom in leisure with respect to some variables and to examine the predictive power of perception of boredom in leisure on social media addiction. There was a total of 453 (212 females and 241 males) university students selected with convenience sampling method in the study group of the research. The participants filled the “Social Media Addiction Scale-Adult Form” (SMAS-AF) and “The Leisure Boredom Scale” (LBS). According to t-test results, there was not a statistically significant difference between mean scores in “SMAS-AF” and “LBS” scales. (p>0.01). MANOVA indicated that the main effect of the physical activity participation on the subscales of the “SMAS-AF” and “LBS” was statistically significant (p< 0.05). According to the MANOVA results, significant differences were found in the "SMAS-AF" and “LBS” for daily social media usage frequency, (p< 0.01). According to the results of the correlation test, there was a statistically significant between “SMAS-AF” and “LBS”. Regression analysis indicated that leisure boredom were significant predictors of social media addiction.
Examination of the Leisure Time Satisfaction and Happiness Levels of Folk Dancers
Authors: KARADEMİR Mehmet Bilgin
Published: September 2023

The aim of this research conducted with folk dancers is to examine the leisure time, satisfaction and happiness levels of folk dancers. In this context, the universe sample group of the relevant research was 75 folk dancers in Alanya. The relevant data was collected from folk dancers through Google forms. In the study, short Oxford happiness and leisure time satisfaction scale was used as a data collection medium. SPSS 26.0 program was used in the analysis of the data obtained within the scope of the study. In the study, the normality of the data was examined by looking at the skewness and kurtosis values before the analysis. Since the skewness and kurtosis values of the data obtained from folk dancers are between -1.5 + 1.5 reference values, the normal distribution is accepted (Tabachnick and Fidell, 2013). Therefore, sample t test, one-way analysis of variance and Pearson correlation analysis independent of parametric tests were performed in the study.

As a result of this research, which was carried out to examine the leisure time and happiness levels of folk dancers, it was found that the leisure time satisfaction levels of male folk dancers were higher than female folk dancers, and as the education level decreased, happiness was affected accordingly.
Development of Hedonic Consumptıon Attıtude Scale in Sports; Validity and Relıability Study
Authors: TUTAR Ömer Faruk
Published: September 2023

The study aims to develop a measurement tool with proven validity and reliability to measure the hedonic consumption levels of shopping habits made by shopping enthusiasts interested in sports. The research, which has a methodological research type, was carried out with the participation of 1530 participants consisting of adult individuals over the age of 18 who are interested in sports to develop the hedonic consumption attitude scale in sports. 1224 participants were reached for exploratory factor analysis and 306 participants for confirmatory factor analysis. As a result of exploratory factor analysis, the KMO value of the scale was determined as .886, the total announced variance was 61.144 and the overall Cronbach's alpha value was .896. Explanatory factor analysis was performed using SPSS 24 and the item factor structure and scale items of the scale were determined. Afterward, the IBM AMOS program performed a confirmatory factor analysis of the appropriate scale items. The appropriateness of the scale's factor structure was determined by the goodness of fit indices of the scale. As a result of the analysis, a hedonic consumption attitude scale in sports consisting of 18 items and 3 sub-dimensions with proven validity and reliability was developed.
Photometric Update of δ Scuti Stars: ZZ Microscopium
Authors: Wadhwa Surjit S , De Horta Ain Y. , Tothill Nick F. H. , Filipović Miroslav D.
Published: September 2023

Multi-color CCD photometric update of the bright high amplitude δ Scuti star ZZ Microscopium (ZZ Mic) is presented. We find that the B band has the highest amplitude at 0.47 mag while the V band amplitude is smaller at 0.38 mag. The revised pulsation period 0.06717850 day is similar to most recent previous estimates. We did not detect secondary mode pulsations. We find the temperature of the star varies by 720 K during pulsations and its radius changes by 0.1 R
☉. We estimate the mass of ZZ Mic as 1.93 M
☉ and surface gravity g as 4.19.
Validity and Reliability of Dementia Knowledge Assessment Scale and Dementia Attitude Scale in the Indonesian Language among Nursing Students
Authors: Mulyani Sri , Saifullah Azam David , Dewi Cahyani Kadek , Sukmawati Anastasia Suci , Aisy Salsabilla Rohadatul
Published: September 2023

BACKGROUND: The population of persons with dementia (PwD) in Indonesia is increasing. As future nurses, it is important to evaluate the knowledge and attitudes of nursing students because they can affect the quality of health services for PwD. However, no instrument is available in the Indonesian language through a good, valid, and reliable translation process.
AIM: The aim is to report the translational process and determine the validity and reliability of the Indonesian dementia knowledge assessment scale (DKAS) and dementia attitude scale (DAS) questionnaires in nursing students.
METHODS: A quantitative cross-sectional study was conducted involving 486 nursing students from two universities in Yogyakarta, Indonesia. The Brislin method was used to translate DKAS and DAS, then continued with content (involved four experts using items-content validity index [I-CVI]), face, and construct validity tests, as well as reliability tests using Cronbach’s alpha.
RESULTS: The I-CVI results were 1.00 for DKAS and 0.98 for DAS, demonstrating a good construct validity index. In addition, the reliability testing had good results, whereas Cronbach’s alpha of the DKAS was 0.713, while DAS was 0.779.
CONCLUSION: DKAS and DAS in the Indonesian language are considered valid and reliable to measure nursing student’s knowledge and attitudes toward PwD.
Transition Shock of Newly Employed Nurses: A Cross-sectional Study
Authors: Gusar Ivana , Peroš Emila , Šare Sonja , Ljubičić Marija
Published: September 2023

BACKGROUND: The process of transitioning from the role of a student to the role of a professional in nursing is a very stressful and can cause job dissatisfaction and the intent to leave the profession.
AIM: This study aimed to examine the incidence of transition shock among newly employed nurses.
METHODS: A total of 43 newly employed nurses fill out the questionnaire Environmental Reality Shock-Related Issues and Concerns to assess transition experience, stress self-assessment, support, and job satisfaction. The Mann–Whitney and Kruskal–Wallis tests were applied to determine the difference in the level of transition shock according to the sociodemographic variables, stress-self-assessment, and job satisfaction and support.
RESULTS: A significant difference in the level of transition shock was recorded in the length of waiting for employment in the expectation (p = 0.020), and private life factor (p = 0.026), the intention to leave the profession in the relationship (p = 0.016), and expectation factor (p = 0.044). The level of transition shock was different with regard to dealing with stress (p = 0.047), job satisfaction (p = 0.027), and the level of support from colleagues (p = 0.012), and superiors (p = 0.026).
CONCLUSION: The lower job satisfaction, lower support, and weaker coping with stress of newly employed nurses increase the transition shock during the 1st  year. These results can be useful for managers of health institutions to plan specific activities aimed at reducing the level of transition shock, especially at this time of pronounced shortages of nurses worldwide.
Smartphone-Based Spiritual Support Applications to Overcome Anxiety in Emergency Unit Nurses during the COVID-19 Pandemic: Extended Rapid Application Development
Authors: Purnawan Iwan , Hidayat Arif Imam , Awaludin Sidik , Alivian Galih Noor , Sutrisna Eman , Kartiko Condro , Wirakhmi Ikit Netra
Published: September 2023

BACKGROUND: Spiritual assistance cannot be provided ideally to emergency room (ER) nurses facing anxiety during the COVID-19 pandemic. It is because of the clergy’s restrictions and the available time.
AIM: This study aimed to develop an independently usable smartphone-based spiritual support application.
METHODS: This study is an extensive rapid application development (ERAD). Four specialists in spirituality, music, psychology, and information  technology evaluated the Muzida Spiritual Support (MSS) prototype’s validity and reliability. Thirty-two ER nurses who handle COVID-19 patients were subjected to prototype acceptance tests.
RESULTS: The content validity test demonstrates a high level of accessibility for content accuracy (0.9), rhythm and tempo compatibility (0.8), and the relaxing impact that results (0.8). Intraclass correlation coefficients (ICC) values indicate that the MSS application is reliable (0.71). The mean ± standard deviation (SD) application interface score 7.84 ± 1.25, the voice clarity aspect 8.9 ± 1.28, the ease of use 7.56 ± 1.31, the effect on reducing anxiety 7.65 ± 1.21, the boost effect 8.0 ± 1.16, the happiness effect 8.03 ± 1.32, and the calming effect 8.1 ± 1.32. The mean ± SD acceptance score is 8.06 ± 0.44, indicating that the user can run MSS very well.
CONCLUSION: The prototype of the MSS application has adequate validity, reliability, and acceptability, so it is suitable for use as a therapy.
Grèce. La loi de 2021 : droits syndicaux sous pression et réactions syndicales
Authors: Karakioulafis Christina
Published: September 2023

Résumé Le gouvernement de droite actuel a fait adopter une loi en 2021 afin d’« européaniser » le mouvement syndical et de « protéger l’intérêt public ». Elle change radicalement les règles de reconnaissance légale des syndicats, de tenue des assemblées générales, les procédures de déclenchement des grèves et leurs conditions d’exercice pour les salariés des entreprises publiques ou d’utilité publique. Les syndicats la considèrent comme une nouvelle étape d’un processus continu d’affaiblissement des droits syndicaux et y voient une volonté de les réduire à l’impuissance.
Mieux comprendre la relation entre les intervenants et les jeunes adultes vivant avec un trouble concomitant de santé mentale et lié à l’usage de substances : une revue intégrative des écrits
Authors: Sergerie-Richard Sophie , Dupuis France , Cassivi Christine
Published: September 2023

Introduction : plusieurs écrits soulignent l’importance de la qualité de la relation entre de jeunes adultes présentant un trouble concomitant de santé mentale et lié aux substances, et leurs intervenants. Contexte : ce phénomène complexe a toutefois été étudié surtout dans une perspective individuelle, alors que plusieurs résultats soutiennent le caractère systémique de cette relation. Objectif : mieux comprendre, selon une perspective systémique, le phénomène de la relation entre ces jeunes adultes et leurs intervenants. Méthode : une revue intégrative, encadrée par une approche systémique, a été effectuée à partir de six bases de données, d’une recherche manuelle de la littérature grise et d’une vérification des références. Résultats : 532 écrits ont été recensés, et 44 d’entre eux ont servi pour l’analyse thématique qui a fait ressortir deux thèmes : l’environnement contraignant du système de santé et la relation au cœur des soins. Discussion : cette étude corrobore le rôle conjoint joué par le jeune et l’intervenant dans le développement et le maintien de leur relation, en reconnaissant l’importance des soins, de la confiance réciproque et de la relation hiérarchique. Conclusion : les résultats peuvent constituer l’assise pour le développement d’interventions infirmières mettant à l’avant-plan la relation selon une perspective systémique.