bluuebunny/crossref_metadata_2025 huggingface dataset:
Establishment of a Standard Micropropagation Protocol for the Production of Uniform Planting Material in Musa Laterita (Section: Rhodochlamys).
Authors: M.S. Saraswathi. , Mahendran J , Karthi Chinnadurai , Umabharathi Murugesan , Salini Arumugam Palanivelu , Durai Palani , Uma Subbaraya
Published: October 2021

Musa laterita is one of the dwarf statured, ornamental Musa species, which belongs to the section Rhodochlamys. It is immune to Sigatoka leaf spot and Fusarium wilt diseases and also exhibits tolerance to moisture deficit stress. Among the fungal diseases, fusarium wilt especially race TR4 is highly threatening the banana industry worldwide and hence the TR4 resistant gene should be identified on priority for use in banana improvement programmes. Though, it is a wild seeded type which can be easily propagated through seeds, the off springs are not genetically uniform making it unfit for any molecular analysis. In vitro micro propagation of ornamental banana including Musa laterita is limited due to poor multiplication rates compared to commercial cultivars. Therefore, the present study was undertaken to establish an in vitro protocol for plant regeneration from shoot tip explants. Efforts were made to enhance the multiplication efficiency using MS media fortified with BAP, TDZ, NAA, IAA and IBA in different combinations so as to obtain maximum numbers of plantlets in minimum duration. The plantlets produced would be used to study the molecular mechanism behind Fusarium wilt resistance (TR4), through transcriptome analysis.
A Multimodal Deep Learning-based Platform that Assists in the Classification of Lupus Subtypes and Differential Diagnosis Among Lupus and Other Similar Skin Diseases
Authors: Lu Qianjin , Li Qianwen , Yang Zhi , Chen Kaili , Zhao Ming , Long Hai , Deng Yueming , Hu Haoran , Jia Chen , Wu Meiyu , zhao Zhidan , Zhu Huan , Zhou Suqing , Zhao Mingming , Jiang Yiqun , Zhang Wei , Zhang Bo , HE Yanling , RAN Liwei , Zhang Chunlei , Wu Wenting , Suolang Quzong , Luo Hanhuan , Kang Xiaojing , Wu Caoying , Jin Hongzhong , Chen Lei , Guo Qing , Gui Guangji , Li Shanshan , Si Henan , Guo Shuping , Liu Hongye , Liu Xiguang , Ma Guozhang , Deng Danqi , Yuan Limei , Lu Jianyun , Zeng Jinrong , Jiang Xian , Lyu Xiaoyan , Chen Liuqing , Hu Bin , Tao Juan , Liu Yuhao , Wang Gang , Zhu Guannan , Yao Zhirong , Xu Qianyue , Yang Bin , Wang Yu , Ding Yan , Yang Xianxu , Hu Kai , Wu Haijing
Published: October 2021

Lupus erythematosus (LE) has the reputation of being the Great Imitator due to its various cutaneous manifestations, which often lead to difficulties in accurate diagnosis and classification. Even with the assistance of deep learning systems (DLSs), clinical skin image-based single modalities still experience difficulty distinguishing subtypes of LE. Here, we present an application of multimodal DLS (MMDLS), in which the training database consists of clinical skin images, multi-immunohistochemistry (multi-IHC) images and the 2019 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) scores, to assist in the classification of LE subtypes (discoid LE (DLE), annular subacute cutaneous LE (A-SCLE), papulosquamous subacute cutaneous LE (P-SCLE), systemic LE (SLE)) and to aid in the differential diagnosis of other similar skin diseases. A total of 386 cases with 580 clinical skin images, 3380 multi-IHC images and 2019 EULAR/ACR scores from 25 institutions in China were included, and EfficientNet-B3 and ResNet-18 were utilized in this study. By comparing the single-modal and dual-modal DLS performances in multiple classifications, we demonstrate the superiority of the MMDLS (Ave-Sen = 0.9116, Ave-Spe = 0.9921, Ave-Pre = 0.9281). Moreover, the performance of MMDLS on 13 classifications was superior to that of dermatologists and pathologists (F1 score: dermatologists = 0.4471, pathologists = 0.6691, MMDLS = 0.9582) with an average area under the curve (AUC) of 0.9956. These results highlight the potential of the combined application of MMDLS and multi-IHC images to assist pathologists and dermatologists in diagnosing LE subtypes and similar skin diseases.
Efficient tetracycline removal from aqueous solutions using ionic liquid modiﬁed magnetic activated carbon (IL@mAC)
Authors: Bazrafshan Edris , Zarei Amin Allah , Mohammadi Leili , Zafar Muhammad Nadeem , Foroughi Maryam , Aman Summan , Sabri Faezeh , Mahvi Amir Hossein , Barahuie Farahnaz , Zafar Muddassar
Published: October 2021

Tetracycline (TCy) belongs to PPCPs is such an widely used antibacterial drug, which is discharged from urban wastewater treatment plants or agricultural efଂuents. Due to low metabolism, poor absorption, overuse, and misuse, TCy is considered as threat to environmental and its removal from waste-water is vital. In this research, a novel ionic liquid modiଁed magnetic activated carbon nanocomposite (IL@mAC) was synthesized, characterized, and the adsorption efficiency of IL@mAC for removal of TCy was investigated under different operational parameters of pH (3-11); dose of IL@mAC (0.01-0.1 g/50 mL); reaction time (30-240 min), and initial TCy concentration (50-1500 mg/L). The IL@mAC characterization was done using XRD, VSM, SEM-EDX, BET, and FTIR. Results of equilibrium experiment showed that the highest removal efficiency (~98%) was obtained using 0.06 g of IL@mAC in 135 min at pH 7 and temperature 303 K. Considering the correlation coefficients (R2) for different adsorption models, it can be deduced that adsorption of TCy onto IL@mAC is better followed by Langmuir (0.9985) in comparison to Freundlich (0.9322), and Temkin (0.9654) models. Furthermore, Langmuir adsorption capacity was observed to be 895.0 mg/g. The regeneration study showed that IL@mAC retained around 85% TCy adsorption efficiency after 6th cycle. Finally, the present study indicates that the IL@mAC is of a high applicability and has extremely high adsorbent capacity to remove TCy from water compared to most of other benchmark adsorbents reported in literature.
Improving ALD-Al2O3 Surface Passivation of Si using Native SiOx
Authors: Getz Michael N. , Povoli Marco , Monakhov Eduard
Published: October 2021

Al2O3 has rapidly become the surface passivation material of choice for the n-type Si solar cells with p + emitter due to its high negative fixed charge, good long-term and thermal stability, and no parasitic absorption. In this study, the surface saturation current density, fixed charge, and interface state density is compared for Al2O3 grown on Si substrates where the native SiOx was not removed, with substrates where the SiOx was removed by hydrofluoric acid. The depositions are performed by atomic layer deposition at temperatures in the 150–300 ˚C range, using trimethylaluminium, H2O, and O3 as precursors. The samples where the native oxide was not removed achieve a higher level of surface passivation for every tested deposition temperature, with the sample deposited at 200 ˚C exhibiting a surface saturation current density of only 1.9 fA/cm2, a fixed charge of 4.2×1012 cm− 2, and a density of interface states of 9.8×109 cm− 2 ev− 1. Capacitance and conductance voltage characteristics reveal a strong correlation between the surface saturation current density and the density of interface states and fixed charges. It is also determined that the long-term stability of the surface passivation depends on the deposition temperature, with higher deposition temperatures resulting in improved long-term stability.
A Comparative Analysis of Determinants of Household Knowledge of Split and Grouped Mosquito Larval Source Management for Malaria Prevention and Control in Rural Malawi
Authors: Mfipa Dumisani , Kamndaya Mphatso , Lungu Kingsley
Published: October 2021

BackgroundLimited studies have compared determinants of household knowledge of split and grouped mosquito larval source management (LSM) methods. Thus, we compared determinants of household knowledge of split and grouped mosquito LSM methods for malaria control in Malawi. MethodsA cross-sectional study was conducted among 479 households in Nthache, Mwanza district, Malawi. Household knowledge of mosquito LSM methods; draining stagnant water, larviciding, clean environment and clearing grass/bushes were assessed by using a validated structured household questionnaire administered to an adult household member. Chi-square test was used to compare the distribution of household knowledge of each of the split and grouped mosquito LSM methods. Multivariable logistic regression was used to examine factors associated with household knowledge of each of the split and grouped mosquito LSM methods. ResultsHousehold knowledge of draining stagnant water was lower than high-level knowledge of grouped mosquito LSM methods (32.9% versus 83.5%, p=0.000). Household knowledge of clearing grass/bushes was lower than high-level knowledge of grouped mosquito LSM methods (8.2% versus 77.7%, p=0.000). Household knowledge of clean environment was lower than high-level knowledge of grouped mosquito LSM methods (21.8% versus 63.8%, p=0.000). No significant differences were observed between knowledge of larviciding and high-level knowledge of grouped mosquito LSM methods (4.1% versus 5.8%, p=0.421). Respondents without education had 57% less the odds of having knowledge of draining stagnant water than those with primary education (AOR=0.43, 95% CI 0.26-0.69). Those from iron-roofed households and the widowed had three and more than four times the odds of having knowledge of larviciding than those from grass-thatched households and the married (AOR=3.03, 95% CI 1.26-7.29 and AOR=4.73, 95% CI 1.34-16.73), respectively. ConclusionsExcept for larviciding, household knowledge of grouped mosquito LSM methods was significantly higher than split methods. Policy for integrated vector management should address determinants of split mosquito LSM methods to improve household knowledge.
Magnitude and factors associated with Availability of Adequately Iodized Salt at Households of Pregnant Mothers in Wonago district, south Ethiopia
Authors: Tesfaye Adane
Published: October 2021

Background

Salt iodization is the most cost-effective, safe and sustainable strategy to eliminate iodine deficiency disorders. It is especially damaging during pregnancy and in early child hood. Adding iodine to salt provides protection from brain damage due to iodine deficiency for whole populations. However, little was known about the availability of adequately iodized salt in South Ethiopia. The aim of this study was to assess prevalence and factors associated with availability of adequately iodized salt at the households of pregnant mothers in Wonago District, South Ethiopia, 2018.
Methods

Community-based cross-sectional study was conducted from May 14-29, 2018 in Wonago district. Using a stratified two stage random sampling technique, a total of 604 pregnant mothers were included in the study. The level of salt iodine content was determined using the rapid field test kit, considering a value of <15 parts per million (PPM) and ≥15 PPM with the corresponding color chart on the rapid test kit for classification. Multivariable logistic regression model was fitted to identify factors associated with the availability of adequately iodized salt. Adjusted Odds Ratio (AOR) with the corresponding 95% Confidence Interval (CI) was calculated to show the strength of association.
Result

Availability of adequately iodized salt at households of pregnant mothers was 19.9%. House hold head, husband education, average monthly household income and time of salt addition during cooking were independently associated with adequately iodized salt availability. Accordingly, participatory male headed households [AOR=2.1(95%CI 1.08, 3.96)], women with an average monthly household income of ≥ 817 ETB [AOR=7.3(95%CI 3.03, 17.70)] and those who added salt late or after cooking during food preparation [AOR=2.17(1.08, 4.38)] were more likely to utilize adequately iodized salt. Conversely, women whose husband had no formal education were less likely [AOR=0.33(95%CI 0.11, 0.88)] to utilize iodized salt.
Conclusion

Compared to the recommended standard, use of adequately iodized salt among pregnant women is very low. Paternal conditions and household income level are key predictors of use of adequately iodized salt.
Adapting despite “walls coming down”: Healthcare providers’ experiences of Covid-19 as an implosive adaptation
Authors: Cristancho Sayra , Field Emily , Taylor Taryn
Published: October 2021

Background

The Covid-19 pandemic has been a daunting exercise in adaptation for healthcare providers. While we are beginning to learn about the challenges faced by teams during the Covid-19 pandemic, what remains underexplored are the ways team members identified and adapted to these challenges. This is the goal of this study.
Methods

We interviewed 20 healthcare workers at various hospitals in Ontario, who provided care as part of clinical teams during the Covid-19 pandemic. Data was collected and analyzed following Constructivist Grounded Theory principles including iteration, constant comparison and theoretical sampling.
Results

Participants’ accounts of their experiences revealed the process of ‘implosive adaptation’. The ‘reality check’, the ‘scramble’, and the ‘pivot’ comprised this process. The reality check described the triggers, the scramble detailed the challenges they went through, and the pivot prescribed the shifting of mindset as they responded to challenges. These stages were iterative, rather than linear, with blurred boundaries.
Conclusion

That not all adaptations have to be successful during a crisis was the major insight gained by our participants. The language of Reality Check, Scramble, and Pivot provides a framework for teams to talk about and make sense of their approaches to crisis, even beyond the Covid-19 pandemic.
Detection of structural variations and fusion genes in breast cancer samples using third-generation sequencing
Authors: Hu Taobo , Li Jingjing , Long Mengping , Wu Jinbo , Zhang Zhen , Xie Fei , Zhao Jin , Yang Houpu , Song Qianqian , Lian Shen , Shi Jiandong , Guo Xueyu , Yuan Daoli , Lang Dandan , Yu Guoliang , Liang Baosheng , Zhou Xiao-Hua , Ishibashi Toyotaka , Fan Xiaodan , Yu Weichuan , Wang Depeng , Wang Yang , Peng I-Feng , Wang Shu
Published: October 2021

Structural variations (SVs) are common genetic alterations in the human genome that could cause different phenotypes and various diseases including cancer. However, the detection of structural variations using the second-generation sequencing was limited by its short read-length which in turn restrained our understanding of structural variations. In this study, we analyzed structural variations in 28 breast cancer-related genes through long-read genomic and transcriptomic sequencing of tumor, para-tumor and blood samples in 19 breast cancer patients. Our results showed that some somatic SVs were recurring among the selected genes, though the majority of them occurred in the non-exonic region. We found evidence supporting the existence of hotspot regions for SVs, which extended our previous understanding that they exist only for single nucleotide variations. In conclusion, we employed long-read genomic and transcriptomic sequencing in identifying SVs from breast cancer patients and proved that this approach holds great potential in clinical application.
Appraisal of the Success of the Instruments of International Commercial Arbitration vs. Litigation and Mediation in the Harmonization of the Rules of Transnational Commercial Dispute Settlement
Authors: Biresaw Samuel Maireg
Published: October 2021

In this study, an effort is made to comparatively assess the until now success of International Commercial Arbitration (hereinafter ICA), Litigation, and Mediation as proven mechanisms of transnational dispute settlement by comparatively analyzing the major instruments of International Commercial Arbitration vis-a-vis the instruments of International Commercial Litigation and Mediation. Accordingly, after detailed scrutiny of the relevant issues, the article argues that, although the ICA is not the only means of transnational commercial dispute resolution, by far, when compared to transnational litigation and mediation, ICA was and will continue to be the most successful (realistic) means of transnational commercial dispute resolution, which plays the dominant role of harmonizing the rules of transnational commercial dispute resolution. However, it is found out that, with time, the harmonization roles of the instruments of transnational commercial litigation and mediation are growing as a viable alternative to ICA.
Visit to Southwell and Kariega Baptist Church 20 May 2021
Authors: Surtees Yvonne
Published: October 2021

On Thursday 20 May, 43 members set off from the Port Alfred Civic Centre at 9 am sharp to visit the old school and St James church in Southwell, where Moira Stirk kindly addressed us. This was followed by a visit to the historic Baptist Church in Kariega, where we were addressed by Hubert Webber, whose family has long been connected with the area.
brief history of the Xhosa Chiefs and King represented on cairns on Toposcope Monument, Bathurst
Authors: Snodgrass Margaret
Published: October 2021

A brief history of the Xhosa Chiefs and King represented on cairns on Toposcope Monument, Bathurst
Trauma and slavery, Gilo and the soft, subtle shackles of Lovedale
Authors: Shell Sandra Rowoldt
Published: October 2021

A recent study of sixty-four Oromo slave children from the Horn of Africa has provided valuable information of the children’s experiences from capture to the coast. In 1888 a British warship liberated a consignment of Oromo child slaves in the Red Sea and took them to Aden. A year later, a further group of liberated Oromo slave children joined them at a Free Church of Scotland mission at Sheikh Othman, just north of Aden. Two of the missionaries learnt Afaan Oromo (the children’s language), and, with the assistance of three fluent Afaan Oromo speakers, they conducted structured interviews with each child asking for details of their experiences of their first passage i.e. the journey from cradle to the Red Sea coast. When a number of the children died within a short space of time, the missionaries had to find another institution with a healthier climate to prevent further deaths. They decided to ship the Oromo children to the Lovedale Institution in the Eastern Cape, South Africa.
Outcomes of job autonomy and its effect on work engagement: A study of the banking industry in Nigeria
Authors:   MSc, Research Student, Faculty of Business Management and Social Sciences, Department of Business Management, Covenant University, Nigeria, Ade-Adeniji Olukemi , Adeniji Anthonia ,   Ph.D., Head of the Business Management Department, College of Management and Social Sciences, Covenant University, Nigeria, Imhonopi David ,   Ph.D., Faculty of the Business Management, Department of Sociology, Covenant University, Nigeria
Published: October 2021

An individual’s ability to exercise freedom in how he/she plans his/her work is referred to as job autonomy, and this is associated with many positive work outcomes. Work engagement is a positive work outcome that many organizations desire to see in their employees due to its impact on productivity. This study was carried out to examine the extent of job autonomy in ensuring that banking industry employees in Nigeria attain a certain level of work engagement. The study used a mixed investigation method, including both quantitative and qualitative research techniques. The quantitative analysis involved the distribution of 438 copies of the questionnaire, of which 353 copies were retrieved from bank employees. For a qualitative assessment, 15 respondents were randomly selected from among the senior officers of the selected banks. Data were analyzed using Structural Equation Modeling (PLS). As a result, job autonomy was found to be stronger with cognitive engagement (β = 0.524, Tval = 6.268, P = 0.000) and emotional engagement (β = 0.440, Tval = 4.372, P = 0.000) than with physical engagement (β = 0.341, Tval = 2.485, P = 0.000). This implied that though job autonomy had a significant influence on employee work engagement, the aspects of scheduling work and making decisions were weak areas. This study concludes that there is a need to rethink the decision-making element in the banking system, given that the workplace is tilting to a more dynamic and flexible culture, fueled by digital innovation.
Competitiveness of Indonesian Shrimp Export to the United States
Authors: Sanny Lim , Kusuma Darma , Willyanto Martinus Evan
Published: October 2021

Agricultural sector in Indonesia contributes greatly to employment, foreign exchange earners, and economic growth. In the export sector, shrimp commodities have the largest portion and become Indonesia's leading commodities. However,  Indonesia still cannot become a leader in the world's largest shrimp exporter and only occupies the fourth position of the world's shrimp exporter. There were two goals in the research. First, it was to determine the position of the competitiveness of Indonesian shrimp commodity exports compared to other exporting countries in the United States market. Second, it determined the factors that affected the competitiveness of shrimp exports commodity and made business strategy recommendations for Indonesian shrimp commodities. The research used panel data with a cross-section of seven countries and time series from 2001 to 2017. The result shows that Indonesia has a competitive advantage in the United States market. However, Indonesia must be wary of Ecuador with a higher Revealed Comparative Advantage (RCA) Value and India, the lead exporter in the United States Market. The factors that affect the competitiveness of shrimp exports are Gross Domestic Product (GDP), population, economic distance, and exchange rate of shrimp exporting countries against the US Dollar. Last, the right business strategy for Indonesia is to perform market penetration, market development, and product development strategies.
Customer Retention and Related Factors Analysis in Financial Services Company
Authors: Hadiyanto Heru Santosa
Published: October 2021

High competition requires companies to maintain their consumers, so they do not turn to competitors. Besidesthat, the high acquisition cost to get new customer makes many companies shift their focus to customer retention.It also happens in the financial services industry in Indonesia. Their product is relatively homogeneous with tightregulations, price war from competitors, and the high credit risk to acquire new customers. It makes financecompanies concentrate on consumer retention. The research aimed to identify the factors that most influenceconsumer retention in the financial services company. Cluster random sampling technique was applied to getthe sample of the population. Secondary data from one branch of a finance company in a particular geographicalcluster (2.858 customers) were used. The selection of branches or geographical clusters was selected randomly.Data analysis was conducted based on several determinant factors that affected consumer retention, such as theamount of loan to value, days past due that consumers had, monthly income, and the mileage from the customerdomicile to the company offices. Pearson correlation analysis was used to analyze these determinant factors.Based on several factors, mileage and loan to value have a highly significant relationship with customer retention.Meanwhile, the other variables do not have a significant effect on customer retention.
Attention, Interest, Search, Action, and Share (AISAS) Analysis of Promotion Effectiveness of Zomato
Authors: Ruswandi Putri Utami , Hartoyo Hartoyo , Najib Mukhamad
Published: October 2021

Current technological advances, especially the Internet of Things (IoT), are widely used by people in their daily lives to transact, communicate, and find various information. The research analyzed the effectiveness of promotions carried out by companies based on the concept of marketing communication from technological developments, namely the Attention, Interest, Search, Action, and Share (AISAS) model, and how to increase consumer purchases. The research applied a descriptive approach by distributing questionnaires to Zomato Gold members, with a sample size of 180 people. Data analysis applied Structural Equation Modeling (SEM) to see the relationship between promotion, attention, interest, search, action, and share variables. The finding shows that the effectiveness of promotional advertising based on the AISAS model is not significant enough to encourage consumers to make purchases by visiting restaurants with Zomato Gold benefits. Therefore, Zomato needs to increase promotional activities on social media to increase consumers’ attention regarding these promotions by maximizing social media features. The increase in consumers’ attention to promotions will increase their opportunities to be interested, seek information, make purchases, and share information and experiences with others. However, when consumers pay attention to a promotion, they are not immediately interested in the advertisement. So, it is necessary to study other factors, such as internal factors that affect consumers, apart from external factors that influence consumers’ interest and purchasing decisions.
Enterprise Resource Planning Modification: A Literature Review
Authors: Wijaya Mahaning Indrawaty , - Suzanna , Utomo Diana
Published: October 2021

The current low success level of Enterprise Resource Planning (ERP) implementation stimulates the rise of research to find the critical success factor of it. One of the challenges of ERP implementation is to find a ‘fit’ between business and system requirements. It is claimed that standardizing business processes to follow the ERP system will positively impact organizations to follow the best practice process. However, there is another challenge that organization should not reengineer their business process to fit the ERP system, but rather modify or customize the ERP system to match their business process. This belief argues that standardizing business processes is not the right solution that applies to every organization since it can degrade an organization’s competitive advantages. Based on the background, the research aimed to construct a comprehensive review to succeed in implementing an ERP system, particularly on ERP modification, using a systematic literature review method. It was done by collecting and analyzing scientific publications related to ERP critical success factors with special attention to system modification. The literature review results in a comprehensive explanation of ERP modification. It includes elaborating on different types of misfit and customization to cultivate the understanding of ERP modification, a flowchart to analyze misfit to help the organization to evaluate modification requests, and critical success factors of modified ERP implementation.
Factors Associated with Distribution of Pre-Eclampsia and Eclampsia Among Rural and Urban Women in Child Bearing Age – A Case of Mbala General Hospital, Northern Province, Zambia
Authors: Sinkala Daniel
Published: October 2021

Preeclampsia and eclampsia cases continue to rise in northern Zambia as people search for babies and continuity of clans’ survival. Due to the competitive nature of cultural demands/ myths on pregnancy and maternal socio-demographic factors (low-age, low socio-economic status, and poor health-seeking behaviour), women in rural prefer unprofessional primary health care services that are presumably affordable to them thereby, delaying in seeking for professional healthcare services. High levels of poverty in resource-limited areas have put many female adolescents at risk of falling pregnant. Thus, this study probed on the interaction between these maternal socio-demographic factors and disease distribution in both rural and urban areas with respect to various pregnancy outcomes. The study used retrospective quantitative methods in eliciting information from data sources (women, registers) in Mbala, Mpulungu, Senga, and Mungwi districts covering 3-year period (2017-2019). In all, 202 female respondents from Northern Zambia were interviewed through self-administered questionnaires. Thereafter, data were analysed using a statistical package for the social sciences (SPSS v16). Findings indicate severe; socio-economic status and low maternal age affect pre-eclampsia disease distribution coupled with adverse pregnancy outcomes more in rural than urban areas. The better the socio-demographic conditions, the lower the disease distribution with good pregnancy outcomes. However, worsening maternal socio-demographic conditions may increase the incidence of pre-eclampsia among pregnant women of northern Zambia. The study recommended interventions tarred towards public health programmes such as social behaviour change and communication (SBCC) towards adolescent women and socio-economic empowerment of pregnant women in resource-limited areas. Keywords: Average ANC timing, Preeclampsia, Residency, Socio-economic, Teenage pregnancy.
Factors Determining the Choice of Place of Delivery among Antenatal Attendees in Primary Health Care Centres in Lafia Nigeria
Authors: Oyeleke Bello Surajudeen
Published: October 2021

Unskilled home delivery is a threat to maternal and child health. In Northern Nigeria, many pregnant women attend antenatal care but opt to deliver at home. This study determined knowledge on pregnancy outcome, the burden of home delivery, and factors contributing to the choice of place of delivery. A cross-sectional study was done with the subjects selected by multi-stage sampling. The data was analyzed using SPSS. Results were presented in frequencies and percentages with chi-square used in determining the statistical significance between the socio-demographic characteristics and the choice of a planned place of delivery. The mean age of participants is 27.6±5.0 years. Of the 404 participants and 43.3% are from the lower social status. Most participants were delivered at home due to sudden labour (25.6%), lack of transportation (20.5%), high cost of hospital deliveries (13.7%). Most understand that leg swelling may connote problems in Pregnancy, Hypertension can occur in Pregnancy, and a normal pregnancy may become complicated. Educational status, health worker’s attitudes, previous experience, ease of transportation, and numbers of parity are all significant determinants of the choice of place of delivery (p<0.0001). Most participants delivered in the hospital, but a significant number still delivers at home despite knowing that Hypertension can occur in Pregnancy and that normal Pregnancy can become complicated. Reasons for their decision were lack of transportation means, an attitude of healthcare workers, and high cost of hospital deliveries. The major determinant of choice of delivery place is; educational status, previous experience, and attitude of healthcare workers. Keywords: Choice, Determining, Delivery, Factors, Place, Pregnant.
Financial Health Affects Medical Outcomes; the Case of Some Mission Hospitals in Ghana
Authors: Abban Ebenezer Kenneth
Published: October 2021

Health financing is a major pillar in the delivery system. Health care services are financed by governments and non-governmental organizations, all for the ultimate objective of ensuring the delivery of care. Health facilities have the onus to create the enabling environment to ensure that care is in continuum and at least efforts are made at the provision of quality care. The financial healthiness of hospitals certainly affects medical outcomes since it takes money to render every service in the healthcare industry. This study worked on the assumption that financial health affects medical outcomes, and the data has proven to be true that there was a positive/significant correlation (p<0.0001*) of the topic. Keywords: Clinical Indicators, Financial Health, Health Financing, Hospitals, Healthcare, Medical Outcomes.
Attitude, Knowledge, and Use of Self–Medication with Antibiotics by Outpatients of Gbagada General Hospital Gbagada Lagos
Authors: Odis Adaora Isabella
Published: October 2021

Self-medication with antibiotics is a threat to global health and becoming increasingly common due to multiple factors. The aim of our study was to evaluate the attitudes, knowledge, and use of self-medication with antibiotics among outpatients of Gbagada General Hospital Gbagada – Lagos, Nigeria. The objective of this research was to access the attitudes, knowledge and use among the Patients that use Self–medication with antibiotics. The study design was a cross-sectional descriptive study. A pretest of a closed-ended questionnaire was distributed to the respondents, corrections were made, and data was collected in February 2021. 402 Outpatients of the Gbagada General Hospital Gbagada city area of Lagos was recruited for the study in the aforementioned time period through multi-stage probability sampling. Thirty–three percent of respondents said antibiotics could cure all infections. Forty-eight percent of respondents said antibiotics might be effective even if they don’t complete their dosage. 94.78% of our respondents have taken antibiotics, and 71.89% have self-medicated with antibiotics. Forty-eight percent of respondents said antibiotics might be effective even if they don’t complete their dosage, Not completing the dosage (49.25%), Using antibiotics repeatedly (43.28%), and Self – medication (34.08%). The percentage of the respondent that have taken antibiotics once and twice between March 2020 and February 2021, which was during the COVID – 19 First and second wave in Nigeria, were (36.07%) and (25.87%) respectively. We recommend the use of media to discourage the masses from self-medication with antibiotics. Keywords: Antimicrobial resistance, Antibiotics, Self – medication.
AVALIAÇÃO DA IMPLEMENTAÇÃO DO “PROJETO A HORA É AGORA”: TESTAGEM E TRATAMENTO DO HIV/AIDS EM CURITIBA, BRASIL
Authors: Cruz Marly Marques da , Cota Vanda Lúcia , Pereira Carla Rocha , Pinho Adriana de Araújo
Published: October 2021

Este trabalho tem por objetivo analisar a implementação do “Projeto A Hora é Agora” que desenvolveu, em 2015, diferentes estratégias para ampliar a testagem e tratamento do HIV para os homens que fazem sexo com homens residentes em Curitiba/PR. A análise partiu da perspectiva dos atores-chave envolvidos, utilizando uma abordagem qualitativa de investigação. A metodologia baseou-se em revisão documental, observações diretas, entrevistas semiestruturais e discussão em grupos focais. Os resultados centraram-se em quatro subcategorias de acesso: cobertura; adequação; qualidade e aceitabilidade. A melhoria da cobertura foi vista no aumento de pontos de testagem, na ampliação dos dias e horários da testagem e retirada de antirretrovirais. Na adequação, os preceitos dos direitos humanos foram refletidos no respeito à privacidade e na agilidade na marcação de consultas/exames. A qualidade indicou as barreiras enfrentadas, como estigma e discriminação por parte de alguns profissionais de saúde. Por fim, a aceitabilidade revelou como cada estratégia foi aceita pelos usuários. Conclui-se que o projeto foi uma intervenção bem-sucedida, ampliando a testagem e auxiliando os usuários a iniciarem o tratamento de HIV, incorporando novas tecnologias e abordagens no cuidado aos Homens que fazem Sexo com Homens.
DESCARTE DE MEDICAMENTOS RESIDENCIAL: UMA REVISÃO INTEGRATIVA
Authors: Pereira Cleidivania Glécia , Aguiar Annalu Moreira , Mendes Rafael de Carvalho , Marques Ana Emilia Formiga
Published: October 2021

Ao longo do tempo sugiram diversas doenças, desta forma a indústria farmacêutica constatou a necessidade de produzir novos produtos farmacêuticos, consequentemente ocorreu um crescimento no descarte dessas drogas. A RDC 306/2004, determina como os estabelecimentos que prestam serviços de saúde devem elaborar um gerenciamento de resíduos, porém esse RDC não abrange o descarte feito pelo consumidor. O descarte residencial é um conteúdo que precisa ser mais abordado, pois o ato do descarte incorreto vem provocando grande impacto ao meio ambiente. O estudo tem como objetivo identificar como e aonde os usuários realizam o descarte de medicamentos residencial. Este estudo trata-se de uma revisão integrativa, e foi usado os descritores: Descarte de medicamentos, impacto ambiental, recolhimentos de fármacos, conscientização dos usuários. Os critérios inclusão foram: artigos em português, publicados no período de 2009 a 2019 e que abordasse o tema de forma direta e o de exclusão foram: artigos duplicados nas bases de dados, artigos de revisão sistemática, artigos que não abordava o tema específico do trabalho, e que não contemplava o período de 2009 a 2019 como busca nas bases de dados BVS e SciELO. A busca resultou em 119 na base de dados BVS e 21 na base de dados SciELO, em seguida foram aplicados os filtros com critérios de inclusão, e realizado uma leitura prévia resultando assim em 10 artigos nos quais abordavam o tema pesquisado de forma clara. A avaliação dos estudos evidencia a necessidade de implantar medidas para melhorar o quadro atual, pois a maioria da população não recebe orientações ou não tem opção para descartar medicamentos em desusos.
ACURÁCIA DO QUESTIONÁRIO DE BERLIN PARA IDENTIFICAR APNEIA OBSTRUTIVA DO SONO NA INSUFICIÊNCIA CARDÍACA CRÔNICA
Authors: De Lima Katieli Santos , De Carvalho Themis Goretti Moreira Leal , Callegaro Carine Cristina
Published: October 2021

Este estudo teve como objetivo verificar a acurácia do Questionário de Berlin (QB) e da Escala de Sonolência de Epworth (ESE) para identificar apneia obstrutiva do sono (AOS) em indivíduos com Insuficiência Cardíaca Crônica (ICC). Dezenove indivíduos com ICC (57,2 ± 6,6 anos, 12 homens) foram submetidos a polissonografia portátil. O QB foi utilizado para investigar o risco de AOS e a ESE utilizada para avaliar sonolência excessiva diurna. Treze pacientes foram diagnosticados para AOS (IAH≥15/hs) pela polissonografia portátil, mas apenas três deles apresentaram sonolência diurna excessiva. Onze pacientes apresentaram alto risco para AOS pelo QB. Foram encontrados valores de sensibilidade, especificidade, valores preditivos positivos e negativos para o QB de 38,4%, 50%, 62,5% e 27,2%, e para a ESE de 25%, 100%, 100%, e 43,7% respectivamente. A área sob a curva ROC para o QB foi 0,44 e para a ESE foi de 0,38. Em conclusão, o QB e a ESE mostraram acurácia insuficiente para identificar AOS em indivíduos com ICC. Novos questionários poderiam ser desenvolvidos para rastrear AOS em pacientes com insuficiência cardíaca.
PAPEL DO FARMACÊUTICO NO CUIDADO A PESSOAS COM DERMATITE ATÓPICA: UMA REVISÃO SISTEMÁTICA
Authors: Passos Iara da Silva , Dos Santos Maria Caroline Andrade , Santos Ana Caroline Silva , Rocha Izabel Cristina Pereira , De Jesus Elisdete Maria Santos , Da Rocha Chiara Erminia , Brito Giselle de Carvalho
Published: October 2021

Objetivo: Analisar na literatura o papel do farmacêutico no cuidado a pessoas com dermatite atópica. Metodologia: foi realizada uma revisão sistemática nas bases de dados Medline/ PubMed, LILACS e Web of Science, usando os descritores: dermatitis, eczema, pharmacist. Foram incluídos os artigos escritos em inglês, português e espanhol, que tenham como característica serem estudos sobre o papel do farmacêutico para pessoas com dermatite atópica (DA). Resultados: A pesquisa inicialmente identificou 923 resultados nas bases de dados, que após o processo de seleção apenas quatro artigos foram incluídos na revisão. Os principais serviços identificados foram o aconselhamento e educação em saúde, esses causaram impactos nos resultados clínicos, humanísticos e econômicos. Os resultados clínicos foram informações sobre o tratamento da DA, uso adequado de emolientes e melhoria da compreensão da DA; já o econômico resultou na diminuição dos gastos com assistência médica; e humanístico teve a satisfação dos cuidadores com os vários aspectos do serviço, bem como, estavam mais confiantes sobre o tratamento. Conclusão: Apesar dos poucos estudos analisados pode se observar que o papel do farmacêutico está centralizado no cuidado aos pacientes com DA prestando serviços de aconselhamento, educação em saúde, contribuindo com informações sobre a doença, sintomas, tratamento farmacológico e não farmacológico e na diminuição de problemas quanto ao uso de medicamentos.
VÍDEO EDUCATIVO COMO ESTRATÉGIA PARA ACOLHIMENTO DE FAMILIARES DE RECÉM-NASCIDOS INTERNADOS EM UTIN
Authors: Baldissera Leal Aline , Alberti Taís Fim , Reginatto Andrea Ad
Published: October 2021

O estudo teve como objetivo geral desenvolver uma tecnologia educativa que viesse a contribuir com orientações de enfermagem para familiares de recém-nascidos (RNs) internados. Estudo de caso descritivo e de natureza qualitativa, foi desenvolvido na Unidade de Terapia Intensiva Neonatal (UTIN) do Hospital Universitário de Santa Maria (HUSM). A coleta de dados foi realizada em primeiro momento por meio de questionário com as enfermeiras da UTIN e, em seguida, através de entrevista com as mães dos RNs. A partir dos dados coletados, foi construído um vídeo educativo, seguindo a metodologia de Filatro (2008). Após, ele foi submetido a um processo de avaliação/validação pelo Núcleo de Educação Permanente em Saúde (NEPS) e pelas enfermeiras da UTIN do hospital em questão. O processo incluiu reuniões do NEPS e entrevista gravada com as enfermeiras, agrupando-se as falas em duas categorias: Conteúdo, aspectos técnico-estéticos e proposta pedagógica do vídeo educativo e Tecnologia educativa como ferramenta na Educação em Saúde de familiares. Os grupos avaliadores concordaram que o vídeo continha todas as informações necessárias e fizeram sugestões para melhoria, as quais foram incluídas na edição final. Conclui-se, com o vídeo validado, que ele possui qualidade para ser utilizado com o público-alvo em sala de espera, constituindo, assim, um material de uso institucional, que possibilitará uma melhor compreensão dos familiares em relação à hospitalização. Além disso, a pesquisa desenvolvida pode apontar um método para o desenvolvimento de outros materiais, mediados pelas tecnologias, visando a humanização no acolhimento em instituições de saúde.
DESENVOLVIMENTO NEUROPSICOMOTOR E FALHAS ANTROPOMÉTRICAS EM CRIANÇAS MENORES DE DOIS ANOS
Authors: De Lima Claro Maísa , De Oliveira Lima Luisa Helena , De Sousa Artemízia Francisca , Conde Wolney Lisboa , Soares dos Santos Luís Eduardo , Nascimento Silva Hengrid Graciely , Vilarouca da Silva Ana Roberta
Published: October 2021

Este trabalho teve por objetivo investigar a associação entre o estado nutricional, avaliado por meio das falhas antropométricas, com o neurodesenvolvimento psicomotor de lactentes. Consistiu em um estudo transversal, realizado com crianças na faixa etária de 1 mês a 23 meses e 31 dias, residentes no município de Picos/Piauí, sem diagnóstico prévio de atraso no neurodesenvolvimento. As variáveis investigadas foram os dados socioeconômicos, demográficos, bem como os antropométricos por meio da aferição do peso e comprimento, para posterior classificação e categorização das falhas. A avaliação do neurodesenvolvimento foi realizada utilizando os Marcos de Desenvolvimento contidos na Escala de Levantamento de Bem-Estar de Crianças Pequenas. Posteriormente, realizou-se a análise estatítica descritiva, além de realizar a Razão de Verossimilhança, a um nível de significância de 5% para avaliar a associação entre a variável de desfecho com as falhas antropométricas. Das crianças avaliadas, 9,4% apresentaram triagem positiva para atraso no desenvolvimento neuropsicomotor, onde a categoria 3 das falhas antropométricas foi a que apresentou maior prevalência (9,1%), sendo que neste trabalho não foi verificado associação estatística entre o estado nutricional, mediante o uso de falhas antropométricas, com atrasos no neurodesenvolvimento infantil. Desta forma, conclui-se que embora não tenha apresentado associação estatística, ambas as ferramentas de triagem adotadas mostraram viáveis tanto para avaliar, quanto para nortear as intervenções, visando melhorar o estado nutricional e o neurodesenvolvimento infantil e reforçando a importância da realização deste monitoramento mais detalhado.
AVALIAÇÃO DO EQUILÍBRIO ESTÁTICO EM JOVENS COM SÍNDROME DE DOWN PELO NINTENDO® WII BALANCE BOARD™
Authors: Romano Rosangela Guimarães , Raia Fábio , Cymrot Raquel , Prado-Rico Janina Manzieri , Correia Gabriel Melo Francisco , Arroxellas Raquel Daffre de , Rodrigues Graciele Massoli , Blascovi-Assis Silvana Maria
Published: October 2021

O presente estudo teve como objetivo avaliar o equilíbrio estático em 160 participantes, entre 7 e 14 anos, sendo 80 com Síndrome de Down (GSD) e 80 no grupo controle (GC), em condições olhos abertos (OA) e olhos fechados (OF). Os dados foram coletados com uso do Balance Board™ (BB) do Nintendo® Wii Fit pelo software LabView e processados para cálculo do deslocamento do centro de pressão. Verificou-se o GSD apresentou maior amplitude e velocidade de oscilação que o GC, tanto nas condições OA quanto OF. Notou-se que o BB foi eficiente para avaliação do equilíbrio, reforçando os achados da literatura sobre as características na população estudada e que novos estudos devem ser feitos com equipamentos de baixo custo para avaliação do equilíbrio postural.
ESTUDO FITOQUÍMICO E ATIVIDADE ANTIOXIDANTE DE EXTRATO ETANÓLICO DE Genipa americana
Authors: França Francisco Victor
Published: October 2021

O objetivo deste estudo foi investigar as principais classes de compostos químicos bem como avaliar, in vitro, a atividade antioxidante do extrato bruto das folhas de Genipa americana. Para tanto, as folhas foram submetidas à extração a frio, utilizando etanol comercial, para obtenção do extrato bruto que foi submetido à análise Fitoquímica para identificação de fenóis, flavonoides, taninos, alcaloides, triterpenos e esteroides. A determinação da atividade antioxidante do extrato etanólico foi realizada qualitativamente por Cromatografia de Camada Delgada (CCD), e in vitro, pelo método de captura do radical DPPH e o índice de varredura (%IV) foi calculado utilizando o programa estatístico GraphPad Prism. A prospecção Fitoquímica do extrato bruto revelou a presença de compostos fenólicos, flavonoides, taninos e alcaloides. A determinação qualitativa por CCD sugeriu a presença de compostos com atividade antioxidante. O extrato bruto demonstrou baixa atividade antioxidante se comparado ao padrão quercetina. Conclui-se que o extrato bruto das folhas de Genipa americana apresenta compostos com potencial antioxidante.