bluuebunny/crossref_metadata_2025 huggingface dataset:
EDUCAÇÃO BRASILEIRA DURANTE A PANDEMIA DA COVID-19: a visão dos educadores!
Authors: Carolina Oliveira Silva Ana , Araujo Sousa Shirliane , Baroni Ferreira de Menezes Jones
Published: July 2024

A   pandemia do Novo Coronavírus revolucionou diversos setores mundiais que se estabeleciam de forma concreta e inabalável. Entre esses setores, está a educação, que, no Brasil, já sofre com problemas recorrentes. O ano de 2020 estabeleceu o Ensino Remoto Emergencial (ERE), impondo o uso de tecnologias digitais da informação e comunicação (TDIC) para o fazer educativo e exigindo adaptações de toda a comunidade escolar. Assim, esse trabalho buscou compreender a realidade de professores de diferentes níveis de ensino, enaltecendo os benefícios e possibilidades do ensino remoto, além das dificuldades em instituir essa nova realidade do processo de ensino e aprendizagem. A investigação trata-se de uma pesquisa descritiva, de abordagem qualitativa, no qual foi aplicado a 49 docentes de instituições de ensino superior em âmbito nacional um questionário eletrônico. Foi-se notado que os docentes encontram muitas dificuldades, como o baixo rendimento e retorno discente e a falta de formação para o ensino online, porém, há ressalvas de qualidades com relação aos recursos usados, que podem continuar ajudando na práxis docente pós-pandemia. Porém, a maioria dos educadores se põem contra o ensino remoto, achando-o tolerável para o ensino superior e inviável no ensino básico, ainda que uma parte não concorde com seu estabelecimento em nenhum dos âmbitos. Diante do exposto, nota-se a necessidade de melhorar o ensino remoto que será oferecido, a fim de preservar a qualidade da educação e valorizar ao magistério.
Deep Learning Approach for Early Colorectal Cancer Detection using Speech Biomarkers
Authors: R R Shashank
Published: July 2024

Abstract: Early detection of colorectal cancer (CRC) significantly improves treatment outcomes and survival rates. Traditional screening methods, however, are often invasive, expensive, and not widely accessible. In this study, we propose a novel deep learning approach for early colorectal cancer detection using speech biomarkers. By leveraging advancements in machine learning and the distinct changes in vocal characteristics associated with CRC, we develop a convolutional neural network (CNN) model trained on a large dataset of voice recordings from both healthy individuals and CRC patients. Our model successfully identifies subtle, CRC-specific alterations in speech patterns, achieving high accuracy, sensitivity, and specificity in distinguishing CRC patients from healthy controls. This non-invasive, cost-effective method promises to enhance early CRC screening efforts, providing a widely accessible tool that can be easily integrated into routine health check-ups, ultimately facilitating earlier diagnosis and improving patient outcomes.
Adaptive Pixel Resilience: A Novel Defence Mechanism Against One-Pixel Adversarial Attacks on Deep Neural Networks
Authors: Srivastava Smit
Published: July 2024

Abstract: This paper presents a groundbreaking analysis of the One Pixel Attack, an insidious adversarial threat that challenges the robustness of state-of-the-art deep neural networks (DNNs). We delve into the intricate mechanics of this deceptively simple yet potent attack, which can cause misclassification by altering just a single pixel in an image. Our research not only unravels the technical underpinnings of the One Pixel Attack but also introduces Adaptive Pixel Resilience (APR), a novel defence mechanism that significantly enhances DNN robustness against this threat. Through extensive experimentation on the CIFAR10 and ImageNet datasets, we demonstrate the remarkable efficacy of APR. Our method substantially outperforms existing defence strategies, setting a new benchmark in adversarial robustness while maintaining competitive clean accuracy. The paper offers several key contributions
Resilient Women of Sundarbans in Amitav Ghosh’s The Hungry Tide
Authors: Samra Deeksha
Published: July 2024

Abstract: For decades, literature has played a vital role in the feminist movement. Fiction helps to look at the challenges of women on various levels, whether in the workplace, family, emotional, or physical. Over the years, writers have written fiction to depict women's challenges and their brilliance and determination in overcoming them. Amitav Ghosh is one such writer who has often depicted women who put their heart and soul into it when it comes to achieving their goals. Both in personal and professional life. Ghosh's novel The Hungry Tide depicts working women who put their best foot forward despite sexual assault, caste discrimination, and financial difficulties. A cetologist named Piyali Roy comes to Lusibari for her work. Despite the sexual harassment, she finds a way to achieve her dream of studying dolphins. Financial and caste barriers confront Moyna, but she still finds a way to survive by studying and working as a nurse. Nilima is being called to serve the Sundarbans' people. She tries to fit herself into the system to ensure that the Lusibari people have as many facilities as possible. Kusum finds herself in the most difficult of all female characters. She loses her mother as a child, and her husband when she was young, and almost becomes a victim of sex traffickers. The novel depicts the challenges as well as the unbreakable spirit of women vividly.
The Impact of Islamic-Based Migrant Associations on the Indonesian Migrants in Nagoya, Japan
Authors: Dwiputra Rakadipta Septian , Ayuputri Ikacipta Mega
Published: July 2024

As the number of Indonesian migrant workers and students heading to Japan rises, organizations dedicated to their support and integration have become increasingly significant. Among these, Islamic-based organizations, reflecting Indonesia's majority Muslim population, have garnered attention. A key player in this landscape is “Keluarga Muslim Indonesia” (KMI) in Nagoya, a vibrant organization that has been instrumental in aiding Indonesian Muslim migrants in and around Nagoya. This study adopts a qualitative research approach, incorporating social media analysis and semi-structured interviews, to delve into the contributions of KMI Nagoya. The findings highlight four pivotal aspects of KMI Nagoya's impact: the provision of various Islamic activities meet the religious needs of Indonesian Muslim migrants; the facilitation of social integration, helping migrants acclimate to Japanese culture; the offering of activities aimed at empowering women; and the engagement of second-generation migrants, ensuring they maintain a connection to Islamic and Indonesian traditions. This study underscores the multifaceted role of KMI Nagoya in supporting Indonesian Muslim migrants, marking it as a cornerstone of their successful integration into Japan.
Obstetrician, Family Physician, or Midwife: Preferences of the Next Generation of Maternity Care Consumers
Authors: Fairbrother Nichole , Stoll Kathrin , Schummers Laura , Carty Elaine
Published: July 2024

Objective: The purpose of this study was to identify the views of a cohort of Canadian university students related to maternity care provider preferences and the reasons for these preferences. Relationships between care provider preferences, childbirth attitudes, and desire for epidural anesthesia and cesarean section (CS) were also examined. Methods: This was a large cross-sectional survey (N = 3,680) of male and female university students at the University of British Columbia (male, 991; female, 2,676). Students were invited to participate via an electronic letter of invitation containing a link to this online survey.Results: Approximately half of all participants (51.8% for women and 43.7% for men) selected an obstetrician as one of their preferred care providers; somewhat fewer selected a family physician (40.1% for women and 32.8% for men), and even fewer selected a registered midwife (30.1% for women and 18.0% for men). Among the 11 reasons for these preferences (coded from open-ended responses), the most common were expert/specialist, safety, and quality of relationship with care provider. Attitudes toward vaginal birth as well as mode of delivery and pain management preferences were found to relate to caregiver preferences.Conclusion: Provider preferences among university students are largely driven by perceived risk, level of confidence in birth, and attitudes toward obstetric interventions. These preferences, in combination with the current shortage of maternity providers in Canada, indicate a need for restructuring maternity care human resources.
Using Simulation to Improve Management of a Shoulder Dystocia Delivery by Experienced Nurse Midwives
Authors: Stohl Hindi E. , Chen Judy H. , Jaque Jenny M.
Published: July 2024

Objective: To assess the impact of a standardized shoulder dystocia simulation experience on the management of a complicated delivery by experienced midwives at an academic institution.Method: Experienced midwives from a single institution underwent a standardized simulated shoulder dystocia delivery. The simulation was conducted four times for each midwife. The first simulation occurred prior to
any educational intervention, and the subsequent three deliveries were performed after a standardized didactic. Performance was scored based on standardized criteria to assess for accuracy and comprehensiveness of the delivery.Results: Seven midwives were included. The lowest and highest scores for the first drill were 11 and 15 respectively, and for the fourth drill, 19 and 21 respectively.
Conclusion: Simulation training of experienced midwives with a standardized shoulder dystocia scenario results in improved communication and leadership skills.
Defining Professional Behaviour in Midwifery Practice
Authors: Morgan Lisa
Published: July 2024

Commentary.
Student Attrition in the Ontario Midwifery Education Program: A Qualitative Analysis— Part II: Personal Issues
Authors: Neiterman Elena , Wilson Rhea , Lobb Derek K.
Published: July 2024

Student attrition in the health care field is a persistent issue. To identify the factors associated with student midwives leaving their university program, we developed an Internet survey. Participants included senior-level students, graduates of the program, and those students that withdrew prior to graduation. This is phase II of qualitative analysis, and we have analyzed students’ written comments and found that finances, family obligations, and the midwifery model of practice and its associated lifestyle are areas where we might develop interventions to reduce student attrition.
Optimizing Midwives’ Uptake of a Provincial Perinatal Data System: Lines of Thinking
Authors: Paquet Caroline , Contandriopoulos Damien , Blais Régis
Published: July 2024

In Quebec, the perinatal data available is fragmentary, comes from a number of different databases that are not well integrated, and offers little information regarding the quality of care and services provided by midwives. In 2012, the Ministry of Health and Social Services (MSSS) asked midwives to contribute to the information system on users of local community services centers (I-CLSC). The I-CLSC system is, above all, an administrative monitoring tool; however, it makes it possible to document certain aspects of midwifery practice. Using literature from the fields of knowledge transfer and modification of clinical practices, this article aims to explore under which conditions and to what extent the I-CLSC system could help document midwifery practice. Given the context and the nature of the I-CLSC tool, the success of its uptake by midwives involves the simultaneous reinforcement of its acceptance by midwives, and the provision of support while they use it, so that the data collected is reliable and solid. Training and feedback activities constitute promising avenues in terms of attaining these goals. Literature suggests that, without adequate support, there is a high risk that data fed into the I-CLSC system by midwives will be unreliable. If that is the case, the individual time and effort invested in this system by midwives are unlikely to be cost-effective for either the midwives themselves or midwifery in general.
A Pilot Project of Collaborative Maternity Education: Understanding Perspectives from Family Medicine and Midwifery
Authors: Murray-Davis Beth , Shaw Elizabeth , Kerley Brian , Knight Sandy
Published: July 2024

Background: In Canada, the decreasing numbers of family physicians and the small number of midwives providing obstetric care have been associated with a decline in access to maternity services. Several studies and policy documents support the development of models to enhance collaboration between midwives and physicians and to expose trainees to these models. A pilot project was undertaken to implement and evaluate an interprofessional learning opportunity involving midwifery students (MWSs) and family medicine residents (FMRs).
Methods: The aim was to describe how FMRs and MWSs develop skills to collaborate, and to identify the feasibility of this type of education. A convenience sample of 12 FMRs and 6 MWSs in a southern Ontario suburban community and their preceptors participated in a series of educational seminars and a clinical placement within the midwifery practice. Qualitative focus groups and interviews were conducted, and data were analyzed using thematic analysis.
Results: Qualitative analysis highlighted themes relating to the engaging of learners, logistical challenges, and the perceived value of interprofessional education (IPE).Conclusions: This pilot project highlights barriers to and enablers of IPE. The findings will inform the modification of the project for future use and suggest that this project could be a useful model of IPE for primary maternity care.
Aboriginal and Immigrant Women’s Food Choices and Practices in Pregnancy: A Scoping Review
Authors: Higginbottom Gina M. A. , Mamede Fabiana , Barolia Rubina , Vallianatos Helen , Chambers Thane
Published: July 2024

Dietary patterns of pregnant women are closely related to cultural values, beliefs, and various social and economic factors. Knowledge of the food choices and practices among pregnant Aboriginal and immigrant women, who both are vulnerable to poor pregnancy and birth outcomes, is essential for midwives and other maternity care providers to provide culturally appropriate care during pregnancy. A “scoping review,” guided by Arksey and O’Malley’s framework, was performed to examine and outline the extent, range, and nature of empirical evidence on immigrant and Aboriginal women’s food practices during pregnancy. Assisted by an information scientist, a systematic search strategy without language or date restrictions was implemented in several electronic databases to identify primary research articles on the subject. Two reviewers independently screened, selected, and charted the data, and team consensus was used for discrepancies. A descriptive analytical framework was followed to depict the existing narrative account of the included studies. Seventeen articles describing seven qualitative and ten quantitative research studies were selected for review, and nine themes were identified. This review will help midwives and other maternity care providers gain an understanding of the importance of culture for Aboriginal and immigrant women’s diets and of existing barriers so that prenatal care can be individually tailored to include nutritional advice and to optimize culturally appropriate care. More individual studies that focus on the cultural aspects of immigrants and Aboriginal pregnant women are needed to improve prenatal care.

This article has been peer reviewed.
Assessing“Breaking Bad News” Communication Competency in Midwifery Students
Authors: Wilson Kathi
Published: July 2024

The communication task of conveying difficult news to patients by health care providers, described in the literature as “breaking bad news,” is one that is often performed poorly. There is, at the same time, a relatively small amount of research in the health sciences education literature devoted to the assessment of this particular competency. Like other health care providers, registered midwives in Canada are expected to have knowledge and skill in this domain of communication. In the Ontario Midwifery Education Program, senior students are expected to develop competence in managing situations involving loss during the childbearing year; however, there is little guidance for preceptors with respect to the assessment of performance for this skill. This article reviews the relevant literature on the assessment of “breaking bad news” and workplace assessment tools in health education, and proposes the use of a clinical encounter card that uses a modified Breaking Bad News Assessment Scale to assist and guide preceptors. Further investigation of the tool’s reliability, validity, and acceptability to preceptors is needed.

This article has been peer reviewed.
Facilitating Birth for Women Who Have Experienced Genital Cutting
Authors: Barnawi Najla , O’Brien Beverley , Richter Solina , Mumtaz Zubia
Published: July 2024

Female genital cutting (FGC) is a traditional practice in parts of Africa, the Middle East, and Asia. Due to increasing migration from these areas to Canada and elsewhere, the care of women who have undergone FGC has become both a national and a global concern. It is widely regarded as a public health and human rights issue affecting at least 140 million women worldwide. In Canada, pregnant women who experienced FGC may face more physical and emotional challenges than their nonpregnant counterparts. Their need to access optimal perinatal care is critical, as FGC, particularly that with more extensive cutting (infibulation), is widely considered to be an indirect cause of maternal/ newborn morbidity. The purposes of this article are (1) to provide a deeper insight into challenges confronting affected women seeking maternity care in Canada and their providers and (2) to recommend the appropriateness of the Canadian midwifery model in providing optimal care for women who have experienced FGC. The goal is to support Canadian health care providers in gaining a greater understanding of the historical, cultural, and physical realities of FGC so that they are able to provide maternity care that meets Canadian standards while being sensitive to cultural values and beliefs.

This article has been peer reviewed.
Data Quality in the Ontario Midwifery Program Database, 2006 to 2009
Authors: Cappelletti Adriana , Reitsma Angela H. , Simioni Julia , Horne Jordyn , McGregor Caroline , Ahmed Rashid J. , Hutton Eileen K.
Published: July 2024

Objective: To identify common errors in midwifery data collection and provide midwives with the rationales behind data cleaning, the importance of reliable data, and the links between data collection, research studies, and evidence-based care.
Methods: A database containing records of all women who received midwifery care in Ontario that was invoiced to the Ministry of Health and Long-Term Care between April 1, 2006, and March 31, 2009, was obtained. Data cleaning was performed to assure that the data set was as complete and accurate as possible. Duplicate records were identified and removed. Missing, inconsistent, and implausible data were identified and corrected where possible or removed.
Results: Common data errors included inappropriate use of open text fields and drop-down menus, incorrect interpretation of “planned place of birth,” reporting of outcomes that should be mutually exclusive, and reporting of incorrect, incomplete, or missing information.
Discussion: Midwives have an important role in the collection of health information that is complete and accurate. Several common errors were identified that, if corrected, would improve the quality of midwifery data and in turn would contribute to high‐quality research, which will inform midwifery practice, policy‐makers, and women and their families about midwifery care.

This article has been peer reviewed.
Anarchists, Naturalists, Hippies, and Artists: Beliefs about Midwifery Care and Those Who Choose It
Authors: Sangster Sarah L. , Bayly Melanie K.
Published: July 2024

Although demand for midwifery services in Canada is increasing, research suggests that a low proportion of Canadians would consider midwifery care for their or their partner’s pregnancy. There is still a significant gap in knowledge about why Canadians prefer physician or obstetrician based care over midwifery care. In order to further understand these preferences, the current research employed a qualitative exploration of young adults’ commonly held beliefs about midwifery care and people who choose midwifery care. Discussions about midwifery care and people who choose midwives as their primary care provider during pregnancy and birth were elicited through seven focus groups consisting of 3-7 young adults each, for a total of 29 participants (20 women and 9 men). The discussions were audiotaped, transcribed, and analyzed using thematic analysis. Our analyses of the data suggested that participants seemed to believe that people who choose midwifery care value “the natural”, actively eschew the medical system, rebel against convention, value personal experience, and maintain alternative lifestyles. Midwifery care and midwife-assisted births were characterized as facilitating a positive prenatal and birth experience for the mother, but were also often characterized as risky for the pregnancy overall, and in particular for the baby, requiring a high degree of trust on the part of the mother. Midwifery care and midwife-assisted births were described as old-fashioned, and ultimately uncommon. Recommendations for marketing strategies, based on these findings, are suggested.

This article has been peer reviewed.
Does the Risk of Exposure to Marijuana Outweigh the Benefits of Breastfeeding? A Systematic Review
Authors: Seabrook Jamie A. , Biden Catherine R. , Campbell Emily E.
Published: July 2024

Little is known about the risks associated with marijuana use by mothers during the breastfeeding period. A search of CINAHL, Cochrane, Embase, ProQuest Nursing, and PubMed was conducted using a variety of text words and database MeSH terms, including cannabis, medical marijuana, lactation, breastfeeding, marijuana abuse, and marijuana smoking. Articles included both human and animal studies, and there were no language or date restrictions. Hand search and reference lists were also used to access grey literature or any other important articles. Six articles met the inclusion criteria (n = 3 human studies and n = 3 animal studies). In four of the six studies meeting our inclusion criteria, maternal marijuana exposure was associated with detrimental effects, most notably decreased motor development of children at one year of age and lasting neurodevelopmental changes in rats. Breastfeeding mothers should be advised to reduce or cease their marijuana use completely.

This article has been peer reviewed.
Midwife as Counsellor: Midwives' Experiences Counselling Women Through Pregnancy, Birth and the Early Postpartum
Authors: Fulford Rachelle , Kornelsen Jude
Published: July 2024

Introduction: Pregnancy and childbirth are transformative life experiences that can create or exacerbate significant emotional, physical, social, and relational challenges. Midwives help women to feel confident and knowledgeable, to cope with anxiety and fear, and to prepare for considerable shifts of identity, responsibility, and family life. Research shows that counselling has the potential to positively impact women’s birth experiences and outcomes; however, less is known about how midwives understand and experience their role in counselling women.
Methods: In the current study, nine practicing midwives in British Columbia, Canada, participated in a semi-structured interview. Interview transcripts were coded for themes.
Results: Five themes emerged from the qualitative analysis of the interview responses, including: counselling as “part of the job”, the importance of “meeting people where they are at”, feeling that “sometimes we’re out of our depths”, “learning by doing”, and the importance of “taking care of the midwife.”
Discussion: Findings from this study suggest that counselling is a prevalent part of midwifery care in British Columbia. Future studies should focus on exploring the impact of midwives’ accessibility to their clients when specialized counselling services are not available, collaborative ways for midwives to participate with mental health professionals in the broader community, and tailoring professional development for midwives in both health and mental health counselling.

This article has been peer-reviewed.
New Approaches to Brief Intervention on Substance Use during Pregnancy
Authors: Nathoo Tasnim , Wolfson Lindsay , Gelb Karen , Poole Nancy
Published: July 2024

In Canada, the context for providing brief intervention on substance use during pregnancy is shifting with new opportunities for enhancing discussion of alcohol and other substances, due to the introduction of novel nicotine delivery products (e.g., vaping), the legalization of cannabis, and the crisis in the useof prescription pain medication. The midwifery model of care is very well suited for open, collaborative conversations about substance use, as there are opportunities for ongoing and supportive relationship building throughout pregnancy, labour, birth, and into the postpartum period. The purpose of this paper is to explore the ways in which brief intervention on substance use in the perinatal period can be a key component of midwifery care.

This article has been peer reviewed.
Racism in Ontario Midwifery: Indigenous, Black and Racialized Midwives and Midwifery Students Unsilenced
Authors: Aseffa Feben , Mehari Lwam , Gure Faduma , Wylie Lloy
Published: July 2024

This article reports on findings from a 2019 online survey titled Experiences of Racism Among Ontario BIPOC Midwives and Students in Midwifery Education and Profession, completed by Ontario midwives and midwifery students who identify as Black, Indigenous, or People of Colour (BIPOC). The survey explored their experiences of racism in both midwifery education and profession. In total, 40 participants consented to participate in the survey, of which 36 completed some or all of the survey; 56% identified as midwives in varying stages of their career, and 45% as students. Of these participants, 86% reported experiencing racism in their work as a midwife, and 87% reported witnessing another midwife or midwifery student being a target of racism. In addition, 61% of participants reported not feeling supported by their practice group when confronted with racism. Over 85% of participants agreed or strongly agreed that racism or fear of racism impacts how they communicate or express themselves, their mental health, and their comfort in working in any community where work is available. To achieve racial equity in the profession, participants recommended raising awareness about racism in the profession, increasing diversity in midwifery, and holding accountable people who commit racist acts and perpetuate racist systems.

This article has been peer reviewed.
MIDWIFERY CARE FOR W O M E N PLANNING VAGINAL BIRTH AFTER CAESAREAN: A SURVEY OF O N TA R I O MIDWIFERY PRACTICES
Authors: Sternberg Christine , McNiven Patricia
Published: July 2024

Due to new evidence, the safety of vaginal birth after Caesarean (VBAC) si again generating controversy ni maternity care. Asurvey of midwifery practices was undertaken ot determine midwifery practice patterns and the factors that influence their care of women with aprior Caesarean birth. Atwo-part questionnaire, pertaining to practice characteristics and VBAC care, was mailed to al 40 Ontario midwifery practices. Data from closed-ended questions were analysed using SPSS, while open-ended responses were examined for common themes. A survey response rate of 92.5% was obtained. While 73% of practices that responded reported that they wil not accept women with more than one lower segment Caesarean birth into care, 65% indicated that they wil attend home births for women with one prior Caesarean birth. For practices that do not atend women with aprior Caesarean birth at home, prohibitive hospital policies (64%) and lack of obstetrical support (86%) were the most frequently reported reasons. Concern about increased risk and lack of experience were also identified. Variations ni practice patterns do not appear ot be related to geographic practice characteristics. The survey has identified some of the factors that influence how Ontario midwives care for women with a prior Caesarean birth. Hospital policies and support from consultant obstetricians appear to have a greater impact on midwifery care for women with prior Cacsarean birth than midwives' perception of increased risk or lack of experience.
GROWING MIDWIFERY IN MANITOBA
Authors: Haworth-Brockman Margaret J.
Published: July 2024

This si a personal narrative of the story of midwifery in Manitoba and of some recent events leading ot regulation. I have been involved with midwifery in this province for nearly 15 years, first as a consumer advocate, then as a mother who chose midwifery care for the birth of her four children, and later as a member of the Midwifery Implementation Council. This si the first and second of aseries of four papers that wil document some of the events and decisions that shaped the practice and availability of midwifery in Manitoba, with afocus on the efforts made, and the challenges encountered, in keeping the process and results women-centred. Part 1 provides a brief overview and sets the context for the following three papers. Part 2 looks at steps and challenges in including equity and access principles in the regulation process. Parts 3 and 4 wil tel the stories of the education and integration.
MIDWIFERY IN BRITISH COLUMBIA: IS IT TIME FOR AN EXPANDED SCOPE OF PRACTICE? FINDINGS FROM A QUESTIONNAIRE ON PRACTICE ISSUES IN BRITISH COLUMBIA
Authors: Kornelsen Jude A. , Saxell Lee W.
Published: July 2024

Canada is currently facing a shortage of physicians providing maternity care in both urban centres and rural environments. Although midwives have been regulated in five Canadian provinces, they are currently unable to meet the needs of a diversity of childbearing women. An expanded scope of practice may address some of the current obstacles to the provision of care. A 145-item questionnaire on current practice issues faced by midwives in British Columbia was administered to all registered midwives in the province in March 2002 (n=65). Thirty-five questionnaires were returned for a response rate of 54%. One component of the questionnaire focused on respondents' views of an expanded scope of practice. Out of a possible 32 items, the majority of respondents advocated including an additional 17 items into their current scope of practice. Desired functions included increased prescribing authority and an increase in some technical skills. Conversely, the majority of respondents were not interested in including15 additional items including gynecological surgery and advanced procedures. In order to be a viable long-term contributor to maternity care in Canada, midwives must engage in a dialogue with each other over future directions for their profession, begin consultations with other players in maternity care, and develop a mechanism for evaluating any changes to their scope of practice. The results of this study indicate an interest on the part of some midwives to increase their scope of practice. However, findings may not be representative of the opinions and attitudes of all registered midwives in British Columbia. More research is needed into the nature and implications of such changes.
IN PRAISE AND SEARCH OF MIDWIFERY WELL-SUITED To RURAL WOMEN
Authors: Sutherns Dr. Rebecca
Published: July 2024

In order to investigate rural maternity care from the perspective of women, narrative interviews were conducted with 36 mothers and 36 health care workers in three small community case study sites in south central Ontario in 2000. Based on the resulting data, this article suggests numerous ways that living rurally affects maternal health. It goes on to explore ways in which midwifery is particularly well-suited to addressing the needs of women living in rural places and identifies sites of resistance to rural midwifery. The research findings indicate that a commitment to the sustained provision of rural midwifery services is well worth the effort and investment required, and this article discusses implications of such a commitment for both practitioners and policy makers.
COLLABORATIVE MATERNITY CARE: THE SOUTH COMMUNITY BIRTH PROGRAM
Authors: Harris Susan J. , Saxell Lee
Published: July 2024

Article.
The Transmission of Values Specific to Midwifery and their Integration by Student Midwives
Authors: Laforest Marty , Vincent Diane
Published: July 2024

Québec midwives adhere to a set of values viewed as essential. These values set midwives apart from other obstetrics professionals and play an important role in the formation of their professional identity. This article explores whether these values are transmitted to student midwives. To achieve our research objectives, we presented 21 student midwives with scenarios where a client's behaviour corresponds only more or less to midwifery values (as defined by the regroupement Les sages-femmes du Québec). Student responses were analyzed according to their level of correspondence with these values. The results show that regardless of the scenario, first-year students are most likely to form negative attitudes about the behaviour submitted to their attention and, contrary to their more advanced sisters, they base interventions with a client less on the need to refrain from judgment. Starting with the second year, the students' evaluations of behaviour tend to be neutral. The difference observed between the first-year cohort and the others leads us to believe that the start of the mentoring stage is the pivotal moment of training.
Women's Experiences of Consultation: Negotiating Conflicting Models of Birth
Authors: Murray Davis Beth
Published: July 2024

The purpose of this study was to understand how midwifery client experiences are affected by interprofessional interactions during consultation between physicians and midwives. Ten midwifery clients from Southern Ontario who had experienced at least one consultation during their midwifery care participated in semi-structured interviews. The findings from the interviews suggest that women experience a conflict between biomedical knowledge and embodied knowledge, and between the hierarchy of physician-centred care and woman-centred care during the act of consultation. The interviews demonstrate that divergent professional philosophies may represent a significant barrier to interprofessional practice.
The Midwife-Witch on Trial: Historical Fact or Myth?
Authors: Allemang Elizabeth
Published: July 2024

New developments in social history have generated scholarly work re-evaluating the history of the witch trials of early modern Europe. This paper explores the claim that the European witch trials of the sixteenth and seventeenth centuries persecuted midwives. Multiple historical theories of the persecuted midwife-witch are discussed, including those that construct the midwife-witch as a skilled, respected member of a local female healing culture and alternately as a marginal figure in her community who was ignorant, disrespected, impoverished and therefore vulnerable. Medical histories of the midwife-witch have often relied on a construct of the marginal figure to champion the progress of medicine from earlier discredited and unscientific practices. Feminist analysis poses the witch trials as the suppression of women healers and the midwife-witch as symbolic of the threat of female control of reproduction to powerful patriarchal forces. Although these theories have been important to the revival of midwifery in North America specifically and to feminism more broadly, there is limited evidence to support these claims. The figure of the witch, like many myths, may tell us more about the interpreter of history than the witch herself.
El escalamiento multidimensional: Una técnica para la visualización y el análisis de la percepción
Authors: Salas-Vargas Alejandro Alonso
Published: July 2024

En educación y en otras áreas de las ciencias sociales se llevan a cabo estudios de la percepción de un grupo de personas sobre un cierto fenómeno bajo estudio y se hace necesario emplear técnicas especializadas para el análisis de esta percepción. El propósito de este artículo es presentar la técnica de escalamiento multidimensional como una opción de análisis de las percepciones y ejemplificar el uso de los mapas perceptuales, producto de esta técnica, en estudios donde se desee captar la percepción de un grupo de docentes. Para ello, se explica en qué consiste esta técnica estadística, y a modo de ejemplo, se aplica a un conjunto de datos que incluyen dos escalas que miden la percepción de 288 docentes de matemática, en cuanto a el grado de implementación de un programa de estudio. La principal conclusión a la que se llega es que la herramienta estadística de escalamiento multidimensional es apropiada para analizar las percepciones y opiniones de los docentes, esto debido a la facilidad de expresar estas percepciones en representaciones gráficas (Bord et al., 2018). Se recomienda la regresión lineal múltiple en los dos ejes de los mapas perceptuales para mejorar su interpretación.
Inventario preliminar de vertebrados de la Estación Experimental Los Llanos, Alajuela
Authors: Herrera Villalobos Alvaro
Published: July 2024

Se presenta el listado de especies de vertebrados registrados durante doce visitas en horas de la mañana, entre agosto y setiembre de 2022, y abril y mayo de 2023, en la Estación Experimental Los Llanos, en La Garita de Alajuela. Se registraron 69 especies de vertebrados, de las cuales una era un mamífero, otra un reptil y las demás aves. Ocho especies se observaron la mayoría de los días del censo (de 11 a 12 días), mientras que 36 especies solo fueron registradas una o dos veces. Doce especies registradas presentan alguna condición de conservación. La variedad de hábitats presentes en la estación y sus condiciones climáticas influyen en las especies registradas. Se sugiere establecer un programa de monitoreo que complete el registro de especies de vertebrados y que brinde información para tomar medidas de manejo para cumplir con el objetivo de la estación.
Protección Social en Amazonas: Una mirada desde la Interculturalidad, Colombia 2021
Authors: Lopez Mallama Oscar Marino , Hurtado Atehortúa Liliana , Paredes Valencia Diana Marcela , Trujillo-Perdomo James Frank , Millán-Hernández Edwin Mauricio
Published: July 2024

Introducción: La revisión se plantea en conocer el desarrollo y la contribución en las garantías de la protección social en la zona de la Amazonia Colombiana como una mirada desde la interculturalidad, así mismo, identificar las creencias y prácticas desarrolladas en los territorios rurales que la conforman, orientadas a la protección y promoción de la salud laboral, en el marco de la contextualización de la situación de salud y la formulación de políticas en el orden nacional con la caracterización de los estudios empíricos realizados. Objetivo: describir experiencias en el desarrollo y contribución en la prestación de los servicios de salud, acorde a la interculturalidad del Sistema General de Seguridad Social en Salud - SGSSS en los territorios rurales de la región Amazónica, Colombia, 2021. Metodología: se realizó una revisión analítica del material bibliográfico de artículos de investigación publicados en las bases de datos de Scielo, Redalyc, Scopus, PubMed, Web  of  Science y Google Scholar. Resultados: Se evidencia la importancia de las prácticas propias en salud de la población, su relación con el ámbito mágico/religioso y la forma de tratar las enfermedades en relación con su origen, donde se hace necesario que sean involucradas en el modelo de salud colombiano, para disminuir las brechas en la atención y el goce efectivo del derecho a la salud de la población. Conclusiones: la salud intercultural es una estrategia importante para garantizar el derecho a la salud de los pueblos indígenas y otros grupos étnicos, así como para promover el diálogo y el respeto entre las diferentes culturas que conviven en el país.
Implementation of Character Education Based on Local Wisdom in Dance Extracurriculars at Elementary Schools
Authors: Maesaroh Maesaroh , Kustiarini Kustiarini
Published: July 2024

Western culture is currently developing very rapidly along with technological developments; this has a big impact on the development of the character and morals of students in Indonesia. This research aims to (1) Describe the implementation of character education based on local wisdom in dance extracurriculars at SDN Kartasura 01 Sukoharjo; (2) Describe the values ​​of local wisdom in extracurricular dance, especially the Kebo Kinul dance at SDN Kartasura 01 Sukoharjo. This study used a descriptive qualitative method. The subjects of this research were 15 students who were active in extracurricular dance and 1 dance teacher. The data collection techniques used are observation, interviews, and documentation. The results of the research are: (1) The implementation of character education based on local wisdom in extracurricular dance at SDN Kartasura 01 Sukoharjo was carried out by preserving the regional culture of the Kebo Kinul Dance, which developed in Sukoharjo Regency; (2) The values ​​contained in the Kebo Kinul dance extracurricular are the value of working together, the value of gratitude and the value of love for the homeland. Based on the results, it can be concluded that the implementation goes through the stages of planning, implementation, monitoring, and evaluation following the curriculum to achieve national education goals
Improving Elementary School Students' Mathematics Problem Solving Skills through Problem-Based Learning (PBL) Based on Higher Order Thinking Skills (HOTS)
Authors: Munawaroh Qomsiatun , Dewi Wulandari Murfiah , Tina Maya Astuti Heni
Published: July 2024

Mathematics is a subject that requires critical and creative thinking skills to solve problems. Meanwhile, this research aims to determine the effectiveness of using problem-based learning (PBL) based on higher-order thinking skills (HOTS) to improve students' mathematical problem-solving skills. This research is classroom action research with two cycles, each consisting of planning, implementation, observation (act & observe), and reflection. This research targeted 11 fifth-grade students at SDN Wirogunan 03. Data was obtained from the results of formative tests by answering ten questions and observation sheets of learning activities. The research results showed that students' mathematical problem-solving skills had increased. Cycle I experienced an average increase of 17.95%, and cycle II experienced an average increase of 31.85%. The research results show that HOTS-based PBL can improve students' mathematical problem-solving skills and effectively improve the mathematics learning outcomes of fifth-grade students at SDN Wirogunan 03 Kartasura
PERSUASIVE COMMUNICATION IN CULT-THEMED MOVIES: A SOCIO-PRAGMATIC STUDY
Authors: Biela Bening Salsa , Zainal Muttaqien Muhammad
Published: July 2024

The practice of cults has been proven to be dangerous to the mental health of the victims. This study analyzed and demonstrated some samples of persuasive communication techniques used by cults in recruiting and brainwashing their members in a cult-themed movie and a cult documentary, as well as their effects on the victims and how the victims respond to them. The study used a descriptive qualitative approach, and the data were taken from Midsommar and The Sacrament. The 70 data in words and non-verbal gestures were analyzed with a sociopragmatic approach, particularly Perloff's persuasive communication techniques, Miller's persuasive communication effects, and Cialdini's six basic human tendencies in responding to persuasive communication. This study found that 1) persuasive communication in Midsommar was dominated by using the interpersonal persuasion technique, whereas in The Sacrament was dominated by using the exact message, 2) the shaping effect dominated both movies and 3) the liking tendency dominated both. This study hopes to give an understanding among the readers and society about how persuasive the cults use communication to recruit and brainwash their targets so that they would not fall into the danger of cults in real life
Keywords: brainwashing; cult; movie; persuasive communication; socio-pragmatics
PULANG KAMPUNG KE GONGJIN: TRAUMA DAN MIMPI HONG DU-SHIK DALAM HOMETOWN CHA-CHA-CHA
Authors: Atari Atari Dian Pratiwi
Published: July 2024

Generally, a romantic love story with psychological nuances becomes the marking theme in Korean drama. Using the themes is a strategy so Korean dramas stay in the market and keep providing viewers with fresh images. DramaHometown Cha-Cha-Cha(2021) is interesting because the main character experiences severe trauma yet still stands back for his life. This article discussed the phenomenon using Sigmund Freud. The approach used was a Freudian analysis model with a qualitative descriptive method. The aim of the study was to explain (a) the trauma that affects the main character’s personality and (b) the roles of the id, ego, and superego in the character’s behavior. The results showed that the personality of the main character, Du-Shik, was described as kind, helpful, friendly, romantic, and warm, but he has a very heavy trauma. Since he was young, Du-Shik was abandoned by the people he loved, and he felt that he had failed to help a security guard and caused a friend’s death. The trauma he experienced affects his personality and life, such as frequent nightmares because of excessive guilt, fear, and anxiety. The research finding also revealed that the main character’s id was presented through the emergence of pity, comfort, love, fear, and nightmares. The ego was presented through the use of common sense, contemplation, and speechlessness in making decisions, while the superego was represented with a willingness to tell stories and dare to love the leading female character, Hyejin, back.

Key words: Hometown Cha-Cha-Cha, trauma, nightmare, Sigmund Freud’s psychoanalysis
INCLUSIVE ENGLISH EDUCATION: EMPOWERING LEARNERS WITH DISABILITIES THROUGH COOPERATIVE LEARNING APPROACHES
Authors: Nor Hidayah , Asiah Nur , Saadillah
Published: July 2024

This research aimed to explore effective cooperative learning strategies for learners with disabilities and identified the challenges teachers face in implementing these strategies in the classroom. A qualitative descriptive approach using a case study design was utilized for data collection, including observations, interviews, and documentation analysis. The collected data was analyzed deductively. The participants of this research were four English teachers and six disabled students of SMAN 4 Banjarbaru, South Kalimantan. The findings of this study revealed that teachers employ various cooperative learning strategies such as NHT (Number Head Together), Jigsaw, Round Robin, and STAD (Student Teams Achievement Divisions) to support students with disabilities. However, teachers encounter specific obstacles in implementing these strategies, including the unique characteristics of each student with a disability, requiring individualized adaptations. This implies that teaching and learning approaches for students with special needs cannot be standardized, and personalized attention and active involvement from both the teacher and other students are crucial for optimal learning outcomes.

Keywords: cooperative learning, inclusive English education, disabled learners, learning strategies