bluuebunny/crossref_metadata_2025_split huggingface dataset:
A cross sectional questionnaire based study on self medication practice of analgesics among MBBS students at Dr. B. R. Ambedkar Medical College, Bengaluru, Karnataka
Authors: P. Shanmukananda , H. Shwetha , D. R. Veena , M. Poorvi 
Published: March 2020

Background: Self medication with analgesics is prevalent worldwide due to easy procurement of over the counter drugs. Present study was done to assess knowledge, attitude, practice and perception of self medication of analgesics among MBBS students at Dr. B. R. Ambedkar Medical College, Bengaluru, Karnataka.Methods: A cross-sectional study was conducted on 5th term MBBS students of Dr. B. R. Ambedkar Medical College, Bengaluru in November 2019. A pre-designed validated questionnaire was used to collect information on knowledge, attitude, practice and perception of self medication of analgesics. Data was analysed using descriptive statistics.Results: 83.3 % of 5th term MBBS students practiced self medication with analgesics. Majority of students had some knowledge on self medication with analgesics. Common reason for using analgesic self medication was headache (59.7%) and nonsteroidal antiinflammatory drugs (90%) were commonly used analgesics. Analgesics were used for quick relief (73.3%) and source of information was from medical textbooks (61.6%). Students stopped taking analgesics after symptoms disappeared (75%). Students agreed that self medication is acceptable for medical students (63.3%) and medical license is required for better administration of drugs (51.3%).Conclusions: This study has found that self medication with analgesics was common among undergraduate medical students for minor illness. It is necessary to create awareness and educate students regarding dangers of analgesic self medication.
Pregnancy outcome in patient who had first trimester bleeding in previous pregnancy: a prospective study
Authors: M. Faswila , R. Ramya N. 
Published: March 2020

Background: Patient who had history of spontaneous abortion in her previous pregnancy is associated with adverse outcome in her present pregnancy.Methods: A total 63 pregnant women attending OPD and admitted in department of obstetrics and gynecology, Yenepoya Medical College, from April 2017 to September 2017, considered and outcome were studied.Results: Out of 63 patient’s majority (57.1%) of patients belong to the age group 21-29 year. Anemia was found to be very severe in 4.3%, severe in 10% and moderate in 30% patients. Maximum patients (45.7%) were with history of previous one abortion followed by previous two abortions (38.6%). The final outcomes were term livebirth 47 (74.3%), abortion 9 (14.3%), preterm delivery 5 (8.6%), and stillbirth 2 (2.8%) caesarean section (23.3%) for various indications. 19.23% had term PROM, 9.09% had PPROM, 5.76% had term IUGR, 3.84% term IUD, preterm IUD accounts for 9.09% and still birth accounted for about 1.92% which was term, pre-eclampsia accounted for 4.76%, malpresentation for 7.93%, total 3 cases of antepartum hemorrhage out of which placenta previa accounts for about 3.1% and abruption for 1.58%, manual removal of placenta 4.7% and low birth weight 7.6%.Conclusions: Previous history of spontaneous abortion is associated with adverse pregnancy outcome. There is increased risk of abortion, preterm delivery, need for caesarean sections and fetal loss which can be reduced by booking and giving antenatal care.
Incertidumbre ante la enfermedad crónica. Revisión integrativa
Authors: Arias Rojas Edier Mauricio , Carreño Moreno Sonia Patricia , Chaparro Díaz Oliva Lorena 
Published: March 2020

Este estudio tiene como objetivo integrar la evidencia acerca de la incertidumbre ante la enfermedad en el paciente con enfermedad crónica y su cuidador familiar, guiados por la teoría de la incertidumbre ante la enfermedad. Para esto se realizó una síntesis integrativa de la literatura durante los años 2007 a 2017. Se usaron las bases de datos Medline, Science Direct, Ovid Nursing, Scielo, Scopus, CINAHL y Psycinfo en los idiomas inglés y español. Para realizar la síntesis integrativa se incluyeron 46 publicaciones, con 21 estudios de tipo cualitativo, 19 cuantitativo, 2 mixtos y 4 revisiones. Los estudios se realizaron en su mayoría en pacientes con cáncer, enfermedades neurodegenerativas, fallos orgánicos, falla cardiaca, EPOC y en cuidados paliativos de distintas enfermedades. Dentro de las principales conclusiones del estudio se plantea que la persona con enfermedad crónica y su cuidador familiar desarrollan incertidumbre ante la enfermedad crónica debido a falencias en la educación acerca de la enfermedad y el cuidado, así como el soporte social que reciben del equipo de salud y de sus redes de apoyo.
Geleneksel Kadınlık Rollerinin Sosyal Medyada Yeniden Üretimi: Kendine Yardım Temalı YouTube Kanallarına Yönelik Çok Modlu Eleştirel Söylem Analizi
Authors: UĞURLU AKBAŞ Özge , ATALAY Gül Esra 
Published: March 2020

Kadınların birbirleriyle iletişim kurarak dayanışma içerisinde güç kazanmaları, birbirlerinin
deneyimlerinden faydalanarak gelişmeleri feminist teorinin önemli argümanlarından biridir.
Kadınlık durumları üzerine tartışmak, sorunlara birlikte çözüm üretmeye çalışmak, ataerkiye
karşı birlikte hareket etmek bu iletişimin temel konularıdır. Yeni medya teknolojileri ve sosyal
medya mecraları, kadın hareketleri için kuşkusuz yeni imkânlar sunmuş, zaman ve mekandan
bağımsız olarak kadınların birbirleriyle tanışmalarına, ortak hareket etmelerine olanak
sağlamıştır. Öte yandan kadının güç kazanması, kendi ayakları üzerinde durması, mağdur
konumundan sıyrılması üzerine söylemler popüler kültür alanına da sirayet etmiş, sosyal
medya mecralarında bu söylemlerin klişelere sıkıştırılmış şekilde dağıtıma sokulması yeni bir
tüketim alanı oluşturmuştur. Bu çalışmada erkeğe toplumsal yaşamda egemenlik atfederken
kadına edilgen bir konum atfeden geleneksel kadınlık rollerini yeniden üreten kalıp yargılar ve
sosyal medyanın bu süreçteki yeri ele alınmıştır. Türkiye’de en çok kullanılan sosyal medya
mecrası olan YouTube’da yayın yapan kendine yardım temalı iki kanalın en çok izlenen ikişer
videosu Çok Modlu Eleştirel Söylem Analizi kullanılarak incelenmiştir. Analiz sonucunda bu tür
YouTube kanallarında kullanılan söylemlerin kadınların kendilerini geliştirmeleri, kendi
güçlerinin farkına varmaları gibi idealist fikirler üzerine kurgulanmasına rağmen, kadını
tamamlanması için erkeğin varlığına muhtaç bir varlık olarak gören anlayışı yeniden ürettiği
görülmüştür.
Un primer acercamiento a la caracterización acústica del habla de niños costarricenses
Authors: Coto-Jiménez Marvin , Morales-Rodríguez Maribel , Vargas-Díaz Daniel 
Published: March 2020

A medida que la interacción de las personas con las computadoras se hace más extendida, se vuelve más importante el desarrollo de tecnologías para el reconocimiento automático de la voz, la síntesis de voz, así como otras tecnologías relacionadas, considerando a personas de todas las edades, acentos y condiciones. Uno de los grupos humanos que representan desafíos más grandes es el de los niños, debido a las dificultades para grabar suficientes recursos de habla, y la falta de caracterización de su forma de hablar, la cual es particular de cada idioma y acento. Este artículo presenta una primera aproximación para el análisis acústico de niños costarricenses de entre seis y doce años. Estos análisis tienen como objetivo lograr una mejor comprensión de las características del habla producida por este grupo en particular, en términos de propiciar el desarrollo y mejora de los reconocedores automáticos del habla y los sistemas de identificación del hablante.
Para este propósito realizamos grabaciones de habla de tres niños, las cuales consistieron en palabras aisladas, y comparamos los resultados con tres adultos en términos de los formantes de las vocales. Los formantes proporcionan información sobre el tracto vocal del hablante, y es un parámetro importante para establecer un primer análisis de estas señales. Los resultados muestran diferencias notables entre los niños y los adultos y pueden brindar información útil para futuros estudios en términos de adaptar y desarrollar las tecnologías del habla para esta población.
Benefits of Tiwai Onion (Eleutherine americana) Extract as Phytopharmaceutical Plant to Inhibit the Growth of Vibrio harveyi Through in-Vitro and in-Vivo
Authors: Azis Azis , Cahyadi Jimmy 
Published: March 2020

HighlightsEleutherine americana was a plant that was known to contain antibacterial alkaloids, steroids, phenolics, and flavonoidsEleutherine americana extract was able to inhibit the development of V. harveyi both through in vitro and in vivo tests on tiger shrimp (Penaeus monodon).The use of vibriosis antibiotics in tiger shrimp was often not controlled so the results obtained were not effective AbstractThe use of vibriosis antibiotics in tiger shrimp was often not controlled, so the results obtained were not effective. The addition of antibiotics would cause resistance to V. harveyi. Eleutherine americana is a plant that is known to contain antibacterial alkaloids, steroids, phenols, and flavonoids. This study aimed to determine the effectiveness of inhibitory effects of E. americana extract against V. harveyi through in-vitro and in-vivo tests on tiger shrimp larvae. In-vitro testing consisted of 7 treatments and 3 replications, namely treatments A (0.1%), B (0.2%), C (0.3%), D (0.4%), E (0, 5%), F ethanol 70% (K-), and G chloramphenicol 0.01% (K +) treatment. The largest inhibition zone diameter of E. americana extract was shown in treatment C (0.3%), with an average value of the inhibition zone produced of 7.5 mm. Challenge test with V. harveyi concentration of 107 CFU / ml in the in-vivo test consisted of 5 treatments and four replications namely; A treatment without E. americana extract, B extract 6 ppm, C extract 12 ppm, D extract 18 ppm, and treatment E without extract and V. harveyi. The results of the challenge test with V. harveyi bacteria were significantly different in control (chloramphenicol 0.01%), where the highest survival rate was in the treatment of 12 ppm extract (43.34%). E. americana extract could inhibit the development of V. harveyi bacteria both through in-vitro and in-vivo tests on tiger shrimp (Penaeus monodon).
Relationship between stress management and job performance in organizations
Authors: Altindag Ozden 
Published: March 2020

This study aims to examine the concept of stress, which has become a part of our daily lives, in an organizational context, and to determine whether there are a relationship and interaction between stress management and job performance in organizations. In this article, which is an exploratory study, the sources behind organizational stress are investigated, and the individual and organizational results created by organizational stress management on business performance are discussed. Within the scope of the study, the studies in the literature conducted between 2005 and 2019 in different sectors and their results were examined. In the obtained results, significant negative relationships were found between stress management and job performance. Furthermore, in these results, the mediating role of stress management was also detected.
Characteristics and context of high-energy, tidally modulated, barred shoreface deposits: Kimmeridgian–Tithonian sandstones, Weald Basin, southern U.K. and northern France
Authors: Angus Lynsey , Hampson Gary J. , Palci Francesco , Fraser Alastair J. 
Published: March 2020

ABSTRACTThe influence of tides on the sedimentology of wave-dominated shorefaces has been emphasized in recent studies of modern shorelines and related facies models, but few ancient examples have been reported to date. Herein, we use a case study from the stratigraphic record to develop a revised facies model and predictive spatio-temporal framework for high-energy, tidally modulated, wave-dominated, barred shorefaces.Kimmeridgian–Tithonian shallow-marine sandstones in the Weald Basin (southern England and northern France) occur as a series of laterally extensive tongues that are 5–24 m thick. Each tongue coarsens upward in its lower part and fines upward in its upper part. The lower part of each upward-coarsening succession consists of variably stacked, hummocky cross-stratified, very fine- to fine-grained sandstone beds and mudstone interbeds that are moderately to intensely bioturbated by a mixed Skolithos and Cruziana Ichnofacies. This lower part of the succession is interpreted to record deposition on the subtidal lower shoreface, between effective storm wave base and fairweather wave base. The upper part of each upward-coarsening succession comprises cross-bedded, medium- to coarse-grained sandstones that are pervasively intercalated with mudstone-draped, wave-rippled surfaces (including interference ripples) which mantle the erosional bases of trough cross-sets. Bioturbation is patchy, and constitutes a low-diversity Skolithos Ichnofacies. Cross-bedded sandstones are arranged into cosets superimposed on steeply dipping (up to 10°) clinoforms that dip offshore and alongshore, and extend through the succession. These deposits are interpreted to record shallow subtidal and intertidal bars on the upper shoreface, which likely contained laterally migrating rip channels or formed part of a spit. The lower, upward-coarsening part of each sandstone tongue represents an upward-shallowing, regressive shoreface succession in which the internal bedding of upper-shoreface sandstones was modulated by tidal changes in water depth. The upper, upward-fining part of each sandstone tongue typically comprises an erosionally based bioclastic lag overlain by subtidal lower-shoreface deposits, and constitutes an upward-deepening succession developed during transgression.Regressive–transgressive sandstone tongues fringe the northeastern margin of the basin, which was exposed to an energetic wave climate driven by westerly and southwesterly winds with a fetch of 200–600 km. The high tidal range interpreted from the shoreface sandstone tongues is attributed to resonant amplification in a broad (150–200 km), shallow (18–33 m) embayment as the tidal wave propagated from the Tethys Ocean into the adjacent intracratonic Laurasian Seaway, of which the Weald Basin was a part.
The Utility of Multi-Stack Alignment and 3D Longitudinal Image Registration to Assess Bone Remodeling in Rheumatoid Arthritis Patients from Second Generation HR-pQCT Scans
Authors: Brunet Scott C , Kuczynski Michael T , Bhatla Jennifer L , Lemay Sophie , Pauchard Yves , Salat Peter , Barnabe Cheryl , Manske Sarah Lynn 
Published: March 2020

Abstract

Background: Medical imaging plays an important role in determining the progression of joint damage in rheumatoid arthritis (RA). High resolution peripheral quantitative computed tomography (HR-pQCT) is a sensitive tool capable of evaluating bone microarchitecture and erosions, and 3D rigid image registration can be used to visualize and quantify bone remodeling over time. However, patient motion during image acquisition can cause a “stack shift” artifact resulting in loss of information and reducing the number of erosions that can be analyzed using HR-pQCT. The purpose of this study was to use image registration to improve the number of useable HR-pQCT scans and to apply image-based bone remodeling assessment to the metacarpophalangeal (MCP) joints of RA patients. Methods: Ten participants with RA completed HR-pQCT scans of the 2 nd and 3 rd MCP joints at enrolment to the study and at a 6-month follow-up interval. At 6-months, an additional repeat scan was acquired to evaluate reliability. HR-pQCT images were acquired in three individual 1 cm acquisitions (stacks) with a 25% overlap. We completed analysis first using standard evaluation methods, and second with multi-stack registration. We assessed whether additional erosions could be evaluated after multi-stack registration. Bone remodeling analysis was completed using registration and transformation of baseline and follow-up images. We calculated the bone formation and resorption volume fractions with 6-month follow-up, and same-day repositioning as a negative control. Results: 13/57 (23%) of erosions could not be analyzed from raw images due to a stack shift artifact. All erosions could be volumetrically assessed after multi-stack registration. We observed that there was a median bone formation fraction of 2.1% and resorption fraction of 3.8% in RA patients over the course of 6 months. In contrast to the same-day rescan negative control, we observed median bone formation and resorption fractions of 0%. Conclusions: Multi-stack image registration is a useful tool to improve the number of useable scans when analyzing erosions using HR-pQCT. Further, image registration can be used to longitudinally assess bone remodeling. These methods could be implemented in future studies to provide important pathophysiological information on the progression of bone damage.
Prevalence of surgical site infection and its associated factors after cesarean section in Ethiopia: systematic review and meta-analysis
Authors: Getaneh Temesgen , Negesse Ayenew , Dessie Getenet 
Published: March 2020

Abstract
Background Surgical site infection (SSI) affects up to one third of patients who have undergone a surgical procedure. It is a significant cause of surgical patient morbidity, mortality and human and financial costs threat. The national prevalence of SSI among mothers who undergo for cesarean section and its risk factors are not well investigated in Ethiopia. Therefore, this systematic and meta-analysis conducted to estimate the pooled prevalence of surgical site infection and its associated factors after cesarean section in Ethiopia.Methods Original articles were searched in PubMed/MEDLINE, EMBASE, CINAHL, Google Scholar, HINARI portal (which includes the SCOPUS, African Index Medicus, and African Journals Online databases), and Cochrane Library. Data were extracted using a standard data extraction checklist that developed according to Joanna Briggs Institute (JBI). The I2 statistic was used to quantify heterogeneity across studies. Funnel plot asymmetry and Egger’s tests were used to check for publication bias. A fixed effect model was used to estimate the pooled prevalence of surgical site infection. Odds Ratio (OR) with 95% Confidence Interval (CI) was also used to determine the association of identified variables with surgical site infection. Statistical analysis was conducted using STATA software.Result From initial 179 identified articles, 11 were eligible for inclusion in the final meta-analysis. The pooled estimate of surgical site infection after cesarean section in Ethiopia was 9.72% (95%CI: 8.38, 11.05). PROM >12hrs (OR=5.02, 95%CI: 2.65, 9.51), duration of labor>24hrs (OR=3.69, 95%CI: 2.41, 5.65), chorioamnionitis (OR=9.11, 95%CI: 5.21, 15.93), anemia (OR=4.75, 95%CI: 2.42, 9.33) and having vertical skin incision (OR=4.17, 95%CI: 2.90, 6.02) were factors significantly associated with surgical site infection after cesarean section.Conclusion The prevalence of surgical site infection after cesarean section in Ethiopia was high. Therefore, Minister of Health with its stake holders should emphasis on community and institution based programs in manner to prevent those factors listed above that have significant effect on surgical site infection.
Persistent domestic circulation of African swine fever virus in Tanzania, 2015-2017
Authors: Yona Clara M. , Vanhee Merijn , Simulundu Edgar , Makange Mariam , Nauwynck Hans , Misinzo Gerald 
Published: March 2020

Abstract
Background African swine fever (ASF) is a highly fatal viral hemorrhagic disease of domestic pigs that threatens livelihoods and food security. In Africa, ASF virus (ASFV) circulates in sylvatic (transmission between warthogs and soft argasid ticks) and domestic (transmission between domestic pigs) cycles, with outbreaks resulting from ASFV spill-over from sylvatic cycle. A number of outbreaks were reported in different parts of Tanzania between 2015 and 2017. The present study investigated ASFV transmission patterns through virus genotyping and phylogenetic analysis. Results ASFV was confirmed to cause outbreaks in sampled domestic pigs. ASFV genotypes II, IX, and X were detected from reported outbreaks in 2015-2017. The current ASFV isolates were similar to those recently documented in the previous studies in Tanzania. The similarities of these isolates suggests for continuous circulation of ASFV with virus maintenance within the domestic pigs. Methods A total of 3120 tissue samples were collected from 2396 domestic pigs during outbreaks at different locations in Tanzania between 2015 and 2017. Partial sequencing of the B646L (p72) gene was conducted for diagnostic confirmation and molecular characterization of ASFV. Phylogenetic analysis to study the relatedness of current ASFV with those that caused previous outbreaks in Tanzania and representatives of all known 24 ASFV was performed using the Maximum Composite Likelihood model with 1000 bootstrap replications in MEGA 6.0. Conclusions Genetic analysis confirmed the circulation of ASFV genotypes II, IX, and X by partial B646L (p72) gene sequencing. The similarities of current isolates to previously isolated Tanzanian isolates and pattern of disease spread suggest for continuous circulation of ASF with virus’ maintenance in the domestic pigs. Although certain viral genotypes seem to be geographically restricted into certain zones within Tanzania, genotype II seems to expand its geographical range northwards with the likelihood of spreading to other states of the East African Community. The spread of ASFV is due to breach of quarantine and transportation of affected pigs via major highways. Appropriate control measures including zoosanitary measures and quarantine measures adherence are recommended to prevent ASF domestic circulation in Tanzania.