bluuebunny/crossref_metadata_2025_split huggingface dataset:
Healthcare workers & SARS-CoV-2 infection in India
Authors: Chatterjee Pranab , Anand Tanu , Singh Kh. Jitenkumar , Rasaily Reeta , Singh Ravinder , Das Santasabuj , Singh Harpreet , Praharaj Ira , Gangakhedkar Raman R. , Bhargava Balram , Panda Samiran 
Published: May 2020

Background & objectives:
Healthcare workers (HCWs) are at an elevated risk of contracting COVID-19. While intense occupational exposure associated with aerosol-generating procedures underlines the necessity of using personal protective equipment (PPE) by HCWs, high-transmission efficiency of the causative agent [severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)] could also lead to infections beyond such settings. Hydroxychloroquine (HCQ), a repurposed antimalarial drug, was empirically recommended as prophylaxis by the National COVID-19 Task Force in India to cover such added risk. Against this background, the current investigation was carried out to identify the factors associated with SARS-CoV-2 infection among HCWs in the country.

Methods:
A case-control design was adopted and participants were randomly drawn from the countrywide COVID-19 testing data portal maintained by the ICMR. The test results and contact details of HCWs, diagnosed as positive (cases) or negative (controls) for SARS-CoV-2 using real-time reverse transcription-polymerase chain reaction (qRT-PCR), were available from this database. A 20-item brief-questionnaire elicited information on place of work, procedures conducted and use of PPE.

Results:
Compared to controls, cases were slightly older (34.7 vs. 33.5 yr) and had more males (58 vs. 50%). In multivariate analyses, HCWs performing endotracheal intubation had higher odds of being SARS-CoV-2 infected [adjusted odds ratio (AOR): 4.33, 95% confidence interval (CI): 1.16-16.07]. Consumption of four or more maintenance doses of HCQ was associated with a significant decline in the odds of getting infected (AOR: 0.44; 95% CI: 0.22-0.88); a dose-response relationship existed between frequency of exposure to HCQ and such reductions (χ2 for trend=48.88; P<0.001). In addition, the use of PPE was independently associated with the reduction in odds of getting infected with SARS-CoV-2.

Interpretations & conclusions:
Until results of clinical trials for HCQ prophylaxis become available, this study provides actionable information for policymakers to protect HCWs at the forefront of COVID-19 response. The public health message of sustained intake of HCQ prophylaxis as well as appropriate PPE use need to be considered in conjunction with risk homoeostasis operating at individual levels.
Profile of Students’ Problem Solving Skills and the Implementation of Assisted Guided Inquiry Model in Senior High School
Authors: Cindikia Muslimah , Achmadi Hainur Rasyid , Prahani Binar Kurnia , Mahtari Saiyidah 
Published: May 2020

The purpose of this research to analyze profile students’ problem solving skill and the implementation of assisted guided inquiry at senior high school. The type of research is used the preliminary research method with data collection techniques such as tests and questionnaires. The data are obtained, analyzed descriptively qualitatively. The results of this study show that only a few students can work on the material using problem-solving strategies (A-Assessing the problem (identifying principles to be used in problem-solving), C-create a drawing (translating words in the form of pictures containing about problem-solving instructions), C-conceptualize strategy (outlining the steps that will be used in solving the problem), E-executing the solution (applying the formula to solve the problem by the steps) and finally S-scrutinize the result (giving a level of confidence and give a reason) in solving dynamic electricity problems. Totally of the students, five students had low problem-solving skills, and 25 students who had moderate problem-solving skills. Totally of the students, five students had low problem-solving skills, and 25 students who had moderate problem-solving skills. The lowest problem-solving strategy value is at point S (scrutinize the result). Implementation of learning models provided is not ideal so that it causes students to be less active so that problem-solving skills are lacking and no laboratory supports the learning process. Students are not introduced to the existence of a virtual laboratory (PhET) as a laboratory replacement. So to improve students' problem-solving skills required appropriate learning methods.
An Effective and Concrete Way in Assessing the Learning Process by Using Market Media to Promote Local Wisdom
Authors: Lestari Anik Rofaida 
Published: May 2020

The writing of this best practice aims to describe an effective and concrete way in assessing the 2013 curriculum by using market media to raise a local wisdom. According to the advice of the Minister of Education and Culture (MOEC), grade seven of science textbook, the 2013 curriculum (C13) is designed to strengthen student competencies in terms of knowledge, skills, and attitudes. As a competency-based curriculum, C13 emphasizes activity-based learning that aimed at facilitating students to obtain those skills. Therefore, assessments of learning must include attitudes, knowledge, and skills both during the process (formative) and at the end of the learning period (summative). This research was conducted in a public junior high school in Magetan, East Java, Indonesia. The geographical location reinforces the author to utilize a market as an effective and concrete media in conducting the expected assessment in C13. There are several dimensions of market structure that affect the behavior of market residents. Among the diversity of behavior also requires market residents in the ability dimensions of attitude, knowledge and skills. In addition, by using the market as a learning media, students are expected to have ideas to promote regional product commodities as well as to raise the local wisdom of their regions.
Estado nutricional de las mujeres gestantes que participan del Programa de Atención Integral a la Primera Infancia Modalidad Familiar a partir de la caracterización antropométrica, Popayán 2015
Authors: Salazar Villamarin Carlos Iván , Ortiz María Fernanda , Zuluaga Angélica María , Rojas Marcela , Sarmiento Karen , Yépez Yina 
Published: May 2020

Identificar el estado nutricional de las mujeres gestantes que participan del programa de atención integral a la primera infancia modalidad familiar en el municipio de Popayán, a partir de la caracterización antropométrica. Materiales y métodos. Para determinar las características sociodemográficas y antropométricas de las gestantes se consultó su historia clínica. Para identificar factores protectores y de riesgo en el embarazo, se empleó la Ficha de caracterización sociofamiliar del Instituto Colombiano de Bienestar Familiar – Modulo 3. Para establecer las prevalencias de inseguridad alimentaria en el hogar (INSAH) se utilizó la Escala (ELCSA), adaptada y validada para Colombia. Los datos se analizaron con la prueba Chi cuadrado y ANOVA.
Propuesta de intervención de actividad física y Estimulación intrauterina para promoción de la Salud en mujeres gestantes, Cauca – Colombia
Authors: Chalapud Narváez Luz Marina , Cardona Caicedo Laura Jissel , Ruiz Ordoñez Diego Fabián 
Published: May 2020

La presente investigación busca diseñar un programa de actividad física y estimulación intrauterina como estrategia educativa para la promoción de la salud de mujeres entre 4 y 9 meses de gestación, de la vereda la Meseta municipio de Popayán. La investigación parte de un enfoque positivista de enfoque cuantitativo, tipo cuasiexperimental, para la recolección de datos se contó con la participación de 11 mujeres en estado de gestación. Se encontró que el grado de conocimiento sobre la actividad física y estimulación intrauterina de la población objeto de estudio, en la mayoría de preguntas realizadas, más del 50% de la población no tienen conocimiento sobre estas actividades, esto se puede relacionar con el alto grado de analfabetismo, situación que limita los resultados del estudio. Con relación a la evaluación de la condición física, que se realizó como diagnóstico para el diseño del programa, se encontró que el 100% de la población se clasifica en bajo y malo. Finalmente se concluye que el diseño de un programa de actividad física y estimulación intrauterina durante la gestación es una forma de preparar física y mentalmente a la madre.
Evaluación de la experiencia del usuario de un sistema de estabilometría para esclerosis múltiple basado en visión por computadora
Authors: Sosa Germán David , Franco Hugo 
Published: May 2020

Computarized posturography is a set of methods and techniques intended to provide objective measures of the balance function of a subject with postural control system alterations, in order to support diagnostic and therapeutic procedures. Modern computerized posturography systems yield accurate and reliable representations of the patient performance, such as force platform-based stabilograms (an account of the center of pressure trajectory along a balance test). However, such tests are quite expensive and usually imply uncomfortable displacements and procedures, such as marker placement protocols. As an alternative, recent developments on video-based stabilometry systems offer portable, low-cost computarized posturography solutions. This work presents an exploratory study on the user experience of the application of such systems in balance function assessment tests for both patients with diagnosis of Multiple Sclerosis and clinical personnel. The reception reported by the survey is highly positive, yet it points out that some improvements in the preparation of clinical staff to interpert stabilometry results are required, and summarized balance function descriptors could be necessary.
“What the weather will do” – results of a survey on impact-oriented and impact-based warnings in European NMHSs
Authors: Kaltenberger Rainer , Schaffhauser Andreas , Staudinger Michael 
Published: May 2020

Abstract. European NMHSs are progressing from warnings based on fixed thresholds or
climatology-based thresholds to impact-oriented and impact-based warnings.
This publication gives an overview of warning implementation as surveyed at
32 of the 37 NMHSs participating in the EUMETNET Meteoalarm project. The
report addresses these topics: warning format, legislation and production
process of warnings, dissemination and verification of warnings, impact
databases, warning strategy and cooperation, legal obstacles and
cross-border collaboration. Potential obstacles are identified and possible
trends are discussed.
The current landscape of urological undergraduate education in Canada
Authors: Domes Trustin , Vellani Samya , Couture Félix , Bhojani Naeem , Andonian Sero , Ismail Salima , Rourke Keith , MacLellan Dawn 
Published: June 2020

Introduction: Urological presentations are commonly seen in primary care and urologists are concerned that educational gaps exist in undergraduate curricula in Canadian medical schools. A pan-Canadian survey of undergraduate urology education directors (UUEDs) was used to determine the current status of undergraduate urology education in Canada.
Methods: In the fall of 2018, a survey was administered to all 17 UUEDs representing every Canadian medical school. The survey assessed multiple factors, including the timing and duration of urologist-led instruction, the perceived adequacy of urological content in the curriculum, and the level of preparedness of graduating students.
Results: The response rate was 100%. Variation in the duration (mean total instructional hours: 22.5±17.2 [5–75] hours) and timing of formal urological instruction was seen. The majority of schools covered core content areas, however, erectile dysfunction, uro-trauma, and pediatric urology topics were under-represented. One school had a mandatory urology clerkship rotation (one week), while the other 16 schools offered a selective, with 24.3% of students completing this experience. The majority of UUEDs (64.7%) believed the curricular time devoted to urology was inadequate, 29.4% felt that their graduates were unprepared to diagnose and treat common urological problems, and 76.5% strongly agreed or agreed that a national urology curriculum would be useful.
Conclusions: There was significant variability in the duration of instruction and delivery of urological topics in Canadian medical schools. There was a perceived need for more urological instruction by most UUEDs, who welcomed a more standardized national curriculum as a strategy to address this need.
Tratamento fisioterapêutico para instabilidade articular nas entorses de tornozelo
Authors: Vieira Sandro Emílio , Rezende Matheus da Silva 
Published: May 2020

A prevalência da entorse de tornozelo em indivíduos não atletas, atletas amadores e profissionais é alta, sendo especificamente um distúrbio muito comum do sistema musculoesquelético nos membros inferiores de acordo com os estudos citados no trabalho. A entorse de tornozelo é frequentemente uma lesão causada por trauma em inversão excessiva do pé, podendo a mesma ser classificada por meio deste mecanismo de lesão. Com alta prevalência de instabilidade articular persistente, a entorse de tornozelo apresenta trauma recidivo em vários casos, justificando assim a cronicidade do quadro. O objetivo do trabalho foi estabelecer as relações entre a entorse de tornozelo com o quadro desenvolvido de instabilidade articular e o tratamento fisioterapêutico em indivíduos atletas e não atletas com este tipo de lesão. O recurso metodológico do trabalho foi uma revisão bibliográfica da lesão e a conduta fisioterapêutica, onde foram selecionados artigos e livros relevantes, correlacionando a prevalência das entorses de tornozelo e a instabilidade articular, propondo o tratamento fisioterapêutico e não sendo objetivado aqui o quadro geral das entorses de tornozelo, mas sim na instabilidade articular. A conclusão do trabalho confirmou a alta prevalência de instabilidade articular crônica nas entorses de tornozelo e ainda evidenciou-se o tratamento fisioterapêutico baseado em fortalecimento muscular e treinamento proprioceptivo como conduta eficaz para este quadro clínico.
Covid-19, o novo coronavírus: um alerta emergencial para as principais estratégias de prevenção da saúde pública
Authors: Silva Agne Clecia Reis , Jesus Taylaine Santos de , Santos Sergio de Santana , Santos Gilderlaine de Jesus , Rodrigues Wellington Pereira 
Published: May 2020

Introdução: O novo Coronavírus um tipo de vírus, já identificado, como um agente etiológico desencadeador de um alarmante surto de uma doença respiratória ocasionando uma pneumonia de origem desconhecida, que desencadeou a disseminação primária na cidade de Wuhan, localizada na China. Objetivo: Conhecer as possíveis formas de orientação para os órgãos Sistema Nacional de Vigilância em Saúde em parceria com os serviços da Atenção Primária à Saúde, para atuarem na identificação de casos, realização de notificações e no referenciamento dos casos suspeitos pela infecção decorrente do Coronavírus. Método: Para o desenvolvimento deste estudo foi realizada uma revisão de literatura, caracterizando-se na análise das informações disponíveis em um dado momento e sobre uma problemática específica. Assim, o presente estudo é de natureza descritiva, com abordagem qualitativa conforme. A busca pelos artigos se deu nas bases de dados Scientific Electronic Library Online (SciELO), Biblioteca Virtual em Saúde (BVS) e Google Acadêmico. Para os critérios de inclusão utilizados, foram selecionados artigos publicados entre os anos de 2017 a 2020, descritos em português, que apresentassem estudos acerca do surto da doença coronavírus no âmbito mundial. Resultados: Em 2002 e 2003 a China teve cerca de 8.096 casos em vários países e com um total de 774 mortes, com uma taxa de letalidade de 9,5%, enquanto MERS-CoV. Já em 2012 esse novo episódio foi decorrente do MERS-CoV causador dos surtos que ocorreram no Oriente Médio, em que foi registrado 2.494 casos em 27 países e dessa vez com 858 mortes e uma taxa de letalidade de 34%. Assim, em avaliações laboratoriais foram em uma faixa etária acima dos 50 anos e estes apresentaram febre (> 37,8), tosse, sintomas respiratórios, coriza, dores musculares, confusão mental, dor de cabeça, dor de garganta, mialgia/artralgia, gânglios linfáticos aumentados, desidratação, inapetência, diarreia, náuseas e vômitos, presença de manchas na pele. Conclusão: A chegada acelerada do novo vírus coloca em discussão a estrutura da vigilância sanitária e epidemiológica existente no país, principalmente numa época em que a houve cortes de investimentos no Sistema Único de Saúde (SUS) e nas pesquisas, fragilizando a capacidade de detecção precoce e de resposta até mesmo para o seu tratamento.
Building Information Model as a Collaborative Knowledge Management Tool for Construction Professionals
Authors: Osuji Emmanuel C. , Nkeleme Emmanuel Ifeanyichukwu , Ezeokoli Fidelis Okechukwu 
Published: May 2020

Aim: The aim of this study is to assess benefit of BIM as a collaborative knowledge management tool for construction professionals.
Study Design: It was a mixed design research, the study was effected via literature review and a well-structured questionnaire. Likewise, interviews were carried out to substantiate the findings of the questionnaire survey.
Place and Duration of the Study: The study was conducted in Kaduna State, Nigeria for a period of 2 years.
Methodology: Being a mixed design research, a total of 250 questionnaires were administered and 235 were properly completed and returned representing a percentage response of 94%. Data garnered were analysed using relative importance index and presented in tables and charts.
Results: The study found that 94% of construction industry’s professionals are familiar with the concept of BIM but 94.47% of them never applied it whereas 4.68% rarely apply BIM, while 0.85 often apply BIM. Also, the research identified that all the thirteen areas where BIM can be used as a KM tool for collaboration among construction professionals were significantly important, however, Constructability Reviews and 4D Simulations which involves providing an interface to visualize the entire structure and simulate the construction process stood out as the most important.
Conclusion: The study concludes by recommending that the built environment professional bodies in Nigeria should carry out a proper sensitization programme in-order to train and retrain professionals in Nigerian construction industry as regards BIM tools and its applications. Also, BIM should be introduced as an integral part of the school curriculum for the training of future construction professionals so equipped them with the requisite BIM knowledge.
Frequency of Janus Kinas 2V617F (JAK2V617F) Mutation among Children with Type 1 Diabetes Mellitus
Authors: Zekry Nadia Farouk , Galal Omyma , Hassan Mohammed H. , Sakhr Hala M. , Toghan Rana 
Published: May 2020

Background and Objectives: Type 1 Diabetes mellitus (T1DM) is a disorder of glucose homeostasis results from the destruction of β- cells of the pancreas with subsequent insulin deficiency and hyperglycemia. Acquired mutation (V617F) affecting the JAK2 gene disrupts the auto-inhibition of JAK2 and results in constitutive activation of the Janus Kinase 2(JAK2)/signal transducer and activator of transcription (STAT) pathway. Once activated, the JAK/STAT pathway stimulates cell proliferation, differentiation, migration and apoptosis critically involved in growth control. Studies investigating the possible role of Janus kinas 2V617F (JAK2V617F) mutation and risk of T1DMor development of diabetic complications among such children are very few. So we aimed in this pilot study to estimate the relative frequency of Janus kinas 2V617F (JAK2V617F) mutation among a sample of children with T1DM.
Patients and Methods: This cross-sectional study included 25 Egyptian children with T1DM. Full clinical evaluation, routine laboratory investigations including kidney function, RBG, HbA1C and A/C ratio were done. Determination of JAK 2v617f gene mutation was performed using real time-PCR.
Results: The included diabetic children were 15 males and 10 females. Their mean random blood glucose was 272mg/dl±33 SD. Two cases exhibited mutation in the form of heterozygous type (Aa) representing 8% of the total included diabetic children and the remaining 23 (92%) diabetic children showed normal wild alleles (AA). There was a non-significant correlation between the glycemic control and the presence of JAK 2v617f gene mutation, p˃0.05.
Conclusions: JAK 2v617f gene mutation present in a small percentage of non-complicated T1DM with lack of its correlation with the glycemic control.
Basic Knowledge of Childhood Diarrhea and Health-seeking Practices of Caregivers of Under-five Childrenin Calabar-South, Calabar, Nigeria
Authors: Ogban G. I. , Ndueso E. M. , Iwuafor A. A. , Emanghe U. E. , Ushie S. N. , Ejemot-Nwadiaro R. I. 
Published: May 2020

Background: Diarrhea claims the lives of more children than malaria, HIV and measles combined. Prompt identification of symptoms of diarrhea by Caregivers and timely commencement of oral rehydration therapy using oral rehydration solution (ORS) or appropriate home available fluids are recommended corrective measures. This study was to ascertain the basick nowledge of childhood diarrhea and the health-seeking practices among caregivers of under-five children in Calabar- South, Calabar, Nigeria.
Materials and Methods: Six wards were chosen from the 12 wards in the study area by casting lot. Ten streets were randomly selected from each of the 6 wards. Eleven compounds were selected randomly per street to give a total of 660 compounds. A household with an under-five child or children was randomly selected per compound and therefore 660 Caregivers were enlisted on giving consent. Semi-structured questionnaires were used to collect data from respondents.
Results: In this study, 638 (98.2%) of respondents had good basic knowledge of childhood diarrhea in under-five children, 12 (1.8%) had fair basic knowledge, no group was rated as having poor basic knowledge. Occurrence of childhood diarrhea was marginally higher among respondents with good knowledge of diarrhea (50.3%) than respondents with fair basic knowledge, (50%). In practice during advent of childhood diarrhea, some caregivers chose to seek health-care from traditional healers 6.1% (19), churches 1.9% (6), pharmacies 16.9% (53), patent drug stores 18.8% (59), hospital, 14.3% (45), or self medication at home 42% (132).
Conclusion: Although most Caregivers possessed good basic knowledge of childhood diarrhea, there were constrains translating this knowledge into intervention practices due to inadequate presence. Of social amenity framework in the study area. Government and non Governmental authorities should make provision of social amenities such as hospitals, pipe borne water, waste disposal facilities, power supply, water drainagesetc, a priority.