bluuebunny/crossref_metadata_2025_split huggingface dataset:
Folic acid intake during pregnancy reduced the incidence of pregnancy-induced hypertension in Tibetan Nationality of Tibet Plateau: a population based cohort study
Authors: Xu Xiaohong , Wang Ming , Zhao Ziyi , Pubu Zhuoma , Ge Yang , Bianba Zhuoma 
Published: July 2020

Abstract
Objective The objective of this study was to investigate the effect of maternal supplementation with folic acid on pregnancy induced hypertension (PIH) and fetal outcomes in Tibetan Nationality of Tibet Plateau . Design A retrospective cohort study. Setting Lasha People's Hospital, China Participants Pregnant mothers of Tibetan Nationality on Tibet Plateau from Jan 2012 to Jan 2016. Primary and secondary outcomes Negative maternal and fetal outcomes between mothers who received folic acid supplement and mothers did not. Frequency of pregnancy induced hypertension were main outcome. Results 6700 pregnant women were included in the study, 18.37% (1231/6700) mothers (group A)received folic acid supplement during pregnancy and 24.37%(300/1231) of them(group A1) having supplement of folic acid longer than 3months. 1230 mothers did not receive folic acid supplement were selected as control (group B) through propensity score matching. In comparison, mothers of group A have a lower frequency of PIH than group B ( 5.8 % vs.19.3 %, P<0.001), including gestational hypertension (1.87%vs.4.47 % ), mild Pre-eclampsia (2.11 %vs.5.69 % ) ,severe Pre-eclampsia(1.87% vs.8.54 %) and Eclampsia(0% vs.0.57% ). However, Longer duration of folic acid supplement did not reduced the incidence of PIH. Before delivery, mothers of group A had less anemia ( 31.7 %vs.20.1%, P <0.001) and much higher hemoglobin (122.3±16.02g vs.115.5±16.76g, P <0.001) than group B. After delivery, more preterm infants, more neonatal asphyxia , lighter weight, shorter height , smaller head circumference and pediatric admission were observed in infants of group B than group A. Conclusion Among pregnant women of Tibetan Nationality on Tibet Plateau , folic acid supplement could reduce the incidence of pregnancy induced hypertension, anemia and related negative outcomes of infants.
The Association between Ethnicity and Level of Education with Exclusive Breastfeeding Practice in the Context of the Place of Residence in Nigeria
Authors: Anazonwu Nkemdilim P , Ajaero Chukwuedozie K , Mbah Peter O 
Published: July 2020

Abstract
BackgroundWhile researches have been done separately on ethnicity and level of education as factors of exclusive breastfeeding (EBF) practice, there is dearth of studies on the peculiarities of EBF practice in the context place of residence as regards to the combined influence of ethnicity and level of education. To examine the association of ethnicity and level of education with exclusive breastfeeding (EBF) practice in urban and rural areas of Nigeria.MethodsData was from the Nigeria Demographic and Health Survey (NDHS) of 2018. The sample comprised of 16,982 urban and 24,834 rural women aged 15-49 years in all the 36 States and the Federal Capital Territory (FCT) of Nigeria. The outcome variable was exclusive breast-feeding (EBF) practice while the major predictor variables were ethnicity and level of education. Analyses of data were by descriptive statistics, Pearson Chi square and binary logistic regression at 0.05 level of significance. ResultsHigher education levels were significantly associated with decreased engagement in EBF practice in urban and rural areas while ethnic differences were significantly associated with EBF practice in the rural areas. Being aged 25-34 years (OR=2.316; p=0.000) was significantly associated with increased odds of EBF practice in urban areas. Moreover, region of residence was significantly associated with EBF practice in the rural areas. Finally, in both rural and urban areas, households with more than two children were significantly associated with increased odds of EBF.ConclusionsMore sensitization campaigns on the need to incorporate EBF practice into formal employment work ethics where women with higher levels of education mostly work are needed in urban areas. In addition, ethnic practices, which promote EBF practices, should be encouraged in antenatal and postnatal clinics.
WITHDRAWN: Experience with a clinical audit requirement for interns in the emergency department
Authors: Windish Ryan , Morel Douglas , Forristal Catherine 
Published: July 2020

Abstract
Background: The clinical audit is an important evaluation tool to ensure quality assurance. A clinical audit requirement for interns during their emergency department (ED) term may be a valuable educational activity. Methods: The Emergency Audit Initiative (EAI) Program was initiated at Redcliffe Hospital in January 2018. Interns, who were paired with a staff specialist audit mentor, chose a topic of interest and carried out a clinical audit during their ten-week ED term. At the end of term, interns formally presented audit findings in a grand round setting. Interns and staff specialists were surveyed at the end of the intern year regarding aspects of the program. Surveys aimed to assess: 1) value of the program as an educational activity, 2) availability of time and resources to conduct the audit, and 3) perceived impact on practice. Results: During the first year of the program, 27 clinical audits were carried out. 16 interns (59%) and 8 staff specialists (57%) responded to the surveys. Interns and staff specialists reported that the audit was a valuable educational experience (88% and 100%). Interns also reported that they had adequate time (94%) and resources (81%) to conduct the audit. Interns and staff specialists however reported only a modest impact on clinical practice because of the audit program. Conclusions: Our experience with the EAI program suggests that incorporating a clinical audit requirement into the ED term is possible. Interns and staff specialists reported it to be a beneficial educational and professional development activity.
Uma análise da adesão de organizações brasileiras à GRI como método de divulgação de informações de responsabilidade social corporativa
Authors: Crisóstomo Vicente Lima , Correia Forte Hyane , De Azevedo Prudêncio Priscila 
Published: July 2020

Objetivo: As organizações têm publicado relatórios de responsabilidade social corporativa (RSC) visando divulgar sua responsabilidade social. Nesse sentido, a Global Reporting Initiative (GRI) desenvolve modelos estruturados de relatórios de sustentabilidade que auxiliam as organizações na sua elaboração e divulgação. O presente trabalho tem como objetivo analisar a evolução da adesão à GRI e a qualidade dos relatórios de RSC divulgados por organizações brasileiras.
Metodologia: Coletou-se os dados de todas as organizações brasileiras que aderiram à GRI, no período 2000-2017, num total de 461 organizações e 2.142 observações. Fez-se uma análise descritiva e testes de diferença de proporções.
Resultados: Os resultados mostram que houve um crescimento relevante do número de organizações brasileiras que aderiram à GRI, observando-se um crescimento anual médio em torno de 48%. As organizações empresariais são as que mais divulgam ação social via GRI, embora também haja organizações de outra natureza. Verifica-se uma predominância forte de empresas de grande porte. Relativamente à qualidade da informação, percebe-se que cerca de 90% das demonstrações já seguem as diretrizes da GRI, e mais da metade ainda não é submetido a processo de auditoria externa. Observa-se um avanço, mesmo que pequeno, da divulgação de relatórios que integram informações financeiras e de cunho social.
Contribuições do Estudo: O estudo sobre o disclosure de relatório de RSC no formato GRI fornece à comunidade acadêmica informação sobre o quanto este instrumento de divulgação tem sido considerado relevante por organizações empresariais ou não no Brasil. Esta busca crescente por divulgação de RSC via GRI pode dever-se ao objetivo de legitimação de estratégias e práticas organizacionais, como também de criação de valor e melhoria de reputação organizacional. Como contribuição tem-se a análise detalhada da evolução da divulgação de relatórios GRI pelas organizações brasileiras. Além disso, o estudo contribui ao sinalizar que a GRI tem se firmado como um importante meio para a divulgação de informações de ações socioambientais para organizações brasileiras. Do ponto de vista acadêmico, a pesquisa colabora ao avançar nos estudos relativos ao disclosure voluntário e ao aprofundar a análise da qualidade dos relatórios GRI elaborado pelas organizações.
PERCEPÇÃO DOS PROFISSIONAIS DE SAÚDE ACERCA DE SUAS ATRIBUIÇÕES QUANTO AOS PROCESSOS DE EDUCAÇÃO EM SAÚDE
Authors: Ferreira de Oliveira Suelen , Christiane de Azevedo Machado Flávia 
Published: July 2020

Introdução: O SUS deve trabalhar na perspectiva da intersetorialidade. Neste sentido, destaca-se o Programa Saúde na Escola (PSE) que prevê a realização de atividades técnico-assistenciais sob responsabilidade dos profissionais das Equipes de Saúde da Família (ESF), bem como atividades de educação popular em saúde direcionada a professores, pais, comunidades e estudantes. Apesar da importância do PSE, identificam-se fragilidades que comprometem resultados mais efetivos como necessidade de investimentos na educação permanente dos profissionais envolvidos (profissionais da educação e saúde). Objetivo: O presente trabalho tem como objetivo avaliar as dificuldades dos profissionais de saúde do município de Natal/RN para instituir estratégias voltadas à saúde escolar de adolescentes. Método: Trata-se de uma pesquisa descritiva exploratória de abordagem qualitativa em que foram conduzidos grupos focais envolvendo profissionais da Estratégia Saúde da Família atuantes no Programa Saúde da Escola de territórios onde se localizam as escolas selecionadas para participar do plano de trabalho. Resultados: O estudo comprovou que, apesar de lidar com diversas fragilidades, os profissionais compreendem o conceito de educação em saúde e a necessidade de adequar estratégias pedagógicas ao público-alvo, bem como apontam a necessidade de políticas públicas que garantam sua capacitação profissional constante e a de educadores para que possam juntos promover a integralidade no PSE. Conclusão: A ausência de uma formação pedagógica nos cursos de graduação, insuficiência de insumos, ausência de planejamentos integrados entre as escolas e os serviços de saúde, não reconhecimento pela comunidade da importância das ações de saúde realizadas são fatores que fragilizam o PSE. Apesar das dificuldades, há anseio por condições favoráveis ao desenvolvimento da educação em saúde.
Palavras-Chave: Educação em saúde; Promoção da Saúde; PSE; Qualidade de vida.
NECROSE MANDIBULAR ASSOCIADA AO USO DE BIFOSFONATO: RELATO DE CASO
Authors: Freitas de Souza Junior Erasmo , Azevedo Silva Janielma , Do Socorro Soares Maria , Henrique Araújo de Morais Hécio 
Published: July 2020

Introdução: Os bifosfonatos são medicamentos que objetivam reduzir a reabsorção óssea por provocarem a apoptose de osteoclastos. Por essa razão, são frequentemente empregados em pacientes com osteoporose e no tratamento do câncer. Contudo, apesar dos benefícios associados ao tratamento com bifosfonatos, esses medicamentos vêm sendo relacionados a osteonecrose maxilo-mandibular, materializando-se como um preocupante quadro de interesse à saúde pública. Objetivo: Apresentar um caso clínico de osteonecrose mandibular associada ao uso de bifosfanato, após extração de um elemento dentário, bem como contribuir com as discussões sobre as possibilidades terapêuticas desta enfermidade. Descrição do caso: Paciente do sexo masculino, 59 anos, encaminhado ao serviço de Cirurgia e Traumatologia Bucomaxilofacial dois meses após a extração do elemento dentário 45. O diagnóstico foi de Osteonecrose Maxilomandibular Relacionada a Bifosfonatos (OMRB), optando-se, inicialmente, pela remoção dos traumas existentes, como também o cuidado com a área exposta. Posteriormente, optou-se pela remoção do segmento ósseo necrótico. Conclusões: A complexa fisiopatologia da OMRB, exige dos cirurgiões dentistas a tomada de medidas em tempo oportuno e que cause o mínimo transtorno à vida dos pacientes. Assim, deve-se avaliar o estado da lesão, havendo indicação de terapia conservadora para os achados precoces. O desbridamento cirúrgico é aconselhado para o tratamento da doença avançada e não responsiva.
Palavras-Chave: Bifosfonatos; Osteonecrose; Mandíbula.
Zeonex-based Tetra-rectangular Core-photonic Crystal Fiber for NaCl Detection
Authors: Bulbul Abdullah A-M. , Hossain Mohammad B. , Dutta Rahul , Hassan Mahadi 
Published: July 2020

Introduction:
This paper demonstrates the design of a sensor model for the detection of
Sodium Chloride (NaCl) in an effective and efficient manner. Photonic Crystal Fiber (PCF) has
been used to design this sensor model.

Objective:
Using Comsol Multiphysics software, the sensor model has been implemented and simulated
to carry out an in-depth analysis of the sensing performance of the proposed model.

Method:
The confinement loss, effective material loss, effective area, birefringence, and relative
sensitivity were analyzed to estimate the sensing efficiency of this model. The sensor performance
has been analyzed for five different concentrations of NaCl.

Results:
From the analysis, it is found that for all the analytes, confinement loss maintains a moderate
value for the frequency band ranging from 0.9 to 1.2 THz. However, it approaches absolute
zero immediately after 1.2 THz. The sensor model results in a high effective area, which is highly
desirable for every PCF. It shows 3.78 × 105, 3.77 × 105, 3.76 × 105, 3.75 × 105, and 3.743 ×
105 μm2 effective areas for 0%, 20%, 40%, 60% and 80% NaCl, respectively, at 1.4 THz.
The effective material loss for this model is about 3.7×10-3, 3.63×10-3, 3.68×10-3, 3.672×10-3 and
3.652×10-3 cm-1 for 80%, 60%, 40%, 20% and 0% NaCl, respectively, at 1.4 THz. Birefringence
is also high for the proposed model. The values of birefringence are approximately 0.002, 0.0018,
0.0017, 0.0016 and 0.0015 at 1.4 THz for 0%, 20%, 40%, 60% and 80% NaCl, respectively. In addition
to the above positive outcomes, the sensor model exhibits high sensitivity for both x and y
polarization. The peak sensitivity of this sensor is 91.5%, 91.42%, 91.34%, 91.25% and 91.10% in
x polarization direction whereas the peak sensitivity is 91.70%, 91.60%, 91.49%, 91.40% and
91.25% in y polarization direction for 80%, 60%, 40%, 20% and 0% NaCl, respectively, at 1.8
THz. The value of sensitivity is above 90% at 1.4 THz for all the five concentrations of NaCl.

Conclusion:
The analyzed optical properties signify the higher efficiency and effectiveness of the
sensor model in the detection of NaCl.
Recent Patents on Flexible Fixture for Parts Machining
Authors: Pan Chengyi , Xie Baocheng , Ni Xiaowei 
Published: July 2020

Background:
Flexible fixture is widely used in the diversification processing and personalized
processing of parts. The research on the structure and working principle of the flexible fixture is
beneficial to improving the clamping efficiency and clamping stability of parts and enhancing the processing
efficiency and processing quality of parts.

Objective:
The aim of this study is to meet the growing demands for the processing of parts with different
sizes and different shapes, to observe that the clamping stability and clamping efficiency of the
fixture for the processed parts are continuously improved, and then the processing efficiency and the
processing quality of parts have been improved continuously.

Methods:
This paper reviews various representative patents related to the structural device of flexible
fixture for parts machining.

Results:
Through retracing the characteristics of the different structural device of the flexible fixture,
the main existing problems in the structure and design principles of flexible fixtures are concluded and
analyzed, and the development trend of flexible fixtures in structural design is discussed in the future.

Conclusion:
The optimization and development of the structural device of the flexible fixture are conducive
to improving the processing efficiency and processing quality of the parts machining. More
related patents on the flexible fixture for parts machining will be invented.
Performance Assessment of Composite Phase Change Materials for Thermal Energy Storage-Characterization and Simulation Studies
Authors: Chavan Santosh , Gumtapure Veershetty , Perumal D. Arumuga 
Published: July 2020

Background:
The present study mainly focuses on the development of new Thermal Storage
Materials (TSM) and compare the performance for thermal energy storage capacity. Linear Low-
Density Polyethylene (LLDPE) based Composite Phase Change Materials (CPCMs) is prepared, and its
properties are analyzed using characterization, analytical calculations, and numerical simulation methods.
The composites are prepared by blending the functionalized graphene nanoparticles (1, 3 & 5%)
with three different concentrations into LLDPE. All three CPCMs show enhanced thermal performance
compared to the base material, but it is noticed that higher concentrations of nanoparticles increase the
dynamic viscosity and produce an adverse effect on thermal performance. Thermal characterization
shows improved latent heat capacity with nanoparticle concentration, analytical and numerical results
also compared, which shown a difference of 10 to 25%.

Objective:
The purpose of this study is the development and evaluation of the thermal storage capacity
of different thermal storage materials and enlighten the techniques used for characterizing the storage
materials.

Methods:
Composite material preparation is carried out by using twin-screw extruders, characterization
of developed material is done through FTIR, SEM, and DSC analysis. For complete analysis characterization,
analytical calculations and numerical simulation methods are used.

Results:
Linear low-density polyethylene-based composite materials can be successfully developed
using a twin-screw extruder. This extrusion provided proper dispersion of nanoparticles into the base
material, and it is validated by SEM analysis. DSC analysis confirmed the enhancement in the thermophysical
properties of composite materials.

Conclusion:
The latent heat capacity increased around 20% during the heating cycle and reduced approximately
23% during the cooling cycle for base material and 5% addition of nanoparticle, respectively.
The comprehensive study accomplishes that the optimum concentration of nanoparticle provides
better thermal performance for thermal energy storage applications.
EFEK GAYA ASUH PERMISIF TERHADAP KENDALA PEMBENTUKAN KEPRIBADIAN SISWA SEKOLAH DASAR
Authors: Handayani Rekno 
Published: July 2020

Penelitian ini bertujuan untuk mengetahui lebih mendalam mengenai efek gaya asuh permisif terhadap kendala pembentukan kepribadian siswa kelas IV SD 1 Gulang Kec. Mejobo Kudus. Kualitatif deskriptif merupakan metode yang digunakan untuk melaksanakan penelitian. Menggunakan observasi langsung, wawancara, pencatatan, dan dokumentasi sebagai instrumen penelitian. Analisis data yang digunakan merupakan model milles-huberman disajikan secara interaktif sampai data menjadi jenuh. Hasil penelitian menunjukan bahwa gaya asuh permisif memberikan efek yang kurang baik bagi pembentukan kepribadian siswa kelas IV SD 1 Gulang. Hal ini disebabkan kurangnya kontrol orang tua kepada anak sehingga anak mengalami ketidak teraturan dalam masa belajarnya. Adapun sikap dan karakteristik yang menunjukan kurang baik pada diri siswa terutama dalam hal belajar yakni (1) rendahya minat belajar, (2) pasif dalam mengikuti pembelajaran, (3) rendahnya kepercayaan diri siswa, (4) hasil belajar yang rendah. Sehingga dapat disimpulkan bahwa pendampingan yang kurang maksimal akan memberikan kendala dalam pembentukan kepribadian siswa kelas IV SD 1 Gulang. Masukan dalam penelitian ini adalah bagi orang tua diharapkan mampu mendampingi anaknya dan tidak terlalu memberikan kelonggaran pada seorang anak. Kata kunci: Gaya Asuh Permisif, Kepribadian, Siswa SD
La competencia discursiva potenciada a través de textos multimodales
Authors: Hoyos Hoyos Mary Luz , Acosta Valencia Gladys Lucía , Morillo Puente Solbey 
Published: July 2020

Las habilidades de expresión oral son cruciales para establecer y mantener las relaciones cotidianas del sujeto mediadas por el lenguaje en su interacción con otros y con el contexto mismo en el que se desenvuelve. Esta situación inscribe el discurso oral en la categoría de práctica social. De allí surge el interés del presente artículo, el cual da cuenta de una investigación cuasiexperimental de carácter secuencial con enfoque cuantitativo y mediciones pretest-postest, cuyo propósito central fue analizar la incidencia de una estrategia didáctica con textos multimodales en la potenciación de la competencia discursiva. Los datos fueron examinados desde dos componentes de la estadística: el descriptivo y el inferencial. Como resultado general del análisis, se determinó que la perspectiva multimodal propició transformaciones favorables en la competencia discursiva de los participantes gracias a que logró articular varias formas de expresión escrita, visual e iconográfica. A través de estas se generaron intercambios verbales entre los estudiantes que activaron procesos discursivos mediante su puesta en escena en el contexto del aula, lo que propició múltiples situaciones de comunicación.
PENGEMBANGAN ASPEK KEAGAMAAN DI PAUD PERTIWI 7 DESA SUMBERREJO KECAMATAN BATANGHARI LAMPUNG TIMUR
Authors: Noormawanti Noormawanti 
Published: July 2020

Penelitian ini membahas tentang Pengembangan Aspek Keagamaan di PAUD Pertiwi 7 Desa Sumberrejo Kecamatan Batanghari Kabupaten Lampung Timur, dengan rumusan masalah sebagai berikut: 1) Bagaimana proses penanaman nilai-nilai keagamaan dalam pengeambangan aspek keagamaan di PAUD Pertiwi 7, 2) Bagaimana metode yang diterapkan dalam rangka penanaman nilai-nilai keagamaan dalam pengembangan aspek keagamaan di PAUD Pertiwi 7, 3) Apa saja faktor pendukung dan penghambat penanaman nilai-nilai agama dalam pengembangan aspek keagamaan di PAUD Pertiwi 7. Tujuan penelitian ini adalah untuk menggambarkan bagaimana pengembangan aspek keagamaan di PAUD Pertiwi 7 Desa Sumberrejo Kecamatan Batanghari Lampung Timur.
Desain penelitian ini adalah menggunakan pendekatan kualitatif dengan model penelitian deskriptif. Sehingga penelitian ini adalah penelitian deskriptif kualitatif. Teknik pengumpulan datanya menggunakan metode observasi dan wawancara. Untuk lebih mempermudah pemaparan data maka dilakukan kategorisasi dan pengorganisasian data dengan sistem koding. Informan penelitian diperoleh dengan teknik snow ball sampling, kemudian pengujian keabsahan data dilakukan dengan menggunakan triangulasi metode. Pada pengolahan data dan analisis data dilakukan pada saat dan setelah melakukan penelitian.
Hasil penelitian ini menunjukkan bahwa Pengembangan Aspek Keagamaan di PAUD Pertiwi 7 Desa Sumberrejo Kecamatan Batanghari Lampung Timur adalah : Proses penanaman nilai-nilai agama dalam pengemabangan aaspek keagamaan di PAUD Pertiwi 7 Desa Batanghari Lampung Timur dilakukan dengan cara pemeberian materi-materi pelajaran yangdiberikan secara rutin dikelas sebagaimana jadwal yang sudah ditentukan. Materi-materi tersebut anatara lain adalah :
Materi Ibadah, Materi Akidah, Materi Akhlak. Dalam menyampaikan materi pembelajaran disekolah ada beberapa metode yang digunakan oleh guru untuk menerapkan nilai-nilai agama dalam rangka pengembangan aspek keagamaan diantaranya adalah: Metode Bercerita, Metode Tanya Jawab, Metode Rekreasi/Karyawisata. Pada proses pembelajaran dalam rangka penanaman nilai-nilai agama dalam pengembangan aspek keagamaan di PAUD Pertiwi 7 juga terdapat faktor pendukung dan faktor penghambat yang antara lain adalah: Faktor Pendukungnya adalah sumber Daya Manusia (SDM) dan faktor lingkungan. Faktor Penghambatnya adalah: Faktor Kepribadian dan Faktor Terbatasnya Waktu.