bluuebunny/crossref_metadata_2025_split huggingface dataset:
Investigation of the prevalence of musculoskeletal disorders and its relationship with mental health in nurses: a descriptive-analytical study
Authors: Borhanzehi KH , Ebrahimi Rigi Z , Yazdan-Parast E , Dadpisheh S , Ebrahimi Rigi H 
Published: June 2021

Introduction: The effect of musculoskeletal disorders and their relationship with mental health in nurses has been less studied. Due to the need to find practical factors to prevent musculoskeletal disorders, the present study conduct to determine the relationship between the prevalence of musculoskeletal disorders and mental health in nurses in Iranshahr.
Materials and Methods: The present study was a descriptive correlational study conducted in 2016-2017. A total of 334 nurses were enrolled in the study by the census. Data collection tools were demographic form, Depression, Anxiety, Stress Questionnaire (DASS-21), and Nordic Questionnaire, complete as a self-report. The instruments used after psychometrics. Data analysis performed using descriptive analysis, regression test using SPSS software version 19. The significance level was considered 0.05.
Results: The results showed that musculoskeletal disorders in the back (69.2%) were among nurses' most common disorders. Also, 37.4% of nurses were depressed, 36.2% were anxious, and 52.7% were stressed. There was a significant relationship between the incidence of musculoskeletal disorders with depression, anxiety, and stress in nurses (p <0.05).
Conclusion: According to the above results, it founded that nurses have experienced degrees of depression, anxiety, and stress that can play a role in the development of skeletal disorders; therefore, immunization training methods are recommended to nurses to reduce stress, anxiety, and depression, which in turn can help reduce the prevalence of musculoskeletal disorders.
La violencia obstétrica como violación de derechos humanos: el caso S.F.M. contra España
Authors: Jiménez Sánchez Carolina 
Published: June 2021

El presente artículo analiza la segunda condena a España por parte del Comité de la CEDAW en un novedoso caso de violencia obstétrica. La calificación de esta como «violencia basada en el género» resulta muy relevante por ser la primera vez en que este asunto ha sido tomado en consideración por un órgano de derechos humanos con este enfoque. Igualmente, se estudia el alcance del Dictamen en España, analizando su vinculatoriedad y su ejecutoriedad.
Recibido: 09 enero 2021Aceptado: 18 mayo 2021
Vicente Díaz, Martha Roxana. 2018. El sentido de lo alternativo en la economía solidaria: La experiencia de Yomol A’tel. Cuadernos Deusto de Derechos Humanos 92. Bilbao: Universidad de Deusto
Authors: Ortiz-Ledesma Raquel 
Published: June 2021

El sentido de lo alternativo en la economía solidaria: La experiencia de Yomol A'tel tiene como objetivo profundizar –desde un análisis cualitativo– en el caso de la empresa solidaria Yomol A’tel, organización que ha trabajado durante varios años con un grupo excluido en Chiapas, México. Este trabajo brinda voz a las personas que conforman el proyecto, desde la recuperación de la narrativa de sus percepciones, y permite analizar el impacto que genera el proyecto de Yomol A’tel en términos de transformación social.
The safety of antihypertensive drugs. Retrospective analysis of adverse reactions based on a regional database
Authors: Matveev A. V. , Krasheninnikov A. E. , Ushakov A. V. , Egorova E. A. , Dormidor A. G. 
Published: June 2021

Objective. To analyze adverse drug reactions (ADR) occuring in patients taking antihypertensive drugs (AHD).Design and methods. We have analyzed 459 cases of ADR caused by AHD and recorded in the regional database (register) called ARCADe (Adverse Reactions in Crimea, Autonomic Database) during 2011–2018 years.Results. Out of all ADR, 304 cases (3,9 4,4 4,9 % of the total number of cases) were associated with AHD affecting renin-angiotensin-aldosterone system,101 (1,2 1,5 1,8 %) — with calcium channel blockers, and 54 cases (0,6 0,8 1,0 %) — with β-blockers. In the majority of cases, the ADRs were attributed to Enalapril (85 cases) and Amlodipine (76 cases). The analysis of the outcomes showed that serious reactions (life-threatening conditions, hospitalization, and disability) occurred in 72 cases. The remaining 387 ADRs were not considered serious. The majority of reported ADRs were unavoidable reactions of mild severity.
PERAN GURU KRISTEN DALAM MENUNTUN SISWA MEMANDANG MATEMATIKA [THE ROLE OF CHRISTIAN TEACHERS IN GUIDING STUDENTS TO VIEW MATHEMATICS]
Authors: Dirgantoro Kurnia Putri Sepdikasari , Soesanto Robert Harry 
Published: June 2021

<p class="abstrak">Mathematics is a subject that is considered a scourge by most students. They think that mathematics is difficult, complicated, and boring. However, if we look at the process of creation, everything in this universe (including mathematics) is God's creation and everything is really good. This truth needs to be revealed to students by the mathematics teacher. Unfortunately, many math teachers make students dislike mathematics. Therefore, this paper aims to describe the role of Christian mathematics teachers to guide students in viewing mathematics according to God's perspective. The research method used is the literature study method. The results of this study indicate that the role of Christian mathematics teachers includes: (1) appreciating and exploring mathematics first; (2) developing the four teacher competencies; and (3) understand the objectives of learning mathematics. Christian mathematics teachers also need to be careful not to fall into the sin of idolatry and pride by asking the Holy Spirit for help to be enabled in each of their ministries.</p><p class="abstrak"><strong>BAHASA INDONESIA ABSTRACT: </strong>Matematika merupakan salah satu mata pelajaran yang dianggap momok oleh siswa. Siswa menganggap bahwa matematika itu sulit, rumit, dan membosankan. Namun jika melihat pada proses penciptaan maka segala yang ada di alam semesta ini (termasuk matematika) merupakan ciptaan Allah dan semuanya sungguh amat baik. Kebenaran ini perlu disingkapkan kepada siswa oleh guru matematika. Namun, banyak guru matematika yang justru membuat siswa tidak menyukai matematika. Oleh sebab itu, tulisan ini bertujuan untuk memaparkan peran guru matematika Kristen di dalam menuntun siswa dalam memandang matematika sesuai dengan cara pandang Allah. Adapun metode penelitian yang digunakan adalah metode studi kepustakaan. Hasil penelitian ini memaparkan bahwa peran guru matematika Kristen meliputi: (1) mengapresiasi dan menjelajahi matematika terlebih dahulu; (2) mengembangkan keempat kompetensi guru; serta (3) memahami tujuan pembelajaran matematika. Guru matematika Kristen juga perlu berhati-hati agar tidak jatuh ke dalam dosa penyembahan berhala dan kesombongan dengan meminta pertolongan kepada Roh Kudus agar dimampukan dalam setiap pelayanannya.</p><p class="abstrak"> </p>
AKTIVITAS ANTIOKSIDAN EKSTRAK ETANOL DAUN KEJIBELING (Strobilanthes crispa L., Blume) DAN DAUN SAMBILOTO (Andrographis paniculata Burm. f. Nees) DAN KOMBINASINYA
Authors: Apriliani Norviria Tsalasatin , Tukiran Tukiran 
Published: June 2021

Kejibeling (Strobilanthes crispa L., Blume) dan Sambiloto (Andrographis paniculata Burm. f. Nees) adalah tanaman yang mempunyai kandungan senyawa bioaktif yang memiliki potensi sebagai antioksidan. Penelitian ini memiliki tujuan untuk mengetahui aktivitas antioksidan kombinasi ekstrak etanol daun kejibeling dan daun sambiloto. Pengujian antioksidan sampel menggunakan metode DPPH secara spektrofotometer UV-Vis. Serbuk daun kejibeling dan sambiloto dimaserasi dengan menggunakan pelarut etanol 96% sampai diperoleh ekstrak kental setelah penguapan. Hasil uji aktivitas antioksidan didapatkan nilai IC50 untuk ekstrak etanol kejibeling, ekstrak etanol sambiloto, kombinasi ekstrak kejibeling:sambiloto (1:1), kombinasi (1:2) dan kombinasi (2:1) berturut-turut sebesar 71,39624, 15,55574, 7,585932, 7,836343 dan 6,359931 ppm. Nilai IC50 kombinasi ekstrak dari daun kejibeling dan sambiloto menunjukkan adanya peningkatan kemampuan antioksidan dibandingkan dengan ekstrak tunggal.
Effects of Gamma Irradiation on Phenotypic Changes in Vanda Hybrid
Authors: Hartati Sri , Prasetyo Prasetyo , Muliawati Endang Setia 
Published: June 2021

<p>Vanda Orchid is one of the most popular ornamental plants. Orchids have slow growth. One way to overcome this weakness is by using gamma-ray irradiation. This research aimed to study the morphological characters of various radiation doses resulting from the crossing of the Vanda Orchid. This study was carried out by observing the characters of vegetative growth for each plant on 0 Gy, 10 Gy, 20 Gy, 30 Gy, 40 Gy, and 50 Gy doses of gamma irradiation treatments. The observed variables were the increase in plant height, leaf length, root length, number of roots, number of leaves, leaf width, and leaf color. The results showed that the dose of gamma-ray irradiation were able to increase plant height. 10 Gy and 20 Gy, gamma-ray irradiation doses, resulted in discolored yellowing of orchid leaves. The discoloration of orchid leaves to light green occurs at irradiation doses of 30 Gy, 40 Gy, and 50 Gy. The morphological characteristics of <em>Vanda</em> sp. hybrid results gamma irradiation are high at dose 10-40 Gy.</p><p> </p><p>Keywords:<strong> </strong>characteristics; morphological; orchid.</p>
Relationship of Personal Hygiene and Nutritional Status to Intestinal Parasitic Infection in Simo, Boyolali
Authors: Ayu Sherlina Rintik Tirta , Haryati Sri , Sari Yulia , Handayani Sutartinah 
Published: June 2021

<p>Intestinal parasitic infections are caused by protozoa, STH and non-STH worms. Immunity, which can be determined by measuring nutritional status, and personal hygiene can affect the occurrence of intestinal parasite infections. This study aims to determine the relationship between personal hygiene and nutritional status against intestinal parasite infections in elementary school students in Simo Boyolali. This type of analytic observational research with a cross sectional approach. Total sampling was taken at elementary school of Wates, Talakbroto 1, and Kedunglengkong 1 Simo, Boyolali. There were 11 students with worms infections, 16 with protozoa infections, and 4 with worms and protozoa infection. There was a relationship between washing hands before eating (p = 0.004), after eating (0.027), after defecating (p = 0.04), biting nails (p = 0.008), wearing footwear when leaving the house (p = 0.008) , removing shoes while playing during school breaks (p = 0.001), and nutritional status (p = 0.002) with intestinal parasite infection. There was no relationship between nail clipping once a week (p = 0.118) and the availability of a latrine (p = 0.416) with intestinal parasitic infections. So, there is a relationship between personal hygiene (washing hands before eating, after eating, after defecating, biting nails, wearing footwear when leaving the house, removing shoes when playing during school breaks, and nutritional status) and intestinal parasitic infections.</p><p> </p><p>Keywords<strong>:</strong> elementary school; protozoa; worms.</p>
Disruptions to Abortion Care in Louisiana During Early Months of the COVID-19 Pandemic
Authors: Roberts Sarah C. M. , Berglas Nancy F. , Schroeder Rosalyn , Lingwall Mary , Grossman Daniel , White Kari 
Published: June 2021

Objectives. To examine changes in abortions in Louisiana before and after the COVID-19 pandemic onset and assess whether variations in abortion service availability during this time might explain observed changes. Methods. We collected monthly service data from abortion clinics in Louisiana and neighboring states among Louisiana residents (January 2018‒May 2020) and assessed changes in abortions following pandemic onset. We conducted mystery client calls to 30 abortion clinics in Louisiana and neighboring states (April‒July 2020) and examined the percentage of open and scheduling clinics and median waits. Results. The number of abortions per month among Louisiana residents in Louisiana clinics decreased 31% (incidence rate ratio = 0.69; 95% confidence interval [CI] = 0.59, 0.79) from before to after pandemic onset, while the odds of having a second-trimester abortion increased (adjusted odds ratio [AOR] = 1.91; 95% CI = 1.10, 3.33). The decrease was not offset by an increase in out-of-state abortions. In Louisiana, only 1 or 2 (of 3) clinics were open (with a median wait > 2 weeks) through early May. Conclusions. The COVID-19 pandemic onset was associated with a significant decrease in the number of abortions and increase in the proportion of abortions provided in the second trimester among Louisiana residents. These changes followed service disruptions.
Analyzing the Spread of COVID-19 Disease Using An Age-Structured Model: Application to Italy, Spain, France, UK, and Algeria Using Early Data
Authors: Djilali Salih , Kumar Sunil , Bentout Soufiane , Touaoula Mohammed Tarik 
Published: June 2021

Abstract
The outbreak epidemic of the coronavirus (COVID-19) puts the whole world in an alert stage due to the highly spread speed. Recent researches prove that the immunity system of the human being has a crucial role in recovering. It is known that the immunity system becomes weaker for older persons. Hence, the coronavirus is highly risked for aged individuals mostly the ones that passed the 60s. The most recent approximations neglect the role of age of the individuals in the spread and degree of the fatality of the COVID-19 virus. The recent statistics show a very high death number due to COVID-19 for aged individuals. Here, we propose an age-structured model for analyzing the peak outbreak epidemic and give an approximative time of this peak next to the number of death cases due to the COVID-19 in Italy, Spain, France, United Kingdom (UK), and Algeria using early data. Further, we show the effect of the governmental restrictions of social movements on this peak and also we provide an approximative time of the end of this infection with (resp. without) restriction.
Comparative Effectiveness of Aerobic Exercise Versus Yi Jin Jing On Reproductive Health In Young Overweight/Obese Women With Polycystic Ovary Syndrome: Study Protocol For A Randomized Controlled Trial.
Authors: Zhao Jing , Ketlhoafetse Antonnette , Liu Xiangyun , Cao Yang 
Published: June 2021

Abstract
Background: Polycystic ovary syndrome (PCOS) is the most common heterogeneous endocrine disease among women of childbearing age, affecting women throughout life on their reproductive, metabolic and cardiovascular health, as well as psychological health. Aerobic exercise is an important solution used to manage PCOS, due to its multiple benefits. Yi Jin Jing is an important component of traditional Chinese exercise (TCE), based on the root of traditional Chinese medicine theory (TCM), which focuses on keeping the body as a whole in a harmonious state. However, to date there is no literature on the benign effects of Yi Jin Jing on PCOS. The primary purpose of this protocol is to assess the effectiveness of aerobic exercise versus Yi Jin Jing, on the management of PCOS-related reproductive health in young overweight/obese women.Methods: The study will conduct a three-armed parallel-group of a randomized controlled trial, recruiting 90 women diagnosed with PCOS, ages between 18 and 35 years, with a body mass index (BMI) ≥ 23 kg/m2. Women will be randomly assigned to either control group (combined oral contraceptives) or one of the intervention groups (Yi Jin Jing group or aerobic exercise group) with an allocation rate of 1:1:1. The intervention will be conducted within a 12-week period. The primary outcomes would be anti-Mullerian hormone (AMH) level and menstrual frequency; the secondary outcomes would be biochemical profiles, ovarian volume, antral follicle count, BMI and homeostasis model assessment of insulin resistance (HOMA-IR). Outcome measures would be collected during baseline and end of treatment. Reporting of the study will follow the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) statement.Discussion: This proposed study will be the first randomized clinical trial to evaluate the comparative effectiveness of aerobic exercise versus Yi Jin Jing on the management of PCOS-related reproductive symptoms in young overweight/obese women. The results will provide a new evidence-based management strategy for young women with PCOS. Trial registration: Chinese Clinical Trail Registry, ID: ChiCTR1900022385. Registered on 9 April 2019, http://www.chictr.org.cn/listbycreater.aspx.
Spread and Scale of an Electronic Deprescribing Software to Improve Health Outcomes of Older Adults Living in Nursing Homes: Study Protocol for a Stepped Wedge Cluster Randomized Trial
Authors: Nadeau Marc-Eric , Henry Justine L. , Lee Todd C. , Bortolussi-Courval Émilie , Goodine Carole , McDonald Emily G. 
Published: June 2021

Abstract
Background: Medication overload or problematic polypharmacy is a major problem causing widespread harm, particularly to older adults. Taking multiple medications increases the risk of potentially inappropriate medications (PIMs) and residents in long-term care (LTC) are frequently prescribed 10 or more medications at once. One strategy to address this problem is for the physician and/or pharmacist to perform regular medication reviews; however, this process can be complicated and time-consuming. With a prescription review, medications may be decreased, changed, or stopped altogether. MedReviewRx is a software that runs an analysis using deprescribing rules to produce a report to guide medication reviews addressing medication overload for residents in LTC. Methods: This study will employ a mixed methods effectiveness-implementation hybrid type 2 study design. To measure effectiveness, a stepped wedge cluster randomized trial design is planned, which allows us to approximate a randomized clinical trial. Approximately 1000 residents living in LTC will be recruited from five facilities in New Brunswick. The study will begin with three months of baseline data on rates of deprescribing. Thereafter, every three months a new cluster will enter the intervention mode. The intervention consists of medication reviews augmented with the MedReviewRx software, which will be used by staff and clinicians in the facilities. The estimated study duration is 18-months and the main outcome will be the proportion of patients with one or more PIMs deprescribed (reduced/stopped or changed to a safer alternative) in the 90 days following a prescription review. The goal is to study the impact of MedReviewRx on medication overload among older adults living in LTC. In typical fashion of a stepped-wedge cluster randomized trial, each cluster acts as an internal control (before and after) as well as a control for the other clusters (external control). Qualitative data collected will include resident/caregiver attitudes towards deprescribing and semi-structured interviews with staff working in the long-term care homes. Discussion: This study design addresses issues with seasonality and allows all clusters to participate in the intervention, which is an advantage when the intervention is related to quality improvement. This study will provide valuable information on PIM use, cost savings, and facilitators and challenges associated with medication reviews and deprescribing. This study represents an important step towards understanding and promoting tools to guide safe and rational reduction of PIM use among older adults. Trial registration: NCT04762303, Registered February 21, 2021 https://clinicaltrials.gov/show/NCT04762303
Quantifying Information Dissemination Rate during Crisis and Location Detection Using Online Social Streams
Authors: A Bhuvaneswari 
Published: June 2021

Abstract
The widespread practice of Online Social Networking leads to the diffusion of trending information and exchanging various opinions with socially connected people online. Social media steams data extracted from Social Networks has become a vital communication tool and also turn up as an eventual informative platform to catch real human voices at the time of emergency events like disaster. An effective underlying quantification model is proposed in this paper which uses change point detection algorithm to detect events based on the relative streaming tweet density - ratio respectively. A morphological time-series analysis is carried out determine the dissemination of information about crisis events using Information Entropy. Further, the Event - Link ratio (ELR) is estimated to obtain meaningful patterns in events been identified. This paper focus to empirically quantify the information dissemination of the events based on user's tweeting activities. The proposed quantification method is compared with state-of-art techniques in terms of event detection rate, the entropy of information spread. It is found that the accuracy of the proposed method is up to 94% with event detection after 75 seconds. K-Center Clustering (KCC) is used which results in the location detection accuracy of 85%.
Performance and environmental effects of refrigerants used in the rooftop air-conditioning of building for carbon emission: A case of theoretical and numerical modelling
Authors: Suerdem Kaan , Taner Tolga , Acikgoz Ozgen , Dalkilic Ahmet Selim , Wongwises Somchai 
Published: June 2021

Abstract
The authors have requested that this preprint be removed from Research Square.
Circularly Polarized Monopole Multiband Microstrip Patch Antenna for Multi-Band Operations
Authors: Meena Ajay Kumar , poorv  , Ravi Rachit , Pandey anukul 
Published: June 2021

Abstract
In this communication, an O-shape multi-band coordinated wideband monopole reception apparatus which supports present-day wireless communication is proposed. This proposed O- shaped antenna supports five different bandwidths in the -10db impedance bandwidth range. This antenna was constructed on a FR-4(Fire Retardant fibre glass) epoxy substrate having a dielectric constant (εr) of 4.4 within the dimensions 60x50x1.59.This antenna which at the same time have a circular polarisation radiation pattern, which allows the proposed antenna to function at different frequencies. To increase the number of bands and improve the bandwidth, a reverse replica of the O-shaped concentric ring is introduced in the main design. The proposed antenna is implemented and analysed on Electromagnetic simulation software (HFSS) This replicated antenna provides support to widely used bands such as Bluetooth, WLAN and Ultra-Wideband. An L-shaped split is introduced on the ground to obtain circular polarisation and for matching axial ratio with S11 bands to achieve circular polarisation. Here the H-plane (azimuthal plane) gives an omnidirectional radiation pattern and E-plane (elevation plane) figures patterns. This design has several advantages like low weight and volume, support linear and circular polarisation and capable of multi-band operations.