bluuebunny/crossref_metadata_2025_split huggingface dataset:
Development and Validation of a Competency Self-Assessment Tool for The Nurse Interns
Authors: Saad Nema F. , Abd Rabou Hanaa M. 
Published: January 2021

Contents: Nurse Interns need more attention to their self-confidence and self-assessment abilities. Self-assessment is an essential approach for testing their knowledge, skills, and attitudes.
Aim: This study aimed to develop a competency self-assessment tool for nurse interns and test its validity and reliability.
Methods: Methodological study for the development of a tool. The study was carried out at Ain-Shams University Hospitals on all 89-nurse interns in the internship year, and a jury group of 21 faculty members and 21 nurse managers for validation. The researchers developed a preliminary self-assessment tool with six selected nursing core competencies presented to the jury group for validation.
Results: The finalized tool had a very high total face CVI-S (0.99). The CVI-S ranged between 0.94 for environmental safety and hazardous materials safety and 1.00 for the content validity's attitude scale. The total scale had a CVI-S as high as 0.98. The tool had excellent overall reliability with a Cronbach alpha coefficient as high as 0.901 and an intraclass correlation coefficient of 0.888. The attitude scale also had excellent reliability with a Cronbach alpha coefficient of 0.965 and an intraclass correlation coefficient of 0.964. In the application of the tool, 95.5% of the nurse interns considered their competencies adequate. In terms of grades, only 32.6% and 10.1% considered themselves having very good and excellent competencies, respectively, and 70.8% had a positive attitude toward self-assessment.
Conclusion: A valid and reliable competency self-assessment tool was developed for nurse interns; it can be applied in various nursing internship programs. It could be used by the administrators of the internship programs to identify the individual learning and training needs of nurse interns. Further studies are proposed to evaluate the utility of the tool in evaluating and improving these programs.
Effect of The Health Belief Model-Based Education on Preventive Behaviors of Breast Cancer
Authors: Mahmoud Amina A. , Abosree Taisser H. , Abd El Aliem Rehab S. 
Published: January 2021

Context: Breast cancer is the main type of cancer affecting women and the fourth most common cancer mortality cause. Approximately one out of eight women worldwide develop breast cancer. Screening prevention plays a vital role in the early detection of breast cancer and reducing mortality rates.
Aim: The study aimed to evaluate the effect of the health belief model-based education on breast cancer preventive behaviors.
Methods: Quasi-experimental (pre/post-test) design was used in this study. The study was conducted at the obstetrics outpatient clinic affiliated to Benha University Hospital, Egypt, on a purposive sample of 100 women. A self-administered questionnaire, Champion’s Health Belief Model Constructs Scale (CHBMS), and an observation checklist for Breast Self-Examination (BSE) were used to collect the data.
Results: The study showed that 62% of the studied women mean age was 35.90±6.45, 53 % of them had secondary education, 93% of them didn't do regular breast self-examination, and 96% of them did not have a mammogram ever. Besides, there were improvements in the studied women's knowledge scores regarding breast cancer post-model implementation (P < 0.001). There was a highly statistically significant difference in total practice scores of preventive behaviors pre and post model implementation (p-value <0.001). Also, there was a positive statistically significant correlation between the studied women's total knowledge (pre and post model implementation), practices (post model implementation), and their total health belief.
Conclusions: This study concluded the positive effects of the health belief model-based education on women's knowledge and preventive breast cancer behaviors regarding breast self-examination. The study recommended developing a regular periodic educational program for women to enhance their knowledge and practices toward
The Influence of Future Time Perspective on Registered Nurses’ Behaviors toward Delegation, and Thriving at Work
Authors: Abou Ramdan Amal H. 
Published: January 2021

Context: Nurses with a high future time perspective talented at setting a goal in the distant future and make every effort to achieve through developing their plan and priorities tasks.
Aim: The study aimed to identify how future time perspectives (FTP) influence registered nurses’ behaviors toward delegation and their thriving at work.
Methods: A descriptive correlational design was used. The study was conducted at Basyoun Central Hospital, affiliated to the ministry of health and population at El-Gharbia Governorate, on all available (N=108) registered nurses who had bachelor degrees or higher nursing qualification. Three tools were used to collect data: Future time perspectives assessment questionnaire, delegation behaviors assessment questionnaire, and thriving at work assessment scale.
Results: Results revealed that 45.4%, 49.1% of registered nurses had a high level of future time perspectives and highly use the inspector style of delegation, respectively. In total more than half of nurses had a high level of thriving at work. There was a significant positive correlation between future time perspectives and inspector style of delegation and their thriving at work.
Conclusion: Results found that future time perspectives had a vital role in registered nurses' delegation behavior and their thriving at work. Health care organizations have to attract nursing staff with strong FTP and develop training programs for nursing staff to have a more future-oriented viewpoint.
Faculty Members' Attitude, Perceived Barriers, and Motivators toward Using E-Learning in University Education
Authors: Elsayed Wessam A. , Nageeb Shaimaa M. , Othman Walaa N. 
Published: January 2021

Context: E-learning is an important trend for faculty members and students teaching and learning, which needs overcoming barriers and enhancing motivators for the successful implementation of educational programs.
Aim: To explore the faculty members' attitudes, perceived barriers, and motivators toward using e-learning in university education.
Methods: Descriptive correlational design was used to achieve the study's aim on 110 faculty members in Nursing Faculties at Mansoura, and Zagazig Universities, Egypt. They were chosen through a convenience sampling to participate in the study. One questionnaire was used to undertake the study and had four parts: Personal data, faculty attitude towards e-learning scale, possible barriers, and motivators.
Results: 54.5% of the studied sample was from Mansoura University, 92.7% of them were females, 38.2% were lecturers, 31.8% of them aged from 31-35 years old, and 30% of them had 5-10 years of experience. More than 75% of studied faculty members have a positive attitude toward using e-learning in university education. Access to students was the top-most barrier as perceived by the faculty members (42.7%). Better internet bandwidth at the workplace is the top-most motivating factor and professional incentives to use e-learning. Both were mentioned by 30% of the studied faculty members.
Conclusion: There is a highly significant positive correlation between faculty attitude and motivators and a significant negative correlation between perceived barriers and motivators. At the same time, there is no significant correlation between faculty attitude and perceived barriers. No significant correlation between personal characteristics of the studied sample and faculty members' attitudes, perceived barriers, and motivators toward using E-learning in Mansoura and Zagazig Universities except for gender and faculty barriers only in Mansura University. The study recommended enhancing the basics of e-learning within the plan for dealing with crises, improving infrastructure, and providing a training environment for faculty staff to enhance e-learning, activating interactive education by setting up discussion sessions on the course topics' sidelines—full activation of the e-learning system through assignments and short tests. Paying attention to student feedback and taking the necessary corrective measures are also recommended.
Effect of An Educational Intervention on Pregnant Women’s Knowledge and Self-Care Practices Regarding Urinary Tract Infection
Authors: El-bana Hemmat M. , Ali Hanan A. 
Published: January 2021

Contents: The most prevalent type of infection during pregnancy is urinary tract infections (UTIs). It affects up to ten percent of pregnant women and may cause serious adverse pregnancy outcomes for both mother and fetus.
Aim: The research aimed to evaluate the effect of an educational intervention on pregnant women’s knowledge and self-care practices regarding urinary tract infection.
Methods: A quasi-experimental (pre/post-test) design was adopted to fulfill this study's aim. The study was conducted at the Obstetrics and Gynaecological outpatient clinic in Benha university hospital on a purposive sample of 68 pregnant women among those attending the setting mentioned above. Two key instruments were used to collect data: A structured interviewing questionnaire, self-care practices checklist.
Results: revealed a highly statistically significant difference in pregnant women's knowledge and self-care practices related to urinary tract infection at post-intervention compared to their pre-intervention phase (p-values < 0.001). A highly significant positive correlation was illustrated between studied women's total knowledge and total practice scores at pre (p=0.04) and post-intervention (p=0.000) phases.
Conclusion: The study concluded that the research hypothesis is supported, and pregnant women exhibited better knowledge and self-care practices regarding (UTI) during pregnancy after implementing an educational intervention than before. The study recommended that knowledge and self-care concepts regarding UTI through antenatal screening programs in early pregnancy should be empowered as an essential part of all women's health care levels and strategies.
A Population-Based Study on Agreement between Actual and Perceived Body Image
Authors: Memon Sajjan Iqbal , Rabiqa Rabiqa , Kumar Ashok , Perveen, Ramzana , Ejaz Noor , Hasnain Syed Meeran , Memon Najma , Memon Ziauddin Anwar , Altaf Syed 
Published: January 2021

Background: Obesity tends to appear in modern societies and constitutes a significant public health problem with an increased risk of cardiovascular diseases.
Objective: This study aims to determine the agreement between actual and perceived body image in the general population.
Methods: A descriptive cross-sectional study design was conducted with a sample size of 300. The data were collected from eight major populated areas of Northern district of Karachi Sindh with a period of six months (10th January 2020 to 21st June 2020). The Figure rating questionnaire scale (FRS) was applied to collect the demographic data and perception about body weight. Body mass index (BMI) used for assessing the actual body weight status. Cohen's Kappa statistics were performed.
Results: Out of 300 participants, n=143 were males, and n=157 were females. In reality, according to BMI, 6 % were underweight, 47 % were average, 28 % were overweight, and 19 % were obese. According to perception, 8% of participants were underweight, 39 % were average, about 45% were overweight, and 8 % were obese. The mean score of real BMI was 25. 51±5.62 and figure rating score was 4.81±1.75. r value showed a strong positive relationship between both variables with a a P-value of <0.001. Cohen's Kappa score was 0.362. The rate of agreement between actual and perceived body weight status in the general population was 53.88%, and the disagreement rate was 46.12%
Conclusion: There was a weak agreement in the perception and realities of the self-image of people have the wrong impression about their body image.
Iraqi women Attitude towards Immediate Post-partum/ Post-abortion Contraception: a multi-institutional study
Authors: Jafaar Sara K. , Alhaidari Taghreed K. , Kamal Areege M. , Ali Eqbal G. 
Published: January 2021

Background: Immediate postpartum contraceptive and post abortion contraception methods are effective safe methods and are becoming a standard practice in many countries, yet it is not widely used in Iraq.
Aims: this study: is designed to assess the attitude and willingness of women to immediate contraception after giving birth or abortion and their satisfaction to previous use.
Methods and Material: Four hundred thirty-four women were surveyed in the labor word immediately after giving birth/ abortion. Their knowledge, attitude and contraception use were assessed according to the response they reported to a given questionnaire.
Results: women were not sure about the ideal time to begin using birth control post- partum.122 out of 434 (28%) have not heard about the immediate use of contraception before, only 97/434 (22.3%) reported a previous use of immediate contraception after previous birth / abortion. The satisfaction of the women to previous immediate contraception use was reported by 61/97 (77%) versus 7/97 (7%) who were not satisfied. High educated females with unstable income and women having more than five children depicted significantly higher willingness to immediate postpartum/ abortion contraception use (P=0.026, P<0.001, P=0.001) respectively. Similarly, a significant association was observed between positive attitude and pregnancy complications, including diabetes, bleeding and hypertension (P=0.001) and craving (P=0.003).
Conclusions: Iraqi women showed high willingness to immediate post-partum/abortion contraception use; nonetheless small proportion have actually used it. Poor knowledge of various contraceptive types, best time of use with less side effect are the main obstacles for family planning.
Cuantificación de proteínas y clorofila como indicadores de polución en Rizophora harrisonii en el Puerto de Guayaquil.
Authors: Quevedo Pinos Olga Laurmania 
Published: January 2021

La polución atmosférica generada por la actividad industrial naviera, de termoeléctricas, cementera y producción de acero, son elementos que no se han analizado respecto a cómo inciden en la calidad de vida de los manglares, este estudio es un preliminar de la tesis de doctorado, en la que se medirá otras variables que afectan la calidad de vida de los manglares, se referencian por primera vez las concentraciones de proteína solubles y clorofila para Rizophora harrisonii en un área poluida vs. un área conservada, en total se colectaron 180 hojas de sol durante la marea alta, en cuatro transectos durante el mes de agosto (época seca). Las muestras colectadas se analizaron desde métodos químicos como el de Bradfor para la determinación de proteína soluble y extracción de clorofila con acetona al 80%. Los resultados obtenidos fueron procesados estadísticamente con ANOVA simple de una vía, con el programa Statgraphic 5.1 portable, se encontró que las medias de las concentraciones de clorofila y proteínas son significativamente más altas que las de la zona de control, 0.00985428 entre el transecto 3 y 4 para proteínas y en los mismos transectos para clorofila a con el valor de 3.47761; lo que permite deducir que otras variables como suelo, pH, minerales de las hojas, requieren ser correlacionadas para confirmar que los valores mayores registrados en las zonas poluidas son una respuesta de adaptación al medio o resiliencia por parte de Rizophora harrisonii.
Efecto de diferentes niveles dietéticos de harina de pescado sobre la producción y calidad de huevos de codornices
Authors: Pino José Gregorio , Pino Hernández Enrique José Gregorio , Villa Pedro Manuel , Ruiz González Jesús 
Published: January 2021

El uso de la harina de pescado como suplemento nutricional en las dietas suministradas a codornices fue estudiado para identificar el efecto sobre la producción y calidad del huevo. Se analizaron 180 codornices bajo un diseño experimental completamente al azar, de tres bloques con seis tratamientos, tres repeticiones y 10 codornices por repetición. Se utilizaron dietas experimentales considerando diferentes niveles de adición de harina de pescado (0%, 6%, 7%, 8%, 9% y 10%) a un alimento comercial. Fueron analizadas diferentes variables de producción y calidad del huevo de codorniz: número de huevos, peso, volumen, manchado, brillantez y huevos rotos. Así como, la composición proximal y la calidad sensorial. Los resultados se analizaron usando ANOVA y test de Tukey al 5%. Se encontraron diferencias significativas entre los tratamientos cuando se consideró la variable número de huevos, mientras que, entre los bloques no hubo diferencia significativa. Las variables peso y volumen no mostraron diferencias significativas. Sin embargo, el manchado y brillantez mostraron diferencias entre los tratamientos, cuyo valor óptimo fue alcanzado por el tratamiento con 9% de harina de pescado. Con esta información, se evidenció que existe una influencia positiva de la adición de 9% de harina de pescado sobre la calidad del manchado, brillantez del huevo de codorniz y sobre la composición nutricional. Del mismo modo, los atributos sensoriales (olor y sabor) de los huevos fueron aceptables. En general, esto indica que bajo este tratamiento es posible la reproducción artificial de los huevos de codorniz.
Los costos del contrato juvenil en las Empresas Industriales del Ecuador
Authors: Quispe Fernandez Gabith Miriam , Sánchez Fernando , Arellano Cepeda Otto Eulogio 
Published: January 2021

La inserción laboral juvenil es un reto para las empresas Ecuatorianas, ya que supone una inversión en recursos humanos que a la larga producen beneficios económicos. En ese contexto, la investigación tiene el objetivo de determinar los costos de inserción al trabajo juvenil entre 18 y 26 años, en las empresas industriales del Ecuador, dentro del marco de la Ley Orgánica para la promoción del trabajo juvenil, regulación excepcional de la jornada de trabajo, cesantía y seguro de desempleo, publicado en el Registro Oficial 720, 28-III-2016. Se usa el método deductivo, se trata de un estudio empírico - descriptivo. Se aplica el estudio de caso a la Empresa FAIRIS C.A. ubicado en la ciudad de Ambato. Los resultados de la investigación demuestran que la contratación juvenil en las empresas industriales logra incrementar los beneficios económicos; los costos de contratación juvenil son menores con relación a los costos de personal con experiencia. Concluyéndose, que las empresas adquieren significativamente beneficios por las contrataciones juveniles porque los costos laborales son menores y el rendimiento laboral es alto.
Hemorragia post parto por desgarro perineal en mujeres primíparas
Authors: Zambrano Villamar Veronica , Vera-Quiñonez Sara , Rodriguez Sotomayor Janeth , Reyes Rueda Elida 
Published: January 2021

Una de las principales causas de morbimortalidad materna a nivel mundial es la hemorragia postparto; determinar las causas e incidencia de hemorragia post parto por desgarro perineal en mujeres primíparas que fueron atendidas en un Hospital Público en la provincia de El Oro, Ecuador, fue objetivo de esta investigación. Este estudio fue descriptivo - retrospectivo, con una población de 50 mujeres primíparas, cuya información se obtuvo mediante un checklist con datos de historias clínicas y la aplicación de encuestas a 33 profesionales de la salud que atendieron este tipo de casos. Los resultados obtenidos en la encuesta evidencian que las hemorragias postparto por desgarro perineal se dieron por: falta de controles prenatales con 51.54% y por macrosomía fetal con 42.4%; por otro lado, en la revisión de historias clínicas se observó que las causas son: parto prolongado con 52%, macrosomía fetal con 36% , 15 – 19 años fue la edad más afectada coincidiendo en un alto porcentaje entre la encuesta (81.81%) e historias clínicas (70%); la hemorragia por desgarro perineal por episiotomía fue 6% y la incidencia fue de 0 a 2 casos por mes durante un cuatrimestre. Se concluyó que las causas de las hemorragias por desgarro perineal son: falta de control prenatal, macrosomía fetal, parto prolongado y las edades comprendidas entre 15 -19 años, con respecto a la incidencia, no se pudo determinar los casos anuales. Se descartó la hemorragia por desgarro perineal a causa de la episiotomía porque los datos estadísticos no fueron significativos.
Red neuronal convolucional aplicado a la estimulación de motricidad fina con un videojuego en un paciente con hemiparesia izquierda
Authors: Tipantocta Pillajo Fabricio Manuel 
Published: January 2021

El objetivo del proyecto es desarrollar un videojuego, implementando algoritmos de una red neuronal convolucional con aprendizaje profundo para el reconocimiento del movimiento de la mano en un paciente con hemiparesia izquierda y así realizar acciones de control con la finalidad de rehabilitar a la persona. Se entrenó la red neuronal convolucional con 600 imágenes de manos abiertas y 600 imágenes de manos cerradas del niño con hemiparesia izquierda, clasificando así las posibles soluciones para realizar acciones de control y realizar el enlace con un videojuego realizado en la plataforma Unity. Como resultado se tiene un porcentaje de probabilidad del 99% cuando la mano izquierda se encuentra abierta o cerrada, enviando comandos para que el videojuego funcione; de esta manera el paciente con hemiparesia, a la necesidad de abrir y cerrar su mano izquierda ejecuta acciones de control y provoca por sus propios medios su motricidad y rehabilitación. Al finalizar las pruebas el niño se sentía cansado por el hecho de que el sistema le incentiva a mover su brazo, ya que generalmente esa extremidad no la movía mucho, lo que se puede concluir que el sistema funciona correctamente, cumpliendo su objetivo.
Desarrollo sostenible en las Mipymes de Ecuador y su impacto en el consumidor
Authors: Sánchez González Irene , Benítez Luzuriaga Francisco , Moscoso Parra Ana , Muñoz Suarez Manuel 
Published: January 2021

El presente trabajo propone un análisis del desarrollo sostenible de las micro, pequeñas y medianas empresas, y su impacto en los consumidores. Partiendo de las percepciones de 267 clientes de las MIPYMES en Ecuador, se constata que tanto el valor percibido (valor social, emocional, por dinero y calidad) como las iniciativas de desarrollo sostenible (económicas, sociales y medioambientales) conllevan a tener un efecto positivo y significativo sobre el comportamiento del consumidor. A través de un muestreo de tipo probabilístico, donde se realizaron encuestas personales a una muestra representativa en las ciudades de Quito, Guayaquil y Machala, se pudo determinar que la sostenibilidad, unida a los cambios constantes en los gustos, preferencias y necesidades del mercado, supone un desafío en las estrategias de marketing que establecen las empresas para generar un mayor impacto en los consumidores, logrando un posicionamiento eficiente.