bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessing individual factors associated with choice of place of delivery among postnatal women in Marsabit County, Kenya.
Authors: Arero Christine B. , Keraka Margaret N. , Ayieko Shadrack Y. , Okari Geoffrey M. , Matoke Vincent O. 
Published: December 2021

Background: Globally, about 295,000 maternal deaths occurred in 2017 with Sub-Saharan Africa and Asia accounting for 86%. Sub-Saharan Africa alone accounted for nearly two-thirds. The rate of skilled birth attendant in Sub-African region stood at 59%. Three quarters of neonatal and maternal deaths occur outside hospital settings. Currently, the rate of maternal mortality in Kenya stands at 362 per 100,000 live births. Despite the deliberate government interventions to increase hospital deliveries, still a significant number of women deliver at home. The objective of this study was to assess the individual actors associated with choice of place of delivery among postnatal women in Marsabit County, Kenya. Methods: This was a cross-sectional descriptive study adopting both quantitative and qualitative data collection methods. A total of 416 postnatal women were systematically sampled from households at a predetermined interval of four. Key informants interviews and focused group discussions provided additional qualitative data.Results: Approximately 56.7% of postnatal women in Marsabit County delivered in health facilities. Most individual factors such as decision maker (p=0.031), myths and misconceptions (p=0.025), reduction of complications (p=0.001), hospital delivery time consuming (p=0.023) and possession of medical insurance (p=0.001) were significantly associated with choice of place of delivery. Conclusions: Approximately 6 out 10 deliveries occur at health facilities in Marsabit County. Individual factors significantly influenced choice of place of delivery. There is need for the ministry of health, County Government of Marsabit and relevant stakeholders to demystify myths and misconceptions about hospital deliveries, scale up awareness on availability of Linda Mama medical cover for pregnant women to ensure easy access of hospital delivery services.
Healthcare for all: scopes and challenges in Indian scenario
Authors: Barman Dipayan Deb , Mohesh M. I. Glad 
Published: December 2021

Health for all may have become a reality in many developed countries but developing economies are still striving hard to achieve that long cherished dream for their people. India as a developing country and as one of the fastest growing economies is also working hard to achieve health for all. There are problems which continue to grapple the Indian health sector services. India has successfully launched various health programs in the past few decades and has achieved success in improving on a few major issues such as maternal and child mortality. India has been declared polio infection free nation by World health organization in February 2012. There is tremendous potential for India to reorganize its health care sector through participation of both public and private sector and developing a competent and trained workforce. In order to enable the country to grow in all parameters it is important that health for all citizens must be ensured and by doing this India will be able to have a healthy population which will be productive and will therefore effectively contribute to the economic growth of the nation.
COVID-19 vaccination in rural India: a battle to be won!
Authors: Sharma Neha , Panda Pragyan Swagatika , Dewan Manasvee , Banerjee Priyanka 
Published: December 2021

As of 22nd July 2021, 13.3% of world’s population are fully vaccinated and 26.8% of world’s population have received at least one dose of COVID-19 vaccine. COVID-19 vaccination drive was launched in India on 16th January 2021 with two government approved vaccines Covishield® and Covaxin®. About 65.53% of India’s population resides in rural areas. As vaccination is progressing, a gap (of number of vaccines administered) between urban and rural vaccination centers is clearly becoming evident. By mid-May, 30.3% of India’s urban population had received at least one dose of the vaccine compared to 19.2% in semi-urban areas, 15.1% in semi-rural areas and just 12.7% in rural areas. Vaccine roll out in rural areas is adversely affected probably because of unequal access in rural area, vaccine hesitancy due to misinformation and myths being circulated through social media and low educational status of rural population as compared to the urban peers. A successful COVID-19 vaccination drive depends on maximum possible coverage. Through this manuscript we aim to draw attention to objective and feasible strategies in order to bridge the existing urban-rural vaccination gap.
Efficacy of providing free nicotine replacement chewing gum to induce quit attempts in tobacco users- A prospective observational study
Authors: Sharma Rohini , Umashankar G K  , Rahman Shuhaib , Patil Somanath 
Published: December 2021

To assess the effectiveness of providing free NRT to tobacco users in increasing quit attempts and to assess the perception of adherence, side effects and safety issues related to the usage in increasing quit attempt. A observational study was conducted to motivate tobacco users to have a quit attempt with a nicotine replacement sample among patients visiting out-patient department of a dental college. Baseline evaluation (demographic), Modified Fagerstrom test for Nicotine Dependence (MFTND) to assess nicotine addiction level, “breath analyzer” for the quantitative detection of levels of carbon monoxide were assessed. A free NRT sample was given. Telephonic follow up was done at an interval of 2 weeks, 1 month to assess the reduction in the mean MFTND score and to assess the perception of using NRT sample. All data was entered and analysed in SPSS for Windows version 22. Among the 40 subjects 80% were in the age group of 30-50 years and were males. The levels of carbon monoxide using breath analyser showed 80% of the subjects as heavy and chain smokers. Out of 40 subjects, 29 (72.5%) subjects were having high dependence calculated using MFTND which reduced to 2(5%) after using nicotine chewing gum. The mean and standard deviation of pre MFTND was 7.97±2.35 and for post MFTND it was 5.57±2.14 and the difference was highly significant (p&#60; 0.005).: The results of this study confirm the efficacy of providing free nicotine replacement sample a novel strategy in motivating tobacco users to induce quit attempt.
Evaluation of tongue posture & dimensions in relation to skeletal Class I and Class II patterns- A cephalometric study
Authors: Khanna Puja , Chhabra Sumit , Munjal Preeti , Mittal Sunny , Arora Nishtha 
Published: December 2021

Association of tongue posture with dental and facial skeletal pattern have been suggested in past. This study was undertaken to assess tongue posture and dimensions in Class I and Class II Dentoskeletal patterns to determine whether any correlation exists between tongue posture and skeletal pattern of an individual. Cephalograms of 150 individuals (aged 18-23 years), taken in Natural Head Position (NHP) and tongue at rest were divided into three groups i.e. Group 1 – Class I Normal occlusion, Group 2 – Class II Division 1 Normodivergent and Group 3 – Class II Division 1 Hypodivergent, consisting of 50 samples each. To ensure the rest position of tongue, patient was asked to relax for 30 seconds after coating the tongue with barium sulphate in midline and then to swallow, and the X-ray was taken at the end of swallowing. Each group was divided into two subgroups according to sex. Groups were constituted according to the Frankfort mandibular plane angle (FMA) angle. The subjects who had skeletal Class II pattern due to mandibular retrusion and not due to maxillary prognathism were only included in the study group. Statistical analysis was done using the software SPSS version 21.0. The statistical tests used were unpaired t-test and One-way ANOVA test with post-hoc bonferroni test. The p-value was considered significant if less than 0.05.The dorsum of the tongue was higher at back and lower in front in Class II Division 1 Hypodivergent group as compared to Class I Normal occlusion group (P&#60;.05). Tongue height and tongue length were significantly reduced in Class II Division 1 Normodivergent and Class II Division 1 Hypodivergent malocclusion groups when compared to Class I control group (P&#60;.05).The study supports the existence of a relationship between posture & dimensions of the tongue with Class I and Class II skeletal patterns.
Evaluation of full cup test and numeric pain rating scale in the assessment of orofacial pain
Authors: Prethipa P Roland , Jimsha V K  , Daniel M Jonathan 
Published: December 2021

Pain intensity is a common outcome domain assessed in pain clinical trials. The patient’s self-report is the gold standard and it appears to be embedded in everyday clinical practice. Most often pain assessment is considered to be the cornerstone for ideal treatment.The aim of this study was to assess the dental patients’ level of pain using Full Cup Test (FCT) and Numeric Pain Rating Scale (NPRS), and to compare and validate the Full Cup Test in the assessment of orofacial pain with Numeric Pain Rating Scale.A total of sixty patients presenting with various forms of orofacial pain were included in this cross-sectional study. Data collected include the patient demographic details and the diagnosis of each case was made after proper history taking, clinical examination and radiographic investigation. Pain assessment was done for each patient using both numeric pain rating scale and full cup test.All the data were analysed using inferential statistics Mann Whitney test and the analysis was carried out with SPSS 17.The comparison of mean pain scores using full cup test and numeric pain rating scale shows there was significant differences between acute and chronic pain with P- value of 0.023 and 0.005 respectively. FCT had shown 83 percent sensitivity and 94 percent specificity.Patients who presented with either acute or chronic dental conditions experienced moderate to severe level of pain. FCT is useful for both evaluating and discerning changes in pain and it can be used as a tool in pain assessment.
Evaluation of Inpatient Surgical Wards' Performance at the Hospitals Affiliated with Tehran University of Medical Sciences in 2018
Authors: Dehnavi Hamed , Rezaee Mehdi , Farough Khosravi Mohammad , Gharasi Manshadi Mahdi , Saeidpour Jalal 
Published: December 2021

Background: Surgery wards account for a significant portion of hospital costs, followed by patient costs. Improving surgery wards' performance plays a major role in enhancing the accountability and efficiency of the hospital. This study aimed to evaluate the performance of inpatient surgical wards at the hospitals affiliated with Tehran University of Medical Sciences(TUMS).
Methods: A descriptive, cross-sectional, retrospective study was performed at all hospitals affiliated with TUMS in 2018. To measure the efficiency of these wards, three indicators have been considered; bed occupancy rate, the average length of stay, and bed turnover. Data have been analyzed using Excel software based on the Pabon Lasso model .
Results: Among the 15 active surgical departments, 5 (33.31 %) were categorized in quadrant three, including ophthalmology, obstetrics and gynecology, vascular and trauma surgery, plastic surgery, and infertility department. The oral and maxillofacial surgery and general surgery departments were the poorest in their performance and located in quadrant one. Ten surgical wards out of 38 (26.33 %) have reported a satisfactory performance.
Conclusion: Understanding and comparing the performance of clinical departments is also useful in making decisions for standardizing the patterns of health services delivery, evidence-based management in health care centers, and enhancing accountability in the health system. It is suggested that managers revise the departments in the inefficient area to reduce the number of inefficient departments or attract more patients by marketing, diversifying services, and increasing the quality of services.
AVOADO: PESCA E CULTURA ALIMENTAR NA AMAZÔNIA
Authors: Paixão Deylson Silva , Saraiva Luís Junior Costa 
Published: December 2021

A produção audiovisual faz parte de uma pesquisa com pescadores na praia de Ponta Grossa em Viseu-Pará, sobre práticas alimentares em espaço de pesca amazônico e sobre o processo denominado avoado. Conta com a colaboração de moradores locais que enriquecem ainda mais o trabalho e a pesquisa. Assista aqui.
La doctrina de la sustitución constitucional en Colombia: una aproximación a la Jurisprudencia constitucional
Authors: Jiménez Ramírez Milton César , Arboleda Ramírez Paulo Bernardo 
Published: December 2021

La sustitución implica el reemplazo o la limitación excesiva de un elemento definitorio o estructural de la constitución en el marco de la reforma constitucional. Se ha establecido como una metodología judicial para discernir si una reforma constitucional puede ser inconstitucional. Este estudio hace una aproximación al concepto de la sustitución de la constitución en Colombia, instaurado a través de la jurisprudencia de la Corte Constitucional, con el fin de determinar sus principales fundamentos y requisitos de aplicación. Esta investigación se divide en dos partes: i) La identificación de las principales razones utilizadas por el Tribunal constitucional para fundar esta doctrina, especialmente el concepto de defensa de la supremacía constitucional y el poder constituyente; ii) evidenciar la evolución de la doctrina desde su surgimiento en el 2003 hasta el 2019; finalmente, se presentarán las conclusiones relacionadas con la posibilidad que la sustitución se convierta en una extralimitación judicial. Esta investigación utilizó el método bibliográfico o documental con enfoque hermenéutico y analítico, específicamente para la identificación y estudio de la jurisprudencia constitucional.
Recibido: 29.07.2021Aceptado: 13.12.2021
Derecho a la verdad y cánones de veracidad
Authors: Galdámez Morales Ana 
Published: December 2021

Que el hecho narrado se ajuste a la verdad —a la realidad—resulta indiferente; lo esencial de cara a la protección constitucional de la información —además de la relevancia pública—es que se respete el límite de la veracidad. Un concepto que ha quedado obsoleto en el contexto de la comunicación digital y requiere de una reformulación conforme a las circunstancias de nuestro presente. En este sentido, el perfil de quien ejerce el derecho resulta determinante: no es posible aplicar el mismo concepto de veracidad a la redacción de un periodista —profesional de los medios de comunicación, sujeto a un deber de diligencia—que al discurso que un ciudadano publica en sus redes sociales. Ha cambiado el paradigma comunicativo y, con él, deben hacerlo las categorías jurídicas y los parámetros normativos que manejamos. Partiendo de esta premisa, el presente trabajo ha sido elaborado en clave propositiva para sugerir el tránsito desde el concepto clásico de veracidad, hacia un abanico integrado por diversos cánones de veracidad.
Recibido: 23.11.2021Aceptado: 13.12.2021
CARACTERIZAÇÃO DA PESCA COM REDE SERREIRA NO MUNICÍPIO DE RAPOSA-MA = CHARACTERIZATION OF FISHING WITH DRIFT GILLNET IN THE MUNICIPALITY OF RAPOSA-MA
Authors: Ferreira Helen Roberta Silva , Silva Marcelo Henrique Lopes , Azevedo James Werllen de Jesus , Soares Leonardo Silva , Bandeira Arkley Marques , Castro Antonio Carlos Leal 
Published: December 2021

Com o propósito de estimar a produção do peixe serra (Scomberomorus brasiliensis) e de sua fauna acompanhante, foram acompanhados desembarques de uma embarcação componente da frota serreira que atua ao longo do litoral maranhense e está sediada no município de Raposa. O controle nos desembarques caracterizou a composição e abundância dos pescados no período de janeiro de 2009 a dezembro de 2010, totalizando 17 desembarques. Um total de 27 espécies pertencentes a 16 famílias e 8 ordens, foram registradas nos desembarques. Em relação ao peso, a família Scombridae superou as demais, representando 50,02% da biomassa, seguida da Sciaenidae (21,60%) e Carangidae (11,13%). As 6 principais espécies desembarcadas, respondem por 81% do total desembarcado, destacando-se Scomberomorus brasiliensis, Cynoscion microlepidotus e Sarda sarda. Das espécies capturadas, 74,07% foram classificadas como acidentais, as espécies acessórias não ultrapassaram 14,81%, enquanto as constantes foram representadas em menos de 11,11% dos desembarques. O rendimento médio estimado das pescarias na região foi de 361 Kg/hora.AbstractTo estimate the production of Spanish mackerel (Scomberomorus brasiliensis) and its by-catch were accompanied by a landing craft fleet serreira component that acts along the coast of Maranhão and is based in the Raposa. The control landings characterized the composition and abundance of fish in the period January 2009 to December 2010, a total of 17 landings. A total of 27 species belonging to 16 families and eight orders were recorded in the landings. A total of 27 species belonging to 16 families and 8 orders were recorded in the landings. Regarding weight, the family Scombridae surpassed the others, representing 50.02% of the biomass, then the Sciaenidae (21.60%) andCarangidae (11.13%). Six species account for approximately 81% of total landings, most abundant being Scomberomorus brasiliensis, Cynoscion microlepidotus and Sarda sarda. Of the species caught, 74.07% were classified as accidental, the species accessory did not exceed 14.81%, while the constants were represented in less than 11.11% of the landings. The estimated average yield of the fisheries in the region was 361 kg / hour.
Dilemas e alternativas do uso das redes e mídias sociais no processo de aprendizagem
Authors: SOUTO CAIO , MARTINS IASMIM 
Published: December 2021

O texto parte de uma constatação das limitações do uso das mídias digitais e das redes sociais no âmbito educacional, especialmente considerando-se um país tão desigual como o Brasil. Em seguida, contudo, abordamos certos modos possíveis de ações propositivas cuja raiz se encontra na situação de crise sanitária provocada pelo novo coronavírus, partindo de experiências concretas com a docência, com o atendimento clínico e com o uso das mídias digitais e das redes sociais.Palavras-Chave: Redes sociais. Coronavírus. Mídias digitais. Clínica. Neoliberalismo. Dilemmas and alternatives of the use of social media and networks in the learning processABSTRACT This text begins from a constatation about the limits of the use of digital media and social networks in the educational scope, especially considering a country as unequal as Brazil. Then, however, we address certain possible modes of propositional actions that are rooted in the situation of health crisis caused by the new coronavirus, starting from concrete experiences with teaching, with clinical care and with the use of digital media and social networks.Keywords: Social networks. Coronavirus. Digital media. Clinical care. Neoliberalism.
Motivação e experiência educacionais dos alunos e professores no contexto de ferramentas digitais no período de pandemia
Authors: LOPES LUIZ MANOEL 
Published: December 2021

O presente artigo aborda a experiência educacional em tempos de pandemia, na relação bilateral aluno e professor, frente às novas ferramentas digitais. O objetivo é apresentar o ambiente familiar como motivação para o aluno, buscando lançar um novo olhar para a prática pedagógica, voltada para ferramentas educacionais e tecnologias digitais. Nesse novo cenário, percebemos também novos hábitos do aprendizado. A metodologia do presente estudo, de caráter descritivo e exploratório, aborda estudo bibliográfico e documental em que se discutem as contribuições das tecnologias digitais para a motivação dos alunos diante do processo de aprendizagem no momento em que se enfrenta a pandemia do novo Coronavírus. O artigo traz como contribuição uma breve análise do processo de aprendizagem da relação bilateral e do conhecimento prático através das ferramentas tecnológicas, novas habilidades pedagógicas, e no desenvolvimento educacional tecnológico.Palavras-chaves: Ambiente motivador. Ferramentas tecnológicas. Habilidades tecnológicas. COVID-19. Motivation and educational experience of students and teachers in the context of digital tools in the pandemic period. ABSTRACTThis article discusses the educational experience in times of pandemic, in the bilateral relationship between student and teacher, in the face of new digital tools. The objective is to present the family environment as motivation for the student, seeking to launch a new look at pedagogical practice, focused on educational tools and digital technologies. In this new scenario, we also noticed new learning habits. The methodology of this study, of descriptive and exploratory character, addresses bibliographic and documentary study in which the contributions of digital technologies to the motivation of students in the learning process are discussed at the moment when the pandemic of the new Coronavirus is faced. A brief analysis of the learning process of the bilateral relationship and practical knowledge through technological tools, new pedagogical skills, and technological educational development.Keywords: Motivating environment. Technological tools. Technological skills
A Ontologia de Deleuze e as Experiências de Deligny: como instaurar existências mínimas
Authors: MACHADO CARLOS HENRIQUE 
Published: December 2021

Se o Ser for suposto como uma solução provisória, uma ontologia deve poder pensar seu inacabamento como realidade essencial de sua natureza. É nesse sentido que se coloca a ontologia de Gilles Deleuze, pronta a pensar, a partir daí, um estado do Ser a se caracterizar por movimentos de liberação de linhas que desarticulam o já formado e permitem suas determinações escapar das relações já individuadas. A partir da articulação da ontologia deleuzeana com as experiências de Fernand Deligny com crianças autistas não verbais, nos será possível confrontar as formas hegemônicas de existir com modos de existência singulares que se afirmam em sua diferença ingovernável. Refratários a serem adaptados a partir de qualquer medida padrão, constituindo-se como uma deriva às formas hegemônicas e um desvio que permite se escapar ao controle, tais experiências nos colocam diante de uma deriva que mantêm a perspectiva da desmesura de existências mínimas sempre inacabadas.Palavras-chave: Deleuze. Deligny. Ontologia. Autistas. Corpo sem órgãos. Deriva. Deleuze's Ontology and Deligny's Experiences: How to Establish ABSTRACTIf Being is supposed to be a provisional solution, an ontology must be able to think of its unfinished business as an essential reality of its nature. It is in this sense that Gilles Deleuze's ontology is placed, ready to think, from there, on a state of Being to be characterized by movements of liberation of lines that disarticulate what has already been formed and allow its determinations to escape from the relations already individuated. From the articulation of Deleuzian ontology with Fernand Deligny's experiences with non-verbal autistic children, it will be possible for us to confront the hegemonic forms of existence with singular modes of existence that assert themselves in their ungovernable difference. Refractories to be adapted from any standard measure, constituting a drift to hegemonic forms and a deviation that allows one to escape control, such experiences place us in front of a drift that maintains the perspective of the disproportion of minimal existences that are always unfinished.Keywords: Deleuze. Deligny. Ontology. Autistic. Body without organs. Drift.