bluuebunny/crossref_metadata_2025_split huggingface dataset:
Relative risk factors for seropositive hepatitis E virus among blood donors and haemodialysis patients
Authors: Babiker Nassir A. , Abakar Adam D. , Mohamed Nawal T. , Abuzeid Nadir , Modawe GadAllah , Iesa Mohamed A. , Assil Sami , Osman Hisham , Hamed Mohamed , Ahmed Mohamed H. 
Published: July 2021

Background:
Hepatitis E virus is a zoonotic virus with a worldwide epidemic outbreak. The aim of the study was to identify relative risk factors and co-infections concerning the seropositive HEV IgG among blood donors and haemodialysis (HD) patients in the central blood bank and renal dialysis centre in Wad Medani city, Gezira State, Sudan.

Materials and Methods:
This was a cross-sectional study that included 600 participants, among them 180 showed strong seropositive HEV IgG. The structured questionnaire was used to collect data of the participants’ demographics, disease risk factors and HEV IgG co-infections with HBV, HCV, HIV and syphilis.

Results:
Among the 180 strong seropositive HEV IgG respondents, 84 were blood donors and 96 were haemodialysis patients. The gender and age (18–30 years) had a significant association with the virus exposure (P = 0.000, P = 0.000). Importantly, a significant association of HEV prevalence due to the localities effect exhibited with the highest rate among South Gezira (OR = 38, CI = 14.1–107; P = 0.000). This also observed in Wad Medani, Umm Algura, East Gezira and Managil localities (P = 0.000). The effect of the animal contact on HEV distribution exerted the significant association among the respondents for blood donors and haemodialysis patients in univariate (OR = 4.09, 95% CI 1.5–10.9; P = 0.005) and multivariate (OR = 3.2, CI = 1.1–9.4; P = 0.027) analysis.

Conclusion:
The relative risk factors of the HEV seroprevalence were gender, age, locality and animal contact. Besides the need of a regular survey for the virus seroprevalence, primary health care physicians can play pivotal role in health education, especially in rural areas of Sudan. In addition, primary health care physicians in Sudan are expected to establish strategies and plans to eradicate and minimise the health impact of HEV.
Assessment of pandemic (COVID-19) preparedness in a teaching hospital in northern India using available (CDC-Atlanta) checklist
Authors: Singh Sukhbir , Govindagoudar Manjunath B. , Chaudhry Dhruva , Singh Pawan Kumar , Vashist Aarushi , Vashist Madan Gopal 
Published: July 2021

Background:
Hospitals are at the forefront of dealing infectious public health emergencies. Recently, COVID-19 has been declared as pandemic by the World Health Organization. Dealing with COVID-19 pandemic requires high intensity of administrative activity.

Objective:
We conducted this study to assess and compare, objectively, hospital preparedness with available Centre of Disease Control and Prevention (CDC) standards.

Methods:
CDC has issued checklist for the assessment of hospital preparedness for COVID-19 pandemic, globally. This list contains 10 elements with sub-sections. We objectified the same and scored the hospital preparations accordingly. Various financial efforts made by the hospital to procure COVID19-specified items was also recorded.

Results:
As per the CDC checklist, the hospital scored 197 points (72.06%) out of 270 points with highest points in element two and eight. Element two is for the development for written COVID-19 plan. Element eight consists of addressing the occupational health of healthcare workers. Lowest scoring was in the element seven represented visitor access and movement within facility. During the study period, the hospital procured items of approximately 55 lakhs. In the study period, doctors, nursing staff, housekeeping staff, and security staff were channelized for doing COVID-19 duties.

Conclusions:
We obtained a score above 70% (good) which is quite encouraging, and we concluded that pandemic preparations in hospitals are necessary and it can be assessed objectively against prevailing standards. It is important in poor countries like India where spending on healthcare is minimal compared to other countries. Additionally, this assessment can be used to guide us further changes in policies and identifying the gaps in pandemic preparedness in hospitals which require special attention.
The Effectiveness of Rein Flap Technique in the Cosmetic Outcomes of Rhinoplasty
Authors: Rahmati Javad , Yavari Ali , Etemad Omid 
Published: July 2021

Background:
The beauty of nasal tip is very important in septorhinoplasty surgeries. Unstable tip rotation may lead some problems in the outcome of this surgery or performing a repair surgery. Hence, using an appropriate method to save the tip rotation for the long term is considered.

Materials and Methods:
We studied 30 patients who underwent rhinoplasty in Imam Khomeini Hospital Complex of Tehran and Razi Hospital of Tehran and divided them equally into two groups of rein (case) and septocolumellar (control), randomly. Then, we evaluated the rotation and projection of the nasal tip (nasolabial, columellar-labial, and nasofacial angles) after 2 weeks and 6 months of the surgery.

Results:
In both groups, 80% and 20% of the patients were female and male, respectively. The reduction of the nasal projection (columellar-labial and nasofacial angles) and nasal rotation (nasolabial angle) was significant in both groups during 6 months after the surgery (P > 0.001) that showed reduction in the nasal projection and rotation after 6 months in both group. This reduction was not significant in the nasofacial and columellar-labial angles (nasal projection) among two groups. However, in the case of nasolabial, we found less reduction in the case group that explains significant relation (P = 0.03).

Discussion:
Using rein flap can be used as a proper way to save the tip rotation in the long term and could be used in the patients with droopy tip noses.

Conclusion:
Using rein flap in nasal tissue seems to be effective in providing a stable rotation and projection. This method can be considered as a good option for providing proper projection and rotation.
The utility of a modified W.H.O. TB screening tool among children at a Botswana child welfare clinic
Authors: Dikobe Wame , Molefi Mooketsi , Nkomo Bornapate , Kgwaadira Botshelo , Gasenelwe Boingotlo , Seloilwe Esther , Mashalla Yohanna , Mills Tonya-Ascortt- 
Published: July 2021

Background: In high TB/HIV settings, the increased risk for TB amongst children exposed to HIV has been established through biomedical tests. Screening HIV exposed children for TB can improve early childhood TB detection and treatment.
Objective: This study assessed the utility of a modified World Health Organization (WHO) tool by including HIV variables, to determine TB exposure amongst HIV exposed children presenting to a “Well Child” Clinic (CWC).
Methods: Clinical data were obtained from medical records and/or from the caregivers of children presenting to CWC. Data was analyzed to explore factors associated with positive screening for TB, including being exposed to HIV and current HIV status.
Results: Five percent (55/1100) screened reported a close TB contact and 21% (n=231) had positive TB symptom screen. History of close TB contact was a risk factor for positive screening for TB symptoms (OR 1.89 CI 1.05-3.4) while being HIV negative was protective (OR 0.3, Cl 0.19-0.62). HIV exposure was associated with increased risk of TB exposure (OR 2.9 CI 1.61-5.19).
Conclusion: Integrating HIV variables in the existing WHO screening tool for childhood TB can be useful in early detec- tion and treatment of TB in HIV exposed children in resource limited settings.
Keywords: Childhood TB screening; HIV Exposure screening; TB/HIV integration.
Necessidades de mães de bebês internados em UTI Neonatal de uma maternidade privada
Authors: Barcellos Alline Silva Pimentel , Inácio Geovanna Porto , Porto Joana D´Arc Silvério 
Published: July 2021

RESUMO
A hospitalização do bebê na Unidade de Terapia Intensiva Neonatal (UTI Neo) pode ser acompanhada de momentos de instabilidade, insegurança e rupturas na relação mãe-bebê. A mãe tem um papel importante no desenvolvimento e recuperação do bebê nesta unidade. Desse modo são imprescindíveis a atenção e o cuidado com essas mães. Esta pesquisa identificou a importância e a satisfação das necessidades de mães com bebês internados na UTI Neo de uma maternidade particular. Participaram15 mães, com idade média 28 anos. Os instrumentos utilizados para a coleta de dados foram: questionário sociodemográfico e o Inventário de Necessidades e Estressores de Familiares em Terapia Intensiva (INEFTI). Os resultados evidenciaram que as mães avaliaram as cinco dimensões segurança, proximidade, informação, conforto e suporte como muito importantes a importantíssimas. No entanto, alguns itens demonstraram insatisfação, principalmente no que se refere ao conforto. Espera-se que esses resultados possam atender as necessidades das mães ao favorecer o diálogo, o cuidado e criar melhores condições de acolhimento e de espaço físico para amenizar o sofrimento advindo desse período de internação do bebê na UTI Neo.

ABSTRACT
The hospitalization of the baby in the Neonatal Intensive Care Unit (Neo ICU) may be accompanied by moments of instability, insecurity and ruptures in the mother-baby relationship. The mother plays an important role in the baby's development and recovery in this unit. Thus, attention and care to these mothers are essential. This research identified the importance and satisfaction of the needs of mothers with babies admitted to the Neo ICU of a private maternity hospital. Fifteen mothers, mean age 28 years, participated. The instruments used for data collection were: a sociodemographic questionnaire and the Inventory of Needs and Stressors of Families in Intensive Care (INEFTI). The results showed that the mothers evaluated the five dimensions safety, closeness, information, comfort and support as very important to very important. However, some items showed dissatisfaction, especially regarding comfort. It is expected that these results may meet the mothers' needs by favoring dialogue, care and creating better conditions for welcoming and physical space to ease the suffering resulting from this period of hospitalization of the baby in the Neo ICU.
SCHOOL HYGIENE PROMOTION APPROACHES AND THEIR INFLUENCE ON PUPIL’S HYGIENE PRACTICES IN PUBLIC PRIMARY SCHOOLS IN DAGORETTI, NAIROBI CITY COUNTY, KENYA
Authors: Kathuni Styvers , Akunga Daniel , Kitur Esther , Letema Sammy 
Published: July 2021

Purpose: The purpose of this study was to examine hygiene promotion approaches that were being employed by public primary schools in Dagoretti North and South Sub Counties in Nairobi City County and whether the approaches influenced hygiene behaviors that were practiced by pupils.
Methodology: The study applied a descriptive cross-sectional design. Questionnaires were administered to 384 pupils with the aim of collecting data on hygiene knowledge and practices. A questionnaire was also used to collect data on hygiene promotion approaches from 32 school health teachers. Pupils’ demographic data was collected from school head teachers. Five key informant interviews were conducted with Nairobi City County public health and education officers and a staff from a non-governmental organization that was implementing school hygiene activities in Dagoretti South and North Sub Counties. Observation checklists were used to triangulate information on hygiene practices by pupils. Analysis was done using SPSS software.
Findings: Results indicate that 95.6% of the pupils practiced hand washing at critical times, 98.7% used the toilet while 85.4% safely disposed solid waste. The study reveals that water, sanitation and hygiene in schools approach is implemented by 31.3% of the school health teachers. There was a significant relationship between school health clubs approach and hand washing at critical times (p=0.04) and proper solid waste disposal (p=0.02). One way analysis of variance established that there is a significant difference among hygiene promotion approaches and pupils hygiene knowledge, F(5, 162) = 6.41, p <.05 ƞ²p = 0.076.
Unique contribution to theory, practice and policy: The study establishes that different hygiene promotion approaches have the potential to influence hygiene practices and in particular, hand washing at critical times and proper solid waste disposal amongst pupils. The study recommends the use of school health clubs approach for hygiene promotion at public primary schools
Penyuluhan manfaat buah naga merah dalam menurunkan kadar gula darah pada penderita diabetes melitus
Authors: Chrisanto Eka Yudha , Rachmawati Megah , Yulendasari Rika 
Published: July 2021

Abstrak. Menurut International Diabetes Federation (IDF) pada tahun 2015, prevalensi jumlah DM di dunia sebesar 8,8 persen dengan jumlah penderita sebesar 415 juta penderita dan pada 2040 diperkirakan akan meningkat sejumlah 642 juta penderita (10,4 persen) (IDF, 2015). Sedangkan Indonesia menempati peringkat ke-7 penderita diabetes terbanyak di dunia. Salah satu buah yang dapat dimanfaatkan untuk perbaikan diet penderita diabetes melitus adalah buah naga yang memiliki keunggulan yaitu kaya serat dan antioksidan. Tujuan setelah penyuluhan dan demonstrasi, diharapkan pembuatan jus buah naga merah dapat untuk menurunkan kadar glukosa pada klien diabetes melitus. Adapun kegiatan yang dilakukan berupa penyuluhan menggunakan leaflet dan demonstrasi pemberian buah naga merah. Terdapat penurunan kadar glukosa pada klien diabetes melitus setelah pemberian buah naga merah selama 10 hari di Bandar Lampung. Dengan demikian, pemberian buah naga merah pada klien diabetes melitus sangat efektif dalam menurunkan glukosa. Abstract: According to the International Diabetes Federation (IDF) in 2015, the prevalence of DM in the world (8.8 percent) with the number of sufferers at 415 million and 2040 it was expected to increase by 642 million patients (10.4 percent). While Indonesia ranks 7th most diabetics in the world. One of the fruits that can be used to improve the diet of diabetics is a dragon fruit that has the advantage of being rich in fiber and antioxidants. The Purpose after counseling and demonstration is expected to make red dragon fruit juice can reduce glucose levels in diabetes mellitus clients. The activities carried out in the form of counseling using leaflets and demonstrations giving red dragon fruit. There is a decrease in glucose levels in diabetes mellitus clients after giving red dragon fruit for 10 days at Bandar Lampung. Thus, giving red dragon fruit to diabetes mellitus clients is very effective in reducing glucose.
A influência das atividades extracurriculares na empregabilidade do egresso do curso de Secretariado Executivo Trilíngue da Universidade Federal de Viçosa
Authors: Marques Gabriela Carneiro , Bastos Filho Reinaldo Antônio , Silva Junior Alessandro Carlos , Costa Adriana Pereira 
Published: July 2021

A presente pesquisa teve como objetivo analisar a relação entre a participação em atividades extracurriculares e a empregabilidade dos egressos do curso de Secretariado Executivo Trilíngue da Universidade Federal de Viçosa (UFV). Por meio de cálculo amostral e um questionário semiestruturado aplicado aos egressos do curso, que se graduaram a partir do ano de 2006, foi possível verificar as atividades extracurriculares realizadas por eles durante a graduação e quais contribuíram para suas formações profissionais. Portanto, analisaram-se, as principais habilidades desenvolvidas como decorrentes da participação em tais atividades. Ademais, foram identificadas as competências consideradas pelos participantes como essenciais para a inserção no mercado de trabalho. A partir da análise dos dados, foi possível constatar que as vivências nas atividades extracurriculares influenciaram positivamente na empregabilidade desses egressos, uma vez que puderam desenvolver habilidades consideradas como necessárias ao perfil profissional procurado pelos empregadores. ABSTRACTThe present study aimed to analyze the relationship between the participation in extracurricular activities and the employability of the graduates of the Trilingual Executive Secretariat course of Universidade Federal de Viçosa (UFV). Through a semistructured questionnaire, that was administered to the interviewed, that graduated after the year of 2006, it was possible to verify the extracurricular activities that they participated in while they were students, and which of those activities contributed to their vocational training. The main abilities developed resulting from the participation in such activities were also evaluated. Furthermore, the skills considered essential for them to enter the job market were identified. From the analysis of the data, it was possible to confirm that the involvement in extracurricular activities positively influenced their employability, once they were able to develop abilities required by the employers nowadays.
Occupational Therapy for Functional Impairments Resulting From COVID-19 Infection: A Case Report
Authors: Mannion Nicole , Sullivan Nicole 
Published: July 2021

Abstract
This case report examines the role of occupational therapy in the recovery of a client who became critically ill with severe acute respiratory syndrome coronavirus 2. In it, we describe evaluation and treatment methods, functional impairments, and special considerations when working with a client with severe coronavirus disease 2019 infection. The client was a 43-yr-old Hispanic man treated in a long-term acute-care hospital. Client-centered treatment sessions focused on activities of daily living (ADLs), self-feeding, medication management, and leisure and were implemented in 30- to 45-min sessions 3 times per week for 5 wk. The Activity Measure for Post Acute Care Daily Activities Short Form was used to measure basic mobility, daily activities, and applied cognition in the acute setting. A manual dynamometer was used to measure grip strength, and the Nine-Hole Peg Test was used to measure digit dexterity. Both were used in the context of occupational engagement. Data were collected at evaluation, every 2 wk, and at discharge. The client achieved his goals and demonstrated marked improvement in independence with basic ADLs, leisure activities, bilateral grip strength, and manual dexterity.
A ESTUTURAÇÃO DA REDE URBANA DO NORDESTE PARAESE A PARTIR DAS INTERAÇÕES ESPACIAIS DAS REDES DE VAREJO
Authors: Santos Karina Pimentel 
Published: July 2021

As interações espaciais não se resumem apenas aos fluxos de pessoas, informação, capital e etc., seu processo é caraterizado pela intensa relação entre áreas que estruturam e fortalecem uma rede urbana. Com isto, o presente trabalho vem buscando compreender o destaque das redes de varejo locais dentro da dinâmica de interações espaciais que fortalecem e estruturam a rede urbana do Nordeste Paraense. A pesquisa foi realizada nas cidades de Castanhal, Capanema e Bragança, centros de destaque na região que polarizam outras localidades ao entorno segundo os estudos da REGIC - Regiões de Influência das Cidades (IBGE, 2008), e ao analisar a atuação de algumas redes varejistas que atuam na região (e mantêm sede nessas cidades) foi identificado o papel fundamental das mesmas no processo de estruturação da rede urbana do Nordeste Paraense, já que elas atuam de forma estratégica e hierárquica, estabelecendo fortes interações entre os espaços a partir dos seus fluxos de mercadorias e informações. A presença das redes nos centros urbanos, principalmente de Castanhal, Capanema e Bragança, reforçam a centralidade e ajudam a estruturar o comércio, que atende sua população local e suas áreas de influência. Desta maneira, a atuação e articulação desses agentes econômicos, das redes varejistas, compõem a estrutura da rede urbana do Nordeste Paraense, a partir das suas interações e fluxos que conectam cidade.
Palavras-Chaves: Rede urbana, Interações espaciais, Redes varejistas.
Pendampingan LSLC Menuju Caring Community Untuk Guru Bahasa Inggris Dalam Meningkatkan Hots Peserta Didik Di SMAN 2 Peusangan
Authors: Misnar Zuraini 
Published: July 2021

Pengabdian ini bertujuan untuk melatih guru bahasa Inggris dalam meningkatkan kemampuan high order thinking peserta didik pada skill writing melalui learning community menuju caring community. Pengabdian ini menggunakan rancangan berbasis lesson study yang dilaksanakan di SMAN 2 Peusangan. Subjek pengabdian terdiri dari 1 orang guru bahasa inggris dan peserta didik kelas II IPA 3 yang berjumlah 28 orang. Pelaksanaan pengabdian yaitu tahap pertama melalui workshop kepada guru bahasa inggris untuk sosialisasi pemahaman cara pelaksanaan pembelajaran berbasis lesson study yang dilakukan melalui tiga tahapan, yaitu perencanaan, pelaksanaan dan refleksi. Data yang digunakan dalam pengabdian ini adalah nilai tes peserta didik, observasi, field note dan dokumentasi, data dianalisis secara kualitatif yaitu persentase. Hasil pengabdian dan pelatihan menunjukkan bahwa HOTS (higher order thinking skill)peserta didik meningkat sebesar 90% yang diiringi dengan perubahan peningkatan sikap peserta didik menjadi lebih bertanggung jawab dan menghargai dengan cara saling asah asih dan asuh sebagai wujud caring community. Sedangkan untuk guru telah menunjukkan hasil profesionalisme melalui penerapan lesson study dalam pembelajaran bahasa Inggris.
Penerapan Model AHP Pada Pemilihan Aplikasi Streaming Drama Korea
Authors: Agustini Fajar , Nisa Khoirun 
Published: July 2021

Technology is developing very fast and is increasingly global, various kinds of the latest technological discoveries and various kinds of applications offered by each company will continue to compete, one of which is the Korean drama streaming application program. However, it is not just one Korean drama streaming application, but many other streaming applications that have sprung up and can make users hesitate to choose a streaming application to watch quality Korean dramas. Selection of useful criteria for selecting Korean drama streaming applications using the Analytical Hierarchy Process approach and processing using Expert Choice software allows streaming application users to know how to choose a streaming application to watch Korean dramas as desired. The population of this study were several Bekasi city people with approximately 30 questionnaires. From the research results, it was found that VIU was a strategic alternative for selecting Korean drama streaming applications using the Analytical Hierarchy Process which received top priority with a weight of 0.499 or comparable to 49.9% of another alternative.

Keywords: Streaming application, Korean Drama, Analytical Hierarchy Process
Contribution of pandemic covid-19 to reduce greenhouse gas emissions in China
Authors: BADA Hajar , LAHKIM Mohamed , BELMOUDEN Ahmed , El Kadmiri Nadia 
Published: July 2021

In order to respond to climate change, the Chinese government has committed to reduce the intensity of its national GHG emissions by 2020. In contrast to expectations, this year has seen an unexpected tragedy in the form of the corona virus epidemic. This virus, which belongs to the SARS-COV-2 family, has created a global turmoil and led to a record number of infections and deaths. In this situation, China took refuge as the first country to announce the appearance of the virus, resorted to quarantine in the absence of a vaccine against the virus, declared a state of emergency and then led to the shutdown of the Chinese economy.
With the increase in the number of infections and deaths several study had analyzing the connection between economic growth and covid-19 or public health and covid-19, while this paper focuses on the impact of COVID-19 on air quality, specifically the concentration of GHGs in the air resulting from industrial activities by comparing GHGs emissions in 2020 and previous years on the one hand, on the other hand, by analyzing the difference between the annual number of deaths caused by pollution and those caused by the virus. This mini review highlights the effect of long-term exposure to pollutants and the high risk of infection by the virus, China is taken as a case study, which evaluates the impact of COVID-19 on the environment.