bluuebunny/crossref_metadata_2025_split huggingface dataset:
Influence of Family Function on Self-care Practice among Type 2 Diabetes Patients in a Primary Care Clinic in Northern Nigeria
Authors: Magaji Hussaini Yusuf , Olawumi Abdulgafar Lekan , Ogunyele Tiri Titilope , Umar Aishatu Idris , Michael Godpower Chinedu , Grema Bukar Alhaji 
Published: August 2024

Abstract

Context:
Family function and self-care practices are important components of type 2 diabetes (T2DM) care to achieve good glycemic control, promote health, and prevent the early onset of complications.

Aim:
To determine the influence of perceived family functionality on the self-care practice of T2DM patients.

Setting and Design:
A cross-sectional study involving 241 patients aged ≥18 years who presented at the family medicine clinic.

Methods and Materials:
The family function was assessed using the family APGAR tool, while self-care practice was assessed using the Summary of Diabetes Self-Care Assessment tool.

Statistical Analysis:
The Chi-square test and logistic regression analysis were used to determine the relationship between variables, self-care practice, and the determinants of self-care practice, respectively.

Results:
The mean age of the respondents was 56.6 ± 11.1 years; 161 (66.8%) were females. The proportion of those with highly functional families was 56%, while the prevalence of good self-care practices was 17.8%. Irregular clinic attendance (OR = 0.434, 95%CI = 0.23-0.82, P ≤ 0.001), BMI [underweight (OR = 9.325, CI = 1.635 – 53.182, P = 0.01), normal (OR = 2.729, CI = 1.203 – 6.188, P = 0.02)], good glycemic control (OR = 2.9, 95%CI = 1.48-5.80, P = 0.002), and moderately dysfunctional family (OR = 0.418, 95%CI = 0.19-0.93, P = 0.03) were the determinants of self-care practice among T2DM.

Conclusion:
The prevalence of highly functional families was high but with a very low level of self-care practice. Clinic attendance, BMI, good glycemic control, and family function were the determinants of self-care practice.
Menstruating Skin: Utero-Cutaneous Fistula Coexisting with Scar Endometriosis: A Case Report
Authors: Israel Bobo Temidayo , Henry Ano-Edward Gbemi , Yinka Bakare Tola , Ayotunde Ogunlaja Olumuyiwa 
Published: August 2024

Abstract
Scar endometriosis and utero-cutaneous fistula (UCF) complicating cesarean section is a rare occurrence, and only a few cases have been reported in the literature. The patient developed cyclical bleeding from the previous operation site associated with abdominal pain. The bleeding occurred whenever she was having her menstrual period. At presentation, an initial diagnosis of scar endometriosis was made. She had surgical excision of the fibrotic subcutaneous tissue and rectus sheath with the repair of the fistulous uterus. The result of the histopathological examination was scar endometriosis and UCF. She did well post-surgery and was discharged home, and the follow-up clinic visits were not eventful. Cesarean section wound infection is a risk factor for UCF formation and scar endometriosis. Meticulous excision of the endometriotic skin, the fistulous tract, and repair of the fistulous uterus is an effective management modality.
From weight loss to vein thrombosis: Unveiling portomesenteric vein thrombosis after bariatric surgery
Authors: Alsareii Saeed Ali , Shaikh Ibrahim Ahmed , Alamri Abdulrahman Manaa , AlAsmari Mansour Yousef , AlWadai Hajar Hassan , Janvekar Shaheen , Khan Aejaz A. , Muddapur Uday M. , Iqubal S. M. Shakeel , Asghar Basim H. 
Published: August 2024

ABSTRACT
Portomesenteric vein thrombosis (PMVT) is an uncommon yet serious complication that can arise from bariatric surgery, posing a risk to the patient’s life. According to research findings, the occurrence of PMVT following bariatric procedures is estimated to range from 0.3% to 1%. It is worth noting that most cases tend to occur within the initial month following the surgery. Risk factors for PMVT include hereditary thrombophilia, advanced age, obesity, and a history of venous thromboembolism. Confirming a diagnosis of PMVT can be quite challenging as its symptoms are not very specific. In order to confirm the diagnosis, additional imaging studies like CT or MRI are often necessary. Management of PMVT typically involves anticoagulation therapy, although the optimal duration and intensity of treatment remain uncertain. Despite advances in the understanding and management of PMVT, further studies are needed to better define its incidence, risk factors, and optimal management strategies in the bariatric population. This review aims to address knowledge gaps, identify research opportunities, and offer valuable insights into preventing and treating PMVT in bariatric patients.
Complete blood count parameters as indicators for obesity-related inflammation: A cross-sectional study of Syrian females
Authors: Alam Eddin Hanadi , Alsultan Mohammad , Kaddar Abir 
Published: August 2024

ABSTRACT

Background:
This study aimed to evaluate the complete blood count (CBC) parameters, such as inflammatory markers, in a group of overweight and obese Syrian females.

Materials and Methods:
A total of 268 Syrian females from March 2020 to February 2021 were included in this study. Participants were divided into five groups based on Body Mass Index (BMI): normal weight, overweight, obesity class I, obesity class II, and obesity class III. White blood cells (WBCs), neutrophil counts (NCs), lymphocyte counts (LCs), monocyte counts (MCs), platelet counts (PLTs) counts, neutrophil–lymphocyte ratio (NLR), derived neutrophil–lymphocyte ratio (dNLR), monocyte–lymphocyte ratio (MLR), and platelet–lymphocyte ratio (PLR) were analyzed based on BMI groups.

Results:
The results revealed that WBCs, NCs, LCs, MCs, PLTs, and MLR were significantly different between BMI groups (P < 0.001), and showed a moderate correlation with BMI (R = 0.519, 0.412, 0.431, 0.540, 0.339, and 0.262, respectively, with P < 0.001 for each parameter). In addition, these parameters were significantly increased corresponding with an increased degree of obesity. Whereas, no significant differences for NLR, dNLR, or PLR were found between BMI groups (P = 0.38, 0.31, and 0.34, respectively), and they were not correlated with BMI (P = 0.880, 0.619, and 0.212, respectively). In regression analysis, BMI increased with increasing WBCs, NCs, LCs, MCs, and PLTs (P < 0.0001 for each). The odds of increased BMI were 8.7 times greater with increasing MLR values (P = 0.0001). On the contrary, BMI did not show significant relations with NLR, NLR, and PLR.

Conclusion:
This study concludes that a positive correlation was found between WBCs, NCs, LCs, MCs, PLTs, and MLR with BMI. In addition, these parameters were increased in corresponding with increased the degree of obesity. Since these parameters are cheap and fast tests, we suggest future studies to assess their benefits in the context of obesity treatment monitoring.
Rheophysical Characteristics of Hydrocarbon Flow in Microcracks
Authors: Veliyev Fuad , Aslanova Aida 
Published: August 2024

The rheophysical aspects of the non-Newtonian behavior of oil-water emulsion during flow in thin channels are considered experimentally. Using the microchannel model it is established that the nonlinear rheological effect in the flow of oil-water emulsion in micro-slits is mainly caused by the value of the electrokinetic potential of the system, by reducing of which it is possible to significantly weaken the non-Newtonian nature of the fluid. To regulate the electrokinetic potential, antistatic additives were used, the optimal concentration of which was established experimentally. Based on the Bingham model, rheological parameters of oil-water flow were estimated at different micro-slit clearances, in the absence and presence of an antistatic additive. It is established that a reduction in the electrical potential leads to a significant decrease in the yield shear stress during the fluid flow in the microchannel.
Exploring the Factors Influencing the Development of Teacher Agency for Culturally Responsive Teaching
Authors: Min Mina , Nelson Rachel 
Published: August 2024

Culturally responsive teaching (CRT) is a pedagogy that promotes social justice by improving the educational experiences of students of color. This study aims to explore factors that influence teachers’ agency to implement CRT. Semi-structured interviews were conducted with sixteen teachers who had adopted CRT practices in the South-Central Appalachian region of the United States. Employing a qualitative design, a hybrid thematic analysis approach was used to analyze the interview data. This exploratory study is significant in several ways. First, the study advances theoretical discussions on what constitutes the construct of teacher agency for social justice based on its empirical evidence, which captured teachers’ lively voices. Second, it introduces the unique perspectives and experiences of South-Central Appalachian teachers into the discussion on the complex and less-known construct of teacher agency for social justice. Third, this study offers practical implications for school administrators, teacher educators, and policy-makers regarding what actions can promote teachers to develop and pursue social justice agendas using CRT in growingly diverse public education settings. The results discuss how the teachers perceived their sense of purpose, competence, autonomy, reflexivity, and commitment to professional development opportunities in enacting CRT in their educational practices.
Investigating Students’ Perceived Satisfaction and Performance in Online Class: Basis for Online Learning Improvements
Authors: San Pablo Generie Mae G. , Prudente Maricar S. 
Published: August 2024

The landscape of education has experienced significant changes as a result of the global COVID-19 pandemic. Central to the recent developments is the increasing concerns related to the levels of student satisfaction and performance in Mathematics within the context of online learning. This study seeks to fill the gaps in existing research literature on how mathematics is taught online during the pandemic. In particular, the goal of this research was to investigate the relationship between students' perceived satisfaction and reported academic performance in a Mathematics online class and suggest important satisfaction factors to improve student online learning experiences. The study was a descriptive research design utilizing mixed methods, and the data were collected from a volunteer sample of ???? = 153 respondents, composed of senior high school students from three private schools, through an adapted online survey instrument. Results showed that the association between satisfaction and performance was significant and positively correlated. Furthermore, there was a low but positive significant correlation between satisfaction with their performance. Regardless of their performance levels, students were generally satisfied with online learning. Students, however, pointed out three (3) additional factors that affect their satisfaction – flexible and considerate task management, effective communication and subject mastery in teaching; and accessibility and clarity of educational resources. To improve online learning, these additional factors are essential to have a high level of satisfaction and performance in online learning.
Transmissão vertical do HIV
Authors: Osugui A. T. S. , Brandão D. A. , Pereira I. P. , Coutinho R. E. T. 
Published: August 2024

A infância é um período marcado por vulnerabilidades características do processo de desenvolvimento. A criança e o adolescente que vivem com HIV (Vírus da imunodeficiência humana) possuem essa vulnerabilidade acentuada devido aos riscos que sua condição os expõem, além dos estigmas associados à pessoa com HIV. Observamos que o HIV tem passado por mudanças epidemiológicas nos últimos anos. Atualmente existem 1,8 milhões de crianças e adolescentes (menores de 15 anos) vivendo com o vírus, de acordo com a Organização mundial de saúde (OMS). No Brasil, 866 mil pessoas vivem com HIV, segundo o Ministério da Saúde. A transmissão vertical, objeto desse estudo, é caracterizada pela transmissão de uma infecção ou doença da mãe para o feto, durante a gestação, parto ou lactância. No Brasil, a forma vertical é a principal forma de aquisição do vírus em crianças menores de 5 anos. As gestantes que aderem às intervenções preventivas reduzem as chances de transmissão do vírus para 0 a 2 %. Verificamos que no Brasil, segundo a OPAS (Organização Pan-americana de Saúde), a taxa de transmissão vertical é de 4,5%, sendo o objetivo estabelecido pelo Ministério da Saúde atingir uma taxa menor que 2%. O objetivo dessa revisão bibliográfica é encontrar os principais motivos da transmissão vertical do HIV no brasil que ainda não atingiu o objetivo estabelecido pelo ministério da saúde. As hipóteses para esse problema na saúde brasileira são: o não acesso ao pré-natal adequado e a desinformação acerca do HIV. A metodologia se ancora nas dimensões da pesquisa-científica propostas por Novikoff (2010) e revisão da literatura, por meio de levantamento de artigos nas Scielo por meio do indexador de busca “transmissão vertical HIV”. Como resultados foram encontrados 220 artigos e desses selecionamos 12 que abordavam a temática. Durante o pré-natal, o teste de HIV deve ser realizado durante a primeira consulta, sendo o 1º trimestre o ideal e outro teste deve ser realizado durante o 3º trimestre. Dentre as ações preventivas para evitar a transmissão vertical, destacam-se o uso da terapia antirretroviral, o parto cesáreo e a não amamentação. Nesse sentido, podemos concluir que o aumento acerca das informações sobre o HIV associado a um pré-natal adequado podem garantir melhoras nas condições da saúde para as gestantes soropositivas e para seus descendentes.
Bronquiolite
Authors: Teixeira L. D. P. , Almeida M. P. , Barcessat I. A. A. , Costa L. R. D. , Lima A. V. , Suêvo M. B. 
Published: August 2024

Dentre as infecções respiratórias de vias aéreas de pequenos calibres com padrão obstrutivo, a bronquiolite é a afecção mais comum na faixa etária de 0 a 2 anos de idade com prevalência de 2 a 6 meses, e maior número de casos no outono inverno. O vírus sincicial respiratório(VSR) é o patógeno mais comum e os outros agentes etiológicos são adenovírus, rinovírus, influenza, parainfluenza, mycoplasma e clamídia. Das crianças acometidas cerca de 10% desenvolvem bronquiolite no primeiro ano de vida. O objetivo desse trabalho é realizar revisão literária acerca dos aspectos gerais, curso da doença e diagnósticos diferenciais da bronquiolite. O VSR tem tropismo por vias aéreas de menor calibre, inicia a replicação em nasofaringe e causa lise celular e necrose de epitélio respiratório gerando processo inflamatório local com edema tecidual e aumento de secreção que se acumula na luz dos bronquíolos. A resistência da passagem do ar inspirado e principalmente expirado devido ao mecanismo valvular leva a uma hiperinsuflação que assim como atelectasia e sibilos são características da bronquiolite. O curso usual da doença pelo VSR é de 1 a 2 dias de febre, rinorreia, tosse, sibilos expiratórios e taquipnéia. A apneia também tem sido relatada em prematuros e lactentes menores de 3 meses indicando sinal de gravidade. O diagnóstico é essencialmente clínico e exames complementares como radiografia do tórax, hemograma e gasometria arterial são importantes para elucidar o quadro. Dentre as demais causas de broncoespasmos, temos como diagnósticos diferenciais asma, fibrose cística, pneumonia, síndrome aspirativa, colapso de vias aéreas, corpo estranho. De acordo com a Sociedade Brasileira de Pediatria, os critérios para internação hospitalar são toxemia, baixa ingesta alimentar, apneia, hipoxemia com ou sem hipercapnia, incapacidade de tratamento domiciliar, idade menor que doze semanas, presença de comorbidade e desconforto respiratório com pelo menos um dos sinais: batimento de asa de nariz, retração intercostal ou supra esternal, frequência respiratória maior 60, dispneia, cianose e saturação de oxigênio menor que 91% em ar ambiente. O tratamento baseia-se em suporte, sendo a oxigênio terapia indicada para pacientes com saturação de oxigênio menor que 90% ou se saturação 90-92% com esforço respiratório e criança menor que 3 meses. A ribavirina é a única droga licenciada para tratamento, porém o seu uso é restrito. A profilaxia é como o uso de álcool, a lavagem das mãos e o uso de mascaras e luvas são de extrema importância. Como medicação profilática o palivizumabe é indicado apenas em casos selecionados.
Revisão de literatura
Authors: Faria L. S. P. , Loraschi I. C. V. , Marques E. C. S. V. , Lopes L. M. , Faria C. S. P. , Tavares L. B. S. , Maciel E. B. P. , Fonseca W. L. M. S. 
Published: August 2024

A toxoplasmose gestacional é causada pela infecção do parasita Toxoplasma gondii durante o período da gestação. A transmissão transplacentária do parasita ocasiona a toxoplasmose congênita no feto, podendo causar danos a este. No Brasil, durante a gestação estima-se que em torno de 14 em 1.000 gestantes são infectadas e que a transmissão para o feto ocorra em 0,2-2 recém-nascidos vivos por 100 nascimentos por ano. Esse trabalho se propõe a relatar tópicos sobre a toxoplasmose gestacional e congênita, como sua clínica, diagnóstico, tratamento e profilaxia. Justifica-se pela ampla distribuição geográfica e alta infectividade desta doença e suas implicações na gestação. Trata-se de uma revisão de literatura, que teve como método a pesquisa em livros e artigos de bases científicas, visando os temas toxoplasmose gestacional e toxoplasmose congênita, sendo selecionados os publicados entre 2010 a 2018. A toxoplasmose tem como característica ser assintomática e benigna no indivíduo imunocompetente. Quando sintomática, assume sintomas inespecíficos, como febre, cefaleia, linfadenopatia e mal-estar. No entanto, a primoinfecção por T. gondii na gestação pode levar ao acometimento fetal. Se ocorrer no último trimestre de gestação, em geral a criança nasce assintomática e pode permanecer sem manifestações evidentes. Por vezes, a criança nasce com o quadro da toxoplasmose disseminada, apresentando miocardite, hepatite, anemia, esplenomegalia, trombocitopenia e exantema petequial. No segundo trimestre predominam os sinais de encefalite com convulsões, calcificações cerebrais, microcefalia, macroencefalia por hidrocefalia, cegueira, dentre outros. A infecção no primeiro trimestre é considerada rara, e quando ocorre, provoca abortamento espontâneo na maioria dos casos. O diagnóstico consiste no exame parasitológico, sorológico, avidez de IgG e PCR do líquido aminiótico. O tratamento em gestantes objetiva evitar ou reduzir sequelas para o recém-nascido, por isso preconiza-se a administração de espiramicina. A combinação de sulfadiazina, pirimetamina e ácido folínico são indicados diante de uma confirmação de infecção fetal, no qual o uso de sulfadiazina deve ser interrompido após as 34 semanas. A profilaxia consiste em evitar ingestão e manuseio de carne crua ou mal cozida, de frutas com cascas e de vegetais crus e evitar o contato com gatos. Dessarte, conclui-se que a toxoplasmose na gestante deve ter um acompanhamento minucioso devido às consequências para o feto, e por isso, é necessário maior aprendizado dos atuantes da área da saúde sobre esse tema, possibilitando a prevenção de complicações.
Motivasi Masyarakat Dalam Beternak Sapi Bali Di Kecamatan Palangga Selatan Kabupaten Konawe Selatan Sulawesi Tenggara
Authors: Hairil A. Hadini dan Fathou Rahman Musram Abadi, 
Published: August 2024

Penelitian ini memiliki tujuan untuk mengetahui motivasi masyarakat dalam beternak sapi bali di Kecamatan Palangga Selatan Kabupaten Konawe Selatan dengan variabel penelitian terdiri dari karakterisitik responden dan motivasi ekonomi, status sosial, hiburan dan motivasi lingkungan. Data penelitian ditabulasi kemudian dijelaskan secara eksplanasi dengan hasil penelitian bahwa tingkat motivasi peternak dalam beternak sapi bali di Kecamatan Palangga Selatan Kabupaten Konawe Selatan yaitu motivasi ekonomi sebesar 61,76% (kategori sedang), status sosial sebesar 64,48% (kategori sedang), hiburan sebesar 52,26% (kategori rendah) dan motivasi lingkungan sebesar 75,52% (kategori Tinggi). Motivasi yang paling kuat mendorong masyarakat adalah motivasi lingkungan.
Analisis Faktor – Faktor Yang Mempengaruhi Keputusan Konsumen Terhadap Pembelian Beras Premium Bulog Di Rumah Pangan Kita (RPK) Kota Semarang
Authors: Agus Setiadi dan  Edy Prasetyo Jingga Syielfa Choerunnisa, 
Published: August 2024

Beras premium merupakan beras yang berkualitas tinggi dan bervariasi. Beras premium menjadi pilihan bagi beberapa rumah tangga Indonesia yang mengutamakan kualitas. Tujuan penelitian yaitu untuk menganalisis perilaku konsumen beras premium BULOG di Rumah Pangan Kita (RPK) Kota Semarang yang meliputi karakteristik reponden, perilaku konsumen serta menganalisis pengaruh faktor kualitas produk, harga beras premium, harga beras subtitusi, pendapatan, jumlah anggota keluarga, dan promosi terhadap keputusan pembelian. Penelitian dilaksanakan pada 1 November – 10 Desember 2023 di tiga Rumah Pangan Kita (RPK) Kota Semarang yaitu RPK Life by Grace, RPK Toko Aniek Falah dan RPK Sofiyah. Penentuan lokasi meggunakan purposive dengan pertimbangan tiga lokasi RPK yang dipilih menjual beras premium secara kontiniyu dan aktif. Metode penelitian menggunakan survei dan teknik pengumpulan data melalui wawancara dengan menggunakan alat bantu kuesioner kepada 100 responden. Metode pengambilan sampel menggunakan metode quota sampling. Analisis data menggunakan analisis deskriptif dan kuantitatif. Analisis kuantitatif yang digunakan yaitu analisis regresi linear berganda. Hasil menunjukkan bahwa karakteristik responden di Rumah Pangan Kita (RPK) Kota Semarang yaitu responden didominasi oleh konsumen perempuan, kelompok usia didominasi 30-40 tahun, latar belakang pendidikan didominasi pendidikan SMA, pekerjaan didominasi sebagai Wiraswasta. Perilaku konsumen di Rumah Pangan Kita (RPK) dalam mencari informasi produk lebih didorong oleh inisiatif pribadi mereka untuk menelusuri informasi tersebut dan frekuensi pembelian sebanyak 1-3 kali dalam sebulan. Hasil penelitian secara simultan kualitas produk, harga beras premium, harga beras subtitusi, pendapatan, jumlah anggota keluarga, dan promosi berpengaruh terhadap keputusan pembelian dan secara parsial harga beras premium, harga beras subtitusi, pendapatan dan jumlah keluarga berpengaruh terhadap keputusan pembelian.
Especialización agrícola en el contexto mexicano: regiones y cultivos
Authors: Pacheco Almaraz Victoria , Palacios Rangel María Isabel , Martínez González Enrique Genaro , Vargas Canales Juan Manuel , Ocampo Ledesma Jorge Gustavo 
Published: August 2024

El análisis del comportamiento de una economía nacional permite identificar el desempeño regional y de sus actividades en cualquier ámbito territorial, relacionando cambios estructurales, procesos de crecimiento, distribución espacial y operación de sectores económicos (productivos), lo que contribuye en la formulación de acciones sectoriales promotoras del desarrollo económico. Por ello, el objetivo es analizar regiones y cultivos con Especialización Agrícola (EA), mediante el uso de Coeficientes de Análisis Regional (CAR) y cartografía temática basados en estadísticas oficiales de entidades mexicanas entre 2010-2017, para su caracterización y tipificación. Los resultados revelan una adopción del modelo con heterogeneidad en el númeroytipo de cultivos especializados regionalmente, presentándose mayores niveles de Especialización Agrícola en la Región Norte y Centro Occidente de México con granos y berries, y de manera general en cultivos exportables. Los niveles presentan una relación directamente proporcional con el valor de la producción, pero inversa con la superficie; destaca la importancia del acceso al mercado y ubicación geográfica como factores explicativos. Se concluye que la EA es producto de diferencias en la formación de áreas de mercado, factores tecnológicos y productividades globales y sectoriales.