bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neutrophil-Lymphocyte, Platelet-Neutrophil, and PlateletLymphocyte Ratios as Indicators of Sickle Cell Anaemia Severity
Authors: Efobi Chilota Chibuife , Nri-Ezedi Chisom Adaobi , Madu Chika Sandra , Ikediashi Chuka Charles , Ejiofor Obiora , Ofiaeli Chika Ifeoma 
Published: September 2023

Background: Sickle cell anaemia (SCA) imposes a substantial healthcare burden, affecting millions of people worldwide. Understanding the determinants influencing SCA severity is crucial for enhanced disease management and optimized patient outcomes. This study aimed to investigate the relationship between Neutrophil-Lymphocyte Ratio (NLR), Platelet-Neutrophil Ratio (PNR), Platelet-Lymphocyte Ratio (PLR), and SCA severity.
Methods: A cohort of 45 children diagnosed with SCA and undergoing treatment at Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka, was included in this study. Demographic and clinical data, along with laboratory measurements of the aforementioned ratios, were collected. The severity of SCA was assessed using numerical scoring.
Results: The analysis revealed that PNR and PLR emerged as significant predictors of SCA severity, irrespective of the level of adiposity. In contrast, NLR demonstrated no predictive value in relation to SCA severity.
Conclusion: The findings challenge the conventional notion that neutrophils alone play a central role in the pathogenesis of sickle cell crises. These results contribute to a deeper understanding of the disease and provide insights into possible alternative mechanisms underlying SCA severity. Further research is warranted to explore the intricate interplay between platelets, neutrophils, lymphocytes, and other biological factors within the context of SCA. Ultimately, this knowledge may pave the way for targeted interventions and improved management strategies for individuals living with SCA.
Professional Identity among New Rehabilitation Graduates in China: A Cross-Sectional Questionnaire-Based Survey
Authors: Zhang Xue , Qiu Kai-Yi , Chen Shao-Zhen 
Published: September 2023

Background: The rehabilitation industry suffered in a terrible economic climate caused by the coronavirus disease 2019 (COVID19). Healthcare resources and the labor force were directed towards epidemic prevention of post-pandemic, which exacerbated the issue. This study evaluated the professional identity (PI) of new graduates majoring in rehabilitation therapy during the final harsh phase of COVID-19 and explored the factors influencing PI.
Methods: A cross-sectional investigation with a questionnaire was used in this study. A convenience sample of new graduates who majored in rehabilitation were recruited from hospitals and universities nationwide. The data collected demographic information and scores of professional identities for students in the final phase of the strict COVID-19 control policy in 2022.
Results: This study indicated that the average PI was quite a distance from the degree of ‘agree’ (3.84 on average), particularly for the fitness dimension (3.64 on average). The results identified two influencing variables: employment (Beta= -0.09, P< 0.05) and educational patterns (Beta= 0.12, P< 0.01).
Conclusion: Higher education in rehabilitation should respond to the present shift in the structure of the rehabilitation industry post-COVID-19. Meanwhile, the occupational environment of rehabilitation therapists and the medical value of rehabilitation therapy deserves more attention. This study provides evidence for managers to improve organizational justice and adjust policies on the distribution of medical resources.
The Protracted Civil and Armed Conflicts in Ethiopia Fueling the COVID-19-Related Health Crisis: Perspective on Building a Resilient Health System to Shocks
Authors: Berhan Yifru , Assefa Beyeberu , Tassew Awoke , Mengiste Wondosen , Gebreyesus Alegnta , Geletu Zelalem , Muluneh Ketema , Asfaw Getachew , Abera Samuel , Negesso Abebe , Abebe Samuel , Abelneh Habtamu , Deju Ermias , Mathewos Tsedeke 
Published: September 2023

Prior to the intensified civil and armed conflicts in Ethiopia, remarkable progress was made in the health sector, which has persuaded the Ministry of Health to give special focus on building a responsive and resilient health system in the second five-year health sector transformation plan (HSTP II 2021-2025). However, the years-long civil and armed conflicts have been fueling the COVID-19 crisis and have caused multi-sectoral infrastructure damage, human life loss, and economic crisis. In 2021 alone, the conflict causes more than five million internal displacements of persons (IDP) and thousands civilian deaths. Review of reported government data has shown that 3,508 health posts, 750 health centers, and 76 hospitals were partially or completely damaged in four regions. Looting of medical equipment and facilities for amenities was devastating. More than 19 million people were affected by the armed and civil conflicts between 2020 and 2021. Unless peace is ensured across the nation the sooner possible, it is foreseen that the devastation may further worsen, and recovery may be a far-fetched possibility. Therefore, in addition to restoration of the disrupted health services, it is the right time for the Ministry of Health to incorporate the humanitariandevelopment nexus as a joint strategy with the Disaster Prevention and Preparedness Commission (DPPC) to ensure a resilient health system for similar multifaceted conflict-related health crisis, disasters, and infectious outbreaks.
Mostafa Maged sling technique to treat prolapsed uterus in an easy way (New Technique)
Authors: Ali Mostafa Maged 
Published: September 2023

Background: In the female population, pelvic organ prolapse is a common problem that lowers people's quality of life in terms of their health. Depending on the severity of the prolapse and the symptoms, there are many treatment options. Simple observation, vaginal pessaries, or surgical management are all possible treatments. Reconstructive pelvic surgery with or without mesh augmentation and obliterative surgery are two surgical treatments that are available. Due to the contentious concerns surrounding the use of mesh and the rising demand for uterine preservation, surgical practices are currently shifting.
Methods: Just two cases are included in this study due to the rarity of this condition. In this study, I introduce a new technique to the literature (Mostafa Maged sling technique) which will be challenging. This technique depends on round ligaments and ovarian ligament to hitch up the whole uterus.
Results: There were no difficulties following the procedure. None of the patients required blood transfusions, and there were no signs of dehiscence or incision infection. Non-steroidal antiinflammatory medications were administered to both patients as analgesia. On the first postoperative day, the foley catheters were removed from both patients.
Conclusion: A simple and new manueuver is applied in the literature to treat the uterine prolapse. It is easy to learn and easy to perform. We need further studies to compare different techniques including Mostafa Maged sling operation to manage uterine prolapse.
Community-Based Health Insurance Utilization and Its Determinants among Informal Workers: Cross-Sectional Study
Authors: Deresse Tilahun , Eshete Akine , Mulatu Hailu , Dessalegn Megbar 
Published: September 2023

Background: Ethiopia has implemented a community-based health insurance (CBHI) program to provide coverage to 80% of the population and shield underprivileged individuals from the detrimental effects of exorbitant medical expenses. However, there is a paucity of data regarding its utilization and pertinent concerns. This study aimed to evaluate the utilization of CBHI and its associated factors among informal workers in Berek District.
Methods: This community-based cross-sectional study was conducted between June 15 and July 15, 2022. The sample population comprised 538 households selected using a multistage sampling approach. Data analysis was done using SPSS Version 26. Variables with P-values of less than 0.25 during the bivariate analysis were selected for multivariate analysis using binary logistic regression. The statistical significance threshold was set at a p-value of 0.05.
Results: The utilization of Community- Based Health Insurance (CBHI) was 49.8%. Age between 30 and 39 years, monthly earnings of less than 1500 Ethiopian Birr, presence of chronic illness, membership in social organization, and possessing adequate knowledge were found to have a statistically significant association with the use of CBHI.
Conclusion: The utilization of CBHI was low within the confines of this district. Age, income, social group membership, and chronic illnesses were significantly associated with CBHI utilization.
Estimating Classification Accuracy for Unlabeled Datasets Based on Block Scaling
Authors: Shingchern D. You  , Kai-Rong Lin  , Chien-Hung Liu  
Published: September 2023

This paper proposes an approach called block scaling quality (BSQ) for estimating the prediction accuracy of a deep network model. The basic operation perturbs the input spectrogram by multiplying all values within a block by , where is equal to 0 in the experiments. The ratio of perturbed spectrograms that have different prediction labels than the original spectrogram to the total number of perturbed spectrograms indicates how much of the spectrogram is crucial for the prediction. Thus, this ratio is inversely correlated with the accuracy of the dataset. The BSQ approach demonstrates satisfactory estimation accuracy in experiments when compared with various other approaches. When using only the Jamendo and FMA datasets, the estimation accuracy experiences an average error of 4.9% and 1.8%, respectively. Moreover, the BSQ approach holds advantages over some of the comparison counterparts. Overall, it presents a promising approach for estimating the accuracy of a deep network model.
Doenças neurológicas causadas pela contaminação de metais nas águas do Brasil
Authors: Gonzaga Heloisa Farias , Fontgalland Isabel Lausanne 
Published: September 2023

O objetivo deste artigo é discutir a contaminação de águas no Brasil, inserindo no seu contexto os metais tóxicos e efeitos neurológicos do tipo irreversível. Nesta investigação, foram apresentados os termos "metais tóxicos" ou "tóxicos metálicos” utilizando-se das referências David, S. et al., 2022 e Pourret, 2018 & 2019. Para análise da influência dos metais tóxicos, em caso de excesso e da influência de outros metais, utilizou-se as pesquisas da WWF-Brasil e do Observatório do Mercúrio. A inquietação deste estudo culminou com a pergunta: como a absorção de metais através da água pode ocasionar doenças neurológicas irreversíveis? A discussão desta, foi feita através da observação de dois estudos de casos: 1- O Garimpo de Eldorado do Juma e 2- A contaminação nas águas do açude urbano Epitácio Pessoa na cidade de Campina Grande – PB. O embasamento respaldou-se em evidências teóricas da contaminação da água através da distribuição de metais tóxicos no sistema nervoso humano, ensejando quatro doenças neurodegenerativas irreversíveis. O texto discutiu as características clínico-patológicas compartilhadas entre várias doenças neurológicas que podem estar associadas à exposição a metais tóxicos. Como resultados, obteve-se que a contaminação de águas, por metais tóxicos, no Brasil, tem na exposição do mercúrio na água pode ser o principal vetor de espalhamento, corroborando assim com a hipótese de que a lesão de neurônios específicos desencadeia uma cascata de eventos que afetam o sistema nervoso central foi confirmada e foi discutida com base em estudos de distribuição de metais tóxicos e características clínicas de doenças neurológicas relacionadas.
PERAN MATA PELAJARAN PKN DALAM MEMBANGUN KECAKAPAN SOSIAL PESERTA DIDIK
Authors: Putri Mas Fierna Janvierna Lusie , Rosmiati Yatti , Susi Susi , Devi Lathifah Sandra , Abidin Raistin Nur 
Published: September 2023

The purpose of the research is to find out Cultural civilisation and scientific and technological progress are things that cannot be denied. The Indonesian nation certainly wants the advancement of development in all fields. But there are things that should not be forgotten that education as a place, place and school becomes an institution where fostering harmony between the development of science and technology with cultural, social, religious and other civilisations. One of them is the subject of Pancasila and civic education as a subject that is the main in the formation of skills, good moral, ethical, behavioural, and social skills. This research was conducted at MTS Sirajul Falah, Parung, Bogor Regency, West Java, with this research expected to build students' social skills. Civics subjects have a major role in shaping social skills for students. Social skills as skills, attitudes/behaviours of a person in communicating, interacting, socialising with the surrounding environment and life throughout time. Learners are expected to have the skills to cooperate with others, control themselves, share thoughts and experiences with others, a sense of empathy, appreciate and respect others, not bullying. However, in building social skills, there must be supporting factors for the development of students' social skills, namely teachers, students, and the environment. The inhibiting factors are family, community environment, and the impact of technological advances, the flow of incoming western culture.
Explorando os fundamentos filosóficos e cosmológicos da iridologia indígena e sua relação com a Educação Indígena
Authors: Sousa Rodger Roberto Alves de 
Published: September 2023

RESUMO: O presente estudo tem como objetivo explorar a iridologia indígena e sua relação com a educação indígena, destacando seu enfoque holístico, a valorização da diversidade e dos saberes tradicionais. Por meio de uma abordagem qualitativa, foi realizada uma revisão sistemática da literatura, buscando compreender as contribuições da iridologia indígena para a pedagogia indígena e sua integração com as práticas pedagógicas indígenas e o currículo escolar. A iridologia indígena é uma prática ancestral que busca compreender a saúde por meio da análise da íris. Ela se baseia na cosmovisão indígena, que valoriza a espiritualidade, a conexão com a natureza e a harmonia entre o corpo, a mente e o espírito. A incorporação dessa abordagem na educação indígena promove uma visão holística da saúde e fortalece a identidade cultural dos estudantes indígenas. As experiências e casos de sucesso na implementação da iridologia indígena em programas educacionais indígenas evidenciam seu potencial como ferramenta de ensino-aprendizagem. No entanto, a sua incorporação na educação formal enfrenta desafios éticos, culturais e políticos, que envolvem a valorização dos saberes tradicionais, o respeito às tradições indígenas e a capacitação adequada dos educadores indígenas.
Palavras-chave: Iridologia Indígena. Educação Indígena. Enfoque Holístico. Diversidade. Saberes Tradicionais.

ABSTRACT: This study aims to explore indigenous iridology and its relationship with indigenous education, highlighting its holistic approach, the valorization of diversity, and traditional knowledge. Through a qualitative approach, a systematic literature review was conducted to understand the contributions of indigenous iridology to indigenous pedagogy and its integration with indigenous pedagogical practices and the school curriculum. Indigenous iridology is an ancestral practice that seeks to understand health through the analysis of the iris. It is based on indigenous cosmology, which values spirituality, connection with nature, and the harmony between body, mind, and spirit. The incorporation of this approach in indigenous education promotes a holistic view of health and strengthens the cultural identity of indigenous students. Experiences and successful cases in the implementation of indigenous iridology in indigenous educational programs highlight its potential as a teaching and learning tool. However, its incorporation into formal education faces ethical, cultural, and political challenges that involve the valorization of traditional knowledge, respect for indigenous traditions, and adequate training for indigenous educators.
Keywords: Indigenous Iridology. Indigenous Education. Holistic Approach. Diversity. Traditional Knowledge.
A preparação profissional dos docentes na atuação e os recursos pedagógicos como auxílio aos alunos com necessidades educacionais especiais
Authors: Gomes Cleudson Rodrigues , Almeida Ricardo Santos de 
Published: September 2023

RESUMO: A pesquisa teve como objetivo geral analisar como é a prática pedagógica aplicada para as crianças com necessidade especiais. Como objetivos específicos identificar como a Educação Especial vem sendo trabalhada dentro da sala de aula. Descrever como esta prática vem sendo trabalhada em sala de aula com as crianças. É de grande importância, que o professor seja conhecedor e especializado nesta área educacional de ensino e aprendizagem que seja interessado nas crianças como seres humanos em seu desenvolvimento. Na execução desta investigação utilizamos a pesquisa quali-quantitativa que favoreceu compreender os fatores que beneficiam ou prejudicam a aprendizagem dos alunos com deficiência. Sendo esta realizada por meio da pesquisa bibliográfica, pesquisa de campo, e como instrumentos o questionário e a observação.
Palavras-chave: Educação Especial, Preparação Profissional, Necessidades Educacionais, Alunos com Deficiência, Professores Especializados.

RESUMEN: El objetivo general de esta investigación fue analizar cómo se aplica la práctica pedagógica a los niños con necesidades especiales. Los objetivos específicos fueron identificar cómo se ha abordado la Educación Especial en el aula. Describir cómo se ha trabajado esta práctica en el aula con los niños. Es de gran importancia que el docente conozca y se especialice en esta área educativa de enseñanza y aprendizaje y se interese por los niños como seres humanos en su desarrollo. En la realización de esta investigación se utilizó la investigación cualitativa-cuantitativa que favoreció la comprensión de los factores que benefician o dificultan el aprendizaje de los alumnos con discapacidad. Para ello se utilizó la investigación bibliográfica, la investigación de campo y como instrumentos los cuestionarios y la observación.
Keywords: Educación Especial, Preparación Profesional, Necesidades Educativas, Alumnos con Discapacidad, Profesores Especializados.
Entre trieiros e (des)caminhares metodológicos outros: corporificando o fazer pesquisa
Authors: Silvestre Viviane Pires Viana , Ramos-Soares Wilker 
Published: September 2023

O presente trabalho busca discutir alguns (des)caminhares metodológicos outros, que confrontam modos de fazer e conceber ciência postos pela matriz colonial de poder. Para tanto, problematizamos alguns construtos sobre ciência e o fazer pesquisa que precisam ser confrontados desde a chave decolonial. Discutimos, ainda, alguns caminhos metodológicos outros, evidenciando a relevância do corpo em pesquisas, especialmente em contextos educacionais. Por fim, apresentamos (des)caminhares metodológicos de uma pesquisa de mestrado na formação docente, apontando alguns esforços decoloniais empreendidos no estudo.
Efektivitas Pemberian Tablet Fe Ditambah Buah Pepaya (Carica Pepaya L.) Terhadap Peningkatan Kadar Hemoglobin Remaja Putri Anemia
Authors: Putri Vivi Dwi Putri , Apriyanti Aini  , Marchatus Soleha  
Published: September 2023

Berdasarkan data hasil Riset Kesehatan Dasar tahun 2018, prevalensi angka kejadian anemia di Indonesia sebanyak 48,9%, dengam rentang usia 15 - 24 tahun. Salah satu penyebab anemia pada remaja putri adalah karena kekurangan zat besi dalam tubuh dan menstruasi. Salah satu upaya untuk meningkatkan penyerapan zat besi didalam tubuh yaitu dengan dengan mengkomsumsi tablet Fe dan buah papaya, hal tersebut karena vitamin C dalam buah papaya bisa membantu mempecepat penyerapan zat besi dalam tubuh. Tujuan dari penelitian ini adalah mengetahui Efektivitas Pemberian Tablet Fe ditambah Buah Pepaya (Carica Pepaya L.) Terhadap Peningkatan Kadar Hemoglobin Remaja Putri Anemia. Metode penelitian ini menggunakan teknik Quasy Eksperiment dengan pendekatan non-equivalent control-group, serta pengambilan sample menggunakan purposive sampling. Hasil uji t-test dengan taraf signifikansi α = 0,05 didapatkan ( p value = 0,003) pada kelompok eksperimen dan (p value = 0,008) pada kelompok kontrol dengan nilai rata-rata terjadi peningkatan kadar hemoglobin pada kelompok eksperimen sebanyak 0,750 gr/dl sedangkan rata-rata peningkatan kadar hemoglobin pada kelompok kontrol 0.714 gr/dl dengan selisih 0.61 gr/dl sehingga dapat disimpulkan bahwa Ho ditolak dan Ha diterima, artinya ada efektivitas pemberian tablet Fe ditambah buah papaya terhadap peningkatan kadar hemoglobin remaja putri anemia di STIKES Abdurahman Palembang
Analisis Kepatuhan Pasien Hipertensi Dalam Pengobatan Di Puskesmas
Authors: Winarti Winarti , Ali Harokan  , Erma Gustina  
Published: September 2023

Kepatuhan pengobatan pada pasien hipertensi merupakan perhatian yang sangat penting untuk meningkatkan kualitas hidup pasien hipertensi. Beberapa faktor yang mempengaruhi kepatuhan seperti lama pengobatan, pengetahuan, dukungan keluarga, akses pelayanan, dan peran petugas kesehatan. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan kepatuhan pasien hipertensi dalam pengobatan di Puskesmas Selawi Lahat Kabupaten Lahat Tahun 2023. Desain penelitian ini adalah kuantitatif dengan pendekatan cross sectional. Pengambilan sampel dengan menggunakan teori slovin. Sampel dalam penelitian ini berjumlah 93 orang. Cara pengambilan sampel menggunakan Purposive sampling. Pengumpulan data dengan menggunakan kuisioner. Analisis data univariat dan bivariat menggunakan uji chi-square. Hasil penelitian menunjukan ada hubungan lama pengobatan (p value 0,019) , pengetahuan (p value 0,000) , dukungan keluarga (p value 0,000), akses pelayanan (p value 0,000) dan peran petugas kesehatan (p value 0,000) dengan kepatuhan pasien hipertensi dalam pengobatan di Puskesmas Selawi Lahat Kabupaten Lahat Tahun 2023. Tidak ada hubungan umur (p value 0,860), dan jenis kelamin (p value 1,00) dengan kepatuhan pasien hipertensi dalam pengobatan di Puskesmas Selawi Lahat Kabupaten Lahat Tahun 2023. Perlu adanya upaya peningkatan pengetahuan tentang pelaksanaan dalam pengobatan hipertensi, pengetahuan, dukungan keluarga dengan memberikan edukasi serta peningkatan peran petugas dalam pelayanan kesehatan di Puskesmas
Analisis Kejadian Infeksi Saluran Pernafasan Akut Pada Anak
Authors: Merti  , Ali Harokan  , Erma Gustina  
Published: September 2023

Infeksi saluran pernapasan akut satu penyebab tingginya angka kesakitan dan kematian anak yang disebabkan virus, bakteri, maupun jamur dan bersifat mudah menular. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan kejadian ISPA pada anak di Puskesmas Tanjung Tebat Kabupaten Lahat Tahun 2023. Desain penelitian ini adalah cross sectional. Populasi penelitian ini adalah ibu dengan anak yang berobat di Puskesmas Tebat sejumlah 142 responden. Cara pengambilan sampel menggunakan teknik Purposive sampling. Sampel penelitian yaitu ibu dengan anak yang berobat di wilayah kerja Puskesmas Tanjung Tebat Kabupaten Lahat Tahun 2023 yaitu berjumlah 59 responden. Penelitian ini telah di laksanakan pada tanggal 19 Mei 2023 sampai dengan 12 Juni tahun 2023. Pengumpulan data dengan menggunakan kuisioner. Analisis data bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukan ada hubungan merokok (p value 0,00) , kepadatan hunian (p value 0,01) , dan ventilasi (p value 0,01) dengan kejadian ISPA pada anak di Puskesmas Tanjung Tebat Kabupaten Lahat Tahun 2023. Tidak ada hubungan umur (p value 0,90), jenis kelamin (p value 0,98), Asi Ekslusif (p value 0,44) dan pengetahuan (p value 1,00) dengan kejadian ISPA pada anak di Puskesmas Tanjung Tebat Kabupaten Lahat Tahun 2023 Bagi Puskesmas perlu adanya upaya peningkatan pengetahuan tentang perilaku merokok pada lingkungan rumah dan edukasi rumah sehat pada masyarakat.