bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of family planning sterilization services at public health institutions in Maharashtra before and after intervention
Authors: Lotke Sudhanshu Vaibhav , Narula Arvinder Pal Singh , Gothankar Jayashree Sachin , Pore Prasad Dyandeo , Deshmukh Rupeshkumar Balasaheb , Doke Prakash Prabhakarrao 
Published: November 2023

Abstract

Background:
Family planning services have been given importance for decades. For various reasons, sterilization has been the first choice of women and the government. It is feared that while achieving large numbers, the quality may be compromised. There were Public Interest Litigations in Supreme Court about the compromised quality of sterilization services.

Objectives:
The aim of this study was to compare the quality of sterilization services before and after interventions and the quality between types of institutions.

Materials and Methods:
This study was carried out in two phases. The first phase included visits to 33 institutions from 13 districts on sterilization operation days. The observed lacunae were communicated to the government, and accordingly, some interventions were executed by the government. In the second phase, we visited 13 institutions from five districts. The investigators were from the Department of Community Medicine, Bharati Vidyapeeth Deemed University Medical College, Pune, India. We used assessment tools based on the Government of India’s guidelines. One device was developed to assess the quality of services, and marks were given by dichotomizing the observations. In both phases, the same tool was used. The maximum score was 140.

Results:
In the first phase, an institution’s mean score was 94.15 (±7.58). There was no difference between the types of institutions. In the second phase, the mean score improved to 103.27 (±13.29) (t = 2.94; P = 0.01); the hospital score improved from 91.00 to 109.83 (t = 4.94; P = 0.001).

Conclusion:
The findings of this unique multisite study indicate that interventions indeed led to improvements in both primary health centers and hospitals, but the extent of improvement was more significant in hospitals.
Medication adherence and associated factors toward antihypertensive medication in Western Rajasthan, India: A tertiary center study
Authors: Krishnan Vishal , Kaushik Narendra Kumar , Pal Sudipta , Kumar Ravinder , Singh Gopal , Pareek Shatrughan 
Published: November 2023

AbstractIntroduction:Hypertension is a form of cardiovascular disorder that results from a wide range of interconnected etiologies. Untreated and uncontrolled hypertension leads to structural and functional abnormalities of the cardiovascular system, ultimately harming the body’s vital organs, e.g., heart, kidneys, and brain. The study aimed to assess the prevalence of medication adherence among hypertensive patients.Materials and Methods:This study was conducted with a quantitative approach and descriptive research design. The study was conducted at the Outpatient Department of Medicine, Prince Bijay Singh Memorial Hospital & Associated Group Hospitals, Sardar Patel Medical College, Bikaner, Rajasthan, India. The population was 615 hypertensive patients. A nonprobability convenient sampling technique selected the participants. Data collection was done with the help of a demographic profile and Modified Morisky Medication adherence 8-scale.Results:In this study, most subjects (53.98%) were male. Approximately half of the participants (49.75%) had an average level of medication adherence, followed by 38.70% poorly adhering to their prescribed hypertensive regimens. The overall mean medication adherence score was 6.122 ± 1.539. In addition, variables such as age, educational status, other illnesses, regular visits to the doctor, and allergy to drugs were statistically (<0.05) associated with levels of medication adherence. However, gender, duration of illness, and residence were not statistically related to levels of medication adherence.Conclusion:Findings of the study highlighted that medication adherence was very low among hypertensive patients. Therefore, prompt actions are needed to enhance medication adherence among hypertensive patients, which may reduce hypertension-related morbidity and mortality.
On the minimal model program for projective varieties with pseudo-effective tangent sheaf
Authors: Matsumura Shin-ichi 
Published: November 2023

In this paper, we develop a theory of pseudo-effective sheaves on normal projective varieties. As an application, by running the minimal model program, we show that projective klt varieties with pseudo-effective tangent sheaf can be decomposed into Fano varieties and Q-abelian varieties.Comment: completely revised version, 13 pages
FEATURES OF FOREIGN LANGUAGE TRAINING IN TECHNICAL HIGHER EDUCATION INSTITUTIONS
Authors: Soter Mariya , Slyusarenko Nina 
Published: November 2023

The purpose of the study is to characterize peculiarities of foreign language training in technical higher education institutions in the conditions of modernization of higher education in Ukraine based on the analysis of modern research.
The relevance of the raised problem is determined by the fact that the modernization of higher education of Ukraine, its entry into the European and world educational space is not possible without a significant increase in the quality of students’ foreign language training, in particular, technical higher education institutions.
The novelty of the research lies in the fact that the role of "Common European Framework of Reference for Languages: Learning, Teaching, Assessment" in the restructuring of national standards of foreign language training has been indicated. It is underlined that integrated learning major and foreign language, which is based on the study of professional disciplines in inseparable unity with mastering a foreign language and involving intra- and interdisciplinary connections, is a necessity and a significantly new step to improve and modernize students’ foreign language training in technical higher education institutions. It is highlighted that the implementation of integrated learning major and foreign language in the educational space of technical higher education institutions strengthens the practical component of foreign language training. It is stated that modern realities of foreign language training are focused on attracting innovative methods and approaches to learning, based on students’ interaction and modelling of their future professional activity. Attention is paid to the need to reorient the educational process to the future specialist’s personality, student-centeredness.
Conclusions. As a result of the research, features of foreign language training in technical higher education institutions of Ukraine in the conditions of modernization of higher education have been identified. It is noted such new features as consistency and synchronization of requirements for foreign language training through the implementation of "Common European Framework of Reference for Languages: Learning, Teaching, Assessment"; integrated learning major and foreign language; strengthening the practical component of students’ foreign language training; reorienting the educational process to the future specialist’s personality, student-centeredness and others. It is revealed that further scientific research can be devoted to the study of innovative methods and approaches to learning, which are based on students’ interaction and contribute to the modelling of future professional activity.
ИЗУЧЕНИЕ ЗРИТЕЛЬНОГО ВОСПРИЯТИЯ У УЧАЩИХСЯ НАЧАЛЬНЫХ КЛАССОВ В АСПЕКТЕ ПРОФИЛАКТИКИ БЛИЗОРУКОСТИ
Authors: Азарян Роберт , Меликян Лусине 
Published: November 2023

В статье анализируются результаты исследования многими авторами проблемы формирования и развития зрительного восприятия у детей в аспекте профилактики у них близорукости. Актуальность рассматриваемой проблемы определяется тем, что зрительная нагрузка в школьном возрасте, особенно выполняемая при плохом освещении, не соблюдения норм, правил и условий зрительной работы и отдыха глаз могут привести к нарушению зрительного восприятия и развитию близорукости у учащихся. Поэтому изыскание эффективных средств, методов и педагогических условий развития зрительного восприятия у учащихся станет основой профилактики близорукости у них.
Изучение и анализ специальной научно-методической литературы по рассматриваемой проблеме профилактики близорукости свидетельствует, что развитию зрительного восприятия у детей уделяется определенное внимание. Однако эти вопросы почти не изучены в аспекте коррекции и профилактики близорукости у младших школьников. Поэтому разностороннему и глубокому изучению этой проблемы должно быть уделено большое внимание.
В первую очередь это изучение уровня информированности учителей начальных классов в вопросах профилактики близорукости у учащихся начальных классов, разработка примерной программы, средств, методов и педагогических условий для развития зрительного восприятия у учащихся, направленных на профилактику близорукости у них.
На основе изучения результатов исследования зарубежных и отечественных специалистов рассматриваемых вопросов в статье сделаны выводы и проведен их теоретический анализ.
ՊԼԱՆԱՎՈՐՈՒՄԸ ՈՐՊԵՍ ԲՆԱԳԻՏԱԿԱՆ ՑԻԿԼԻ ԱՌԱՐԿԱՆԵՐԻ ԻՆՏԵԳՐՎԱԾ ԴԱՍԻ ԿԱԶՄԱԿԵՐՊՄԱՆ, ԱՆՑԿԱՑՄԱՆ ԱՐԴՅՈՒՆԱՎԵՏ ՄԻՋՈՑ
Authors: Գրիգորյան Անգին , Այվազյան Գայանե 
Published: November 2023

Բնական գիտությունների ցիկլի առարկաների ուսումնասիրությունը աշակերտների շրջանում ձևավորում է բնության միասնականության մասին գաղափար։ Սակայն առկա դպրոցական ծրագրերը ենթադրում են մեծ թվով հասկացությունների յուրացում, որոնք գործում են որպես գիտելիքի առանձին տարրեր: Այդ պատճառով ուսումնական գործընթացում որոշակի խնդիրների լուծման և ուսուցման պլանավորված արդյունքների հասնելու համար կիրառվում են տարբեր տեսակի ուսուցման տեխնոլոգիաներ: Բնագիտական ցիկլի առարկաների դասավանդման գործընթացում անհրաժեշտ է նոր տեսակի ուսուցման տեխնոլոգիաների կիրառում, ինչպիսին է ինտեգրված դասի կազմակերպումը։
Բնագիտական առարկայախմբերի ինտեգրացիան հնարավորություն է տալիս լուծելու կենսաբանական գործընթացների մասին գիտելիքների կոմպլեքս ուսումնասիրման ու ձևավորման հարցը: Արդյունքում առաջ է գալիս գիտելիքների ինտեգրացիայի գաղափարը:
Ուսուցիչների ինտեգրված ուսուցման կազմակերպման հմտությունների զարգացման ուղիներից է դասի ճիշտ պլանավորումն ու վերլուծությունը։ Այս հոդվածում առաջարկում ենք դասի կառուցվածքի և վերլուծության ձևաթղթեր՝ որպես ինտեգրված դասի պլանավորման և անցկացման արդյունավետության բարձրացման միջոց։ Առաջարկված ձևաթղթերով կազմվել են ինտեգրված դասի պլաններ, որոնք փորձարկվել են Շիրակի մարզի մի շարք դպրոցներում։
Անցկացվող ինտեգրված դասերի արդյունավետությունն ապահովելու և հետագա կատարելագործում իրականացնելու համար, յուրաքանչյուր դասից հետո ուսուցչի և այլ մասնագետների կողմից վերլուծվել են դասերը՝ նշելով դրանց ուժեղ և թույլ կողմերը։ Այս վերլուծությունն էլ թույլ է տալիս ինտեգրված դասի ճիշտ կազմակերպում և կատարելագործում։ Ուսուցիչների և ուսանողների գնահատմամբ վերոնշյալ դպրոցներում փորձարկված ինտեգրված դասերը եղել են բավականին արդյունավետ, իսկ առաջարկվող ձևաթղթերը՝ օգնող։
EverBloomBags: Menghadapi Tantangan Lingkungan dengan Gaya, Inovasi, dan Kesadaran Berkelanjutan.
Authors: Amin Moch. Akfi Muhadil , Febriansyah Muhamat Alfian , Putra Muzan Nalendra , Renaldy Ach. Faisal , Radianto Denny Oktavina 
Published: November 2023

The issue of plastik waste has become an urgent global concern, with its negatve impacts on ecosystems and the environment becoming increasingly apparent. In an effort to address this issue, the United Nations has established 17 aspects of Sustainable Development Goals (SDGs). In this context, the innovative environmentally friendly bags from EverBloom Bags present an intriguing solution as part of achieving SDG 12 (Responsible Consumption and Production). Through the theory of sustainable consumption, we emphasize the importance of environmentally friendly products in fostering sustainable consumption patterns. By choosing eco-friendly bags, individuals can actively participate in reducing plastik waste and creating a better environment. The innovation of eco-friendly bags from EverBloom Bags represent a tangible step towards tackling the plastik waste issue. We illustrate the significance of adopting environmentally friendly product in achieving SDG 12, while providing practical solutions that contribute to environmental protection. With collective awareness and action, we can create positive changes in addressing current environmental issues and achieve sustainable development goals for a better future.
Keyword : Plastic Waste, SDGs, Eco-Friendly Bags, Sustainable Consumption.
Perceptions of family members on family collaboration during pregnancy
Authors: Musa Gloria Lalai , Umar Ali , Zira Joseph Dlama 
Published: November 2023

Background: Family collaboration is the interactive coordination between family members aimed towards achieving a common goal and putting individual differences aside. The collaboration received from the family makes the pregnant woman feel valued.

However, family members have been identified as not collaborating in meeting basic needs of the pregnant woman. They have been found to maltreat pregnant women, by giving them chronic house-hold chores, depriving them of food and blocking access to health care. The study creates awareness on involvement of family in caring for the pregnant woman. The educational pamphlet developed, serves as educational resource on usefulness of family collaboration during pregnancy.

Objectives: To explore family collaboration during pregnancy from the perspectives of family members of pregnant women, as well as also to develop an educational pamphlet from the findings to enhance family collaboration.

Method: Qualitative research, using open-ended questionnaire. Fourteen family members participated, until data became saturated. Content analysis method by Erlingsson and Brysiewicz, was used in analyzing data, as this is well suited for qualitative analysis. Questionnaires were read thoroughly, and texts were formed into meaning units, these were concisely condensed while retaining the core meaning, the units were labeled by formulating codes. Codes related were formulated into Categories. The categories formed the themes of the pamphlet.

Result: The findings are presented in form of a pamphlet that has been attached as a download to this article (refer to Download pamphlet).

Conclusion: The study described perceptions of family members on family collaboration, through the categories that emerged from the findings and the pamphlet highlight ways that family can support a pregnant member during pregnancy.
PERSPECTIVA MULTIDIMENSIONAL DO IMPACTO DO AVC NA QUALIDADE DE VIDA: UMA REVISÃO BIBLIOGRÁFICA
Authors: Santos Cardoso Ana Maria , Azevedo Dutra Queiroz Renata , Elisa Lugli Luana , Miranda Eustáquio Vitória , Patriotino Rebelo Pires Neto José , Vitória de Oliveira Tostes Peixoto Waleska , Corrêa dos Santos Mateus , Azevedo Soares Lisandra , Henrique Fréres Holanda Pedro , Gomes Lima Thiago 
Published: November 2023

Introdução: O AVC seja isquêmico ou hemorrágico, não apenas ameaça a vida imediatamente, mas também deixa um legado de sequelas físicas e mentais que podem persistir por toda a vida. Os sobreviventes muitas vezes enfrentam um longo caminho de recuperação, com consequências que afetam quase todos os aspectos de suas existências. Metodologia: A pesquisa foi realizada nas seguintes bases de dados: PubMed, Scopus e Web of Science. A busca foi restrita a estudos publicados em inglês ou português publicados de 2013 a 2023. Resultados e Discussão: O impacto do AVC não se restringe apenas às consequências físicas e sociais; ele também tem um profundo impacto nos aspectos psicológicos da vida dos sobreviventes. Os desafios psicológicos após o AVC são muitas vezes complexos e podem variar de pessoa para pessoal. A abordagem multidimensional é fundamental para capturar a complexidade do impacto do AVC na qualidade de vida dos sobreviventes. Esta perspectiva não se limita à avaliação de sintomas físicos, mas busca uma compreensão mais profunda dos desafios enfrentados pelos pacientes, bem como das estratégias de adaptação e apoio necessárias para melhorar sua qualidade de vida. Conclusão: Para melhorar a qualidade de vida após o AVC, é essencial adotar uma abordagem holística que inclua reabilitação física e psicológica, apoio social, educação e intervenções de saúde mental.
MEDIDAS PROTETIVAS E SOCIOEDUCATIVAS: UMA ANÁLISE CONSTITUCIONAL DA RESPONSABILIDADE DO ESTADO NA EDUCAÇÃO E DESENVOLVIMENTO DA CRIANÇA E DO ADOLESCENTE
Authors: Boechat Eduarda Duarte , Marinho Naira Silva , Lessa Paulo Rubens Magacho , Resgala Júnior Renato Marcelo 
Published: November 2023

Parte-se da hipótese que o Estado tem o dever constitucional de garantir o direito à educação e ao desenvolvimento de crianças e adolescentes. Quando há omissão do Estado, ou seja, quando ele não cumpre com suas obrigações previstas na Constituição Federal de 1988 e no Estatuto da Criança e do Adolescente, os prejuízos podem ser irreparáveis, afetando tanto a vida presente quanto o futuro desses indivíduos. A falta de acesso à educação e ao desenvolvimento adequados pode gerar prejuízos físicos, materiais, morais e emocionais para crianças e adolescentes. A falta de escolaridade, por exemplo, pode impedir o desenvolvimento de habilidades e conhecimentos fundamentais, dificultando a inserção desses indivíduos no mercado de trabalho e na sociedade em geral. Desse modo, o presente trabalho possui como objetivo identificar lacunas, falhas ou violações constitucionais relacionadas à responsabilidade do Estado na educação e no desenvolvimento da criança e do adolescente e como prevenir que estes praticam atos ilegais ou atos que vão prejudicar seu desenvolvimento. Destacando que a prioridade do Estado não consiste em se importar somente com as medidas socioeducativas e como serão aplicadas, mas sim na prevenção e investimento no futuro de crianças e adolescentes, para que a aplicação de tais medidas seja em última hipótese. A partir desse diagnóstico, podem ser propostas medidas para aprimorar as políticas públicas, fortalecer os mecanismos de garantia de direitos e promover a igualdade de oportunidades para todas as crianças e adolescentes, contribuindo assim para uma aplicação eficaz dos direitos.
O USO TERAPÊUTICO DA CANNABIS NA ODONTOLOGIA
Authors: Pereira Emylle Monte , Teixeira Gabriel Bastos 
Published: November 2023

A Cannabis sativa tem sido objeto de muita discussão nos últimos anos, especialmente em relação ao seu uso medicinal. A extração dos canabinoides presentes na planta podem ser empregados antes, durante e após os tratamentos de patologias bucais. Isso é possível devido ao efeito analgésico, ansiolítico, anti-inflamatório e antimicrobiano que os canabinoides possuem, eles atuam no sistema endocanabinoide se ligando aos seus receptores que estão presentes no sistema nervoso e imunológico. Objetivo: Consistiu em investigar o potencial terapêutico dos derivados da Cannabis sativa, identificando seus efeitos, riscos e indicações para o uso odontológico. Metodologia: Se baseia em uma revisão de literatura de caráter narrativo onde envolveu a busca em livros, revistas, e por artigos em bases de dados digitais científicos, como PubMed, Scopus, Web of Science, Scielo e Google acadêmico. Foram incluídos artigos originais publicados em 1965 a 2023, revisões sistemáticas, meta-análises e relatos de casos. Conclusão: Existe uma gama de possibilidades para o uso medicinal da Cannabis no âmbito odontológico, comprovando ser sendo um medicamento seguro e de grande eficácia.
Single-species dinoflagellate cyst carbon isotope fractionation in core-top sediments: environmental controls, CO2 dependency and proxy potential
Authors: Frieling Joost , van Roij Linda , Kleij Iris , Reichart Gert-Jan , Sluijs Appy 
Published: November 2023

Abstract. Sedimentary bulk organic matter and various molecular organic components exhibit strong CO2-dependent carbon isotope fractionation relative to dissolved inorganic carbon sources. This fractionation (εp) has been employed as a proxy for paleo-pCO2. Yet, culture experiments indicate that CO2-dependent εp is highly specific at genus and even species level, potentially hampering the use of bulk organic matter and non-species-specific organic compounds. In recent years, significant progress has been made towards a CO2 proxy using controlled growth experiments with dinoflagellate species, also showing highly species-specific εp values. These values were, however, based on motile specimens, and it remains unknown whether these relations also hold for the organic-walled resting cysts (dinocysts) produced by these dinoflagellate species in their natural environment. We here analyze dinocysts isolated from core tops from the Atlantic Ocean and Mediterranean Sea, representing several species (Spiniferites elongatus, S. (cf.) ramosus, S. mirabilis, Operculodinium centrocarpum sensu Wall and Dale (1966) (hereafter referred to as O. centrocarpum) and Impagidinium aculeatum) using laser ablation–nano-combustion–gas-chromatography–isotope ratio mass spectrometry (LA/nC/GC-IRMS). We find that the dinocysts produced in the natural environment are all appreciably more 13C-depleted compared to the cultured motile dinoflagellate cells, implying higher overall εp values, and, moreover, exhibit large isotope variability. Where several species could be analyzed from a single location, we often record significant differences in isotopic variance and offsets in mean δ13C values between species, highlighting the importance of single-species carbon isotope analyses. The most geographically expanded dataset, based on O. centrocarpum, shows that εp correlates significantly with various environmental parameters. Importantly, O. centrocarpum shows a CO2-dependent εp above ∼ 240 µatm pCO2. Similar to other marine autotrophs, relative insensitivity at low pCO2 is in line with active carbon-concentrating mechanisms at low pCO2, although we here cannot fully exclude that we partly underestimated εp sensitivity at low pCO2 values due to the relatively sparse sampling in that range. Finally, we use the relation between εp and pCO2 in O. centrocarpum to propose a first pCO2 proxy based on a single dinocyst species.