bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of childbirth self-efficacy and associated factors among pregnant women
Authors: Donyaei-Mobarrez Yalda , Rezasoltani Parvaneh , Rafat Fatemeh , Kazemnejad Leyli Ehsan 
Published: October 2023

BACKGROUND:
Increasing the rate of Normal Vaginal Delivery (NVD) and reducing elective cesarean section is one of the important concerns, especially in Iran. Childbirth self-efficacy can play an important role in managing the fear of childbirth and increasing the rate of NVD. The aim of this study was to determine demographic, fertility, and social factors related to childbirth self-efficacy.

MATERIALS AND METHODS:
The present study was a single-group, single-stage, multivariate, cross-sectional study that assessed childbirth self-efficacy and associated factors in 358 eligible pregnant women with gestational age of 37 weeks and over in Guilan (North Iranian province) from November 2018 to July 2019. Data collection was performed based on consecutive sampling method from the pregnant women referring to the prenatal clinic. Data collection tools included a demographic and reproductive characteristics questionnaire; Lowe's childbirth self-efficacy Inventory and Zimet's perceived social support multidimensional questionnaire.

RESULTS:
There was a significant relationship between the educational level of pregnant women and Outcome Expectancy (OE) and Self-efficacy Expectancy (EE) and also between the spousal level of education and OE (P < 0.05). Parity, previous experience of birth, participation in pregnancy preparation classes, access to information sources about childbirth, and birth preference were significantly related to OE and EE (P < 0.05). There was a significant relationship between the two domains of perceived social support, spouse and friends, and the OE and EE (P < 0.05). The multivariate logistic regression model revealed that birth preference was a predictor for OE and EE, while a pregnant woman's education level and perceived social support in the domain of significant others were predictors for OE. Spousal age, mean family income, and participation in the prenatal preparation classes were predictors for EE.

CONCLUSIONS:
Regarding the importance of self-efficacy in childbirth in encouraging pregnant women to perform NVD, pregnancy and childbirth preparation classes with an emphasis on concepts including self-efficacy of childbirth should be focused by midwives and other health-care workers in order to improve pregnant women's knowledge regarding the benefits of NVD and to strengthen their belief in the benefits of pain-compatible actions.
Recurrence of medical errors despite years of preventive measures: A grounded theory study
Authors: Aryankhesal Aidin , Aghighi Negar , Raeissi Pouran , Najafpour Zhila 
Published: October 2023

BACKGROUND:
Despite great efforts to improve patient safety, serious preventable medical errors continue to occur. Accurate rooting causes of error recurrence are essential for reviewing methods to prevent them. This study aimed to identify the main causes of the recurrence of medical errors despite their previous occurrence.

MATERIALS AND METHODS:
This qualitative study was performed using the grounded theory method, with theoretical sampling from April to July 2021, through semi-structured interviews with 25 experts and treatment staff of hospitals under the auspices of four universities of medical sciences in Iran.

RESULTS:
Four main parts were identified: 1) primary and secondary factors leading to the occurrence of errors, 2) error prevention policies, 3) causes of error repetition, and 4) contextual factors.

CONCLUSION:
The attention, seriousness, and commitment of health system managers, from top to bottom, to patient safety are essential for preventing error recurrence. The institutionalization of patient safety education from universities and attention to individual, social, and cultural factors should also be given serious attention.
Level of happiness among medical students in Bihar-An online survey
Authors: Rao Rajath , Naik Bijaya Nanda , Shekhar Saket , Nirala Santosh Kumar , Singh C. M. , Verma Manisha , Ramalingam Anuvarshini 
Published: October 2023

BACKGROUND:
Happiness is a state of mental well-being and influences the learning and performance of an individual. Medical education due to its academic culture and longer course duration affects the performance and happiness of the students. So, this study was done to assess the level of happiness and the factors associated with it among medical students in Bihar.

MATERIALS AND METHODS:
A cross-sectional online survey was conducted among 321 medical students of all academic years from various medical colleges in Bihar. This study used a self-administered study tool using the online Google Form platform for data collection and assessed the level of happiness using Oxford Happiness Questionnaire. A multivariable binary logistic regression analysis was done to find out the predictors of happiness.

RESULTS:
A total of 34.6% (95% CI: 29.5–39.9%) medical students were happy. Male (38.2%) students were found to be happier than female (29.2%) students. Age, place of stay, physical activity, meditation and yoga, frequent socialization, absence of psychiatric illness, and stressful situation in the family were the independent predictors of happiness. Around 42.4% of students had another career option, and 32.1% had a second thought about a career due to the COVID-19 pandemic. The presence of any psychiatric illness had a significant effect on the happiness level of the students.

CONCLUSION:
Only one in three medical students is happy. Promotion of physical activity, meditation and yoga, and socialization will improve the happiness and thereby learning among medical students.
Development of an IEC resource (brochure) on suicide prevention for college students: A qualitative study in the Indian context
Authors: Dasgupta Madhuporna , Meena Kolar Sridara Murthy , Krishnamurthy Latha , Bhola Poornima , Bordoloi Sumedha , Yadav Chandrasen , Chaturvedi Santosh K. 
Published: October 2023

BACKGROUND:
Information Education Communication (IEC) materials play a vital role in behavior change by raising awareness about health issues. In India, suicide is the leading cause of death in the age group of 15–39 years, exemplifying the pressing need for raising awareness about suicide prevention. This study aimed to develop a brochure on suicide prevention for young adults with the help of scientific methodology.

MATERIALS AND METHODS:
A cross-sectional qualitative research design was used in the study, and purposive sampling was used to collect the data. The study analyzed the awareness level and existing knowledge gap about suicide prevention among college students with the help of focus group discussions (FGDs) conducted independently among mental health experts, college teachers, and college students. Based on the findings from the FGDs, a comprehensive brochure was developed. The qualitative data collected by FGDs were analyzed using direct content analysis.

RESULTS:
The findings of the FGDs helped identify the knowledge gaps with regard to young adult suicide prevention, and a brochure was prepared to address the same.

CONCLUSION:
The development of young adult suicide prevention IEC resources pertinent to Indian settings is crucial. To bridge the knowledge gap on suicide prevention among college students and raise awareness, a brochure was developed based on scientific findings of the FGDs.
Strengthening of early children's character education stunting children in Indonesia
Authors: Arifuddin Adhar , Zuchdi Darmiyati , Rosana Dadan , Arovah Novita Intan , Setiawan Caly , Prihatni Yuli , Setiawan Ari , Nur A Fahira , Dyastuti Nur Eka , Arifuddin Hidayanti 
Published: October 2023

BACKGROUND:
Forming human resources (HR) with character is challenged by social phenomena that show degradation of morality, ethics, and morals, as well as violent extremism. This is the basic reason for the importance of the strengthening character education (SCE) movement, which involves education units, families, and communities, and education must be implemented from early childhood, especially for children who are stunted. This study aimed to describe how the strategy for SCE is based on early childhood education classes for stunted children.

MATERIALS AND METHODS:
This type of research is qualitative research with a phenomenological approach. The participants in this study were the headmaster and teachers of Kindergarten PGRI Donggala Regency, Indonesia, in 2022. Collecting data using a questionnaire was equipped with interviews. The data were analyzed by content analysis, namely the process of identifying, coding, and categorizing important patterns from the results of in-depth interviews.

RESULTS:
The results of the study showed various patterns that became research themes as strategies for strengthening SCE in early childhood including integrating character values in learning for stunted children, introduction of SCE to stunted children, SCE habituation to stunted children, strengthening SCE for stunted children, and reflection on SCE for stunted children. Various character values produced in SCE include religiosity, creativity, curiosity, hard work, honesty, discipline, friendship, social care, independence, and responsibility.

CONCLUSIONS:
Each school for early childhood has a learning program that focuses on developing children's abilities in terms of motor, cognitive, social–emotional, language, and religious and moral values. However, schools must also have an adequate character education program, especially in dealing with children who are stunted, social–emotional, language, and religious and moral values.
Comparison of infection severity of vaccinated and unvaccinated health workers with Corona Virus: A cohort study
Authors: Ayed Alaa Y. , Younis Nasir M. , Ahmed Mahmoud M. 
Published: October 2023

BACKGROUND:
Hospital staff members are most susceptible to the COVID-19 illness, which is currently prevented through vaccination. Hospital staff members also refuse vaccinations, albeit the underlying causes have not been identified. The study aimed to compare the severity of the symptoms of the disease on the body for health workers who took the coronavirus vaccine and those who did not take the vaccine.

MATERIALS AND METHODS:
This cohort study aimed to estimate the of infection severity of vaccinated and unvaccinated health workers with Corona Virus in Mosul Hospital, Iraq. Data were obtained from the General Mosul Hospital, Nineveh, Iraq. The first of the three components of this questionnaire outlined the demographic characteristics. Second part: First group of unvaccinated Health care workers included those who had not received the COVID-19 immunization or had only gotten one dose of the vaccine; the second group included those who had received their first dose of Corona vaccine and the third group included those who had received two doses of Corona Vaccine. HCWs who got corona vaccine were included in the three-dose final group.

RESULTS:
The study's findings indicate that as compared to the corona vaccination, the vaccinated experienced less severe infection symptoms and fewer dosage stays. The high share of healthcare workers among the 20- to 30-year-olds who received vaccinations accounts for the gender gap between the vaccinated and unvaccinated groups.

CONCLUSION:
This study concluded that the results of the corona vaccine are not consistent among the various groups of HCWs. The acceptability of vaccinations is practically unanimous among nurses, but less so among doctors and other healthcare professionals.
Blended learning and simulation in nursing education: A quasi-experimental study on a nursing institute
Authors: Merrou Soumia , Baslam Abdelmounaim , Idrissi Jouicha Abdellah , Ouhaz Zakaria , El Adib Ahmed Rhassan 
Published: October 2023

BACKGROUND:
The nursing module teaches basic nursing principles and procedures to undergraduate nursing students. This course is important for the acquisition of procedural and psychomotor skills. The aim of the present study is to evaluate the influence of blended training on the acquisition of practical skills related to gastric insertion tubes.

MATERIALS AND METHODS:
A quasi-experimental study was undertaken, containing three groups: The blended group benefited from e-learning, followed by simulation), while the two groups benefited from theoretical teaching and procedural simulation. Then, the degrees of acquisition of declarative and procedural knowledge and the time of completion were measured.

RESULTS:
The declarative knowledge grade was higher in the Simulation (16.07) and Blended (15.21) groups than in the Traditional Group (11.66), with a statistically significant difference (P < 0.001). The results also showed a statistically significant difference between the procedural knowledge grades of the three groups (P < 0.001). A statistically significant correlation was detected between declarative and procedural knowledge scores (r = 0.58, P < 0.001) and a negative correlation between procedural knowledge and the time of completion (r = -0.422, P < 0.001).

CONCLUSIONS:
The results of this experimentation confirm the positive effect of the blended learning approach on the acquisition of declarative and procedural knowledge as well as the time management allocated to teaching.
Post-discharge follow-up system in psychiatric patients: A case study of Farabi Hospital in Isfahan
Authors: Yaghoubi Maryam , Behzadnezhad Mohammad Mahdi , Shaarbafchizadeh Nasrin , Javadi Marzieh , Alizade Mojtaba 
Published: October 2023

BACKGROUND:
Mental illness is one of the most common problems in human societies and the continuation of care and post-discharge follow-up. This study was conducted to define a post-discharge follow-up framework for Farabi Hospital in Isfahan.

MATERIAL AND METHODS:
This was a multistage study, including, interviews literature review, and focus group discussions. Participants included 18 purposefully selected nurses, physicians, and managers, directly involved in the discharge process of Farabi Hospital in Isfahan. The interviews were semi-structured. Data were organized using MAXQDA10 software. The initial framework was set through the extraction of semantic main and secondary codes. The framework was finalized through three several focus group discussion sessions.

RESULTS:
Results included of 17 sub-categories and seven main categories as “education,” organizational arrangement,” “team-building,” “patient and family participation and trust,” “engaging some supportive institutions of community,” “process management” and “information management.”

CONCLUSIONS:
To implement a post-discharge follow-up system for psychiatric patients in Farabi Hospital of Isfahan must be concentrated to patient and family education, team building, organizational arrangements, participation, and trust of patients and family, while engaging community health centers and notice to information and management and process management.
CRFNet: Context ReFinement Network used for semantic segmentation
Authors: An Taeghyun , Kang Jungyu , Choi Dooseop , Min Kyoung‐Wook 
Published: October 2023

AbstractRecent semantic segmentation frameworks usually combine low‐level and high‐level context information to achieve improved performance. In addition, postlevel context information is also considered. In this study, we present a Context ReFinement Network (CRFNet) and its training method to improve the semantic predictions of segmentation models of the encoder–decoder structure. Our study is based on postprocessing, which directly considers the relationship between spatially neighboring pixels of a label map, such as Markov and conditional random fields. CRFNet comprises two modules: a refiner and a combiner that, respectively, refine the context information from the output features of the conventional semantic segmentation network model and combine the refined features with the intermediate features from the decoding process of the segmentation model to produce the final output. To train CRFNet to refine the semantic predictions more accurately, we proposed a sequential training scheme. Using various backbone networks (ENet, ERFNet, and HyperSeg), we extensively evaluated our model on three large‐scale, real‐world datasets to demonstrate the effectiveness of our approach.
Pengaruh Kepemimpinan, Layanan Digital dan Pelatihan dengan Motivasi Sebagai Variabel Mediasi Terhadap Kinerja Tenaga Fungsional Peneliti Dokumen Tingkat Ahli
Authors: Mijaya Komara 
Published: October 2023

ABSTRAK

Tenaga fungsional Peneliti Dokumen Tingkat Ahli (PDTA) pada instansi Kantor Pelayanan Utama Bea dan Cukai Soekarno-Hatta memiliki tugas melakukan penelitian dokumen pemberitahuan impor barang. Tugas tersebut sangat berpengaruh terhadap optimalisasi penerimaan negara dalam bentuk Bea Masuk (BM), Cukai dan Pajak Dalam Rangka Impor (PDRI). Tujuan dari penelitian ini adalah untuk mengetahui dan menganalisis pengaruh kepemimpinan, layanan digital dan pelatihan dengan motivasi sebagai variabel mediasi terhadap kinerja pegawai. Pendekatan penelitian yang digunakan dalam penelitian ini adalah pendekatan kuantitatif yang bersifat deskriptif dan asosiatif. Pengambilan data primer berdasarkan survey dengan cara menyebarkan kuisioner langsung terhadap responden. Unit analisis: Bidang Pelayanan dan Fasilitas Pabean dan Cukai II di Kantor Pelayanan Utama Bea dan Cukai Tipe C Soekarno Hatta, populasi: tenaga fungsional Peneliti Dokumen Tingkat Ahli (PDTA) pada Kantor Pelayanan Utama Bea dan Cukai Tipe C Soekarno Hatta, dan sampel penelitian diambil dari seluruh jumlah populasi mengingat tenaga fungsional Peneliti Dokumen Tingkat Ahli (PDTA) yang berjumlah 34 orang pegawai; dengan menggunakan sampel jenuh yang nantinya akan dihubungkan antara kepemimpinan, layanan digital serta pelatihan dengan motivasi sebagai variabel mediasi terkait pengaruhnya terhadap kinerja pegawai. Teknik analisis pada penelitian ini menggunakan metode rergresi linier berganda dengan perangkat lunak SPSS versi24. Variabel yang digunakan: Kinerja Pegawai (Y), Kepemimpinan (X1), Layanan Digital (X2), Pelatihan (X3) dan Motivasi (Z). Hasil penelitian menunjukkan: (1) kepemimpinan dengan motivasi sebagai variabel mediasi tidak berpengaruh terhadap kinerja pegawai, (2) layanan digital dan pelatihan dengan motivasi sebagai variabel mediasi berpengaruh secara signifikan terhadap kinerja pegawai.
Kata Kunci : Kepemimpinan, Layanan Digital, Pelatihan, Motivasi, Kinerja.
The Influence Of Layoffs, Workload And Financial Compensation On Job Satisfaction And Its Impact On Employee Performance At Sirclo Group Jakarta
Authors: Hariyanto Febri , Sugiono Edi , Efendi Suryono 
Published: October 2023

This study aims to analyze the effect of layoffs, workload and financial compensation on job satisfaction and its impact on employee performance. The independent variables used are layoff (X1), workload (X2), financial compensation (X3), the dependent variable is employee performance (Y) with the intervening variable is job satisfaction (Z). The research approach used is quantitative research by means of observation, interviews, and surveys. The analysis model uses SEM software AMOS version 23. Survey-based data collected from 130 respondents. The study found that layoff has a positive and significant effect on job satisfaction, workload has a negative and significant effect on satisfaction, financial compensation has a positive and significant effect on job satisfaction, layoff has a negative and significant effect on employee performance, workload has a positive and significant effect on employee performance, financial compensation has a positive and significant effect on employee performance, layoff has a positive and significant effect on employee performance through job satisfaction, workload has a negative and significant effect on employee performance through job satisfaction, financial compensation has a positive and significant effect on employee performance through job satisfaction. Job satisfaction has a positive and significant effect on employee performance.
Importancia de la aplicación de las tecnologías de la información y comunicación en estudiantes de la Carrera de Derecho
Authors: Quiroga Bonilla Abraham 
Published: October 2023

Las Tecnologías de la Información y la Comunicación son un instrumento viable si las miramos desde una perspectiva instrumentalizada en la que se busca que medie el proceso de enseñanza educativo para una mejora del mismo. En este artículo se pretende determinar que la implementación y diseño de estrategias metodológicas permitan el uso adecuado de las TIC en el proceso de enseñanza y aprendizaje en Derecho; para este fin se utilizó un enfoque mixto cualitativo y cuantitativo y de tipo descriptivo apoyado en el diseño no experimental, y se aplicaron instrumentos como el cuestionario, la encuesta y la observación. Se aplicó una muestra guiada conformada por 85 estudiantes y 7 docentes titulares de quinto año de Derecho. Los resultados obtenidos nos permitieron detectar en la etapa de diagnóstico que la mayoría de los docentes desconocen el uso de las TIC, pero consideran pertinente capacitarse en su uso y que los estudiantes apoyen su implementación ya que se optimiza el proceso de enseñanza-aprendizaje con el uso de ellas. Es evidente que el docente se encamina hacia el uso de las TIC, pero se debe seguir trabajando para consolidar la experiencia. Por último, las TIC por sí solas no cumplen un fin educativo, para lograrlo se deben implementar estrategias metodológicas que promuevan el uso adecuado de las TIC dentro del proceso de enseñanza-aprendizaje. Debido a los resultados obtenidos se identificaron docentes que presentan una limitación en el uso de Internet y otras herramientas tecnológicas, lo que debe servir para ampliar la muestra de estudio y fortalecer futuros cursos de formación para la implementación de las TIC en la carrera de Derecho.
The effect of potassium levels on electrocardiographic data in calves with neonatal diarrhea
Authors: Terzi Osman Safa , Kara Erdal 
Published: October 2023

Objective: The objective of the current study was to assess the potassium levels and electrocardiographic (ECG) data in a cohort of 40 calves (age < 30 days) diagnosed with newborn diarrhea, originating from dairy farms located in Ankara, Turkey.
Materials and Methods: This study was conducted on a dairy farm located in Ankara, involving a population of 500 dairy animals. The calves were divided into two groups: one group with normal potassium levels (n=24) and another group with hyperkalemia (n=16) due to neonatal diarrhea. After the initial clinical examination was conducted on the farm, electrocardiographic investigations were carried out utilizing an ECG equipment. The biochemical analysis of blood samples that were collected in red and dry collecting tubes was carried out with the assistance of an automated analyzing machine
Results: The findings indicate that there were no statistically significant differences observed across all ECG variables between the two groups.
Conclusion: Acidemia and metabolic acidosis are commonly observed in calves suffering from hyperkalemic diarrhea, as documented in previous investigations, often accompanied by heart rhythm problems. In contrast, the current investigation revealed that neonatal calves with diarrhea and hyperkalemia had just a deepening of the T wave, without any additional abnormalities. Nevertheless, it is important to note that acidemia and metabolic acidosis were not of a severe nature. The implementation of Holter monitoring is indicated for calves experiencing hyperkalemia in conjunction with diarrhea.