bluuebunny/crossref_metadata_2025_split huggingface dataset:
Potential determinants of childhood COVID-19 vaccine confidence among the primary school's stakeholders in Bangladesh: A cross-sectional study to assess the effects of education
Authors: Roy Debendra Nath , Tanvir Md. Rubayet Sayeed , Pallab Maruf Faisal , Ferdiousi Nowrin , Islam Ekramul , Azam Md. Shah 
Published: November 2023

BACKGROUND:Rapid corona virus disease 2019 (COVID-19) vaccination drives aimed to immunize primary school-aged youth have a potential for health safety and supportive academic attainment. This study aimed to identify the potential factors influencing childhood COVID-19 vaccine confidence among the primary school's stakeholders in Bangladesh and assess the effects of health education on vaccine confidence and receptivity.MATERIALS AND METHODS:This cross-sectional study used a bilingual, multi-item, closed-ended, anonymous questionnaire adopted from the extant literature studies on the topic. Data were collected purposively by the face-to-face interview approach. In total, 627 primary school's stakeholders participated in this study. The binary logistic regressions and Chi-square tests were employed to investigate and rationalize the study-outlined objectives where <0.05 was considered statistically significant.RESULTS:The pooled childhood vaccine confidence and receptivity against COVID-19 was 91% (95% CI 89–93) among the primary school's stakeholders. The regression analysis revealed that of eight potential determinants of vaccine confidence, “safety” and “effectiveness” had a highly significant (P= 0.006,P= 0.001, respectively) and positive association and “efficacy” had a significant (P= 0.03)and positive association, while “rumor” had a highly significant (P= 0.000)and negative association with childhood vaccine confidence. The analysis also showed that“health education” had a significant (P= 0.04)and positive association with childhood vaccine confidence and receptivity against COVID-19. Although the odds ratio for receiving childhood vaccine was found to be 0.6, the result was insignificant (P> 0.05) in the Chi-squared test. Hence, there was no vaccine-hesitant risky recipient group identified in implementing upcoming childhood COVID-19 vaccination programs.CONCLUSIONS:This study confirms the importance of a positive perception of vaccine safety, efficacy, effectiveness, and health education for vaccine confidence under any circumstances. Childhood COVID-19 vaccine confidence is Improved if vaccination data become more available to the guardians and school community. Public health education would be considered a preferred approach for building trust and fostering childhood vaccine confidence against COVID-19 in Bangladesh.
Improving the mental health of working women with work-life conflict: A protocol development for an explanatory mixed method study
Authors: Hosseini Zahra , Rahimi Seyyede Fateme , Salmani Fatemeh , Miri Mohammad Reza , Aghamolaee Teamur , Dastjerdi Reza 
Published: November 2023

BACKGROUND:
Today, one problem facing working women is the conflict between work and life, and the resultant stress has a great impact on their mental health. A well-known model for stress management is Lazarus and Folkman's model. The primary goal of the present study is to improve working women's mental health through stress management.

MATERIALS AND METHODS:
The present study employs a mixed approach and is conducted in 4 phases. The target population is women working in Birjand University (South Khorasan province/Eastern Iran). The first step is to describe the research population of a cross-sectional study. The measurement instrument used is Carlson's standard work-life conflict measurement questionnaire. The sample size in this step is 319. The second step is to conduct a qualitative study by interviewing working women with work and life conflict. The sampling will continue until data saturation and then the data will be analyzed through a content analysis. The third step will be the development of a questionnaire based on Lazarus and Folkman's model using the information obtained from the qualitative step. This questionnaire will be then validated in the target research population. Moreover, an exploratory factor analysis, a confirmatory factor analysis and a reliability test will be run. The last step is to carry out an educational intervention to measure the effect of the intervention on stress management and general health in working women with work and life conflict. The measurement instruments used in this step are Cohen's Perceived Stress Questionnaire, General Health Questionnaire, and a researcher-made stress management questionnaire.

CONCLUSION:
It seems that the educational intervention of stress management with educational content designed based on the needs of the audience, can be effective in controlling and managing the stress caused by women's work-life conflict.

TRIAL REGISTRATION:
IRCT (IRCT20210918052508N1) from the Iranian Registry of Clinical Trials in 2021-09-21.
Challenges and prerequisites of risk management program in the operating rooms of Iranian hospitals: A qualitative study
Authors: Biparva Akbar Javan , Nikjoo Raana Gholamzadeh , Jannati Ali , Arab Mohammad , Ostadi Ali 
Published: November 2023

BACKGROUND:
The World Health Organization (WHO) considers a safe operating room as one of the necessities of hospitals that support patients. Achieving safety in surgical operations in all countries of the world is the basic goal of healthcare centers and organizations; hence, the present study investigated the challenges and prerequisites for the implementation of an active risk management program in the operating rooms of Iranian hospitals.

MATERIALS AND METHODS:
This qualitative-phenomenological study was conducted in 2022. Data were collected using semi-structured interviews, targeted sampling, and the participation of 20 experts (health policy and management experts and academic officials and faculty members of universities) and executive staff (nurses and operating room technicians, doctors and surgical specialists, and officials of surgical departments) and were analyzed using the framework analysis method.

RESULTS:
In the resulting qualitative study, the challenges and prerequisites for active risk management in the operating room from the point of view of experts and executive staff were divided into three sub-themes. These three themes include managerial challenges and prerequisites, organizational resources (financial resources, human resources, equipment, and facilities), and cultural issues.

CONCLUSION:
Considering managerial prerequisites, organizational resources (financial, human, equipment, and facilities), cultural issues, and removing challenges, an active risk management program in the operating room can be implemented correctly. With the correct implementation of this program, injuries in the operating room for personnel and patients will be greatly reduced, and the satisfaction of beneficiaries and the productivity of the hospital will be greatly increased.
Impact of COVID-19 pandemic on surgical residency: Residents' perception
Authors: Ghosh Puja , Kurian Andrew Thomas , Velmurugan Dinesh , Tharumaraj Muthukumar 
Published: November 2023

BACKGROUND:
World Health Organization declared COVID-19 outbreak a pandemic, and till the month of March 2023, globally, there have been 761,402,282 confirmed cases of COVID-19, including 6887,000 deaths. In India, almost 44,707,525 cases been recorded till date. Here, almost 30,000,000 cases been recorded after the second wave. The working force fighting this pandemic is majority formed by resident doctors all over the country and globally.

MATERIALS AND METHODS:
This study was conducted among 110 residents pursuing postgraduation in surgery and allied departments in various training institutions in Tamil Nadu for a duration of 6 months (after the second wave). A pretested and validated questionnaire was formulated to assess the effect of COVID-19 pandemic on surgical trainee's residency program from their perspective. The questionnaire contained basic social-demographic details and general information like the details of surgical specialty they are admitted to, the overall details of changes in their surgical residency experience in the times of COVID pandemic and the changes faced by them in their day-to-day clinical, diagnostic, and surgical learning. The questionnaire also investigated the redeployment status of the surgical trainees to COVID treatment units and their perspective on the changes in their clinical research and surgical skills training.

RESULTS:
The study participants, 66%, were aged between 25 and 30 years, followed by 30 and 35 years (25.5%). Almost 80% of the participants belong to the final year of postgraduation; 67.3% of surgical trainees strongly perceives and all 100% of them accept the fact that their surgical residency has been affected by the ongoing pandemic. Fifty percent of the trainees were redeployed to COVID duties for 8 h a day shift and rest attended a minimum of 4 h of COVID duties. More than 75% of the residents had COVID duties of 5–10 h/day and more than 90% of these redeployed trainees involved in COVID duties have expressed that they had been suffering from extra stress and more than 60% were suffering from stress grade between 5 and 10 suggestive of high-stress level. Fifty-nine percent of the postgraduates in the current study mentioned that they require extra-surgical or skill-based training after their postgraduation period.

CONCLUSION:
The influence of COVID-19 on surgical trainees in various institutions of India has been immense due to overburdening of health systems by the large population of the country. Second wave of COVID, especially, has drastically changed the postgraduate surgical trainees' lives. Detrimental effects are not restricted to operative and clinical experience but also the mental health and well-being of them. The observations of the present study make recommendations for the future provision of training through skill-based surgical simulations so that the lost days of their trainings can be compensated and they become the confident surgeons of the future.
Utility of telemedicine for providing Obstetrics and Gynecology services during the COVID-19 pandemic—A single center experience from a tertiary care teaching hospital located in South India
Authors: Sharmila Vijayan , Yedla Deepthi , Babu Thirunavukkarasu Arun , Tripathi Mukesh , Kalidoss Vinoth K. 
Published: November 2023

BACKGROUND:
The COVID-19 pandemic greatly impeded the provision of public healthcare within a healthcare system that was already under considerable strain. Routine patient care services were impacted during that time, leading to the promotion of telemedicine as a means of maintaining uninterrupted healthcare services. Telemedicine involves the utilization of electronic technology and communication to provide health-related information and medical care to individuals who are physically separated from healthcare professionals.

MATERIALS AND METHODS:
To assess the feasibility of utilizing telemedicine for providing women's health services, we conducted a six-month analysis of data collected from the Department of Obstetrics and Gynecology's teleconsultation application at AIIMS, Mangalagiri. Our objective was to evaluate the practicality of telemedicine in delivering diverse healthcare services to women. Our institution offered two types of telehealth services: a “call-based”approach and an “app-based”approach. We examined several parameters within the data, including the distribution of ages, the geographic locations of teleconsultation registrations, whether the registrations were new or follow-up cases, the various presenting complaints, the recommended treatments, the number of consultations (single or multiple), and whether cases required in-person or hospital visits. Additionally, we also compared patient responses between these two modalities.

RESULTS:
The “call-based”consultation method was preferred by the majority of our patients (94%). The registered cases included both related to obstetrics and gynecology, with a higher proportion of complaints relating to gynecological issues (82.5%). We were able to make a diagnosis in 77% of cases, while in 20% of cases, additional physical examinations and diagnostic tests were necessary. Follow-up appointments were recommended for 53% of patients. The success rate of consultations for patients seeking obstetrics and gynecology services showed a statistically significant difference (P value < 0.001). The vast majority of patients (99%) expressed high satisfaction with the consultation process.

CONCLUSION:
During the COVID-19 pandemic, telemedicine proved to be an effective approach in mitigating the overcrowding of hospitals and preventing the spread of infection. Its success suggests that telemedicine can be a viable option for managing elective gynecology matters and low-risk obstetric cases in the future, thereby alleviating the strain on healthcare systems.
Prevalence of depression among clients with diabetes and hypertension in selected hospital at Mangaluru, India
Authors: Vadeo Bizo , Shetty Sukesh , Nalini M 
Published: November 2023

BACKGROUND:
Non-communicable diseases are lifestyle diseases that are increasing throughout the world. They are responsible for 71% of death worldwide, among which 16 million people die prematurely or before reaching the age of 70 years. Among the non-communicable diseases, diabetes and hypertension are the most common. The study aimed to find the prevalence of depression among diabetes and hypertensive clients.

MATERIALS AND METHODS:
A descriptive cross-sectional study was conducted among 370 subjects diagnosed with diabetes mellitus, hypertension, and both in Justice K.S Hegde Charitable Hospital at Mangaluru. A purposive sampling technique was adopted to select the subjects. Patient health questionnaire-9 (PHQ-9) was used to find the depressive symptoms among the client. The statistical analysis was conducted using SPSS version 20 (Armonk, NY: IBM Corp.); descriptive (frequency and percentage) and inferential (one-way analysis of variance (ANOVA)) statistics were used to interpret the data.

RESULTS:
Out of 370 subjects, 41% had no depression, and most 59% had mild to severe levels of depression. Among clients diagnosed with diabetes mellitus (n = 139), the majority (63%) had mild to severe depression. Similarly, of subjects diagnosed with hypertension, 51% had no depression, and 49% had mild to severe depression. In addition, among subjects diagnosed with both diabetes mellitus and hypertension (n = 99), 67% had mild to severe depression.

CONCLUSIONS:
The study shows that many diabetes and hypertensive patients attending the outpatient departments of the hospital experience depression. So, it is crucial to identify the depressive symptoms early and take appropriate measures to prevent complications.
Prevalence of Traumatic Brain Injury and Associated Infections in a Trauma Center in Northern India
Authors: Kar Mitra , Sahu Chinmoy , Singh Pooja , Bhaisora Kamlesh Singh , Tejan Nidhi , Patel Sangram Singh , Ghoshal Ujjala 
Published: November 2023

Introduction:
One of the rapidly escalating public health problems worldwide is traumatic brain injury (TBI) due to road traffic accidents. In comparison to postneurosurgery patients and other patients inhabiting the intensive care units (ICUs), patients with TBI are more susceptible to nosocomially acquired infections from the hospital milieu.

Methods:
This retrospective study was conducted at a university hospital in Northern India from December 2018 to September 2022. All patients presenting with TBI formed the cohort of our study population.

Results:
A total of 72 patients with TBI were enrolled. The mean age of patients was 40.07 ± 18.31 years. The most common infections were ventilator-associated pneumonia (VAP) (44/72, 61.11%) and bloodstream infection (BSI) in 21 (21/72, 29.17%) patients. Concomitant infections were observed in 21 (21/72, 29.17%) patients. The common organism causing VAP was Acinetobacter spp. (29/58, 50.0%), BSI was Klebsiella pneumoniae (10/23, 43.48%), urinary tract infection was K. pneumoniae (5/16, 31.25%), and surgical site infection was Acinetobacter spp. (3/8, 37.5%) in TBI patients. An increased incidence of multidrug resistance was demonstrated in our patients. The increased length of hospital and ICU stay, ICU admission, intubation, diabetes mellitus, chronic kidney disease, and hypertension were statistically significant parameters that made TBI patients prone to develop an infection.

Conclusion:
TBI patients suffering from underlying comorbidities are prone to develop infections with multidrug-resistant bacteria was observed among our study cohort which also mirrors the lack of adherence to infection control measures.
ТЕХНОЛОГИЯ ПРОИЗВОДСТВА ЗЕФИРА ПОНИЖЕННОЙ
ЭНЕРГЕТИЧЕСКОЙ ЦЕННОСТИ С ДОБАВЛЕНИЕМ ОВОЩНОГО СЫРЬЯ
Authors: Яблонский Н. И. , Землякова Е. С. 
Published: November 2023

Представлено обоснование использования нестандартного сырья, а именно овощного,
для производства зефира, с целью снижения энергетической и повышения биологической
ценности. Дан обзор существующей ситуации на рынке кондитерских изделий. Приведены
конкурентные преимущества зефира. Разработана технологическая схема и рецептура для
производства нового вида зефира. Описаны органолептические свойства продукта. По результатам исследований обоснована функциональность полученного зефира пониженной
энергетической ценности с добавлением овощного сырья.
TINGKAT PENGETAHUAN IBU TERHADAP KEJADIAN DBD PADA ANAK DI RUMAH SAKIT HARAPAN PEMATANG SIANTAR TAHUN 2023
Authors: Sigalingging Vina Yolanda Sari , Saragih Helinida , Simanjuntak Hetty Asany Nurhayati 
Published: November 2023

Demam Berdarah Dengue (DBD) merupakan salah satu penyakit yang berbahaya dalam kehidupa nmasyarakat. Penyakit DBD masih menjadi masalah pokok kesehatan ditemukan hampir di seluruh belahan dunia terutama di negara-negara tropic dan subtropik, baik sebagai penyakit endemic maupun epidemik. Anak usia 6 hingga 12 tahun menjadi rentang usia yang paling banyak terinfeksi penyakit DBD dan meninggal dunia. Keberhasilan pencegahan DBD di masyarakat memerlukan partisipasi ibu yang memegang peran penting dalam keluarga, terutama dalam merawat anak. Telah dilakukan beberapa penelitian tentang tingkat pengetahuan ibu mengenai DBD pada anak di berbagai daerah di Indonesia dan didapatkan hasil tingkat pengetahuan ibu adalah cukup. Penelitian ini bertujuan untuk Mengidentifikasi Tingkat Pengetahuan Ibu Terhadap Kejadian DBD Pada Anak Di Rumah Sakit Harapan Pematang Siantar Tahun 2023. Penelitian ini adalah penelitian menggunakan rancangan penelitian deskriptif. Populasi penelitian ini adalah ibu yang anaknya menderita Demam Berdarah Dengue dan rawat inap di Rumah Sakit Harapan Pematang Siantar di bulan April sampai mei dengan jumlah sampel penelitian sebesar 30 responden Data lapangan dikumpulkan dengan menggunakan instrument kuesioner. Berdasarkan hasil penelitian menunjukan bahwa responden yang memiliki Pengetahuan kategori Baik yaitu sebanyak 10 ( 33,3%). Kategori cukup sebanyak 13 ( 43,3 %), kategori kurang sebanyak 7 ( 23,3 % ). Berdasarkan hasil penelitian mayoritas responden berpengetahuan cukup sebanyak 13 orang ( 43,3 %), hal ini didukung oleh data demografi responden yang didapat bahwa mayoritas responden pada rentang usia 26 - 35 tahun, dan merupakan kelompok yang memiliki indicator bertambahnya usia, maka pengetahuan yang dimiliki seseorang tersebut semakin bertambah.
EVALUASI RETAINING WALL PADA RUAS JALAN PROVINSI KABUPATEN HUMBANG HASUNDUTAN
Authors: Telaumbanua Bayu Adil Putra , Napitupulu Janner , Endayanti Masriani 
Published: November 2023

Tujuan penelitian ini adalah untuk menghitung gaya-gaya yang bekerja pada dinding penahan tanah; mengetahui faktor-faktor yang mempengaruhi perencanaan dan desain dalam perncanaan dinding penahan tanah; perencanaan dan perhitungan dinding penahan tanah; dan stabilitas dinding penahan tanah terhadap gaya geser, guling dan daya dukung.
Pada gangguan terhadap stabilitas lereng yang disebabkan adanya peningkatan tegangan geser suatu massa tanah atau penurunannya kekuatan geser, sehingga kekuatan geser dari suatu massa tanah tidak mampu memikul beban kerja yang terjadi. Keruntuhan dari massa tanah yang terletak pada sebuah lereng menyebabkan terjadinya kelongsoran. Dinding penahan tanah adalah suatu bangunan yang dibangun untuk mencegah material agar tidak longsor akibat beban-beban yang dipikulnya. Pada kasus lereng didaerah Dolok Sanggul Ruas Jalan Provinsi Kabupaten Humbang Hasundutan mengalami kelongsoran. daya dukung menghasilkan nilai SF > 1,5 yang dapat dipresentasikan sebagai berikut : SF Terhada Guling = 2,3150 ; SF Terhadap Geser = 5,135 ; SF Terhadap Daya Dukung Tanah =2.580. Nilai yang menujukkann bahwa dinding penahan tanah aman terhadap gaya guling, gaya geser dan daya dukung.Berdasarkan hasil uji laboratorium, kondisi tanah cenderung memiliki parameter kohesi tanah dan sudut geser dalam Dolok Sanggul Pada Ruas Jalan Provinsi Kabupaten Humbang Hasundutan terhadap dengan gaya guling, geser tanah yang relatif kecil. Kelongsoran tanah merupakan salah satu yang paling sering terjadi pada akibat menurunya kekuatan geser penahan tanah suatu massa tanah.
ANALISA PRODUKTIVITAS ALAT BERAT PADA PEKERJAAN BETON READY MIX STUDI KASUS BANGUNAN PELIMPAH BENDUNGAN LAU SIMEME
Authors: Lorosae Kristophorus , Sembiring Athan Imanuel , Debataraja Semangat 
Published: November 2023

Tujuan penelitian ini adalah untuk mengetahui produktivitas alat konstruksi, khususnya truk mixer dan concrete pump yang dipakai dalam pekerjaan beton ready mix sesuai dengan Work Methode Statement pekerjaan beton bangunan pelimpah. Analisa data dilakukan setelah data yang diperlukan dari lokasi proyek terkumpul untuk selanjutnya dilakukan penghitungan waktu siklus alat berdasarkan segmen jalan yang dilalui oleh alat hingga ditemukan nilai produktivitas dari alat alat yang digunakan. Setelah nilai produktivitas diperoleh, maka tentukan durasi pekerjaan dan estimasi biaya pekerjaan berdasarkan durasi pekerjaan. Berdasarkan hasil penelitian yang telah dilakukan, maka diperoleh nilai produktivitas concrete pump adalah 18,48 m3/jam dan truck mixer 13,81 m3/jam. Kemudian rangkaian peralatan yang direkomendasikan oleh penulis adalah rangkaian 3 buah concrete pump, dan 4 truck mixer. Dengan perkiraan biaya pengeluaran sebesar Rp. 7.840.994,- setiap jam.
Social Poetry
Authors: Stubley John 
Published: November 2023

The day-to-day intellectual consciousness perceives a world of independent phenomena (including social phenomena, as any evening news program will reveal) at stages of rest. In order to bring these same phenomena into dynamic relationship not only with one another but also with the time-scale of their own growth and development, one needs to have organs of perception which can perceive the fluid process of transformation itself. Working with and thinking in metaphors, and consciously striving to perceive the images working in social and other phenomena, can help to develop such organs of perception. This can be done individually and this can be done as individuals in a collective. In doing so, not only can one's own thinking and perceiving grow more aligned to the dimensions of life at work in social and natural phenomena, but so too can language, which can then in turn help others to experience and see the more complete reality working in natural or in this case social phenomena, and to choose, if one so wished, to take responsibility for their future development—the future development of, ultimately, civilization, the Earth, and ourselves.