bluuebunny/crossref_metadata_2025_split huggingface dataset:
Relative risk of postpartum maternal morbidity among cesarean-delivered women: A multisite prospective cohort study in a large district, India
Authors: Doke Prakash Prabhakarrao , Vaidya Varsha Mahesh , Narula Arvinder Pal Singh , Patil Archana Vasantrao , Panchanadikar Tushar Madhav , Wagh Girija Narendra , Iyengar Kirti Sharad 
Published: January 2023

ABSTRACT

Introduction:
Family doctors manage mild to moderate postpartum morbidities that do not receive attention. The morbidities are higher after cesareans, which are increasing in number. The aim was to calculate the relative risk of various maternal morbidities occurring during 6 months postpartum among cesarean-delivered women in Pune District, India.

Material and Methods:
This was a large multisite study, which included all 11 non-teaching government hospitals performing at least five cesarean sections per month, one teaching government hospital, and one private teaching hospital. All eligible cesarean delivered and an equal number of age and parity matched vaginally delivered women were the participants. The obstetricians interrogated women before discharge, after 4 weeks, 6 weeks, and 6 months.

Results:
In this study 3,112 women participated. At any visit and among any group lost to follow-up proportion was <10%. There was no major intra-operative complication among vaginally delivered women. The relative risks of acute and severe morbidity as intensive care unit admission and blood transfusion among cesarean-delivered women were 2.59 [95% confidence interval (CI) = 1.96 to 3.44], 4.33 (95% CI = 2.17 to 8.92), respectively. The adjusted relative risk of surgical site pain and infection at 4 weeks; surgical site pain at 6 weeks; and lower abdominal pain, breast engorgement/mastitis, urinary incontinence, and weakness at 6 months among cesarean-delivered women was higher (P < 0.05). Vaginally delivered women resumed family activities earlier.

Conclusion:
Health care workers, including family doctors, during follow-up of cesarean-delivered women, must assess for pain, induration/discharge at the surgical site, urinary incontinence, and breast engorgement/mastitis.
Prioritizing the factors affecting adoption of e-commerce using multi-criteria decision making techniques in Tehran hospitals in 2021
Authors: Ardalan Shahrzad Ashja , Mirzaie Abasat , Begloo Amin Ghasem 
Published: January 2023

ABSTRACT

Background:
The global use of the Internet has led to the growth of e-commerce in industries. Similarly, in health care, e-commerce is essential to meeting the high expectations of patients and providing high-quality and affordable health care services in clinics, hospitals, and other health centers.

Purpose:
This study aimed to prioritize the factors influencing the adoption of e-commerce in hospitals of Tehran (Iran( in 2021 using multi-criteria decision-making techniques.

Method:
The independent variables included organizational, contextual, environmental, and technological factors, while the dependent variable was e-commerce acceptance. To answer the research question, the data were collected via documentary research method (secondary data) and survey (primary data). The instrument used for the survey was a pairwise comparison questionnaire that was completed by 186 experts selected via random sampling method, based on Morgan’s table, and with respect to inclusion and exclusion criteria. Using these instruments, the factors affecting the adoption of e-commerce were assessed using multi-criteria decision-making techniques and the AHP method.

Results:
The results of the prioritization of factors affecting the adoption of e-commerce in Tehran hospitals, from the experts’ point of view, showed that the technological criterion (weight: 0.31918) is the most important factor, followed by organizational (weight: 0.30291), contextual (weight: 0.20346), and environmental (weight: 0.17445) factors. The consistency coefficient of the model was 0.021142.

Conclusion:
The findings indicate that it is possible for doctors, nurses, patients, and medical centers to exploit the benefits of e-commerce in primary care, environmental, financial, organizational, human-related, and technological factors in healthcare.
Psychosocial impact of SARS- CoV-2 outbreak on patients with pediatric-onset systemic lupus erythematosus and their caregivers
Authors: Sharma Rajni , Chaudhary Himanshi , Patra Pratap , Sudhakar Murugan , Anjani Gummadi , Jindal Ankur , Pandiarajan Vignesh , Gupta Anju , Suri Deepti 
Published: January 2023

ABSTRACT

Aim:
To assess distress, insomnia, and psychosocial impact of SARS-CoV-2 outbreak on children with SLE and their caregivers.

Methods:
Patients with pSLE undergoing treatment in the Department of Pediatrics, PGIMER, Chandigarh, and their caregivers were enrolled. Questionnaires were sent to eligible patients and their parents through email or WhatsApp and telephonic interviews were conducted. Self-designed SLE-COVID-19 stress questionnaire; Peritraumatic Distress Inventory; Insomnia Severity Index, Positive and Negative Affect Schedule were used. Ethical approval was sought from Institutes Ethics Committee (IEC/2020/000583).

Results:
Telephonic connection was possible with 80 families (160 participants). Telephonic contact was possible with 80 families (160 participants); off these 61 children with pSLE (78.2%) and 55 caregivers (70.5%) responded to the questionnaire. Among participants, 23% patients, and 21.8% caregivers were severely stressed about SARS-CoV-2 infection; 78.7% patients and 80% caregivers had heard about hydroxychloroquine (HCQ) being used for the treatment of COVID-19; 52.7% caregivers exhibited moderate concern about shortage of HCQ; and 52.5% patients, and 43.6% caregivers were worried about side effects of HCQ. We found that 20 (32.8%) patients and 18 (32.7%) caregivers experienced significant distress. Majority of participants reported sleep disturbances. High positive affect scores were seen in 40 (65.5%) patients and 43 (78.2%) caregivers, low positive affect scores were noted in 21 (34.5%) patients and 12 (21.8%) caregivers.

Conclusion:
Patients with pSLE and their caregivers are at risk of psychosocial problems during the COVID-19 pandemic. Psychological interventions can be very helpful.
Knowledge and practices of nursing staffs related to Maternal Nutrition and Infant and Young Child Nutrition (MIYCN) services at Rajendra Institute of Medical Sciences, Jharkhand, India: A cross-sectional study
Authors: Kiran Asha , Kujur Manisha , Sagar Vidya , Singh Shashi Bhushan , Kashyap Vivek , Trivedi Kiran , Kumari Archana , Akhouri Minni Rani , Jha Sunanda , Lakra Sarita , Badanayak Sraban Kumar , Roy Sumitro , Jagtap Shailesh , Kushwah Prafull Singh 
Published: January 2023

ABSTRACT

Background:
The first 1000 days of life is a unique window of opportunity when the foundation of overall optimum health and neurodevelopmental growth across the lifespan is established.

Objective:
To explore the level of knowledge and practice of service providers in delivering maternal, infant, and young child nutrition (MIYCN) services at the point of care.

Methodology:
This was a cross-sectional study done in the department of Obstetrics and Gynecology and Pediatrics of RIMS, Ranchi, Jharkhand from May to September 2019.

Result:
The practices and counseling skills of nursing staff pertaining to maternal nutrition interventions like IFA and calcium supplements was good. Though counseling on maternal minimum dietary diversity, frequency, and quantity of meals was done during the antenatal care period, its knowledge and expected total weight gain during pregnancy were suboptimal. The practice of early initiation of breastfeeding was significantly higher in those who delivered normally (79%) than those by cesarean section (7%). The nursing staff’s knowledge and technical skills on early initiation and exclusive breastfeeding were good, but inadequate for cesarean section. Forty-one percentage of recently delivered women were counseled on colostrum feeding, 17% about positioning and attachment, and 38% on exclusive breastfeeding (EBF) during the first 6 months. In the pediatrics OPD and immunization clinic, 93% of mothers with an infant below 6 months of age, received counseling on EBF, 47% on feeding during illness, and 13% on breastfeeding difficulties and their solutions. Sixty percentage of mothers of children >6 months old received counseling on timely introduction of complementary feeding and 40% on minimum dietary diversity. Forty percentage of mothers were counseled on feeding techniques during and after illness.

Conclusion:
The nursing staffs were providing the services related to MIYCN during antenatal, intranatal, and postnatal services, sick child visits, and immunization visits but their technical knowledge and skills on the specific components were not in accordance with the standard guidelines.
Comparison of different surface treatment methods on flexural strength and elasticity modules of quartz and glass fiber-based posts: A narrative review
Authors: Meimandinezhad Marzieh , Bidhendi Hadi Mohammadi , Zadeh Elnaz Tavazo , Anzabi Reza Mahmoudi , Asadi Haniyeh , Fathi Amirhossein , Gholami Mahnaz 
Published: January 2023

ABSTRACT

Background and Aim:
Evaluating the effect of different surface treatment methods on flexural strength (FS) and elasticity modules (EM) related to fiber posts is very important. The main purpose of this study was to evaluate the effect of different surface treatment methods on FS and EM of quartz and glass fiber-based posts in the form of a narrative review study.

Materials and Methods:
To conduct this study, all studies related to the subject under discussion during the years 2022–2000 by systematic search in internationally available databases, including Web of Science, Science Direct, Scopus, PubMed, and Google Scholar, were checked out. Finally, completely relevant studies were selected to investigate the main objective.

Results:
The results showed that before surface preparation, FS and elasticity coefficient (EC) of quartz fiber-based posts were higher than glass fiber. According to the results of some previous studies, surface preparation of glass and quartz fiber posts by laser and 10% hydrogen peroxide has no effect on their FS and elasticity. Findings of some other studies showed that the laser method than air abrasion can be a more suitable method for preparing the surface of fiber posts before the bonding process. In some other studies, it was reported that the Airborne-particle abrasion (Al2O3) method produced a higher amount of FS than the laser.

Conclusion:
Based on the results of previous similar studies, it can be concluded that the results of previous studies are very contradictory, and therefore, it is not possible to provide a completely superior surface treatment method to increase flexural strength. The amount of flexural strength depends mainly on the intrinsic properties of the fiber post.
Anti-proteinuria effect of active vitamin D in patients with type 2 diabetic nephropathy
Authors: Aref Asieh , Khodhal Mina , Rashidi Homeira , Farhangiyan Zahra , Bitaraf Saeid 
Published: January 2023

ABSTRACT

Introduction:
Proteinuria is a common complication in patients with type 2 diabetic nephropathy (DN). The aim of this study was to evaluate the anti-proteinuria effect of active vitamin D in patients with type 2 DN.

Methods:
A double-blind randomized clinical trial study was conducted on 42 DN patients selected by convenience sampling method. After selecting patients based on inclusion criteria, they were randomly divided into control and intervention groups. Patients in the intervention group received 0.25 mg of active vitamin D per day for 12 weeks. The variables evaluated in the patients on the first day of the intervention included fasting blood sugar (FBS), calcium, phosphorus, creatinine, glomerular filtration rate (GFR), systolic and diastolic blood pressure, and proteinuria. These variables were also evaluated at the end of the first, second, and third month of intervention. Data were collected and analyzed in Statistical Package for Social Sciences software version 22.

Results:
Around 52.5% of the patients participating in this study were male and 47.5% were female. The mean age of the patients was 55.52 ± 6.58 years. The results of repeated measures analysis showed that active vitamin D significantly reduced proteinuria (P = 0.000) in patients in the intervention group. The changes in FBS (P = 0.235), calcium (P = 0.393), phosphorus (P = 0.694), creatinine (P = 0.232), GFR (P = 0.347), systolic blood pressure (P = 0.615), and diastolic blood pressure (P = 0.115) were not significant in patients in the intervention group.

Conclusion:
Prescription of active vitamin D can significantly reduce the incidence of proteinuria in patients with DN.
Examination of facial measurement on the image using a noncontact three-dimensional measurement device
Authors: Watarai Yuko , Koide Kaoru , Ota Shin , Mizuhashi Fumi 
Published: January 2023

ABSTRACT

Background:
Producing dentures for edentulous patients is important to improve quality of life of elderly. The determination of the occlusal vertical dimension on producing dentures is one of the key factors for using the dentures comfortably. The purpose of this study is to consider the usefulness of the determination of the occlusal vertical dimension of a facial measurement method applied on scanned facial image using a noncontact three-dimensional measurement device.

Materials and Methods:
Twenty-four dentulous individuals (mean age 26.6 ± 2.4 years old) were examined in this study. A noncontact three-dimensional measurement device was used for the scanning of the face both in the holding by hand and the fixing to the camera stands situations. The distances between subnasal and gnathion, pupil and oral slit, middle of glabella and subnasal, and right and left corners of the mouth were measured on the scanned face image and compared with the actual values.

Results:
The significant differences were not recognized on the four measurement items between the distance of actual values and obtained on scanned data (fixing conditions). The coefficients of variation of the distances between subnasal and gnathion, and pupil and oral slit on scanned data (fixing condition) were significantly lower than those at actual conditions (P < 0.05).

Conclusion:
The results of this study suggested that a stable facial measurement can be successfully implemented by using a noncontact three-dimensional measurement device. This method yields outcomes which match the actual values.
Knowledge and management of first-aid skills between medical and non-medical students at King Saud University
Authors: Basuhail Suhail , Al Hammad Bader K. , Aldhafeeri Bader G. , Alquhayz Mohammed F. , Alqahtani Mohammed S. , Alkharboush Hussain F. , Al Turki Yousef A. 
Published: January 2023

ABSTRACT

Objectives:
The study aims to determine the knowledge of first-aid management in medical and non-medical students and how they will act in certain situations.

Methods:
A cross-sectional study has been conducted on a convenience sampling of 375 (medical and non-medical) students. The research proposal was approved by the IRB Committee of King Saud University. The data has been obtained randomly by a validated questionnaire in a sample of 381 participants. The questionnaire had items related to knowledge and management of first-aid skills. The study was conducted from August 2020 to May 2021 in King Saud University.

Results:
The participants in the current study were medical (53.02%) and non-medical students (46.98%). Overall results showed that all students possessed a good knowledge of first-aid management, but medical students possessed more knowledge in comparison to non-medical students. The awareness of students related to first-aid management was found to be 32.02% ‘high’, 56.43% ‘middle’ and 11.54% ‘low’. Moreover, results illustrated that medical students are more interested to attend first-aid courses than non-medical students by 60.4% and 43.6% respectively.

Conclusion:
The study revealed the participants’ knowledge and management were not adequate. A statistically significant association was found between being a medical student and having a high level of knowledge about first aid. Awareness campaigns must be conducted to increase awareness among the non-medical community about first-aid knowledge, and how it is essential for every individual.
Prevalence of thyroid disorder among young adults in the rural areas of Wardha district: A cross-sectional study
Authors: Wanjari Mayur , Patil Manoj , Late Sampada , Umate Roshan 
Published: January 2023

ABSTRACT

Background and Aim:
Recently, it has been revealed that most thyroid disorders occur among females and that the factors contributing to this are infertility and sex hormone imbalance. Other research studies showed both genders are equally affected. Therefore, this study aims to estimate the prevalence rate of thyroid disorder among young adults in the rural areas of Wardha district and correlate the results with demographic variables.

Materials and Methods:
A cross-sectional research design was used in this study. One thousand males and females were involved in the study. The Calbiotech Thyroxine Elisa kit was used to check the prevalence rate of thyroid disorder. Data were analysed using the Statistical Package for Social Sciences (SPSS) and released in 2016.

Results:
Among the rural villages of Wardha district, Seloo, Salod (Hirapur) and Kelzar were included in the study. It was found that in Seloo, 154 (49.04%) young adults had normal thyroid function, 105 (33.44%) had hyperthyroidism and 55 (17.52%) participants had hypothyroidism. Salod (Hirapur) showed 210 (47.95%) with normal thyroid function, 149 (34.02%) with hyperthyroidism and 79 (18.04%) with hypothyroidism. In Kelzar, there were 121 (48.79%) with normal thyroid function, 80 (32.26%) with hyperthyroidism and 47 (18.95%) with hypothyroidism.

Conclusion:
Prevalence of thyroid disorder revealed that majority of the thyroid problems were found among females in the rural areas of Wardha district. There are various problems in rural areas, such as lack of medical facilities and laboratory facilities to diagnose thyroid dysfunction early. It is recommended that health check-up camps be conducted in rural areas and health education be given to young adults about thyroid disorders and their prevention measures for promotion of health free from a thyroid disorder.
Perkembangan Teknologi Komunikasi dan Informasi: Akar Revolusi dan Berbagai Standarnya
Authors: Yusniah Yusniah , Putri Audina , Simatupang Anggraini 
Published: January 2023

Information is the main element that is implicit in the concept of planned development. Although the role of information has been underappreciated for decades, in fact the need for communication and information is something that is no less important than the need for human food and clothing. Implementation activities can only run and achieve targets at each stage of monitoring and planning on the basis of adequate information. Furthermore, information can be obtained from a communication but it is actually the one that affects the value of the communication that is the information carried. For the information revolution, it is generally understood as a change that is derived from IT (information technology). There are two types of communication technology for humans, namely the technology used to disseminate information and the computer system used to process it. Let's say revolution because it can have such a rapid impact on the human environment. Then the basic factors contained in communication and information technology are standards. The development of the network really requires a standard operating system. If someone uses a network to be able to communicate with someone, actually indirectly requires a system that is compatible with one another. the relationship between networks, standards and systems such as glue to develop communication between people. As for technology, it can have some positive or negative effects, but it is related to the problems and dynamics of increasing advanced technology, therefore each individual and society in a country can be the master of technology and vice versa become a society that is controlled and controlled by technology.
Keywords: Technology, Information and communication revolution, Technology standar
HUBUNGAN TINGKAT PENGETAHUAN WANITA AKSEPTOR KB DENGAN KEIKUTSERTAAN KB IUD DI BPM ENI SUNARTI KARTASURA
Authors: Sulistiyanti Anik , Anjayani Dita Sari 
Published: January 2023

Latar Belakang :. Berdasarkan data BKKBN provinsi Jawa Tengah, jumlah peserta KB IUD terus menurun yakni 552,233 menjadi 529,805 pada tahun 2005, dan 498,366 pada tahun 2006. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan wanita akseptor KB dengan keiutsertaan KB IUD di BPM Eni Sunarti desa Wirodigdan kecamatan Kartasura kabupaten Sukoharjo yang hubungan tingkat pengetahuan dengan keikutsertaan Kb IUD dari 30 responden adalah 1 orang berpengetahuan baik ikut serta dan tidak ada yang tidak ikutserta, 12 orang berpengetahuan cukup dan ikutserta, dan 1 orang tidak ikutserta, 16 orang berpengetahuan kurang tidak ikutserta dan tidak ada yang ikut serta.
Metode Penelitian : Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian analitik dengan pendekatan waktu cross sectional. Populasinya adalah semua wanita akseptor KB ( IUD, pil, suntik, kondom, dll), di BPM Eni Sunarti Kartasura sebanyak 30 orang. Analisis menggunakan univariat dan bivariat dengan rumus Chi Square.
Hasil Penelitian : Dari hasil penelitian mayoritas wanita aksepror KB IUD mempunyai tingkat pengetahuan kurang 16 orang. Mayoritas wanita akseptor KB IUD tidak ikut serta menjadi akseptor KB IUD17 orang. Hubungan dari tingkat pengetahuan wanita akseptor KB dengan keikutsertaan KB IUD di BPM Eni Sunarti adalah kuat.
Kesimpulan : Ada hubungan yang signifikan antara tingkat pengetahuan wanita akseptor KB dengan keikutsertaan KB IUD.
The GENERATION Z CONSUMER BEHAVIOR TOWARDS LOCAL AND IMPORTED FASHION PRODUCTS
Authors: Syah Lin Yan , Rahadi Dedi Rianto , Farid M Mifta 
Published: January 2023

Indonesia's domestic market, which is a very broad market with a very dense total population which can be estimated at around 270 million people (BPS, 2021). Such a large domestic market can push the possibility of forming a strong competition or competition between imported products and local products. Increasing local brands is a strategic step that is useful to show or introduce Indonesian-made products to the global market. The purpose of this research is to understand the attitudes of Generation Z consumers towards local and imported fashion brands.
The research methodology uses a descriptive qualitative approach. Data collection using questionnaires can be explained according to student behavior on the use of local fashion brands and imported fashion.
In Generation Z, both men and women, do not tend to buy imported fashion products, do not tend to buy the latest imported brand brand clothes, do not agree to buy different imported brand products with the same quality and lack confidence in wearing imported fashion brand clothes, but like to buy product clothes quality imports.
With the quality of the product, it can be the first benchmark in product evaluation and this also depends on the attitude of the consumer. The results of the study explain that Generation Z men and women, tend to buy local fashion products, tend to buy the latest local brand clothing models, like to buy quality local clothes, often buy different local brand products but the quality is the same and are more confident by wearing fashion clothes. local brands.
So it can be concluded that most of Generation Z are more likely to buy local brand fashion products. And for the quality of local products, you can say that they are not far behind imported products, so it can be said that local products can compete with imported products.