bluuebunny/crossref_metadata_2025_split huggingface dataset:
Empowering Accredited Social Health Activist (ASHA) in a rural communities of Pune (Maharashtra)
Authors: Bassi Shalini , Rawal Tina , Nazar Gaurang Prafulla , Dhore Prasanna B. , Bhatt Anjali A. , Deshpande Shailesh R. , Unnikrishnan Ambika Gopalakrishnan , Arora Monika 
Published: April 2023

Background:
Diabetes is quickly reaching the status of a potential epidemic, with more than 74.2 million Indians diagnosed with the disease. With the majority of India's population residing in rural areas, the potential burden of diabetes is compounded by rising healthcare expenses, lower literacy, lack of awareness, limited access, and availability of healthcare.

Objective:
The process evaluation of project diabetes with dignity (DWD) aimed to test the feasibility and effectiveness of a model of enhanced diabetes care for adults, empowering Accredited Social Health Activists (ASHAs) in rural communities of Pune, Maharashtra.

Methods:
A community-based, quasi-experimental study was conducted with high-risk identified adults with Type 2 diabetes (n = 431, 30–70 years), in two Primary Health Centers of Baramati block of Pune district. ASHAs implemented six months' DWD intervention, including screening of subjects at risk of Type 2 diabetes using Indian diabetes risk score questionnaire, random blood glucose testing using glucometer, counseling, monthly house-to-house visits, and community-based awareness-raising activities about diabetes care-related issues.

Results:
Results indicated that the delivery, and reach of DWD intervention were favorable. The intervention was delivered as intended with a high degree of fidelity with dosage delivery, high attendance, and good participation rates. The participants were satisfied with intervention strategies activities and recognized to scale it up further. The engagement of ASHAs as a protagonist in the successful project implementation was emphasized.

Conclusions:
The findings on DWD intervention satisfaction, reach, and participation favored the capacity-building of ASHAs for diabetes screening, prevention, management, and referrals in rural Indian settings.
Psychocognitive functions among breast cancer survivors
Authors: Sharma Deeksha , Yadav Budhi Singh , Dutta Monika , Kaur Sukhpal , Kumar Krishan , Dahiya Divya 
Published: April 2023

Purpose:
Chemotherapy-related cognitive impairments (CRCIs) are one of the adverse effects of chemotherapy, so there is a need to explore alternative measures to maintain normal cognitive functions or to prevent decline in cognitive abilities. This study was conducted to assess the effectiveness of Cognitive Training Interventions Package on cognitive functions among breast cancer survivors (BCSs).

Materials and Methods:
A total of 59 BCSs were randomly assigned to control and intervention groups. Participants of the intervention group were provided with a Cognitive Training Interventions Package to be practiced from 1st cycle until the completion of 4th cycle of chemotherapy. Both the groups were reassessed on the 4th cycle of chemotherapy. FACT Cog Version-3, Post Graduate Institute Memory Scale (PGIMS), and trail making test were used to assess cognitive functions. Activities of daily livings (ADLs) and depression, stress, and anxiety were measured using Barthel Index Scale and Depression, Anxiety, and Stress Scale-21, respectively. Satisfaction level among participants was measured using a self-structured questionnaire.

Results:
The mean age was 50.82 ± 10.12 years in the control group and 50 ± 11.24 years in the intervention group. BCSs in the intervention group demonstrated a significant improvement in attention and concentration (P = 0.02); retention for similar pairs (P = 0.001); recognition (P = 0.01); and visual attention, processing speed, and executive functions (P = 0.01). Intervention group also showed a significant improvement in ADLs (P = 0.04). Overall, the participants in the experimental group were more satisfied (mean = 2.00) as compared to those in the control group (mean = 1.896), which is supported by the observed statistical significant difference in the satisfaction levels of the participants (P = 0.04). Reduction in the levels of anxiety and depression was also noticed in both the groups but it was not significant.

Conclusion:
Cognitive training interventions package was beneficial for BCSs with CRCI to overcome cognitive impairments.
Prognostic impact of presenting symptoms of patients with hepatocellular carcinoma
Authors: Lim Samuel Jun Ming , Hao Ying , Goh George Boon Bee , Chang Jason Pik Eu , Tan Chee Kiat 
Published: April 2023

Abstract

Introduction:
It is not known if the nature, number and duration of presenting symptoms at diagnosis of hepatocellular carcinoma impact on overall survival. This study examines whether the presenting symptoms of hepatocellular carcinoma have a significant impact on prognosis.

Methods:
The study cohort comprised 725 patients with symptomatic hepatocellular carcinoma seen in our department since October 1983. Another 545 patients were diagnosed on surveillance or from incidental findings. Presenting symptoms at diagnosis were documented. A survival census was performed on 31 October 2015 with the national registry of deaths. Presenting symptoms were examined for association with overall survival using multivariable Cox regression analysis. Survival analysis was done by Kaplan–Meier method with log-rank testing. Bivariate Pearson correlation was used to look for any association between duration of symptoms and overall survival.

Results:
Patients with symptomatic hepatocellular carcinoma had a significantly shorter survival than those diagnosed incidentally or on screening (94.0 vs. 786.0 days, P < 0.001). Survival was shorter in patients presenting with fluid retention (56.0 vs. 118.0 days, P < 0.001), jaundice (48.0 vs. 94.0 days, P = 0.017) and two or more symptoms (P = 0.010). Pain was associated with better survival (P < 0.001). On multivariable Cox regression analysis, only fluid retention (hazard ratio [HR] 1.56, 95% confidence interval [CI] 1.30–1.87) and jaundice (HR 1.36, 95% CI 1.07–1.74) were independently associated with shorter survival. There was no significant relationship between the duration of symptoms and overall survival.

Conclusion:
Patients with hepatocellular carcinoma who present with fluid retention or jaundice have significantly shorter overall survival. This is useful in assessing patients at the time of diagnosis.
El aprendizaje significativo en la educación actual: una reflexión desde la perspectiva crítica
Authors: Zamora Olivos Sara María , Segarra Merchán Sonia Rubí , González Encalada Susana Alexandra , Vitonera Pazos Mónica Matilde 
Published: April 2023

En la actualidad el aprendizaje significativo debe enfocarse en lograr que los estudiantes comprendan y apliquen sus habilidades cognitivas y socioemocionales en situaciones reales, debido a que se encuentran en una sociedad en constante cambio tecnológico, por lo que deben resolver problemas, tomar decisiones y construir un futuro exitoso y resiliente. El objetivo de este estudio fue analizar y cuestionar el concepto del aprendizaje significativo en la educación actual. La metodología aplicada fue cualitativa etnográfica, la técnica utilizada fue una entrevista basada en un instrumento de cinco preguntas semiestructuradas validada por juicio de expertos, la muestra por conveniencia estuvo conformada por 16 docentes de diferentes áreas de conocimiento pertenecientes a la ciudad de Milagro. Los resultados obtenidos fueron la comprensión profunda y crítica del concepto del aprendizaje significativo en el contexto de la educación actual, así como de sus implicaciones y potencialidades para mejorar la calidad y relevancia de la educación. Se concluye que el aprendizaje significativo sigue siendo un enfoque pedagógico relevante y necesario después de la pandemia, pero su implementación requiere de un esfuerzo conjunto por parte de los docentes, las autoridades educativas y la sociedad en general para superar los desafíos y obstáculos que se presentan, por lo que se debe crear un entorno educativo que promueva la reflexión crítica sobre el éxito de la práctica docente y fomente la colaboración entre los docentes.
Women’s Political Participation In Khyber Pakhtunkhwa Local Governance 2015: Challenges And Opportunities
Authors: Ali Dr. Hussain , Zatoon Bibi  , Sardar Dr. Riffat 
Published: April 2023

Women’s political participation is one of the fundamental human rights worldwide. According to feminist perspective in Pakistan political sphere is attached with masculinity while femininity is confined to private sphere. The present research study mainly focused to address the socio-cultural barriers to women political participation. The study was conducted in two tehsil namely Takhat Bahi and Katlang of District Mardan, Khyber Pakhtunkhwa province of Pakistan. Researcher used quantitative research design and data was collected from 285 elected local leaders with simple random sampling technique. Among the total respondents 100 women elected members and 185 men elected members were selected. Researcher collected directly data from men elected members through interview schedule while women research assistant collected data from women elected members. Statistical data was analyzed with the help of SPSS and regression analysis test was applied to draw the results that which factors are greatly influence the women political participation. The statistical results indicated that patriarchal structure of society is significantly influence women low political participation at P-value (.002) and β value is positive (2.632). Similarly, the women subordinate role in social sphere is greatly influence the low political participation at P-value (.015) β value is positive (2.321). The study concluded that women are oppressed due to her gender and their political participation is discouraged due to her gender. It is suggested that government should increase the women quota and make strategic planning and interventions to enhance women political participation.
The Perception, Understanding and Incidence of Pedophilia, The Reasons of its Prevalence, The Problems and the Consequences of this Social Crime in Rural Sindh: A Sociological Analysis
Authors: Narijo Hamida , Wasan Aijaz Ali 
Published: April 2023

The objective of the study was to find out and determine the types of child sexual abuse, temptations used by the abusers to seduce the victim, the impact of child sexual abuse on the victims, and the impact of child sexual abuse on the family of the victims. The study was conducted using mixed methods i.e. Qualitative and Quantitative. This was a six months study. The qualitative study was conducted first. Based on the findings of the qualitative study Quantitative study was done through a field survey. For the qualitative study police officials and Casualty Medical Officers (CMO) were interviewed in depth. For quantitative research Parents of victims or the victims themselves with the consent of their parents were interviewed. Qualitative data was analyzed using the Theme, subtheme, and remarks while the quantitative data were analyzed using SPSS (26 versions) and Excel software applications. Most of the children appeared to be innocent and the minor children considered the act vulgar and indecent. The more grown-up ones considered it unethical and were having some guilt. Similar feelings were shared by the parents about the child. Society is very much aware of crime but they are more sensitive to girls than boys. To some extent, they are ignorant too and that is the reason crime is increasing. They became frightened, depressed, lonely, and aloof. The parents became depressed and also suspicious of the social environment. They became secretive in their talk and behavior. Abusers tempted the victims with sex stories, jokes pornographic materials (photos and videos), and by showing their sex organs.
THE USE OF A COMPREHENSIVE INSTRUCTIONAL MODEL TO EVALUATE AND DEVELOP A TEACHING PRACTICE
Authors: Boughoulid Mustapha 
Published: April 2023

The present paper demonstrates the possibility of using the new Comprehensive Instructional Model of Language Learning’s criteria in order to evaluate and develop a practice in a teaching context. This practice is one of the six practices of one language class session of two teaching hours. The evaluation and development of the practice are done on the basis of the three language learning components, input, competency building, and communicative acts. As a first step, we started with the description of the practice and then moved to the evaluation stage, which includes its internal comprehensiveness, how it fits in the learning sequence, and its discursive formation. In the preparatory technique of the practice, we started with the objectives, then the tools, and the practices that might be included within the same practice. The evaluation of the practice in terms of scoring is done on the basis of two different matrices, the internal comprehensiveness of the practice, and the discursive formation of the practice. The new comprehensive instructional model’s role is to detect the anomalies or any irregularities in the practice and find adequate answers to surmount them. It is a model that teaches teachers how to reconsider and develop their work without adopting any new teaching methodology.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0029/a.php" alt="Hit counter" /></p>
Andragogy learning and the associated factors among nursing students in online palliative class during the COVID-19 pandemic
Authors: Agustini Ni Luh Inca Buntari , Nursalam  , Sukartini Tintin , Rismawan Made , Yusniawati Yustina Ni Putu , Suantika Putu Inge Ruth 
Published: April 2023

Objective: To investigate the andragogy learning and determine the related factors among nursing students in online palliative class during the coronavirus disease-2019 pandemic.
Methods: The descriptive cross-sectional online survey-based study was conducted from September 1 to December 31, 2021, after approval from the ethics review committee of the Institute of Technology and Health Bali, Indonesia, and comprised 2nd year nursing students enrolled in the online palliative class. Data was collected using a questionnaire to measure socio-demographic characteristics of the respondents, teacher characteristics, and learning media. Andragogy education movement questionnaire was used to measure students’ self-concept, learning motivation, readiness to learn, orientation to learn, and learning experience. Data was analysed using SPSS 25.
Results: Of the 189 subjects, 161(85.2%) were females, and 90(47.6%) were aged 20 years, followed by 87(46%) aged 21 years, 10(5.3%) aged 22 years and 2(1.1%) aged 23 years. Age was significantly correlated with self-concepts (p=0.04), while parents’ occupation was significantly correlated with learning motivation (p=0.04). Professional ability, personal quality and interpersonal relationships of teachers and learning media, including class management and props, were correlated with andragogy learning (p<0.001).
Conclusions: High levels in all domains of andragogy learning were found. Maintaining the factors that influence andragogy learning through online platforms is an important goal in today’s virtual learning era.
Keywords: Demography, Nursing, Motivation, COVID-19, Technology, Andragogy.
Anti-Asian Racism in Canada: The Story of the Numbers
Authors: Wang Arthur 
Published: April 2023

This paper delves into the ongoing issue of anti-Asian racism in Canada, particularly during the Covid-19 pandemic. Despite being a diverse country, Canada has a long-standing history of discrimination towards people of Asian heritage. The Covid-19 pandemic has only exacerbated this issue, with a significant increase in reported crimes and incidents of racism towards Asian or Asian-appearing individuals.
The paper focuses on identifying and interpreting the most relevant data from various sources on anti-Asian racism in Canada during the pandemic. The author aims to compare and contrast these data sets to understand the underlying trends and factors that contribute to anti-Asian racism in Canada. However, the author notes the challenges of relying on available data sets to inform the public and policymakers. Officially collected crime statistics and non-official online self-reporting data have their limitations in accurately reflecting the scope of anti-Asian racism in the country.
The paper concludes that accurate statistics are essential in combating anti-Asian racism in Canada. However, the lack of reliable data is concerning. The author emphasizes the importance of continuing the search for better ways to collect accurate statistics while being cautious in using existing data to avoid misleading the public and policymakers.
Overall, this paper highlights the urgent need for Canada to address the issue of anti-Asian racism, particularly in the wake of the Covid-19 pandemic. It is a call to action for policymakers, activists, and the public to work together towards creating a more inclusive and accepting society.
Making a Case for Entrepreneurial Skill Development in Schools
Authors: Venugopal Krishna 
Published: April 2023

Today’s youth is faced with new risks emerging from fast advancing technology such as AI and increased individual responsibilities. With these trend shifts, foundational knowledge alone, without an understanding of the interconnected nature of the applications in real life is not going to effectively prepare the youth for future success. It is therefore imperative to introduce students to the essentials of entrepreneurial mindset early in their middle and high school education.
Although this is a critical challenge faced by youth today, there is very little advocacy for incorporating entrepreneurial skill development in school curriculum.
The intent of this research project is to outlay the foundational skills that are essential to building an entrepreneurial mindset and to recommend a curriculum that will advance entrepreneurial skill development in middle and high school students.
The roadmap of this paper begins with making the case for introducing entrepreneurial skill curriculum, proceeding to the cultural factors that influence skill development, Recommendation, purpose of Case Studies, and concluding summary.
Asuhan Kebidanan Berkelanjutan pada Ny. S, Ny.P, Ny.R di Wilayah Pagelaran Kecamatan Pagelaran Kabupaten Pringsewu, Lampung
Authors: Febriyanti Hellen , Qurniasih Nila , Primadevi Inggit 
Published: April 2023

Back Pain during pregnancy can be influenced by changes in hormone levels, the hormones estrogen, progesterone, and relaxin, Pregnancy exercise is very good for stimulating the body’s repair maintenance system, maintenance of body repair, can increase heart strength and circulation, and tighten loose muscles, maintain joint flexibility, good for body image, and can relieve stress and make the body more comfortable. Based on the data above, the authors take the formulation of the problem in this report. Can pregnancy exercise in third-trimester pregnant women reduce back pain in pregnancy? This Final project report is in the form of a case study using the SOAP method of documentation. The subjects of this study were pregnant women in the third trimester, maternity, postpartum, and newborns until the mother could decide on the family planning method. In data collection, it is done by using anamnesis, physical, examination, processed and analyzed cases. The results showed that pregnancy care by providing pregnancy exercise care to 3 pregnant women who experienced back pain during. Of the three pregnancy cases that were followed, all patients had been given an intervention by doing pregnancy exercises to show a decrease in back pain. this is stated by the results of interviews with patients that back pain is reduced after doing exercise during pregnancy and one patient said that sleep becomes more restful after doing exercise during pregnancy.
Abstrak: Nyeri punggung selama kehamilan dapat dipengaruhi oleh perubahan kadar hormon, hormon esterogen, progesterone, dan relaxin pada kehamilan Senam hamil sangat baik untuk merangsang system pemeliharaan perbaikan tubuh, dapat meningkatkan kekuatan dan sirkulasi jantung, serta mengencangkan otot-otot yang mengendur, menjaga fleksibilitas sendi, bagus untuk poster tubuh, serta dapat menghilangkan stress dan membuat tubuh menjadi lebih nyaman. Berdasarkan data diatas maka penulis mengambil rumusan masalah dalam laporan ini Apakah senam hamil pada ibu hamil trimester III dapat menggurangi nyeri punggung pada kehamilan? Laporan Tugas Akhir ini dalam bentuk studi kasus dengan menggunakan pendokumentasian metode SOAP. Subjek penelitian ini adalah ibu hamil trimester III, bersalin, nifas, bayi baru lahir, hingga ibu dapat memutuskan metode KB. Dalam pengumpulan data, dilakukan dengan menggunakan anamnesa, pemeriksaan fisik, kasus diolah dan dianalisis. Hasil penelitian diperoleh bahwa asuhan kehamilan dengan memberikan asuhan senam hamil kepada 3 ibu hamil yang mengalami nyeri punggung saat kehamilan. Dari ketiga kasus kehamilan yang diikuti bahwa semua pasien telah diberikan intervensi dengan melakukan senam hamil untuk memperlihatkan penurunan nyeri punggung. Hal ini dinyatakan oleh hasil wawancara kepada pasien bahwa nyeri punggung menjadi berkurang setelah melakukan senam hamil dan satu pasien mengatakan bahwa tidur menjadi lebih nyenyak setelah dilakukan senam hamil.
Penggunaan Breast Pump Pada Ibu Menyusui
Authors: Yuliantie Putri , Kusvitasari Hairiana 
Published: April 2023

The coverage of exclusive breastfeeding for infants aged 0-6 months is 40%, while the target achievement for exclusive breastfeeding coverage in the world is 50%. One of the causes of infant mortality globally is due to improper feeding during the first year of life and not being given exclusive breastfeeding. Malnutrition is one of the contributors to the under-five mortality rate, which is 60% of 10.9 million. The purpose of this study was to identify and explore the use of breast pumps in breastfeeding mothers. The method in this research is narrative review by reviewing 10 articles. The results of this study are based on 10 articles there is an internal effect on the success of breastfeeding using a breast pump, namely the duration of breastfeeding and milk production, the factors that influence the decision to pump breast milk are information about breast pumps, the availability of lactation rooms, commitment and rest time and the supporting factor is the availability breastpump, family and co-workers support.

Abstrak: Cakupan pemberian ASI eksklusif pada bayi usia 0-6 bulan adalah sebesar 40% sedangkan capaian target untuk cakupan pemberian ASI eksklusif didunia sebesar 50%. Salah satu penyebab angka kematian bayi secara global disebabkan karena pemberian makan yang tidak tepat selama tahun pertama kehidupan dan tidak diberikan ASI eksklusif. Malnutrisi merupakan salah satu penyumbang angka kematian balita yaitu sebesar 60% dari 10,9 juta. Tujuan pada penelitian ini adalah untuk mengidentifikasi serta mengeksplore penggunaan breast pump pada ibu menyusui. Metode dalam penelitian ini adalah narrative review dengan mereview 10 artikel. Hasil penelitian ini adalah berdasarkan 10 artikel terdapat efek dalam terhadap keberhasilan menyusui dengan menggunakan breastpump yaitu durasi menyusui dan produksi ASI, factor-faktor yang mempengaruhi keputusan untuk memompa ASI yaitu informasi tentang breastpump, tersedianya ruang laktasi, komitmen dan waktu istirahat serta faktor pendukung adalah ketersediaan breastpump, dukungan keluarga dan rekan kerja.