bluuebunny/crossref_metadata_2025_split huggingface dataset:
Knowledge and Attitude of Nurses on Organ Donation in Western India
Authors: John Priyadarsini 
Published: April 2023

Background:
Organ donation (OD) is a boon for patients suffering from end stage organ failure. Globally, there is an acute shortage of organs for transplantation and this is further accentuated in India. Nursing professionals can play a crucial role in identification, education, and motivation of potential donors, thereby enhancing the rate of OD. There is a dearth of studies on knowledge and attitude with regard to OD among nurses in India.

Objectives:
The aim of this study is to assess the knowledge and attitude of nurses on OD. A cross-sectional descriptive study was carried out among 509 nurses working in reputed hospitals of a metropolitan city. A self-reported copyrighted questionnaire on knowledge and attitude was administered.

Results:
Majority of the participants were women. The mean age of the participants was 28.14 ± 7.73. A substantive number (49.7%) were found to have inadequate knowledge and 43% had moderately adequate knowledge. Mean knowledge score was 18.19 and standard deviation 5.11797. of the population studied, 89.4% had a favourable attitude and 10.6% had a highly favourable attitude towards OD. Nurses scored an average of 15 (minimum 9.44 and maximum 23.66) against a total possible score of 24. Statistically significant correlation r = 0.510 (P < 0.01) was evident between knowledge and attitude of the nurses toward OD.

Conclusion:
Conscious effort to augment nurses through regular in-service education to enhance their knowledge and attitude and include these in the nursing curriculum is imperative so that the emerging nurses are well equipped to address the issues around organ transplantation.
Effect of a School-Based Interventional Package on the Cardiovascular Risk of Adolescents
Authors: Premala Deepa , Reghunath Rajee 
Published: April 2023

Background:
Cardiovascular diseases (CVDs) are the number one cause of death globally. Several risk factors are associated with CVDs evident in childhood through adolescence. The major metabolic risk factors include high blood pressure (BP), increased body mass index (BMI), raised blood glucose, raised blood lipids and increased waist circumference (WC). Physical activity, diet, BP, WC, obesity and cardiovascular fitness are the risk factors that can be measured non invasively among adolescents. The identification of these risk factors in adolescents can enable healthcare providers to initiate interventions to reduce the risk and help adolescents to move forward to healthier adulthood in the future.

Objectives:
The objectives of the present study were to assess the cardiovascular risk of adolescents and to evaluate the effect of a school based interventional package on the cardiovascular risk for adolescents with high cardiovascular risk.

Methods:
The study was conducted in two phases. Phase I adopted a descriptive design and Phase II adopted a quasi experimental non equivalent control group before and after design. It was conducted in four schools among 401 adolescents aged 10–14 years and their mothers who have given signed consent. The sociodemographic data sheet and the 24 h recall of the adolescents were completed by the mothers. The adolescents completed a physical activity questionnaire child The Physical activity questionnaire for older children and the tobacco, alcohol and drug questionnaire in their classroom. The height, weight, BP and WC were measured as per standard procedures. The 20 m shuttle run was conducted to assess their cardiovascular fitness and levels and shuttles obtained by the adolescents were recorded and graded. The BMI was calculated. The adolescents (n = 31) with the highest risk scores in the experimental schools underwent a school based interventional package. The control group (n = 30) did not have any intervention. The post tests were conducted on the last day of the 8th and 16th weeks using the cardiovascular risk scale.

Results:
The mean score for cardiovascular risk was 14.35 with a standard deviation of 3.23. There was a statistically significant difference in the cardiovascular risk scores of the adolescents between the control and experimental group in post test 1 (t = 5.69; P = 0.001) at the 8th week and post test 2 (t = 11.61; P = 0.001) at the 16th week. Hence, it can be concluded that a school lbased interventional package elicited a reduction in cardiovascular risk among adolescents.

Conclusion:
Nurses, particularly school health nurses, can play a pivotal role in encouraging cardiovascular risk surveillance programmes among adolescents in school and to conduct multi component interventional programmes including education, physical activity and diet.
Prevalence of different sleep problems in patients with respiratory diseases presented to a respiratory outdoor clinic
Authors: Halder Arup Kumar , Chatterjee Arpita Halder 
Published: April 2023

Introduction:
A patient with compromised respiratory system due to some diseases, may have disturbed sleep to a great extent. It has been proved in various community based epidemiologic studies. Though most of such studies available had concentrated on single respiratory disease like Chronic Obstructive Pulmonary Disease (COPD) or Asthma in the community. But such studies are hardly available for patients attending a respiratory clinic, where all respiratory ailments were evaluated with concurrent sleep problems. The present study is one such.

Methods:
Total 163 patients were screened and among them 100 were selected as the study group. The patients were enquired with a standard questionnaire provided to them. In addition, they were given separate questionnaire as STOP BANG, Insomnia Severity Index Score, RLS questionnaire. Those persons with STOP BANG > 5, were also advised for a polysomnography (PSG), if not already done. Descriptive statistical analysis has been carried out in the present study.

Results:
The present study is a cross-sectional depiction of relationships between various respiratory diseases and sleep problems. As per this study, most patients were asthmatic and commonest sleep problem was OSA. A subgroup analysis was done to determine the significance of difference of various parameters between the three groups of asthmatic patients, patients having COPD and the “Other” group.

Discussion:
Subjective sleep problems were significantly more in Asthma group than COPD group (P < 0.0362). The mean STOP BANG was more in COPD group than the Asthma group (P < 0.0301). Though OSA was the commonest sleep problem between the three groups, but the prevalence was not statistically significant between them. More patients in the COPD group had insomnia, but it was not statistically significantly more than in Asthma group. Sleeping pill use was significantly more in COPD group than the Asthma group (P < 0.0039).

Conclusion:
Sleep problems are common in patients with respiratory diseases and OSA is the most common problem according to the present study. Asthma patients had more subjective sleep problems. Sleeping pill use was more common in COPD patients instead of having less subjective sleep complaints than asthma patients.
Cutibacterium acnes in spine tissue: characteristics and outcomes of non-hardware-associated vertebral osteomyelitis
Authors: Passerini Matteo , Maamari Julian , Geno Tai Don Bambino , Patel Robin , Tande Aaron J. , Temesgen Zelalem , Berbari Elie F. 
Published: April 2023

Abstract. Cutibacterium acnes isolation from spine tissue can be challenging because the organism can
represent a contaminant. There is a paucity of data regarding the role of
C. acnes in non-hardware-associated vertebral osteomyelitis (VO). Herein we
evaluate the clinical and microbiological characteristics, treatment, and
outcome of patients with C. acnes VO. Data were retrospectively collected from
adults with a positive spine culture for C. acnes at Mayo Clinic, Rochester (MN),
from 2011 to 2021. Patients with spinal hardware and polymicrobial
infections were excluded. Of the subjects, 16 showed radiological and
clinical findings of VO: 87.5 % were male, the average age was 58 years
(±15 SD), and back pain was the predominant symptom. Of the lesions, 89.5 % involved the thoracic spine. Of the subjects, 69 % had experienced an antecedent
event at the site of VO. In five subjects, C. acnes was isolated after 7 d of anaerobic culture incubation. Thirteen subjects were treated with parenteral
β-lactams, and three with oral antimicrobials, without any evidence
of recurrence. Twenty-one subjects were not treated for VO, as C. acnes was
considered a contaminant; at follow-up, none had evidence of progressive
disease. C. acnes should be part of microbiological differential diagnosis in
patients with suspected VO, especially in the context of a prior spinal
procedure. Anaerobic spine cultures should undergo prolonged incubation to
enable recovery of C. acnes. C. acnes VO may be managed with oral or parenteral
antimicrobial therapy. Without clinical and radiological evidence of VO, a
single positive culture of C. acnes from spine tissue frequently represents
contaminants.
“I Remembered the Saying” (Tobit 2:6): Recognizing Emotions in Scripture with Tobit and Eve
Authors: Heath Jane 
Published: April 2023

Abstract
This experimental article is methodologically Christian, in the sense that it is structured as a Christian mimesis of how a scriptural saint cited Scripture. However, the choice of subject matter commits it to engaging with the post-Enlightenment secular context, and principles of exegetical, historical, and theological analysis anchor it within wider scholarly debates. Concretely, the article takes the scriptural portrayal of Tobit’s recognition of his own emotion in Scripture as a paradigm or type for one way of encountering Scripture today. The first part examines a vignette of Tobit remembering a scriptural text about grief at a moment when he experiences intense grief. The second, longer part explores the transition to the post-Enlightenment context by performing and interrogating an act of recognizing in Scripture an emotion that has only been theorized since the eighteenth century, namely “disgust,” which is “recognized” in the scriptural narrative of Eve’s temptation in Gen 3. The purpose of the mimetic reception and the scholarly interrogation of it is not to replicate or critique Tobit’s example, but to allow it to be inhabited in a way that can remain meaningful from a Christian perspective without closing our eyes to the real challenges of modernity and, lest it be forgotten, of being human. This is offered simply as one exhibit in a potentially capacious gallery of attempts to learn from the Scriptures and the saints how to inhabit Scripture in the modern world.
Figuring One’s Calling: A Lukan Passion Theology of Vocation in Dialogue with Karl Barth
Authors: Erickson Amy J. 
Published: April 2023

Abstract
This article contends that a figural reading of Luke’s passion narrative, influenced by Barth’s account of vocation, offers a heuristic for discerning contemporary callings. The first part of this study examines Barth’s theology of vocation. For Barth, one’s vocation is a dialectic of the concrete circumstances of the disciple and the dynamic, event-like nature of the call itself. Together, a disciple’s vocation is primarily a form of witness to the Christ who calls. The article then deploys Barth’s account of vocation to inform a figural reading of Luke’s passion narrative. This reading generates a renewed perception of prevailing vocational forms in the present.
O espaço nacional da economia internacional: O circuito espacial da produção têxtil no Rio Grande do Norte
Authors: Azevedo Igor Rasec Batista de , Azevedo Francisco Fransualdo de 
Published: April 2023

A topologia da atividade têxtil no Rio Grande do Norte, espacialmente distribuída de maneira dispersa, e concentrada, denota uma capilaridade socioespacial, por meio da qual se coadunam tipologias do circuito espacial da produção têxtil, coordenadas por um uso corporativo do território. Para a pesquisa verticalizou-se na teoria do espaço geográfico, nos conceitos de território e circuitos espaciais produtivos, e empregaram-se procedimentos teórico-metodológicos de coleta e sistematização de dados, baseados em técnicas de pesquisa documental, e pesquisa de campo articulada com uma base estatística. A tipologia das manifestações do circuito espacial da produção têxtil no estado contempla seis sub-circuitos, dentre os quais se destacam os: das grandes marcas do vestuário, dos artefatos têxteis, dos suprimentos têxteis para a cadeia do petróleo e das facções do vestuário. As interfaces desses sub-circuitos são tecidas por solidariedades organizacionais, geridas por corporações do círculo de cooperação têxtil, como um espaço nacional da economia internacional.
Violência contra as mulheres e instituições públicas em Campinas - SP: O paradoxo entre a lógica espacial masculina e a experiência feminina
Authors: Buck Rossetto Maria Júlia 
Published: April 2023

A violência é historicamente construída e estruturalmente mantida na sociedade. No que tange ao gênero, a violência se reafirma através de relações de poder patriarcais, constantemente presentes nas vivências cotidianas: às mulheres estão expostas às vulnerabilidades decorrentes de dinâmicas que hierarquizam os papéis entre masculino e feminino. Apesar de crescentes iniciativas, a espacialidade continuamente auxilia na manutenção das relações violentas de poder pautadas, entre outros pilares, na construção social do gênero. Campinas, município do estado de São Paulo, evidencia a dominação de poder masculina no desenvolvimento do tecido urbano, inclusive no que diz respeito aos locais de atendimento às mulheres vítimas de violência, salientando a desigualdade espacialmente intrínseca às relações sociais. Partindo desta realidade, o presente artigo propõe um debate inicial acerca das dimensões escalares que compõem a multiplicidade de relações espaciais que fomentam a lógica das redes materiais e imateriais constituidoras de vulnerabilidades às mulheres campineiras.
Rua, corporeidades e multipli-cidades: Experiências de mulheres em situação de rua na cidade de Pelotas/RS
Authors: Fernandes Talita , Pires Cláudia Luísa Zeferino 
Published: April 2023

Este artigo tem como objetivo discutir as relações estabelecidas entre corpo e rua e a implicação da questão do gênero nestas relações, a partir da análise de experiências de mulheres em situação de rua na cidade brasileira de Pelotas/RS. Minoria na situação de rua, as mulheres são o maior alvo de violências nesse contexto. Tal dado revela a questão do gênero como determinante para as experiências vividas pelos diferentes corpos na cidade. A reflexão teórica tem contribuições das Geografias Feministas, bem como da Antropologia Urbana. A inserção em campo ocorreu nos moldes da pesquisa etnográfica, com a realização de observação participante e entrevistas com mulheres em situação de rua. Analisamos as percepções das interlocutoras acerca de suas vivências, bem como o que elas nos revelam sobre a relação corpo-cidade. Assim, discutimos as múltiplas experiências dessas mulheres, que nos revelam multipli-cidades, a partir das corporeidades vividas no espaço da rua.
Het arrest E.K.: de weg naar een volwaardig EU-Chavez-verblijfsrecht
Authors: Scheers E.T.P. 
Published: April 2023

Het arrest E.K.: de weg naar een volwaardig EU-Chavez-verblijfsrecht. Van afgeleid EU-verblijfsrecht naar het recht op verblijf voor onbepaalde tijd
In 2011 oordeelde het Hof van Justitie in het baanbrekende arrest Zambrano dat het gezinslid uit een derde land van een minderjarige Unieburger die zich in een puur interne situatie bevond, rechtstreeks op basis van artikel 20 VWEU een afgeleid verblijfsrecht heeft. Na dit arrest heeft de invulling van dit verblijfsrecht, dat later naar een ander arrest van het Hof van Justitie het ‘Chavez-verblijfsrecht’ is gedoopt, een stormachtige ontwikkeling doorgemaakt. In een nieuwe loot aan de stam van deze jurisprudentie, het arrest E.K., oordeelt het Hof van Justitie dat dit Chavez-verblijfsrecht als niet-tijdelijk moet worden beschouwd en dat het gezinslid met zo’n verblijfsrecht aanspraak kan maken op verblijf voor onbepaalde tijd. Nadat Nederland al eerder door het Hof van Justitie op de vingers was getikt vanwege de te restrictieve vaststelling van dit Chavez-verblijfsrecht, komt het Hof van Justitie in dit arrest opnieuw tot een ander oordeel dan door Nederland was bepleit. Als gevolg van dit arrest zijn het Nederlandse Chavez-beleid en de Nederlandse Chavez-rechtspraak wederom gewijzigd.HvJ 7 september 2022, C-624/20, ECLI:EU:C:2022:639 (E.K.).
Cloaca a cielo abierto versus Parque periurbano: el caso del río Ripoll
Authors: Carcaño Zapata Carme 
Published: April 2023

The middle stretch of the River Ripoll went from being an open-air sewer to a peri-urban park in the second metropolitan area of Barcelona. The study of this project will allow us to verify the following hypothesis: the river spaces project must arise from strategies that arise from the study of work layers. This study will lead to fragmented projects, which at all times will take into account interdisciplinary, interscalar work that ensures good management of water resources. For this, two documents initiated by the municipality of Sabadell in the eighties and nineties that allowed changing the dramatic situation of the river will be studied: “The organization of Ripoll in Sabadell. Urban and environmental history” and the “Comprehensive Ripoll Improvement Plan”. Finally, there will be a critique of the project carried out taking into account the current view.
El tramo medio del río Ripoll pasó de ser una cloaca a cielo abierto a un parque periurbano de la segunda corona metropolitana de Barcelona. El estudio de este proyecto permitirá verificar la siguiente hipótesis: el proyecto de los espacios fluviales debe surgir de unas estrategias que surgen del estudio de unas capas de trabajo. Este estudio derivará a unos proyectos fragmentarios, que en todo momento tendrán en cuenta un trabajo interdisciplinar, interescalar que vele por una buena gestión de los recursos hídricos. Para ello se estudiará dos documentos iniciados por el municipio de Sabadell en la década de los ochenta y noventa que permitieron cambiar la situación dramática del río: “La ordenación del Ripoll a Sabadell. Historia urbana y medioambiental” y el “Plan Integral de Mejora del Ripoll”. Por último, se realizará una crítica al proyecto realizado teniendo en cuenta la mirada actual.
El Río Jordán como eje espacial de Tunja, Colombia: el paseo universitario
Authors: Arteaga Maria Elena 
Published: April 2023

Studies have shown that in urban areas, rivers are axes of connection to the territory as a potential for sustainable development. Currently, when growth is fragmented and without a defined structure, the urban design of cities does not adequately link the ecosystemic processes between rivers and their built environment. This article proposes, from a design perspective, three urban design proposals for the Jordan River. The river is located northeast of Tunja, Colombia. The proposals are evaluated as river scenarios, and through qualitative and quantitative characteristics, a final proposal is given hierarchy to the river in relation to the context, taking into account the compactness indexes. It is concluded that the best proposal has an average absolute compactness of 1.4 and an average corrected compactness of 6, showing the importance of increasing height and built area in areas close to the river.
Estudios han mostrado que en las zonas urbanas los ríos son ejes de conexión al territorio como potencial en el desarrollo sostenible. Actualmente, cuando el crecimiento es fragmentado y sin una estructura definida, el diseño urbano de las ciudades no vincula adecuadamente los procesos ecosistémicos entre los ríos y su entorno construido. Este artículo plantea, desde una perspectiva proyectual, tres propuestas de diseño urbano del rio Jordán. El río está localizado al nororiente de Tunja, Colombia. Las propuestas se evalúan como escenarios de río, y a través de características cualitativas y cuantitativas se plantea una propuesta final que brinda jerarquía al río en relación con el contexto teniendo en cuenta los índices de compacidad. Se concluye que la mejor propuesta resulta con compacidad absoluta promedio de 1.4 y una compacidad corregida promedio de 6, evidenciando la importancia de aumentar altura y área construida en zonas cercanas al río.
บริบทและเงื่อนไขการยุติการเป็นขอทาน: กรณีศึกษาในกรุงเทพมหานคร
Authors:   , ธรรมลังกา วัฒนา 
Published: April 2023

ปัญหาขอทานเป็นปัญหาสังคมมายาวนานทั้งในแง่เศรษฐกิจและสังคม และส่งผลไปยังปัญหาอื่น ๆ ที่เกี่ยวข้อง เช่น การค้ามนุษย์ การป้องกันและแก้ปัญหาให้ขอทานหลุดพ้นจากสภาวะการเป็นขอทานจึงเป็นประเด็นสำคัญ การศึกษาครั้งนี้เพื่อ 1) ศึกษาถึงเงื่อนไขของการเข้าสู่การเป็นคนขอทาน 2) ศึกษาถึงเงื่อนไขที่ส่งผลต่อการยุติการเป็นคนขอทาน 3) ศึกษาถึงรูปแบบและวิธีการที่คนขอทานไทยยุติการเป็นคนขอทาน และ 4) เสนอแนะแนวทางการป้องกันและการให้ความช่วยเหลือแก่คนขอทานไทย ผ่านการศึกษาเชิงคุณภาพแบบประวัติศาสตร์ชีวิต (Life History) ของกรณีศึกษา โดยเลือกกลุ่มเป้าหมายในการศึกษาแบบเฉพาะเจาะจงเป็นบุคคลที่หลุดพ้นสถานะของคนขอทานในสองสถานะคือบุคคลที่ประกอบอาชีพอยู่แล้ว และบุคคลอยู่ในระหว่างการพักฟื้นภายในสถานคุ้มครองคนไร้ที่พึ่ง จำนวน 6 คน จากผลการศึกษาพบว่า เงื่อนไขที่ส่งผลให้กลายเป็นคนขอทานเมื่อพิจารณาจากแนวคิดนิเวศวิทยาเชิงสังคม ได้แก่ 1) เงื่อนไขระดับบุคคล (Individual Level) ประกอบด้วย ปัจจัยทางเศรษฐกิจ และปัญหาความยากจน ปัจจัยด้านความพร้อมของสภาพร่างกายและจิตใจ และเงื่อนไขปัจจัยด้านระดับการศึกษา 2) เงื่อนไขระดับระหว่างบุคคล (Interpersonal Level) หรือปัจจัยด้านครอบครัวเป็นเงื่อนไขหลักที่ผลักดันให้กรณีศึกษาแทบทุกกรณีกลายเป็นคนขอทาน 3) เงื่อนไขระดับสถาบัน (Organizational / Institutional Level) ประกอบด้วยปัจจัยด้านทุนทางสังคมและการเข้าถึงทุนทางสังคม ที่คอยให้การสนับสนุน เงื่อนไขในระดับ ที่ 4) เงื่อนไขระดับชุมชน (Community Level) และ 5) เงื่อนไขระดับสังคม (Social Level) เป็นเงื่อนไขที่ไม่ส่งอิทธิพลต่อการกลายเป็นขอทาน อย่างไรก็ตามเพื่อให้หลุดพ้นจากการเป็นขอทานพบว่าประกอบด้วยสามระยะ คือ 1) ช่วงระยะตั้งต้น 2) ช่วงเปลี่ยนผ่านมาเป็นคนทั่วไปและพร้อมที่จะเริ่มต้นทำงาน และ 3) ช่วงสร้างความมั่นคงในงานหรืออาชีพ ซึ่งเป็นปัจจัยที่ช่วยสนับสนุนให้ชีวิตของอดีตคนขอทานสามารถทะยานพ้นจากการเป็นขอทานซึ่งอยู่ในเงื่อนไขระดับสถาบันและเงื่อนไขระดับสังคมมากกว่าเงื่อนไขระดับที่ใกล้ตัวขอทาน คือ ปัจจัยจากภาครัฐ และภาคส่วนต่าง ๆ ในสังคมอย่าง สถาบันทางศาสนาเป็นต้น อย่างไรก็ตาม ปรากฏการณ์การเปลี่ยนผ่านมาเป็นขอทานและการกลับไปเป็นคนปกติมีปัจจัยที่แยกขาดออกจากกันไม่ได้อย่างชัดเจน เพราะแต่ละปัจจัยมีความซับซ้อนและเชื่อมโยงซึ่งกันและกัน ดังนั้นขอทานแต่ละคนจะมีเงื่อนไขของการกลับไปสู่คนปกติที่แตกต่างกัน และการแก้ไขเป็นกระบวนการที่สิ้นเปลืองทรัพยากรมากกว่าการป้องกันไม่ให้กลายมาเป็นขอทาน ข้อเสนอแนะในการศึกษาครั้งนี้ คือ การกำหนดนโยบายในการป้องกันเพื่อไม่ให้บุคคลในสังคมต้องเปลี่ยนสถานะเป็นคนขอทาน และนโยบายที่ให้ความช่วยเหลือแก่บุคคลที่มีสถานะเป็นคนขอทานให้สอดคล้องกับบริบทของปัญหาในสถานการณ์ปัจจุบันอย่างเหมาะสม ในกลุ่มคนที่สามารถหลุดพ้นสถานะจากการเป็นคนขอทานและเปลี่ยนสถานะมาเป็นคนที่เริ่มต้นจะเป็นคนทำงาน และมีสถานะเป็นคนทำงานแล้ว รัฐและสถาบันอื่น ๆ ในสังคมก็ควรที่จะหยิบยื่นโอกาสและมอบความช่วยเหลือในด้านต่าง ๆ ประกอบกับทัศนคติที่ผู้คนในสังคมมีต่อกลุ่มเป้าหมายในครั้งนี้