bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of the Burden and Factors Associated with Missed Opportunities for Vaccination in a South-Western State of Nigeria: Toward Immunization Agenda 2030
Authors: Eze UT. , Tanimowo SO. , Ajadi AE. , Okeke C , Ohazurike C , Uzochukwu BS.C. 
Published: June 2023

ABSTRACT

Background:
Immunization Agenda 2030 prioritized the tackling of certain factors stalling immunization progress globally, among which are missed opportunities for vaccination (MOV), when eligible children have contact with health facilities without being vaccinated.

Aim:
This paper presents the baseline of an implementation research aimed at assessing the burden and identifying the factors leading to MOV in a South-Western Nigerian state.

Materials and Methods:
The 10-step World Health Organization MOV strategy was used to select local government areas and health facilities in Lagos State purposively. Children 0–23 months and healthcare workers were sampled through exit interviews with caregivers and knowledge, attitude, and practice surveys with health workers. MOV was estimated using documented (child health card or health facility register) vaccination histories included in the National Immunization Programme (NIP).

Result:
Among the caregivers, 475 (79.2%) had complete documentation of vaccination histories among which 292 (61.5%) children were eligible for vaccination. About 15% of the eligible children had one or more MOVs at the survey dates. Among curative service visits, 80% of the children had MOVs compared to 6.7% for vaccination visits. Among the healthcare workers, about two-thirds have poor knowledge of NIP and are not aware that the immunization status of children should be screened at each visit.

Conclusion:
The findings showed that MOV occurs especially in non-vaccination visits, where healthcare workers care less about immunization statuschecks. Active immunization status checks and providing linkages for immunization services may help in reducing MOV and improving immunization coverage rates in Lagos State towards fulfiling immunization Agenda 2030.
Low Immunization Completion among Under-Five Children: Are Underserved Nomadic and Farming Communities in a North Central State of Nigeria doing Better?
Authors: Nwachukwu BC , Alatishe-Muhammad BW , Ibizugbe S , Alake ID , Bolarinwa OA 
Published: June 2023

ABSTRACT

Background:
The recent drop in immunization coverage in Nigeria has left more than 3.25 million children unimmunized and has risen concerns over immunization completion among the under-five children. More so among underserved communities of pastoralist nomads and farmers that were isolated from immunization services because of operational and sociocultural factors.

Materials and Methods:
A cross-sectional analytical (comparative analysis) study was carried out among 550 eligible caregivers of under-five children in nomadic and farming communities in Niger State, Nigeria. The mothers and caregivers paired with under-five children were recruited into the study using a multi-stage sampling technique. Data were collected using a validated interviewer-administered questionnaire. Data were analyzed with SPSS (version 23).

Results:
More than half of the under-five children studied were males in both the nomadic (57.5%) and farming (52.0%) communities. The aggregated score of immunization knowledge was significantly (p < 0.001) better (Good 44.4%; Fair 49.8%) among farmers compared to their nomad counterparts (Good 21.1%; Fair 43.6%). Conversely, almost all the respondents (98.2%) in the nomadic community significantly had a good overall perception of childhood immunization compared to 77.1% in the farming community. More farmers’ children (99.6%) had received immunization compared to 92.4% of the nomads’ children. About 87.3% of farmers compared to 76% of the nomads’ (76.0%) children reported immunization completion. About 50.5% of the farmers’ and 41.4% of the nomads’ children have achieved immunization on card inspection.

Conclusion:
This study revealed that average immunization completion reported among under-five children in both farming and nomadic communities is higher than the national average. It is recommended that more strategies are needed to intensify immunization campaigns targeted at populations in Nigeria.
Assessing the Acceptability of Data Dashboards and Charts for Monitoring Routine Immunisation in Local Governments and Primary Health Centres in Adamawa State, Nigeria
Authors: Hassan AM , Bashir SS , Mbachu C , Umar AA , Ezumah N , Onwujekwe OE 
Published: June 2023

ABSTRACT

Background:
The need to strengthen the quality of routine immunisation data (RI) has been underscored. Thus; affecting effective decision-making and efficient resource allocation.

Aim:
This study was undertaken to determine the level of acceptability and perceived effectiveness of data dashboard and monitoring chart among RI data managers in Local Governments Areas (LGA) and Primary Health Centers (PHC) in Adamawa State, Nigeria.

Method:
A cross-sectional survey of 28 data managers from LGAs and 262 from PHCs was carried out in seven underperforming LGAs in the state. The data managers were trained and monitored for implementation of data management using dashboards and monitoring charts. Structured questionnaire was used for the survey. Acceptability was measured across seven domains of Theoretical Framework for Accountability on a five-point Likert scale using a 37-item composite scale for the LGA survey and 36-item composite scale for the PHC survey.

Results:
Median acceptability scores were generated for each domain and these were used to determine the rates and levels of acceptability. The composite score for acceptability was 4.59 (IQR: 4 - 4.82) and 4.24 (IQR: 4 -4.69) for LGA and PHC data managers, respectively. The median scores for perceived effectiveness and affective attitude were higher than the composite acceptability scores. While the median scores for experienced burden, ethicality and opportunity cost were lower than the composite acceptability scores. The overall rate of acceptability was 75% among LGA data managers and 69.23% among PHC data managers. The levels of acceptability were high at 100% among LGA data managers and 96.92% among the PHC workers. A unit increase in age decreased acceptability by 3.3%, while being male decreased acceptability by 47.1%.

Conclusion:
The use of data dashboards and charts to monitor RI data quality and performance is acceptable in Adamawa state, and should be scaled up in the State.
The Impact of Household and Community Indoor Residual Spray Coverage with Fludora Fusion in a High Malaria Transmission Setting in Northern Zambia
Authors: Ferriss Ellen , Chaponda Mike , Muleba Mbanga , Kabuya Jean-Bertin , Lupiya James Sichivula , Riley Christina , Winters Anna , Moulton Lawrence H. , Mulenga Modest , Norris Douglas E. , Moss William J. , _ _ 
Published: June 2023

ABSTRACT.
Zambia’s National Malaria Elimination Program transitioned to Fludora Fusion in 2019 for annual indoor residual spraying (IRS) in Nchelenge District, an area with holoendemic malaria transmission. Previously, IRS was associated with reductions in parasite prevalence during the rainy season only, presumably because of insufficient residual insecticide longevity. This study assessed the impact of transitioning from Actellic 300CS to long-acting Fludora Fusion using active surveillance data from 2014 through 2021. A difference-in-differences analysis estimated changes in rainy season parasite prevalence associated with living in a sprayed house, comparing insecticides. The change in the 2020 to 2021 dry season parasite prevalence associated with living in a house sprayed with Fludora Fusion was also estimated. Indoor residual spraying with Fludora Fusion was not associated with decreased rainy season parasite prevalence compared with IRS with Actellic 300CS (ratio of prevalence ratios [PRs], 1.09; 95% CI, 0.89–1.33). Moreover, living in a house sprayed with either insecticide was not associated with decreased malaria risk (Actellic 300CS: PR, 0.97; 95% CI, 0.86–1.10; Fludora Fusion: rainy season PR, 1.06; 95% CI, 0.89–1.25; dry season PR, 1.21; 95% CI, 0.99–1.48). In contrast, each 10% increase in community IRS coverage was associated with a 4% to 5% reduction in parasite prevalence (rainy season: PR, 0.95; 95% CI, 0.92–0.97; dry season: PR, 0.96; 95% CI, 0.94–0.99), suggesting a community-level protective effect, and corroborating the importance of high-intervention coverage.
Competitions and Community of Philosophical Inquiry: Compatible or not?
Authors: García Moriyón Félix , Lafuente-Aliaga Irene 
Published: June 2023

Philosophy contests proliferate today. The Philosophy Olympiads are the most common. In the International Council of Philosophical Inquiry with Children (ICPIC) community there is some concern about a possible contradiction between the cooperative and community-centred approach to the practice of philosophy in education and the intrinsic rivalry of competitions. The arguments against these contests focus on their main risks. It is thought that they potentially reinforce the particularly harmful meritocratic educational system while simultaneously increasing inequality and reinforcing private education. Furthermore, the belief is that they promote destructive controversy where the goal is winning the debate. In Community of Philosophical Inquiry (CoPI), however, notions exist that could potentially be favoured in these competitions. CoPI focuses on demanding and cooperative argumentative dialogue and encourage parresia, the assertive and reasoned defence of one’s ideas in adversarial contexts. Likewise, the Olympic principles promote fair play; the search for excellence and the ideals of isonomy, isegory and isokratia, fostering participant skills and values which are desirable from an educational, philosophical and democratic perspective.We consider that, from an educational perspective as well as from the Philosophy for Children educational approach, participation in competition is possible and even desirable if the negative aspects it might have are addressed.
Kebijakan Pengaturan Pajak Hotel dan Restoran Sebagai Sumber Pendapatan Daerah DKI Jakarta Di Tengah Pandemi Covid-19
Authors: Inasito David Osvaldo 
Published: June 2023

Covid-19 has implications for social, economic growth, decreased state and regional revenues and economic growth that has slowed so that state and regional incomes do not reach the desired target. The government not only measures health efforts and handling this outbreak but also makes economic efforts that still have to run in pandemic conditions through policies and major steps taken. The Central Government issued Government Regulation In lieu of Law No. 1 of 2020 on State Financial Policy and Financial System Stability for The Handling of coronavirus pandemic 2019 and each region issued several policies related to the fulfillment of local original income, especially for the City of DKI Jakarta which is also affected related to local tax arrangements, namely hotel taxes and restaurant taxes that contribute greatly. against PAD Kota DKI Jakarta. The purpose of this study is to see what the implications are for the existing condition of reducing hotel and restaurant tax rates in DKI Jakarta in the current pandemic conditions. This research uses a type of normative juridical research and with a type of research approach to the statutory approach, the case approach, the conceptual approach. The results of research on the implications of conditions in the city of DKI Jakarta and the efforts of the DKI Jakarta Provincial Government to overcome the decline of PAD through the policies provided one of them provides relief to hotel and restaurant taxpayers in pandemic conditions and provides freedom in the payment of tax penalties for hotels and restaurants that are certainly adjusted to certain conditions and requirements so that PAD Kota DKI Jakarta from the local tax sector continues to run. and able to meet the targets that have been determined as they should
As an Intervening Variable Trust, the Influence of Functional Value, Social Value, and Emotional Value on Purchase Intention
Authors: Raharja Gadang , Udayana IBN , Cahyani Putri Dwi 
Published: June 2023

Tokopedia is an online retail platform that can be found and downloaded from the Playstore Web. This study examines the functional, social, and emotional effects of Trust on Purchase Intention among Tokopedia users. The study employs quantitative methodology, including gathering, evaluating, and presenting data in numerical rather than narrative form. The sample wore purposive Random Sampling. A total of 102 people were polled from Tokopedia's various user groups. Based on the findings, it is clear that Functional Value has no positive or substantial impact on Trust. Social value has a positive impact on Trust and is related to it. The emotional value has a favorable impact on the Trust and is related to it. Trust has a beneficial impact on purchasing intentions and is related to them. A one-tailed probability of higher than 0.5 indicates that practical value does not affect Purchase Intention as a Trust intervening variable. As a Trust intervening variable, a one-tailed probability smaller than 0.5 suggests that social value affects Purchase Intention. A one-tailed chance of less than 0.5, on the other hand, implies that emotional value influences Purchase Intention as a Trust intervening variable.
Functional Value, Social Value, Emotional Value, Purchase Intention, and Trust are used in this study.
PENGEMBANGAN MEDIA PEMBELAJARAN MATERI BENTUK DAN OPERASI ALJABAR BERBASIS ANDROID
Authors: Mertosono Sri Wahyuni , Sulangi Victor R. , Sumarauw Sylvia Jane A. 
Published: June 2023

Penelitian ini dilatarbelakangi kurangnya penggunaan teknologi sebagai media pembelajaran yang dapat membantu siswa untuk meningkatkan hasil belajar pada materi bentuk dan operasi aljabar. Penelitian ini merupakan penelitian pengembangan atau Research and Development (RD) dengan tujuan mengembangkan produk media pembelajaran yang valid, praktis dan efisien menggunakan model pengembangan 4D. Persentase kevalidan dari hasil penilaian ahli materi dan media sebesar 92,6% dan 90,9% dengan kategori sangat valid. Persentase kepraktisan media dilihat dari respon guru sebesar 95,4% dan respon siswa 89% dengan kategori sangat baik. Uji-t dilakukan untuk menguji keefektifan menggunakan tes hasil belajar siswa kelas eksperimen dan kelas kontrol, dengan hasil pengujian t_hitung=2,014695t_tabel=1,686 yang artinya belajar menggunakan media ini lebih efektif daripada yang tidak menggunakan. Kesimpulannya, media yang dikembangkan valid, praktis, dan efektif untuk digunakan dalam pembelajaran.
Accuracy of a faecal immunochemical test in patients under colonoscopy surveillance of colorectal adenoma and cancer
Authors: Olsson Louise , Sjöberg Daniel 
Published: June 2023

Background: Surveillance of colorectal neoplasia place great strain on colonoscopy resources, and faecal immunochemical tests (FIT) are under-investigated for this purpose. The aim of this study was to report the outcome of FIT among patients scheduled for post-polypectomy and post-resection colorectal cancer (CRC) surveillance.
Methods: Patients scheduled for colonoscopy surveillance at five endoscopy units in mid-Sweden in 2016–2020 were eligible. They provided a faecal sample from 2 separate days, which were analysed by iFOBT QuikRead go® (Aidian Oy). Both the colonoscopies, and the FIT analyses were conducted by staff blinded to the other.
Results: Out of 216 included patients, 157 (73%) underwent both a complete colonoscopy and had at least one FIT analysed prior to the examination. The indication for surveillance was previous adenoma in 69 (44%) and post-resection CRC in 88 (56%) patients. Two (1%) in the CRC surveillance group were diagnosed with a metachronous CRC, whereas 49 (56%) patients in the CRC surveillance, and 17 (25%) in the adenoma group had no pathology identified at colonscopy (P < 0.001). The proportion of patients diagnosed with adenomas requiring surveillance according to European Society of Gastrointestinal Society (ESGE) guidelines 2020 was 6 (7%) in the post-CRC resection versus 7 (10%) in the adenoma surveillance group (P = 0.4). Based on one FIT and at cut-off 10 µg Hb/g, sensitivity for CRC was 100%, specificity 83% (95% confidence interval [CI]: 77–89), Positive Predictive Value (PPV) 7% (−2 to 16) and Negative Predictive Value (NPV) 100%. All patients with an adenoma requiring surveillance had a FIT below this cut-off. Adding a second FIT decreased the specificity.
Conclusion: Larger studies to evaluate the accuracy and consequences of using FIT for surveillance of colorectal neoplasia are needed. FIT may be more interesting for post-resection CRC surveillance than follow-up of adenoma.
Recursos didácticos en la asignatura de Estudios Sociales, décimo año, colegio “Nueve de Octubre”
Authors: Ramón-Ajila Stefany Scarlet , Nazareno-Celi Danna Nayeli 
Published: June 2023

Los recursos didácticos o medios de enseñanza han demostrado ser un poderoso componente del proceso de enseñanza-aprendizaje para alcanzar la motivación de los estudiantes y facilitar los procedimientos didácticos, la colaboración entre los pares y el aprendizaje significativo. El presente trabajo tiene como objetivo caracterizar el uso de los recursos didácticos en los Estudios Sociales del décimo año del colegio “Nueve de octubre”; en tal sentido se desarrolló una investigación descriptiva con enfoque cuantitativo, sustentada en los métodos: revisión bibliográfica, analítico-sintético y estadístico; así como en las técnicas de observación directa y la encuesta aplicada a una muestra de 31 estudiantes. Entre los principales hallazgos se encuentra la escasez de recursos didácticos y el desinterés de los docentes por su elaboración. Se concluye que existen limitaciones y falencias que caracterizan el uso de los medios didácticos en el salón de clase; estos no son adecuados, así como las metodologías para su empleo; no existe plena correspondencia entre los recursos didácticos y los procedimientos didácticos utilizados, no se logra el total cumplimiento de los objetivos, la motivación de los estudiantes y establecer las relaciones entre los actores del proceso de enseñanza-aprendizaje, lo que no permite alcanzar el aprendizaje significativo.
Vulneración del derecho al honor y dignidad humana de los fallecidos durante la Covid-19
Authors: Montero-Ortiz Fiorella Nicole , Cuenca-Ramírez Augusto Gonzalo 
Published: June 2023

En el contexto regional latinoamericano se vislumbró durante la pandemia de Covid–19 un panorama de carencias y desigualdades, donde la vulneración al honor y a la dignidad humana para el fallecido y sus familiares era una amenaza latente. El presente estudio tiene como objetivo analizar esta situación en el contexto ecuatoriano; para lo cual se desarrolló una investigación descriptiva con enfoque cualitativo sustentada en los métodos: análisis documental, hermenéutico y analítico-sintético. Entre los principales hallazgos está la vulneración del derecho al honor y la dignidad humana de los fallecidos y sus familiares por el extravío y confusión de decenas de cadáveres, lo que evidencia negligencia por parte de las autoridades sanitarias.
HUBUNGAN RIWAYAT KURETASE DAN OPERASI SECTIO CAESAREA DENGAN KEJADIAN PLASENTA REVIA DI RSUD KOTA PRABUMULIH
Authors: Gustika Anggriani  
Published: June 2023

Placenta Previa is Abnormalities during pregnancy are characterized by the presence of placental tissue covering the cervix. Determine the history of curettage and sectio caesarea surgery the occurrence of placenta previa. method analytic, using a cross sectional approach. The population of this study were all mothers giving birth in the midwifery room at the Prabumulih City. General Hospital, which were 1778 people. This study using a random sampling technique as many as 326 respondents. The research instrument is a checklist. univariate analysis showed that from 326 respondents there were 123 respondents (37.7%) who had placenta previa and 203 respondents (62.3%) who did not experience placenta previa. there were 80 respondents (24.5%) who had a history of curettage and 246 people (75.5%) who did not have a history of curettage. there were 64 respondents (19.6%) who underwent cesarean section and 262 (80.4%) did not undergo cesarean section. Bivariate analysis it was found that of the 80 respondents who had a history of curettage, 62 (19%) had placenta previa and of the 61 respondents who did not have a history of curettage, 61 (18.7%) had placenta previa, from 63 respondents who had surgery. sectio caesarea there are 47 people (14.4%) experienced placenta previa and of 303 respondents who underwent sectio caesarea surgery there were 76 people (23.3%) experienced placenta previa. 0.000 < 0.05, there is a significant relationship between cesarean section surgery and placenta previa with a P value of 0.000 < 0.05.
Keywords: Placenta previa, history of curettage, sectio caesarea operasi
HUBUNGAN PARITAS DAN PARTUS LAMA DENGAN KEJADIAN PERDARAHAN POST PARTUM DI RSUD KOTA PRABUMULIH
Authors: Precelia Fransiska  
Published: June 2023

Post partum bleeding is bleeding that occurs after the delivery process with the amount of bleeding exceeding 500cc. The purpose of the study was to determine the relationship between parity and prolonged labor with the incidence of postpartum hemorrhage in the general hospital on prabumulih city. The research method was analytic, using a cross sectional approach. The population of this study were all mothers who gave birth in the general hospital on prabumulih city. The sampling in this study used a random sampling technique, namely 326 respondents. The research instrument is a checklist. The results of the study based on univariate analysis showed that from 326 respondents there were 122 respondents (37.4%) who experienced postpartum hemorrhage and 204 respondents (62.6%) who did not experience postpartum hemorrhage, there were 54 respondents (16.6%) who experienced postpartum hemorrhage. have high risk parity and 272 respondents (83.4%) who have low risk parity, there are 68 respondents (20.9%) who were diagnosed with prolonged labor and 258 respondents (79.1%) who were not diagnosed with prolonged labor. From the bivariate analysis, it was found that from 54 respondents who had high risk parity, 43 respondents (13.2%) were diagnosed with postpartum hemorrhage, from 68 respondents who were diagnosed with prolonged labor, 52 respondents (16%) were diagnosed with postpartum hemorrhage. The conclusion, there is a significant relationship between parity and postpartum hemorrhage with a P value of 0.000 < 0.05, there is a significant relationship between prolonged labor and postpartum hemorrhage with a P value of 0.000 < 0.05
Keywords: postpartum hemorrhage, parity, prolonged labor