bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of the role of education and sport in the heavy burden of obesity
Authors: Kłosińska Martyna , Domańska Iga , Gałuszka Aleksandra , Drabik Sandra , Sulkowska Natalia , Kaczyńska Agnieszka , Chmiel Paulina , Osial Natalia 
Published: August 2023

Obesity has become the global pandemic of the world. The epidemiological rise has only happened in recent decades. Unfortunately, the disease affects people of all ages. The most prominent characteristics of the disorder are excessive fat accumulation, body mass index exceeding the number of 30, and general lowering of the quality of life. The consequences are observed in the whole organism. The disruptions affect one’s overall homeostasis. Certain diseases are specifically associated with excessive fat mass. When not properly managed, obesity leads to chronic illnesses and severe comorbidities, the most morbid one being death. Thus, effective therapeutic approaches are needed. Focus on education and physical activity are the best way to tackle this problem. The aim of this study is to check the factors and changes necessary to lose weight in obese patients in Poland. The main question regarded the role of sport and proper education in maintaining or losing weight in the Polish society. In order to analyse the issue, an Internet survey was prepared and disseminated in March and April 2023. Over half of the respondents have ever used a diet. Over 8 out of ten of them achieved the success in the set task. When asked about physical activity, the most respondents chose option 30-60 minutes per day. The preferred type of physical activity was most commonly walking. When asked if sport enabled the respondents to lose or maintain weight – 63,5% confirmed. 72% of respondents experienced education regarding healthy lifestyle, most commonly at home. Over 60% of respondents believed they were well informed about recommended behaviours. Over 50% of them confirmed their education is sufficient to lose weight. Maintaining healthy regimes is key to a healthy life. However, not all people are properly educated how to do that. In fact, there is a tendency of overestimation of one’s education in those topics. All in all, proper experience and routines are necessary.
Direct oral anticoagulants in general practice
Authors: Gee Emma 
Published: August 2023

Nurses prescribing these medications, used for stoke prevention in atrial fibrillation in general practice, must understand the risks surrounding them. This article outlines indications, side effects and monitoring. Four direct oral anticoagulants (DOACs) are available in the UK and appear in National guidance as first line treatment for VTE and stroke prevention in atrial fibrillation. They provide a more practical option than warfarin, with similar efficacy and safety profiles, with the additional advantage of significantly reduced risk of intracranial haemorrhage (Raschi et al 2016). DOACs are not suitable for patients with mechanical heart valves, antiphospholipid syndrome or for women who are pregnant or breastfeeding. DOACs work by inhibiting a single clotting factor, meaning their effects are more predictable than warfarin which works on several clotting factors. Bleeding is the main side effect and safety consideration of DOACs, with major bleeding occurring in around 1-4% of people taking DOACs ( Hellenbart et al 2017 ). Careful risk assessment, patient counselling and at least annual review of patients on DOACs can help to reduce their associated risks.
The effectiveness of interactive mobile health technologies in improving antenatal care service utilization in Dodoma region, Tanzania: A quasi—Experimental study
Authors: Masoi Theresia J. , Kibusi Stephen M. , Bintabara Deogratius , Lilungulu Athanase 
Published: August 2023

Antenatal care (ANC) provides a platform for important health care during pregnancy, including health promotion, screening, diagnosis and disease prevention. Timely and appropriate utilization of antenatal care can prevent complications as well as ensure optimal maternal and newborn health care. This study assessed the effectiveness of interactive (two way communication) mobile health technologies during antenatal period to improve maternal and newborn service utilization in Dodoma region, Tanzania. Using quasi-experimental design, participants were randomly selected to achieve a sample size of 450 pregnant women (Intervention = 150 and Control = 300) in Dodoma city from January to November, 2018. Interventions were matched to controls by gravidity, education level and gestational age at a ratio of 1 to 2. The intervention group received health education messages through their mobile phones, while the control group continued with standard antenatal care services offered in local clinics. Pregnant women were followed from their initial visit to the point of delivery. The Chi-square test was used to establish the association and regression analysis were used to test the effect of the intervention. The median age of participants was found to be 25 years that ranged from 16 to 41 years. Generally, 77.3 percent of participants in the intervention group utilized adequate (i. ANC care provided by skilled health personnel, ii. Sufficient number of ANC visits (4 or more visits during pregnancy), iii. Appropriate ANC contents provided (visits included at least 13 out of 15 of the recommended basic care procedures or contents) ANC services compared to 57.7 percent in the control group. Interactive mobile health technology system was observed to be effective on improving antenatal care service utilization (AOR = 2.164, P<0.05, 95% CI = 1.351–3.466) compared to conventional antenatal care health education given in local health facilities. Use of interactive mobile health technologies during antenatal period has the potential of improving access to information and antenatal care service utilization in the study setting.
Trial Registration: PACTR202008834066796 “Retrospectively registered”.
Urinogenital schistosomiasis knowledge, attitude, practices, and its clinical correlates among communities along water bodies in the Kwahu Afram Plains North District, Ghana
Authors: Essien-Baidoo Samuel , Essuman Mainprice Akuoko , Adarkwa-Yiadom Bernard , Adarkwa Dominic , Owusu Anita Akua , Amponsah Seth Boakye 
Published: August 2023

Background
Adequate knowledge and proper practices coupled with knowledge of the burden of disease are necessary for the eradication of Schistosoma infection. This study assessed knowledge, attitude, and practice (KAP) as well as health outcomes related to Schistosoma haematobium infection at Kwahu Afram Plains North District (KAPND).

Methods
A cross-sectional survey using a structured questionnaire was carried out among 140 participants from four local communities in KAPND in August 2021. From these participants, 10ml of urine was collected for determination of the presence of S. haematobium and urine routine examination. In addition, 4ml of blood was collected and used for haematological examination. Descriptive statistics and logistic regression analysis using IBM SPSS were used to describe and represent the data collected.

Results
The study reports a gap in knowledge about schistosomiasis in the study area with the majority indicating that they have not heard of schistosomiasis (60.7%), do not know the mode of transmission (49.3%), and do not know how the disease could be spread (51.5%). The overall prevalence of urinary schistosomiasis was 52.9%. This was associated with age, occupation, perceived mode of Schistosoma transmission, knowledge of Schistosoma prevention, awareness that schistosomiasis can be treated, frequency of visits to water bodies, and water usage patterns. In multivariate analysis, factors that remained significantly associated with S. haematobium infection were age 21–40 (OR  =  0.21, 95% CI: 0.06–0.76), 41–60 (OR  =  0.01, 95% CI: 0.01–0.52) and ≥ 60 (OR  =  0.02, 95% CI: 0.02–0.87), informal employment (OR  =  0.01, 95% CI: 0.01–0.69) and awareness of transmission by drinking water from river body (OR  =  0.03, 95% CI: 0.03–0.92). In Schistosoma infection, reduced haemoglobin, haematocrit, mean corpuscular volume, mean corpuscular haemoglobin, lymphocytes and eosinophils were observed. White blood cells, neutrophils, and monocytes were significantly elevated in infected states. Urine analysis revealed high pus cells and red blood cells counts among Schistosoma-positive participants.

Conclusion
Schistosoma infection is endemic among inhabitants in KAPND, and is associated with a gap in knowledge, awareness, and practice possibly due to inadequate education in the area. Poor clinical outcomes associated with Schistosoma infection have been demonstrated in the area. A well-structured public education, nutritional intervention, and mass drug administration will be necessary to eradicate this menace.
Overall maternal morbidity during pregnancy using the WHO-WOICE tools
Authors: Hababa Hanane , Assarag Bouchra 
Published: August 2023

Introduction
The objective of this study is to evaluate the prevalence of nonsevere maternal morbidities (including overall health, domestic and sexual violence, functionality, and mental health) in women during antenatal care in rural versus urban areas. This study aimed to describe the factors that affect women’s health during pregnancy by administration of the WHO’s WOICE 2.0 instrument.

Methods
This was a cross sectional study conducted at perinatal care health centers in Morocco (5 in rural and 5 in urban). We recruited n = 257 women in the third trimester of their pregnancy using a questionnaire developed by the WHO to assess maternal morbidity, which includes various instruments that measure different aspects of maternal health. This tool evaluates the functionality and ability to perform daily tasks includes a tool that evaluates mental health, the General Anxiety Disorder 7-item test (GAD-7), and the 9-item Patient Health Questionnaire (PHQ-9), to assess depression. Data on health conditions and socio-demographic characteristics were collected through structured interview, medical record review, and clinical examination. This paper presents descriptive data on the distribution of functioning status among antepartum women.

Results
In all, 257 women at a mean age of 30 years were included, and the majority had a partner (98%) and primary education (68.48%). Over one third of the population cannot read. Exposure to violence occurred in 12.23%. Sexual dissatisfaction was reported by 28.20% of antepartum women. Overall, women reported very good and good health (39.69%), and more than third had a medical condition (39.69%). There was an overall rate of anxiety in 83.65%, depression in 43.57%. Based on the χ2 test, Fisher exact test, or Kruskal-Wallis test, there was a significant relationship between the distribution of depression (p<0.001) and sexual satisfaction (p<0.01) between urban and rural women.

Conclusion
Considering these results, antepartum depression and anxiety were highly prevalent in our sample and contributed substantially to perceived disability. These serious threats to health must be further investigated and more data are needed to comprehensively quantify the problem in Morocco.
Understanding COVID-19 vaccine hesitancy in Pakistan: The paradigm of confidence, convenience, and complacency; A cross-sectional study
Authors: Sheikh Naveen Siddique , Touseef Mumtaz , Sultan Riddah , Cheema Kanwal Hassan , Cheema Sidra Shafiq , Sarwar Afia , Siddique Haniya Zainab 
Published: August 2023

Background and objectives
Vaccine hesitancy is a big obstacle for vaccination programs, as is anticipated for the COVID-19 vaccination program, resulting in low uptake of vaccines thereby hindering the process of reaching herd immunity. Bearing this in mind the current study was aimed to explore the determinants of vaccine hesitancy amongst the Pakistani population.

Methodology
A cross-sectional study was carried out from November 2020 to March 2021. The conceptual framework of the study was based on the 3Cs (Confidence, Convenience, Complacency) model. The google-forms-based questionnaire was disseminated amongst the general population. Data collected were entered into SPSS version 26 and analyzed.

Results
Of the 421 participants, 68.4% were women. Non-healthcare workers were 55.8% of respondents. Of vaccine-hesitant individuals, 26.13% reported they were very unlikely to get vaccinated. Perception of COVID-19 vaccine was explored, which revealed 12.6% of individuals agreed the vaccine was not safe as it came out too fast, 50.6% were worried about experiencing side-effects, 18% believed the vaccine will not offer protection and 5.9% believed the vaccine would cause death. Low Practice of standard operating procedure (SOP) in non-Healthcare workers was the strongest contributor to vaccine hesitancy (OR: 5.338, p = 0.040, 95% CI: 1.082–26.330) followed by High complacency (p = 0.026) and Moderate Complacency (OR: 0.212, p = 0.007, 95% CI: 0.069–0.654) towards COVID-19 vaccination. In Healthcare workers the strongest contributor to vaccine hesitancy was having a Moderate Confidence (OR: 0.323, p = 0.042, 95% CI: 0.109–0.958) in the vaccine followed by Moderate Convenience (OR: 0.304, p = 0.049, 95% CI: 0.093–0.993) for vaccination.

Conclusion
Campaigning and communication strategies to reaffirm confidence in the COVID-19 vaccine and educating the general population about the vaccine could lead to increased perception of vaccine safety and effectiveness thereby restoring confidence in vaccine and decreasing vaccine hesitancy. Likewise, working to increase vaccine convenience and decreasing complacency towards the COVID-19 vaccine would translate into high vaccine uptake.

MeSH words
Vaccine hesitancy; vaccination intention, COVID-19 vaccine, vaccine confidence, complacency, convenience.
Higher milk consumption is associated with a lower risk of diabetes mellitus: A case-control study
Authors: Tanpowpong Pornthep , Aekplakorn Wichai , Chariyalertsak Suwat , Kessomboon Pattapong , Assanangkornchai Sawitri , Taneepanichskul Surasak , Neelapaichit Nareemarn 
Published: August 2023

Background & aims
Studies have determined that people with genetically defined lactase non-persistence have lower dairy intake that may lead to an increase risk of various non-communicable diseases. Furthermore, lactase non-persistence itself has been associated with insulin resistance. However, data on lactase non-persistence status and dairy intake in developing countries are sparse. We therefore aimed to define 1) the prevalence of lactase non-persistence among individuals with diabetes and non-diabetes in Thai population and 2) the links between lactase non-persistence, milk consumption, and risk of diabetes mellitus.

Methods
We conducted a case-control study from participants of the National Health Examination Survey. DNA was isolated from the blood for LCT −13910C>T (rs4988235) polymorphism and processed using the Bio-rad c1000 touch thermal cycler and MALDI-TOF Mass Spectrometry MassARRAY Typer v4.0 (Agena Bioscience, San Diego, CA, USA) at the Center for Medical Genomics, Faculty of Medicine Ramathibodi Hospital. Cases were participants with previously diagnosed diabetes mellitus or fasting plasma glucose ≥126 mg/dL (n = 1,756) vs. the controls (n = 2,380).

Results
We included 4,136 participants, 62% female, and 98.8% were > 30 years old. Homozygous CC genotype (i.e., lactase non-persistence) was noted in 98.6% and only 1.4% carried heterozygous CT. Most (76%) consumed milk <1 portion/month. Participants with either CC or CT genotype had comparable milk consumption and the risk of diabetes mellitus. Males, older adults, and lower education had a lower chance of consuming milk at least one portion per month. Besides various baseline variables, we found that higher milk consumption was associated with a lower DM risk (P = .01).

Conclusion
The prevalence of lactase non-persistence in Thai population is very high. A significant difference in milk consumption frequency in relation to the lactase non-persistence status was not found. However, higher milk consumption is associated with a lower risk of diabetes mellitus.
MEU CABELO, MINHA HISTÓRIA" - VOZES DAS CRIANÇAS NEGRAS E NÃO NEGRAS NA ESCOLA: IDENTIDADES, NARRATIVAS E MEMÓRIAS
Authors: Silva Karina Santos 
Published: August 2023

Este relato de experiência apresenta uma prática pedagógica no contexto de ensino remoto, após o fechamento das escolas em março do ano de 2020, devido à pandemia do novo coronavírus (COVID-19). O trabalho foi realizado no "ateliescola acaia" e abordaremos o projeto “Meu cabelo, minha história” e sua relação com o trabalho remoto no processo de alfabetização de uma turma de 1º ano do Ensino Fundamental I. O trabalho revelou quantas narrativas as crianças negras e não negras têm a dizer sobre suas vivências, em especial, das crianças negras que deram vozes às situações de racismo vividas desde pequenas, e a urgência da escola em ter o compromisso de garantir no currículo a (re)educação das relações étnico-raciais. Palavras-chave: Educação, Crianças, Racismo.
As escrevivências de jovens escritoras oriundas do Ensino Médio: um olhar sobre as práticas de letramento em um contexto de escola pública
Authors: Da Silva Franciane Barbosa , Mariano Nazarete Andrade 
Published: August 2023

Este referido artigo tem por finalidade compreender as práticas de letramento co-mo marcas identitárias nas produções de jovens estudantes do Ensino Médio da escola pública estadual. Para tanto, há uma necessária contribuição teórica de pensadores que discutem práticas sociais de letramento Brian Street (1970); O papel da escola no reflexo dessas práticas, Theodoro da Silva (1992); e Stuart Hall (1973) que contribuem com as discussões sobre marcas identitárias; e Conceição Evaristo (2016) com a noção de “escrevivências”. O percurso metodológico para se chegar aos resultados é de uma pesquisa qualitativa do tipo bibliográfico, tendo como objeto de estudo uma produção desenvolvida por estudantes do Ensino médio de escola pública cujo título é: Conversa Afiada: um lugar de criação estudantil. Os resultados obtidos levam a uma reflexão de ampliar investigação de produções que potencializam as produções de estudantes que escrevem com engajamento.
entre o chão e o céu
Authors: Araujo Patricia 
Published: August 2023

O relato de experiência foi registrado durante a pandemia, a partir das reflexões de uma educadora entusiasmada com o reencontro de sua própria semente criança. Inspirada nos últimos quarenta anos da minha existência e nas inúmeras possibilidades por vir, escolhi aproximar a escrita do ciclo de uma árvore. Sementes, raízes, tronco, florescer, voar. A ideia disparadora de um voo metafórico. Enraizada, ao mesmo tempo que em permanente movimento. É sobre algo que vive em nós quando nascemos e acompanha toda a nossa trajetória. Até a morte. Para depois voltar à terra e ser semente de outra vida. Quais são as oportunidades que mantém pulsante a nossa condição inicial, de semente criança?
Cultura digital e os desafios no currículo: tecnologia e criatividade no ensino fundamental 1
Authors: MARTINS RICARDO DIAS PACHECO 
Published: August 2023

A Cultura Digital trouxe o mundo para a palma da mão, mas milhares de dúvidas às cabeças. O mundo laboral se transformou; a família percebeu alterações no modo de se relacionar e a escola ainda patina em relação ao assunto. Se faltava uma posição do Ministério da Educação, foi lançado em 2017 e atualizada para versão final em 2018, a Base Nacional Comum Curricular, que se mostra favorável ao uso das mídias digitais por parte da escola. De quem é a culpa agora então? Este artigo mostra como o gestor pode aproveitar ao máximo os aparatos tecnológicos para um currículo atrativo e que cause participação. Para chegar a esse ponto, a discussão começou com o levantamento sobre o papel da escola, com base em pesquisa que buscou os termos currículo, cultura e tecnologia. Mostrou-se que à escola cabe preparar o ser para assumir seu papel no mundo, o que não significa exclusivamente qual profissão exercerá. O trabalho conclui que a criatividade alia os gestores aos demais pesquisadores da área da tecnologia, ou seja, deixando linha para prosseguir nesse estudo.Palavras-chave: ensino criativo; gestão escolar.
ANALISIS TINGKAT KEANDALAN SISTEM DAN PENEMPATAN LETAK RECLOSER BERDASARKAN ARUS GANGGUAN HUBUNG SINGKAT DENGAN SETTING KOORDINASI PMT OUTGOING PADA PENYULANG KPK05 GARDU INDUK KRAPYAK
Authors: Minang Avicena , Facta Mochammad , Andromeda Trias 
Published: August 2023

Penyulang KPK05 merupakan salah satu penyulang yang terhubung ke Transformator-2 di Gardu Induk Krapyak. Kawasan ini terdapat banyak pepohonan dan curah hujan tinggi, sehingga dapat meningkatkan potensi gangguan. Untuk mengatasi hal ini, penambahan peralatan proteksi seperti recloser diperlukan. Recloser berfungsi untuk mendeteksi hubung singkat antara fasa dengan fasa atau fasa dengan tanah dan dapat memutus arus gangguan dan menutup balik secara otomatis. Penambahan recloser dibutuhkan untuk meminimalisir daerah pemadaman listrik sehingga penyaluran tenaga listrik ke pelanggan menjadi lebih handal. Penilitian ini bertujuan untuk menentukan letak recloser dan setting koordinasi proteksi agar peralatan proteksi mampu berkoordinasi. Pada penelitian ini dilakukan simulasi aliran daya, hubung singkat, sistem proteksi, dan keandalan sistem menggunakan aplikasi ETAP. Setelah dilakukan perhitungan manual, diperoleh nilai jarak recloser 1,44 km sesuai setting OCR dan 1,145 sesuai setting GFR. Berdasarkan hasil simulasi, dapat diketahui bahwa grafik dan urutan kerja peralatan proteksi serta nilai indeks keandalan sudah sesuai dan dapat berkoordinasi dengan baik. Oleh karena itu, hasil perhitungan dan setting koordinasi proteksi ini dapat diimplemetasikan pada Penyulang KPK05 Gardu Induk Krapyak.
STUDI KADAR GAS AMONIA MENGGUNAKAN SENSOR AMONIA MQ135 MENGGUNAKAN SPREADSHEET BERBASIS INTERNET OF THING (IOT)
Authors: Pendriadi Pendriadi , Meliala Selamat , Muthalib Muchlis Abdul , BIntoro Andik 
Published: August 2023

Gas amonia merupakan gas yang sangat berbahaya bagi kesehatan ayam pada kandang ayam maupun peternaknya itu sendiri, karena dengan kadar amonia >25 ppm akan mengganggu kesehatan bagi ayam. Pada penelitian sebelumnya Kadar amonia di dalam kandang tidak boleh lebih dari 5 ppm karena dapat menyebabkan gangguan pernapasan pada ayam. Penelitian dilakukan dengan mengukur kadar amonia dengan sensor MQ135 mengetahui pengaruh amonia terhadap keadaan ayam, mengukur suhu dan kelembaban dengan sensor DHT22 untuk mengetahui suhu dan kelembaban pada kandang ayam. Penelitian dilakukan dengan kandang berukuran 1,5 x 1 m dengan jumlah ayam 10 ekor Pada kandang terbuka dengan lingkungan yang baik memiliki kadar amonia 1-5 ppm dan pada kandang tertutup tanpa menggunakan kipas memiliki kadar amonia mencapai 57,270 ppm mengakibatkan kematian pada ayam sebanyak 4 ekor karena amonia yang tinggi. kenaikan kadar amonia dipengaruhi suhu dan kelembaban kandang ayam ketika kadar amonia meningkat akan menggangu kesehatan ayam sehingga digunakan kipas untuk mengurangi kadar ammonia, ketika amonia >5 ppm maka kipas akan menyala dan membuang gas amonia sehingga amonia menurun hingga < 5 ppm.