bluuebunny/crossref_metadata_2025_split huggingface dataset:
Do parents need application-based learning media to learn baby massage? A qualitative study
Authors: Harun Ayatullah , Salmah A. Ummu , Hidayanty Healthy , Suriah  , Syafar Muhammad , Hadju Veni , Abdullah Muh. Tahir , Sudargo Toto 
Published: April 2023

BACKGROUND:
Growth and development delays can occur in childhood under five years. Early stimulation is very important to help babies grow according to their age which can be done with baby massage. Increasing the skills of parents in learning baby massage is a main focus because parents are the closest people to babies. This initial research was conducted to determine the learning media needed by parents in learning baby massage.

MATERIALS AND METHODS:
A qualitative research with a phenomenological approach was used to explore the views of parents, providers/health workers, Information Technology (IT) experts, and media design experts. Focus group discussion (FGD) was used to obtain information from a number of samples taken by purposive sampling. Data were analyzed using thematic analysis.

RESULTS:
A total of 11 people consisting of four parents with babies aged 0–12 months, two IT experts, one media design expert, and four midwives involved in FGD. There was an agreement that an android application-based baby massage media was needed to include a baby massage video feature that was made every step of baby massage, starting with baby massage of the feet, hands, stomach, chest, face, and back. The baby massage application will be equipped with a baby massage feature that conveys the benefits of baby massage, massage instructions, diaries, and contact midwives.

CONCLUSION:
Parents who have babies, midwives who are competent in the implementation of baby massage, IT experts, and media design experts agree to develop learning media for the baby massage based on android applications by developing six features and systems.
Stressors and coping strategies among frontline nurses during COVID-19 pandemic
Authors: Rohisha I K , Jissa Donel , Jibin M , Binu Mathew 
Published: April 2023

BACKGROUND:
Frontline nurses are more likely to be in close contact with COVID-19 patients and COVID ward duties make nurses to undergo serious emotional disturbances. The physical, psychological, and social well-being of the nurses can be affected in this time and proper training programs and counseling sessions should be undertaken. This study attempts to understand the stressors and coping strategies of nurses from a tertiary hospital.

MATERIALS AND METHODS:
Descriptive survey design was adopted and data were collected in 2021 from 92 frontline nurses from a selected tertiary hospital in Raipur. The data collection tools used were sociodemographic proforma, structured questionnaire on stress factors, and structured checklist on coping strategies.

RESULTS:
The analysis was done using frequency and percentage distribution. Among the nurses, 51% reported stressors related work- and work-related environment, 50% reported stressors related to self-safety, and 52% on stressors related to family concerns. The coping strategies adopted by the nurses included realization of the fact that service to patients comes as first (75%), and availability of personal protective equipment kits, confidence in following strict protective measures (69%), talking to family members over phone daily (71%), and support from family and friends (70%). Learning about COVID-19 (65%), and team work (61%) also created confidence to work as frontline nurses during this pandemic.

CONCLUSION:
The present survey reports that nurses face various stressors and tries to impart different coping strategies to overcome the stress. Understanding their stressors and coping strategies will help the administration to implement measures to create a working situation which will strengthen the health man power resources.
The mediation role of self-esteem and hope on the relationship of quality of life and unmet needs of elderly with psychiatric disorders
Authors: Jenabi Ghods Mariye , Fattah Moghaddam Ladan , Hosseinabadi-Farahani Mohammad Javad , Pourebrahimi Mohammad 
Published: April 2023

BACKGROUND:
Self-esteem is one of the factors affecting the quality of life. On the other hand, quality of life decreases in people with psychiatric disorders. The aim of the present study was to evaluate the mediating role of self-esteem and hope on the relationship between unmet needs and quality of life of the elderly with psychiatric disorders.

MATERIALS AND METHODS:
This descriptive–analytical study was performed on 112 chronic psychiatric patients hospitalized in the geriatric ward of (blinded) 2020. Based on the inclusion criteria, a total of 100 samples were entered into the study by census. The World Health Organization (WHO) quality of life questionnaire, Rosenberg Self-Esteem Scale, Snyder Hope Scale, and Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) were used to collect data. The research model was tested using the path analysis technique. Data was analyzed using Statistical Package for the Social Sciences (SPSS) Ver. 26 and LISREL Ver. 2/9.

RESULTS:
Unmet needs were negatively related to the other three variables of the study, namely, self-esteem, hope, and quality of life. There was a significant relationship between unmet needs and quality of life with a mediating role of self-esteem and hope (P < 0.05). Quality of life was also negatively related to unmet needs and directly related to self-esteem and hope.

CONCLUSION:
Based on the findings of this study, it is essential that health-care providers consider planning to provide programs to improve self-esteem and hope in order to reduce unmet needs and increase the quality of life.
Assessment of predictors of diabetic foot ulcers in a tertiary care hospital of Maharashtra, India: A cross-sectional comparative study
Authors: Panigrahi Sunil Kumar , Majumdar Sagarika 
Published: April 2023

BACKGROUND:
The chances of nonhealing foot ulcer among the diabetic is 10-20 times more than people without diabetes. Foot ulcer among diabetes population affects more than 40-60 million globally. There is a dearth of quality data on the factor among the diabetes patients, which hastens the progression of diabetic foot. The study aims to assess the risk factors associated with foot ulcer among the diabetics.

MATERIALS AND METHODS:
The study was a cross-sectional comparative study in tertiary care hospital in Maharashtra, India. The study population included 200 diabetic foot ulcer patients and 200 of their age and gender matched comparator were patients with diabetes without foot ulcers. The sampling method was stratified random sampling.

RESULTS:
The mean age of both the groups of patients was around 54 years. Alcohol consumption, physical activity outside home, low foot care practices, irregularity of diabetic medication, and family history of diabetes among mothers were found to be factors associated with diabetes foot ulcer.

CONCLUSION:
There is a need to stratify the diabetes patients in regular care as per risk categories depending on the presence of above risk factors. This will not only prioritization of diabetes care in terms of future risk but also reduce the progression of complications like diabetes foot and resulting amputation through an active preventive intervention.
The role of death anxiety as a mediator in the relationship between personality types and psychological well-being in coronavirus disease-2019 patients
Authors: Veisi Razieh , Kakabarai Keyvan , Chehri Azita , Arefi Mukhtar 
Published: April 2023

BACKGROUND:
Given the widespread presence of the coronavirus disease-2019 (COVID-19) virus, it is critical to explore the psychological consequences of this disease on people at all levels of society. The purpose of this study was to look into the role of death anxiety as a mediator in the relationship between personality types and psychological well-being in people with COVID-19 disease.

MATERIALS AND METHODS:
In this study, the research method is correlational in terms of descriptive data collection method. The statistical population consisted of all people who had experienced COVID-19 in Kermanshah, Iran 2020–2021, 220 of whom were chosen by the available sample method. The Ryff Psychological Well-Being Questionnaire (PWBQ), the personality types of John and Srivastava's short five-factor list (BFI-SV), and the Collett-Lester Anxiety Death Scale were among the research instruments employed (CL-FODS). The suggested model was evaluated using the structural equation modeling strategy and the Amos software.

RESULTS:
The findings demonstrated that extraversion, adaptation, and conscientious personality types have a positive and significant relationship with psychological well-being while neuroticism has a negative and significant relationship with psychological well-being, and openness to experience indirectly improves psychological well-being by reducing death anxiety.

CONCLUSION:
Death anxiety appears to play a mediating role in the relationship between personality types and psychological well-being in people with COVID-19, according to the findings of this study. As a result, the proposed model fits well and can be used as an important step in identifying factors that affect people with COVID-19's psychological well-being.
Importance of online self-assisted assessments for medical students in knowledge acquisition
Authors: Poleneni Sushma R. , Chandrupatla Mrudula 
Published: April 2023

BACKGROUND:
Assessment is an important aspect of teaching and learning in medical education. Regular early assessments create scope for improvement in students, and this digital era technology should be utilized for ease of administration. E-assessment involves the usage of technology to create, deliver, collect, and provide feedback to the students. The present study aims to understand the importance of online assessment and the preference of students with difficulties faced and the methods of improvement.

METHODS AND MATERIALS:
This study was a cross-sectional descriptive study conducted among fifty-six undergraduate medical students, where forty-five objective structured practical questions (OSPEs) were administered to the students in anatomy. After the assessment, feedback was collected in the form of a fifteen-item questionnaire. The responses were graded using a five-point Likert scale and represented in the graphs using Microsoft Excel software.

RESULTS:
The feedback collected has the following responses. The prosected specimen pictures used in the exam, with pointers and markers, were clear and oriented for which 77% agreed, the pointers and markers were clear and easy to identify for which 79% agreed, and 66% preferred the traditional method of assessment over the online mode of assessment and 48% were neutral on the question of whether E-assessment improves knowledge and skills. Most of the students preferred the traditional method of assessment over the online method of assessment.

CONCLUSIONS:
Traditional methods of teaching or assessment cannot be replaced by online methods, but technology can be utilized as an addition to regular mode to improve the outcome. Regular early formative assessments help teachers to understand areas of deficiency and help students in improvement. E-assessment can be adapted for formative assessment and regular practice because of their ease of administering and providing feedback simultaneously.
The impact of a three-phase education–support–follow-up program on the mothers' perceptions of the needs of their multiple infants: A protocol study for a clinical trial
Authors: Bayati Masumeh , Biabanakigoortani Azam , Changiz Tahereh , Namnabati Mahboobeh 
Published: April 2023

BACKGROUND:
Infertility, a problematic issue to the newly married couples, should be treated as no couple should be deprived of having children. The treatment, however, poses new challenges to the multiples and subsequent preterm births, health system, and families. Therefore, the aim of this study is to investigate the effect of an education–support–follow-up program on the mothers' perceptions of their multiples' needs.

MATERIALS AND METHODS:
This research is a three-phase interventional study. The first phase develops an educational program through review of the literature and using the opinions of experts. In the second phase, the developed program will be implemented in the neonatal intensive care unit (NICU) for the mothers of multiples. In the third phase, based on the developed plan, the required support will be applied and followed up. The data collection tool is a researcher-made questionnaire which is completed by the mothers (N = 30) before and after the intervention. Convenience sampling method will be used, and the mothers will be allocated randomly. Data gathering started from September 2020 and would continue until the sample collection is completed. Data will be analyzed through the descriptive and analytical statistics with Statistical Package for the Social Sciences (SPSS) version 21.

RESULTS:
The present study can address the needs of the multiple infants based on the implementation of an education–support–follow-up program for mothers and their families.

CONCLUSION:
The mothers of multiple infants are required to specify unique physical and developmental needs of their infants, while their perceptions of these needs may be different based on the education–support–follow-up program. The researchers designed the program to help them define highly specialized needs of multiples and also examined their perceptions of these needs.
Explaining the features of patient education in home care units in Iran: A qualitative study
Authors: Darvishpour Azar , Mahdavi Shiva 
Published: April 2023

BACKGROUND:In recent years, health policies have emphasized accelerating patients' discharge from hospitals and receiving health care at home. The present study aimed to identify the characteristics of patient education in home care units in Iranian hospitals in 2021.MATERIALS AND METHODS:This descriptive, qualitative study was conducted on eight supervisors, 15 clinical nurses, and four home care nurses working in East Guilan hospitals. Semi-structured interviews were used to collect data. Interviews were conducted using guiding questions. Data were analyzed using conventional qualitative content analysis by MAXQDA 2007 software.RESULTS:Data analysis led to the emergence of 58 primary codes and six categories with the titles of “Education based on the expertise and clients' needs,” “Emphatic nature of education,” “Empowering clients to perform self-care programs,” “Increasing the quality of clinical services,” “Cost-effective education,” and “Requirements for promoting the educational performance of home care units.” The sixth category consists of four subcategories (tariffing insurance, continuous education of clients from the time of hospitalization not merely at the time of discharge, the existence of a monitoring system, and advertising and media coverage of the educational performance of the home care unit).CONCLUSIONS:The analysis of data showed that the education provided to patients in home care units is economically viable and empowers clients to self-care and increases the quality of clinical services. Due to the novelty of home care in Iran, it is necessary to pay more attention to the issues mentioned in this paper by managers and health policymakers.
The effect of IMB model on CPR self-efficacy in high school students
Authors: Yousefian Mohamad , Mohamadirizi Shahla 
Published: April 2023

BACKGROUND:
Cardiopulmonary resuscitation (CPR) is one of the health needs in school age using various new educational methods. Therefore, the present study was conducted with the aim of determining the effect of information-motivation-behavioral skills (IMB) model on CPR self-efficacy in high school students.

MATERIALS AND METHODS:
This was a semi-experimental study in which 56 high school students in Isfahan were randomly divided into two groups (28 students in each group): e-learning method and IMB model. The self-efficacy of high school students in CPR was evaluated using a CPR self-efficacy (18 items) before and two weeks after training in both groups. Data were analyzed by the Statistical Package for the Social Sciences (SPSS) version 22 software using descriptive and analytical tests such as independent t-test and paired t-test.

RESULTS:
Independent t-test showed that there was no significant difference between the mean score of CPR self-efficacy in the two educational groups (P = 0.341). However, after intervention, there was a significant difference between the mean CPR self-efficacy scores between the two groups (P = 0.001).

CONCLUSION:
According to the findings of the present study, the use of educational method based on the information-motivation-behavioral skills model has improved the self-efficacy of high school students.
Evaluation of peer role models as oral health education providers among school children in Mysuru, Karnataka, India
Authors: Sharma Pratibha , Chandrashekar Byalakere R. , Bhaskar Vivek , Bharath S , Sundar Mirunalini 
Published: April 2023

BACKGROUND:
India lacks organized school oral health programs, resulting in limited access to oral health care among children. The peer role models, or teachers, may help in bridging the gap to enhance knowledge on self-care preventive practices. The aim of the study was to evaluate and compare the effectiveness of dental health education (DHE) offered by qualified dental professional, trained teachers, and peer role models in promoting oral hygiene status and behavior among school-going children in Mysuru, Karnataka.

MATERIALS AND METHODS:
This was an interventional study conducted over a period of 3 months in an academic year in three selected schools in Mysuru City, India. A total of 120 students were divided into three groups – group 1 were given DHE (dental health education) by a dental professional, group 2 were given DHE by a trained teacher, and group 3 were given DHE by peer role models. Oral health knowledge was assessed using a close-ended questionnaire, plaque levels were assessed using Turesky Gilmore Glickman modification of Quigley Hein plaque index, and gingival status was assessed using Loe and Sillness gingival index. After 3 months, the same index and questionnaire were used post intervention.

RESULTS:
The mean scores for knowledge on dental caries at baseline in groups 1, 2, and 3 were 3.75 ± 1.25, 3.65 ± 1.07, and 3.40 ± 1.17, respectively, with no significant difference between the groups, which changed to 4.43 ± 1.27, 3.37 ± 1.14, and 4.93 ± 0.99, respectively, following intervention. Similar results were observed with regard to knowledge on gingival and periodontal diseases. The mean plaque scores at baseline for groups 1, 2, and 3 were 4.17 ± 0.30, 3.24 ± 0.70, and 4.10 ± 0.31, respectively, which changed to 3.85 ± 0.32, 3.90 ± 0.39, and 3.69 ± 0.34, respectively, in three groups following intervention. Post intervention, plaque scores and gingival scores significantly improved in groups 1 and 3 but worsened in group 2. Overall, knowledge scores improved in groups 1 and 3 for some questions, but improvement was not noted in some questions.

CONCLUSION:
Under the limitations of the study, it was found that peer role models were as effective as dental professionals in providing DHE in schools.
Localised swelling at sites of dermal filler injections following administration of Covid-19 vaccines: a systematic review
Authors: Ng Chew Lip , Tay Evelyn Yuxin , D’Souza Alwyn Ray 
Published: April 2023

Abstract

Introduction:
Localised swelling at sites of filler injections has been reported in the Moderna mRNA-1273 coronavirus disease 2019 (COVID-19) vaccine trial.

Methods:
We conducted a review of the existing data and literature on the potential pathophysiology for this adverse event and its potential management.

Results:
Data from the Moderna and Pfizer COVID-19 vaccine Phase 3 trial and one case series were available. Three out of 30,400 subjects developed possible filler reaction in the Moderna trial. Two other cases were reported after emergency use authorisation. Reactions occurred at a mean of 1.4 days post-vaccination. Fillers were injected at a mean of 14.1 months before vaccination. Areas involved included lips, infraorbital areas and tear troughs. Treatment included observation, corticosteroids, antihistamine, hyaluronidase and 5-fluorouracil.

Conclusion:
Rare, self-limiting adverse reactions to dermal fillers have been reported following COVID-19 vaccination. Clinicians should be aware of this clinical phenomenon and its management, as vaccination is carried out globally.
Heideggerův výklad pojmu mathéma a mathématického charakteru novověké vědy
Authors: Novák Aleš 
Published: April 2023

In the mid 30s of the 20th century Martin Heidegger (1889–1976) attempted to explain the “history of Being” leading to what he called “the oblivion of Being”. In this he focused on the impact of the modern science, which he grants to be a sort of metaphysics. According to Heidegger, the main feature of the modern science consists in what he calls the mathéma-character. The Greek word “to mathéma” means “it what can be learned” and “what must be know beforehand”. It is Heidegger’s intention to show that the mathéma-character of the modern science is deciding about the general understanding of the meaning of “being” and that modern science is replacing the metaphysics, which is the origin of the modern science.
Evaluating the United States Minimum Legal Drinking Age: A Medical Review
Authors: Jung Sehyun , Doty Chad 
Published: April 2023

The Minimum Legal Drinking Age of 21 (MLDA-21) has been a source of contentious debate, enduring over a century of ethical and medical justifications. Critics cite the neurological and behavioral consequences of adolescent alcohol consumption to argue for the maintenance or even an increase from MLDA-21. Advocacy groups even propose mandatory training for adolescents in order to reduce harmful binge-drinking behavior. On the other hand, proponents of lowering the age limit argue that, ethically and politically, MLDA must match the threshold of legal adulthood. They also claim that there are some scientific basis for lowering MLDA. However, this study that analyzed a wide breadth of scientific sources found that medical consensus validates MLDA-21. Studies find that the harms of adolescent alcohol consumption, including mental disorders, behavioral complications, and developmental consequences, outweigh the benefits of making alcohol more legally accessible.