bluuebunny/crossref_metadata_2025_split huggingface dataset:
Constraints on Cole Crop of Production and Marketing: A Case Study of Sultanpur District of Uttar Pradesh, India
Authors: Kumar Ajeet , Singh K. K. , Supriya  , Singh Pavan Kumar , Yadav Bharatendu 
Published: July 2023

This study was conducted in the Sultanpur district of Uttar Pradesh State with the aim of identifying the constraints faced by cole crop growers in cultivation, production, and marketing. The researchers utilized the Garrett ranking method to analyze the data obtained from the respondents. A random sampling technique was employed to select participants for the study, with two blocks being chosen to ensure meaningful findings. The survey encompassed ten communities and involved 120 farmers from selected villages. The data collected for this study spanned the years 2021-2022. To gather primary data, personal interviews were conducted with cole crop growers using a pretested questionnaire. The study revealed several significant production constraints faced by the farmers, including the non-availability of credit, a lack of knowledge about the latest production technology, inadequate access to quality water, insufficient government assistance, and poor quality land. Furthermore, the research also highlighted key marketing constraints, which included price fluctuations, a lack of scientific storage facilities, high transportation costs, limited local demand for the produce, and a lack of scientific knowledge and training among the growers. This study sheds light on the various challenges encountered by cole crop growers in the Sultanpur district of Uttar Pradesh. The findings highlight the need for interventions to address these constraints in order to enhance cole crop cultivation, production, and marketing in the region. Effective measures such as improving credit accessibility, providing training on modern production techniques, ensuring the availability of quality water, supporting the establishment of scientific storage facilities, addressing transportation cost issues, and promoting market demand for the produce can contribute to the overall improvement of the cole crop sector in the area.
Evaluation of CRP as a marker for bacterial infection and malaria in febrile children at the Douala Gyneco-Obstetric and Pediatric Hospital
Authors: Ngwengi Yembu , Ngaba Guy Pascal , Nida Martine , Enyama Dominique 
Published: July 2023

Background
C reactive protein (CRP), a marker for the presence of inflammation, has been extensively studied for distinguishing bacterial from non-bacterial infection in febrile patients, but its role in excluding malaria in the febrile child has not been thoroughly evaluated.

Method
This was a cross-sectional study at the Douala Gyneco-Obstetric and Pediatric Hospital which included all patients between the ages of one month and 16 years presenting with fever. Consenting patients received complete clinical examinations, then venous blood samples were collected and tested for CRP values, bacterial infection and malaria.

Results
Samples of 220 children were analyzed. 142/220 had viral infections, 50/220 had malaria and 49/220 had bacterial infections. 7/220 had both malaria and bacterial infection. There was no significant difference between mean CRP values in malaria and bacterial infection (p = 1), but CRP means were significantly higher in malaria/bacterial infection than in viral infection (p<0.0001). Area Under the Receiver Operating Characteristics Curve (AUROC) values were 0.94 for malaria and 0.86 for bacterial infection, with a calculated cut-off of 23.6mg/L for malaria and 36.2mg/L for bacterial infection. At these cut-offs, CRP had a Positive Predictive Value (PPV) of 68.75% and 85.00% for malaria and bacterial infection respectively, with a Negative Predictive Value (NPV) of 94.74% and 89.05% respectively.

Conclusion
CRP can effectively exclude malaria and bacterial infection in febrile children in low-resource settings without the need for additional tests.
Water quality assessment and source apportionment of Huangpu River water pollution in Shanghai City, eastern China using APCS-MLR
Authors: Chang Yueya 
Published: July 2023

Abstract
As a result of increasing anthropogenic disturbance, the degradation of the surface water environment has become a key concern for water resource management. Controlling possible pollution sources is necessary for protecting water resources. In this study, water quality data from online monitoring national control stations were analyzed in terms of pH, water temperature (WT), electrical conductivity (EC), turbidity (NTU), dissolved oxygen (DO), and concentrations of permanganate index (CODMn), ammonium nitrogen (NH3+–N), total nitrogen (TN), total phosphorus (TP). Principal component analysis/factor analysis (PCA/FA) were employed to qualitatively figure out the potential sources of river water pollution of Huangpu River in Shanghai City, eastern China. An absolute principal component score-multiple linear regression (APCS-MLR) receptor model was used to analyze each source's contribution to the variables affecting water quality quantitatively. The results showed that all observed water quality indices met the quality criteria specified in the Chinese surface water standards, except for TN. Five sources of river water pollution were identified, and their contribution ratios in a descending order were as follows: the meteorological process (26%) > agricultural activities (14%) > industrial sewage (10%) > natural environmental sources (4%) = domestic sewage (4%). Therefore, recommendations for enhancing the quality of surface water resources in this area involve decreasing agricultural pollution and improving the sewage system.
SELF-ATTITUDE AS A TRIGGER OF THE PSYCHOLOGICAL WELL-BEING OF THE PERSON
Authors: Кудинов С.И. , Козлова О.С. , Кудинов С.С. 
Published: July 2023

Представлены результаты эмпирического исследования, характеризующие особенности взаимосвязи самоотношения и психологического благополучия специалистов. В исследовании приняли участие 217 человек в возрасте 25–35 лет (97 женщин и 120 мужчин), специалисты разных учреждений. Для выявления показателей самоотношения использовались: методика «Личностный дифференциал»; опросник Стефансона для изучения представлений о себе; тест-опросник самоотношения В.В. Столина. При исследовании психологического благополучия использовалась «Шкала психологического благополучия» К. Рифф и авторская анкета «Индекс удовлетворенности жизнью». В ходе проведения исследования было доказано, что респонденты разных специальностей с позитивными индикаторами самоотношения находятся на более высоком уровне психологического благополучия. Результаты исследования позволят разрабатывать более дифференцированные программы психологического сопровождения прежде всего педагогов и сотрудников ОВД в период профессионализации.
The results of an empirical study characterizing the features of the relationship between self-attitude and psychological well-being of specialists are presented.The study involved 217 people aged 25–35 years, 97 were women and 120 were men, specialists from various institutions. To identify indicators of self-relationship, the following methods were used: the personal differential (PD) technique; Stefanson's questionnaire for the study of self-image; test-questionnaire of self-attitude V.V. Stolin. In the study of psychological well-being, the «Scale of psychological wellbeing» by K. Riff and the author's questionnaire «Index of satisfaction with life» were used. In the course of the study, it was proved that respondents of different specialties with positive indicators of self-attitude are at a higher level of psychological well-being. The results of the study will make it possible to develop more differentiated programs of psychological support, primarily for teachers and police officers during the period of professionalization.
Boas práticas na dispensação de materiais e medicamentos em uma home care em Porto Alegre/RS sobre o olhar técnico-científico
Authors: KRAMER-FILHO Carlos Roberto , MARIN Rafaela 
Published: July 2023

Objetivo: Analisar o processo de dispensação de materiais e medicamentos de uma empresa home care de Porto Alegre/RS, a fim de criar possíveis ações de boas práticas a serem utilizadas durante os processos de dispensação futuros, bem como contribuir na melhoria do atendimento prestado. Método: A pesquisa contou com uma abordagem quanti-quali: um estudo documental, para analisar a ocorrência de possíveis falhas/quase falhas nos registros de requisição de dispensação de materiais e medicamentos; e um estudo de caso, com intuito de investigar e contribuir com possíveis boas práticas a serem aplicadas durante as dispensações futuras. Como instrumento de coleta de dados, utilizou-se um questionário, com perguntas abertas, fechadas e de múltipla-escolha, para que pudessem ser coletadas opiniões dos profissionais de Farmácia atuantes, nos processos de dispensação de materiais e medicamentos em diferentes cenários existentes. Resultados: Através deste estudo, pode-se verificar que durante a imersão na empresa, houve um percentual baixo de falhas/quase falhas durante a dispensação de materiais e medicamentos aos pacientes, e que a falha/quase falha de maior ocorrência foi a “distração do profissional de Farmácia durante os processos de dispensação”. Conclusão: O desenvolvimento desta pesquisa possibilitou a partir do aprofundamento bibliográfico e da análise dos resultados, estabelecer e implementar boas práticas nos processos de dispensação de materiais e medicamentos da empresa home care estudada. entre as boas práticas obtevese a criação de uma cartilha de conscientização dos colaboradores que atuam diretamente com a dispensação; atualizou-se todo o cadastro de medicamentos, usando como base o método CD3, atualizou-se os itens com escrita/aparência/sonografia semelhantes; bem como separou-se em prateleiras diferentes e melhorou-se as formas de identificação, dos itens que possuíam rotulagem ou embalagens semelhantes. Espera-se que, com estas boas práticas estes profissionais possam minimizar as falhas/quase falhas observadas, nas dispensações futuras.
Hubungan Pengetahuan dan Pelaksanaan End Of Life Care Pada Masa Pandemi Covid-19
Authors: Muthia Rahmi , Fitri Tiya Rama , Mailani Fitri , Oktarina Elvi , Huriani Emil 
Published: July 2023

<p><strong><em>Background</em></strong><em>:</em> <em>During the Covid 19 pandemic, the need of care and the death rate of patients in the Intensive Care Unit (ICU) increased. So that nurses are required to to integrate the implementation of end of life care (EOLC) in end of life (EOL) patients. However, the implementation of EOLC during the Covid 19 pandemic was vulnerable to obstacles. The implementation of EOLC treatment is influenced by knowledge. The purpose of this study was to see the relationship between knowledge and implementation of EOLC during the COVID-19 pandemic in the Intensive Care Unit room. <strong>Methods:</strong> This research is a descriptive correlation with a cross sectional approach. The research sample was 91 people, using a convenience sampling technique. This research was conducted in August-October 2022 with research respondents in intensive care nurses at the Hospital in Padang City who worked during the Covid 19 pandemic for at least 1 year. Data collection used Palliative Care Quiz for Nurse Indonesian Version (PCQN-I) and Self Reported Practice Checklist. Data analysis used fisher's exact test. <strong>Results: </strong>The results showed that nurses' EOLC knowledge was in the moderate category (82.4%) and the implementation of end of life care by nurses during the Covid 19 pandemic was in the high category (85.7%). <strong>Conclusion: </strong>There was no relationship between EOLC knowledge and EOLC implementation during the Covid 19 pandemic (p = 0.451). Hospital institutions are advised to facilitate the increase of end of life care knowledge in nurses so as to support optimal implementation.</em></p><p> </p><p><strong>Keywords: </strong><em>End of Life Care, Knowledge, Implementation, Nurse, Intensive Care Unit</em></p>
Terapi Komplementer Diet Nutrisi untuk Peningkatan Kadar Hb Ibu Hamil: Literature Review
Authors: Bintia Sovia Elviana , Rahmawati Alfiah , Wulandari Rr.Catur Leny 
Published: July 2023

<p><strong><em>Background</em></strong><em>:</em> <em>Anemia is a condition in which red blood cells or hemoglobin levels decrease or are less than 11g/dl. One effort to prevent anemia in pregnant women is complementary nutritional diet therapy, namely consuming fruits and vegetables with high iron. This complementary therapy effort is able to maintain and increase red blood cells. To examine more deeply about the effect of complementary therapy on increasing hemoglobin levels in pregnant women where there is compatibility with previous studies by reviewing several studies. <strong>Methods: </strong>This review draws on several sources including systematic search studies of databases such as Google Scholar and PubMed. Search with keywords "complementary therapy", "hemoglobin level", "pregnant women". The articles obtained in a search adjusted for the title totaled 7 relevant journals. <strong>Results: </strong>The results of the 7 journal articles showed that increasing hemoglobin levels could be carried out non-pharmacologically by administering ambon bananas, guava fruit, green bean juice and honey, tomato juice, spinach and dragon fruit juice. <strong>Conclusion: </strong>The result of this literature review recommends that pregnant women consume Fe tablets together with complementary therapy to increase optimal Hb levels.</em></p><p><strong>Keywords: </strong><em>Complementary therapy, Hemoglobin Levels, Pregnant Women</em></p><p><em><br /></em></p>
Pengaruh Motivational Interviewing terhadap Tahap Perubahan Perilaku Klien Rehabilitasi Narkoba di Loka Rehabilitasi BNN Batam
Authors: Ranal Acep 
Published: July 2023

<div><strong><em>Background</em></strong><em>:</em> <em>Drug abuse causes physical and psychological problems that cause various changes in the abuser with changes in maladaptive behavior. The National Narcotics Board shows that narcotics abuse in Indonesia is the largest in the Asian level because it uses 65 types of narcotics. In the preliminary study, it was found that there were 55 inpatients at the Batam BNN Rehabilitation Center. This study aims to determine the behavior stages of change before and after the application of Motivational Interviewing (MI) and to analyze its effect on drug rehabilitation clients. <strong>Methods: </strong>The research method is a quasi-experimental design with a one group pretest - posttest design approach without a control group. The sample consisted of 25 experimental group respondents who underwent inpatient rehabilitation at the Batam Rehabilitation Center of National Narcotics Board in 2022 with a sampling technique that was purposive sampling and the data was processed using the Wilcoxon test. <strong>Results: </strong>Univariate analysis of the results of the examination after being given MI showed 100% in the action stage. Bivariate results show that there is an effect of MI on the behavior stages of change with the difference in the mean before and after MI is 2.13 and P-Value 0.000 (&lt;0.05).<strong>Conclusion: </strong> It was concluded that there was an effect of MI on increasing the behavior stages of change in drug rehabilitation clients. It is recommended for nurses to apply the MI method in carrying out their role as counselors to increase the stage of changing the client's adaptive behavior</em></div><div><em><br /></em></div><div><p><strong>Keywords: </strong><em>Motivational Interviewing, Behaviour, Narcotics</em></p></div>
Seasonal trends in antidepressant prescribing, depression, anxiety, and self-harm in adolescents and young adults: an open cohort study using UK primary care data
Authors: Jack Ruth , Joseph Rebecca , Hollis Chris , Hippisley-Cox Julia , Butler Debbie , Waldram David , Coupland Carol 
Published: July 2023

BackgroundWeather and seasons, or stressful periods associated with their education could affect young people’s mental health. Members of a young person’s advisory group asked us to investigate whether there are particular periods in the year when adolescents have more mental health issues.AimTo examine whether there are different seasonal trends in antidepressant prescribing, depression, anxiety, and self-harm in adolescents compared with young adults in England.MethodWe used information about antidepressant prescribing and mental health events between 2006 and 2019 from the QResearch database, which contains anonymised English primary care health records. We studied males and females in three age groups: 14–18 years (adolescents), 19–23 years and 24–28 years. We calculated monthly incidence rates and adjusted incidence rate ratios of prescriptions for the most commonly prescribed antidepressants (selective serotonin reuptake inhibitors) and records of depression, anxiety, and self-harm.ResultsThe study included 5 081 263 people over 17.9 million person-years. Antidepressant prescribing, depression, and anxiety incidence rates were higher in autumn months for adolescents, but not for the older groups. Self-harm was lowest in August for adolescents, lower in July–December for 19–23-year-old females, and stable throughout the year for other groups.ConclusionThere were higher rates of antidepressant prescribing, depression, and anxiety at the start of the school year in adolescents. Support around mental health issues from GPs and schools should be focused during this period. Future studies should examine whether these results apply to younger children and develop interventions to lessen their impacts on adolescents.
The contested zone: interviews with GPs about their beliefs about treatment-resistant depression
Authors: Talbot Amelia , Heath Laura , Ryan Sara , Mahtani Kamal , Albury Charlotte 
Published: July 2023

BackgroundTreatment-resistant depression (TRD) is when antidepressants do not work and affects 55% of British primary care users with depression. People with TRD should be referred to secondary care but there are long wait times. This means most people are managed by GPs, but primary care guidelines are not standardised. Thus, how GPs manage people with TRD may vary, and there is limited evidence for how quality care may look. As a result of this variation, an investigation into how GPs manage people might be valuable.AimTo understand and interpret how GPs make decisions about treatment for people with potential TRD.MethodFourteen GPs were interviewed by AT, patient-led researcher with bipolar, and LH, a GP. Interviews started with a vignette where someone did not respond to antidepressants. We followed up with semi-structured questions. Data were transcribed verbatim and analysed thematically.ResultsGPs gave eleven explanations for antidepressant ineffectiveness before and instead of TRD. Explanations included misdiagnosis, medicalised misery, not yet found the right antidepressant, believing too much in antidepressants, and not engaging with psychological interventions. We interpreted that the prioritisation of these explanations suggests that TRD can be contested diagnosis. This interpretation was not only latent but overt in our data: ‘I think if we call things TRD, we undermine the impact of those other changes.’ConclusionTRD can be a contested diagnosis in the same way as ADHD, ME, and long-COVID. GP training and continuing professional development may support GP awareness of TRD and help them in confidently making the diagnosis.
Investigating the impact on GP facilitators of small group facilitation for an annual interprofessional domestic abuse conference on general practice: an impact evaluation study
Authors: Charley Andrew , Sirkia-Weaver Sari 
Published: July 2023

BackgroundInterprofessional learning (IPL) events can provide a supportive environment for GPs to improve care and health outcomes for vulnerable children, young people, and their families. Thirty GPs have facilitated small groups at an annual interprofessional domestic abuse conference since 2014. It was postulated that distilling GP learning from these events could provide a template for focused training to up-skill the local GP workforce.AimTo identify how the facilitators’ skills and expertise in eliciting and managing domestic abuse in front-line practice has developed personally and been translated into their surgery-based team.MethodNine from 18 invited GPs participated. Three had engaged between 7–9, 4–6, and 1–3 conferences. Two researchers conducted a 1-hour semi-structured interview. Thematic analysis was performed on the audio-recorded transcripts.ResultsSeven themes emerged: GP training — implementing a trauma-informed approach; safer environment — in the surgery, when consulting, and recording documentation; knowledge — Domestic Abuse Act 2021, local Independent Domestic Violence Advisor support; alert triggers — probability of coercion and control; consultation skills — normalising a safe enquiry, high level of professional curiosity; children — children as victims in their own right; legacy of DA on their behaviour and life course; and interprofessional working — greater confidence to proactively share information, informed respect of other agency roles and responsibilities.ConclusionThis impact study has provided a discrete evidence base from which to focus up-skilling of the local primary care workforce. This might include a possible educational template to improve interagency working in supporting adult and child survivors of DA with the legacy of this trauma.
Social media and anxiety in young adults: preparing primary care for the rising challenge
Authors: Anto Ailin , Asif Rafey , Basu Arunima , Kanapathipillai Dylan , Salam Haadi , Selim Rania , Zaman Jahed 
Published: July 2023

BackgroundSeveral researchers and policymakers have acknowledged the alarming association between social media usage and anxiety symptoms in young adults. While primary care holds a crucial role in the improvement of health outcomes for those presenting with anxiety, there has been no research on GPs’ perceptions of the impact of social media on anxiety. Furthermore, there has been little discussion of social media as a risk factor in anxiety-related consultations. This study is the first to use empirical research to inform how primary care can adapt to address social media’s impact on anxiety within young adults.AimTo identify GPs’ perceptions of the impact of social media on anxiety; and to identify the facilitators and barriers within primary care to addressing social media’s impact on anxiety among young adults.MethodFollowing an exploratory pilot interview, semi-structured interviews with GPs (n= 7) were transcribed and thematically analysed following an inductive approach.ResultsSix facilitators were identified: a framework to facilitate discussion, open GP attitudes, GP training, alternative support, larger stakeholder influence, and young adult education of social media’s impact on anxiety. Three barriers were identified: a lack of GP awareness of social media’s impact on anxiety, cautious GP attitudes, and increased pressure on the health service.ConclusionThis qualitative study revealed a diversity of perceptions, and these novel findings are instructive in the adaptation of primary care services to meet the current mental health needs of young adults, as well as better assisting GPs in engaging in these conversations, especially within university practices.