bluuebunny/crossref_metadata_2025_split huggingface dataset:
Depression, anxiety, and stress among domestic migrants during COVID-19 pandemic in Hyderabad
Authors: Thatavarthi Lakshmi Keerthana , Modala Vijay Kumar , Kondaparthi Phanikanth 
Published: May 2022

Context:
In the current pandemic, migrants face specific stressors like separation from family, un-sanitized housing, overcrowded conditions, financial instability resulting in poor coping strategies and making them more prone to mental illness. It is crucial to address their psychological needs and contribute to the literature.

Aim:
The study was done to assess depression, anxiety, and stress in domestic migrants along with domestic migration stress and COVID 19-related anxiety.

Materials and Methods:
It was a cross-sectional study conducted in Hyderabad, Telangana among 70 individuals who have migrated from their home states, chosen after obtaining informed consent. Domestic migration stress questionnaire to evaluate migration stress, depression anxiety stress scale-21 to evaluate depression, anxiety and stress, and the corona anxiety scale to evaluate anxiety-related to pandemic were used. Data were analyzed using the statistical package for the Social Science Version 25.0.

Results:
The study population was screened and was found to experience symptoms of severe depression (mean 21.43), severe anxiety (mean = 16.80), and moderate stress (20.43). They had considerable domestic migration stress (mean = 41.03) and COVID related anxiety (mean = 9.78). Domestic migration stress and COVID anxiety together had significantly impact on depression, anxiety, and stress. COVID anxiety alone affected depression and anxiety significantly. Domestic migration stress alone when analyzed had impact on the stress experienced.

Conclusion:
Depression, anxiety, and stress symptoms among the domestic migrant population are very prevalent currently. The mental health of migrants should be made a priority and active awareness programs and screening should be done. Further large-scale studies with adequate funding from the government and appreciable concern from the mental healthcare providers should be done.
A qualitative study regarding stress and coping in frontline postgraduate trainee doctors working at a COVID hospital
Authors: Netto Ivan Stanley , Abhivant Niteen , Shewale Kunal , Muchala Nirali 
Published: May 2022

Context:
There are few studies regarding stress and coping in postgraduate trainee doctors (PGTDs) working with COVID-19 patients during the first phase of the COVID-19 pandemic in the Indian setting.

Aims:
This qualitative study examines the causes of stress, the stress experience, and the coping methods in PGTDs working with COVID-19 patients.

Setting:
This study was conducted at a tertiary referral hospital with an attached medical college and a COVID-19 hospital in India.

Materials and Methods:
This qualitative study used in-depth audio interviews with PGTDs.

Statistical Analysis:
Content analysis was used to identify direct and latent themes.

Results:
Thematic saturation was achieved with 13 participants. The major themes were related to the causes of stress, the stress experiences, and the coping with stress in PGTDs while working with COVID-19 patients.

Conclusions:
There are various causes of stress reported by PGTDs while doing their COVID duties. The stress was due to external and internal stressors. Most experience some degree of stress while working in COVID-19 wards. This was more during their first duties, but subsequent ones are less stressful. Most use healthy coping mechanisms to cope with the stress. The advice they have for other COVID-19 HCWs has also been reported.

Implications:
This will be useful to plan suitable interventions, training, research, and policy for PGTDs working with COVID-19 patients in the Indian setting.
Occurrence and antimicrobial susceptibility of Salmonella in feces and milk samples of lactating dairy cows in Addis Ababa, Ethiopia
Authors: Mekonnen Habtamu , Alemayehu Haile , Girma Musse , Eguale Tadesse 
Published: May 2022

Salmonella is one of the major causes of foodborne diseases that remained important public health concerns worldwide. Antimicrobial resistance in Salmonella is also a global concern. Establishing the status of Salmonella in dairy farms and antimicrobial susceptibility of circulating isolates particularly where animals and humans live in close proximity is vital to devise appropriate intervention. A cross-sectional study was conducted from December 2019 to May 2020 to determine the prevalence of Salmonella and antimicrobial susceptibility of isolates among lactating dairy cows in Addis Ababa. A total of 151 fecal and 151 milk samples were collected from lactating dairy cows and cultured for Salmonella. Salmonella isolation and identification was conducted using standard microbiological techniques and further confirmation was carried out using Salmonella genus-specific PCR. An antimicrobial susceptibility test was performed using the Kirby-Bauer disk diffusion technique. Salmonella was isolated from 4 fecal samples (4/151) (2.7%) whereas none of the 151 milk samples were positive for Salmonella. One isolate was multidrugresistant (MDR) to seven antimicrobials namely: ampicillin, amoxicillin, ceftriaxone, cephalothin, tetracycline, and sufamethoxazole+ trimethoprim and two isolates were resistant to either tetracycline or sulfisoxazole. All Salmonella isolates were susceptible to ciprofloxacin, amikacin, chloramphenicol, nalidixic acid, and gentamicin. In conclusion, a low prevalence of Salmonella among lactating dairy cattle was recorded in this study and it was not detected in milk samples. However, the observed resistance to commonly used antimicrobials particularly third-generation cephalosporin, ceftriaxone in one of the isolates pose a public health concern. Thus, appropriate measures should be instituted to protect the public and animals from infection with multidrug-resistant strains of Salmonella.
Clinical and haematological determinants of outcome among children with cerebral malaria in a tertiary centre in Nigeria
Authors: Alabi Ayobami Oyetunji , Ojuawo Ayedele , Onigbinde Michael Olaniyan , Joel-Medewase Victor Idowu , Alabi Grace Olukemi 
Published: May 2022

Background: Many cl inicaland haematological changes occur as a result of severe malaria, of which cerebral malaria (CM) is a common entity. These changes affect virtually all organs and systems of the body. We identify various clinical and haematological determinants of outcome in CM so as to institute proactive management of such children. Methods: All children who met World Health Organization (WHO) diagnostic criteria for CM over 8 month-period were prospectively studied. The presenting symptoms and its duration, detailed physical examination and laboratory parameters were obtained. Logistic regression was employed to determine the prognostic significance of various clinical and laboratory parameters. Outcome indicators were full recovery, alive with neurological sequelae or death of the children.Results: Of the 892 children admitted into the Children Emergency Unit (CEU) over the study period, 50 (5.6%) had CM with M: F ratio of 1:1 and age range of 6 months to 12 years. Sixty percent were aged less than 5 years. The defining symptoms were fever (100%), coma (100%) and convulsion (98%). Forty-one (82%) patients survived, while nine (18%) died. Of the 41 survivors, 30 (73.2%) recovered fully, while 11 (26.8%) had neurological deficits at discharge.Identified clinical and laboratory predictors of mortality and neurological sequelae in CM included Blantyre coma score of 0-2(p = 0.018) prolonged coma recovery time > 26 hours (p =0.026), abnormal breathing pattern (p = 0.0124), absent corneal reflex (p = 0.012), absent pupillary reflex (p = 0.012), depressed tendon reflex (p = 0.028), hyperreflexia (p =0.014), retinal haemorrhage (p =0.001), duration of admission (p=0.000), hyper parasitaemia (p=0.001), hypoglycemia (p= 0.014) and leucocytosis (p = 0.008). Independent determinants of immediate post-recovery neurological deficits and death were hyper-parasitaemia (OR = 8.657, p = 0.017.) and leucocytosis (OR = 1.090; p = 0.035Conclusion: CM is a potentially reversible encephalopathy associated with high mortality and sequelae. Affected children with the above listed clinical / haematological parameters especially hyperparasitemia and leucocytosis should be given proactive management to improve the outcome.
Gestión de estrategias de aprendizaje digital para el éxito de un MOOC: experiencia de cinco ediciones consecutivas
Authors: Castro Milagros Cecilia Huamán 
Published: May 2022

El artículo “Gestión de estrategias de aprendizaje digital para el éxito de un MOOC: Experiencia de cinco ediciones consecutivas”, tiene como objetivo, dar a conocer los resultados y la experiencia del desarrollo de cinco ediciones del 1er MOOC creado en el Perú en la USMP y habilitado a la comunidad en la plataforma MiriadaX de Universia, España. El MOOC fue creado bajo los lineamientos y revisión de calidad de MiriadaX, el claustro estuvo formado por expertos en e-learning de la USMP, se contó con dinamizadores para los foros y cinco estrategias diferentes, una por cada inicio, registrando 20,804 inscritos, con la participación de 54 países de ambos sexos en proporciones casi homogéneas, e identificando que los que más participan son entre 25 y 45 años de edad. La experiencia se llevó a cabo en el marco de los principios de la teoría pedagógica del Conectivismo y el enfoque de un aprendizaje disruptivo.
propuesta de modelo para medir la cultura financiera en las MYPES del estado de San Luis Potosí.
Authors: Torres Rivera Ma. Patricia , Flores Rueda Isabel Cristina , Tristán Monrroy Beatriz Virginia , Espinosa Delgado Juan Manuel 
Published: May 2022

El presente estudio muestra los resultados obtenidos entre las micro y pequeñas empresas (mypes) de la zona Altiplano del estado de San Luis Potosí a través de un análisis descriptivo, correlacional y explicativo a 322 mypes, cuyo objetivo fue validar el instrumento de recolección de la información mediante el análisis factorial exploratorio; usando el modelo de regresión múltiple, se propone un modelo de cultura financiera. Los hallazgos muestran que existe una relación significativa entre la cultura financiera y el nivel de ingresos por ventas.
Abstract
This study shows results obtained from micro and small enterprises (MSEs) in the Altiplano area, of the State of San Luis Potosi using descriptive, correlational, and explanatory analysis of 322 MSEs, which aimed at validating the data recollection instrument through an exploratory factorial analysis; using a multiple regression model thus, a model of financial culture is proposed. Findings show that there exists a significant relationship between financial culture and the level of income from sales.
USO DE TECNOLOGÃA NFC Y SU IMPACTO EN LA SOCIEDAD ECUATORIANA
Authors: ALAY QUIMIS YARITZA 
Published: May 2022

NFC es una tecnologÃ­a inalÃ¡mbrica para la transmisiÃ³n de datos no es necesario contar con dos objetos provistos de una fuente de alimentaciÃ³n, que produce el objeto origen sobre el objeto destino, se energiza el receptor y permite una comunicaciÃ³n. La premisa bÃ¡sica a la que se acoge el uso de la tecnologÃ­a NFC es aquella situaciÃ³n en la que es necesario un intercambio de datos de forma inalÃ¡mbrica. Lo usos que mÃ¡s futuro tienen son la identificaciÃ³n, la recogida e intercambio de informaciÃ³n y, sobre todo, el pago. Sin embargo, se tiende a describir los aspectos relevantes que existen en el funcionamiento de esta tecnologÃ­a. Entre ellos sus posibles campos de aplicaciÃ³n, problemas de seguridad involucrados y su ejemplificaciÃ³n a travÃ©s de la elaboraciÃ³n de prototipos de aplicaciones mÃ³vil para el sistema operativo que involucra la lectura y escritura de etiquetas NFC. La inclusiÃ³n de chips NFC en los telÃ©fonos inteligentes ha permitido. En su gran mayorÃ­a el desarrollo ejemplar de aplicativos que utilicen estas tecnologÃ­as exponencialmente, permitiendo la apertura de un nuevo mercado, que pueda ser aprovechado por los desarrolladores de tecnologÃ­a para cubrir necesidades cotidianas de las personas de una manera intuitiva y fÃ¡cil.
Prevalence of Cytomegalovirus Infection among Suspected Infants in Baghdad
Authors: Raham Tareef Fadhil , Abdul-Wahab Ahmed Nabeel , Chaloub Zainab Ali 
Published: May 2022

Background: Cytomegalovirus (CMV) virus is a recognized important cause of congenital CMV infection which carries a significant risk for symptomatic disease and developmental defects in newborns. Its prevalence varies from place to other and time to time. This study is conducted to estimate its prevalence in Baghdad among infants suspected of having a congenital infection and to study the associated findings.
Subjects and Methods: The study was carried out in Al-Alwyia pediatrics teaching hospital. Data were collected, and blood samples were taken for infants suspected to have intrauterine infections over a period of one year, from 1 October 2019 to 1 October 2020. Immunoglobulin M (IgM) tests for CMV were conducted for all collected samples. CMV- immunoglobulin G (IgG) was a further analysis if negative results were obtained for CMV-IgM testing. Samples were tested by Eliza method.
Results: The overall positivity for CMV-specific antibodies among suspected infants was 16.7% for IgM and 66 % for IgG. Males constitute 55% of CMV-IgM positive results. These results are statistically significant concerning age groups. 1-3-month age group was the largest (40 % of IgM positive infants) with a p-value of 0.000. This indicates delayed presentation of CMV-affected infants. With the same p-value, 74% of infants less than one month of age were IgG positive reflecting the maternal prevalence of CMV- IgG in an equivalent percentage.
Convulsion followed by delayed milestones was the most common presenting symptoms in congenital CMV infection with statistically significant associations.
Conclusions: The study indicates that infection with CMV constitutes a significant portion of suspected infants. The study recommends special attention to take steps concerning early management.
Safety profile of immediate post-partum intrauterine device insertion during caesarean delivery – a clinical trial with three years of follow up
Authors: Alhaidari Taghreed Khalil , Majeed Asmma , Al-Jassani Sahar , Fawzi Hayder , Abdulaziz Lewai ‎ , El Kak Faysal 
Published: May 2022

Background: Many countries recommend the use of long-acting reversible contraceptive intrauterine device immediately after cesarean delivery. The cesarean delivery rate in Iraqi public hospitals is 32.2% and may reach 85.8% in private hospitals. Immediate post-partum intrauterine device insertion at cesarean is rarely done in Iraq.
Objectives: To assess the safety and practicality of immediate post-partum intrauterine device insertion during cesarean delivery for family planning and pregnancy spacing in Iraqi women.
Subjects and Methods: A single arm clinical trial included 150 eligible women who attended Al-‎Elwiyah Maternity Teaching Hospital or Al Hayat Rahibat Hospital for term delivery. A copper intrauterine device was placed in the uterine cavity immediately after delivery of the placenta during cesarean delivery. The intrauterine device was fixed in place at the fundus using an absorbable suture. Patients were followed up at six weeks, then annually for three years.
Results: Expulsion of the intrauterine device was not reported by any of the participants. The most-reported complaints in the first twelve months of intrauterine device placement were abdominal pain, abnormal vaginal discharge, and ‎heavy menstrual blood loss, however, none were statically significant (P= 0.256). After the first year, there was a significant reduction in the ‎frequency of complaints (P= 0.002). Only 7.33% (95% CI: 6.92–7.75%) of the patient requested intrauterine device removal within the three years. The main reason was to plan a new pregnancy followed by recurrent infection associated with uncontrolled diabetes ‎mellitus. Diabetes was ‎a significant predictor for immediate post-partum intrauterine device removal, P= 0.049.
Conclusion: The intrauterine device placement during cesarean delivery with suture fixation is a safe procedure with a zero-expulsion rate and is an effective reversible long-term contraceptive method.
Simulation-based training in otoscopy for undergraduate medical students
Authors: Bhat Vadisha Srinivas , Saldanha Marina , Bhat Shubha P. , Shankar Nachiket , Vincent Mark Jittu , Mohamed Tariq 
Published: May 2022

Introduction and Aim: Medical education training has undergone a paradigm shift emphasizing newer teaching methods due to challenges in teaching procedural skills by demonstration alone and difficulty in assessment. Simulation is one teaching method in which students can repeatedly practice and strengthen their confidence without causing untoward harm to the patient. Otorhinolaryngology is a technically demanding specialty, and the methods of clinical examination need practice to attain proficiency in performing the skill. Otoscopy being a basic clinical procedure has become a core competency in the medical curriculum. Hence, our study highlights the importance of using simulation to teach clinical skills such as otoscopy.

Materials and Methods: In our study, sixty undergraduate students who attended the clinical posting in the Department of Otorhinolaryngology were recruited. The consultant demonstrated the technique of performing otoscopy, and one week later, the students were asked to perform otoscopy on an ear examination manikin and assessed using a checklist. Following this, hands-on training on otoscopy was given on the manikin, and after one week, the students were reassessed in a similar method. Feedback about the training was obtained from the participants.

Results: Sixty students, 32 (53%) girls, and 28 (47%) boys participated in the study. Seven point questionnaires were used for the assessment of otoscopy in the students. Better performance scores were observed after hand-on simulation training in five parameters (P<0.05). Wilcoxon signed-rank test for the total score showed significant improvement in the post-intervention scores (Z value of -6.723). On analysing the student feedback, 87% felt hands-on simulation was a better method to learn otoscopy than OPD demonstration.

Conclusion: Simulation is an effective tool for teaching and assessing the clinical skill of otoscopy in otorhinolaryngology. Implementing simulation for learning otoscopy in medical education will improve the proficiency and confidence to perform this skill.
A study of inflammatory markers and their correlation with PASI score in psoriasis – A case control study
Authors: Mannangi Neela B. , Devaranavadagi Bassavaraj , Jayaram Shubha , Ankad Balachandra S. , D.S. Shankarprasad 
Published: May 2022

Introduction and Aim: Psoriasis is one of the salient dermatological disorder and a chronic recurrent cutaneous disease. Research shows that immunological cells and cytokines play a principal causative role for skin lesions and comorbid systemic effects in these patients. Like other autoimmune diseases, psoriasis is also a multifactorial disorder which is triggered either by injury, trauma, infections, medications, and psychological stress. Among the cytokines, hs-CRP acts as both inflammatory and cardiovascular marker. It is markedly increased in psoriasis patients, there by leading to subsequent co-morbidities in these patients. The aim of present study was to estimate inflammatory markers viz-TNF-?, IL-2, IFN-? and hs-CRP in psoriasis patients and controls and correlate these inflammatory markers with PASI score in psoriasis patients. Further to correlate hs-CRP with TNF-?, IL-2, IFN-? in these patients.

Materials and Methods: The study is conducted at a tertiary level hospital and is designed as a Case Control study design conducted from January 2019 to January 2021. 110 subjects having diagnosed as psoriasis were included as cases and 110 controls. Inflammatory markers were estimated by ELISA method. Statistical analysis was done.

Results: The study showed that inflammatory markers in cases with psoriasis were significantly elevated when compared with controls. The inflammatory markers were proportionately altered from mild to severe in psoriasis patients but were not statistically significant. The hs-CRP showed negative significant correlation with IFN –?.

Conclusion: The present study concludes that the inflammatory markers are significantly increased in psoriasis patients, and this is correlated with PASI score. These simple biomarkers are of utmost importance in the clinical scenario for better treatment and prognosis and thereby reducing comorbidities in these patients.
ENTREPRENEURSHIP EDUCATION AND YOUTH UNEMPLOYMENT CHALLENGES IN AFRICA: GHANA IN PERSPECTIVE
Authors: Okoro John Peter , Nassè Dr. Théophile Bindeouè , Ngmendoma Amos Baafira , Carbonell Nicolas , Nanema Dr. Mahamadi 
Published: May 2022

Entrepreneurship education has the mandate to equip the youth with functional knowledge and skills to build up their character, attitude and vision. It has vital role in developing eco-system that promotes innovation and solving unemployment challenges of nations. Government of Ghana has initiated direct job creation interventions to address youth unemployment challenges. Examples include: Skill Training and Employment Placement (STEP) Programme (2002-2004), National Youth Employment Programme (NYEP), now Youth Employment Agency (YEA) in 2006, Youth Enterprise Support (YES), now National Entrepreneurship and Innovation Plan (NEIP) in 2014, and the recent Nation Builders Corps. Despite the above efforts, unemployment rates in Ghana instead of reducing, increased from 2.15% in 2015, 2.26% in 2016 to 2.36% in 2017; whilst youth unemployment rate increased from 4.51% in 2015, 4.72% in 2016 to 4.9% in 2017. Therefore, this study attempts to conceptualize the relevance of entrepreneurial education to solving the youth unemployment challenges in Ghana. The study concluded that entrepreneurial education has the potentials of solving youth unemployment challenges in the society.
Keywords: Entrepreneur, Entrepreneurship, Entrepreneurship Education, Unemployment.
A UTILIZAÇÃO DE PROGRAMAS DE USO COTIDIANO COMO FERRAMENTAS DE APOIO PEDAGÓGICO
Authors: Colombo Fábio José , Bertolete Neto Brazelino , Barros Luciano de Jesus Rodrigues de 
Published: May 2022

Este trabalho partiu das necessidades e expectativas demonstradas pelas novas gerações de alunos que já crescem com a tecnologia digital e anseiam que toda a sociedade interaja com eles da forma correspondente. Muitos alunos sentem uma dificuldade muito grande em sala de aula, pois muitas vezes os modelos de ensino aprendizagem utilizados não condizem com sua realidade. Foi sugerido a integração da tecnologia com o ambiente educacional através de ferramentas computacionais que já são utilizadas diariamente. Foi feito um estudo de caso baseado na observação e experiência prática do ensino de várias disciplinas do Ensino Médio com o sistema proposto e os resultados foram muito satisfatórios. A metodologia de estudos envolveu a observação, avaliação da aprendizagem e foi baseada na utilização de livros, revistas e artigos técnicos. As ferramentas de apoio principais utilizadas neste trabalho foram o whatsapp, o e-mail e o Microsoft Power Point 2010.