Miracle-dz/UniFAR-FTUs huggingface dataset:
Simulation-Based Neonatal Resuscitation Education for Undergraduate Anesthesia Students: A Pre- and Post-Evaluation of Knowledge and Clinical Skills

Background Nearly one in five hundred babies unexpectedly need resuscitation at birth, and the need for resuscitation is often unpredictable. A large majority of these deaths occur in low-resource settings and are preventable. Appropriate resuscitation techniques are crucial to the survival of newborn infants. Therefore, producing skilled health professionals in teaching institutions is mandatory to perform this activity. Objective The study aimed a pre- and post-evaluation of knowledge and clinical skills performance of anesthesia students completing simulation-based neonatal resuscitation training at a Teaching Referral Hospital. Methods A pre-post-intervention study was conducted on undergraduate final-year anesthesia students at Comprehensive and Specialized Teaching Referral Hospital, Ethiopia. We used a validated checklist to follow the students' performance (American Heart Association, 2005, and Ogunlesi et al., 2012). The data were collected through this checklist. The collected data were analyzed with statistical package for social sciences (SPSS) version 20. Categorical variables were analyzed with chi-square test, and a p-value <0.05 was considered as statistically significant. Results A total of 51 students participated in the study. Twenty of them were females. The pre-intervention knowledge of the respondents about aspects of evaluation for neonatal resuscitation was 90.2%, and post-intervention was 94.1%; the knowledge of the respondents about aspects of appropriate actions at pre- and post-interventions was 73.4% and 83.1%, respectively. Conclusions and recommendations: This study showed that there was improvement of post-interventions knowledge and clinical skills of undergraduate anesthesia students for both aspects of evaluation and appropriate actions for neonatal resuscitation. We recommend that students who attached clinical anesthesia practice should take at least simulation-based training at skill laboratories timely.
Detection of Serum-Specific IgE by Fluoro-Enzyme Immunoassay for Diagnosing Type I Hypersensitivity Reactions to Penicillins

Diagnosis of type I hypersensitivity reactions (IgE-mediated reactions) to penicillins is based on clinical history, skin tests (STs), and drug provocation tests (DPTs). Among in vitro complementary tests, the fluoro-enzyme immunoassay (FEIA) ImmunoCAP® (Thermo-Fisher, Waltham, MA, USA) is the most widely used commercial method for detecting drug-specific IgE (sIgE). In this study, we aimed to analyze the utility of ImmunoCAP® for detecting sIgE to penicillin G (PG) and amoxicillin (AX) in patients with confirmed penicillin allergy. The study includes 139 and 250 patients evaluated in Spain and Italy, respectively. All had experienced type I hypersensitivity reactions to penicillins confirmed by positive STs. Additionally, selective or cross-reactive reactions were confirmed by DPTs in a subgroup of patients for further analysis. Positive ImmunoCAP® results were 39.6% for PG and/or AX in Spanish subjects and 52.4% in Italian subjects. When only PG or AX sIgE where analyzed, the percentages were 15.1% and 30.4%, respectively, in Spanish patients; and 38.9% and 46% in Italian ones. The analysis of positive STs showed a statistically significant higher percentage of positive STs to PG determinants in Italian patients. False-positive results to PG (16%) were detected in selective AX patients with confirmed PG tolerance. Low and variable sensitivity values observed in a well-defined population with confirmed allergy diagnosis, as well as false-positive results to PG, suggest that ImmunoCAP® is a diagnostic tool with relevant limitations in the evaluation of subjects with type I hypersensitivity reactions to penicillins.
How does income inequality affects economic growth at different income levels?

To address the slowdown in growth from an inequality perspective, this study applies a comprehensive dataset with strong comparability and a dynamic panel threshold model to explore the effect of income inequality on economic growth, its channels of influence, and differences in channels due to country differences, considering income level differences and country differences. The study finds that whilst inequality impedes growth in the general growth framework, this impediment becomes insignificant when the fertility rate or country differences are controlled for. Second, the impeding effect of inequality on growth occurs at low-income levels rather than at high-income levels. Finally, in the low-income stage, inequality tends to impede growth through channels that reduce the level of human capital and political stability and increase fertility, rather than through channels that affect investment, and the channels vary slightly by the country ’ s economic systems, religious beliefs, and saving habits. This study suggests that at the low-income stage, the government should appropriately increase the proportion of labour compensation, improve the redistribution system, encourage the development of charity, and establish a sound social donation system.
Participation problems and effective accommodations in students with dyslexia in higher education

ABSTRACT Students with dyslexia face particular challenges in higher education. Individuals with disabilities have a right to accommodations to guarantee equal opportunities and participation in education. The present study addresses (1) the frequency of functioning and participation problems of students with dyslexia in higher education, (2) the teaching and evaluation methods during which the functioning and participation problems emerge, and (3) the effectiveness of accommodations perceived by students with dyslexia. Results showed that students with dyslexia primarily have problems with reading comprehension, reading speed, spelling and text writing. Furthermore, most students with dyslexia experience more problems during classical teaching (e.g. lecture) or classical evaluation methods (e.g. written exam with open questions) than during dynamic or activating teaching methods (e.g. excursion or internship) or alternative evaluation methods (e.g. peer evaluation). Finally, perception of the effectiveness of accommodations depends strongly on the individual functioning and participation problems students with dyslexia experienced.
Inter-annual variability of catchment water balance in a montane spruce forest

ABSTRACT Climatic conditions in temperate montane forests vary over multiple temporal scales. This study examines the effects of inter-annual climatic variability on the long-term water balance of a small headwater catchment with gradually changing vegetation characteristics. The research is based on direct observations of basic hydrological variables (precipitation, stream discharge), and process-based modelling of difficult-to-measure variables (forest transpiration, wet canopy evaporation, snow sublimation). The catchment water balance is evaluated in terms of the catchment water storage. The uncertainty of the estimated storage changes is expressed as a convolution of partial uncertainties associated with the individual components of catchment water balance. The results suggest a significant decrease of catchment water storage over the study period. The decrease is assumed to be caused by increasing winter temperatures, resulting in a more frequent occurrence of liquid precipitation and less prominent spring snowmelt. Considering vegetation’s conservative water-balance management proved essential for the studied environment.
Stalagmite-Inferred Climate in the Western Mediterranean during the Roman Warm Period

The circum-Mediterranean region is the cradle of ancient civilizations that had their roots in the Holocene. Climate change has been considered a key element that contributed to their rise or fall. The Roman Warm Period (RWP), 200 B.C. to 400 A.D., was the warmest period in Europe during the last two thousand years. Hydroclimatic change at the end of the RWP has been suggested as a possible influence on the stability of the Roman political regime and the eventual collapse of the Roman Empire in 476 A.D. A lack of precise proxy records hampers our understanding of hydroclimatic variability over the RWP. Here we present a stalagmite-based climate record from 550 ± 10 B.C. to 950 ± 7 A.D. (2σ) from northern Italy, which reveals a climatic trend of warming and increased humidity throughout the RWP. By comparison with other proxy records in Europe and the circum-Mediterranean region, we argue that the warm, humid climate in southern Europe could be linked to the multi-centennial warming of the Mediterranean Sea. Our record further suggests a century-long rapid drying trend from the early-4th to early-5th century, followed by a 100-year-long drought event, which could have influenced the fall of the Roman Empire.
The Nuance of Bilingualism as a Reserve Contributor: Conveying Research to the Broader Neuroscience Community

The neurological notion of “reserve” arises from an individually observable dissociation between brain health and cognitive status. According to the cognitive reserve hypothesis, high-reserve individuals experience functional compensation for neural atrophy and, thus, are able to maintain relatively stable cognitive functioning with no or smaller-than-expected impairment. Several lifestyle factors such as regular physical exercise, adequate and balanced nutrition, and educational attainment have been widely reported to contribute to reserve and, thus, lead to more successful trajectories of cognitive aging (CA). In recent years, it has become clear that bilingualism is also a potential reserve contributor. Yet, there is little communication between the neuroscience of bilingualism research community and researchers working in the field of CA more generally, despite compelling reasons for it. In fact, bilingualism tends to be overlooked as a contributory factor in the CA literature, or reduced to a dichotomous trait, despite it being a complex experience. Herein, we discuss issues that are preventing recognition of bilingualism as a reserve contributor across all literatures, highlight the benefits of including language experiences as a factor of interest across research disciplines, and suggest a roadmap to better integrate bilingualism and aging moving forward. We close with calls toward a model of aging that examines the contributions across lifestyle factors, including that of bilingual experience.
Biomass Production and Predicted Ethanol Yield Are Linked with Optimum Photosynthesis in Phragmites karka under Salinity and Drought Conditions

Plant photosynthesis and biomass production are closely associated traits but critical to unfavorable environmental constraints such as salinity and drought. The relationships among stress tolerance, photosynthetic mechanisms, biomass and ethanol yield were assessed in Phragmites karka. The growth parameters, leaf gas exchange and chlorophyll fluorescence of P. karka were studied when irrigated with the control and 100 and 300 mM NaCl in a nutrient solution and water deficit conditions (drought, at 50% water holding capacity). The plant shoot fresh biomass was increased in the low NaCl concentration; however, it significantly declined in high salinity and drought. Interestingly the addition of low salinity increased the shoot biomass and ethanol yield. The number of tillers was increased at 100 mM NaCl in comparison to the control treatment. High salinity increased the photosynthetic performance, but there were no significant changes in drought-treated plants. The saturated irradiance (Is) for photosynthesis increased significantly in low salinity, but it declined (about 50%) in high salt-stressed and (about 20%) in drought-treated plants compared to the control. The rates of dark respiration (Rd) and compensation irradiance (Ic) were decreased significantly under all treatments of salinity and drought, with the exception of unchanged Rd values in the control and drought treatments. A-Ci curve analyses revealed a significant improvement in the Jmax, Vc, max, and triose-phosphate utilization (TPU) at lower salinity levels but decreased at 300 mM NaCl and drought treatments compared to the control. In the chlorophyll fluorescence parameters (Fv/Fm, maximum photochemical quantum yield of PSII, and Y(NO)), the non-photochemical yields were not affected under the salt and drought treatments, although an effective photochemical quantum yield (YII) and electron transport rate (ETR) were significantly enhanced in water deficit compared to control plants. P. karka regulates an efficient photosynthesis mechanism to grow in saline and arid areas and can therefore be used as a sustainable biofuel crop.
Housing Quality and Perceived Health Effects in Ijebu Ode, Nigeria

Despite the mounting compendium of scientific evidence that has clearly documented the link between poor housing quality and health both locally and globally, poor housing quality has continued to be a significant concern in public health, especially in rural and sub-rural areas of emerging nations like Nigeria, where there is slight or no knowledge about the public health consequences of poor housing quality. As a result, the object of this work is to observe the housing quality and the perceived health impacts in Ijebu Ode, Nigeria. The work adopted a descriptive but cross-sectional approach, and data was obtained from four hundred (400) systemically sampled households through structured questionnaires, and analysed descriptively using a statistical tool for social scientists. According to the findings, a significant number of the residents 51.5% had no water in their houses, 44% had two windows in the room; out of which only 32% had windows on the two walls of the room, and 33% of the homes were overcrowded with over two people in a room. The findings further revealed that the vast majority of residents reported having cases of malaria with 67.5%, and cases of typhoid and cough with 15.5% and 4.5%, respectively. Consequently, the study has hitherto concluded that housing quality in Ijebu Ode is poor, which is a major predictor of the perceived health effects experienced by the residents.
Impact of macroeconomic variables on the Nigerian manufacturing sector

Abstract The essence of this study is to examine the impact of macroeconomic variables and some salient socio-economic and political variables on the manufacturing sub-sector of the Nigerian economy by using the autoregressive distributed lag to analyze data source from 1986 to 2019 within the context of two macroeconomic theories: The Solow growth and the endogenous growth theories. The study noted that both the Solow growth theory and endogenous growth model are valid in the short run for the studied economy, but the result is not the same in the long run, as only the endogenous growth model was valid in the long run. The study noted that to achieve sustainable economic growth powered by strong manufacturing sector, there must be an alignment between the macroeconomic variables employed and the socio-political factors. The findings of the study have some policy implications.
The effect of maize crop cutting height and the maturity at harvest on maize silage chemical composition and fermentation quality in silo

Maize silage (MS) has become one of the major energy components in ruminant nutrition. The maize crop is suitable for ensiling and is of high dry matter (DM) yield and nutritive value. The aim of this review is to provide a comprehensive overview of the effect of cutting height and maize crop maturity at harvest on the chemical composition of MS and fermentation quality in a silo. With an increase in cutting height and maize crop maturity, the content of dry matter (DM) in MS increases to about 400 g DM/kg of fresh crop, after which it does not change, crude protein (CP) CP content increases or remains the same, the ash content decreases or remains the same, starch content increases, and the content of neutral detergent fibre (NDF), acid detergent fibre (ADF) and acid detergent lignin (ADL) decreases or remains the same. The cutting height and maize crop maturity at harvest have no effect on pH value, lactic, acetic neither butyric acid but increases the amount of ethanol and decreases the ammonium nitrogen (NH 3 -N) in MS.
Service quality, customer satisfaction, and loyalty in the banking sector

Purpose The purpose of this paper is to understand the moderating role of organizational culture in the relationship between service quality, customer satisfaction and loyalty in the banking sector using data from the Ghanaian banking sector. The idea is to understand the relative importance of the various service dimensions to customers patronizing banking services in Ghana and to ascertain what drives customer satisfaction and whether this satisfaction has implication on their loyalty. Design/methodology/approach The study used a survey and relied on partial least squares structural equation modeling to study the relationship between service quality and its impact on customer satisfaction and customer loyalty. Findings The result indicates that the reliability, ambiance and social factors all have a significant positive relationship with the satisfaction of customers doing business with these banks. However, assurance and responsiveness of the employees seem to have no significant relationship with the satisfaction of customers. It is also important to indicate that organizational culture seems to strengthen the positive relationship between the service quality dimensions and customer satisfaction. The results further indicate that customer satisfaction has a direct positive relationship with customer loyalty. Research limitations/implications Reliability, ambiance and social factors remain the three most important drivers of customer satisfaction in the banking sector in Ghana. It is, therefore, important for bankers to consistently undergo training and education in order to deliver more reliable services to customers. Managers should also make efforts to groom employees, provide attractive promotion materials, provide directions to the banks, make sure the banking halls are neat for customers while waiting and the provision of enough parking spaces for customers. One limitation of this work is that the data focused on only the Ghanaian banking environment. Practical implications The research shows the importance of the service quality constructs such as reliability, ambiance and the social factors on customer satisfaction and loyalty in the banking sector. The organizational culture seems to strengthen the positive relationship between empathy, reliability, tangibles and customer satisfaction. It is therefore important for banks to continue to build cultures that will commit employees to their work, so that they feel the sense of ownership of quality in order to contribute meaningfully. Originality/value The work illustrates and provides some insights and builds on the literature in the area of service quality, customer satisfaction and loyalty from a developing country’s environment using the stimulus-organism-response model. In addition, this work further highlights the importance of the moderating role of organizational culture in the relationship between the service quality dimensions and customer satisfaction.
The Gut Microbiota Dysbiosis in Preeclampsia Contributed to Trophoblast Cell Proliferation, Invasion, and Migration via lncRNA BC030099/NF-κB Pathway

Background Preeclampsia (PE) is the main reason of maternal and perinatal morbidity and mortality. Gut microbiota imbalance in PE patients is accompanied by elevated serum lipopolysaccharide (LPS) levels, but whether it affects the occurrence and development of PE, the underlying mechanism is not clear. This paper intends to investigate the relationship between lncRNA BC030099, inflammation, and gut microbiota in PE. Methods The feces of the patients were collected, and gut microbiota changes were assessed by 16S rRNA sequencing and pathway analysis by PICRUSt. Next, we examined LPS and lncRNA BC030099 levels in feces or placenta of PE patients. Then, we knocked down lncRNA BC030099 in HTR-8/SVneo cells and added the NF-κB pathway inhibitor JSH-23. CCK-8 and Transwell assays were performed to determine cell proliferation, migration, and invasion. Western blot was utilized to evaluate MMP2, MMP9, snail, and E-cadherin, p-IκBα, IκBα, and nuclear NF-κB p65 levels. IL-6, IL-1β, and TNF-α levels were examined by ELISA. Results Gut microbiota was altered in PE patients, and microbial genes associated with LPS biosynthesis were significantly elevated in gut microbiota in the PE group. LPS level in feces and placenta of PE group was significantly elevated. lncRNA BC030099 level in placenta of PE group was also notably promoted. Knockdown of lncRNA BC030099 promoted HTR-8/SVneo cell proliferation, migration, and invasion. Knockdown of lncRNA BC030099 also elevated MMP2, MMP9, and snail levels and repressed E-cadherin level. In addition, lncRNA BC030099 affected NF-κB pathway. Furthermore, NF-κB inhibitor reversed HTR-8/SVneo cell proliferation, invasion, and migration induced by LPS. Conclusions The gut microbiota dysbiosis in PE contributed to HTR-8/SVneo cell proliferation, invasion, and migration via lncRNA BC030099/NF-κB pathway.
Using Mobile Devices for Vocabulary Learning Outside the Classroom: Improving the English as Foreign Language Learners’ Knowledge of High-Frequency Words

The present study investigated the impacts of mobile assisted vocabulary learning via digital flashcards (DFs). The data were collected from 44 adult English as Foreign Language (EFL) learners in three intact classes in a private language teaching institute in Iran, randomly assigned to experimental (N = 27) and control (N = 17) learning conditions. The experimental group used a freely available DF application (i.e., NGSL builder) to learn items from a recently developed corpus-based word list for high-frequency vocabulary in English (NGSL). The treatment was implemented as out-of-the-classroom learning activities where the EFL learners used DFs to augment their vocabulary knowledge, and their learning gains were compared to the control group that received regular English language education. The participants’ vocabulary knowledge was tested in pre-, post-, and delayed post-tests, and the findings indicated that using DFs for outside the classroom vocabulary learning contributed significantly to short- and long-term improvements in the knowledge of high-frequency words. The study provided empirical evidence for the affordances of mobile assisted vocabulary learning for learning a considerable proportion of core vocabulary and has some implications for addressing the vocabulary learning needs of EFL learners.