bluuebunny/crossref_metadata_2025_split huggingface dataset:
‘Telephone Triage’: a possible means of managing the after-hours patient load at primary health care facilities in South Africa
Authors: Adeniji A. A. , Mabuza L. H. 
Published: October 2020

The rate at which routine patients are using the emergency department (ED) as a path to enter into the healthcare system in South Africa’s community healthcare facilities and district hospitals is alarming. The increasing number of acutely presenting, less stable and routine patients are being left to the care of a reduced number of health carers after hours, at weekends and during public holidays. This circumstantial disproportionality forms the breeding ground for poor patient care, healthcare workers’ burnout and inappropriate use of referral pathways. Not all the patients occupying the ED waiting rooms actually need emergency care. A sizeable number of patients in the waiting line are routine cases that could wait without any undesirable clinical outcomes. This opinion paper looks into the use of telephones to control after-hours patient loads at primary health care facilities in South Africa.
Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country
Authors: Ojo O. S. , Malomo S. O. , Egunjobi A. O. , Jimoh A. O.A. , Olowere M. O. 
Published: October 2020

Background: Most of the Nigerian studies on the determinants of diabetes self-management have focused on patient-related factors. There is no previous local study that examined the quality of diabetes self-management education provided by primary care physicians to people with diabetes mellitus.Methods: A descriptive cross-sectional study was conducted among 105 primary care physicians during a workshop. The quality of diabetes self-management education provided by the physicians was assessed using a self-designed scale of 39 Likert questions derived from American Association of Diabetes Educators seven domains of diabetes self-management. Cronbach’s reliability coefficient of each domain/subscale was ≥ 0.7. The data was analysed using the independent sample t-test and one-way ANOVA.Results: Over half of the physicians provided ‘inadequate quality’ diabetes self-management education in all the domains. Physicians had the highest mean score in the ‘taking medication’ domain (4.35 ± 0.59). The mean scores in the ‘problemsolving domain’ (3.63 ± 0.74) and the ‘being active domain’ (3.57 ± 0.71) were low. The quality of diabetes self-management education provided by the physicians was not associated with any of the physician characteristics.Conclusion: The quality of physicians’ communication of diabetes self-management was suboptimal in this study. The majority of the adequately communicated diabetes self-management behaviours were risk factors reduction related and disease-centred. Thus, training of primary care physicians on diabetes self-management education is recommended because of the key role these physicians play in diabetes management in resource-poor countries.
Biomarkers, shock index and modified early warning score among older medical hospital inpatients in Nigeria
Authors: Adebusoye L. A. , Owolabi M. O. , Ogunniyi A. 
Published: October 2020

Background: Biomarkers, shock index and modified early warning score (MEWS) are of public health importance because identification and prompt attention to them have been found to reduce mortality among older patients on admission.Objectives: A study was undertaken to determine the biomarkers, shock index and MEWS that predict mortality on admission among older medical hospital inpatients.Methods: This was a prospective study of 450 patients (≥ 60 years) on the medical wards of University College Hospital, Ibadan. Biomarkers recommended by the National Institute on Aging such as blood pressure, heart rate and pulse rate (cardiovascular functioning); cholesterol and triglycerides (metabolic processes); T-cell counts (immune system status) and weight, body mass index and waist-to-hip ratio (indicators of obesity, chronic metabolic disorders and fat deposits) were assessed. Vital signs were recorded on admission and used to calculate the shock index and MEWS. Multivariate and survival analyses were carried out at p 0.05.Results: Baseline temperature ≥ 39.0°c (p = 0.049), pulse rate ≥ 100 beats/minute (p = 0.034), systolic blood pressure (SBP) 120 mmHg (p = 0.048), shock index ≥1.0 (p = 0.041), age shock index (p = 0.032) and critical illness score (MEWS ≥5) p = 0.019 were significantly associated with mortality. Independent predictors of mortality on Cox regression analysis were temperature ≥ 39.0°C (HR = 3.317 [1.281–8.590]) and SBP 120 mmHg (HR = 1.845 [1.025–3.322]).Conclusion: Prompt identification and management of fever and low blood pressure should improve the survival of older medical hospital inpatients.
Estimates of gelotophobia and perceived stress among obese individuals
Authors: Mubeen Akhtar  , Sadia Maroof  , Shamyle Rizwan Khan  
Published: October 2020

Abstract
Objectives: The present research was carried out to find out an estimate of gelotophobia among obese individuals. Perceived stress and differences on socio-demographic factors were also studied.
Method: The survey design cross-sectional study was conducted from January to June in 2018. A sample of 70 consenting participants (men = 22, women = 48) with BMI ? 25 were recruited through purposive sampling. The instruments of Geloph<15> and Perceived Stress Scale (PSS) were used to assess the level of gelotophobia and level of stress in the sample. Demographic details of sample were also recorded to achieve study objectives.
Result: The estimate of gelotophobia among obese individuals in the current study showed that 64.2% majority sample had moderate level of gelotophobia, while 10% of the sample had high level of gelotophobia. Statistically significant differences were observed in the level of gelotophobia among individuals having different levels of socio-economic status (p < .05) and with history of being ridiculed by peers (p < .05). However, the present study did not show any significant demographic difference in perceived stress (p > .05).
Conclusion: The findings of the study could provide evidence in favour of developing and implementing suitable intervention programs to help control risk of gelotophobia among obese individuals. The study could also assist in creating awareness and understanding about harmful consequences of bullying and nurturing a healthier narrative of conversations and humour among the youth.
Keywords: Humor fear, obesity, BMI, body weight.
Continuous...
SEXTING AND RISKY SEXUAL BEHAVIOUR AMONG STUDENTS IN MACHAKOS UNIVERSITY, MACHAKOS COUNTY.KENYA
Authors: Mukonyo Musyimi Elizabeth , Kabue Priscilla , Mugo Judy 
Published: October 2020

Purpose: The purpose of this study was to investigate sexting practice among students and identify the risky sexual behaviors associated with sexting among students in Machakos University, Machakos County, Kenya.
Methodology: The study adopted a descriptive cross-sectional study design. The target sample was 347 students aged 18-24 years in Machakos university. Convenience sampling was used for quantitative data and purposive sampling for qualitative data as well as the study area. Interviewer-administered questionnaires were utilized and in-depth interview used for the qualitative data collection. The IBM SPSS version 26.0 was used for data analysis. Thematic analysis was used to analyze the qualitative data and triangulated with quantitative findings. Results was presented in tables, graphs and pie charts. Chi square test was done to identify variables associated with sexting and odds ratio to measure the association between sexting and risky sexual behavior.
Findings: Sexting (sending of sexually suggestive image/photo) was found to be prevalent among the student at 57% and 48% being two-way sexters. Male respondents engaged more into sexting as compared to female respondents at 67%and 33% respectively.23.0% sexted to keep or get a boy/girlfriend and 14% due to pleasure from their peers. Gender, Age, Level of study and relationship status were all significantly associated with sexting (P=0.000, P=0.027, P=0.002 and P=0.022 respectively). Risky sexual behaviors among students included early sexual intercourse 74%, but 54% had not used protection. Sexting and risky sexual behavior were found to be associated because most of the respondents who engaged in sexting were eight times more like to engage in early sexual intercourse, and the perception of sexters was that if one was sexting they were six times likely to have sex with the person they sexted, and so the null hypothesis that there is no relationship between sexting and risky sexual behavior was rejected and the alternative hypothesis adopted.
Unique contribution to theory, practice and policy: Adoption of Multi sectoral to develop policies, and design youth programs with a wide range of issues relating to sex and sexuality and how to safely navigate the internet and form healthy relationships both on and offline, which include issues such as sexting with young people from a young age.
ESPECIES ACUATICAS DE LOS HUMEDALES DE BOGOTÁ, COLOMBIA CON CAPACIDAD PARA EL TRATAMIENTO DE AGUAS RESIDUALES CON METALES PESADOS: REVIEW
Authors: Pérez de Arco Kenny , Castelblanco Lancheros Johana 
Published: October 2020

El presente estudio busca reconocer que especies acuáticas con presencia en los humedales de Bogotá pueden tratar aguas residuales según el tipo de metales pesados y así presentar la información de manera tal que la comunidad pueda generar procesos de diseño más eficientemente. Lo anterior evitar el uso de especies exóticas o que no sean útiles para la retención y/o absorción de ciertos metales pesados. La metodología empleada inicio con una compilación de la información de todas las especies acuáticas con presencia en los humedales de la ciudad, posteriormente se realizó la búsqueda en bases de datos por cada especie sobre la capacidad de bioacumulación de metales pesados y finalmente, se analizó y ordeno la información encontrada.Como resultado se encontraron 48 especies acuáticas, de las cuales, 24 especies no cuentan con información alguna, 14 requieren una revisión más detallada, 1 especie (utricularia gibba) no puede ser usada en procesos de tratamiento debido a su alta sensibilidad frente a cambios en el ecosistema y especies como holcus lanatus son altamente selectivas con respecto a la resistencia y acumulación de metales pesados, las 24 especies restantes muestran una capacidad variable en la acumulación y se ve afectada por factores como pH y concentración de metales pesados; se puede concluir que las especies presentes en los humedales de Bogotá no son híper acumuladoras y que se debe incentivar el uso de plantas nativas ya que no actúan como plantas invasoras, evitando así él riesgo de desplazar especies nativas o endémicas.
PENGARUH KNOWLEDGE, SKILL DAN ABILITY SUMBER DAYA MANUSIA TERHADAP KINERJA UMKM BATU BATA DI KOTA BUKITTINGGI (STUDI KASUS DI KECAMATAN MANDIANGIN KOTO SELAYAN KOTA BUKITTINGGI)
Authors: Amelia Dona , Hendra Nanda 
Published: October 2020

This research is to analyze a). The Effect of Knowledge (X1) on the performance of the UMKM Brick human resources in Bukit Tinggi City. b). Effect of Skill (X2) on UMKM Bricks human resources in Bukit Tinggi City. c). Influence of Ability (X3) on the performance of UMKM Bricks human resources in Bukit Tinggi City and the Performance of MSMEs (Y). The number of population and sample in this study were 52 MSMEs, all of them were included using purposive Non Random Sampling techniques, namely selecting UMKM HR that matched the criteria set. The main finding from the results of this first study is that knowledge has a positive and significant influence on the performance of Brick SMEs in Bukit tinggi city with a coefficient of 0.416. Furthermore, Skill has a positive and significant influence on the performance of the UKM UKM in the city of Bukit Tinggi with a coefficient of 0.357.c). Ability has a positive and significant influence on the performance of the UKM UKM in the city of Bukit Tinggi with a coefficient of 0.263. The most dominant variable The influence on the performance of SMEs in the Bricks in this study is the Knwoledge variable. Penelitian ini untuk menganalisa a). Pengaruh Knowledge (X1) terhadap kinerja sumber daya manusia UMKM Batu bata di Kota Bukit tinggi. b). Pengaruh Skill(X2) terhadap sumber daya manusia UMKM Batu Bata di Kota Bukit tinggi. c). Pengaruh Ability (X3) terhadap Kinerja sumber daya manusia UMKM Batu Bata di Kota Bukit tinggi.dan Kinerja UMKM (Y).Â Jumlah Populasi dan sampel dalam penelitian ini sebanyak 52 UMKM, semuanya dimasukan dengan mengunakan teknik NonÂ Random Sampling secara purposive yaitu memilih SDM UMKM yang sesuai dengan kriteria yang di tetapkan. Hasil dari penelitian ini adalah a). Knowledge memiliki pengaruh yang positif dan signifikan terhadap kinerja UKM Batu Bata di kota Bukit tinggi dengan nilai koofisien 0,416. b). Skill memiliki pengaruh yang positif dan signifikan terhadap kinerja UKM Batu Bata di kota Bukit tinggidengan nilai koofisien 0,357. c).Â Ability memiliki pengaruh yang positif dan signifikan terhadap kinerja UKM Batu Bata di kota Bukit tinggidengan nilai koofisien 0,263. Variabel yang paling dominan PengaruhnyaÂ terhadap kinerja UMKM Batu Bata dalam Penelitian ini adalah Variabel Knwoledge
PENGARUH GAYA KEPEMIMPINAN, REWARD DAN PUNISHMENT TERHADAP KINERJA PEGAWAI BADAN PENGEMBANGAN SUMBER DAYA MANUSIA PROVINSI SUMATERA BARAT
Authors: Rosniyenti Rosniyenti , Wahyuni Sri 
Published: October 2020

This study aims to determine the effect of leadership style, reward and punishment on the Employee Performance of the Human Resources Development Agency of the Province of West Sumatra both partially and simultaneously. The population in this study were all Human Resources Development Agency employees of West Sumatra Province. Using Purposive technique obtained by 60 respondents. The results of the study prove that leadership style partially based on the results of the t test. It is found that the variables of leadership style, reward and punishment have a significant effect on employee performance. Based on the F test, it was found that the leadership, reward and punishment style variables together had a significant effect on the performance of the Human Resources Development Agency of West Sumatra Province. To test the adjusted coefficient of determination or Adjusted R Square which is 0.528, it means that 52.8% of the variation of all independent variables (leadership style, reward and punishment) can explain non-independent variables (employee performance), while the remaining 57.2% is explained by variables others not examined in this study.Penelitian ini bertujuan untuk mengetahui pengaruh gaya kepemimpinan,Â reward dan punishment terhadapÂ Kinerja Pegawai Badan Pengembangan Sumber Daya Manusia Provinsi Sumatera Barat baik secara parsial maupun simultan. Populasi dalam penelitian ini adalah seluruh Pegawai Badan Pengembangan Sumber Daya Manusia Provinsi Sumatera Barat. Menggunakan teknik Purposive diperoleh 60 orang responden. Hasil penelitian membuktikan bahwa secara parsial gaya kepemimpinan Berdasarkan hasil uji t, diperoleh bahwa variabel gaya kepemimpinan, reward dan punishment berpengaruh signifikan terhadap kinerja pegawai. Berdasarkan uji F diperoleh variabel gaya kepemimpinan, reward dan punishment secara bersama-sama berpengaruh signifikan terhadap kinerja Pegawai Badan Pengembangan Sumber Daya Manusia Provinsi Sumatera Barat. Untuk uji koefisien determinasi yang disesuaikan atau Adjusted R Square yaitu 0,528 artinyaÂ 52,8% variasi dari semua variabel bebas (gaya kepemimpinan, reward dan punishment) dapat menerangkan variabel tak bebas (kinerja pegawai), sedangkan sisanya sebesar 57,2% diterangkan oleh variabel lain yang tidak diteliti dalam penelitian ini
PENGARUH KECERDASAN EMOSIONAL, PELATIHAN DAN LINGKUNGAN KERJA TERHADAP KINERJA GURU DI SMPN 1 KECAMATAN LUAK KABUPATEN LIMA PULUH KOTA
Authors: Adrizal Adrizal , Putri Anne 
Published: October 2020

This study aims to look at the influence of emotional intelligence, training and work environment on teacher performance in SMPN 1 Luak District, Lima Puluh Kota. This type of research is quantitative research using survey methods. The sample in this study were 35 teachers with PNS and Non PNS status. The data analysis method used is SEM (Structural Equation Modelin ) analysis technique based on PLS ( Partial Lea st Square) variance .Data collected through questionnaires, interviews and documentation studies. The results of this study indicate that emotional intelligence has a significant positive effect on teacher performance. The higher the emotional intelligence, the higher the teacher's performance. This is indicated by the value of the original sample (coefficient) of emotional intelligence variables of 0.524, and p-value of 0.000. Training has a significant positive effect on teacher performance. The better the training, the better the teacher's performance, this is indicated by the value of the original sample of training variables of 0.296 and p-value of 0.034. The work environment has no effect on teacher performance. This is indicated by the original sample value of the work environment variable of 0.180 and the p-value of 0.165 which is greater than the alpha of 0.05.Keywords : Emotional Intelligence, Training, Work Environment, Teacher PerformanceThis study aims to look at the influence of emotional intelligence, training and work environment on teacher performance in SMPN 1 Luak District, Lima Puluh Kota. This type of research is quantitative research using survey methods. The sample in this study were 35 teachers with PNS and Non PNS status. The data analysis method used is SEM (Structural Equation Modelin ) analysis technique based on PLS ( Partial Lea st Square) variance .Data collected through questionnaires, interviews and documentation studies. The results of this study indicate that emotional intelligence has a significant positive effect on teacher performance. The higher the emotional intelligence, the higher the teacher's performance. This is indicated by the value of the original sample (coefficient) of emotional intelligence variables of 0.524, and p-value of 0.000. Training has a significant positive effect on teacher performance. The better the training, the better the teacher's performance, this is indicated by the value of the original sample of training variables of 0.296 and p-value of 0.034. The work environment has no effect on teacher performance. This is indicated by the original sample value of the work environment variable of 0.180 and the p-value of 0.165 which is greater than the alpha of 0.05.
Modelling of a flat plate solar collector system using response surface methodology
Authors: OMO-OGHOGHO Eghosa , ALİU Sufianu 
Published: October 2020

Abstract: In this study, performance analysis of flat plate solar collector has been carried out analytically.
A comprehensive mathematical modelling of thermal performance is modelled using Response Surface Methodology and optimal geometrical and thermodynamic parameters are predicted pertaining to optimum performance of the system. In this study a model was developed for evaluating and predicting the efficiency, outlet temperature and performance of a flat plate solar collector considering the hour angle, day and input temperature as input parameters.
In the cause of the work it was found that the days and months close to the beginning of the year (January, February, March and April) yielded higher outlet temperature and solar radiation due to dry season, while the months at the middle of the year showed lower outlet temperature and solar radiation due to the rainy season. The months towards the ending of the year also showed higher outlet temperature and solar radiation respectively.
Community and Social Disintegration in Anderson'sWinesburg, Ohioand Pollock'sKnockemstiff
Authors: Achilles Jochen 
Published: October 2020

ABSTRACTSherwood Anderson's Winesburg, Ohio and Donald Ray Pollock's Knockemstiff are short-story cycles linked by common recursive structures as well as pressing cultural themes. While the characters in Winesburg, Ohio struggle with moral repressiveness and incommunicable emotions that render them isolated, war trauma, dementia, drug addiction, eating disorder, child molestation, and systemic violence dominate Knockemstiff a century later. Historically a downward spiral is noticeable from the desperate respectability that characterizes the atmosphere of Winesburg to the defeatist poverty and neglect of the people in Knockemstiff. The Ohio settings of these story cycles define their regionalism but the desire for change, the instability and marginalization of their characters, also disrupt such rootedness and associate them with social disintegration and transition. In complex ways both books thus feed into current discussions of community, critical regionalism, cultural mobility, and cruel optimism.
A Rose for Ada: Resurrecting Lyle Saxon's “The Centaur Plays Croquet”
Authors: Thomas James W. 
Published: October 2020

ABSTRACT
Louisiana writer Lyle Saxon's unusual short story “The Centaur Plays Croquet” compares favorably with the most notable short fiction of the early twentieth century. Saxon's story details the “strange case” of Mrs. John David (Ada) Calander and the “fabulous monster” which “she kept as a pet,” thus resulting in “great scandal” in the community of Mimosa, Louisiana. In the eyes of the town, Ada's companion “Horace,” whether a centaur or a man disguised as a horse, was more than just an odd house guest, and the two did more than play croquet. Saxon's six narrators' accounts are rich sources of irony, subtle humor, and social satire, gems of self-justification and character assassination. Evidence suggests, moreover, that Saxon's story was familiar to William Faulkner, whose own “A Rose for Emily” shows a significant number of parallels. The friendship between Saxon and Faulkner and their familiarity with each other's works increase the possibility of an influence.
O. Henry and Ironic Reversals in Early F. Scott Fitzgerald Stories
Authors: Plath James 
Published: October 2020

ABSTRACT
“Bernice Bobs Her Hair” may have been based on letters that Fitzgerald sent his sister, Annabel, in which he suggested ways she that could make herself more attractive to suitors. However, the twist ending involving Marjorie's comeuppance, brought about by Bernice's cutting off both braids while her nemesis-cousin slept, is what makes the story memorable. The device of ironic reversal is central to O. Henry's short stories, and four early Fitzgerald stories employ nearly identical twists and double twists that contributed to their enormous popularity.
Jumping Frogs and Roughing It Out West
Authors: Roberson Susan L. 
Published: October 2020

ABSTRACT
Comparing episodes in the travel narrative Roughing It, in which Mark Twain critiques the materialism of the Nevada Silver Rush, with “The Celebrated Jumping Frog of Calaveras County” illustrates the ways the short story is another instance in which Twain creates rhetorical spaces to debunk an imaginary West and the storytellers like Simon Wheeler who perpetuate it. In the process he also reveals the materialism, greed, and inhumanity that propelled a nation into spending themselves and the natural world in a frenzied compulsion to “win” at all costs. In many ways “Jumping Frog” mirrors the speculation on future fortunes and the addiction to gambling that were endemic to the mining West, Jim Smiley and the Stranger standing in for the miners and speculators that Twain parodies in the travel volume.