bluuebunny/crossref_metadata_2025_split huggingface dataset:
Le temps scolaire et sa place dans la dynamique décisionnelle d’enseignantes pour prendre en compte la diversité des besoins des élèves
Authors: Bergeron Léna 
Published: March 2021

Une voie commune pour tenir compte de la diversité des besoins consiste à constater les difficultés dans le feu de l’action et de s’y ajuster. À l’inverse, une voie d’intervention plus proactive consiste à inscrire son enseignement dans une démarche intentionnelle d’anticipation des besoins des élèves afin d’en tenir compte a priori. Cette voie place la planification de l’enseignement comme levier important dans le projet de soutien à la réussite de tous les élèves. Les résultats de la recherche collaborative présentée dans cet article permettent de mieux comprendre le cheminement intellectuel (façon de mener sa pensée) et les ressources structurantes mobilisées par des enseignantes lorsqu’elles planifient leur enseignement dans un contexte de diversité. Plus particulièrement, l’accent est mis sur les résultats entourant le temps scolaire : son rôle dans les pensées planificatrices, la dynamique qui se joue au moment de différencier son enseignement, et les enjeux qui en résultent.
Development and Validation of a New Competency Framework for Athletic Therapy in Canada
Authors: Lafave Mark R. , Owen Jeffrey M. , Eubank Breda , DeMont Richard 
Published: March 2021

Context
Competency-based education (CBE) is entrenched in educating health professionals in Canada. CBE is a framework that identifies desired performance characteristics in training competent, entry-level health professionals.

Objective
To update, develop, and validate a new Canadian Athletic Therapists Association (CATA) framework for athletic therapy education.

Design
Framework development occurred in 4 phases and was developed through a multistage process that involved a scoping review (phase 1) and consensus methodology (ie, a blending of modified Ebel and modified Delphi consensus methods; phases 2–4).

Patients or Other Participants
Phase 2: a total of 7 experts (program directors) from each Canadian accredited institution. Phase 3: a total of 14 experts (1 program director and educational expert from each accredited institution). Phase 4: a total of 7 experts (program directors) and 246 certified members of the CATA.

Main Outcome Measure(s)
Each phase consisted of a systematic process with 80% consensus agreement set a priori. In phase 1, a scoping review was conducted to identify common terminology that could be used to guide the framework development process and to identify competency frameworks used by other health professional organizations. Phase 2 consisted of adopting a common language that would serve to keep the expert group on the task at hand and avoid confusion. In phase 3, frameworks used by other health professional organizations were evaluated and used to determine the validity of the old CATA framework. In phase 4, the old CATA framework was updated and a new framework was developed and validated.

Results
In phase 1, the result of the scoping review yielded 368 papers, of which 5 were used to propose a common language for phase 2 and 9 highlighted competency frameworks used by other health professions for comparison in phase 3. In phase 3, the expert group voted unanimously to adopt and adapt the CanMEDS framework (ie, roles). In phase 4, the new CATA competency framework was validated, and most competencies achieved consensus. Competencies that did not achieve consensus in the first round of voting underwent face-to-face discussions via videoconferencing. After discussions, the remaining competencies were revised, and all newly worded competencies achieved consensus.

Conclusions
The resultant framework was validated, and most competencies achieved consensus. The new athletic therapy competency framework outlines the 165 competencies resulting from this methodical process and will hopefully facilitate interdisciplinary communication and practice.
Impact of Bariatric Surgery on Body Composition and Metabolism among Obese Asian Indians with Prediabetes and Diabetes
Authors: Chandru Sundaramoorthy , Pramodkumar Thyparambil Aravindakshan , Pradeepa Rajendra , Jebarani Saravanan , Prasad Y, D. Meher , Praveen Raj P. , Sathish Babu Jagannathan , Anjana Ranjit Mohan , Mohan Viswanathan 
Published: March 2021

Background:
The aim of this study was to evaluate the changes in body composition, central obesity (visceral and liver fat), and pro-inflammatory markers after bariatric surgery in obese Asian Indians with prediabetes and diabetes.

Materials and Methods:
This is 1-year follow-up study of 30 obese patients (BMI of 30–40 kg/m2) with prediabetes and diabetes who underwent bariatric surgery at tertiary diabetes center in South India. HbA1c, adiponectin, liver enzymes, ferritin, and high-sensitivity C-reactive protein (hs-CRP) were tested before surgery and at 6 and 12 months postoperatively. Body composition analysis and ultrasound hepatic fat grading were done before and at 6 and 12 months’ post-surgery.

Results:
The baseline HbA1c were 8.3 ± 1.8% which reduced to 6.1 ± 0.8% at 12 months. The percent body fat, visceral fat area, and slim lean mass reduced significantly at 12 months compared with baseline (P < 0.001). Hepatic steatosis and liver enzymes also significantly reduced at 12 months compared with baseline. hs-CRP and ferritin significantly reduced (P < 0.05) at 12 months post-op [2.9 ± 2.8 mg/L, 39 ± 29 ng/mL] compared with baseline [7.5 ± 3.5 mg/L, 61 ± 44 ng/mL], respectively. Serum adiponectin levels significantly increased from 26.4 ± 1.4 to 67 ± 3.5 ng/mL after the surgery.

Conclusion:
Bariatric surgery is effective in reducing total body fat and visceral fat area, hepatic steatosis with an improvement in liver enzyme levels after bariatric surgery. hs-CRP, ferritin, and adiponectin also significantly improved following surgery.
Assessment of Acute Complications of Diabetes Mellitus Using Clinical Records of Diabetic Patients in Adama Hospital Medical College, Oromia Regional State, Ethiopia
Authors: Tilaye Tigist , Chala Bayissa 
Published: March 2021

Background:
Diabetes mellitus (DM) is one of the emerging public health problems in developing countries. Patients with acute complications of the disease frequently seek care in hospital emergency departments. However, the magnitude of acute complications of DM has not been studied at facility levels. This study was aimed at assessing the prevalence and associated risks of acute complications of DM at health facilities.

Materials and Methods:
Hospital-based cross-sectional study design was used. The source of population was medical records of DM patients and the study population was medical records of DM patients admitted to Adama Hospital Medical College. A total of 200 medical records of patients in AHMC medical ward were used to extract patients’ medical information concerning DM and associated factors. Moreover, DM-related pretested semi-structured questionnaires were developed and administered to 200 active DM patients following their treatment during December 2018 of data collection.

Results:
The proportion of diagnosed acute complications of DM among patients in this study was 146(73%) while 54(27%) did not present acute complication of DM. The history of acute complication associated with diabetic ketoacidosis (DKA) accounted for 133(66.5%) while hyperglycemic hyperosmolar state (HHS) was 21(10.5%) but 46(23%) did show neither DKA nor HHS. From this study of clinical record, the proportion of acute complication of DM with DKA was higher among type I DM patients than type II patients. However, the proportion of HHS was relatively low in type I DM and high in type II DM patients.

Conclusion:
The prevalence of acute complications of DM was 146(73%) and 67(85.9%) and 79(64.8%) in type I and type II DM, respectively. Moreover, the proportion of acute complication of DM with DKA was higher among type I DM patients than type II patients. Strengthening of health education both at health facilities and general population is important.
Renoprotective Effects of Teneligliptin
Authors: Agrawal Prabhat , Gautam Ashish , Jain Apoorva , Pursnani Nikhil , S Manjula , M Krishna Kumar 
Published: March 2021

Aim:
The aim of this study was to validate the potential of teneligliptin in managing type 2 diabetes mellitus (T2DM) with renal impairment and to evaluate its effect on renal parameters in Indian subjects.

Patients and Methods:
The prospective observational study included 86 subjects aged >40 years with suboptimal control of T2DM (HbA1c >7.5). The demographic details of the selected subjects were recorded. The patients were continued on existing oral hypoglycemic agents (OHAs) and antihypertensives. The following clinical and anthropometric parameters were measured at baseline, 4 months, 8 months, and 12 months during the treatment using 20 mg of teneligliptin per day: HbA1c, eGFRs, UACR, FBG, and PPBG levels. Comparisons of anthropometric and laboratory parameters were carried out using analysis of variance (ANOVA) and t test for normal data, Kruskal–Wallis for nonnormal data, and chi-square test for counts data.

Results:
The mean age of the subjects was 54.28 ± 6.8 years and the male-to-female ratio noted was 1:0.65. The mean values of FBG (mg/dL ± SD) at 4, 8, and 12 months were found to be statistically significant (P < 0.001, 117.12 ± 30.51, 109.69 ± 43.66, and 113.16 ± 56.93, respectively). t test carried out for PPBG indicated that the levels at respective intervals were significantly reduced as opposed to baseline (P < 0.05). The difference in HbA1c (%) across baseline, 4, 8, and 12 months was found to be statistically significant (P < 0.001) and the mean levels noted were 8.09 ± 2.26, 7.57 ± 1.84, 6.95 ± 1.80, and 6.46 ± 1.81, respectively. The difference in UACR across different intervals was found to be statistically significant (P < 0.001) and the corresponding mean UACRs (mg/g ± SD) noted were 417.21 ± 182.87, 291.82 ± 98.30, 296.84 ± 109.48 and 284.18 ± 103.26.

Conclusion:
Teneligliptin monotherapy is well tolerated with a persistent reduction in HbA1C and significant improvement in renal function.
Frequency and Predictors of Hypoglycemia in Type 2 Diabetes
Authors: Ibrahim Nesma Ali 
Published: March 2021

Background:
Hypoglycemia presents a barrier to optimum diabetes management; however, data are limited on the frequency of hypoglycemia incidents outside of clinical trials.

Aim:
The aim of the present study was to investigate the frequency of self-reported hypoglycemic events in patients with Type 2 diabetes mellitus (T2DM) and to define factors that predict a higher risk of hypoglycemia.

Materials and Methods:
A sample of 1500 patients with T2DM were recruited in this prospective, observational study, selected at random from a validated community population, attending the outpatient clinic of diabetes, Ain Shams University Specialized Hospital. Eligible patients were followed up for 12 months and were instructed on the use of a diary to record hypoglycemic events. Ordinal logistic regression was performed to identify potential predictors of hypoglycemia.

Results:
Of a total of 1347 patients with data available for the present analysis, 583(43.28%) had experienced hypoglycemia. The participants experienced a total of 3816 hypoglycemic events during the study period, which amounts to 2.83 events (95% CI 2.74, 2.92) per patient per year. Of those who experienced hypoglycemia, 13(2.23%) recorded severe events and 125(21.44%) had evidence of impaired awareness of hypoglycemia. Patients who had experienced hypoglycemic events were elder and have higher body mass index, longer duration of diabetes, and higher HbA1c than those who had not experienced hypoglycemia, the difference was significant (all P < 0.05). Also, they were on insulin therapy, have diabetes complications, used to have irregular meals, and do not practicing exercise when compared with patients who had not experienced hypoglycemia (all P < 0.05). No significant difference was found based on gender (P = 0.25) between patients who experienced and those had not experienced hypoglycemia.

Conclusions:
Hypoglycemia is a frequent adverse effect in patients with T2DM, and particular attention is warranted in elder, obese patients with poor control and longer duration of diabetes. The presence of diabetes complications, insulin therapy, and unhealthy life style are also predictors of hypoglycemia.
Prioritization Matrix for the Diabetes Prevention and Control Program
Authors: Ramani Vinod K. 
Published: March 2021

Introduction:
The narrated NCD program is being implemented by KHSDRP in collaboration with the World Bank, New Delhi. This pilot project will involve NCD education and mobilization at the community level, provision of screening, and treatment services at the primary health-care level and strengthening diagnostic, specialist treatment services at the secondary and tertiary levels of care. This paper lists the activities of the diabetes component of the NCD program, and the prioritization matrix describes weighting of the important criteria.

Materials and Methods:
“Precede-Proceed” planning model is the better fit for our Diabetes Program. The prioritization matrix will enable weighting of each criterion against another (comparing each row heading consecutively with all the column headings), in order to decide upon its importance.

Results:
The matrix shows that awareness activities, beneficiary enumeration, mobilization of beneficiary, and behavior change interventions are the important criteria for this health promotion program.

Discussion:
The matrix shows that a large proportion of the budget should be invested in field-related activities for the success of the Program.

Conclusion:
Prioritization matrix enables the examination of all potential opportunities in a Program, by ranking the opportunities by two characteristics: importance and changeability. It systematically compares the choices through selection, weighting, and application of criteria.
Case Report: Development of Miliary Pulmonary Tuberculosis in a Patient with Peritoneal Tuberculosis after COVID-19 Upper Respiratory Tract Infection
Authors: Elziny Moustafa M. , Ghazy Ahmed , Elfert Khaled A. , Aboukamar Mohamed 
Published: March 2021

ABSTRACTWe report a 29-year-old patient who presented with coronavirus disease 2019 (COVID-19) upper respiratory tract infection in addition to clinical, laboratory, and radiological findings highly suggestive of peritoneal tuberculosis (TB) without pulmonary involvement. Two weeks after the resolution of COVID-19 infection, he presented with shortness of breath and oxygen desaturation requiring intubation and admission to the intensive care unit. The workup confirmed miliary pulmonary TB. The patient subsequently improved on antitubercular treatment. We discuss the possible contribution of COVID-19 infection to the rapid progression of TB infection to involve the lung in a miliary pattern, and how the coexistence of the two diseases might have led to a worse outcome.
Assessment of knowledge on functional values of edible insects in Peri urban communities of Ijebu Ode Local Government area, Ogun State Nigeria
Authors: Olarewaju T.O. , Orumwense L.A. , Oke O.S. , Idowu A.B. , Adeboye T.E. 
Published: March 2021

This study examined the knowledge on functional value of edible insect in per urban communities of Ijebu Ode Local Government Area (LGA) in Ogun State. Sixty residents were selected through purposive sampling from 11 communities in the LGA. Primary data collected through administered questionnaire. Both descriptive and inferential statistics were used for data analysis. Descriptive statistics such as simple percentage and frequency count were used. Hypothesis was tested using Pearson Product Moment Correlation (PPMC). The results revealed that about half (48.3%) of the respondents were between 31-40 years. A larger percentage was male (61.7%) and Christian (61.7%). Majority (68%) was married and 63.3% possess tertiary education. About one third of the respondents (33.3%) were civil servants and 28.3% earn between ₦41,000-₦60,000. Cricket, termite, palm weevil, yam beetle, caterpillar, silkworm, and locust respectively were the identified indigenous species of insects being consumed by the people. Also, more of the respondents eat crickets followed by locust and then termites. The results further revealed respondents’ knowledge of functional values of edible insects’ consumption and constraints to edible insects’ consumption. The results of the Pearson Product Moment Correlation revealed that there is no significant relationship between respondent’s socio-economic characteristics’ and their edible insect consumption at p < 0.05. This study concludes that residents of peri urban communities have good knowledge of functional values of edible insects. It is therefore recommended that there should be more awareness on consumption of edible insects since it is nutritious so that people can benefit from the numerous nutrients of these edible insects.
Key words: functional value, edible insect, Ijebu Ode, pearson product moment correlation
Factors affecting households’ choice of cooking energy in Enugu State, Nigeria
Authors: Onyekuru N.A. , Ifejirika C.A. , Onuigbo D.M. , Mebo R.A. , Eboh E.C. 
Published: March 2021

Households need energy for various activities, chief among these is cooking, which accounts for a greater percentage of the total domestic energy consumption. In Nigeria, household cooking energy accounts for a major part of the total energy consumed. This study was designed to explore the determinants of cooking energy use and preferences among households in Enugu State, Nigeria. Specifically, the aims of the study were; to ascertain the differences in the quantities of cooking energy sources used by households, determine the preferences of each of the energy sources by the households, reasons for preferences for each of the energy sources, and the problems associated with the use of each of the energy source. Multistage sampling technique was adopted in this study. One hundred and sixty-six respondents were used for the study. Primary data were collected and analyzed using a t-test and descriptive statistics. Results showed that the mean quantities of kerosene used in the rural and urban areas were about 26 and 36 litres per month that of fuel wood were about 231 and 306 kg, respectively. The t-test result showed that there exist significant differences between the quantities of kerosene and fuel wood used in the rural and urban areas. The likert-type scale result showed that the cooking energy with the highest perceived level of efficiency was liquefied petroleum gas (LPG), while the energy with the highest level of preference was kerosene. The major reasons for the preference for LPG was because it cooks fast and clean, that of kerosene was lower chances of fire accident than LPG. For fuel wood, preference was due to fast cooking and better taste of food, while that of charcoal was due to clean cooking and reduced cases of fire accident. The major constraints militating against the use of different cooking energy sources, even when they are preferred, were scarcity, expensiveness and risk of fire outbreak for LPG and kerosene, while for fuel wood and charcoal, they were pollution and the fact that it produces a lot of black soot. There is need to implement incentive-based policies to encourage the use of LPG and kerosene, through targeted subsidies and cost reduction.
Key words: energy consumption, efficiency, preference, pollution, income
Organ weights and biochemical indices of broiler chickens fed diets containing Saccharomyces cerevisiae
Authors: Osita C.O. , Ani A.O. , Ugwuowo L.C. , Akuru E.A. , Njoku S. 
Published: March 2021

A study was conducted to evaluate the organ weights and biochemical indices of broiler chickens fed diets containing varying levels of Saccharomyces cerevisiae. One hundred and twenty (120) broiler birds were used for the experiment. The birds were weighed and randomly allocated into four treatment groups. Each treatment was replicated three times with 10 birds per replicate. Treatment 1 served as the control and did not contain any S. cerevisiae supplement, while treatments 2, 3 and 4 contained 0.7, 1.2 and 1.7 g/kg of S. cerevisiae supplement, respectively. The experiment lasted for eight weeks. At the end of the feeding trial (day 56), two birds were randomly picked from each replication for carcass evaluation and another two birds were randomly selected from each pen and 5mlblood was collected f from the wing vein using sterile disposable syringe for biochemical analysis. The result of this study showed that there were no significant (p > 0.05) differences among treatments in kidney, spleen and pancreas weights while significant (p < 0.05) differences among treatments existed in the heart, gizzard and liver weights. The study also revealed that there were no significant (p > 0.05) differences among treatments in total protein, globulin and high density lipoprotein levels while albumin, total cholesterol, glucose and triglyceride were significantly (p < 0.05) affected. In T3 highest heart weight (0.33 % of live weight) and lowest blood cholesterol concentration (91.77 mg/dl) were recorded and therefore T3 was recommended. Low blood cholesterol enhances broiler production.
Key words: albumin, cholesterol, kidney, liver, yeast
Perceived extension needs of rubber production among farmers in Delta State, Nigeria
Authors: Adebayo S.A. , Ogunlade I. , Ede E.E. 
Published: March 2021

The need to develop a sustainable exploitation system for the Nigerian rubber farmers requires that extension services should be available to assist the farmers in specific areas that can help them function effectively and improve productivity. The study investigated the perceived extension needs of rubber production farmers in Delta state Nigeria. The specific objectives of the study were to determine sources of information on rubber production, varieties of rubber clones cultivated by the respondents, perceived extension needs of rubber farmers, and constraints to rubber production. A multi stage sampling technique was used to select 120 rubber farmers as respondents for the study. Data were analysed using frequency, percentages, means and Pearson Product Moment correlation analysis. Results showed that majority of the respondents (85.5%) were male, married (83.3%) and had average farming experience of 14 years. The NIG801 and NIG800 varieties were the local clones majorly cultivated and the GT1 and PB217 varieties were the exotic clones majorly cultivated. Findings also showed that respondents need production information on use of formic acid for latex coagulation (66.7%), use of ammonia for latex preservation (73.3%) and marketing information (60.8%). The constraintsindicated by the respondents were problem of land tenure (81.7%), lack of adequate credit facilities (70%), fire outbreaks (72.5%) among others. The result of the hypothesis showed that age (r = 0.199) had a positive significant relationship with farmers’ extension needs. It was recommended that extension personnel should be trained on techniques of rubber production in order to deliver effectively to the farmers.
Key words: extension needs, rubber, farmers, Delta, Nigeria