bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of aerobic exercise and resistance exercise on physical indexes and cardiovascular risk factors in obese and overweight school-age children: A systematic review and meta-analysis
Authors: Chen Tianhao , Lin Jingxia , Lin Yuzhe , Xu Lin , Lu Dian , Li Fangping , Hou Lihao , Yu Clare Chung Wah 
Published: September 2021

Background
Obesity is a serious social and public health problem in the world, especially in children and adolescents. For school-age children with obesity, this stage is in the transition from childhood to adolescence, and both physical, psychological, and external environments will be full of challenges. Studies have showed that school-age children are the largest proportion of people who continue to be obese in adulthood. Physical exercise is considered as an effective way to control weight. Therefore, we focus on this point to study which factors will be improved to reduce childhood obesity.

Objective
To assess the effects of aerobic and resistance exercise on physical indexes, such as body mass index (BMI) and body fat percentage, and cardiovascular risk factors such as VO2peak, triglycerides (TG) and low-density lipoprotein (LDL), high-density lipoprotein (HDL), total cholesterol (TC), insulin and insulin resistance in school-age children who are overweight or obese.

Method
PubMed, SPORTDiscus, Medline, Cochrane-Library, Scopus, Ovid and Web of Science were searched to locate studies published between 2000 and 2021 in obese and overweight school-age children between 6–12 years old. The articles are all randomized controlled trials (RCTs) and in English. Data were synthesized using a random-effect or a fixed-effect model to analyze the effects of aerobic and resistance exercise on six elements in in school-age children with overweight or obese. The primary outcome measures were set for BMI.

Results
A total of 13 RCTs (504 participants) were identified. Analysis of the between-group showed that aerobic and resistance exercise were effective in improving BMI (MD = -0.66; p < 0.00001), body fat percentage (MD = -1.29; p = 0.02), TG (std.MD = -1.14; p = 0.005), LDL (std.MD = -1.38; p = 0.003), TC (std.MD = -0.77; p = 0.002), VO2peak (std.MD = 1.25; p = 0.001). However, aerobic and resistance exercise were not significant in improving HDL (std.MD = 0.13; p = 0.27).

Conclusions
Aerobic exercise and resistance exercise are associated with improvement in BMI, body fat percentage, VO2peak, TG, LDL, TC, while not in HDL in school-age children with obesity or overweight. Insulin and insulin resistance were not able to be analyzed in our review. However, there are only two articles related to resistance exercise in children with obesity and overweight at school age, which is far less than the number of 12 articles about aerobic exercise, so we cannot compare the effects of the two types of exercises.
Fatty liver index as a predictive marker for the development of diabetes: A retrospective cohort study using Japanese health check-up data
Authors: Kitazawa Atsushi , Maeda Shotaro , Fukuda Yoshiharu 
Published: September 2021

Background & aimsFatty liver is associated with incident diabetes, and the fatty liver index (FLI) is a surrogate marker for non-alcoholic fatty liver disease (NAFLD). We aimed to determine whether or not FLI was associated with incident diabetes in relation to obesity and prediabetic levels in the general Japanese population.MethodsThis was a retrospective study using the Japanese health check-up database of one health insurance from FY2015 to FY2018. This study included 28,991 individuals with prediabetes. First, we stratified all participants into two groups: “high-risk,” comprising patients with HbA1c >6.0%, and “standard,” comprising the rest. Subsequently, we divided them into four groups according to FLI (<30 or not) and obesity (BMI <25 kg/m2or not). Subsequently, the incidence rate of diabetes was compared among the groups after 3 years of follow-up using multiple logistic regression models after adjusting for potential confounders.ResultsAfter 3 years of follow-up, 1,547 new cases of diabetes were found, and the cumulative incidence was 2.96% for the standard group and 26.1% for the high-risk group. In non-obese individuals, odds ratios (95% confidence interval) for FLI ≥30 versus FLI <30 were: 1.44 (1.09–1.92) for the standard group and 1.42 (0.99–2.03) for the high-risk group. In the high-risk group, obesity (BMI ≥25 kg/m2) but FLI <30 was not a risk factor for developing diabetes.ConclusionAlthough high FLI is generally considered to be a risk factor for developing diabetes, obesity might have been a confounding factor. However, the present study showed that high FLI is a risk factor for the development of diabetes, even in non-obese individuals. Our results include suggestion to develop a screening tool to effectively identify people at high risk of developing diabetes from the population (especially non-obese prediabetes) who are apparently at low health risk and are unlikely to be targeted for health guidance.
Cost-effectiveness analysis of domiciliary topical sevoflurane for painful leg ulcers
Authors: Selva-Sevilla Carmen , Fernández-Ginés F. Dámaso , Cortiñas-Sáenz Manuel , Gerónimo-Pardo Manuel 
Published: September 2021

ObjectivesThe general anesthetic sevoflurane is being repurposed as a topical analgesic for painful chronic wounds. We conducted a Bayesian cost-effectiveness analysis (CEA) comparing the addition of domiciliary topical sevoflurane to conventional analgesics (SEVOFLURANE, n = 38) versus conventional analgesics alone (CONVENTIONAL, n = 26) for the treatment of nonrevascularizable painful leg ulcers in an outpatient Pain Clinic of a Spanish tertiary hospital.MethodsWe used real-world data collected from charts to conduct this CEA from a public healthcare perspective and with a one-year time horizon. Costs of analgesics, visits and admissions were considered, expressed in €2016. Analgesic effectiveness was measured with SPID (Sum of Pain Intensity Difference). A Bayesian regression model was constructed, including “treatment” and baseline characteristics for patients (“arterial hypertension”) and ulcers (“duration”, “number”, “depth”, “pain”) as covariates. The findings were summarized as a cost-effectiveness plane and a cost-effectiveness acceptability curve. One-way sensitivity analyses, a re-analysis excluding those patients who died or suffered from leg amputation, and an extreme scenario analysis were conducted to reduce uncertainty.ResultsCompared to CONVENTIONAL, SEVOFLURANE was associated with a 46% reduction in costs, and the mean incremental effectiveness (28.15±3.70 effectiveness units) was favorable to SEVOFLURANE. The estimated probability for SEVOFLURANE being dominant was 99%. The regression model showed that costs were barely influenced by any covariate, whereas effectiveness was noticeably influenced by “treatment”. All sensitivity analyses showed the robustness of the model, even in the extreme scenario analysis against SEVOFLURANE.ConclusionsSEVOFLURANE was dominant over CONVENTIONAL as it was less expensive and much more effective.
Can self-efficacy mediate between knowledge of policy, school support and teacher attitudes towards inclusive education?
Authors: Werner Shirli , Gumpel Tom P. , Koller Judah , Wiesenthal Vered , Weintraub Naomi 
Published: September 2021

BackgroundWhile research has focused on understanding teachers’ attitudes towards the inclusion of children with special educational needs into general education classrooms, there are lacunae that have yet to be addressed. This study examined the association between perceived self-efficacy and attitudes towards inclusion among elementary school teachers. The study also examined the role of teachers’ self-efficacy as a mediating variable between knowledge of inclusion policy, perception of school support and teachers’ attitudes towards inclusion.MethodsTeachers (N = 352) working in general or special education schools completed questionnaires assessing attitudes towards inclusion, sense of self-efficacy, knowledge of current policy, and perception of support for inclusive practices.ResultsHigher perceived knowledge of inclusion policy and higher perceived school support of inclusion were both related to higher self-efficacy regarding inclusion, which, in turn, was related to more positive attitudes about inclusion.ConclusionOur results suggest that point to being knowledgeable regarding local and national policy is important in order to increase feelings of self-efficacy regarding the implementation of effective educational practice. To enhance inclusion, local and national policy must be clearly communicated to teachers. Furthermore, leadership and a supportive school environment are conducive to successful inclusive education.
Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis
Authors: Kassie Tesema Ayenew , Liyew Alemneh Mekuriaw , Alem Adugnaw Zeleke , Yeshaw Yigizie , Tesema Getayeneh Antehunegn , Teshale Achamyeleh Birhanu 
Published: September 2021

Introduction
Malnutrition is one of the most devastating problems in Ethiopia and is inextricably linked with poverty. Women in the reproductive age group and children are most vulnerable to malnutrition due to low dietary intakes, inequitable distribution of food within the household, improper food storage and preparation, dietary taboos, infectious diseases, and care. Therefore, this study aimed to assess the spatial distribution and determinants of undernutrition among reproductive age of Ethiopia.

Methods
The study was based on the 2016 Ethiopian Demographic and Health Survey. The study included a total sampled weight of 15,139 women aged 15–49 years. The ArcGIS version 10.7 and SaTScan version 9.6 statistical software were used for exploring the spatial distribution of undernutrition. A multilevel logistic regression model was fitted to determine the individual and community level factors associated with women undernutrition. Finally, the factors which were significant at 95% confidence interval were reported.

Result
The spatial analysis revealed that women undernutrition was significantly varied across the country. The SaTScan analysis identified a total of 144 significant hotspot areas of maternal undernutrition with three significant spatial windows. Of these, 134 clusters were primary. The primary spatial window was identified in the southeast Tigray, northwest Afar, central and north Amhara regions (LLR = 57.48, P<0.01, RR = 1.51). Age at first marriage (AOR = 1.57: CI 1.33, 1.99), middle wealth index (AOR = 3.15: CI 1.4, 6.97), rural residence (AOR = 2.82: CI 1.22, 6.52), being in Afar region, Tigray region and Harari region (AOR = 4.88: CI 1.71, 13.91), (AOR = 4.17: CI 1.57, 11.06) and (AOR = 3.01: CI 1.05, 8.68) respectively were significantly associated with women undernutrition.

Conclusion
In Ethiopia, undernutrition had significant spatial variations across the country. Residence, age at first marriage, wealth index and region were significantly associated with undernutrition. Therefore, public health interventions that reduce reproductive age women undernutrition and enhance women awareness towards undernutrition in hotspot areas of undernutrition is crucial.
An overview of fish disease and parasite occurrence in the cage culture of Oreochromis niloticus: A case study in Lake Victoria, Kenya
Authors: Mwainge Venny Mziri , Ogwai Caleb , Aura Christopher Mulanda , Mutie Alice , Ombwa Veronica , Nyaboke Hilda , Oyier Kennedy Ngoko , Nyaundi Joseph 
Published: September 2021

Abstract
Cage aquaculture has been on a steady rise in Lake Victoria, Kenya, since 2016, resulting in the current culturing of over 3,600 cages of Tilapia (O. niloticus) (Orina et al., 2018). Unfortunately, there has been limited, if any, focus on fish health aspects. Rise in intensification and commercialization predisposes fish stocks to disease due to rise in stress levels and consequent reduction in the fish immunity. Nutrient rich surroundings create a conducive environment for rapid proliferation of bacterial and saprophytic fungal growth leading to net clogging and consequently a low biological oxygen demand. Such conditions predispose the stocks to infections. This study was conducted to provide a baseline analysis of the health conditions/status of the cultured fish in this region. It encompassed studies from 2016 to 2018 on tilapia of the genus O. niloticus using both experimental (using standard procedures and protocols) and socio-economic studies (using structured questionnaires, see annexure 1). Results found the following occurrences; bacterial infections (10%), fungal infestations (12.5%), myxosporean parasites in the gills (5%), parasitic copepods (10%) and fin rot (2.5%) in the stocks. There were no significant differences between abiotic parameters in the cage locations and the wild (p &gt; 0.05). Additionally, 90% of the respondents had no fish disease training or clue on the treatment action necessary whenever fish diseases struck. Findings from this study put to the fore the significance of fish diseases in a cage culture system in light of commercialization of the industry and the importance of biosecurity and maintenance of optimal environmental conditions within the scope of Blue Economy growth in this region. This study did not detect any disease or parasite of zoonotic importance.
Socioeconomic dynamics and characterization of land-based aquaculture in Western Kenya
Authors: Abwao Jacob , Musa Safina , Ondiba Robert , Ogari Zach 
Published: September 2021

Abstract
With the global decline in capture fisheries, aquaculture remains alternative in bridging the gap and meeting the demand for fisheries products. Currently, aquaculture contributes approximately 50% of world total fishery production, hence becoming an important intervention in promoting food and nutritional security, and employment creation. Western Kenya is suitable for aquaculture production due to favorable climate and good soil as well as high demand for fish. The present survey purposed to assess the Socio-demographic characteristics of fish farmers, fish feed and seed producers in 9 Counties within Western Kenya. The information obtained included socio economic dynamics and challenges to fish farming. Fish farming mainly occur in rural areas in Western Kenya where the most dominant system is earthen ponds, measuring 300 m2. Aquaculture in the region is male dominated and majority of players practice individual enterprises. The majority of the hatcheries are authenticated and the lack of credit facility was mentioned as the most important challenge. However, for feed producers lack of adequate raw materials was the most important bottle neck. From this study, both environmental and social factors in the region must be synergized to achieve aquaculture sustainability. There is need for empowerment of farmers through capacity building and availability of credit facilities whereas hatcheries and feed producers must be empowered with adequate skills and infrastructure in order to adhere to good standards.
The role of women in freshwater aquaculture development in Kenya
Authors: Awuor Fonda Jane 
Published: September 2021

Abstract
For many years, aquaculture has been erroneously viewed as a male-dominated sector, offering women inadequate opportunities partly due to the high capital investment requirement and or the technologies linked to the venture. Women work in all areas of the aquaculture value chain but their opportunities have not kept pace with aquaculture growth. Hence, they form a larger component of the poor, limiting their income-generating activities and asset building potential. Gender disaggregated statistics that could track women’s engagement in aquaculture activities in Kenya are scanty. Hence, women’s presence, influence and interests are invisible. All aquaculture labour practices should embrace the Sustainable Development Goals 5 that focus on gender equality and empowerment of all women and girls. To that end, gender equality must be mainstreamed into aquaculture planning, development, monitoring and evaluation. This will require concerted political efforts by sector leaders, advocates and gender champions, supported by new technical instruments for implementation. The study leverages on incorporating gender lens and making gender visible in every phenomenon, questioning if, how and why processes, opportunities and standards differ systematically for women and men and not solely for women. Finally, it proposes sections where women’s engagements can be strengthened to increase the importance of aquaculture production in Kenya.
Kenya marine fisheries: The next frontier for economic growth?
Authors: Njiru James , Omukoto Johnston O. , Kimani Edward N. , Aura Christopher Mulanda , Van der Knaap Martin 
Published: September 2021

Abstract
The economic potential of Kenya marine resources is critical for the socioeconomic development. The current study reports fisheries output from marine systems in Kenya as a priority for Blue Economy investment in order to rival the current production from inland systems as a trigger for sustainable development. The assessment of fish landings and economic value was based on Catch Assessment Surveys, cruises and secondary literature. Kenya’s inland capture fisheries contributes about 83%, aquaculture 12%, and marine artisanal fisheries 5%. Lake Victoria that contributes up to 90% of inland capture fish production has shown decline in catches in the recent past and the trend indicates that the fishery may not be sustainable. The Kenya Exclusive Economic Zone has a coast line of about 647 km and an area of 142,000 km2 that constitutes about 42% of the country’s surface area and has several commercially important species that are barely exploited; yet it produces a paltry 26,000 mt annually that is estimated at an export value of about USD 50 million. However, recent estimates have found that Kenya Exclusive Economic Zone could contain up to 2 million mt of fish that is valued at about USD 130 million. Furthermore, additional worth along the value chain and with substantial trickle-down effect that could have a positive impact on the Blue Growth in Kenya and other developing nations with oceanic potential – triggering the possibility for sustainable exploitation.
Integrating design thinking into instructional design: The #OpenTeach case study
Authors: Ní Shé Caitríona , Farrell Orna , Brunton James , Costello Eamon 
Published: September 2021

Online education is becoming the norm in higher education. Effective instructional design methods are required to ensure that “ever-connected” students’ needs are being met. One potential method is design thinking: an agile methodology that stresses the importance of empathy with the student. The #OpenTeach fully online course was designed using design thinking principles and delivered in Spring 2020. This article reports on a case study which focused on the use of design thinking to design and develop the #OpenTeach course. The five iterative stages of design thinking (empathy, define, ideate, prototype and test) were integrated into the design and development of the course materials. The findings of this study indicate that the use of the design thinking process may be used by instructional designers to achieve empathy with their learners, which will ensure learners successfully engage and achieve the learning objectives of the course.
Implications for practice or policy:

A rich case study of the successful integration of design thinking within the instructional design methodology of an online teacher education project is valuable to educationalists who wish to follow a user-cntred empathetic approach.
Instructional designers should focus on empathising with their student cohort to successfully engage students in the content that has been designed, and developed, as part of an online course.
Partial migration in diadromous fishes drives the allocation of subsidies across the freshwater-marine ecotone
Authors: Saboret Grégoire , Buckle Duncan J. , King Alison J. , Douglas Michael M. , Crook David A. 
Published: September 2021

Abstract
Migratory animals can act as cross-boundary subsidies sustaining ecosystem functioning, such as diadromous fishes that migrate between fresh water and seawater and carry nutrients and energy across the freshwater-marine ecotone. Frequency and timing of migration are however highly variable within and among populations. We hypothesized that in catadromous fishes (i.e., diadromous fishes that grow in freshwater and spawn in the sea, such as eels), the import of subsidies by migratory juveniles could outweigh the export of subsidies by adults due to skipped spawning migration. We used the diamond mullet Planiliza ordensis, as a model species, and determined life-history traits using a combination of length-to-age data, acoustic telemetry and otolith (fish ear stone) microchemistry. We used a mass balance approach to model individual mass acquisition and allocation, and extended our model to other life-history strategies. Our results showed high intra-population variation of migratory behaviour in P. ordensis, with few individuals migrating every year to spawn. We estimated that an individual P. ordensis acted as a net 42.6g biomass subsidy in fresh water, representing a retention of more than 50% of the juvenile mass at freshwater entry. Our model predicts that skipped spawning is likely to alter the allocation of subsidies in diadromous species, highlighting the important effects of individual variation in migratory behaviour on fluxes of energy and nutrient at ecosystem scales. We encourage future studies to consider how variation in migratory behaviour is likely to affect the direction and magnitude of biomass fluxes across ecotone boundaries.
Equilibrium & kinetic studies of reactive extraction of trans-aconitic acid using sunflower oil with tri-n-octylamine
Authors: Nimmakayala Rajesh , Pal Dharm , Singh Dhananjay , Prajapati Abhinesh Kumar 
Published: September 2021

Abstract
In order to design an efficient extraction system for the separation of biochemically produced trans-aconitic acid (TAH) from fermentation broth; equilibrium and kinetics of reactive extraction of TAH from aqueous solutions was investigated using tri-n-octylamine (TOA) as an extractant and sunflower oil as a diluent. Through the equilibrium studies stoichiometry (acid, extractant) of complex formations was determined with the help of loading ratio. Formation of (1, 1), (2, 1), & (3, 1) stoichiometry complexes were observed having complexation constants values 179.73 kmol−1 m3, 9512.58 kmol−2 m6, and 614,407.02 kmol−3 m9, respectively. Kinetics experiments were performed in Lewis type stirred cell and results confirmed that reaction between TAH and TOA in sunflower oil fall in regime 1, i.e. slow reaction occurring in bulk organic phase. The overall order of reaction is pseudo first order with rate constant (K

mn
) 1.78 × 10−5 (kmol m−3)−0.71 s−1 and physical mass transfer coefficient (K

l
) 4.22 × 10−5 m s−1.