bluuebunny/crossref_metadata_2025_split huggingface dataset:
Knowledge, attitudes and practices of a selected group of parents on pre-hospital management of fever in children in a dengue-endemic area of Southern Sri Lanka
Authors: Wickremasinghe I. K. M. , Basnayake A. N. K. , Kumara D. K. Shantha , Arachchi D. S. Kodikara 
Published: July 2021

Introduction: Dengue is one of the hyperendemic diseases in Sri Lanka with high morbidity and mortality. This study was aimed to assess knowledge, attitudes and practices of group of parents on pre-hospital management of fever in their children. Methods: A cross-sectional study was conducted incorporating either one of the parents of 86 children with fever admitted to two paediatric units in Teaching Hospital Karapitiya and District General Hospital, Matara over two months during a dengue epidemic. A self -administered pretested questionnaire with demographic data and questions to assess knowledge, attitudes and practices regarding pre-hospital management of dengue was used. Results: There were 81 (94.2%) females. The majority (69.76%) had educated beyond GCE O/L. Only 27.9% knew that they have a risk of dengue. The majority (66.28%) had excluded dengue due to the presence of respiratory symptoms. More than half of the parents (55.81%) knew that treatment with NSAIDs could aggravate dengue but 32.56% preferred NSAIDs, due to misconception of pyrexia related cerebral injury. A large majority (89.53%) knew proper hydration is needed and had hydrated their children. However, only 33.72% knew that hospital admission is needed if fluid intake is inadequate and only 19.77% knew that hospitalisation is needed if urine output is low. Only 30.23% knew that full blood count (FBC) should be done on day 3 of illness and 45.34% of the participants had got it done before admission. The majority (65.1%) knew dengue NS1 antigen test and out of them 75% had got it done before hospitalisation. Conclusions: Despite living in an endemic area, only a few parents knew that their children were at a risk of contracting dengue. Inadequate knowledge about the symptoms, when to hospitalize and misconceptions on treatment of fever were highlighted. Therefore, educating the parents on specific facts is effective.
The Role of Trust in the Pattern of Enrollment to a Social Health Insurance Scheme and Distribution of Healthcare Facilities in Ibadan, Southwest Nigeria
Authors: Adewole David A. , Reid Steve , Oni Tolu 
Published: July 2021

ABSTRACT.
The National Health Insurance Scheme (NHIS) of Nigeria established in the year 2005 aims to minimize the inequity of access to quality healthcare services in Nigeria. As of the year 2017, enrollment in NHIS-accredited facilities in the southwest region of Nigeria was significantly clustered, with more than three-quarters of NHIS enrollees registered with only 10% of the available NHIS-accredited facilities in the six states of the region. This study explored the factors associated with the skewed distribution of enrollees across facilities and the influence of stakeholders. This is a descriptive, qualitative, case study design among stakeholders of the NHIS in Ibadan, Oyo State, Southwest, Nigeria. In-depth interviews were conducted between March and June, 2019, with all selected individual stakeholders as listed earlier. Data analysis was done using an inductive thematic approach. Across the board, there was a low level of trust in government and government policies among healthcare providers and enrollees. Few healthcare providers were willing to render services under the scheme at inception. The majority of the enrollees were compelled to register with the few available healthcare providers. Among the enrollees, a few personally chose healthcare facilities and providers that were perceived to render better quality services to receive care. Priority should be given to building trust among stakeholders in the NHIS as this would facilitate cooperation and better working relationship, and reposition the scheme for better performance.
Utility of the Loop-Mediated Isothermal Amplification Assay for the Diagnosis of Visceral Leishmaniasis from Blood Samples in Ethiopia
Authors: Hagos Dawit Gebreegzabher , Kiros Yazezew Kebede , Abdulkader Mahmud , Arefaine Zekarias Gessessew , Nigus Etsay , Schallig Henk H. D. F. , Wolday Dawit 
Published: July 2021

ABSTRACT.
Rapid and accurate diagnosis of visceral leishmaniasis (VL) is needed to initiate prompt treatment to reduce morbidity and mortality. Here, we evaluated the performance of loop-mediated isothermal amplification (LAMP) assay for the diagnosis of VL from blood in an endemic area in Ethiopia. LAMP was positive in 117/122 confirmed VL cases and negative in 149/152 controls, resulting in a sensitivity of 95.9% (95% CI: 90.69–98.66) and a specificity of 98.0% (95% CI: 94.34–99.59), respectively. The sensitivity of the LAMP assay was 95.0% (95% CI: 88.61–98.34) in HIV-negatives and 100% (95% CI: 85.18–100.0) in HIV-positives. Compared with microscopy, LAMP detected 82/87 (94.3%, 95% CI: 87.10–98.11) of the microscopy+ cases and was negative in 11/27 (40.7%, 95% CI: 22.39–61.20) of the microscopy− cases. Compared with the rK39 serology, LAMP detected 113/120 (94.2%, 95% CI: 88.35–97.62) of the rK39+ cases and was negative in 149/154 (96.8%, 95% CI: 92.59–98.94) of the rK39− cases. However, when compared with microscopy only, rK39 detected 83/87 (95.4%, 95% CI: 88.64–98.73) of the microscopy+ cases and negative in only 12/27 (44.4%, 95% CI: 25.48–64.67) of the microscopy– cases. There was an excellent agreement between rK39 and LAMP (Kappa = 0.91, 95% CI: 0.86–0.96). Furthermore, an algorithm using rK39 followed by LAMP would yield a sensitivity of 99.2% (95%CI: 95.52–99.89) and a specificity of 98.0% (95% CI: 94.34–99.59). The findings demonstrate that LAMP assay is an accurate and rapid molecular assay for VL diagnosis, including in HIV-1 coinfected patients, in an endemic setting.
Inovar no ensino de Geografia: relato de experiência no modelo remoto em uma escola da zona rural de Santana do Matos/RN
Authors: Santos Geovar Miguel dos , Silva Julliana Araújo da , Dantas Bárbara De Medeiros , Garcia Tânia Cristina Meira 
Published: July 2021

Este trabalho trata-se de um relato de experiência desenvolvido com os estudantes da turma do 5º ano do Ensino Fundamental em uma escola da zona rural, na cidade de Santana do Matos/RN. A prática pedagógica desenvolvida com os alunos gravitou em torno do processo de modernização das atividades econômicas, meios de comunicação e de transporte, e visava responder ao seguinte questionamento: de que maneira o avanço tecnológico contribui para a modernização das atividades humanas? Para a realização desta proposta de intervenção escolar foram desenvolvidas atividades de forma síncrona, em que utilizamos o aplicativo do Google Meet e de forma assíncrona, pelos aplicativos Google Classroom e WhatsApp, assim, esta intervenção esteve ancorada na metodologia da sala de aula invertida, na qual encontramos seus fundamentos conceituais e teórico-descritivo nos escritos de Jonathan Bergmann e Aaran Santos (2018), e de ensino remoto, com base em Garcia et. al (2020). Metodologicamente, foi realizada uma pesquisa bibliográfica e se fez o uso do diário de campo e de registros fotográficos. Com tal relato, é notável que em meio ao contexto do distanciamento social em decorrência da pandemia que assolou o mundo neste início de década, as metodologias ativas se apresentam como solução para propor práticas pedagógicas que visam formar o aluno no ensino de Geografia sob uma perspectiva crítica e reflexiva, de maneira a encurtar distâncias e oportunizar aprendizados.
The Role Of Shunt In The Norwood Procedure
Authors: Çine Nihat , Yiğit Fatih , Arslanoğlu Ergin , Ceyran Hakan 
Published: July 2021

Objectives: In this study we observed that the effect of post-Norwood 3.5 mm modified BTS(mBTS and 5 mm right ventricle to pulmonary (Sano modification) shunt models on clinical outcomes.
Patients and Methods: 54 patients who were operated in our hospital between 2011and 2020 years, were included in our study and this is a retrospective, observational, single-center case series study.
Results: The effect of shunt type on mortality was statistically significant, and the rate of death was lower in patients who used SANO type shunts. (p <0.05) The effect of VISC score on early mortality was significant, and VISC score was higher in the group with exitus. (p <0.05).
Conclusion: Although Sano shunt seems more preferred in Norwood, the experience of the surgeon and the center's experience may have led to variation in results at HLHS. Nevertheless, it will be clinically important for studies to evaluate the long-term results between the two shunt types.
Global Covenant of Mayors, a dataset of greenhouse gas emissions for 6200 cities in Europe and the Southern Mediterranean countries
Authors: Kona Albana , Monforti-Ferrario Fabio , Bertoldi Paolo , Baldi Marta Giulia , Kakoulaki Georgia , Vetters Nadja , Thiel Christian , Melica Giulia , Lo Vullo Eleonora , Sgobbi Alessandra , Ahlgren Christofer , Posnic Brieuc 
Published: July 2021

Abstract. The Paris Agreement has underlined the role of cities in combating climate change. The Global Covenant of Mayors for Climate &amp; Energy (GCoM) is
the largest international initiative dedicated to promoting climate action at a city level, covering globally over 10 000 cities and almost half the
population of the European Union (EU) by end of March 2020. The fifth Intergovernmental Panel on Climate Change (IPCC) report notes that there is a
lack of comprehensive, consistent datasets of cities' greenhouse gas (GHG) emission inventories. In order to partly address this gap, we present a
harmonised, complete and verified dataset of GHG inventories for 6200 cities in European and Southern Mediterranean countries, signatories of the
GCoM initiative. To complement the reported emission data, a set of ancillary data that have a direct or indirect potential impact on cities'
climate action plans were collected from other datasets, supporting further research on local climate action and monitoring the EU 27 (the 27 member states of the EU) progress on
Sustainable Development Goal (SDG) 13 on climate action. The dataset (Kona et al., 2020) is archived and publicly available with the DOI https://doi.org/10.2905/57A615EB-CFBC-435A-A8C5-553BD40F76C9.
Enfermedad avanzada al diagnóstico de infección por VIH en el Conurbano de Buenos Aires
Authors: Warley Eduardo M. , Tavella Silvina , Garnica Pablo , Aoad Amalia , Llanos Ibarra Nydia K. , Obando Maritza , Varrenti Nicolás , Rosas Alejandra 
Published: July 2021

Objetivos: Analizar las características de la población y determinar frecuencia y posibles factores asociados a enfermedad avanzada (EA) al momento del diagnóstico de infección por VIH.
Método: Se realizó un estudio analítico descriptivo de corte transversal mediante análisis retrospectivo de los datos reportados en dos cohortes de seguimiento de pacientes de dos hospitales de la región oeste del conurbano de Buenos Aires.
Resultados: Analizamos las HC de 211 pacientes. Sexo femenino 108 (51,2 %), masculino 102 (48,3 %) y transgénero 1 (0,5 %). El modo primario de transmisión se describió como heterosexual en el 89 % de los pacientes. El recuento de CD4 fue menor a 200 cel/ml en 60,2 % de los pacientes y menor a 350 cel/ml en el 77 %. Al momento de diagnóstico de infección presentaban un evento marcador de sida 65 pacientes (30 %) y se hallaban sintomáticos 86 (40.8 %). Ser de sexo masculino (OR 3,1 IC95% 1,7-5,6), presentar edad de 45 años o superior (OR 4.0 IC95 % 2,1-7,8), y estar desempleado o con empleo informal (OR 3.3 IC95 % 1,8-5,9) se asociaron estadísticamente a EA tanto en el análisis bivariado como en el multivariado mientras que haber ingresado al nivel secundario de educación se asoció con baja posibilidad sólo en el bivariado.
Conclusiones: Observamos una elevada frecuencia de EA en la población estudiada caracterizada como asociada desde el punto de vista estadístico al sexo masculino, la falta de empleo y la edad superior a los 45 años. La situación de los hombres referidos asimismo como heterosexuales debería ser especialmente estudiada.
INNOVATIVE TECHNOLOGIES IN AGRICULTURE AND ECONOMIC CHALLENGES (ON THE EXAMPLE OF AEROPONICS)
Authors: Vacharadze Aleksandre 
Published: July 2021

In parallel with world population growth, demand for healthy and clean agricultural products is increasing day by day. To satisfy expected increases in agricultural products within traditional methods becomes more and more difficult, considering the climate change and soil degradation. There is a need to adopt and develop innovative agricultural practices. One of the most effective and new methods that can be used is Aeroponics. Aeroponics is a process of growing plants, within a controlled environment, in the absence of soil, with a small amount of water, using a minimum area of 3-dimensional greenhouse farming, where the cultivation period, compared to the traditional, is faster and prolonged throughout the year. Regarding this matter, we find it reassuring, that Georgian companies are not lagging behind the current global processes and are actively involved in refining or developing the Aeroponics system.
The advantages of Aeroponics over the traditional method (Geoponics) can be classified as follows:
•	Requires less water.
•	Plant fertility does not depend on soil quality, or weather conditions. moreover, soil is not required at any stage of plant vegetation.
•	Has the highest vegetation per square meter compared to all other existing methods (Geoponics, Hydroponics), which is due to the possibility of 3-dimensional farming in Aeroponics.
•	Reduces transportation cost, since greenhouses can be organized directly in the cities and in urban areas.
•	The plans can be planted all year round regardless of meteorological conditions and seasonality.
•	Since nutrients and minerals are systematically provided to the plants’ roots, the process of its growth and consequently fertility lasts longer than the traditional method.
As for disadvantages of using Aeroponics can be summarize as following:
•	At the beginning stage, set up costs of all components for the Aeroponics are relatively high.
•	Aeroponics requires specialized knowledge not only regarding the needs for plants, but also of the whole electronic systems and tools, which are widely used in Aeronautics (for example: pH / EC / humidity meter, timers, high pressure atomizers, etc.)
•	Even minor mistakes can have negative effect. Specifically, if the plants do not get exactly as many vital minerals as needed, they will not survive. As already mentioned, soil is not used in Aeronautics which would neutralize excess minerals or nutrients.
In conclusion, Aeroponics is the one of the most innovative and efficient ways of farming, which promises sustainable future production of the agricultural products. Furthermore, Aeroponics has minimal or no negative impact on the environment, while traditional farming uses water and land resources insufficiently.
parents analysis of the children with autism in the development in yayasan harapan mulia jambi
Authors: SUTINAH Sutinah Sutinah 
Published: July 2021

Autism is a disorder growth identified byan abnormal growth appeared before 3 years old, in which children have three abnormal functions in the term of social interaction, communication and behavior. Mostly, brain disorder on children is not curable but it is treatable through early, integrated, and intensive therapy. This research was conducted at Yayasan Harapan Mulya Jambi. The purpose of this study was to analyze the role of parents toward hyperactive children growth from 6 to 30 june 2016. Qualitative study was presented descriptively. Then, Data were collected through in-depth interview, observation, and document studies. There were 6 participants having autism children (2-9 years old) and 1 therapist from Yayasan Harapan Mulia Jambi.There were 5 themes emerged in this study, they were 1)the perspective of parents toward hyperactive children, 2) the role of parents toward hyperactive children, 3) the perspective of parents toward behavior changes occurred on hyperactive children , 4) the parents’ expectation toward children growth changes, and 5) obstacle in doing the role.The study revealed that some of parents had done the role optimally based on their children need. Although they had not known well their children need. Also, there were some obstacles to do their role. Good role of parents can assist in increasing hyperactive children growth.
PENGALAMAN KELUARGA DALAM MERAWAT DEKUBITUS
Authors: Sari Rita 
Published: July 2021

Immobilization is a problem faced by patients with chronic illness, the patients is very weak and paralyzed patients in a long time. This study have purpose to gain a deep understanding of the experience of families in caring for family members is immobilized with pressure sores at home. This study used qualitative methods. Participants are families who care for patients at home who are immobilized with pressure sores. Collecting data with in-depth interviews by means of instrument is the researcher's own self, written questions as an interview, used recording devices and used field notes. Criterion sampling by taking 6 participants. Analysis of data used a phenomenological approach. The results showed that the family had a positive experience; Can be more patient, and assume that caring for a sick family member has its own challenges, being able to be with other families in caring for patients, being able to give affection and obligation as a child to parents can help take care of it. There was also an unpleasant (negative) family experience during the care of sick family members, the family felt tired, not strong and bored during patient care. The conclusion of the study is that families have positive and negative experiences in caring for family members with decubitus
ANALISIS RISIKO PENYAKIT DAN KECELAKAAN KERJA MENGGUNAKAN MODEL UPAYA KESEHATAN KERJA DI INDUSTRI BATIK RUMAHAN
Authors: Lestari Ratna , Warseno Agus 
Published: July 2021

Batik merupakan warisan dunia yang saat ini mengalami perkembangan pesat baik pada industri kecil, menengah bahkan skala besar. Di sisi lain industri batik rumahan dapat menimbulkan masalah kesehatan bagi pekerjanya yang disebabkan proses produksi dan lingkungan fisik rumah. Penting untuk dilakukan analisis lebih lanjut mengenai beberapa faktor risiko penyakit akibat kerja dan kecelakaan kerja yang dapat terjadi pada pengrajin batik. Jenis penelitian ini adalah penelitian observasional deskriptif dengan pendekatan analitik. Populasi dalam penelitian ini adalah seluruh industri batik yang pekerjanya bekerja di lokasi industri batik Bantul. Hasil diperoleh sebanyak 76% pengrajin batik berjenis kelamin perempuan, 98% responden berusia ≥ 45 tahun, sebanyak 81% responden memiliki masa kerja ≥ 10 tahun dan bidang pekerjaan yang terbanyak adalah membatik cap. Kondisi lingkungan dan aktifitas dalam industri batik yang memiliki risiko menimbulkan penyakit dan kecelakaan akibat kerja antara lain lingkungan kerja yang berdebu, membatik dengan canting maupun cap menggunakan lilin panas dengan posisi duduk dan berdiri, mewarnai dengan bahan kimia, dan merebus kain batik untuk pelorodan lilin. Maka dapat disimpulkan risiko penyakit akibat kerja pada pengrajin batik antara lain gangguan pernafasan, gangguan muskuloskeletal, kelelahan pada otot mata dan iritasi kulit, sedangan risiko kecelakaan kerjanya adalah luka bakar. Disarankan kepada pekerja agar lebih mewaspadai risiko PAK dan KK sebagai dampak konsekuensi pekerjaan dan lingkungan kerja sehingga kesehatan dan keselamatan perorangan dapat tercapai. Kata kunci : penyakit akibat kerja, kecelakaan kerja, pekerja batik, pengkajian model UKK
EKSPLORASI EVALUASI METODE PROBLEM BASED LEARNING MELALUI PENDEKATAN SEVEN JUMP METHOD PADA MAHASISWA KEPERAWATAN
Authors: Sri Wahyuningsih Indah 
Published: July 2021

Metode pembelajaran Student Centered Learning merupakan metode yang berfokus pada mahasiswa. Salah satunya dengan pendekatan metode problem based learning (PBL) melalui metode seven jump. Metode PBL telah diterapkan di beberapa institusi pendidikan kesehatan dan non kesehatan. Metode PBL lebih efektif apabila diterapkan dipendidikan keperawatan karena dapat meningkatkan penilaian kognitif dan skill keperawatan sesuai dengan kasus yang diperoleh. Namun, metode PBL juga memiliki kekurangan yaitu membuat jenuh peserta didik dan peran tutor yang kurang intensif. Tujuan penelitian ini untuk mengeksplorasi evaluasi metode PBL melalui pendekatan seven jump method pada mahasiswa keperawatan. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologis. Metode pengambilan data dilakukan pada 5 informan dari mahasiswa Fakultas Ilmu Keperawatan Unissula dengan dilakukan wawancara semiterstruktur dengn waktu 20-30 menit. Hasil penelitian didapatkan dua tema penelitian diantaranya yaitu, pelaksanaan metode PBL dan Eksplorasi Evaluasi Mahasiswa terhadap Sistem Pelaksanaan PBL. Kesimpulan penelitian bahwa metode PBL mellui pendektan seven jump memberikan dampak positif bagi mahasiswa, dengan metode ini mahasiswa menjadi lebih mandiri dalam mencari solusi permasalahan sesuai kasus keperawatan ynag diberikan. Peran tutor secara intensif diperlukan agar diskusi dengan metode PBL membuat mahasiswa menjadi lebih aktif sert perlunya refreshing palatihan tutor agar dalam berdiskusi tutor memberikan maasukan sesuai dengan referensi yang bereputasi. Kata kunci: Student centered learning, Problem based learning, seven jump
Conceptual Skill Kepala Madrasah
Authors: Soif Muhamad 
Published: July 2021

This paper talked about Conceptual Skill of the School (Madrasah) principals participants of education and Training on Strengthening competences of School principals of South Sumatera, Lampung, Bengkulu, and Babel Provinces. This paper is aimed to know how is the conceptual skills of The school principals participants of the education and training on strengthening competences of the school principals. The analysis was emphasized on descriptive theoritic- emphiric, namely comparing among theory related with the facts and described. The conclusions that the participants on strengthening competnces od the school pricipals was having problem with the conceptual skill, this is probably becoming main reason why Madrasah was still left far behind with another public school.
PEMETAAN TREN BELAJAR AGAMA MELALUI MEDIA SOSIAL
Authors: Febriani Suci Ramadhanti , Desrani Ayu 
Published: July 2021

Pembelajaran agama menjadi salah satu prinsip kehidupan yang tidak terlepas dari aktivitas manusia. Pada umumnya pembelajaran agama memiliki berbagai strategi untuk mendalami ajarannya. Penelitian ini bertujuan untuk mengeksplorasi pemetaan tren pembelajaran agama melalui media sosial. Penelitian ini menggunakan desain penelitian kualitatif deskriptif pada responden yang berusia 19-25 tahun. Responden berjumlah 39 orang untuk mendapatkan informasi pemetaan tren pembelajaran agama masa kini dengan teknik analisis data menggunakan teknik analisis berbasis triangulasi data. Hasil penelitian menunjukkan bahwa tren belajar agama melalui media sosial tersebar pada penggunaan media yang bervariasi yaitu; 87,2% menggunakan YouTube, 30,8% menggunakan instagram dan artikel online, 15,4% menggunakan facebook, selebihnya menggunakan media yang lainnya seperti WhatsApp dan Tiktok. Berdasarkan temuan, maka tren belajar agama telah beralih dari sistem tradisional pada sistem digital. Hal itu menunjukkan bahwa peran media sosial sangat mempengaruhi konsep berpikir dan bertindak dalam memperdalam pembelajaran agama. Atas dasar itu, penelitian ini merekomendasikan penelitian lanjutan bagi para pemangku kebijakan di Pendidikan Islam Kementerian agama maupun pada masyarakat umum untuk menguji efektivitas media sosial sebagai media belajar agama.