bluuebunny/crossref_metadata_2025_split huggingface dataset:
Karakteristik dan Dinamika Nelayan Rawa Pening ( Kasus Kecamatan Banyubiru
Authors: Safriani Eka Wulan , Jayanti Rani Dwi , Merselena Merselena , Nuryawan Fadly , Eka Tasya Vima , Wahyudi Gesang Nur , Hadi Rusmani , Mufida Ana Zahiratul , Wibowo Yunus Aris 
Published: September 2019

Abstrak: Penelitian ini mengkaji tentang karakteristik dan dinamika sosial ekonomi masyarakat nelayan di Kecamatan Banyubiru. Penelitian ini bertujuan mengetahui aspek sosial ekonomi masyarakat nelayan yang mencakup pendidikan, lama menjadi nelayan, usia rata-rata, pendapatan, serta dinamika perubahannya. Populasi penelitian berjumlah 191 nelayan dengan sampel yang diambil sebanyak 115 nelayan menggunakan teknik proporsional random sampling. Hasil penelitian menyimpulkan : 1) rata-rata tingkat pendidikan nelayan tergolong rendah dengan presentase tertinggi sebesar 57,14% pada kelompok nelayan Minarejeki dan Rowoganjar, 2) Usia rata-rata nelayan memasuki usia masa lansia yaitu dengan umur 51-66 tahun sebesar 42,25 %, serta hampir semasa usianya menjadi nelayan, 3) tingkat pendapatan rata-rata nelayan tergolong dalam kelas rendah dengan presentase tertinggi sebesar 94,44 %, 4) terjadi dinamika pada kelompok nelayan sebagai upaya peningkatan taraf hidup dengan presentase sebesar 1,6 % kelompok nelayan yang beralih ke nelayan keramba.

Kata kunci: dinamika, ekonomi, nelayan, sosial

Abstract: Berisi terjemahan abstrak Bahasa Indonesia ke dalam Bahasa Inggris dengan aturan penulisan yang sama. This study examines the characteristics and socio-economic dynamics of fishing communities in Banyubiru District. This study aims to determine the socio-economic aspects of fishing communities which include education, length of time being a fisherman, average age, income, and the dynamics of change. The research population was 191 fishermen with 115 fishermen using proportional random sampling technique. The results of the study concluded: 1) the average level of education of fishermen is low with the highest percentage of 57.14% in the fishermen group Minarejeki and Rowoganjar, 2) The average age of fishermen entering the age of the elderly is 51-66 years of age 42, 25%, and almost during his age as a fisherman, 3) the average income level of fishermen is classified as low with the highest percentage of 94.44%, 4) they are dynamics in the fishermen group as an effort to improve living standards with a percentage of 1.6% groups of fishermen who switch to cage fishermen.

Keywords: dynamics, economy, fishermen, social
Association between Toxoplasma gondii infection and thyroid dysfunction: a case-control seroprevalence study
Authors: Alvarado-Esqu Cosme , Ramos-Nevarez Agar , Guido-Arreola Carlos Alberto , Cerrillo-Soto Sandra Margarita , Pérez-Álamos Alma Rosa , Estrada-Martínez Sergio , Gutierrez-Martinez Verónica Dayali , Sifuentes-Alvarez Antonio , Ramírez-Valles Eda Guadalupe , Contreras-Cisneros Edith 
Published: September 2019

Abstract
Background: The association between Toxoplasma gondii infection and thyroid disease has been poorly studied. Therefore, we sought to determine the association between T. gondii seropositivity and thyroid dysfunction.
Methods: We performed an age- and gender-matched case-control study of 176 patients suffering from hypothyroidism (n=161) or hyperthyroidism (n=15) and 528 control subjects without these diseases in a public hospital in Durango City, Mexico. Anti- Toxoplasma IgG antibodies were determined in sera from cases and controls using a commercially available enzyme-linked immunoassay.
Results: Anti- T. gondii IgG antibodies were found in 11 (6.3%) of 176 patients suffering from thyroid dysfunction and in 48 (9.1%) of 528 control subjects (OR=0.66; 95% CI: 0.33-1.31; P =0.23). Stratification by two groups of age (50 years and younger, and 51 year and older) showed that the youngest group of patients with thyroid dysfunction had a significantly lower seroprevalence of T. gondii infection than its age- and gender-matched control group (1/83: 1.2% vs 23/257: 8.6%; OR=0.12; 95% CI: 0.01-0.93; P =0.01). This stratification also showed that the youngest group of patients with hypothyroidism had a significantly lower seroprevalence of T. gondii infection than its age- and gender matched control group (0/75: 0% vs 21/233: 9.0%; P =0.003).
Conclusions: Our results suggest that thyroid dysfunction is not associated with seropositivity to T. gondii in general; however, in young (50 years or less) patients, a negative association between infection and thyroid dysfunction and hypothyroidism was found. Further research to confirm this negative association is needed.
Untangling relationships among terraranan frogs: a phylogenomic approach based on 2,665 loci
Authors: Barrientos Lucas Santiago , Streicher Jeffrey W. , Miller Elizabeth C. , Pie Marcio R. , Wiens John J. , Crawford Andrew J. 
Published: September 2019

Abstract
Background: Terraranae is a large clade of New World direct-developing frogs that includes 3–5
families and >1,000 described species, encompassing ~15% of all named frog species. The relationships among major groups of terraranan frogs have been highly contentious, including conflicts among three recent phylogenomic studies utilizing 95, 389, and 2,214 nuclear loci, respectively. In this paper, we re-evaluate relationships within Terraranae using a novel genomic dataset for 16 ingroup species representing most terraranan families and subfamilies.
Results: The preferred data matrix consisted of 2,665 nuclear loci from ultraconserved elements (UCEs), with a total of 743,419 aligned base pairs and 57% missing data. Concatenated likelihood analyses and coalescent-based species-tree analyses both recovered strong statistical support for the following relationships among terraranan families: (Brachycephalidae, (Eleutherodactylidae, (Craugastoridae + “Strabomantidae”))). Our placement of Brachycephalidae agrees with two previous phylogenomic studies but conflicts with another. Our results place Strabomantis (of the Strabomantidae) with (or within) Craugastor (Craugastoridae) rather than with other strabomantid genera, rendering Strabomantidae paraphyletic with respect to Craugastoridae.
Conclusions: Our results suggest that Strabomantidae should be placed in the synonymy of the older Craugastoridae. Furthermore, our results suggest that Pristimantinae is paraphyletic with respect to Holoadeninae and should be subsumed into the older Holoadeninae. We also found that using matrices of UCE loci with less missing data (and concomitantly fewer loci) generally decreased support for most nodes on the tree. Overall, our results help resolve controversial relationships within one of the largest clades of frogs, with a dataset containing ~7 times more
loci than previous studies focused on this clade.
The IASP Pain curriculum for undergraduate allied health professionals: educators defining competence level using Dublin Descriptors.
Authors: Lankveld Wim van , Afram Basema , Staal Bart , Sande Rob van der 
Published: September 2019

Abstract
Background. Improving pain education for undergraduate health professionals is hampered by lacking shared education outcomes. This study describes how educators and pain experts operationalize content and competency levels deemed necessary for a mandatory undergraduate pain education core curriculum for health professionals (physical and occupational therapists, nurses, psychologists). Methods. Educators and experts on pain and pain education gave their opinion on content and competency level for each individual item of the International Association for the Study of Pain (IASP) inter professional curriculum. Participants decided whether or not to include each item in the undergraduate curriculum. Items were included when > 70% of the respondents agreed. The required competency for each item was rated using ordinal Dublin Descriptors. Results. Overall, 22 experts rated the curriculum, with > 70% agreement on inclusion on 62% of the IASP items. Within the IASP domain ‘Multidimensional nature of pain’ there was full agreement on the inclusion of 12 items. ‘Ethics’ was considered less important with only 1 item deemed necessary. There is a high number of items selected within the domains ‘Pain Assessment and measurement’ (78%) and ‘Management of Pain’ (74%). Considerably less items were chosen in the domain ’Clinical Conditions’ (41%). For most items the median required skills and competency level was either Knowledge and Understanding, or Applying Knowledge and Understanding. Conclusion. Overall, educators and experts in pain agreed on content and competency levels for an undergraduate pain curriculum based on the IASP. Defining a shared competency level will help improve definition of education outcome.
Practice, Perceived Barriers and Motivating factors to medical-incident reporting: A cross-section survey of health care providers at Mbarara Regional Referral Hospital, Southwestern Uganda.
Authors: Turyahabwe Naome , Mwesigwa James , Atuhairwe Christine , Taremwa Ivan Mugisha 
Published: September 2019

Abstract
Background Medical-incident reporting (MIR) ensures patient safety and delivery of quality of care by minimizing unintentional harm among health care providers. We explored medical-incident reporting practices, perceived barriers and motivating factors among health care providers at Mbarara Regional Referral Hospital (MRRH).Methods We conducted a cross-sectional descriptive study on 158 health provider at Mbarara Regional Referral Hospital (MRRH), Western Uganda. Data was gathered using a structured questionnaire and analyzed with SPSS. The chi-square and principle component analysis were used to determine factors associated with MIR at MRRH.Results The results showed that there was no formal incident reporting structure. However the medical-incidences identified were: medication errors (89.9%), diagnostic errors (71.5%), surgical errors (52.5%) and preventive error (47.7%). The motivating factors of MIR were: establishment of a good communication system, instituting corrective action on the reported incidents and reinforcing health workers knowledge on MIR (p-value 0.004); presence of effective organizational systems like: written guidelines, practices of open door policy, no blame approach, and team work were significantly associated with MIR (p-value 0.000). On the other hand, perceived barriers to MIR were: lack of knowledge on incidents and their reporting, non-existence of an incident reporting team and fear of being punished (p value 0.669).Conclusion Medical Incident Reporting at MRRH was sub-optimal. Therefore setting up an incident management team and conducting routine training MIR among health care workers will increase patient safety.
Evaluation of a three-phase implementation program in enhancing e-mental health adoption within Indigenous primary healthcare organisations
Authors: Raphiphatthana Buaphrao , Sweet Michelle , Puszka Stefanie , Dingwall Kylie , Nagel Tricia 
Published: September 2019

Abstract
Background : A three-phase implementation program was carried out to enhance e-mental health uptake within Indigenous primary healthcare organisations in Australia. The present study aimed to evaluate the process and the effectiveness of the program.
Methods : A concurrent triangulation design was employed to collect and compare quantitative and qualitative data from organisations that participated in the implementation program (case studies) to those that participated in training only (non-case studies). Quantitative methods, i.e., t-tests and descriptive statistics, were used to measure outcomes relating to the frequency of e-mental health usage and levels of organisational readiness. Qualitative data were analysed separately, using theoretical thematic analysis, to gain an in depth understanding of the implementation process. The findings were integrated and interpreted within the implementation science literature.
Results : The case studies evidenced greater use of e-mental health approaches than the non-case studies. They also demonstrated increased organisational readiness over the course of the implementation program. The program helped organisations to work and improve on essential aspects within the organisation so that they better supported e-mental health adoption. The key areas addressed were Information Technology resources and infrastructure, leadership and support, policy and protocols around e-mental health utilisation and its integration into practice.
Conclusions : By addressing and improving essential aspects relating to e-mental health implementation, the program helped organisations to increase organisational readiness and enhanced uptake of e-mental health approaches.
The Effect of Parental Migration on Early Childhood Nutrition of Left-Behind Children in Rural China
Authors: Shi Huifeng , Zhang Jingxu , Du Yufeng , Zhao Chunxia , Huang Xiaona , Wang Xiaoli 
Published: September 2019

Abstract
Background: More than one-third of children under 3 years old are left behind at home due to parental migration in rural China, and we know very little about early childhood nutrition of left-behind children (LBC) because of the dearth of research. This study examined the impact of parental migration on early childhood nutrition of LBC in rural China.
Methods: We used repeat cross-sectional data of rural children aged 6–35 months in six counties of northern and southern China, who participated in two surveys in 2013 and 2016 respectively. The length, weight, and hemoglobin concentration were measured by trained health‑care workers blinded to parental migration status. Generalized linear regressions and multivariate logistic regressions were employed to explore the association between parental migration and child nutritional outcomes at each time point.
Results: 2,336 and 2,210 children aged 6–35 months were enrolled in 2013 and 2016 surveys, respectively. The risk of stunting, underweight, and wasting among the children decreased from 2013 to 2016. Children of migrant fathers performed as well as or better than children of non-migrants on these indicators. Children of migrant parents performed slightly worse in 2013, but equal or slightly better in 2016 on these indicators compared with children of non-migrants and migrant fathers. Children aged 6–17 months of migrant parents had a significantly lower risk of anemia than those living with their mothers or with both parents.
Conclusions: Parental migration is not detrimental and even beneficial to early childhood nutrition of LBC in rural China. Programs for LBC are recommended to continue to focus on nutrition but pay more attention to other important health issues.
Risk factors and racial disparities related to low birth satisfaction with labor induction: a prospective, cohort study
Authors: Hamm Rebecca F , Srini Sindhu K , Levine Lisa D 
Published: September 2019

Abstract
Background: Decreased birth satisfaction has been associated with labor induction. Yet, there is a paucity of data evaluating risk factors for decreased satisfaction associated with labor induction. We aimed to determine what factors impact low birth satisfaction in labor induction and evaluate racial disparities in birth satisfaction.Methods: We performed a prospective cohort study of women with term, singleton gestations undergoing labor induction at our institution from 1/2018-6/2018. Women completed the validated Birth Satisfaction Scale-Revised postpartum, which is subdivided into 3 domains. A total satisfaction score above the mean was classified as “satisfied”, and below as “unsatisfied.” Domain and item scores were compared by race. Results: 330 of 414 (79.7%) eligible women were included. There was no significant difference in birth satisfaction by age, body mass index, Bishop score, or induction agent. Black women were more 75% likely to be unsatisfied than non-Black women (54.0% vs. 37.2%, OR 1.75 [95%CI 1.11-2.76], p=0.037), nulliparas were more 71% likely to be unsatisfied than multiparas (54.2% vs. 40.9%, OR 1.71 [95%CI 1.09-2.67], p=0.019), and women whose labor resulted in cesarean birth were more almost 3 times more likely to be unsatisfied than women with a vaginal birth (67.4% vs. 42.3%, OR 2.82 [95%CI 1.69-4.70], p<0.001). Additionally, increased labor length quartile was associated with decreased satisfaction (p=0.003). By race, domain 3 scores, which reflect preparedness for labor, were lower for Black women. No differences were seen for domain 1 or 2.Conclusions: Black race, cesarean birth, and increasing labor length were identified as risk factors for low birth satisfaction among induced women. Further studies should explore interventions to target women at risk for low birth satisfaction.
Clinical outcomes of placenta previa with and without coverage of a uterine scar: A retrospective cohort study in a tertiary hospital
Authors: Rao Jiaming , Fan Dazhi , Zhou Zixing , Chen Gengdong , Ma Huiting , Lin Dongxin , Wu Shuzhen , Guo Xiaoling , Liu Zhengping 
Published: September 2019

Abstract
Background

To compare the maternal and neonatal outcomes of placenta previa (PP) with and without coverage of a uterine scar in China.

Methods

A retrospective cohort study comparing all singleton pregnancies with PP was conducted at a tertiary, university-affiliated medical center between January 2012 and April 2017. Maternal and neonatal outcomes of PP with and without coverage of a uterine scar were compared.

Results

There were 58,062 deliveries during the study period, of which 738 (1.27%) were complicated PP in singleton pregnancies and were further classified into two groups: the PP with coverage of a uterine scar group (PPCS, n=166) and the PP without coverage of a uterine scar group (Non-PPCS, n=572). Overall, the PPCS group had poorer maternal and neonatal outcomes for premature birth (< 37 weeks,68.1% vs 54.8%; P=0.010), cesarean section(100% vs 97.6%; P=0.042), Intraoperative blood loss > 1000 ml (78.3% vs 16.0%; P<0.001) or > 3000ml (29.5% vs 3.0%; P<0.001), postpartum hemorrhage(48.8% vs 15.7%; P<0.001), transfusion (35.2% vs 16.1%; P<0.001), hemorrhage shock(8.4% vs 1.9%; P<0.001), hysterectomy (3.0% vs 0.5%; P=0.006) and fetal distress (36.1% vs 12.0%; P<0.001) than the Non-PPCS group. In pregnancies complicated without abnormal invasive placenta (AIP, n=587), the PPCS group had poorer maternal and neonatal outcomes for Intraoperative blood loss > 1000 ml (69.0% vs 12.5%; P<0.001) or > 3000ml (9.2% vs 1.0%; P<0.001), bleeding within 2-24 hours after delivery (114.7±283.9 vs 47.7±45.1 ml, P<0.001), postpartum hemorrhage (70.1% vs 15.2%, P<0.001), transfusion (28.7% vs 13.6%, P<0.001) and fetal stress (35.6% vs 11.4%, P<0.001) than the Non-PPCS group.

Conclusion

The PPCS group had poorer maternal and neonatal outcomes than the Non-PPCS group. Women with PPCS were more likely to have intraoperative and postpartum hemorrhage, transfusion and fetal distress, even without AIP.
Nutrition transition in Malaysia; policy implications for a sustainable diet
Authors: Von Goh Ee , Azam-Ali Susan , McCullough Fiona , Mitra Soma 
Published: September 2019

Abstract
The main purpose of this paper is to understand the multidimensional phenomenon of the nutrition transition in Malaysia, from 1980 to 2014. Primary and secondary data sets were obtained through Food Balance Sheets, Malaysian Adult Nutrition Survey (MANS) and National Health and Morbidity Surveys (NHMS) for year‐to‐year review. It was found that the energy supply for Malaysian population remained consistently in excess of average calorie needs by a minimum of 30%. There were significant signs of shifting food trends, particularly in the supply of wheat (+56.5%), rice (‐23.7%), sugar and sweeteners (+23.9%), meat (+49.3%), fish and seafood (+38.7%), and eggs (+55.7%). The plant/animal protein ratio has decreased over time. Demographics and NHMS data series suggested the coexistence of undernutrition, overnutrition and “hidden hunger”. Prevalence of NCDs and associated risk factors has increased rapidly, some as high as 170%, in the recent 20 years. This situation clearly indicates a failure to provide the right foods to those who need it when they need it. Overabundance of food is one of the contributing factors to the obesity epidemic. Apart from increasing the healthcare burden, the continued over‐consumption of animal products and refined and processed food will have a major impact on national food and nutritional security. The intensive nature of production systems to produce these commodities poses threats to sustainability, with consequences for food and nutritional security and climate inequity. The multiple concurrent transitions as described highlight the importance of establishing a dietary model that matches nutritional requirements with environment preservation. The role of a sustainable food system in eradicating malnutrition and its cost deserves more attention and recognition from policymakers.
Oncology Education for Family Medicine Residents: A National Needs Assessment Survey
Authors: Yip Steven M , Meyers Daniel E. , Sisler Jeff , Wycliffe-Jones Keith , Kucharski Edward , Elser Christine , Temple-Oberle Claire , Spadafora Silvana , Ingledew Paris-Ann , Giuliani Meredith , Kuruvilla Sara , Sumar Nureen , Tam Vincent C. 
Published: September 2019

Abstract
Background

This study aimed to determine the current state of oncology education in Canadian family medicine training programs (FMTPs) and examine opinions regarding optimal oncology education in these programs.

Methods

A survey was designed to evaluate ideal and current oncology teaching, educational topics, objectives, and competencies in FMTPs. The survey was sent to Canadian family medicine (FM) residents and program directors (PDs).

Results

A total of 150 residents and 17 PDs affiliated with 16 of 17 Canadian medical schools completed the survey. The majority indicated their programs do not have a mandatory clinical rotation or block in oncology (79% residents, 88% PDs). The amount of oncology education received by residents during their training was thought to be less than ideal by 80% of residents and 71% of PDs, with only 7% of residents feeling adequately prepared to care for cancer patients as family physicians. Residents believed the best way to learn oncology is through clinical experiences alone, while PDs indicated case-based and didactic teaching were also important. Residents and PDs agreed the most important topics to learn are performing pap smears, cancer screening, breaking bad news, cancer prevention and palliative care. According to residents, other important topics such as appropriate cancer patient referrals, managing cancer complications and post-treatment surveillance were only taught at frequencies of 52%, 40% and 36%, respectively.

Conclusions

Current FMTP oncology education is suboptimal, although the degree differs in the opinion of residents and PDs. This study provides a curricular framework to improve FM oncology education.