bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efektivitas Pembelajaran Probing-Prompting Berbasis Etnomatematika Terhadap Kemampuan Literasi Matematika
Authors: Ulya Himmatul , Rahayu Ratri 
Published: October 2019

<p>The mathematics learning applied by teacher have not been able to engage students to apply concepts to solve daily problems. Beside that, students are not used to face a higher order thingking problems. It created a lack of mathematics literacy. This research aims to (1) know to what extent implementatioan etnomathematic-based probing-prompting learning on mathematics literacy, (2) know to wheather students taught by etnomathematic-based probing-prompting learning have higher mathematics literacy than students taught by expository, and (3) know the improvement of students’ mathematics literacy after implementatioan of etnomathematic-based probing-prompting learning. This is an experimental research by using nonequivalent control group design. It was conducted in NU Nawa Kartika Kudus elementary school in even semester of 2016/2017academic year. The collecting data technique used is a test to measure the students’ mathematics literacy. The analysis techniques in this research included student test (t-test), and gain test to measure the improvement of students’ mathematics literacy. The result of this research were (1) students’ mathematics literacy was achived the passing grade after implementatioan of etnomathematic-based probing-prompting,(2 ) the average of students’ mathematics literacy taught by etnomathematic-based probing-prompting learning was higher than students taught by expository, and (3) students’ mathematics improve by 54% after implementatioan of etnomathematic-based probing-prompting learning or categorized as middle level</p>
Migrações Africanas na Argentina e Malta. Uma aproximação de seu estudo em uma chave comparativa
Authors: Kleidermacher Gisele 
Published: October 2019

El objetivo del escrito es explorar de manera comparada las dinámicas migratorias de la población proveniente del África Subsahariana hacia Argentina y Malta entre los años 2010 y 2018. La elección de ambos países se debe a que comparten características históricas como países receptores y a la vez expulsores de población, siendo las migraciones africanas relativamente recientes y minoritarias; pero que han adquirido gran notoriedad debido a su presencia en los principales centros urbanos.
Para la realización del trabajo me valgo de fuentes estadísticas, así como la realización de entrevistas semi-estructuradas y observaciones a migrantes africanos subsaharianos y miembros de ONG´s que trabajan en temáticas migratorias, tanto en Malta como en Argentina.
La comparación entre ambos países centrada en el movimiento del colectivo senegalés en particular, ha permitido observar dinámicas de circulación comunes a las que he denominado movilidades múltiples, para hacer referencia a las diversas etapas que comprenden sus movimientos, las cuales incluyen desplazamientos intracontinentales, extracontinentales y flujos internos, siguiendo rutas comerciales facilitadas por las redes de la comunidad.
Genome-wide identification and comparison of differentially expressed profiles of miRNAs and lncRNAs with associated ceRNA networks in the gonads of Chinese soft-shelled turtle, Pelodiscus sinensis
Authors: Ma Xiao , Cen Shuangshuang , Wang Luming , Zhang Chao , Wu Limin , Tian Xue , Wu Qisheng , Li Xuejun , Wang Xiaoqing 
Published: October 2019

Abstract
Background: Gonad is the major factor affecting the animal reproduction. The regulation mechanism of protein coding genes expression involved in reproduction still remains to be elucidated. Increasing evidence has shown that ncRNAs play key regulatory roles in gene expression in many life processes. The roles of microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) in reproduction have been investigated in some species. However, the regulation patterns of miRNA and lncRNA in sex biased expression of protein coding genes remains to be elucidated. In this study, we performed an integrated analysis of miRNA, messenger RNA (mRNA), and lncRNA expression profiles to explore their regulatory patterns in the female ovary and male testis of the soft-shelled turtle, Pelodiscus sinensis.
Results: We identified 10 446 mature miRNAs, 20 414 mRNAs and 28 500 lncRNAs in the ovaries and testes, and 633 miRNAs, 11 319 mRNAs, and 10 495 lncRNAs showed different expression. A total of 2 814 target genes were identified for miRNAs. The predicted target genes of these differential expression (DE) miRNAs and lncRNAs included abundant genes related to reproductive regulation. Furthermore, we found that 189 DE miRNAs and 5 408 DElncRNAs showed sex-specific expression. Of these, 3 DEmiRNAs and 917 DElncRNAs were testis specific and 186 DEmiRNAs and 4 491 DElncRNAs were ovary specific. We further constructed compete endogenous lncRNA-miRNA-mRNA networks using bioinformatics, including 103 DEmiRNAs, 636 DEmRNAs, and 1 622 DElncRNAs. The target genes for the different expressed of miRNAs and lncRNAs contained abundant genes invloved gonadal development, including Wt1, Creb3l2, Gata4, Wnt2, Nr5a1, Hsd17, Igf2r, H2afz, Lin52, Trim71, Zar1, and Jazf1, etc.
Conclusions: In animals, miRNA and lncRNA as master regulators regulate the reproduction processes by controlling the expression of mRNAs. Considering their importance, the identified miRNAs, lncRNAs, and their targets in P. sinensis might be useful for studying the molecular processes involved in sexual reproduction and genome editing to produce higher quality aquaculture animals. A thorough understanding of ncRNA-based cellular regulatory networks will aid in the improvement of P. sinensis reproduction traits for aquaculture.
Strong Families: A new family skills training programme for challenged and humanitarian settings: a single-arm intervention tested in Afghanistan
Authors: Haar Karin , El-Khani Aala , Molgaard Virginia , Maalouf Wadih 
Published: October 2019

Abstract
Background

Children living in challenged humanitarian settings (including those in rural/underserved areas, the displaced, refugees, in conflict/post conflict situations) are at greater risk of mental health difficulties or behavioural problems, with caregivers acting as their main protective factors. While many family skills programmes exist, very few were developed for, or piloted in, low resource settings (settings with limited infrastructure, typical of humanitarian settings). We therefore designed a brief and light programme and conducted an effectiveness trial first in Afghanistan.Methods

We recruited female caregivers and children aged 8-12 years through schools and drug treatment centres in Afghanistan and enrolled them in a family skills programme over three weeks. Demographic data, emotional and behavioural difficulties of children and parental skills and family adjustment measures were collected from caregivers before, 2 and 6 weeks after the intervention. Outcome was assessed through the SDQ (Strengths and Difficulties Questionnaire), assessing children’s behavioural, emotional, and social issues, and PAFAS (Parenting and Family Adjustment Scales), measuring parenting practices and family functioning.Results

We enrolled 72 families in the programme with a 93.1% retention rate (n=67) for data collection 6 weeks post intervention. The mean age of caregivers was 36.1 years, they had 3·8 children on average and 91.7% of them had experienced war/armed conflict in their past. The average total difficulty score of the SDQ (ranging from 0 to 40, with scores above 16 being indicative of high problems) of the 72 children reduced significantly, from 17.8 at pre-test to 12.9 at post-test and 10.6 at second follow-up, with no difference in gender and most noticeably amongst those with the highest scores at baseline. Likewise, PAFAS scores improved significantly after the programme, again with caregivers with the highest scores at baseline improving most.Conclusions

The implementation of a brief family skills programme was seemingly effective and feasible in a resource-limited setting and positively improved child mental health and parenting practices and family adjustment skills. These results support the value of such a programme and call for further validation through an RCT and with longer follow-ups.
Appropriate Complementary Feeding Practice and associated factors among mothers with children age 6- 23 months in Faggeta-Lekoma District, Northwest Ethiopia: community- based cross - sectional study
Authors: Ferede Addisu belete , Bikes Gashaw Andargie , Gebremichael Tsgehana gebregyorgis 
Published: October 2019

Abstract
Abstract
Objective : the aim of the study was to assess appropriate complementary feeding practices and associated factors among mothers with children of age 6 - 23 months in Faggeta-Lekoma District, Northwest Ethiopia.
Result – A total of 593 study subjects were included in the study. The magnitude of appropriate complementary feeding practice was 10.6%. Majority (67.1%) of the mothers timely initiated complementary feeding at 6 months. About 60% of mothers fulfill the minimum meal frequency feeding to their children, the day preceding the survey. Only 12.3 % mothers offered four or more food groups to their child Mother’s education: high school and above [AOR=3.12(95%CI 1.43, 6.81)], postnatal care visit [AOR=5.30 (95%CI 2.69, 10.42)], Age of a child: 18-23 months [AOR=3.98 (95%CI 1.55, 10.22)] were significantly associated with appropriate complementary feeding practice.
Keywords : appropriate Complementary feeding practice, Children aged 6–23 months, Ethiopia
Digital Postpartum Hemorrhage Management Device (DPHMD)
Authors: Dereje Derartu , Getachew Abeba , Meskelu Birhan , Adamu Christian , Dejene Kidst , Daba Hundessa , Simegn Gizeaddis Lamesgin 
Published: October 2019

Abstract
Background

Postpartum hemorrhage (PPH) is an obstetric emergency caused by excessive blood loss that occurs most commonly after the placenta is delivered. PPH can lead to volume depletion, hypovolemic shock, anemia, and it is the leading cause of maternal mortality worldwide. Maternal mortality rate in Ethiopia is among the highest in the world with 470 deaths per 100,000 live births. 94% of births in Ethiopia are estimated to occur at home and 10% of maternal deaths are attributed to PPH. Currently, physicians use visual estimation to calculate blood loss and provide fluid during delivery. This traditional method is subjective and generally inaccurate.Method

In this project, after delivery blood loss measurement system integrated with fluid delivery and vital sign monitoring method is proposed. The collection and measurement system collects blood loss after delivery and measures the amount of blood loss. The management system continuously monitors the mother’s heart rate and blood pressure. These vital sign values are integrated with the measured blood loss to estimate the amount of IV fluid required to be delivered for the mother. The rate of IV fluid delivery is regulated by a flow rate sensor and solenoid valve.Results

The prototype was built and undergone through different tests and iterations. The proposed device was tested for accuracy, cost effectiveness and ease to use. 91.28% accuracy has been achieved and the prototype was built with less than 210 USD.Conclusion

The proposed design allows physicians, especially those in low resource setting, to estimate blood loss and deliver fluid accurately. This helps to reduce maternal mortality rate that may occur due to postpartum hemorrhage.
Factors Affecting HBV Vaccination in a Medical Training College in Kenya: A Mixed Methods Study
Authors: Maina Anne , Bii Leah 
Published: October 2019

Abstract
Background: Hepatitis B Virus (HBV) is highly endemic in Sub-Saharan Africa with 70 to 90% of the population becoming infected before the age of 40 years. Healthcare workers (HCWs) including healthcare students (HCSs) are at an increased risk of contracting HBV due to occupational exposure. HCS are especially at a high risk because of their inexperience with infection control procedures and insufficient knowledge about the level of risk when dealing with patients. Despite the availability of an effective vaccine, and its recommendation by Kenya’s Ministry of Health, few HCW and students are vaccinated. The aim of this study was to evaluate the influence of awareness, attitude, practices, and access factors on hepatitis B vaccination uptake by HCS at Kenya Medical Training College (KMTC). Methods: This was a concurrent mixed methods study. For the qualitative arm, a structured questionnaire was used to assess the awareness, knowledge, attitudes and practices towards HBV disease and vaccination. Accessibility of the HBV vaccine in the participating campuses was also assessed. Two FGDs were carried out: one comprised of members of the participating campuses while the second comprised members of staff. Quantitative data was analysed using STATA (version 15) while NVIVO (version 11) was used for qualitative data. Results: Out of 634 students invited to participate in the study, 487 participated (response rate 76.81%). HBV vaccine uptake rate was 76.18% while the non-vaccination rate was 19.10%. Full vaccination was reported by only 21.78% of respondents. The major reason for not receiving the recommended doses was that the vaccine was not available when the students went for it. The qualitative study revealed challenges in the implementation of the vaccination program at KMTC. Conclusions: A clear policy on mandatory vaccination of students and staff is required. In addition, the HBV vaccine should be readily available, affordable and accessible at all times. Regular review of the curricula in medical colleges to include current vaccination recommendations could aid in improving the vaccination status of healthcare workers in particular and the larger community in general.
Early Marriages in Uganda: A Comparative Assessment Of Determinants Across Regions
Authors: Otim Jude 
Published: October 2019

Abstract
Background: Early marriage is any marriage associated with persons under the age of 18. Worldwide, early marriage disproportionately affects females, and is associated with high teenage pregnancies, alongside its negative effects. While early marriage is common in Uganda (49%), it is highest in Eastern (30%) and lowest in Central (19%); as such, not all girls face the same risk of early marriage even within a country. The factors that influence early marriages are important to know for policy implication purposes in Uganda. This study aims to investigate the socio-economic and enabling factors that influence early marriages across the regions of Uganda. Methods: Using a weighted sample of 13,768 ever married women from the 2016 Uganda Demographic and Health Survey. Frequency distributions were used to describe the background characteristics of the women. Pearson’s chi-square (χ 2 ) test was used to investigate the associations between early marriage and socio-economic and enabling factors and multivariable logistic regression analyses were used to examine the net-effect of socio-economic and enabling factors on early marriage. Results: Early marriage was highest among women in Eastern region (30%), followed by Northern (27%) and Western (25%) while Central had the lowest proportion at 19%. Across the regions, the key determinants of early marriage were education level, age at first birth and age at first sex (p<0.05). However, residence, wealth status and religion were only predictors of early marriage in Western region (p<0.05). Conclusions: The study underscores the need to strengthen strategies that promote girl child education, delayed initiation of sexual intercourse and child birth as measures for addressing early marriage across regions. In light of the variations in factors across regions, there is also a need to employ interventions that target women in particular regions. Keywords: Early marriage, Region, Uganda
Surgeon educator perspectives of implementing a National Undergraduate Curriculum in otolaryngology
Authors: Hall Andrew , Jones Huw , Hannan Alam 
Published: October 2019

Abstract
BackgroundThe General Medical Council will be implementing a national examination for all UK medical students in 2022. Our aim was to review surgeon educator perceptions on the future implementation of an associated undergraduate national curriculum in otolaryngology within a UK School of Surgery. MethodsA mixed methods study was performed to assess ENT surgeon educator perspectives of a change to a national curriculum in ENT. Responses were reviewed with respect to teaching content, quality and student experience with degree of agreement assessed with Likert scoring. Associated qualitative focus group sessions were performed and responses underwent detailed thematic analysis according to grounded theory.ResultsA response rate of 50% was achieved with twenty-one participants analysed working in fourteen hospitals. These held an average of eight years undergraduate teaching experience. These showed strong agreement believing implementation of a national curriculum would improve the standard of teaching delivered at a personal, institutional and national level. There was also agreement on a minimum baseline for teaching exposure by students. 95% of surgeon educators in otolaryngology were in support of future adoption of a change to a centralized national otolaryngology curriculum in contrast to conventional expectations of resistance. Further related themes were identified relating to the personal, institutional and specialty related factors influencing practical delivery of a national curriculum that can help shape this delivery. ConclusionsEvaluating the future implementation of a national curriculum in ENT from those involved in the regular practical delivery of undergraduate medical education was previously unassessed within the medical literature. A series of practical recommendations are made to assist the implementation of a national ENT curriculum in contrast to the current locally led system. These were divided into areas of teaching content, teaching quality and student experience. A national curriculum appears to offer a philosophically accessible and popular re-imagining for future undergraduate otolaryngology training. Our findings aim to offer assistence to other similar surgical sub-specialties facing similar challenges internationally.
Facilitators and Barriers of Managing Patients with Multiple Chronic Conditions in the Community: A Qualitative Study
Authors: Foo Kah Mun , Sundram Meena , Legido-Quigley Helena 
Published: October 2019

Abstract
Background About one-third of all adults worldwide were diagnosed with multiple chronic conditions (MCCs). Literature had found several challenges of providers and patients coping with managing MCCs in the community, urging the need for further study. A qualitative study was thus conducted to examine facilitators and barriers of managing patients with MCCs in the community in Singapore. Methods This involves 26 semi-structured interviews with 10 physicians, 2 caregivers and 14 patients seeking treatment in the polyclinics that provides subsidised primary care services. Topic guides were developed with reference from literature review, Chronic Care Model (CCM) and Framework for patient-centred access to healthcare. Results Despite perceived affordable charges and availability of support system, some patients still encountered financial difficulties in managing care. These include inadequacy of the nation-wide medical savings scheme to cover outpatient treatment and medications. Half of the healthcare users did not know where to seek help. While patients could access comprehensive services in polyclinics, those that did not turn up might not receive timely care. Furthermore, patients reported long consultation waiting time. Physicians were able to propose and drive quality improvement projects to improve care quality. However, there were challenges of delivering safe and quality care with limited consultation duration due to the need to manage waiting time, inadequate communication with specialists to coordinate care, and resource constraints in managing complex patients. Although providers could equip patients with self-management and lifestyle related guidelines, patients’ actions are influenced by multiple factors including work nature, beliefs and environment. Conclusions There were barriers on care access, delivery and self-management as reported. It is crucial to adopt whole-of-society approach involving individuals, community, institutions and policymakers to improve and support MCCs management. This study has also highlighted the importance to consider different viewpoints of healthcare providers and users in policy formulation and community care planning.
PM2.5 concentration forecasting using Long Short-Term Memory Neural Network and Multi-Level Additive Model
Authors: Tao Lixin , Tian Feifei , Wu Lijuan , Liu Mengyang , Ma Yuan , Wu Zhiyuan , Li Haibin , Guo Xiuhua 
Published: October 2019

Abstract
Background PM 2.5 concentration predication can provide an effective way to protect public health by early warning. Though there are many methods available, the comparison between multi-level additive model (AM) and long short-term memory (LSTM) neural network in predicting PM 2.5 concentration is limited. This study aimed to compare the performance of multi-level AM and LSTM in predicting hourly and daily PM 2.5 concentration.Methods Air pollution data from Jul 1, 2016 to Dec 31, 2017 were obtained from Beijing Municipal Environmental Monitoring Center, and meteorological data were derived from the National Meteorological Science Data Sharing Service. Multi-level AM and LSTM were developed to estimate the regional hourly and daily concentration of PM 2.5 .Results In the prediction of hourly PM 2.5 concentrations, LSTM achieved a better performance than multi-level AM (range of R 2 : 0.76-0.92 for LSTM, 0.59-0.78 for multi-level AM; range of root mean square error (RMSE): 6.20-17.58μg/m 3 for LSTM, 19.19-30.81μg/m 3 for multi-level AM; range of mean absolute error (MAE): 4.50-13.42μg/m 3 for LSTM, 13.55-22.35μg/m 3 for multi-level AM; range of mean absolute percentage error (MAPE): 0.18%-0.55% for LSTM, 0.50%-0.87% for multi-level AM). While in the prediction of daily PM 2.5 concentrations, multi-level AM showed a higher predictive accuracy than LSTM (range of R 2 : 0.43-0.93 for LSTM, 0.74-0.98 for multi-level AM; range of RMSE: 32.46-46.82μg/m 3 for LSTM, 4.83-20.98μg/m 3 for multi-level AM; range of MAE: 24.32-34.89μg/m 3 for LSTM, 3.67-16.33μg/m 3 for multi-level AM; range of MAPE: 0.92%-1.74% for LSTM, 0.11%-0.45% for multi-level AM).Conclusion LSTM showed better performance than the multi-level AM when there is a large amount of data, while multi-level AM showed better performance than LSTM when the amount of data is relatively small.