bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of Time to Perform Primary Percutaneous Intervention in the Capital and a Provincial Capital
Authors: Hadizadeh Nooshin , Norouzi Zeinab , Firouzi Mehran , Abdollahi Arash , Zareie Bushra , Ghaznavi Mohammad Ali , Hosseini Faeghe , Elahifar Armin , Baay Mohammad Reza , Keshavarzi Sheida , Khalilipur Ehsan , Firouzi Ata 
Published: August 2024

Abstract

Introduction:
For those with ST-segment myocardial infarction (STEMI), therapeutic delays are the leading cause of mortality. Contacting a health-care provider takes longer than the emergent prehospital system, the patient referral process, the emergency room, and within the hospital. In our nation’s various cities, we aimed to compare these variables.

Methods:
In the Iranian cities of Sanandaj and Tehran, the Rajaie Cardiovascular Medical and Research Center (RHC) and Tohid Hospital, respectively, undertook this multicenter, multiprefectural, cross-sectional study between 2016 and 2020. Baseline characteristics were gathered from medical records, including age, sex, and employment. In two centers, the first medical contact-to-door (FTD) and door-to-balloon (DTB) times as well as electrocardiographic abnormalities, adjunctive therapy, causal lesions, and FTD and DTB times were evaluated.

Results:
The study population consisted of 600 STEMI patients, 300 from each institutions. Most of the participants were male, approximately a third of the patients arrived at the hospital using emergency medical service, the most frequent culprit artery in both hospitals was the left anterior descending artery, the average FTD was 333 min in Tehran and 151 min in Sanandaj, with the statistical significance difference (P < 0.001), DTB was significantly lower at RHC than at Tohid Hospital (54.8 min vs. 88.3 min; P < 0.001), the maximum FTD was observed among patients older than 70-year-old (284.72 min).

Conclusion:
Preparing sufficient facilities for primary percutaneous coronary intervention units, increasing the number of specialists and ensuring their permanent presence in hospitals, and providing health-care personnel with improved training may play significant roles in minimizing DTB.
A multivariate analysis on characteristics of hand and wrist tumours: a multiethnic study
Authors: Chong Pamela Qin Yi , Choudhury Muntasir Mannan , Chung Sze Ryn , Yap Robert Tze Jin , Chia Dawn Sinn Yi , Jiang Jackson Kian Hong , Chin Andrew Yuan Hui , McGrouther Duncan Angus 
Published: August 2024

Abstract

Introduction:
Hand tumours are frequently encountered in clinical practice. However, large-scale epidemiological data of soft tissue tumours in the hand are infrequently published. Epidemiological data provide diagnostic cues to guide the workup and management of hand tumours. Assessing significant independent demographic factors and tumour characteristics associated with hand tumours is essential in health care.

Methods:
A retrospective review of patients who underwent excision of hand tumours in Singapore General Hospital between 2004 and 2015 was conducted. The data collected included age, gender, ethnicity, histological diagnosis, malignancy and location of tumour. Generalised linear latent and mixed models (GLLAMM) analyses were performed.

Results:
A total of 4476 tumours were identified from 4226 patients with a mean age of 51.3 (range 8–101) years and male to female ratio of 1 to 1.15. Most patients were Chinese (75%), followed by Malay (9%), Indian (8%) and others (8%). The most common hand tumours excised were ganglions (43%) (majority in the wrist), followed by giant cell tumours (9%) (commonly in the digits). Most soft tissue tumours were benign (97%), with only 3% of malignant cases. The GLLAMM analyses revealed further potential factors on the status of malignancy, tumour origin and tumour location.

Conclusion:
Most soft tissue tumours in the hand and wrist are benign. This can guide workup and counselling of patients before the operation. While malignant tumours are uncommon, they have the potential for significant morbidity and mortality if not appropriately evaluated or treated. The application of GLLAMM analyses showed that age, ethnicity and gender were significant predictors of malignancy.
Implementation of Primary Health Care in Lagos Nigeria: An Assessment of Governance and Service Availability
Authors: Wright K.O. , Odugbemi B.A. , Popoola B.F. , Oduntan K.O. , Fagbemi T. , Abdurrazaq H. , Adepase A. , Oniyire O. , Lajide D. , Ogboye O. , Mustafa I. 
Published: August 2024

Background: There is limited understanding of the role and effectiveness of community involvement and governance in enhancing primary healthcare (PHC) services. This study aims to assess governance structures and the availability of PHC services in Lagos State, Nigeria.
Methods: A cross-sectional study was conducted from November 2022 to January 2023, using a multi-stage sampling technique to select five Local Government Areas (LGAs) in Lagos State, Nigeria—Alimosho, Kosofe, Ojo, Epe, and Surulere—and four Primary Healthcare Centres (PHCs) per LGA. Data collection included health facility assessments and key informant interviews. Data analysis was conducted using SPSS and NVivo software. Ethical approval was obtained for the study.
Results: Most (84.2%) of the Primary Health Centres (PHCs) had active development committees that were involved in various activities, such as fixing service prices (100%), discussing administrative issues (42.1%), and managing facility repairs (31.6%). All PHCs offered family planning services, facility-based vaccination, and outreach-based vaccination programs. However, only 52.6% of the facilities offered essential obstetric care and labour and delivery services. Key informants emphasized their role in advocating for primary healthcare utilization and promoting community health initiatives. Challenges included low community participation due to the need for more financial incentives and unmet government promises.
Conclusion: PHC governance in Lagos State shows promising community engagement through active development committees, yet challenges persist. Improvements are needed in service availability, particularly in maternal and child health services and infrastructure. Strengthening governance structures is crucial for sustainable healthcare delivery and equitable health outcomes.
Appraising the Effects of Performance-Based Financing on Healthcare Service Utilization in Nasarawa State, Nigeria
Authors: Abdulkadir M. , Ibrahim A.H. , Sani D.K. 
Published: August 2024

Background: Performance-based financing (PBF) is an innovative approach that can potentially optimize the demand for facility-based care and services. This study aimed to appraise the effects of PBF on healthcare services utilization in Nasarawa State, Nigeria.
Methods: The study employed a cross-sectional design at three randomly selected PBF-benefiting Primary Healthcare Centres (PHCs). Using mixed methods, structured checklists and key informant interviews (KIIs) were utilized for data collection across three PBF program periods: at the beginning (2013), at the end (2020) and two years post-intervention. Facility attendance was examined using a Poisson Regression Model at p<0.05 level of statistical significance.
Results: Data from 25,025 facility users were analysed; most were females (72.0%), and aged 1-25 years (58.3%). Services utilized included out-patient care (33.3%), antenatal care (24.5%), postnatal care (15.4%). Facility attendance is statistically significant at the end of PBF intervention (Poisson regression coefficient [µ]= 1.2403, p=0.000) and two years post-intervention (µ=1.4564, p=0.000). The KII participants attributed the change to enhanced resources from the PBF project and reported that facilities are experiencing resource shortages and infrastructure issues that ultimately impact patient flow and service utilization; thus, they proposed the provision of additional human and material resources to address the challenges.
Conclusion: The study finds evidence for the positive effects of PBF on healthcare service utilization intra-intervention but not two years post- intervention. Future research is needed to determine the mechanisms for sustaining PBF intervention gains and explore factors contributing to the decline in service utilization post-intervention.
Prevalence, Characterization and Predictors of Physical Workplace Violence among Doctors and Nurses in Public Hospitals of Akwa Ibom State, Nigeria
Authors: John U.A. , Johnson O.E. , Aguwa E.N. , Dickson A.J. 
Published: August 2024

Background: Workplace violence (WPV) is currently a global phenomenon that is gradually becoming a public health concern in most work environments. This study aimed to assess and compare the prevalence, characterization and predictors of physical workplace violence among doctors and nurses in public hospitals of Akwa Ibom State, Nigeria.
Methodology: A comparative cross-sectional study was conducted from September to December 2021 involving the use of a self- administered questionnaire. Multi-stage sampling technique was used to select 230 doctors and 230 nurses from 10 public hospitals in the State. Data were analysed using descriptive and inferential statistics. The significance level was set at p<0.05 and the confidence interval at 95%.
Results: The prevalence of physical violence was significantly higher in nurses (24.8%) compared to doctors (10.4%) p<0.001. The main perpetrators of physical violence were patient relatives. Respondents from both professional groups reported the use of weapons by perpetrators to commit the act of violence (nurses-80.7% vs doctors79.2%). Predictors of physical workplace violence among the doctors included being male (OR=3.34, 95%CI=1.09-10.25) and working in the psychiatry unit (OR=11.62, 95%CI=2.65-50.94), while among the nurses, it included working in the psychiatry (OR=25.48, 95%CI=6.89-94.35) and emergency units (OR=5.44, 95%CI=2.11-14.06).
Conclusion: Safety at the workplace is an important prerequisite in guaranteeing quality service delivery and the best possible performance of the workforce. The high prevalence of physical violence in this study underscores the need for hospital management to develop and implement zero-tolerance policies to prevent violence in healthcare settings.
Stressors and Coping Mechanisms Employed by Undergraduate Medical Students in a Nigerian University
Authors: Aigbokhaevbo E.S. , Ofili A.N. 
Published: August 2024

Background: Medical education, characterized by intense stress, is rated as one of the most difficult trainings. This stress can be associated with consequences such as impaired academic performance and medical errors. The study assessed stressors medical students in a Nigerian tertiary institution are exposed to and their coping strategies.Methods: A descriptive cross-sectional study was carried out from December 2021 to February 2023 among 611 undergraduate medical students in the School of Medicine, University of Benin, Nigeria, using a stratified random sampling technique. Data were collected using a semi-structured self-administered questionnaire adopting the brief Coping Orientation to Problems Experienced (brief COPE) and the Patient Health Questionnaire-4 (PHQ-4). Analysis was done using IBM SPSS Statistics Version 25 software, determining the frequency of occurrence of each stressor using univariate analysis and calculating the mean and standard deviation of each coping strategy todetermine the least and most used ones. Ethical clearance was obtained for the study.Results: The mean age of the respondents was 22.9 (SD ± 3.1) years, 326 (53.4%) were males while 285 (46.6%) were females. They were exposed to a myriad of academic, environmental, psychosocial and health-related stressors with the presence of complications of stress (depression; 17.0% and anxiety; 22.3%). Adaptive coping strategies most often employed were planning (5.01±1.90) active coping (4.99 ± 1.81) and religion (4.77± 2.07).Conclusion: The undergraduate medical students are exposed to various stressors. A significant number of them had depression and anxiety. Continuous use of adaptive coping strategies will mitigate the harmful consequences of stress.
Effect of Copper Nanoparticles on Incidence and Severity of Fusarium wilt and Fruit Yield of Tomato (<i>Solanum lycopersicum L.</i>)
Authors: Ajiwe S.T. , Popoola A.R. 
Published: August 2024

Wilt in tomato plants is often caused by Fusarium oxysporium f. sp. lycopersici. Chemicals, which are highly hazardous, are mostly used to control the disease. It is therefore, desirable to have alternative control mechanisms that are safe and affordable. Screenhouse and field experiments were conducted at the Teaching and Research Farm, Ajayi Crowther University, Oyo, Nigeria, to assess the impact of copper nanoparticles (CuNPs) on Fusarium wilt and fruit yield of two tomato varieties (Beske and Kerewa). The treatments were applied at concentrations of 5, 10, and 15 ppm. The untreated plots served as control. Results showed that Kerewa treated with 15 ppm Cu-NPs recorded lower disease incidence in the screenhouse (2.1%) and on the field (22.2%). Furthermore, in the screenhouse, Kerewa treated with 15 ppm Cu-NPs had lower disease severity (0.6) while on the field, both Beske and Kerewa treated with 15 ppm Cu-NPs had no disease incidence (0.0 and 0.0, respectively). Beske produced significantly higher fruit yields of 151.7 and 795.8 kg/ha in the screenhouse and field trials, respectively. The research findings indicated that the use of Cu-NPs at a rate of 15 ppm significantly decreased Fusarium wilt infection and increased tomato fruit yield.
Pedagogical Beliefs and Intention of Teaching Using ICT in Uganda’s Higher Education Institutions
Authors: Watsemba Aisha Namome , Moya Musa B. , Mugisha Donatus 
Published: August 2024

Though COVID-19 restrictions demonstrated the relevance of using Information Communication Technology (ICT) in education, academic staff are hinged to engage in face-to-face teaching as well as holding on to other related teaching methods associated with how they were taught, how colleagues teach, and even their perception of past successful teaching modes, thereby limiting ICT usage in the lecturing process in Higher Education Institutions (HEIs) in Uganda. This study was carried out to establish the relationship between pedagogical beliefs and behavioral intention to teach using ICT in HEIs in the country. This focus was derived from the realization that pedagogical beliefs are manifested through modes of provision of lectures and the mode of interaction between academic staff and students, which have the potential to trigger the behavioral intention to use ICT in teaching in the HEIs in Uganda. This study centered on three representative HEIs in Uganda; Makerere University, Kyambogo University, and Makerere University Business School. A survey technique was used to collect data from a sample of 322 academic staff members out of a population of 1,916. Correlation and regression analyses were used to analyze the collected data. Findings indicated that pedagogical beliefs, specifically “interaction between students and lecturers,” had a significant association with and influence behavioral intention to use ICT for teaching in HEIs in Uganda. Therefore, it is recommended that academic staff members' and students' views be considered before selecting whether to use ICT in the teaching process in HEIs in Uganda.
Model for Technology Adoption, Financial Literacy, and Growth of Internet Banking in Centenary Bank Branches in Uganda
Authors: Kagoya Sumaya M. , Yapkoreny Esther 
Published: August 2024

This study examined the relationship between technology adoption, financial literacy, and the growth of Internet banking in Centenary Bank branches in Uganda and it specifically based on three objectives to examine the relationship between technology adoption and Internet banking, financial literacy and the growth of Internet banking, and to examine the combined effect of technology adoption and financial literacy on Internet-banking A cross-sectional research and quantitative design was adopted with a sample size of 108 employees from a population of 150 determined by Krejcie and Morgan's (1970) table. The data was tested for reliability and validity, analysed using SPSS v23 and results presented based on the study objectives. Findings revealed a significant and positive relationship between technology adoption and Internet banking given by (r=.380** and p<.01). Further findings indicated that there is a positive significant relationship between financial literacy and growth of Internet banking given by (r=.591** and p<.01). Overall technology adoption and financial literacy explain 34.5% of the variance in Internet-banking. In addition, financial literacy was found a stronger predictor (Beta = .539, sig. <.000) of Internet-banking compared to technology adoption (Beta = .101, sig. <.001). Therefore, recommendations are detailed in the main document for further guidance.
First identification of the migration routes and wintering sites of Egyptian Vultures breeding in Uzbekistan
Authors: Burnside Robert J. , Ten Anna , Soldatov Valentin , Dobrev Vladimir 
Published: August 2024

The aim of this project is to identify for the first time the migration routes and wintering sites of Egyptian Vulture Neophron percnopterus breeding in central Asia. Four juvenile Egyptian Vultures from Uzbekistan were tagged in their nests with GPS transmitters between 26th July 2021 – 6 th August 2021. Three of the tags successfully transmitted data and three birds started to migrate from Uzbekistan between 5-15th September 2021. Each bird took a different route with two migrating via Turkmenistan, Afghanistan and Pakistan and ultimately wintering in India (Rajasthan and Haryana). The third bird took a longer journey with several stops through Turkmenistan, Iran, Iraq, Kuwait, Saudi Arabia and finally arriving in Yemen in late November 2021. All individuals remained in their wintering countries during the first spring, but by the time the birds were one year old only one individual made a return migration from India to the Tian Shan mountains on the border of Uzbekistan and Tajikistan in the summer of 2022. During the migration, we identified (using satellite photos and ground visits by local collaborators) frequent use of refuse dumps and slaughter sites by the Egyptian Vultures in each country. Notably, Balkan and Central Asian Egyptian Vultures are connected via their overlapping wintering locations in the Middle East.
Genetic divergence study on growth, yield and quality traits in pink brinjal (Solanum melongena L.) in the subtropical plains of Jammu, India
Authors: Bandhral Vishwash , Bhushan Anil , Samnotra Ravinder Kumar , Sharma Sonali , Rani Diksha 
Published: August 2024

In 2022, field investigation was conducted to examine the genetic diversity among 30 pink brinjal (eggplant, Solanum melongena L.) genotypes originating from India. Mahalanobis D2 analysis was performed to analyze the data for eighteen growth, yield and quality characters. Among the traits examined, the total fruit yield per plant made the most significant contribution towards diversity. Thirty genotypes were meaningfully grouped into eight clusters. Cluster I, the largest, had eight genotypes, followed by Cluster II and Cluster IV. There was no direct correlation observed between the geographical distribution and genetic divergence. Among all clusters formed, Cluster VII exhibited maximum intra-cluster distance followed by Cluster VI. Observing the inter-cluster distances, the maximum divergence was noted between Cluster III and Cluster IV suggesting that genotypes within these clusters could serve as valuable parents for hybridization programmes aimed at producing highly heterotic hybrids and identifying transgressive segregants in the F2 generation.
Konservasi terumbu karang dengan bioreeftek di Perairan Kampung Bakaro Manokwari Papua Barat
Authors: Mogea Rina , Noya Alce I. , Tururaja Tresia S. , Lamadi Rahmat , Tandililing Jeanifer G. , Puspasari Aninda , Maahury Sevian A. , Bakri Iskandar 
Published: August 2024

ABSTRACT
Bakaro Beach is one of the beach tourist destinations in Manokwari and is known as a fish calling place. Unfortunately this place was damaged due to fishing using bombs or tubas. The aim of this service activity is to provide an understanding of the importance of coral reef ecosystems and how to restore coral reefs using bioreeftek, ie technology that uses coconut shells as a medium for attaching coral planula larvae to form new individuals (coral). This is done to create new habitat or restore damaged coral. This technology is easy because it uses simple tools, using coconut shells as the main material and the process is not difficult, besides all the materials used are environmentally friendly. Coconut shells function as a place or container for coral planula larvae to settle after the larvae attach to the coconut shell substrate and are then transferred to damaged coral reefs. With the development of bioreeftek, it has become a new focus in preserving coral reef ecosystems.
Keywords: Coral Reef Restoration; Bioreeftek; Coconut Shells; Bakaro Beach; Environmental Conservation

ABSTRAK
Pantai Bakaro tempat ini sebagai salah satu destinasi wisata pantai yang ada di Manokwari dan dikenal dengan tempat pemanggilan ikan. Sayangnya tempat ini mengalami kerusakan akibat pengambilan ikan dengan menggunakan bom atau tuba. Tujuan kegiatan pengabdian ini yaitu memberi pemahaman mengenai pentingnya ekosistem terumbu karang dan cara melakukan pemulihan terumbu karang dengan bioreeftek yaitu teknologi yang memakai tempurung kelapa sebagai media menempelnya larva planula karang sampai membentuk individu baru (karang). Hal ini dilakukan untuk menciptakan habitat baru atau memulihkan kembali karang yang rusak. Teknologi ini mudah sebab menggunakan alat sederhana yaitu tempurung kelapa sebagai bahan utama dan proses pengerjaannya tidak sulit, disamping itu juga semua bahan yang digunakan ramah lingkungan. Tempurung kelapa berfungsi untuk tempat atau wadah dari larva planula karang menetap setelah larvanya menempel pada subtrat tempurung kelapa maka dipindahkan ke terumbuh karang yang rusak. Dengan menggembangkan bioreeftek ini menjadi tumpuan baru dalam melestarikan ekosistem terumbu karang.
Kata kunci: Pemulihan Terumbu Karang; Bioreeftek; Tempurung Kelapa; Pantai Bakaro; Pelestarian Lingkungan
The Relationship between Equine-Assisted Psychotherapy and Client-Therapist Attachment on Symptom Reduction
Authors: Tobin Kelly , Napoli Anthony 
Published: August 2024

Purpose: The current study examines the efficacy of Equine-assisted Psychotherapy (EAP), an alternative form of treatment for individuals who struggle to connect with traditional forms of therapy, with Traditional Psychotherapy (TP).The purpose of this quantitative quasi-experimental study was to determine if attachment to a therapist differs between the method of treatment (EAP v TP) and if the attachment has an impact on levels of anxiety and levels of depression in participants.
Methodology: The study employed a non-randomized Quasi-Experimental two-group design. Participants who received TP (n = 45) or EAP (n = 45) were administered the Client Attachment to Therapist Scale, the Beck Anxiety Inventory, and the Beck Depression Inventory-II. The research questions were tested using a mixed design 2 (treatment group [EAP v PT]) x 2 (Pretest /Post-test) ANOVA.
Findings: The results indicated both of treatment conditions produced significant and beneficial changes in Attachment, Anxiety, and Depression from Pretest to Post-test. In addition, significant Group x Time interactions indicated the EAP group achieved significantly greater symptoms reduction over time.