bluuebunny/crossref_metadata_2025_split huggingface dataset:
Barriers to use of institutional childbirth services: a qualitative study in the rural Jimma Zone, Ethiopia
Authors: Gebretsadik Lakew Abebe , Lakew Fikirte , Mamo Abebe , Abera Muluemebet , Bediru Kunuz Haji , Bulcha Gebeyehu , Birhanu Zewdie , Morankar Sudhakar 
Published: June 2024

Background/AimsInstitutional birth and skilled birth attendants are two important elements of preventing maternal and newborn deaths. In Ethiopia, despite improved health access, many women give birth without skilled assistance. This study was conducted to identify barriers to institutional childbirth in the Jimma Zone, Ethiopia.MethodsAn exploratory qualitative case study was conducted, incorporating 16 focus group discussions and 18 in-depth interviews carried out in the Jimma Zone, Ethiopia in 2019. The participants were purposefully recruited and included members of the Women's Development Army, religious leaders, health extension workers, midwifery nurses, primary healthcare unit directors and women of reproductive age. Data were transcribed and translated into English and thematically analysed.ResultsFive themes emerged from the data: knowledge gaps, beliefs about pregnancy and childbirth, poor access to healthcare services, lack of resources and poor community involvement in institutional childbirth.ConclusionsHealthcare services should be aware of local beliefs and cultural norms when encouraging the use of institutional childbirth services. The Ministry of Health must ensure that all services are equipped with adequate resources, both in terms of medical supplies and staff.
Health education for women in postnatal wards at Kenyatta National Hospital, Kenya
Authors: Shitandi Tessa Muyaku , Cheptum Joyce Jebet , Matheka Emmah 
Published: June 2024

Background/Aims Health education for postnatal women after discharge is essential to informing women about nursing infants, self-care, identifying danger signs, therapy, medication and family planning intention. The aim of this study was to examine health education and health promotional messages given to women in the postnatal wards of Kenyatta National Hospital. Methods This descriptive cross-sectional design study was carried out with 105 postnatal women at the Kenyatta National Hospital, Kenya. A semi-structured questionnaire was used to collect data on women's postnatal care knowledge, and the timing and delivery of health education messages. Results The participants were knowledgeable about a number of postnatal care practices but lacking in some areas. Most received information on postnatal care immediately after birth. Healthcare professionals, including nurses, midwives, doctors and nutritionists, were the leading source of information. Health messages were shared in Kiswahili or a mixture of English and Kiswahili. The majority of participants reported they were able to understand the health messages they received. Conclusions Postnatal women were knowledgeable about postnatal care practices, although gaps in their knowledge were evident in some areas. Nurses and midwives working in obstetric wards need to initiate postnatal health education before discharge from the hospital to avoid delays in communicating crucial health messages and ensure that women are adequately informed.
Understanding family-level decision-making when seeking access to acute surgical care for children: Protocol for a cross-sectional mixed methods study
Authors: Hall Bria , Tegge Allison , Cotache Condor Cesia , Rhoads Marie , Wattsman Terri-Ann , Witcher Angelica , Creamer Elizabeth , Tupetz Anna , Smith Emily R. , Reddy Tokala Mamata , Meier Brian , Rice Henry E. 
Published: June 2024

Background
There is limited understanding of how social determinants of health (SDOH) impact family decision-making when seeking surgical care for children. Our objectives of this study are to identify key family experiences that contribute to decision-making when accessing surgical care for children, to confirm if family experiences impact delays in care, and to describe differences in family experiences across populations (race, ethnicity, socioeconomic status, rurality).

Methods
We will use a prospective, cross-sectional, mixed methods design to examine family experiences during access to care for children with appendicitis. Participants will include 242 parents of consecutive children (0–17 years) with acute appendicitis over a 15-month period at two academic health systems in North Carolina and Virginia. We will collect demographic and clinical data. Parents will be administered the Adult Responses to Children’s Symptoms survey (ARCS), the child and parental forms of the Adverse Childhood Experiences (ACE) survey, the Accountable Health Communities Health-Related Social Needs Screening Tool, and Single Item Literacy Screener. Parallel ARCS data will be collected from child participants (8–17 years). We will use nested concurrent, purposive sampling to select a subset of families for semi-structured interviews. Qualitative data will be analyzed using thematic analysis and integrated with quantitative data to identify emerging themes that inform a conceptual model of family-level decision-making during access to surgical care. Multivariate linear regression will be used to determine association between the appendicitis perforation rate and ARCS responses (primary outcome). Secondary outcomes include comparison of health literacy, ACEs, and SDOH, clinical outcomes, and family experiences across populations.

Discussion
We expect to identify key family experiences when accessing care for appendicitis which may impact outcomes and differ across populations. Increased understanding of how SDOH and family experiences influence family decision-making may inform novel strategies to mitigate surgical disparities in children.
The feasibility, appropriateness, and usability of mobile neuro clinics in addressing the neurosurgical and neurological demand in Uganda
Authors: Mukumbya Benjamin , Kitya David , Trillo-Ordonez Yesel , Sun Keying , Obiga Oscar , Deng Di D. , Stewart Kearsley A. , Ukachukwu Alvan-Emeka K. , Haglund Michael M. , Fuller Anthony T. 
Published: June 2024

IntroductionUganda has a high demand for neurosurgical and neurological care. 78% of the over 50 million population reside in rural and remote communities where access to neurosurgical and neurological services is lacking. This study aimed to determine the feasibility, appropriateness, and usability of mobile neuro clinics (MNCs) in providing neurological care to rural and remote Ugandan populations.MethodsNeurosurgery, neurology, and mobile health clinic providers participated in an education and interview session to assess the feasibility, appropriateness, and usability of the MNC intervention. A qualitative analysis of the interview responses using the constructs in the updated Consolidated Framework for Implementation Research was performed. Providers’ opinions were weighted using average sentiment scores on a novel sentiment-weighted scale adapted from the CFIR. A stakeholder analysis was also performed to assess the power and interest of the actors described by the participants.ResultsTwenty-one healthcare providers completed the study. Participants discussed the potential benefits and concerns of MNCs as well as potential barriers and critical incidents that could jeopardize the intervention. Of the five CFIR domains evaluated, variables in the implementation process domain showed the highest average sentiment scores, followed by the implementation climate constructs, inner setting, innovation, and outer setting domains. Furthermore, many interested stakeholders were identified with diverse roles and responsibilities for implementing MNCs. These findings demonstrate that MNC innovation is feasible, appropriate, and usable.ConclusionThe findings of this study support the feasibility, appropriateness, and usability of MNCs in Uganda. However, integration of this innovation requires careful planning and stakeholder engagement at all levels to ensure the best possible outcomes.
Teaching Graphic Design: Approaches, Insights, the Role of Listening and 24 Interviews with Inspirational Educators, Sven Ingmar Thies (ed.) (2023)
Authors: Morley Dan 
Published: June 2024

Review of: Teaching Graphic Design: Approaches, Insights, the Role of Listening and 24 Interviews with Inspirational Educators, Sven Ingmar Thies (ed.) (2023)
Basel: Birkhäuser, 288 pp.,
ISBN 978-3-03562-200-1, p/bk, €42.00
ISBN 978-3-03562-602-5, e-book, €42.00
Vergleich der Interessensbekundungen Studierender vor und nach Beginn der Corona-Pandemie und Vorstellung von SRS-Lernapplikationen
Authors: Bauer Lars 
Published: June 2024

Mit der Corona-Pandemie kamen viele digitale Technologien auf den Tisch, die es schon seit langem gibt, die aber bisher nicht für jedermann relevant waren. Die Nutzung dieser Technologien im Arbeits- und Lernalltag veränderten womöglich auch unser generelles Interesse gegenüber digitalen Hilfsmitteln. Ob dieses Interesse auch für artverwandte Technologien des E-Learnings bzw. M-Learnings gilt, habe ich in einer Studie zu Sprachlernapps untersucht.
Die vorliegende Poster-Präsentation beschäftigt sich dabei im Detail mit dem Thema SRS-Lernapplikationen (Lernsysteme, die nach dem
Spaced Repitition System basierend auf Algorithmen funktionieren) und hat zur Absicht einen Vergleich von erhobenen Daten zum generellen Interesse an Lernapplikationen durch Studierende vor und nach Ausbruch der Corona-Pandemie zu erläutern. Die vorzustellenden Daten zeigen dabei das generelle Interesse Studierender am Thema auf und beleuchten die Entwicklung der Interessensbekundungen im Laufe der Corona-Pandemie. Anhand einer quantitativen Analyse der Daten soll die These untermauert werden, dass aufgrund der Pandemie und dem damit einhergehenden Fernunterricht sich das Interesse an digitalen Lernmöglichkeiten unter Universitätsstudenten gesteigert hat.
Außerdem möchte ich, zur Verbindung von Theorie und Praxis, leicht in den Unterricht integrierbare Lernapplikationen vorstellen und auf diesem Weg einen Beitrag zur Verbreitung derartiger Lernsysteme in die (unterrichtende) Praxis leisten.
Healthcare Resource Utilization and Costs Associated With Eosinophilic Esophagitis Among Commercially Insured Patients in the United States
Authors: Xia Qian , Tencer Tom , Jobson Greeta , Qian Ellen , Dellon Evan S. , Biswas Mousumi 
Published: June 2024

INTRODUCTION:
To evaluate real-world healthcare resource utilization (HCRU) and costs associated with eosinophilic esophagitis (EoE) in the United States.

METHODS:
Retrospective case-control cohort analysis of Optum Clinformatics claims data (January 2008–September 2020) comparing unadjusted and adjusted HCRU (visits per 1,000 patients per month) and all-cause costs (per patient per month).

RESULTS:
Patients with EoE incurred significantly higher monthly HCRU (adjusted Δ [95% confidence interval]: inpatient visits, 2.8 [0.1–4.0]; emergency department visits, 14.7 [4.3–32.1]; outpatient visits, 388.8 [362.1–418.0]); and costs ($581 [$421–$600]) vs matched controls (all P < 0.001).

DISCUSSION:
EoE imposes substantial economic burden. More effective and targeted treatments that improve outcomes for patients are needed.
Syariat Islam dan Produksi Pengetahuan Perempuan Aceh
Authors: Roviana Sri 
Published: June 2024

Perebutan ruang publik politik di Aceh benar-benar nyata adanya. Kaum perempuan berada dalam posisi marginal secara politik, ekonomi, maupun kultural disebabkan karena pandangan ulama konservatis yang menguasai ranah publik dengan dukungan elit-elit politik lokal, nasional dan Wilayatul Hisbah. Temuan kajian ini menunjukkan posisi perempuan Aceh yang sejak semula telah aktif dalam pergerakan melawan kolonialisme, aktif dalam politik praktis dan kegiatan ekonomi mengalami peminggiran secara sistematis karena adanya kebijakan politik seperti syariat Islam yang dipahami secara normatif, berbeda dengan semangat membela seluruh kepentingan umat manusia. Ditemukan pula secara jelas perempuan berada pada posisi terpinggirkan karena tafsir yang dilakukan sangat formalistik dan male perspective. Artikel ini bertujuan memberikan analisis atas berbagai aktivitas perempuan dalam memproduksi pengetahuan sebagai sarana melakukan perlawanan dan perebutan ruang publik politik secara back stage (secara tersembunyi), bukan dengan cara terang-terangan. Artikel ini menggunakan teori perebutan ruang public yang bersifat hiden transcript model James C Scott dengan menggunakan modal sosial dari Pierre Bourdieu.

[The struggle for public political space in Aceh is genuine. Women are in a marginal position politically, economically, and culturally due to the views of conservative ulama who dominate the public sphere with the support of local, national, and Wilayatul Hisbah political elites. The position of Acehnese women, who form the beginning had been active in the movement against colonialism, active in practical politics and economic activities, was systematically marginalized due to political policies such as Islamic law, which was understood normatively, in contrast to the spirit of defending all the interests of humanity. Women are in a marginalized position because the interpretation is the very formalistic and male perspective. This article aims to analyze various women's activities in producing knowledge as a means of resisting and seizing public political space backstage (hidden), not by overtly mobilizing masses, demonstrations, burning public facilities, committing murders, and destroying facilities.]
Gender Bias and Students’ Perceptions of Sexual Harassment in the Academic Setting
Authors: Manda Nabilah Damayanti  , Chandradewi Kusristanti  , Sunu Bagaskara  
Published: June 2024

Kasus pelecehan seksual di lingkungan kampus menjadi salah satu isu yang terus bertambah setiap tahunnya di Indonesia. Meskipun kasus pelecehan seksual di lingkungan kampus semakin tinggi isunya, kasus pelecehan seksual masih sering dianggap sebagai fenomena gunung es, artinya sudah banyak kasus yang terjadi, namun masih sedikit kasus yang dilaporkan. Salah satu pertimbangan yang membuat korban pelecehan seksual enggan melapor adalah penilaian negatif terhadap para pengamat pelecehan seksual. Literatur menunjukkan bahwa terdapat perbedaan antara pengamat laki-laki dan perempuan dalam mempersepsikan bentuk-bentuk perilaku yang dianggap sebagai pelecehan seksual. Perbedaan persepsi tersebut erat kaitannya dengan bias gender yang dimiliki individu. Penelitian ini bertujuan untuk mengetahui hubungan antara bias gender dan persepsi pelecehan seksual di lingkungan akademis. Tulisan ini menggunakan pendekatan kuantitatif dengan desain korelasional. Sampel penelitian ini adalah 246 mahasiswa yang sedang menempuh studi sarjana dan diploma. Hasil penelitian menunjukkan tidak ada hubungan yang signifikan antara bias gender dan persepsi pelecehan seksual. Dengan kata lain, terdapat faktor lain di luar bias gender yang berkaitan dengan persepsi terkait pelecehan seksual pada individu khususnya dikampus.
[Sexual harassment cases in the academic setting are one of the cases that are increasing every year in Indonesia. Although cases of sexual harassment in the academic setting are increasing sexual harassment cases are still often considered like an iceberg phenomenon, which means that there have been many cases that have occurred, but still, few cases have been reported. One consideration that makes victims of sexual harassment reluctant to report is the negative evaluation of sexual harassment bystanders. The literature shows that there are differences between male and female observers in perceiving forms of behavior that are considered sexual harassment. The difference in perception is closely related to the gender bias that individuals have. This study aims to determine the relationship between gender bias and perceptions of sexual harassment in the academic setting. This study uses a quantitative approach with a correlational design. The sample of this study was 246 students who were pursuing undergraduate and diploma studies. The results showed no significant relationship between gender bias and perceptions of sexual harassment. In other words, there are other factors outside of gender bias that are related to perceptions related to sexual harassment in individuals.]
Süd-Nord-Gefälle bei industrieller Forschung und Entwicklung?
Authors: Bonkowski Sabine , Legler Harald 
Published: June 2024

Viele wissenschaftliche und politische Diskussionen beschäftigen sich mit dem sog. „Süd-Nord-Gefälle“. Aus der Vielzahl von Indikatoren, die zur Beschreibung eines „Süd-Nord-Gefälles“ herangezogen werden, greift sich der folgende Beitrag eine betriebliche Funktion heraus, der eine entscheidende Bedeutung für Innovationsfähigkeit und die künftige wirtschaftliche Entwicklung beigemessen wird: Forschung und Entwicklung (FuE).Die Untersuchung der FuE-Kapazitäten der Wirtschaft – gemessen am Einsatz von FuE-Personal – zeigt über die Bundesländer eine sehr ungleiche Verteilung. Selbst bei Berücksichtigung der spezifischen Sektorstrukturen weist der Norden gegenüber den südlichen Bundesländern erhebliche Rückstände in FuE auf, geht damit mit – ceteris paribus – wesentlich schlechteren Ausgangsbedingungen in die ökonomische Zukunft.
Effects of working memory and task type on syntactic complexity in EFL learners’ writing
Authors: Jiang Lei , Abbuhl Rebekha , Fu Yv 
Published: June 2024

Abstract
This study investigated the predictive power of working memory and task type for syntactic complexity in EFL adult learners’ academic writing. One hundred forty-eight Chinese adult students were recruited as participants. Their working memory was assessed with an operation span task, a set of digit span tasks, and a symmetry span task. The syntactic complexity of their written products from two different TOEFL iBT writing tasks, an integrated writing task and an independent writing task, was measured using a natural language processing tool. Results showed a significant positive association between operation span and coordination in the students’ written products. In addition, a significant difference was found between the integrated task and the independent task with respect to phrasal complexity, with the integrated task eliciting more complex nominals per clause than the independent task. No significant effects were identified for other components of working memory or other measures of syntactic complexity.
Design of geometric flower pattern for clothing based on deep learning and interactive genetic algorithm
Authors: Cong Xu , Zhang Wenjia 
Published: June 2024

Abstract
Geometric and floral models are an important part of clothing and have been used for thousands of years. Although the styles of geometric models and flower models have undergone changes over the centuries, they are still one of the important factors of clothing patterns, the important carrier of aesthetics, and the manifestation of people’s spiritual views and cultural needs. The development and application of digital printing technology have freed people from excessive dependence on sewing and embroidery processes. Therefore, while deeply studying the design of clothing patterns, this work sorted and analyzed the geometric flower models of clothing through interactive genetic algorithms, and optimized programming to enrich the models of clothing with geometric textures. The results showed that the deviation value of geometric flower pattern design was constantly decreasing, while the optimal strategy value was constantly increasing. The mean deviation value was 0.82, which was a decrease of 0.21 on the seventh day compared with the first day; the mean value of the optimal strategy value was 0.84, which was an increase of 0.19 on the seventh day compared with the first day. The visual effect and creativity of the clothing flower pattern design under the interactive genetic algorithm are better than the traditional flower pattern design, and the visual effect and creativity under the interactive genetic algorithm are 9% higher than the traditional one.
Disjoint sections of positive semidefinite matrices and their applications in linear statistical models
Authors: Eagambaram N. 
Published: June 2024

Abstract
Given matrices

A

A

and

B

B

of the same order,

A

A

is called a section of

B

B

if

R

(

A

)

∩
R

(

B
−
A

)

=

{

0

}

{\mathscr{R}}\left(A)\cap {\mathscr{R}}\left(B-A)=\left\{0\right\}

and

R

(

A

T

)

∩
R

(

(

B
−
A

)

T

)

=

{

0

}

{\mathscr{R}}\left({A}^{T})\cap {\mathscr{R}}\left({\left(B-A)}^{T})=\left\{0\right\}

, where

R

(

.

)

{\mathscr{R}}\left(.)

denotes the range (column space) of a matrix argument and the superscript

T

T

stands for the transpose of a matrix. A matrix

G

G

is called positive semidefinite (p.s.d.) if

x

T

G
x

{x}^{T}Gx

is nonnegative for all real vector

x

x

. However, we refer to a symmetric p.s.d. matrix simply as a p.s.d. matrix as the applications discussed in this article are concerned with only symmetric p.s.d. matrices. An

n
×
n

n\times n

p.s.d. matrix

G

G

admits of a symmetric section

G

X

{G}_{X}

of

G

G

with regard to an

n
×
k

n\times k

matrix

X

X

such that

R

(

G

X

)

=
R

(

G

)

∩
R

(

X

)

{\mathscr{R}}\left({G}_{X})={\mathscr{R}}\left(G)\cap {\mathscr{R}}\left(X)

. In this article, sections of the type

G

X

{G}_{X}

are used in minimization of quadratic functions under linear constraints and splitting of vector random variables into uncorrelated vector random variables. In the general Gauss-Markoff model,

y
=
X
β
+
ε

y=X\beta +\varepsilon

, with design matrix

X

X

and a singular covariance matrix

σ

2

G

{\sigma }^{2}G

of

ε

\varepsilon

,

y

y

is decomposed into four uncorrelated vector random variables as

y
=

M

1

y
+

M

2

y
+

M

3

y
+

M

4

y

y={M}_{1}y+{M}_{2}y+{M}_{3}y+{M}_{4}y

, where

M

i

,
i
=
1
,
2
,
3

{M}_{i},i=1,2,3

consist of sections of

G

G

and

X

X

T

X{X}^{T}

, and

M

4

{M}_{4}

is a matrix whose row space is the null space of

G
+
X

X

T

G+X{X}^{T}

.
CHRONOZONAL STRUCTURE OF THE MANGAZEYA SUPERHORIZON IN EASTERN SIBERIA AND ITS PLACE IN THE GLOBAL ORDOVICIAN SCALE
Authors: ТЕСАКОВ Ю.И. 
Published: June 2024

Рассмотрена хронозональная структура мангазейского надгоризонта Восточной Сибири, в которую входят листвяжный, баксанский горизонты и их хронозоны. Даны их объемы, стратотипы и показано их место в региональной и глобальной стратиграфической структуре, где мангазей занимает место в средних частях кузьмовского регионального комплекса и карадокского яруса верхнего ордовика. Впервые введены собственные названия для нижнедолборского горизонта – амутканский и верхнедолборского горизонта – черлечинский.
The chronozonal structure of the Mangazeya Superhorizon of Eastern Siberia, which includes the Listvyazhny and Baksan horizons and their chronozones, is considered. Their volumes and stratotypes are given and their place in the regional and global stratigraphic structure is shown, where Mangazeya occupies the middle parts of the Kuzmovsky regional complex and the Caradocian stage of the Upper Ordovician. Proper names for the Lower Dolbor Horizon (Amutkansky) and the Upper Dolbor Horizon (Cherlechinsky) are introduced for the first time