bluuebunny/crossref_metadata_2025_split huggingface dataset:
Program for Providing Iron Tablets in Schools and Reducing the Incidence of Anemia among Adolescent Girls in Padang City
Authors: Asriyanti Rita , Azrimaidaliza Azrimaidaliza , Elda Frima , Dwinatrana Khiky 
Published: February 2025

Background: Anemia among reproductive-age women can lead to significant nutritional issues for future generations. In Indonesia, the anemia prevalence rate among women is alarmingly high at 30.44%. A key strategy to reduce anemia is the distribution of iron tablets (Fe) in schools.
Objectives: This study aimed to analyze the effectiveness of the iron tablet program in schools and its relationship to the incidence of anemia among adolescent girls in Padang City.
Methods: A mixed-methods approach was utilized, combining quantitative and qualitative techniques. A cross-sectional design assessed the relationship between iron tablet distribution and anemia prevalence. Qualitative data were gathered through in-depth interviews to explore the program's implementation. The study involved two schools in Padang City, randomly selecting a sample of 274 adolescent girls. Data were collected using standardized instruments, analyzed with statistical software, and examined using multiple logistic regression tests.
Results: The iron tablets program hasn’t been optimally implemented. The study found 28.1% of adolescent girls were anemic. An iron tablet consumption history (p-value=0.035), the quantity consumed (p-value=0.034), father's education level (p-value=0.039), and nutritional knowledge (p-value=0.032) related with anemic. Girls who did not consume iron tablets were 3.03 times more likely to be anemic. Many expressed concerns about the potential negative effects of iron tablets.
Conclusions: This study reveals a troubling prevalence of anemia among adolescent girls, with nearly one-third affected. Inadequate iron tablet consumption, along with parental education and nutritional knowledge, significantly contributes to this issue. Concerns about side effects emphasize the urgent need for targeted educational interventions.
Faktor-Faktor yang Berhubungan dengan Kejadian Obesitas pada Mahasiswa Fakultas Ilmu Kesehatan Universitas Pembangunan Nasional “Veteran” Jakarta
Authors: Rahadian Fairy Amara , Wahyuningsih Utami , Simanungkalit Sintha Fransiske 
Published: February 2025

Latar Belakang: Obesitas merupakan permasalahan gizi dengan prevalensi yang masih terus meningkat. Berdasarkan data Riskesdas 2018, kejadian obesitas pada usia dewasa mencapai angka 21,8%. Mahasiswa berada dalam fase usia transisi dari remaja akhir menuju dewasa awal yang membutuhkan adaptasi terhadap lingkungan perkuliahan yang seringkali mengakibatkan terbentuknya gaya hidup tidak sehat. Fenomena tersebut menyebabkan mahasiswa rentan mengalami obesitas dengan berbagai faktor risiko, seperti pola makan, perilaku makan, aktivitas fisik, dan stres.
Tujuan: Menganalisis faktor-faktor yang berhubungan dengan kejadian obesitas pada mahasiswa Fakultas Ilmu Kesehatan Universitas Pembangunan Nasional (FIKES UPN) “Veteran” Jakarta.
Metode: Penelitian observasional analitik dengan desain cross-sectional yang dilakukan pada bulan Februari-April 2024 dengan jumlah responden sebanyak 232 mahasiswa. Metode pengambilan responden menggunakan teknik stratified random sampling. Data dikumpulkan menggunakan kuesioner dan pengukuran antropometri yang kemudian dianalisis menggunakan uji Chi-Square.
Hasil: Hasil analisis statistik menunjukkan bahwa frekuensi konsumsi makanan manis memiliki p-value (0,111), frekuensi minuman manis (p-value=0,733), frekuensi makanan tinggi lemak (p-value=0,036), asupan manis (p-value=1,000), asupan tinggi lemak (p-value=0,426), asupan serat (p-value=0,819), perilaku emotional eating (p-value=0,057), external eating (p-value=0,871), aktivitas fisik (p-value=0,271), dan p-value tingkat stres (1,000).
Kesimpulan: Frekuensi konsumsi makanan tinggi lemak berkaitan secara signifikan dengan kejadian obesitas mahasiswa, sehingga mahasiswa diharapkan dapat lebih memerhatikan frekuensi asupan makanan berlemak, seperti makanan cepat saji dan gorengan, untuk meminimalisir faktor pemicu terjadinya obesitas. Di sisi lain, frekuensi konsumsi makanan manis, frekuensi minuman manis, asupan manis, asupan tinggi lemak, asupan serat, emotional eating, external eating, aktivitas fisik, dan tingkat stres diketahui tidak berhubungan dengan obesitas yang dialami mahasiswa.
Topic: Leveraging Agile and Hybrid Models to Advance Sustainability Initiatives in the Oil and Gas Industry
Authors: Larbi Samuel Yaw , Boakye Kwaku , Fakeyede Mobolaji , Asimolowo Adewale Joshua , Owusu Frederick , Omole Ogooluwa Korede , Omuvwie Enita Anita 
Published: February 2025

Abstract

Environmental concerns, strict guidelines, and social needs are piling pressure on the oil and gas industry to change their practice to be more sustainable. This review looks at how Agile and Hybrid project management methodologies can help address these efforts while balancing flexibility and structure, and managing issues such as regulatory compliance and stakeholder engagement. The review through case studies demonstrates the increases in adaptability, collaboration, and innovation that Agile’s iterative processes provide. It is especially useful to address dynamic issues, like green energy schemes, or cutting carbon footprints. Agile models on the other hand, alternatively fuse the flexibility of Agile with the structure of Waterfall, manage to bring the requirement of stability for such compliance-intensive projects. Taken together these methodologies provide a balanced matrix for managing sustainability efforts in complex contexts. Nevertheless, these methods are not easy to implement. However, these are usually impeded by cultural resistance, high costs and regulatory complexities. Leadership, employee training and the use of new technology such as AI and digital twins are all critical ways to get around these hurdles and achieve better outcomes, the review concludes. Finally, Agile and Hybrid models are valuable tools for the progress of sustainability in the oil and gas industry, following many macro goals (such as the United Nations Sustainable Development Goals (SDGs). This review offers practical guidance for field leaders and policymakers to hasten sustainable progress in this important area.
Limitation of Ammonia Exposure among Workers in Fertilizers Industry Using Modern Modified Technology Towards Sustainability
Authors: Elhadad Safinaz M. , Mansour Taher A. , Elshibiny Ibrahim A. , Elmarakby Fadia A. 
Published: February 2025

Abstract

Background: Fertilizer production is a worldwide industry. Workers in the production process area may be exposed to mineral dust, water-soluble and insoluble compounds, nitric acid, nitrogen dioxide, nitrogen monoxide, ammonia (NH3), and hydrogen fluoride which might be emitted into the work environment in the different departments.
Subjects and methods: The study was conducted in one of the modern nitrogenous fertilizer companies in Alexandria, Egypt. The company specializes in producing high quality nitrogenous fertilizers, mainly Granular Urea (46%) as a final product and Anhydrous NH3 as an intermediate product using advanced technology. The study involved descriptive research adopts a quantitative and case study approach. Pre-designed and pre- tested structured two questionnaires for workers' data were used. The first questionnaire (A) was used for professional characters and occupational hygiene profile. The second questionnaire (B) was an optimal symptom score for employees’ complaints and their awareness about the occupational exposure to NH3. NH3 gas was measured in the ten different working areas in the factory. A direct reading- infrared spectrophotometry method was used.
Results: The NH3 synthesis factory is based on reliable and proven process steps controlled through automated operation of plants and machines. In the urea plant, the possible and available emission reduction techniques were used. All workers are males (100%). Current position includes specifications as technicians (n=125, 74.4 %) and engineers (n=43, 25.6%). The technicians' job duties are operation (n=77, 61.6%), production (n=2, 1.6%), maintenance (n=32, 25.6%) and inspection (n=14, 11.2%). Otherwise, the engineers ' job duties are operation (n=33, 76.7%), production (n=1, 2.3%), and maintenance (n=9, 20.9%). Work regime is day shift (n=119, 70.8%), and night shift (n=49, 29.2%). The total number of working hours/week ranges from 24-48 hours with a mean of 47.68±1.85 and a median of 48 hours. Considering the availability and usage of personal protective equipment (PPE) (n=167, 99.4%) and no smoking habits (n=168,100%), this reflects the increased knowledge and awareness, and the promoted safety culture of both the management and the employees. There is a statistically significant difference between the years of employment and the median for eyes, nose and sinuses symptoms (P = 0.001, 0.019 and 0.009 respectively). Regarding the mean concentration of NH3 in the different working stations, it was found to be lower than the Threshold Limit Value- Time weighted average (TLV-TWA) of NH3 which is 25 ppm.
Conclusion: The current study highlighted the role of applying modern modified industry in limiting exposure to potential occupational hazards, improving the health of the workers, and achieving sustainability.
Neither uni- nor multi-modal exercise interventions improve single- and dual-task gait performance in physically active healthy elderly – a pilot study
Authors: Freitag Constantin Wilhelm , Behrens Martin , Bielitzki Robert , Behrendt Tom , Al-Nosairy Khaldoon O. , Stolle Francie H. , Prabhakaran Gokulraj T. , Beyer Rosalie , Thieme Hagen , Hoffmann Michael , Schega Lutz 
Published: February 2025

Abstract

Purpose: Aging is an inevitable process leading, inter alia, to the loss of muscle mass as well as the decrease in physical and cognitive function. These age-related impairments translate into a reduced gait performance and an increased risk of falls, which can be tackled with resistance training, Unimodal intervention (UMI). However, Multimodal intervention (MMI), i.e. combined motor-cognitive and resistance training, might be a more promising approach to increase physical and cognitive function in old adults. Therefore, this pilot study aimed to investigate the effects of MMI, compared to UMI, on gait and cognitive performance in elderly participants. We hypothesized that MMI will increase gait and cognitive performance to a larger extent than UMI.
Methods: In this two-arm randomized controlled pilot study, 29 healthy active elderly participantswere assigned to MMI (15 participants, 72.0±5.5 years) and UMI (14 participants, 70.1±4.7 years). Both groups trained for 12 weeks, two times a week for 60 min, respectively. MMI consisted of motor-cognitive training directly followed by resistance training, while UMI consisted of a stand-alone resistance training. Three weeks before and after the interventions, gait performance (e.g., stride length, velocity, minimum toe clearance) was assessed during single- and dual-task walking trials using inertial measurement units. During dual-task walking, participants walked and concurrently performed different cognitive tasks in a random order: (i) reaction time task, (ii) N-back-task, and (iii) letter fluency task with two difficulty levels, respectively. Data were analyzed with repeated measures analyses of covariance (Time×Intervention×Condition).
Results: Although the analyses of the progression of the external load used during resistance training showed a significant increase over the training period (e.g. leg press p<0.001, η2p=0.618), there was no improvement of gait or cognitive performance in active old adults after neither MMI nor UMI.
Conclusion: Against our hypothesis, the present pilot study indicated that neither a 12-week MMI nor UMI seems to have a sizable impact on gait parameters and cognitive performance in physically active healthy adults. Still, a significant increase in the external load used during resistance training was observed, implying neuromuscular adaptations, which, however, did not translate into a higher gait and/or cognitive performance.
Investigating the mental health burden amongst breast and cervical cancer patients in Rwanda using a modified self-reported questionnaire for mental health screening (SRQ- 20): A validation study
Authors: Rusatira Jean Christophe , Uwimana Jean Berchmans , Rutagumba Dieudonne , Byiringiro Samuel , Natta Saswathi , Espmark Johannes , Rurangwa Eric , Kågesten Anna E. , Nzeyimana Innocent , Ndoli Andrea Diane 
Published: February 2025

Abstract

Background
Despite continued advancement in cancer care, mental health support has been inadequately integrated, particularly for female breast and cervical cancer in low- and middle-income countries. This study aims to address this gap by validating a mental health screening tool and apply it to investigate the mental health burden and associated factors among this patient population in Rwanda.
Methods
A cross-sectional study was conducted with 437 breast and cervical cancer patients who sought care at six major cancer care hospitals in Rwanda between October 2022 and February 2023. The survey questionnaire included questions about participant’s socio-demographic characteristics, cancer diagnosis and care, mental health, sexual and gender-based violence (SGBV) experience, and sexual health. Descriptive statistics were used to summarize patients’ characteristics. Psychometric analysis was conducted to validate the modified self-reported questionnaire (SRQ-20) for mental health screening, generating unweighted mental health scores for each woman on a X-20 scale. Prevalence estimates of mental health follow-up needs were calculated, and multivariable regression analysis were conducted to identify factors associated with mental health follow-up needs.
Results
The items used for mental health screening loaded on two distinct factors named “Anhedonic symptoms” and “Psychomotor changes” (Chronbach’s alpha = 0.92). The overall average mental health score was 9.6. The overall prevalence of mental health follow-up need was 38.9%. In adjusted regression models, mental health follow-up was associated with lifetime experience of physical or sexual violence (aOR = 2.59, 95% CI 1.25, 5.39), having experienced sexual dysfunction after cancer treatment initiation (aOR = 2.11, 95% CI 1.15, 3.88), being in the age category of 50–65 (aOR = 0.36, 95% CI 0.14, 0.91), and having a partner who is perceived as not satisfied with sexual life before and after cancer diagnosis (aOR = 2.49, 95% CI 1.20, 5.17).
Conclusions
The modified SRQ-20 questionnaire is a valid tool for mental health screening among breast and cervical patients in Rwanda. The need for mental health follow-up in this population is high and cancer care needs to integrate psychotherapy for the couples, alongside interventions targeting sexual and gender-based violence and sexual health care.
Knowledge of Consequences and Sociodemographic Variables as Predictors of Drug Abuse Among Secondary School Students in Semi Urban, Nigeria
Authors: Olabisi Oluwaseyi Isaiah , Owoeye Michael Olumide , Samuel-Ajayi Yetunde Abiola , Olabisi Tolulope Esther , Oladepo Eniolaoluwa Peace , Odira Chika 
Published: February 2025

Abstract

Introduction
Drug abuse is a major public health concern globally. This study assessed the level of drug abuse and knowledge of secondary school students on the consequences of drug abuse. It also determined whether the knowledge about the consequences and sociodemographic variables predicts the level of drug abuse.
Methods: A descriptive cross-sectional design was utilized. This study was conducted among 440 senior secondary school students in four selected secondary schools in a semi-urban area in Oyo State, Nigeria. The Drug Abuse Screening Test (DAST 10) and Knowledge of the Consequences of Drug Abuse (KCDA) were used to collect the data. Frequency and percentages were used to summarize the sociodemographic variables, the knowledge of the consequences of drug abuse, and the level of drug abuse. Multivariate regression analysis at p<0.05 was done to ascertain the prediction of drug abuse.
Results
Out of 440 students that participated in the study, 283 (64.3%) were females, and 308 (70.0%) were between 13 and 15 years of age. More than half of the students were at the moderate level of 298 (67.7%) of drug abuse. whoAge (β = 0.171; p = 0.036) and class (β = 0.684; p = 0.025) predict drug abuse. Knowledge about the consequences of drug abuse as impaired judgment and decision making (β = 0.504. p = 0.031), mental illness (β = 2.145; p = 0.012), and death (β = 1.165; p = 0.023) also predict the drug abuse among the students.
Conclusion
The students abused the drug at a moderate level. Age, class of the students, and knowledge about the consequences of drug abuse, including impaired judgment and decision-making, mental illness, and death are predictors of drug abuse. Therefore, there is need to create more awareness on the consequences of drug abuse among secondary school students. Moreover, age-specific programmes and class-level interventions should be designed and implemented to address adolescent drug abuse.
Evaluating recruitment, retention and adherence patterns in the GET FIT fall prevention exercise trial in older, postmenopausal cancer survivors
Authors: Sitemba Jessica , Crisafio Mary , Li Fuzhong , Eckstrom Elizabeth , Winters-Stone Kerri M. 
Published: February 2025

Abstract

Purpose
The GET FIT trial tested fall prevention exercise approaches in older (50–75 years) post-chemotherapy, postmenopausal cancer survivors. We describe recruitment, retention, and adherence patterns from GET FIT to inform future trials.
Methods
Participants were recruited through multiple strategies (e.g., cancer and research registries, clinician referral, outreach, electronic health record (EHR) screening) and were randomized to one of three supervised, facility-based, group exercise programs for six months. We compared effectiveness of accrual across recruitment strategies, examined characteristics of women who completed the interventions to those who withdrew, and women with good (≥ 50%) versus poor (< 50%) adherence to training.
Results
Of 1490 interested women, 442 women were eligible, randomized, and received the assigned intervention (30% accrual rate). Accrual was similar across recruitment strategies, except for EHR screening which yielded no accruals. Retention over 12 months was 87% with most dropouts occurring within the first month. There were no differences in baseline characteristics between women who did or did not drop out. Poor adherers (n = 60) had higher baseline BMI, comorbidities, pain, disability and lower physical functioning (p < 0.05) compared to more adherent women (n = 377).
Conclusions
A variety of recruitment strategies appear to be effective for enrolling older, postmenopausal cancer survivors into a facility-based exercise trial, except for directly approaching women identified through the EHR. Women with poorer health were at risk for study drop-out and poor adherence to exercise.
Implications for Cancer Survivors:
Women with poorer initial health may need additional retention strategies to help them stick with supervised, facility-based, group exercise.
A avaliação da redação escolar: o que fazem os graduandos em Letras e como ressignificam esse processo enquanto professores de lí­ngua em formação
Authors: Lima Gustavo 
Published: February 2025

Este trabalho buscou investigar os modos de avaliar redações escolares dos graduandos em Letras da UAG-UFRPE, bem como a forma como eles ressignificavam esse processo. Para atingir esse objetivo, contamos com a participação de quatro graduandos em Letras da referida instituição que se prontificaram a responder a questionários, a entrevistas, a avaliarem os textos produzidos por alunos da educação básica e a refletirem sobre as avaliações realizadas. O aporte teórico para este trabalho está baseado nos estudos de Suassuna (2007) e Marcuschi (2012) sobre avaliação em lí­ngua portuguesa e nas reflexões de Antunes (2006), Zoraya e Lima (2007), Marcuschi (2006;2007), Marcuschi e Cavalcante (2005) e Ruiz (2001) acerca da avaliação de textos escritos na escola. Os resultados evidenciaram o predomí­nio das correções do tipo resolutiva e do tipo textual-interativa nos textos avaliados pelos graduandos. Verificamos ainda que, discursivamente, os graduandos se colocaram num processo de transição, caracterizado pela mescla e pelo conflito entre velhas e novas práticas avaliativas, talvez reflexo de lacunas no processo de formação acadêmica no que concerne í s novas teorias sobre ensino de lí­ngua.
Gêneros do discurso e ensino: análise de um livro didático de português
Authors: Carvalhaes Wesley Luis 
Published: February 2025

Nossa prática de ensino na educação básica tem revelado a centralidade ocupada, ao menos em tese, pelo ensino de lí­ngua por meio da noção de gêneros do discurso. Os livros didáticos de português (LDP) que nos chegam í s mãos são sempre apresentados como elaborados com base nessa noção. Diante desse material, supostamente organizado para o trabalho com os gêneros, perguntamo-nos até que ponto as atividades práticas propostas materializam o discurso dos autores dos LDP no manual do professor. O presente trabalho objetiva analisar propostas de produção de texto em um LDP, as quais, segundo os autores do material, são elaboradas com base na noção de gêneros do discurso formulada por Bakhtin (2011). Nossa investigação tem como base conceitual formulações teóricas cunhadas no interior dos estudos do discurso e do texto e se apropria de contribuições de estudiosos cujo objeto envolve a interface entre gêneros do discurso e ensino de lí­nguas, entre os quais podemos citar Marcuschi (2002, 2008), Motta-Roth (2011), Paula (2011), Rojo (2005, 2008) e Schneuwly e Dolz (2004). Para o estudo, selecionamos um LDP destinado ao 9º ano do ensino fundamental, analisando atividades propostas para a produção de texto com base nos construtos teóricos mencionados. Como principais conclusões, podemos citar o fato de as atividades dos LDP centrarem-se nos aspectos composicionais do gênero e a redução dessa noção a uma perspectiva instrumental.