bluuebunny/crossref_metadata_2025_split huggingface dataset:
Self-referral practice and associated factors among women who gave birth in South Gondar zone primary hospitals, Northwest Ethiopia: a cross-sectional study design
Authors: Eshetie Ayenew , Belachew Tadele Biresaw , Negash Wubshet Debebe , Asmamaw Desale Bihonegn , Muktar Sualiha Abdulkader , Kebede Adane 
Published: June 2023

BackgroundPatient self-referral is when patients refer themselves to upper-level health facilities without having to see anyone else first or without being told to refer themselves by another health professional. Self-referral leads to a diminished quality of healthcare services. However, globally, many women who gave birth referred themselves to hospitals without having referral sheets, including in Ethiopia and the study area. Therefore, this study aimed to assess self-referral practice and associated factors among women who gave birth in South Gondar zone primary hospitals in Northwest Ethiopia.MethodsA cross-sectional mixed-method study was conducted among women who gave birth in South Gondar zone primary hospitals between 1 June 2022 and 15 July 2022. Semi-structured questionnaires were used to gather quantitative data from 561 participants who were selected by a systematic random sampling technique. Interview guides were used to collect qualitative data from selected six key informants. Quantitative data were entered into Epi Data version 4.6.0.4 and then exported to the statistical software SPSS version 25 for further analysis. Thematic analysis using open code version 4.02 software was applied for qualitative data analysis. A binary logistic regression analysis was employed. In a bivariable analysis, a p &lt; 0.25 was used to select candidate variables for multivariable analysis. P &lt; 0.05 and a 95% confidence interval were used to determine significant variables on the outcome of interest.ResultsThe overall magnitude of self-referral was 45.6%, with 95% CI (41.5%, 49.9%). They had no antenatal care (ANC) follow-up (AOR = 3.02, 95% CI: 1.64–5.57) and 1–3 ANC follow-ups (AOR = 1.57, 95% CI: 1.03–2.41), poor knowledge about the referral system (AOR = 4.04, 95% CI: 2.30–7.09), and use of public transportation (AOR = 2.34, 95% CI: 1.43–3.82), which were significantly associated with self-referral practice.ConclusionThis study showed that nearly half of the deliveries were self-referred. ANC follow-up, women's knowledge of the referral system, and mode of transportation were factors significantly associated with the self-referral practice. Therefore, developing awareness-creation strategies and increasing coverage of ANC 4 and above are necessary interventions to reduce the self-referral practice.
Auxiliary screening COVID-19 by computed tomography
Authors: Pan Xiongfeng , Chen Yuyao , Kaminga Atipatsa C. , Wen Shi Wu , Liu Hongying , Jia Peng , Liu Aizhong 
Published: June 2023

BackgroundThe 2019 novel coronavirus (COVID-19) pandemic remains rampant in many countries/regions. Improving the positive detection rate of COVID-19 infection is an important measure for the control and prevention of this pandemic. This meta-analysis aims to systematically summarize the current characteristics of the computed tomography (CT) auxiliary screening methods for COVID-19 infection in the real world.MethodsWeb of Science, Cochrane Library, Embase, PubMed, CNKI, and Wanfang databases were searched for relevant articles published prior to 1 September 2022. Data on specificity, sensitivity, positive/negative likelihood ratio, area under curve (AUC), and diagnostic odds ratio (dOR) were calculated purposefully.ResultsOne hundred and fifteen studies were included with 51,500 participants in the meta-analysis. Among these studies, the pooled estimates for AUC of CT in confirmed cases, and CT in suspected cases to predict COVID-19 diagnosis were 0.76 and 0.85, respectively. The CT in confirmed cases dOR was 5.51 (95% CI: 3.78–8.02). The CT in suspected cases dOR was 13.12 (95% CI: 11.07–15.55).ConclusionOur findings support that CT detection may be the main auxiliary screening method for COVID-19 infection in the real world.
“It's a lot more complicated than it seems”: physiotherapists' experiences of using compensation strategies in people with Parkinson's
Authors: Alenezi Sheemah , Morgan-Trimmer Sarah , Hulbert Sophia , Young William , Goodwin Victoria A. 
Published: June 2023

BackgroundGait disturbances often result in functional limitations in daily activities and negatively impact the quality of life in people with Parkinson's disease. Physiotherapists often employ compensation strategies in an attempt to improve patients' walking. However, little is known about physiotherapists' experiences in this regard. We evaluated how physiotherapists adopt compensation strategies and what they draw on to inform their clinical decision-making.MethodsWe carried out semi-structured online interviews with 13 physiotherapists with current or recent experience working with people with Parkinson's disease in the United Kingdom. Interviews were digitally recorded and transcribed verbatim. Thematic analysis was utilized.ResultsTwo main themes were developed from the data. The first theme, optimizing compensation strategies through personalized care, shows how physiotherapists accounted for the individual needs and characteristics of people with Parkinson's, which resulted in them individually tailoring compensation strategies. The second theme, delivering compensation strategies effectively, considers the available support and perceived challenges with work settings and experience that impact physiotherapists' ability to deliver compensation strategies.DiscussionAlthough physiotherapists strived to optimize compensation strategies, there was a lack of formal training in this area, and their knowledge was primarily acquired from peers. Furthermore, a lack of specific knowledge on Parkinson's can impact physiotherapists’ confidence in maintaining person-centered rehabilitation. However, the question that remains to be answered is what accessible training could address the knowledge–practice gap to contribute to the delivery of better-personalized care for people with Parkinson's.
Household production and consumption impacts of foot and mouth disease at the Uganda-Tanzania border
Authors: Kerfua Susan Diana , Railey Ashley Flynn , Marsh Thomas Lloyd 
Published: June 2023

IntroductionFoot-and–mouth disease (FMD) is a highly contagious viral disease that is endemic in East Africa. FMD virus infection incurs significant control costs and reduces animal productivity through weight loss, lowered milk yield, and potentially death but how household’s respond to these losses may differentially affect household income and food consumption.MethodologyTo address this, we use unique data from a FMD outbreak to assess how household production and consumption activities change from before to during the outbreak. Data came from a 2018 survey of 254 households in selected Tanzanian wards and sub-counties in Uganda. The data includes household recall of before and during an outbreak in the past year on livestock and livestock product sales, milk and beef consumption, as well as related changes in market prices. We apply both difference-in-difference and change in difference ordinary least squares regressions with fixed effects to evaluate the impact of FMD on household production and consumption.Results and discussionWe find that households reported the largest reductions in livestock and livestock product sales, followed by reduced milk consumption and animal market prices. The changes in household income from livestock sales appears to be driven by FMD virus infection within the household herd while changes in market prices of substitute protein sources are primary associated with changes in milk and beef consumption. The role of widespread market price effects across both infected and uninfected herds and countries, tends to suggest that stabilizing prices will likely have a large impact on household nutritional security and income generation. We also propose that promoting diversity in market activity may mitigate differing impacts on households in FMD endemic regions.
Transcriptome analysis to identify candidate genes related to mammary gland development of Bactrian camel (Camelus bactrianus)
Authors: Yao Huaibing , Liang Xiaorui , Dou Zhihua , Zhao Zhongkai , Ma Wanpeng , Hao Zelin , Yan Hui , Wang Yuzhuo , Wu Zhuangyuan , Chen Gangliang , Yang Jie 
Published: June 2023

IntroductionThe demand for camel milk, which has unique therapeutic properties, is increasing. The mammary gland is the organ in mammals responsible for the production and quality of milk. However, few studies have investigated the genes or pathways related to mammary gland growth and development in Bactrian camels. This study aimed to compare the morphological changes in mammary gland tissue and transcriptome expression profiles between young and adult female Bactrian camels and to explore the potential candidate genes and signaling pathways related to mammary gland development.MethodsThree 2  years-old female camels and three 5  years-old adult female camels were maintained in the same environment. The parenchyma of the mammary gland tissue was sampled from the camels using percutaneous needle biopsy. Morphological changes were observed using hematoxylin-eosin staining. High-throughput RNA sequencing was performed using the Illumina HiSeq platform to analyze changes in the transcriptome between young and adult camels. Functional enrichment, pathway enrichment, and protein–protein interaction networks were also analyzed. Gene expression was verified using quantitative real-time polymerase chain reaction (qRT-PCR).ResultsHistomorphological analysis showed that the mammary ducts and mammary epithelial cells in adult female camels were greatly developed and differentiated from those in young camels. Transcriptome analysis showed that 2,851 differentially expressed genes were obtained in the adult camel group compared to the young camel group, of which 1,420 were upregulated, 1,431 were downregulated, and 2,419 encoded proteins. Functional enrichment analysis revealed that the upregulated genes were significantly enriched for 24 pathways, including the Hedgehog signaling pathway which is closely related to mammary gland development. The downregulated genes were significantly enriched for seven pathways, among these the Wnt signaling pathway was significantly related to mammary gland development. The protein–protein interaction network sorted the nodes according to the degree of gene interaction and identified nine candidate genes: PRKAB2, PRKAG3, PLCB4, BTRC, GLI1, WIF1, DKK2, FZD3, and WNT4. The expression of fifteen genes randomly detected by qRT-PCR showed results consistent with those of the transcriptome analysis.DiscussionPreliminary findings indicate that the Hedgehog, Wnt, oxytocin, insulin, and steroid biosynthesis signaling pathways have important effects on mammary gland development in dairy camels. Given the importance of these pathways and the interconnections of the involved genes, the genes in these pathways should be considered potential candidate genes. This study provides a theoretical basis for elucidating the molecular mechanisms associated with mammary gland development and milk production in Bactrian camels.
Longitudinal Associations Between Food Insecurity and Suicidal Ideation Among Adults Aged ≥65 in the Korean Welfare Panel Study
Authors: Lee Jeongyoon , Pak Tae-Young 
Published: June 2023

Objectives: This study aimed to explore longitudinal associations between food insecurity and suicidal ideation, and the moderating roles of intervention programs.Methods: Data were derived from the 2012–2019 waves of the Korean Welfare Panel Study. Participants aged ≥65 at baseline (n = 4,425) and their annual follow-up measurements for a mean of 6.58 years were included. Conditional fixed effects logistic regressions were used to test 1) associations between food insecurity and the onset of suicidal ideation; 2); whether associations were attenuated by food assistance and income support programs.Results: Food insecurity was associated with higher odds of suicidal ideation in the full sample (OR, 1.77; 95% CI, 1.37–2.29), among women (OR, 1.67; 95% CI, 1.24–2.26) and men (OR, 2.06; 95% CI, 1.25–3.40). The association between food insecurity and suicidal ideation was attenuated by participation in home-delivered meal services (OR, 0.43; 95% CI, 0.21–0.88).Conclusion: Food insecure older adults were more likely to consider committing suicide than their food secure counterparts. Food assistance through home-delivered meal services, but not other intervention programs, could weaken this link.
Les disparités de salaires. Présentation théorique
Authors: Silvestre Jean-Jacques 
Published: June 2023

L'étude des disparités de salaires et le test de l'hypothèse de la formation du prix du travail sur un marché de concurrence posent un même problème théorique : il s'agit de vérifier s'il existe un lien étroit entre le niveau des salaires et les caractéristiques des emplois occupés. Cette hypothèse peut être testée par deux méthodes.
Une première méthode où l'on confronte directement le salaire payé et les caractéristiques des emplois.
Une deuxième méthode où l'on recherche les relations entre le niveau des salaires et certaines variables d'entreprises, ou d'industries, indépendantes des caractéristiques individuelles des salariés.
Les résultats obtenus par l'application de ces deux méthodes ne permettent pas de donner une réponse claire au problème posé. Cette lacune a des conséquences pour la cohérence de la théorie du salaire et les études appliquées dans le domaine de la dynamique des salaires.
Une explication économique des flux d'investissements directs entre pays hautement industrialisés
Authors: Laffargue Jean-Pierre 
Published: June 2023

Le but de cette étude est de trouver une explication économique des flux d'investissements directs entre pays hautement industrialisés, valable dans le moyen terme, et d'en faire une vérification empirique.
Elle est fondée sur l'idée que les investissements directs américains dans les pays développés sont financés par les avoirs à court terme de ceux-ci en dollars. Pour la Grande-Bretagne, cette transformation de crédit, qu'effectuent les États- Unis, est due à la forte préférence pour la liquidité de ce pays, conformément à lu thèse de Kindleberger. Pour la C.E.E., le Japon et l'Australie, elle semble due aux taux de croissance élevés de ces pays, qui nécessitent un investissement important et requièrent l'immobilisation à long terme de l'épargne. La situation contraire prévalant aux États-Unis, l'épargne « inutilisable » à court terme de ces pays est échangée contre l'épargne à long terme américaine qui ne peut être employée sur place.
Directions of Dissertations Topics on the Scientific Specialty 14.03.10 – Clinical Laboratory Diagnostics and the Significance of Results Achieved During their Implementation for Urgent Issues of Practical Health Care (Summing Up the Results of 20-Year (2001–2021) Activity of the Dissertation Board on the Scientific Specialty 14.03.10 – Clinical Laboratory Diagnostics)
Authors: Камышников В.С. 
Published: June 2023

В статье представлены сведения как об основных областях исследования паспорта научной специальности «клиническая лабораторная диагностика», так и об отдельных из защищенных в период деятельности совета Д 03.15.02 (Республика Беларусь) кандидатских и докторских диссертаций, демонстрирующих основные направления тематик диссертационных исследований; обращено внимание на вклад результатов исследования в решение актуальных задач практического здравоохранения, импортозамещение и создание новых, усовершенствованных и инновационных лабораторно-диагностических технологий.
The article provides information both on the main research areas of official description of the scientific speciality "Clinical laboratory diagnostics" and on certain of candidate and doctoral dissertations defended during the activity of the D Board 03.15.02 (Republic of Belarus), demonstrating the main areas of dissertation research topics; attention is drawn to the contribution of the research results towards actual issues of practical healthcare, to import substitution and creation of new, improved and innovative, laboratory and diagnostic technologies.
Model Kepemimpinan Kepala Sekolah Dalam Meningkatkan Mutu Pendidikan di SD Program Khusus Paesan Muhammadiyah 02 Bendan Kabupaten Pekalongan
Authors: Rakhmawati Eni 
Published: June 2023

Kepala sekolah sebagai top manager memiliki peran yang strategis dalam meningkatkan mutu pendidikan. Tujuan penelitian ini adalah untuk mengetahui perencanaan, pelaksanaan, pengawasan, mengevaluasi dan mutu pendiikan di SD Program khusus Paesan Muhammadiyah 02 Bendan Kabupaten Pekalongan. Penelitian ini menggunakan metode deskriptif dengan pendekatan kualitatif. Teknik pengumpulan data yang digunakan adalah: wawancara, observasi, dan studi dokumentasi. Subjek penelitian adalah: kepala sekolah, wakil kepala sekolah, dan guru. Hasil penelitian menunjukkan bahwa: (1) model Kepala sekolah dalam meningkatkan kemampuan guru melalui pembinaan kemampuan guru dalam proses pembelajaran (2) Gaya kepemimpinan kepala sekolah dalam meningkatkan mutu pendidikan dengan menerapkan strategi kepemimpinan demokratis. Dalam menghadapi guru-guru, biasanya kepala sekolah sering bertukar pikiran dengan para guru, sehingga menemukan satu cara efektif untuk meningkatkan kinerja mereka dalam pengembangan proses pembelajaran. Guru-guru yang kinerjanya rendah, sikap dan kepribadiannya keras, dengan pendekatan persuasif kepala sekolah menganjurkan agar mereka meningkatkan kinerjanya.(3) Kepala sekolah selalu perpedoman pada visi dan misi sekolah. Dari visi dan misi tersebut kepala sekolah merencanakan dan mengadakan program – program yang inovatif seperti praktek pembelajaran langsung ke mitra SD dan program tahfidz Al Quran, terbukti program ini banyak menarik minat orang tua untuk menyekolahkan anaknya di sekolah ini karena banyak orang tua yang berharap dengan program ini anaknya akan pandai dalam hal keagamaan yang dirasa sangat dibutuhkan pada zaman sekarang.Kepala sekolah dalam rangka meningkatkan mutu pendidikan selalu bersikap demokratis karena dengan kepemimpinan demokratis guru merasa dirinya tidak dibuat seperti buruh yang hanya diperintah oleh atasan. Dalam melaksanakan peran kepemimpinannya, para pemimpin yang demokratis percaya bahwa orang cenderung lebih senang diarahkan, menjadi pekerja yang ditentukan prosedurnya dan pemecahan masalahnya daripada harus memikul sendiri tanggung jawab di atas segala tindakan dan keputusan yang diambil.
Language learning strategies used by Indonesian pharmacy students beyond the classroom
Authors: Noprival Noprival , Alfian Alfian , Soma Robi , Rozelin Diana , Mahir Muttaqin Wildan 
Published: June 2023

Although many scholars have conducted studies on Language Learning Strategies (LLS) around the world, this issue is still new in the context of English for Medical Purposes (EMP), especially as used by Indonesian pharmacy students. Further, a majority of those previous studies have been conducted using exclusively quantitative research. In response to these empirical and methodological gaps, the current research adopts a qualitative case study to examine the LLS used by Indonesian pharmacy students, as guided by Oxford’s (1990) LLS theory. This study utilized in-depth interviews to gather information from participants. The thematic analysis of the semi-structured interviews presented five major strategies used by learners: engaging in social interaction, enriching their vocabulary, using web based language learning, practicing through online platforms, and employing fun learning. Findings demonstrate that most of their learning strategies involve employing online platforms.
Inovasi Pembelajaran Kosakata (Mufradat) Bahasa Arab Berbasis Al-Quran
Authors: Rusdi Rusdi 
Published: June 2023

Inovasi memahami kosakata (mufradat) bahasa Arab sekaligus juga mufradat Al-Quran merupaka bukti ummat Islam meyakini kebenaran al-Quran dan mengimaninya, hal ini sejalan dengan fungsi al-Quran diturunkan yaitu sebagai Hudan (petunjuk), asy-Syifa (pengobat hati ), al-Burhan ( bukti kebenaran ), adz-Zdikra ( pengingat), al-Bayan ( penjelas), dan al-Mau’izhoh ( pelajaran) . Fungsi-fungsi tersebut dapat tercapai apabila bahasa al-Quran dapat dipahami, khusunya kosakata (mufradat) secara langsung dari bahasa al-Quran itu sendiri. Komunikasi manusia baik berupa tulisan maupun lisan yang dibangun oleh penggunaan kosakata (mufradat) yang tepat dan memadai serta kaya akan bentuk dan maknanya akan memberikan prestise tertentu bagi penggunanya. Oleh karena itu, inovasi pembelajaran kosakata (mufradat) sebagai bagian dari pembelajaran bahasa dapat dijadikan salah satu faktor pendukung untuk memperoleh kemahiran berbahasa (المهارات اللغوية). dan unsur bahasa itu sendiri (العناصر اللغوية).
PERANCANGAN UI/UX APLIKASI FORUM DISKUSI INFORMATIKA BERBASIS WEB MENGGUNAKAN METODE DESIGN THINKING
Authors: Ronny Julians Adhe , Sediyono Eko , Hendry Hendry 
Published: June 2023

Pandemi Covid 19, membawa dampak yang signifikan terhadap dunia pendidikan, Fakultas Teknologi Informasi Universitas Kristen Satya Wacana (FTI UKSW) adalah salah satu fakultas yang tentunya juga merasakan dampak tersebut. Salah satu dampak yang paling dirasakan adalah proses belajar mengajar, maupun diskusi antara mahasiswa, dosen, serta alumni yang harus dilakukan secara online, walaupun saat ini diskusi secara langsung “Onsite” sudah mulai dilakukan namun sistem diskusi online, masih menjadi alternatif yang dianggap efisien. Berkaitan dengan hal tersebut maka peneliti akan membuat suatu perancangan user interface (UI) dan user experience (UX) Aplikasi Forum Diskusi Informatika berbasis web sebagai media dalam memberikan kemudahan dalam berbagi ilmu dan pengetahuan terkhusus informatika. Metode yang digunakan untuk mendukung penelitian adalah Design Thinking. Hasil penelitian mendapatkan rata-rata nilai akhir Perancangan UI/UX Aplikasi Forum Diskusi Informatika Menggunakan Metode Design Thinking yaitu 83 sehingga pengujian prototype ini diperoleh baik.
Pengaruh Konsumsi Air Kelapa Hijau dalam Penurunan Intensitas Dismenore di Sumatera Selatan
Authors: Sumantri  , Kurnia Sari  
Published: June 2023

ABSTRACTBackground: Dysmenorrhea in adolescents usually occurs due to very high prostaglandin hormones on the first day of menstruation. Dysmenorrhea affects productivity such as disruption of learning activities causing a lack of focus in lessons and can even increase absenteeism from school. One effort that can be done to relieve dysmenorrhea is non-pharmacological therapy of green coconut water. Green coconut water contains vitamins and minerals that can stimulate the body to stabilize the prostaglandin hormone so that dysmenorrhea pain decreases.Research Objectives: This study aims to determine the effect of consuming green coconut water (Cocos Nucifera Linn Var. Viridis) on reducing the intensity of dysmenorrhea in young women in Sungai Pinang 1 Village, Ogan Ilir District, South Sumatra.Research Methods: The type of research used is a quantitative research with a quasi-experimental design with a one group pretest and posttest serial design. Total sampling data collection technique obtained. The data analysis used non-parametric statistics because the data were not normally distributed, the Wilcoxon test was used with a significant level of 0.05.
Results: there was a decrease in the intensity of pain response before treatment pain score 128 with a mean score of 4.74 (moderate pain) after treatment I, II and III there was a decrease in pain score 72 with a mean score of 2.77 (mild pain). Green coconut water has a significant effect on reducing the intensity of dysmenorrhea with a significant level of p 0.000 Z score -4.633 (Z score table = 107).Conclusion: There is a significant effect on reducing the intensity of dysmenorrhea after consuming green coconut water in young women in Sungai Pinang 1 Village, Ogan Ilir District.Keywords: Green coconut water, dysmenorrhea, pain intensity