bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preparing Future Doctors for Palliative and End of Life Care in Kenya: Cross-sectional Survey
Authors: Mungara David , Too Wesley 
Published: March 2023

Purpose: The main aim of this study was to assess how prepared are Kenyan doctors in delivering palliative and end of life care to chronic and life-threatening conditions.
Methodology: Cross-sectional survey was used to assess doctor’s palliative and end of life practices. Multi-center (three-mission referral and teaching hospitals in Kenya): Tenwek, Kijabe, and Chogoria were used to collect data from 96 medical practioners. Medical doctors with at least 6 months managing patients with chronic conditions (cancer, HIV/AIDS and other life-threatening conditions) were recruited into the study. The quantitative data was analysed using an independent t-test. All ethical considerations were addressed.
Findings: Majority of doctors interviewed were generalists who had managed chronic diseases. Majority had basic concepts of palliative care and end of life care. Those who had received prior training in palliative care were better in performance’s score on knowledge questions regarding palliative care and end of life. Medical doctors were knowledgeable on psychological distress and opioids effects domains as compared to delirium and dyspnea domains. Among those who were knowledgeable in palliative care and end of life care were doctors trained outside Kenya, those who were senior with more experiences (>10 years), over 40 years and had further training after their undergraduate
Unique Contribution to Theory, Practice and Policy: This study seeks to develop training tailored to Kenyan doctors and Physicians on end-of-life care practices in selected counties then roll-out to the rest of the counties in the country in collaboration with Ministry of Health Kenya and also provide opportunities for doctors to develop palliative and end-of-life care skills especially for resident and junior doctors. This study will also form basis for policy development on palliative and end-of-life care practices in Kenya, which currently is non-existent. End-of-life care Policy would aid in clinical application of good practices surrounding palliative and end-of-life care which should be implemented in Kenya. This study advocates inclusion of end-of-life care training modules in a standardized curriculum for undergraduate as part of training and preparing future Kenyan doctors. Further, this study can be considered as current Physician’s approach to end-of-life care practices in Kenya which then can be a basis to develop guidelines and standards addressing end-of-life which is fraught with ethical and medical dilemmas carried by healthcare professionals.
Edukasi dan Pelatihan Deteksi Dini Stroke Metode Fast Pada Lansia di Puskesmas Andalas
Authors: Vani Ade Teti , Dewi Nadia , Triansyah Irwan , Abdullah Dessy , Amelia Rinita 
Published: March 2023

Stroke attacks occur suddenly and unpredictably, so the FAST method is very helpful in reducing the number of pain and death due to stroke. The advantage of the FAST method in early detection is that it can be done independently at various times, with the best time in the morning. Education and training in the form of counseling and workshops are given to the elderly of the Andalas Health Center, which aims to provide knowledge about stroke and train fast method skills so that the elderly can make early detection of stroke. Counseling method using power points and leaflets given to the elderly. When the counseling was carried out, participants were immediately given practical material on the FAST method. The assessment of the scoring workshop is used to see the knowledge and improvement of the skills of the elderly on the material presented. The results of the scoring assessment were obtained by the elderly of the Andalas Health Center to get the skills of the FAST method perfectly.
Penyuluhan Cara Mencegah Obesitas Pada Remaja dengan Pola Makan Yang Sehat
Authors: Dianah Rosyda , Andari Endah Ayu , Elvira Anjani Putri  , Cahya Chita Dwinanti  , Nafisah Diassyifa Naqwa 
Published: March 2023

Indonesian teenagers are currently facing nutritional problems, one of it is obesity that will be serious problem because it will continue into adult. The long-term effects of obesity are respiratory problems, joint disorders and increases risk of degenerative diseases (hypertension, diabetes mellitus, heart disease). One of the causes of obesity in teenagers is wrong eating habits, including preferring junk food, packaged food and drinks, and lack consumption of fruit and vegetables. The aim of this activity is provides education about the importance of implementing a healthy diet to prevent obesity among teenagers. This counseling is carried out by lecturers and students of the Food Service and Nutrition Industry Management, IPB Vocational School, online via zoom, attended by 1 teacher and 47 students at SMP PGRI 5 Bogor. The stages of the activity are filling out the pre-test, presenting the material, implementing games, filling out the post-test. The results of the counseling show that the post-test results have increased compared to the pre-test results of 7.3% so it can be concluded that there has been an increase in the cognitive of the counseling participants about implementing a healthy diet to prevent obesity and is expected to help reduce the incidence of obesity with providing an interesting knowledge about obesity in an interesting and clear way to resolve that problem, how to deal with obesity properly and correctly, and how to live with healthy diet and healthy lifestyle.
Edukasi Penggunaan Bahan Tambahan Pangan untuk Menjamin Keamanan Pangan Olahan KWT Harapan Jaya Bandar Lampung
Authors: Wirawati Chandra Utami , Kurniawan Henry , Noer Irmayani , Nuryanti Ni Siluh Putu , Kalsum Nurbani 
Published: March 2023

Food additives application in food processing should be a conscious matter by either producers or consumers due to food additives excessive and misuses that will give negative impact on human well-being. Farmer Women Group (FWG) Harapan Jaya Rajabasa is one of small and medium enterprises (SMEs) engaged in beverage processing, especially soy milk and herbal ginger drinks. These product marketing was still limited to local area, nevertheless consumer demands and auction for both products were quite effective for family additional income and support family food security. Food additives awareness to the member of Harapan Jaya FWG in food processing become an important factor in production process sustainability not only to improve the product selling but also as an assurance in food safety for their own family members that consumed the product. The method used is counseling and demonstration followed by evaluation. The activity was attended by 22 FWG members. The activity was preceded by brain storming the FWG members awareness on food additives application in food products. Most of the KWT members (more than 84%) have not notice for the regulation, type of food additives, dosage and how to applied food additives in food product. The evaluation results showed that FWG’s member awareness and good practice in food additives regulation, type and dosage, and method to applied had increased.
Promoción de la lectura en comunidades sordas de México durante la Pandemia de Covid-19
Authors: Martínez Roldán Rosa Lyn , Jarvio Fernández Antonia Olivia 
Published: March 2023

La promoción de la lectura en grupos con discapacidad es escasa, en especial cuando se refiere a las comunidades Sordas, cuyas lenguas naturales son las lenguas de señas. Estas comunidades enfrentan retos derivados de la falta de políticas públicas y por el sistema de educación hegemónico que por siglos los ha invisibilizado; uno de los retos es el aprendizaje del español escrito y, por ende, la lectura. En este artículo se presenta el desarrollo de un proyecto bajo el modelo metodológico investigación acción. Se promovió la lectura de textos literarios en un grupo de comunidades Sordas de México a través de un taller de literatura desarrollado en Lengua de Señas Mexicana (LSM) bajo una metodología bilingüe-bicultural, de literatura Sorda escrita o señada. Los objetivos fueron promover el derecho a la lectura, impulsar el pensamiento crítico en torno a la importancia de leer y de las problemáticas estructurales de los grupos vulnerables, y animar a la creación literaria como medio de introspección. Los resultados se analizaron siguiendo la Teoría de la Literacidad Crítica (Cassany, 2006), la Teoría Transaccional de la Lectura (Rosenblatt, 1996) y de la biblioterapia y escritura terapéutica. Se encontró que la lectura es un medio de socialización, no individual ni solitario que cobra sentido al compartirse con otros; se identificaron contrastes entre comunidades sordas centralizadas y periféricas, que podrían ser el resultado de años de segregación política, cultural, educativa y lingüística.
Homoeopathy in Treatment of Gastro Intestinal Disorders - A Retrospective Study
Authors: Sitharthan R. 
Published: March 2023

Introduction: Acid peptic disorder (APD) is a condition which includes peptic ulcer and gastro esophageal reflux disease (GERD). The highest prevalence rate of gastric disorders had been found out between ages 45-50. Dyspepsia is a term used for reduced digestion or indigestion. GERD is referred to as condition where there is regurgitation of stomach contents to the esophagus. Around 58.7% of peoples are having acid regurgitation or heart burn yearly once and 19.8% weekly once. Worldwide functional gastrointestinal disorder are commonest now a days, Irritable Bowel Syndrome (IBS) is also one among them having frequent pain abdomen and altered bowel habits without any structural gut abnormalities. Homoeopathy is a system which is based on individualization, and has principles of “Like cures like” and law of nature.
Materials and methods: A retrospective study had been conducted with those patients who had attended the gastroenterology OPD of NHRIMH, Kottayam, Kerala, for a period of 1 year (from January 2022 to December 2022). Data had been collected from the case records and it had been found that around 899 patients had visited for the symptoms like nausea, vomiting, abdominal pain, altered bowel movements (diarrhea and constipation), bleeding per rectum, dysuria and hesitancy in urination,etc for the past 1 year. Aim of the study is to find out the most frequent age group, diseases affected and to know the frequently indicated remedies in treating gastroenterology disorders.
Results: 899 patients visited in the defined period with a highest number of patients (212) were from
the age group of 51-60, female patients were more than male patients, 758 old patients and 141 new patients. 214 pateints had diagnosed as gastritis which is the highest frequency noted. The most frequently indicated remedies were Nuxvomica in 161 patients and Suphur in 118 patients.
Conclusion:It is concluded from the study that gastritis is the most common condition among patients visiting the above OPD in the defined period and Nux vomica, Sulphur and Lycopodium were the most common indicated and prescribed remedies.
Natural gas supply from Russia derived from daily pipeline flow data and potential solutions for filling a shortage of Russian supply in the European Union (EU)
Authors: Zhou Chuanlong , Zhu Biqing , Davis Steven J. , Liu Zhu , Halff Antoine , Arous Simon Ben , de Almeida Rodrigues Hugo , Ciais Philippe 
Published: March 2023

Abstract. Russia is the largest natural gas supplier to the European
Union (EU). The
invasion of Ukraine was followed by a cutoff of gas supplies from Russia to
many EU countries, and the EU is planning to ban or drastically reduce its
dependence on Russia. We provide a dataset of daily gas consumption in five
sectors (household and public building heating, power, industry, and other
sectors) with supply source shares in the EU27 (27 EU member countries) and UK from 2016 to 2022. The datasets are available at Zenodo platform: https://doi.org/10.5281/zenodo.7549233 (Zhou et al., 2022).
The dataset separates the contributions of Russian imports, liquefied
natural gas (LNG) imports, and other supply sources to both direct supply
and storage supply for gas consumption estimations. The dataset was
developed with a gas network flow simulation model based on mass flow
balance by combining data from multiple datasets including daily ENTSOG (European Network of Transmission System Operators for Gas)
pipeline gas transport and storage, ENTSOE (European Network of Transmission System Operators for Electricity) daily power production from
gas, and Eurostat monthly gas consumption statistics per sector. The annual
consumption data were validated against the BP Statistical Review of World
Energy and Eurostat datasets. We secondly analyzed the share of gas supplied
by Russia in each country to quantify the “gap” that would result from a
cessation of all Russian exports to Europe. Thirdly, we collected multiple
data sources to assess how national gaps could be alleviated by (1) reducing
the demand for heating in a plausible way using the lower envelope of gas
empirical consumption – temperature functions, (2) increasing power
generation from sources other than gas, (3) transferring gas savings from
countries with surplus to those with deficits, and (4) increasing imports
from other countries like Norway, the USA, Australia, and northern African
countries from either pipelines or LNG imports, accounting for existing
capacities. Our results indicate that it should be theoretically possible
for the EU to collectively make up for a sudden shortfall of Russian gas by
combining the four solutions together, provided a perfect collaboration
between EU countries and the UK to redistribute gas from countries with
surplus to those with deficits. Further analyses are required to investigate
the implications with respect to the costs, including social, economic, and institutional
dimensions; political barriers; and negative impacts on climate policies,
with inevitable increases in CO2 emissions if the use of coal is ramped up
in the power sector.
Seasonal prediction of end-of-dry season watershed behavior in a highly interconnected alluvial watershed, northern California
Authors: Kouba Claire Marie , Harter Thomas 
Published: March 2023

Abstract. In undammed watersheds in Mediterranean climates, the timing and abruptness of the transition from the dry season to the wet season have major implications for aquatic ecosystems. Of particular concern in many coastal areas is whether this transition can provide sufficient flows at the right time to allow passage for spawning anadromous fish, which is determined by dry season baseflow rates and the timing of the onset of the rainy season. In (semi-) ephemeral watershed systems, these functional flows also dictate the timing of full reconnection of the stream system. In this study, we propose methods to predict, approximately five months in advance, two key hydrologic metrics in the undammed rural Scott River watershed (HUC8 18010208) in northern California. Both metrics are intended to quantify the transition from the dry to the wet season, to characterize the severity of a dry year and support seasonal adaptive management. The first metric is the minimum 30-day dry season baseflow volume, Vmin, 30 days, which occurs at the end of the dry season (September–October) in this Mediterranean climate. The second metric is the cumulative precipitation, starting Sept. 1st, necessary to bring the watershed to a "full" or "spilling" condition (i.e. initiate the onset of wet season storm- or baseflows) after the end of the dry season, referred to here as Pspill. As potential predictors of these two values, we assess maximum snowpack, cumulative precipitation, the timing of the snowpack and precipitation, spring groundwater levels, spring river flows, reference ET, and a subset of these metrics from the previous water year. We find that, though many of these predictors are correlated with the two metrics of interest, of the predictors considered here, the best prediction for both metrics is a linear combination of the maximum snowpack water content and total October–April precipitation. These two linear models could reproduce historic values of Vmin, 30 days and Pspill with an average model error (RMSE) of 1.4 Mm3 / 30 days (19.4 cfs) and 20.7 mm (0.8 inches), respectively. Although these predictive indices could be used by governance entities to support local water management, careful consideration of baseline conditions used as a basis for prediction is necessary.
Ocean bottom seismometer (OBS) noise reduction from horizontal and vertical components using harmonic–percussive separation algorithms
Authors: Zali Zahra , Rein Theresa , Krüger Frank , Ohrnberger Matthias , Scherbaum Frank 
Published: March 2023

Abstract. Records from ocean bottom seismometers (OBSs) are highly contaminated by
noise, which is much stronger compared to data from most land stations,
especially on the horizontal components. As a consequence, the high energy
of the oceanic noise at frequencies below 1 Hz considerably complicates the
analysis of the teleseismic earthquake signals recorded by OBSs. Previous studies suggested different approaches to remove low-frequency
noises from OBS recordings but mainly focused on the vertical component.
The records of horizontal components, which are crucial for the application of many
methods in passive seismological analysis of body and surface waves, could
not be much improved in the teleseismic frequency band. Here we introduce a
noise reduction method, which is derived from the harmonic–percussive
separation algorithms used in Zali et al. (2021), in order to separate
long-lasting narrowband signals from broadband transients in the OBS signal.
This leads to significant noise reduction of OBS records on both the
vertical and horizontal components and increases the earthquake
signal-to-noise ratio (SNR) without distortion of the broadband earthquake
waveforms. This is demonstrated through tests with synthetic data. Both SNR
and cross-correlation coefficients showed significant improvements for
different realistic noise realizations. The application of denoised signals
in surface wave analysis and receiver functions is discussed through tests
with synthetic and real data.
PROBLEMS AND DIFFICULTIES ENCOUNTERED BY STUDENT TEACHERS OF PHILIPPINE NORMAL UNIVERSITY ISABELA CAMPUS
Authors: N. Ganal Nicette , Joy F. Andaya Olive , R. Guiab Marissa 
Published: March 2023

The research employed the descriptive-survey to gather and analyze the problems and difficulties the 100 BEEd and BSEd students encountered during practice teaching. The data were collected during the school year 2008-2009. No sampling procedure was done because all student teachers were included as participants. The instrument used to gather data was questionnaire on problems and difficulties students encountered during practice teaching. This relates to personal problems, teacher’s preparation problems, class participation problems, class management problems, instructional problems, problems on evaluation, emotional problems, and problems in adjusting to pupils/students. To arrive at the correct analysis and interpretation of data, frequency, percentage and rank were used.
Findings disclosed that the problems and difficulties encountered relate to homesickness, financial adjustment, learners, classroom management, communication skills, instructional skills, instructional materials and evaluation tools preparation and analysis of test results, different feelings and emotions, and on adjustment to the cooperating school as a whole.
PROFESSIONAL ETHICS AND ITS IMPROTANCE IN EDUCATION
Authors: MA Ene Kotkas, , Rannula, BA Kateriina , Titma Tiina , Puura, MA Kristiina , Kopti, RN Marina , Sokolova Diana , MA Kairi Lenk, 
Published: March 2023

Background: Today`s fast-changing world and developments in health care system have indirect or direct effects on communication ethics. More and more unethical situations are faced by health care workers in their professional work. Thus, it is important to address the ethical aspects more seriously already in the learning environment.
Objective: To describe the students` opinions on learning professional ethics.
Methods: The methodology combines theoretical and empirical parts, semistructured interviews conducted with 47 students were analysed.
Results: All respondents emphasized the importance of learning professional ethics to cope with unethical situations in practice. Students prefer integration of ethics across speciality courses.
Conclusions: Ethical aspects should be more integrated into speciality studies and ethics simulations should be used as teaching methods.
The Practical Education of Poetry: Discovering Pain and Therapeutic Effects in Shelley's “Mutability” and Keats's “Ode on Melancholy”
Authors: Yu Jie-Ae 
Published: March 2023

Abstract
This article discusses the ways in which the practical benefit of poetry, as a source of healing power to reduce distress, is enhanced through incorporating a detailed analysis of literary texts and their sources that relate to the author's depiction of the human predicament and suggestions for liberation from it. This article focuses on two Romantic poems as case studies, Percy Bysshe Shelley's “Mutability” (1816) and John Keats's “Ode on Melancholy” (1820), to highlight an effective way of inspiring students to recognize the poets’ representations of anxiety and their poems’ therapeutic effects. By pointing out the limitations of recent studies promoting the curative power of poetry, the article examines precise literary aspects of the two works, which facilitate the relief from inner affliction for readers as they discuss in detail the concept of affliction in its association with the realities of instability and depression. It suggests a method of providing poetry education that reveals the paradox of suffering and self-remedy and thereby reinforces comprehension.
Material Metaphor and Reflexivity in Contemporary Painting: A Practice-based Investigation
Authors: Sarkar Asmita , Blaney Aileen 
Published: March 2023

Abstract
Contemporary painting is a complex practice, and artists regularly incorporate elements from different media such as photography, textile, and performance. Despite its status being diminished by different conceptual art movements, painting still has a critically important place in the artworld. This importance is largely due to painting's ability to stretch across media and make a direct appeal to the senses. In this article, an attempt is made to theorize the facility of painting to incorporate different media and its resulting reflexivity. Maurice Merleau-Ponty's theory of embodiment and phenomenological theory of metaphor provide the theoretical means to articulate reflexivity in painting. Curatorial writing about contemporary painting and case studies of young painters from India form a backdrop for the analysis of examples from the painting practice of one of the authors to demonstrate the material dynamism of painting. It is shown that this reflexivity is intimately related to the sensuous texture of materials used in the creation of the paintings under discussion. The first-person narrative of artistic process and production provides insight into the embodied process of making and manipulating media and evidence that painters can create new insights about the ontology of painting.