bluuebunny/crossref_metadata_2025_split huggingface dataset:
The diagnostic upper GI endoscopy camp: a pilot for enhancing service provision and training in eastern Uganda
Authors: Doe Matthew , Bua Emmanuel , Bisso Fred , Olupot-Olupot Peter 
Published: August 2022

Background: Upper gastrointestinal (UGI) symptoms are common in East Africa but there is limited diagnostic endoscopy availability. Surgical camps are a recognised method of providing intensive service provision and training. We describe a novel application of the camp model for diagnostic UGI endoscopy in eastern Uganda.
Methods: A 7-day camp took place in an existing endoscopy department of Mbale Regional Referral Hospital. Patients with symptoms warranting investigation were invited for free diagnostic UGI endoscopy, biopsy and H.pylori testing.
Results: 148 patients underwent endoscopy. 47 were deemed to have significant pathology, 7 with malignancy. 61% had H.Pylori. A resident surgeon was trained and performed 55 supervised unassisted procedures.
Conclusion: Our pilot has illustrated that camps are a safe and efficient way of providing intense endoscopy service and training in an established department. Camps can be utilised for scaling up much needed endoscopy services and training in low- and middle-income countries.
Keywords: Gastrointestinal endoscopy; Helicobacter pylori; esophageal neoplasms.
A five-year retrospective review of the maternal and feotal outcome of obstructed labour and its determinants in a tertiary hospital in Nigeria
Authors: C Anikwe Chidebe , C Ikeoha Cyril , O Ogah Christian , A Kalu Collins , H Anikwe Ifeyinwa 
Published: August 2022

Background: Obstructed labour is one of the common obstetric emergencies in Nigeria which is associated with an increased maternal and foetal complications.
Objective: To determine the maternal and foetal outcome of obstructed labour and its determinants in a tertiary hospital in Ebonyi State University Teaching hospital Abakaliki
Methods: A retrospective review of all women with obstructed labour managed at Ebonyi State University Teaching hospital Abakaliki between January 2007 and December 2011 was carried out.
Results: The prevalence rate of obstructed labour was 3.4% (95%CI 3.37 – 3.42) for the period under review. Women in their second and third decade of life formed 91.6% (196/214) of patients in the study. Majority of obstructed labour occurred in primiparous women (92/214, 42.9%) and the commonest cause of obstructed labour was cephalopelvic disproportion (106/214, 49.6%). The commonest maternal complication was wound infection accounting for 23.2% (48/214) of all the complications. Most of the babies delivered had a good Apgar score as was noted in 60.3% (129/214) of cases. Being unbooked, para 3 and above, maternal age of 30 and above, having no formal education and rural residence were strongly associated with parturient having maternal complication (P > 0.05) and abnormal APGAR score. The maternal and perinatal mortality rate was 191/100,000 live births and 168/1000 deliveries respectively.
Conclusion: The commonest cause of obstructed labour in our review is cephalopelvic disproportion occurring more in primiparous women. Wound infection is the commonest maternal complication with majority of the neonates having a good outcome. Provision of free antenatal care services, education of women on the importance of antenatal care, early presentation in the hospital and early use of broad spectrum antibiotics would help to reduce the associated complications.
Keywords: Obstructed labour; cephalopelvic disproportion; antenatal care; sepsis; haemorrhage; uterine rupture; Abakaliki.
Prevalence and associated risk factors of low back pain among users of a primary health care clinic serving semi-urban and rural settlements in KwaZulu-Natal, South Africa
Authors: Khumalo Khanyisile , Haffejee Firoza 
Published: August 2022

Background: Low back pain (LBP) is one of the most frequent musculoskeletal conditions and a common work-related health problem. In South Africa, people from lower socio-economic strata are involved in physical labour and also have unequal access to health services. There is minimal data on the prevalence of LBP in these communities. This study determined the prevalence and associated risk factors of LBP among public sector health care users in a semi-urban/rural area of KwaZulu-Natal, South Africa.
Methods: The study was conducted at a primary health care clinic in the Umdoni municipality, KwaZulu-Natal, South Africa. Convenience sequential sampling was used. An interviewer-administered questionnaire was utilized due to literacy constraints. Participants (n=400) answered the questionnaire in either English or isiZulu.
Results: The lifetime prevalence of LBP was 79.3%. Female gender and lifting heavy objects were associated with LBP. The direct impact of LBP was faced in the work place resulting in absenteeism, often followed by unemployment.
Conclusion: In this setting, where the prevalence of LBP was high, specialized treatments for LBP were not available at the primary health care facility. Incorporation of such treatments will be useful, for people in lower socio-economic strata, to overcome the burden of LBP.
Keyword: Low back pain; musculo-skeletal disorder; South Africa.
An evaluation of a peer supervision pilot project among community health workers in rural Uganda
Authors: Nakibaala Grace , Watsemba Agnes , Ssali Brian , Namugera Frank , Katushabe Phionah , Carleen Maggie , Christiansen Molly , Chambert Emilie 
Published: August 2022

Background: Living Goods operates a Community Health Worker (CHW) program in 19 districts of Uganda, where CHWs are supervised by full time Community Health Supervisors. This model is effective, but expensive. Evidence indicates that peer supervision can be a substitute and cheaper model for CHW supervision. We describe our experience and outcomes while implementing peer supervision among CHWs in Mayuge district
Objectives: 1. To compare health services delivery outcomes between the two supervision models. 2. To compare costs of the two supervision models..
Methods: Internal organizational records from January to December 2019 were reviewed. Focus group discussions and indepth interviews with participating CHWs were also conducted. Qualitative analysis was performed using thematic content analysis. Quantitative data was summarized to generate averages, percentages and graphs.
Findings: CHWs under the peer supervision performed better than those under standard supervision against all key performance indicators. The total cost to maintain the peer supervision model for 1 year was USD $176 per CHW versus USD $273 among CHWs under the standard supervision model. Peer supervision thus resulted in overall cost savings of 36%. There was lower attrition among CHWs under peer supervision compared to standard supervision (10% versus 17%).
Conclusions: Peer supervision is a feasible and more affordable model of supervising CHWs.
Keywords: Community health workers; peer supervision; supervision; Uganda.
Knowledge and attitude to dental implant placement amongst a group of Nigerian dentists
Authors: Enabulele Joan , Omo Julie , Ibhawoh Louis 
Published: August 2022

Background: The perceptions and experiences of dentists from different specialties on the use of dental implant and its applications can be instrumental in its use exhaustively.
Objectives: To determine the opinions and experiences of a population of Nigerian dentists towards dental implant.
Methods: Data for the study were collated using a self-administered questionnaire. The questionnaire assessed the familiarity of the participants with various implant systems, their designs, sizes and loading as well as the provision of replacement for missing teeth.
Result: The estimated functional life of an implant was reported to be less than 5 years by 2.5% of the respondents; 5 to 10 years by 11.3% of the respondents; 10 to 20 years by 26.3% and more than 20 years by 28.7% of the respondents while 31.3% had no idea about the estimated functional life of an implant. Exposure and experience with dental implants were low as only 30.0% of the respondents had attended any dental implant course/training with 95.0% of the respondents expressing the opinion that they did not have enough training in dental implantology.
Conclusion: The exposure and experience with dental implants was low among the respondents.
Keywords: Dental implant; Dentist; Knowledge.
Pattern of chest computerized tomography scan findings in symptomatic RT-PCR positive Covid-19 patients at the Korle Bu Teaching Hospital, Ghana
Authors: Dzefi-Tettey Klenam , Kobina Mesi Edzie Emmanuel , Narteh Gorleku Philip , Kwakye Brakohiapa Edmund , Acheampong Franklin , Raman Asemah Abdul , Kusodzi Henry , Sumbawiera Saaka Patience , Andam Idun Ewurama , Tutu Amankwa Adu 
Published: August 2022

Background: Chest Computerized Tomography (CT) features of Corona Virus Disease 2019 (COVID-19) pneumonia are nonspecific, variable and sensitive in detecting early lung disease. Hence its usefulness in triaging in resource-limited regions.
Objectives: To assess the pattern of chest CT scan findings of symptomatic COVID-19 patients confirmed by a positive RTPCR in Ghana.
Methods: This study retrospectively reviewed chest CT images of 145 symptomatic RT-PCR positive COVID-19 patients examined at the Radiology Department of the Korle Bu Teaching Hospital (KBTH) from 8th April to 30th November 2020. Chi-Squared test was used to determine associations among variables. Statistical significance was specified at p≤0.05.
Results: Males represent 73(50.3%). The mean age was 54.15±18.09 years. The age range was 5 months-90 years. Consolidation 88(60.7%), ground glass opacities (GGO) 78(53.8%) and crazy paving 43(29.7%) were the most predominant features. These features were most frequent in the elderly (≥65years). Posterobasal, peripheral and multilobe disease were found bilaterally. The most common comorbidities were hypertension 72(49.7%) and diabetes mellitus 42(29.2%) which had significant association with lobar involvement above 50%.
Conclusion: The most predominant Chest CT scan features of COVID-19 pneumonia were GGO, consolidation with air bronchograms, crazy paving, and bilateral multilobe lung disease in peripheral and posterior basal distribution.
Keywords: Computerized Tomography Scan; COVID-19 Pneumonia; Ghana.
Bibliometric analysis of the African Health Sciences’ research indexed in Web of Science and Scopus
Authors: Hussein Musa Taha , Kawuki Joseph , Hussein Musa Hassan 
Published: August 2022

Background: The Journal of African Health Sciences (AHS) is an internationally refereed journal in the field of health sciences with vast research contributions in the world and Africa region.
Objective: The study aimed to document the scientific production and explore the AHS research bibliometric characteristics since its first issue.
Methods: A comprehensive retrospective bibliometric analysis was performed on AHS published documents indexed in Web of Science (WoS) and Scopus since the journal’s first issue. The analysis was done using SPSS v. 22.0, Bibliometrix Package in R, and VOSviewer v.1.6.15.
Results: A total of 1649 and 1879 documents indexed in Web of Science (WoS) and Scopus were retrieved. The annual number of publications showed a significant increase in both databases. The most contributing countries (in WoS vs. Scopus) were; Nigeria (n = 393 vs. 276), Uganda (215 vs. 220) and South Africa (143 vs. 101). The most productive authors were “Tumwine JK’’, “Mayanja-Kizza H”, and “Ocama P”. Makerere University, The University of Ibadan, and University of Nigeria were the most contributive institutions. International agencies mainly from the USA were the main funders of AHS documents. Analysis of keywords revealed the dominance of research topics with keywords such as HIV/AIDS, Tuberculosis, Malaria, Obesity, Hypertension, risk factors, infection, mortality, amongst others.
Conclusions: This analysis has revealed the progress in the development and growth of scientific research from AHS. Moreover, top-cited documents-analysis has reflected its focus on health issues relevant to Africa. This analysis would help in evidence-based descriptions of AHS research output.
Keyword: Bibliometric analysis; African Health Sciences; VOSviewer; Publication progress.
COVID-19 Pandemic and its Implication for Nutritional Status of Children in Nigeria: A Call for Transformation to a Sustainable Food System
Authors: Omuemu V.O. 
Published: August 2022

Background: Nigeria contributes the highest burden of childhood malnutrition in sub-Saharan Africa and this has been worsened by the COVID-19 pandemic. Food system unsustainability has been shown to be the main driver for continued food insecurity and subsequent malnutrition. This paper discusses key issues pertaining to child nutritional status in Nigeria within the context of the COVID-19 pandemic and highlights the importance of adopting a sustainable food system framework that ensures food and nutrition security for all including children.Discussion: The COVID-19 pandemic has exposed the weaknesses in the food system, in addition to those already caused by other factors such as conflicts, climate change, demographic and economic factors, amongst others. Food systems, through diets, give rise to nutrition and health outcomes as well as those related to the dimensions of sustainability (environmental, economic, and social). The complex nature of the food system and its interactions with food and nutrition security requires adoption and practice of more effective food policy framework that embraces four critical policy shifts that support all dimensions of food security and transformation pathways which address the negative impacts of the drivers of food security.Conclusion: The need for the government to adopt a sustainable, resilient, and efficient food policy that appreciates the complexity of food systems drivers and outcomes cannot be overemphasized. This is essential for upholding the right to adequate food as well as ending hunger, and malnutrition in all its forms for all children.
Behavioural Responses to the COVID-19 Pandemic among Nigerians: A Nationwide Survey
Authors: Jimoh A.O. , Jimoh O. , Oyefabi A.M. , Okpataku C.I. , Erin B.E. , Oguntoye M.S. , Adebayo J.M. , Olayinka A.T. 
Published: August 2022

Background: COVID-19 being a new disease has been fraught with poor public social responses. This survey described the behavioural responses to COVID-19 from individuals in a multi-ethnic and multi-cultural society like Nigeria.
Methods: The study used a web-based descriptive cross-sectional design to recruit Nigerian adults, 18 years and above from all the geopolitical zones in the country, by snowball sampling technique. A 6-page Google form survey tool was used to administer the questionnaire via emails, WhatsApp groups and other social media platforms. Data analysis was done using descriptive statistics with percentage frequency distribution.
Results: A total of 1841 respondents (45.8% females) were finally analyzed. The age range was 18-84years with mean of 31±11years. Overall, 1079 (58.6%) expressed at least one element of fear of disclosing their COVID-19 status. There were 1047 (56.7%) respondents who expressed worry about being discriminated against if they get COVD-19 and 1087 (59.1%) agreed that family members of COVID-19 patients may be rejected by the community. Majority 1749 (95%) stated willingness to present to the healthcare facility, though 932 (50.6%) stated they will not be attended to if suspected to have COVID-19. Of the respondents, 794 (43.1%) indicated that COVID-19 was caused by the Chinese and 1202 (65.3%) indicated that healthcare workers should be kept in a hotel separate from the rest of the community. Majority 1679 (91.2%) however, disagreed that COVID- 19 was a death sentence.
Conclusion: The study revealed that there were elements of fear of disclosure, with discrimination and stigmatization being the major causes of concern.
Propuesta de un índice de desarrollo económico local de la Región Centronorte de México
Authors: Castillo Dieguez Roberto Yoan , Rincón García Ma. Benilde 
Published: August 2022

El presente trabajo persigue como objetivo general determinar un índice sintético de desarrollo económico local que permita evaluar el desarrollo económico de los estados de la Región Centronorte de México. Para lo cual fue necesario el uso de técnicas de estadística multivariable para la reducción de un conjunto de indicadores seleccionados a un índice único que explique casi toda la información contenida en los indicadores originales. Además se compara los resultados del índice con la técnica de clasificación conglomerados jerárquicos, análisis de escalamiento multidimensional y luego se hace una evaluación aplicando técnicas de análisis regional.
La aplicación práctica de este trabajo se realizó teniendo en cuenta la información de los estados de la Región Centronorte de México en el periodo 2012-2017 lo cual demostró la factibilidad práctica de este tipo de análisis. Como resultado del análisis se arribó a un conjunto de conclusiones válidas para la utilización de este tipo de técnicas para la evaluación en los estados
COVID-19 TRIGGERED TECHNOLOGY INTEGRATION STRATEGIES FOR ENHANCED STUDENT ENGAGEMENT IN BLENDED LEARNING
Authors: Josua Lukas , Sibanda Timothy 
Published: August 2022

Purpose: This study reflects on three technology integration strategies for enhanced student engagement, namely; keeping the learning social, keeping the learning authentic, and ensuring that the technology adds value to learning.
Methodology: The study employed a student technology profiling survey involving 3rd Year Cell Molecular Biology, Microbiology and Genetics students at the University of Namibia in 2021. The survey used a Google Document whose link was distributed to students through class WhatsApp group. Further, literature is reviewed on student engagement, and blended learning. The data was qualitatively presented using graphs.
Findings: The study revealed that keeping the learning social ensures learning from sociocultural perspectives, and allows for social constructivist methods of learning while the adoption of authentic learning as a pedagogical model can help to better prepare students for professional practice. Teachers can ensure that technology integration adds value by using instructional strategies that stimulate students into engaging with higher-level cognitive skills and differentiated learning. The study found that based on the nature of the course under review, we identified the Flipped Classroom model and the Enriched-Virtual model is most appropriate blended learning modes for full-time students and distance students, respectively.
Unique contribution to theory, practice and policy: It is recommended that higher education institutions should consider redesigning their curriculum policies in order to integrate blended learning in all their courses in order to improve the quality of education, enhance student learning and engagement, as well as overall quality of the university graduates.
Bantuan Belajar Bagi Siswa selama Pembelajaran Daring di Kelurahan Kotabumi Udik LK 01
Authors: CahyaRamadani Rizqa 
Published: August 2022

Covid-19 hit almost all countries around the world. The virus from Wuhan China has also hit the only country of Indonesia. This virus has claimed many lives in Indonesia, and every day the number of Indonesians who are affected by this virus is increasing. So that the government requires large-scale social restriction activities (PSBB) to reduce the number of residents exposed to the corona virus. As a result of the PSBB, many activities were paralyzed and they could not walk as usual. Many employees do not work in their workplaces and have to work from home, some have had low business due to this pandemic, some have had to be laid off and laid off. In addition, the education sector in Indonesia is paralyzed. Schools and universities cannot carry out teaching and learning activities as usual and require teaching and learning online. This article aims to carry out activities to help students from the second grade of elementary school to the sixth grade of elementary school in online learning during the Covid 19 Pandemic in Kotabumi Udik Village.
THE CORRELATION BETWEEN SELF-REGULATED STUDENTS AND READING COMPREHENSION STUDENTS IN NARRATIVE TEXT AT EIGHT GRADE STUDENTS OF MTSN 1 KOTABUMI IN ACADEMIC YEAR 2019/2020
Authors: Shandra Kiranti Nafalail 
Published: August 2022

Membaca adalah salah satu kemampuan yang harus dimiliki semua siswa dalam proses pembelajaran. Siswa dapat memperoleh banyak pengetahuan melalui kegiatan membaca. Namun pada kenyataannya, banyak masalah yang sering dijumpai dalam proses pembelajaran membaca. Misalkan saja, siswa merasa kesulitan saat memahami makna dalam suatu teks karena mereka tidak mengetahui kosa-kata dalam teks bacaan tersebut. Berdasarkan hal tersebut, peneliti melakukan penelitian yang bertujuan untuk mengetahui adakah hubungan yang signifikan terhadap Self-Regulated yang dimiliki siswa dalam memahami suatu teks bacaan. Penelitian ini dilakukan pada siswa tingkat delapan MTSN 1 Kotabumi tahun ajaran 2019/2020. Penelitian interactive correlation ini dilakukan menggunakan descriptive quantitative method. Populasi penelitian ini adalah keseluruhan jumlah siswa tingkat delapan MTSN 1 Kotabumi tahun ajaran 2019/2020 yang berjumlah sebanyak 192 orang. Adapun, sampel diambil melalui teknik proportional random sampling yaitu sebanyak 34 orang. Dalam penelitian ini, untuk mendapatkan data maka peneliti melakukan tes membaca dengan bentuk pilihan ganda sebanyak 25 butir soal dan memberikan hak anget pada siswa sebanyak 21 pernyataan. Kemudian data tersebut dianalisa melalui uji t. Hasil dari uji hipotesis tersebut menujukkan bahwa thitung sebesar 4,717 dan ttabel sebesar 0,684. Hal ini berarti thitung > ttable sehingga diterima dan ditolak. Dengan kata lain dapat disimpulkan bahwa terdapat hubungan yang signifikan terhadap Self Regulated siswa dengan kemampuan siswa dalam memahami suatu teks pada siwa tingkat delapan MTSN 1 Kotabumi tahun ajaran 2019/2020.
Pengaruh Penggunaan Aplikasi Quizizz Terhadap Hasil Belajar Statistika Siswa Kelas VIII di SMP Negeri 3 Kotabumi Lampung Utara Tahun AJaran 2020/2021
Authors: Fenny Selviana Fenny Selviana 
Published: August 2022

Hasil belajar menjadi tolak ukur keberhasilan seseorang. Pemilihan aplikasi pembelajaran yang tepat dapat membuat siswa nyaman dan senang dalam belajar. Tujuan penelitian ini adalah untuk mengetahui adanya pengaruh penggunaan aplikasi quizizz terhadap hasil belajar statistika siswa kelas VIII di SMP Negeri 3 Kotabumi Tahun Ajaran 2020/2021. Populasi yang digunakan pada penelitian ini adalah seluruh siswa kelas VIII di SMP Negeri 3 Kotabumi sebanyak 256 siswa . Sampel yang digunakan kelas VIII G dan VIII H. Metode Penelitian ini menggunakan desain Nonequivalen Control Group Design. Untuk mengetahui penggaruh penggunaan aplikasi quizizz terhadap hasil belajar statistika siswa kelas VIII di SMP Negeri 3 Kotabumi maka dilakukan berbagai macam uji mulai dari uji instrumen yaitu validitas dan reabilitas. Uji Prasyarat analisis yaitu normalitas, homogentitas, dan Uji T. Berdasarkan hasil pengujian hipotesis diketahui dengan hasil perhitungan Thitung 2,331 > Ttabel 2,039 dengan taraf kepercayaan 95% atau α 0,05. Hal ini dapat disimpulkan bahwa ada pengaruh positif penggunaan aplikasi quizizz terhadap hasil belajar Statistika siswa di SMP Negeri 3 Kotabumi Lampung Utara Tahun Ajaran 2020/2021.