bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of wasting and associated factors among children aged 6-59 months in Wolkite town of the Gurage zone, Southern Ethiopia, 2020. A cross-sectional study
Authors: Yeshaneh Alex , Mulu Tinsaye , Gasheneit Addisu , Adane Daniel 
Published: January 2022

BackgroundUndernutrition among children is one of the leading major public health problems and about 49.5 million children were wasted worldwide. Asia and African countries contributed 69% and 27.2% of wasting respectively. In Ethiopia, 7% of children were wasted and 1% was severely wasted. Although Ethiopia has achieved remarkable progress in reducing under-five mortality and designed multi-dimensional approaches to address malnutrition, the data on acute malnutrition among children in the study setting is limited. Therefore, this study was aimed to assess the prevalence of acute malnutrition and associated factors among 6-59-month-old children.MethodsCommunity-based cross-sectional study design was conducted at Gurage Zone, Southern Ethiopia. A total of 293 study participants were selected using a systematic sampling technique. Data were collected using structured and pre-tested interviewer-administered questionnaires by face-to-face interview. Data entry and analysis were made using Epi Data version 4.6 and Statistical Package for Social Science (SPSS) version 24 respectively. Descriptive statistical analysis and some of the statistical tests like the odds ratio were carried out. Both Bivariable and multivariable logistic regression analysis with 95% confidence interval was carried out to identify associated factors and variables with P value < 0.05 were taken as statistically significant.ResultsThe prevalence of wasting among children aged from 6–59 months in this study was 14.7% (95% CI: 10.9, 18.8). After controlling for all possible confounding factors, the result revealed that age of children between 6–11 months [AOR = 2.78(95% CI: 1.67, 6.19)], caregivers who were unable to read and write [AOR = 2.23 (95% CI: 1.04, 5.34)], presence of diarrheal disease in the past two weeks [AOR = 1.68 (95% CI: 1.23, 5.89)] and mothers who had a history of poor handwashing practice before food preparation and child feeding [AOR = 2.64(95% CI: 1.52, 4.88)] were found to be significantly associated with wasting.ConclusionsThe study findings indicate that respondents’ wasting was mainly affected by age of the child, educational status of caregivers, presence of diarrheal disease and hand washing practice of the mother. Providing acceptable, quality and honorable care for all children is very crucial to prevent child wasting and proper handwashing during breastfeeding and food handling is recommended and interventions aimed at improving maternal health and access to health care services for children are urgently needed.
Impact of acute decompensation on the prognosis of patients with hepatocellular carcinoma
Authors: Kondo Takayuki , Koroki Keisuke , Kanzaki Hiroaki , Kobayashi Kazufumi , Kiyono Soichiro , Nakamura Masato , Kanogawa Naoya , Saito Tomoko , Ogasawara Sadahisa , Ooka Yoshihiko , Nakamoto Shingo , Chiba Tetsuhiro , Arai Makoto , Kato Jun , Kuboki Satoshi , Ohtsuka Masayuki , Kato Naoya 
Published: January 2022

Background/AimsOrgan failure in patients with acute decompensation (AD) is a defining characteristic of acute-on-chronic liver failure (ACLF). However, the clinical features of AD during the long-term clinical course of hepatocellular carcinoma (HCC) are still poorly understood. This study aimed to clarify features and impact of AD/ACLF on the prognosis of patients after treatment for HCC.MethodsThis retrospective study enrolled 556 consecutive patients who were initially diagnosed with HCC, and analyses were conducted taking into account HCC treatment type, HCC stage, and presence or absence of cirrhosis.ResultsDuring follow-up, 299 patients with AD were hospitalized. AD occurrence is closely related to prognosis, regardless of the presence or absence of cirrhosis and HCC stage, and early-onset AD (within 90 days after HCC treatment) has negative impact on prognosis. In the intermediate-advanced–stage group, surgical resection had a positive impact on AD incidence post-treatment. After systemic therapy for HCC, renal impairment was the predictive factors for AD development. The 28/90-day mortality rate was higher among 41 cases (13.7%) with AD who exhibited ACLF as compared with cases without ACLF. AD without cirrhosis had similar ACLF incidence and short-term mortality, compared to AD with cirrhosis. The prognostic model using a decision-tree–based approach, which includes ACLF, bilirubin level, HCC progression, and MELD score is useful for predicting 90- or 28-day mortality after AD diagnosis.ConclusionsCareful management of patients with HCC who are hospitalized with AD is necessary, considering ACLF, HCC progression, and liver function.
Helmet wearing behavior where people often ride motorcycle in Ethiopia: A cross-sectional study
Authors: Bedru Delwana , Teshome Firanbon , Kebede Yohannes , Birhanu Zewdie 
Published: January 2022

Background
Road traffic accidents are a major global concern that affects all people regardless of their age, sex, wealth, and ethnicity. Injuries and deaths due to motorcycles are increasing, especially in developing countries. Wearing helmet is effective in reducing deaths and injuries caused by motorcycle accidents.

Objectives
To assess the magnitude of helmet wearing behavior and its determinants among motorcycle riders in Sawula and Bulky towns, Gofa zone, Southern Ethiopia.

Methods
A community-based cross-sectional study was conducted from April, 15 to May 25, 2020, among 422 motorcycle drivers in Sawula and Bulky towns, where people often drive motorcycles. A stratified sampling technique was used to recruit sampled drivers in a face-to-face interview. Data were entered into EPI-data version 3.1 software and exported to SPSS version 23 software to manage analysis. Descriptive analyses such as frequency, percentage, mean and standard deviation were performed as necessary. Logistic regression models were fitted to identify the predictors of helmet wearing behavior. Adjusted odds ratios (AOR) with 95% confidence interval (CI) were used to determine the magnitude and strength of the association.

Results
A total of 403 motorcycle drivers participated in the study which gave a 95.5% response rate. Among 403 motorcycle riders, only 12.4% (95% CI, 9.2 to 15.6%) wore helmets while driving motorcycles. Having license [AOR 3.51(95% C.I 1.56–7.89)], driving distance >10Km [AOR 2.53(95% C.I 1.08–5.91)], History of exposure to accident [AOR 2.71(95% C.I 1.32–5.55)], driving experience of ≥10 years [AOR 2.98 (95% C.I 1.25–7.09)] and high perceived susceptibility to accident [AOR 3.10(95% C.I 1.29–7.46)] had statistically significant association with helmet wearing compared to their counterparts.

Conclusions
This study found that helmet-wearing behavior was very low. Having a license, driving distance, exposure to accidents, driving experience, and accident risk perception were determinants of helmet wearing behavior. These determinants imply the need for interventions that focus on behavioral change communications such as awareness creation campaigns and mandatory helmet wearing laws.
Outcomes of patients presenting with elevated tumor marker levels but negative gadoxetic acid-enhanced liver MRI after a complete response to hepatocellular carcinoma treatment
Authors: Kim Ka Eun , Sinn Dong Hyun , Choi Moon Seok , Kim Honsoul 
Published: January 2022

Purpose
Hepatocellular carcinoma (HCC) patients usually achieve a complete response after treatment. This study was aimed to assess the clinical outcome of HCC patients who had achieved a complete response but later presented with elevated tumor marker levels without an identifiable recurrent tumor on gadoxetic acid-enhanced magnetic resonance imaging (MRI).

Methods
We retrospectively reviewed the clinical outcome of 58 HCC treated patients who had achieved a complete response but later was referred to our institution’s multidisciplinary tumor board for a clinically suspected hidden HCC recurrence based on elevated tumor marker levels but negative gadoxetic acid-enhanced MRI. The imaging studies, tumor markers, and clinical information were reviewed. The total follow-up period was at least 15 months after the initial negative gadoxetic acid-enhanced MRI.

Results
Follow-up imaging studies detected an HCC lesion in 89.7% (n = 52/58) of the patients within the study period, and approximately half of the tumors (46.2%, n = 24/52) developed within 3 months. The most frequent site of recurrence was the liver (86.5%; n = 45/52), but extra-hepatic metastasis was also common (19.2%; n = 10/52). In 5.8% (n = 3/52), HCC reoccurred in the combined form of intra-hepatic and extra-hepatic recurrence. Extra-hepatic metastasis alone occurred in 13.5% (n = 7/52) of patients.

Conclusions
HCC frequently recurred within a short interval in patients who achieved a complete response to treatment in the presence of increased tumor marker levels, even if gadoxetic acid-enhanced MRI was negative. Under such circumstances, we suggest a short-term follow-up including, but not limited to, gadoxetic acid-enhanced MRI along with systemic evaluation.
Validation of the patient health questionnaire-9 and the generalized anxiety disorder-7 in Lithuanian student sample
Authors: Pranckeviciene Aiste , Saudargiene Ausra , Gecaite-Stonciene Julija , Liaugaudaite Vilma , Griskova-Bulanova Inga , Simkute Dovile , Naginiene Rima , Dainauskas Laurynas Linas , Ceidaite Gintare , Burkauskas Julius 
Published: January 2022

BackgroundThe Patient Health Questionnaire—9 (PHQ-9) and the Generalized Anxiety Disorder Questionnaire– 7 (GAD-7) are short screening instruments used for detection of depression and anxiety symptoms in various settings, including general and mental health care as well as the general population. The aim of this study is to evaluate psychometric properties and factorial structure of the PHQ-9 and the GAD-7 in a sample of Lithuanian university students.Methods1368 students (mean age 22.5±4.8) completed the PHQ-9 and the GAD-7 questionnaires online; after the completion of the survey, students were asked to provide phone contact for an additional interview. Eligible students were approached later by trained interviewers and completed The Clinical Interview Schedule-Revised for assessment of depressive and anxiety disorders.ResultsResults showed that the PHQ-9 and the GAD-7 are reliable screening tools for depression and anxiety (Cronbach alpha 0.86 and 0.91, respectively). The one-factor structure of the PHQ-9 and the GAD-7 was confirmed by the Confirmatory Factor Analysis. A cut-off of ≥10 for the PHQ-9 resulted in 71% sensitivity and 66% specificity recognizing students with increased risk for mood or anxiety disorder. For the GAD-7, a cut-off ≥9 resulted in 73% sensitivity and 70% specificity recognizing students at risk. The PHQ-9 was sensitive but not specific in recognizing students with depressive disorders. The sensitivity and specificity of the GAD-7 in differentiating students with generalized anxiety disorders were low.ConclusionsThe PHQ-9 and the GAD-7 have sufficient formal psychometric properties, but their clinical utility as diagnostic tools for recognition of depressive and anxiety disorders in students is limited. Due to low specificity and high false positive rates, both scales are recommended only as an initial screening tool for recognition of subjects with increased risk of mental disorders, however positive cases should be later assessed using more comprehensive instruments.
La escena naval del abrigo de Laja Alta (Jimena de la Frontera, Cádiz). Una nueva propuesta cronocultural
Authors: Gomar Barea Ana María 
Published: January 2022

Presentamos una revisión de los motivos barquiformes del abrigo de Laja Alta, en Jimena de la Frontera, Cádiz, aportando una nueva hipótesis sobre su posible filiación a tiempos históricos. Desde el descubrimiento de este enclave, la razón de la existencia y la cronología de las embarcaciones que forman parte de sus paneles pictóricos han resultado aspectos controvertidos. Esta discusión se debe, en parte, a que estos barquiformes se alejan notablemente de la facies del Arte Rupestre Esquemático en el que, hasta ahora, se han venido incluyendo. Pensamos que la escena naval responde a una acción gráfica que se ajusta a la concepción de los modos de representación del fenómeno del grafito histórico. Nos sumamos al prolífico debate sobre la adscripción cronocultural de los navíos aportando nuevos datos, obtenidos de una propuesta metodológica que plantea el análisis de los barquiformes aislándolos del espacio físico en el que se ubican y de la técnica con la que se ejecutaron, circunstancias que, hasta ahora, han condicionado la mayoría de las reflexiones realizadas sobre ellos.
Colaboração entre professores do ensino comum e especial em um município paraense
Authors: Silva Rossicleide Santos da , Vilaronga Carla Ariela Rios 
Published: January 2022

O ensino colaborativo é um modelo de apoio que pode dar suporte ao trabalho em conjunto entre os professores da Educação Especial e da classe comum, de forma que esses possam atuar de maneira colaborativa na sala de aula em prol do aluno Público Alvo da Educação Especial (PAEE) e, por conseguinte, auxiliar a turma como um todo. O objetivo da pesquisa foi o de analisar uma experiência formativa que congregou conteúdos teóricos com a reflexão sobre a prática de coensino, tendo como estratégia de implementação de práticas colaborativas o assessoramento no espaço escolar. Foi baseado nos pressupostos da pesquisa ação colaborativa, na qual o pesquisador e pesquisado vão em busca de resposta para um objetivo em comum. A pesquisa ocorreu em um Município paraense com 25 professores da educação especial, por meio das intervenções formativas que ocorreram em momentos entremeados de teorias e prática, com a pesquisadora atuando como consultora dentro do espaço escolar. Percebeu-se que a colaboração entre professores foi construída por meio das pequenas relações, como na hora do café, no planejamento das atividades para as salas comum/recursos, principalmente quando começaram a se apropriar de conhecimentos teóricos específicos sobre o modelo de apoio. Concluiu-se que a pesquisa fomentou o processo de colaboração, favoreceu o uso de estratégias do ensino colaborativo para alguns docentes e foi observada mudança na prática frequente da retirada do aluno da sala comum e o pensar na acessibilidade para ele nesse espaço.
Educação e cidadania ambiental em contexto prisional - um programa de extensão universitária para cidadãos reclusos
Authors: M. Delgado-Mendez Jesus , António Moreira José , Dias-Trindade Sara , Machado Ana 
Published: January 2022

Nos finais do século XX o Conselho da Europa adotou um conjunto de recomendações sobre necessidades e responsabilidades em matéria de Educação em Prisões, sendo que essas recomendações estipulavam que os indivíduos em contexto de reclusão devem ter acesso a programas de educação e formação, que sirvam um propósito integral de aquisição/desenvolvimento de competências de vida, conduzindo a uma efetiva reintegração na sociedade e mercado de trabalho e que, em simultâneo, previnam fenómenos de recidiva. Baseados nesses pressupostos desenvolvemos um programa de Extensão Universitária, na área da Cidadania Ambiental, sendo que o seu principal objetivo foi promover a aquisição de competências de cidadania ambiental e desenvolver competências sociais e emocionais, como o pensamento crítico, a comunicação e a colaboração. A análise dos resultados do programa foi realizada a partir da análise qualitativa das participações e narrativas dos dezoito formandos/reclusos nas salas de aula virtuais criadas no ambiente virtual de aprendizagem, tendo como referencial o modelo pedagógico desenvolvido por Moreira (2017). Os resultados revelam que a utilização do cinema em ambientes virtuais, ancorado no modelo pedagógico para a desconstrução de imagens em movimento, pode ter efeitos muito positivos na aquisição de conhecimentos na ciência ecológica e no desenvolvimento de competências, quer de cidadania ambiental, quer sociais e emocionais.
Contextos emergentes e instrução no ensino superior ibero-americano: desafios do mundo pós-factual
Authors: Enrique Delgado Jorge 
Published: January 2022

Esta revisão exploratória de escopo teve como objetivo analisar os desafios que o chamado mundo pós-verdade representa para o ensino na educação superior ibero-americana. Com o aumento do acesso às mídias de informação online e redes sociais, os internautas estão cada vez mais expostos e podem ficar mais vulneráveis a informações falsas ou enganosas que buscam gerar ações a partir de emoções ao invés da razão (GOSWAMI, 2017, Chronicle of Higher Education). A busca das referências foi realizada nas bases de dados SciELO e La Referencia, das quais foram selecionados 26 títulos em 196. Combinações de termos como mídia social, pós-verdade, notícias falsas, checagem de fatos, educação, ensino superior, universidade, ensino, pensamento crítico e liberdade de expressão foram usadas, com o conector booleano “Y”. A análise das referências resultou em seis categorias temáticas: conceitos principais; escopos de notícias falsas; iniciativas e métodos de verificação de notícias; análise teórica e sua relação com a educação; estudos sobre os fatores, percepção e credibilidade das notícias falsas; e aproximação a desinformação no ensino superior. A discussão apresenta o esboço de uma proposta de modelo pedagógico para ser usado no ensino superior e para lidar com a desinformação. Inclui: hábitos de pensamento crítico, diálogo democrático, ceticismo intelectual, habilidades de pesquisa, uso de fontes confiáveis de informação e análise de múltiplas perspectivas.
Prototipação de puzzles geométricos para o Ensino Médio: desafios e contribuições do ensino remoto emergencial
Authors: Souza Danilo do Carmo de , Lira Arianny de Sousa , Barbosa Francisco Ellivelton , Castro Juscileide Braga de 
Published: January 2022

A pandemia provocada pelo novo coronavírus afetou diferentes setores da sociedade, dentre eles, a escola, com isso, a comunidade escolar precisou reavaliar suas formas de interação e uma das estratégias implementadas foi o desenvolvimento do ensino remoto emergencial, com a utilização de Tecnologias Digitais de Informação e Comunicação (TDIC). Isso posto, este artigo tem como objetivo analisar os desafios e as contribuições de uma formação, realizada por meio do ensino remoto emergencial, sobre o ensino de Geometria Espacial, a partir da utilização de diferentes ferramentas tecnológicas. A formação foi realizada com vinte professores de Matemática de regiões distintas do Brasil. Os encontros e a execução das atividades foram realizados entre os meses de maio e junho de 2020, completamente a distância, organizados em cinco encontros síncronos (Google Meet) e assíncronos (Google Classroom e Whatsapp). A pesquisa, com abordagem qualitativa, utilizou como instrumentos para a coleta de dados: videogravações, atividades desenvolvidas com o software GeoGebra, além de protocolos de atividades assíncronas. Os resultados, obtidos por meio da análise de conteúdo, indicam contribuições relacionadas com a apropriação e aprofundamento tecnológico, o desenvolvimento profissional e a formação de rede colaborativa. Para estudos futuros, pretende-se expandir a oficina para novas turmas, incluindo professores dos anos iniciais do Ensino Fundamental ou em formação inicial e com estudantes de diferentes níveis escolares.
Impacts of climate change and adaptations in shrimp aquaculture: A study in coastal Andhra Pradesh, India
Authors: Muralidhar M. , Kumaran M. , Jayanthi M. , Syama Dayal J. , Ashok Kumar J. , Saraswathy R. , Nagavel A. 
Published: January 2022

Abstract
Shrimp aquaculture in India is synonymous with coastal aquaculture. Like other agricultural activities, it appropriates a wide range of environmental goods and services, and is vulnerable to impacts of climate change as the cultured animals are sensitive to various kinds of biotic and abiotic stressors. Climate change affects the shrimp aquaculture directly by extreme weather events and seasonal variations, and indirectly alter the primary and secondary productivity, structure and composition of the ecosystems or by influencing the availability of fishmeal, fish oil and other goods and services required for aquaculture farmers. The perceptions of farmers on the impacts of climate change on shrimp aquaculture in inland and coastal areas of Krishna District, Andhra Pradesh are discussed. Cyclone and flood were perceived by all the farmers, whereas irregular season, high temperature, heavy rain and drought were perceived by 79, 89, 91 and 5 % of farmers, respectively. Environmental, biological, and economic impacts of climate change drivers on aquaculture indicated 20 to 30 % loss due to seasonal variations and 50 to 100% loss due to extremely heavy rainfall, flood and cyclones. The economic risk rating was high with flood followed by the cyclone and the magnitude was more in coastal areas compared to inland areas. There is no universally applicable list of adaptation measures and need to be evaluated for individual aquaculture systems. Autonomous and planned adaptation measures to be implemented by farmers, researchers and policymakers are discussed for climate-resilient aquaculture. Planned adaptive measures are either at the primary level or non-existence, hence policy initiatives are required to formulate planned adaptive measures to enhance the adaptive capacity of the farmers.
Pattern of spatio-temporal fish diversity in association with habitat gradients in a tropical reservoir, India
Authors: Leela Ramya Vijayakumar , Salim Sibina Mol , Parakkandi Jesna , Panikkar Preetha , Mani Karthikeyan , Eregowda Vijaykumar Muttanahalli , Sarkar Uttam Kumar , Das Basanta Kumar 
Published: January 2022

Abstract
Reservoirs are aquatic resources with the potential to increase India's fish production through inland fisheries. Thippagondanahalli is a medium-size reservoir on Arkavathy River, a tributary of the Cauvery. It is located in Bangalore rural district of Karnataka (12°58’24” to 12°96'49" N 77°20’33” to 77°35’63” E) and has a water surface area of 1162 ha at full reservoir level and 784.55 m at full supply level. Fish diversity studies were conducted to examine the spatial and temporal variations in fish diversity in relation to habitat parameters. A taxonomic abundance of 25 fish species (80% of them native) belonging to 14 families and 4 orders was recorded. A range of statistical estimators such as Chao 1, Jack 1, and Bootstrap were used to assess the expected species richness. The Jack 1 method showed the highest abundance with 28 species. The littoral zone, dominated by small indigenous species, was found to have relatively higher fish diversity (Shannon index-1.86) compared to the limnetic zone of the reservoir. Shannon diversity was higher in the monsoon season (1.76) compared to other seasons. Physico-chemical parameters revealed that this waterbody is highly eutrophic. Canonical correspondence analysis between seasonal habitat characteristics and seasonal species abundance showed the abundance of the small indigenous fish Amblypharyngodon mola during the post-monsoon season, the bottom feeder Cirrhinus mrigala and the surface feeder Rasbora daniconius during the monsoon season, and the carnivores Mystus malabaricus and Channa orientalis as well as the planktivore Puntius sarana during the pre-monsoon season. This study suggests the use of fisheries management and conservation measures such as fish-aggregating devices, stocking of certified seed, and impact assessment of exotic species.