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Public knowledge and awareness towards antibiotics use in Yogyakarta: A cross sectional survey
(2020)
Irrational use of antibiotics is a public health problem. Our study aimed to evaluate knowledge and awareness of antibiotics, and to examine its’ associated factors. We conducted a cross sectional survey. The questionnaire was adapted from WHO Multi-country survey. Adults aged 18 years old and were receiving prescription from eight outpatient clinics and pharmacies in Yogyakarta province completed the survey. The questionnaire was consisted of three sections, i.e. socio-demographic factors, knowledge of antibiotics, and experiences in using antibiotics. Scores on questions and data were presented descriptively and analyzed using logistic regression to evaluate the influence of variables on knowledge of antibiotics. Out of 268 respondents, a cumulative 76% of them used antibiotics in last six months. Majority of respondents (58%) had low level knowledge on antibiotic use and awareness, and incorrectly identified that cold and cough are treatable with antibiotics (75%). Interestingly, 71% of participants agreed that internet is a major source of information on antibiotics (71%), while only 58% and 45% of respondents see pharmacists and medical professionals respectively. The antibiotics were received from prescription (79%) and 70% of respondents completed the full course of antibiotics prescribed, but only 32% of them became more cautious about antibiotic use. We found the highest association between gender, age, education level, with the knowledge of antibiotics. The overall level of knowledge and awareness on antibiotics use among residents in Yogyakarta is low. This mandates public health awareness intervention programs to be implemented on the use of antibiotics.
Lack of knowledge regarding antibiotics use has been widely identified as a main reason for inappropriate antibiotics use which leads to antibiotic resistance phenomenon. This study aimed to evaluate the effects of pharmacist-initiated educational intervention on promoting appropriate use of antibiotics and reducing self-medication with antibiotics. A pre and post intervention study using two validated self-administered questionnaires was performed in Yogyakarta province. A-two hour session of course and case discussion was delivered as method of intervention. Pharmacy customers attended Gema Cermat program were invited conveniently to complete both of pre- and post-educational questionnaires. Descriptive presentation was conducted to show scores on questions. Knowledge scores were categorized as poor, adequate and high. Of 268 respondents, 34.22% respondents had poor level of knowledge before receiving educational intervention, but this number decreased into 12.21% after post-interventional phase. Another 28.23% respondents had adequate level of knowledge before and then elevated into 38.28% after receiving education about appropriate use of antibiotics. Pre-education, 37.43% participants had a high level of knowledge about antibiotics use and resistance, whereas after education the number became slightly higher (49.25%). A vast majority of respondents (75.24%) became more aware about appropriate antibiotics practice after receiving educational inter- vention. Overall, didactic educational intervention imposed higher knowledge and better practice regarding antibiotics use (p < 0.05). This study showed that using didactical education intervention towards antibiotics use and resistance can be an initial strategy that led to substantial improvement of appropriate antibiotics use. Further systemic interventions to educate people should be performed and evaluated in order to promote the appropriate use of antibiotics.
New Work als innovativer Ansatz zur Überwindung des Fachkräftemangels in der Veranstaltungsbranche
(2023)
In der vorliegenden Arbeit wird mittels einer Einzelfallstudie über die Live-Kommunikations Agentur Klubhaus untersucht, ob New Work ein Ansatz zur Überwindung des Fachkräftemangels sein kann. Die Veranstaltungsbranche leidet derzeit unter einem Fachkräftemangel. Zentrale Gründe dafür sind die Corona Pandemie und ein schlechtes Branchenimage im Hinblick auf die Arbeitsbedingungen. Folgen des Fachkräftemangels in der Veranstaltungsbranche sind eine eingeschränkte Geschäftsfähigkeit der Akteur*innen, ein Kompetenzverlust der Branche, eine sinkende Mitarbeitendenzufriedenheit, steigende Personalkosten und der Wegfall kleinteiliger Branchenstrukturen. Die Veranstaltungsbranche ist geprägt von herausfordernden, personalbezogenen Strukturen, wie einer hohen Anzahl an Soloselbstständigen und einer projektorientierten Arbeitsweise. Darüber hinaus stellen die Digitalisierung, der demografische Wandel und der gesellschaftliche Wertewandel zentrale Herausforderungen für das Personalmanagement dar. Um diesen angemessen zu begegnen, sind Strategien zur Personalbindung und -rekrutierung notwendig. Eine Strategie kann die Implementierung von New Work Merkmalen sein. Das Ziel von New Work ist, die Arbeit so zu transformieren, dass die Arbeit dem Menschen und nicht der Mensch der Arbeit dient. Die Ausübung einer sinnstiftenden Tätigkeit und eine selbstbestimmte Arbeitsweise zählen z.B. zu New Work. Innovative Bürokonzepte, Agilität und flache Hierarchien, Flexibilität sowie Personalentwicklung sind zudem moderne New Work Merkmale. Für eine erfolgreiche Implementierung und Ausübung von New Work ist der regelmäßige Austausch über die New Work Merkmale im gesamten Team elementar. Zu einer nachhaltigen Fachkräftebindung und -rekrutierung können vor allem sinnstiftende Tätigkeiten und eine selbstbestimmte Arbeitsweise beitragen. Doch auch die modernen New Work Merkmale tragen zu einer nachhaltigen Fachkräftebindung und -rekrutierung bei. Wichtig zu beachten ist, dass ein branchenweiter Wandel in Richtung New Work zur Überwindung des Fachkräftemangels notwendig ist. Die Umsetzung von New Work Merkmalen ist auch in einer unter Fachkräftemangel leidenden und zugleich wachsenden Branche möglich. Insgesamt stellt die Kombination aus New Work und einem erhöhten Gehaltsniveau den zentralen Ansatz zur Überwindung des Fachkräftemangels in der Veranstaltungsbranche dar.
Die Zukunft der Öffentlichen Bibliotheken ist aktuell ein viel diskutiertes Thema. In dieser Bachelorarbeit werden die Anforderungen an die mobilen Bibliotheken der Zukunft untersucht. Sie werden in Deutschland als Fahrbibliotheken, Fahrbüchereien, Bibliotheksbusse oder Bücherbusse bezeichnet. Das Ziel der Arbeit ist es darzustellen, welche Relevanz Fahrbibliotheken zukünftig im öffentlichen Bibliothekssystem haben. Die Untersuchung erfolgt methodisch durch eine Literaturrecherche. Der theoretische Teil zeigt Praxisbeispiele für Fahrbibliotheken aus Deutschland und dem Ausland auf. Es werden die Länder Dänemark, Singapur und die USA betrachtet. Im zweiten Teil werden drei Zukunftsszenarien von verschiedenen Experten und Expertinnen erläutert. Anhand dessen lassen sich die fünf Hauptanforderungen, der Beitrag zur kulturellen Bildung, die Bibliothek als Dritter Ort, die Integration und Inklusion und die Anforderungen an die Fahrzeuge ableiten. Die Anforderungen werden durch Beispiele von bereits vorhandenen neuen Konzepten und Dienstleistungen gestützt.
Ganz selbstverständlich wird heute von Forscher*innen erwartet, in ihre Projektvorhaben auch Strategien der Wissenschaftskommunikation zu integrieren. Wie dies in der Praxis aussehen kann wird in diesem Bericht anhand der unter dem Stichwort #bildredaktionsforschung laufenden Kommunikationsstrategie zum Post-Doc-Forschungsprojekt „Wandel bild-redaktioneller Strukturen im digitalen Zeitungsjournalismus“ reflektiert. An den geschilderten Herausforderungen zeigt sich, wie wichtig ein eigenständiger visueller Ansatz und eine langfristige redaktionelle Strategie sind. Parallel dazu wird in einem visuellen Essay, der aus einer Auswahl von Text- und Bildkacheln besteht, die auf dem Instagram-Kanal des Forschungsprojektes publizierten wurden, ein Einblick in das visuelle Erscheinungsbild des Projekts gegeben.
Demografieorientiertes Personalmanagement in kleinen und mittleren wissenschaftlichen Bibliotheken
(2017)
Der demografische Wandel stellt für das Personalmanagement eine Herausforderung dar, mit der sich auch Bibliotheken auseinandersetzen müssen. Die vorliegende Arbeit setzt sich mit der Frage auseinander, welche Maßnahmen des Personalmanagements kleine und mittlere wissenschaftliche Bibliotheken anwenden und inwiefern sie damit auf den demografischen Wandel vorbereitet sind. Der erste Teil der Arbeit umfasst die theoretischen Grundlagen. Dafür werden zunächst die zentralen Begriffe demografischer Wandel, Personalmanagement sowie Personalentwicklung definiert. Anschließend werden Handlungsfelder sowie deren Bedeutung für ein demografieorientiertes Personalmanagement dargestellt. Diese umfassen die Altersstrukturanalyse, die Personalgewinnung, die Personalbindung, die Personalentwicklung, die Gesundheitsförderung und das Gesundheitsmanagement sowie den Wissenstransfer. Sie beinhalten außerdem auch Beispiele von Maßnahmen aus größeren wissenschaftlichen sowie öffentlichen Bibliotheken. Die aus einer Befragung gewonnenen Erkenntnisse über die Maßnahmen des Personalmanagements in kleinen und mittleren wissenschaftlichen Bibliotheken werden im zweiten Teil der Arbeit beschrieben. Abschließend werden anhand der theoretischen Grundlagen sowie der gewonnenen Erkenntnisse Handlungsempfehlungen für die Zielgruppe der kleinen und mittleren wissenschaftlichen Bibliotheken gegeben.
Unterrichtsmodell zur Entwicklung von Informationskompetenz bei Schülern der gymnasialen Oberstufe
(2011)
Die vorliegende Arbeit untersucht, welche Rolle Schulen bei der Entwicklung von Informationskompetenz spielen können. Ergebnis ist ein Unterrichtsmodell für Schüler der gymnasialen Oberstufe. Ausgehend von der Definition der Informationskompetenz werden zunächst die Angebote von Schulbibliotheken, Öffentlichen und Wissenschaftlichen Bibliotheken zur Vermittlung von Informationskompetenz an Schüler untersucht. Erfolgversprechende Konzepte, die diesen Schulungen zugrunde liegen, werden genauer betrachtet. Die dokumentierte Durchführung einer Rechercheeinführung für Schüler in Vorbereitung auf die Facharbeit liefert weitere, praxisbezogene Anhaltspunkte. Der zweite Teil der Arbeit umfasst das eigentliche Unterrichtsmodell zur Vermittlung von Informationskompetenz. Nach ausführlichen Vorüberlegungen zu materiellen und didaktischen Fragen folgen schließlich konkrete Vorschläge für einzelne Unterrichtseinheiten. Die Arbeitsblätter im Anhang der Arbeit geben Anregungen zur Gestaltung von Unterrichtsmaterialien.
A descriptive cross-sectional study of cholera at Kakuma and Kalobeyei refugee camps, Kenya in 2018
(2020)
Introduction: cholera is a significant public health concern among displaced populations. Oral cholera vaccines are safe and can effectively be used as an adjunct to prevent cholera in settings with limited access to water and sanitation. Results from this study can inform future consideration for cholera vaccination at Kakuma and Kalobeyei.
Methods: a descriptive cross-sectional study of cholera cases at Kakuma refugee camp and Kalobeyei integrated settlement was carried out between May 2017 to May 2018 (one year). Data were extracted from the medical records and line lists at the cholera treatment centres.
Results: the results found 125 clinically suspected and confirmed cholera cases and one related death (CFR 0.8%). The cumulative incidence of all cases was 0.67 (95% CI=0.56-0.80) cases/1000 persons. Incidence of cholera was higher in children under the age of five 0.94(95% CI=0.63-1.36) cases/1000 persons. Children aged <5 years showed 51% increased risk of cholera compared to those aged ≥5 years (RR=1.51; 95% CI=1.00-2.31, p=0.051). Individuals from the Democratic Republic of Congo had nearly 9-fold risk of reporting cholera (RR=8.62; 95% CI=2.55-37.11, p<0.001) while individuals from South Sudan reported 7 times risk of cholera case compared to those from Somalia (RR=7.39; 95% CI=2.78-27.73, p<0.001).
Conclusion: in addition to the improvement of water, sanitation and hygiene (WaSH), vaccination could be implemented as a short-medium term measure of preventing cholera outbreaks. Age, country of origin and settlement independently predicted the risk of cholera.
Seit 2011 gerät das Thema Plagiarismus als Form des Wissenschaftsbetrugs durch die Plagiatsfälle prominenter Politiker*innen immer wieder in den Fokus der Öffentlichkeit. Dabei ist das Problem des Plagiarismus in wissenschaftlichen Arbeiten wie Dissertationen gewiss nicht neu. Die vermehrte Zugänglichkeit wissenschaftlicher Texte über das Internet erleichtert die Übernahme fremder Inhalte jedoch erheblich und ermöglicht gleichzeitig eine striktere Kontrolle durch den Einsatz von Plagiatssoftwares. Die Arbeit untersucht die Frage nach dem Umgang mit Plagiaten im eigenen Bestand, die sich in diesem Zusammenhang für wissenschaftliche Bibliotheken, insbesondere für Hochschulbilbiotheken, stellt. Die Handlungsmöglichkeiten von Hochschulbibliotheken im Umgang mit Dissertationen, die sich nachweislich als Plagiate herausgestellt haben, werden dabei vornehmlich unter ethischen Gesichtspunkten analysiert.
The use of secondary data in health care research has become a very important issue over the past few years. Data from the treatment context are being used for evaluation of medical data for external quality assurance, as well as to answer medical questions in the form of registers and research databases. Additionally, the establishment of electronic clinical systems like data warehouses provides new opportunities for the secondary use of clinical data. Because health data is among the most sensitive information about an individual, the data must be safeguarded from disclosure.
The growing importance of social media in the political arena seems to be in line with the mediatization of politics thesis, which states that mediated communication is becoming more important in politics and increasingly influences political processes. However, how politicians’ social media activities and politicians’ perceptions concerning social media have developed over time has rarely been examined. Moreover, it is unclear how the politicians’ activities and perceptions are related to each other. Referring to theoretical approaches, such as the influence of presumed influence approach, four surveys were conducted among German parliamentarians (MPs) between 2012 and 2016 (n = 194/149/170/118). The results indicate that the MPs’ self-reported social media activities and perceptions have remained remarkably constant since 2012. Regression analyses indicate that MPs’ self-reported social media activities and perceptions are hardly related to each other. This raises the question whether mediatization processes are indeed driven by politicians’ perceptions about media influences.
Informationsberatung als zeitgemäßes Dienstleistungskonzept für wissenschaftliche Bibliotheken
(2015)
Ausgangspunkt für die vorliegende Arbeit ist die These, dass Informationsberatung in Anlehnung an die in den USA verbreiteten Research Consultations eine ergänzende Methode zur prozessorientierten Förderung von Informationskompetenz an wissenschaftlichen Bibliotheken sein kann. Im Zuge der Diskussion dieser These werden zunächst die der Dienstleistung zugrunde liegenden Konzepte wie etwa das Rollenverständnis des consultant librarian und das des counseling librarian vorgestellt. Daraufhin wird die in der Fachliteratur geführte Diskussion um die Einordnung der Dienstleistung aufgegriffen und Informationsberatung gegenüber den herkömmlichen Dienstleistungen Auskunftsdienst und Informationskompetenzschulung abgegrenzt. Dabei zeigt sich, dass professionelle bibliothekarische Beratung im Zuge der Förderung des informellen Lernens einen neuen, eigenständigen und nutzerorientierten Service darstellt, der den aktuellen Bedarf nach individueller Betreuung durch persönliche Ansprechpartner und Expertenberatung deckt. Durch die inhaltliche und zeitliche Flexibilität der Dienstleistung können Nutzer am point of need abgeholt werden. Umsetzungsmodelle finden sich bspw. an der Wissensbar der SLUB Dresden, dem Helpdesk Lern- und Arbeitstechniken an der KIT-Bibliothek und dem Learning Center der Universitätsbibliothek Mannheim. Seitens der Berater werden u.a. Kompetenzen im Bereich des wissenschaftlichen Arbeitens sowie Kommunikations- und Sozialkompetenzen benötigt. Neben der Qualifizierung des bibliothekseigenen Personals durch Fortbildungen stellen Kooperationen mit kompetenzbildenden Einrichtungen der Universität eine Möglichkeit zur Implementierung der Dienstleistung dar, die von entsprechenden Marketingmaßnahmen begleitet sein muss. Abschließend wird die Rolle von wissenschaftlichen Bibliotheken im Hinblick auf die an deutschen Universitäten zunehmend etablierten Schreibzentren diskutiert.
Building a well-founded understanding of the concepts, tasks and limitations of IT in all areas of society is an essential prerequisite for future developments in business and research. This applies in particular to the healthcare sector and medical research, which are affected by the noticeable advances in digitization. In the transfer project “Zukunftslabor Gesundheit” (ZLG), a teaching framework was developed to support the development of further education online courses in order to teach heterogeneous groups of learners independent of location and prior knowledge. The study at hand describes the development and components of the framework.
In the context of the ongoing digitization of interdisciplinary subjects, the need for digital literacy is increasing in all areas of everyday life. Furthermore, communication between science and society is facing new challenges, not least since the COVID-19 pandemic. In order to deal with these challenges and to provide target-oriented online teaching, new educational concepts for the transfer of knowledge to society are necessary. In the transfer project “Zukunftslabor Gesundheit” (ZLG), a didactic concept for the creation of E-Learning classes was developed. A key factor for the didactic concept is addressing heterogeneous target groups to reach the broadest possible spectrum of participants. The concept has already been used for the creation of the first ZLG E-Learning courses. This article outlines the central elements of the developed didactic concept and addresses the creation of the ZLG courses. The courses created so far appeal to different target groups and convey diverse types of knowledge at different levels of difficulty.
Due to demographic change the number of serious kidney diseases and thus required transplantations will increase. The increased demand for donor organs and a decreasing supply of these organs underline the necessity for effective early rejection diagnostic measures to improve the lifetime of transplants. Expert systems might improve rejection diagnostics but for the development of such systems data models are needed that encompass the relevant information to enable optimal data aggregation and evaluation. Results of a literature review concerning published data models and information systems concerned with kidney transplant rejection diagnostic lead to a set of data elements even if no papers could be identified that publish data models explicitly.
Die Anzahl an mit dem HI-Virus Neuinfizierten sinkt aufgrund der stetig voranschreitenden Forschung im Bereich der Therapie der HIV-Infektion kontinuierlich. Durch die erforschten HIV-Medikamente, wie zum Beispiel Biktarvy®, Atripla®, Eviplera® oder Genvoya® kann bei nicht vorliegenden Resistenzen oftmals ein bemerkenswerter Therapieerfolg erzielt werden. Doch der Therapieerfolg wird von vielen verschiedenen Faktoren beeinflusst. Um dies genauer zu analysieren, handelt die vorliegende Bachelorarbeit von der Untersuchung des Einflusses verschiedener Parameter auf den Therapieerfolg von HIV-Infizierten. Da es zahlreiche Einflussfaktoren gibt, wurde eine engere Auswahl getroffen. In dieser Arbeit wurde daher der Einfluss von dem Geschlecht, der Therapiekombination, der Altersgruppe, den vergangenen Jahren seit der gestellten Diagnose sowie der Dauer der bereits eingenommenen Therapie auf die Laborwerte „Viruslast“ und „CD4-Zellzahl“ untersucht. Ziel der Bachelorarbeit war es, mehr Daten zu gewinnen, die Ergebnisse des Einflusses der soeben genannten Kenngrößen enthalten. Für die statistische Vergleichsanalyse wurden Daten aus der seit knapp 20 Jahren bestehenden HIV-Datenbank der Medizinischen Hochschule Hannover, Abteilung Rheumatologie und Immunologie, herangezogen. Um die Ergebnisse dieser Bachelorarbeit zusammenzufassen, lässt sich resümieren, dass bei mehr als der Hälfte der Patienten, genauer gesagt bei 51 anhand der Viruslast und 57 von je 72 Patienten anhand der CD4-Zellen, ein Therapieerfolg erzielt werden konnte. Vor allem bei den Einflussgrößen Geschlecht und Therapiekombination konnte ein bemerkenswerter Einfluss auf den Therapieerfolg festgestellt werden. Bei den weiteren Parametern Altersgruppe, Diagnosedauer und Therapiedauer ist kein statistisch signifikanter Unterschied ermittelt worden.
As noted by Roman poet Virgil already more than 2,000 years ago: “The greatest wealth is health.”. Without health, there is no happiness, no peace, and no success according to the Reflections Recovery Center from Arizona, United States (USA, U.S.). The goal of the Healthy People 2020-project (HP2020), which is led by the Office of Disease Prevention and Health Promotion (ODPHP), was to “promote quality life, healthy development, and health behaviors across all life stages” among the U.S. population. HP2020 measures progress by using so-called Leading Health Indicators (LHI), reliable data sources, baseline values as well as targets for LHI-individual improvements for every measurable objective to be achieved by 2020 and each following decade. In the further course, these values were compared to student populations from the U.S., Germany, and Poland. The goal of this master's thesis was to obtain more data on international health, particularly among student populations. For the statistical analysis, data were obtained from an online survey that was distributed to students in at least one university in each of the three countries. In total, data from 380 students were analyzed in terms of HP2020 goal attainment. To determine if statistically significant differences were present, the z-test was used. The biggest differences emerged on the following topics: access to healthcare, environmental quality, obesity as well as reproductive and sexual health.
This assignment is about the development of a general strategic marketing plan for academic libraries in Germany and can be used as a guideline for libraries that want to develop concrete marketing strategies for several products and services. Two examples of marketing projects are at its end presented for linking theoretical approaches to practice. Finally the development of an own marketing strategy for “information literacy” builds the last part of the assignment.
For the analysis of contract texts, validated model texts, such as model clauses, can be used to identify used contract clauses. This paper investigates how the similarity between titles of model clauses and headings extracted from contracts can be computed, and which similarity measure is most suitable for this. For the calculation of the similarities between title pairs we tested various variants of string similarity and token based similarity. We also compare two additional semantic similarity measures based on word embeddings using pre-trained embeddings and word embeddings trained on contract texts. The identification of the model clause title can be used as a starting point for the mapping of clauses found in contracts to verified clauses.
In order to ensure validity in legal texts like contracts and case law, lawyers rely on standardised formulations that are written carefully but also represent a kind of code with a meaning and function known to all legal experts. Using directed (acyclic) graphs to represent standardized text fragments, we are able to capture variations concerning time specifications, slight rephrasings, names, places and also OCR errors. We show how we can find such text fragments by sentence clustering, pattern detection and clustering patterns. To test the proposed methods, we use two corpora of German contracts and court decisions, specially compiled for this purpose. However, the entire process for representing standardised text fragments is language-agnostic. We analyze and compare both corpora and give an quantitative and qualitative analysis of the text fragments found and present a number of examples from both corpora.
Legal documents often have a complex layout with many different headings, headers and footers, side notes, etc. For the further processing, it is important to extract these individual components correctly from a legally binding document, for example a signed PDF. A common approach to do so is to classify each (text) region of a page using its geometric and textual features. This approach works well, when the training and test data have a similar structure and when the documents of a collection to be analyzed have a rather uniform layout. We show that the use of global page properties can improve the accuracy of text element classification: we first classify each page into one of three layout types. After that, we can train a classifier for each of the three page types and thereby improve the accuracy on a manually annotated collection of 70 legal documents consisting of 20,938 text elements. When we split by page type, we achieve an improvement from 0.95 to 0.98 for single-column pages with left marginalia and from 0.95 to 0.96 for double-column pages. We developed our own feature-based method for page layout detection, which we benchmark against a standard implementation of a CNN image classifier. The approach presented here is based on corpus of freely available German contracts and general terms and conditions.
Both the corpus and all manual annotations are made freely available. The method is language agnostic.
Generalisierte Rechtsdokumente, bei denen für die individuellen Ausprägungen eines Vertrages die Positionen im Text bekannt sind, können eingesetzt werden, um erstens das Genehmigungsverfahren von Neuverträgen automatisiert zu unterstützen und zweitens als Vertragsgenerator neue Rechtsdokumente vorausgewählt zur Verfügung zu stellen. In diesem Beitrag wird, mithilfe von bekannten juristischen Texten gezeigt, wie formelhafte Textabschnitte identifiziert und häufige individuelle Ausprägungen klassifiziert werden können, um als Musterabschnitte eingesetzt zu werden. Es werden Einsatzbereiche vorgestellt und vorhandenes Potential für Legal Tech-Anwendungen aufgezeigt.
The reuse of scientific raw data is a key demand of Open Science. In the project NOA we foster reuse of scientific images by collecting and uploading them to Wikimedia Commons. In this paper we present a text-based annotation method that proposes Wikipedia categories for open access images. The assigned categories can be used for image retrieval or to upload images to Wikimedia Commons. The annotation basically consists of two phases: extracting salient keywords and mapping these keywords to categories. The results are evaluated on a small record of open access images that were manually annotated.
In the present paper we sketch an automated procedure to compare different versions of a contract. The contract texts used for this purpose are structurally differently composed PDF files that are converted into structured XML files by identifying and classifying text boxes. A classifier trained on manually annotated contracts achieves an accuracy of 87% on this task. We align contract versions and classify aligned text fragments into different similarity classes that enhance the manual comparison of changes in document versions. The main challenges are to deal with OCR errors and different layout of identical or similar texts. We demonstrate the procedure using some freely available contracts from the City of Hamburg written in German. The methods, however, are language agnostic and can be applied to other contracts as well.
In der vorliegenden Masterarbeit geht es um die automatische Annotation von Bildern mithilfe der Kategoriesystematik der Wikipedia. Die Annotation soll anhand der Bildbeschriftungen und ihren Textreferenzen erfolgen. Hierbei wird für vorhandene Bilder eine passende Kategorie vorgeschlagen. Es handelt sich bei den Bildern um Abbildungen aus naturwissenschaftlichen Artikeln, die in Open Access Journals veröffentlicht wurden. Ziel der Arbeit ist es, ein konzeptionelles Verfahren zu erarbeiten, dieses anhand einer ausgewählten Anzahl von Bildern durchzuführen und zu evaluieren. Die Abbildungen sollen für weitere Forschungsarbeiten und für die Projekte der Wikimedia Foundation zur Verfügung stehen. Das Annotationsverfahren findet im Projekt NOA - Nachnutzung von Open Access Abbildungen Verwendung.
Background
In the past years, it became apparent that health status and performance differ considerably within dairy farms in Northern Germany. In order to obtain clues with respect to possible causes of these differences, a case-control study was performed. Case farms, which showed signs of health and performance problems, and control farms, which had none of these signs, were compared. Risk factors from different areas such as health management, housing, hygiene and nutrition were investigated as these are known to be highly influential. The aim of this study was to identify major factors within these areas that have the strongest association with health and performance problems of dairy herds in Northern Germany.
Results
In the final model, a lower energy density in the roughage fraction of the diet, more pens with dirty lying areas and a low ratio of cows per watering spaces were associated with a higher risk for herd health problems. Moreover, case farms were affected by infections with intestinal parasites, lungworms, liver flukes and Johne’s Disease numerically more often than control farms. Case farms more often had pens with raised cubicles compared to the deep bedded stalls or straw yards found in control farms. In general, the hygiene of the floors and beddings was worse in case farms. Concerning nutrition, the microbiological and sensory quality of the provided silages was often insufficient, even in control farms. Less roughage was provided to early lactating cows and the feed was pushed to the feeding fence less frequently in case farms than in control farms.
Conclusions
The results show that milk yield and health status were associated with various factors from different areas stressing the importance of all aspects of management for good animal health and performance. Moreover, this study confirmed well-known risk factors for health problems and performance losses. These should better be taken heed of in herd health management.
Das Thema Nachhaltigkeit hat in den letzten Jahren auch dank der Fridays For Future Bewegung zunehmend an Bedeutung gewonnen. Bibliotheken sind per Definition nachhaltig durch die Bereitstellung und Ausleihe von Medien. Zusätzlich präsentieren sie ihrer Kundschaft Aktionen und Projekte wie „Saatgutbibliotheken“, welche inspirieren sollen, sich mit Nachhaltigkeit und den 17 Nachhaltigkeitszielen (SDGs) zu beschäftigen. Doch welche Strategie verfolgen Bibliotheken, um dieses Thema intern zu integrieren? Diese literaturbasierte Arbeit gibt einen Überblick über Nachhaltigkeit und im Besonderen über Nachhaltigkeitsstrategien. Dazu wird kurz ein Überblick über die historische Entwicklung der Nachhaltigkeit und der nachhaltigen Aktivitäten des Weltverbandes der Bibliotheken (IFLA), des Deutschen Bibliotheksverbandes (dbv) und des Netzwerks Grüne Bibliothek gegeben. Vervollständigt wird dies durch ein Kapitel zur Strategieentwicklung. Der erhaltene Überblick wird mit praxisnahen Fallbeispielen von öffentlichen und wissenschaftlichen Bibliotheken aus Deutschland, Hong Kong und Oulu (Finnland) abgeglichen, mit dem Ziel eine Handlungsempfehlung für eine erfolgreiche Nachhaltigkeitsstrategie für Bibliotheken zu erhalten. Diese Handlungsempfehlung möchte Bibliotheken dazu anregen, eine solche Strategie, gestützt mit den drei Aspekten Sichtbarkeit, Vernetzung & Kooperation und Engagement der Mitarbeitenden für die eigene Bibliothek zu entwerfen.
Das Ziel der Bachelorarbeit ist es, die Webseite einer wissenschaftlichen Bibliothek hinsichtlich der Benutzerfreundlichkeit zu testen und die Ergebnisse als Handlungsempfehlung an die Bibliothek aufzuarbeiten. Die Studie wird mit zwei Methoden zur Evaluation der Web Usability durchgeführt, die zunächst definiert und erläutert werden. Die Methoden umfassen die Analyse des aktuellen Zustands der Usability der Webseite mit dem Leitfaden BibEval, sowie die Methode des lauten Denkens mit Vertretern aus verschiedenen Nutzergruppen der Bibliothek als Testpersonen. Aus den erhobenen Daten ergibt sich, dass die Webseite in Teilbereichen, wie der Navigation und der Seitengestaltung kleine bis schwere Usability-Probleme aufweist. Die aufgetretenen Kritikpunkte werden zusammen-fassend beschrieben. Anschließend werden Lösungsvorschläge gegeben. Die Arbeit ist vorwiegend für die Mitarbeiter der Bibliothek von Interesse, deren Webseite evaluiert wird. Andere Bibliothekare, die vorhaben die Benutzerfreundlichkeit ihrer Webseite zu testen, können sich in dieser Arbeit Anregungen holen.
Background: Available preliminary data on menopause does not relate changes in body fat mass (BFM) and handgrip strength (HGS) (an indicator of body/muscle strength) to gait parameters.
Objective: To determine the relationship between BFM, HGS and gait parameters, namely, stride length (SL) (an indicator of walking balance/postural stability), stride frequency (SF), and velocity (V) (gait out- put), to guide gait training.
Methods: Ninety consenting (45 postmenopausal and 45 premenopausal) female staffof the University of Nigeria Teaching Hospital, Enugu, were randomly selected and assessed for BFM and HGS with a hydration monitor and dynamometer, respectively, in an observational study. The mean of 2 trials of the number of steps and time taken to cover a 10-m distance at normal speed was used to calculate SF, SL, and V. Data were analyzed using an independent t test and a Pearson correlation coefficient at P < 0.05.
Results: Premenopausal (BFM = 42.93% [12.61%], HGS = 27.89 [7.52] kg, stride ratio = 1.43, and velocity = 1.04 [0.01] m/sec) and postmenopausal (BFM = 41.55% [12.71%], HGS = 30.91 [7.07] kg, stride ratio = 1.44, and velocity = 1.06 [0.01] m/sec) women showed no significant differences in gait output/velocity ( t = 0.138; P = 0.89; d = 0.029). At postmenopause, BFM was significantly and negatively ( r = –0.369; r 2 = 0.1362; P = 0.013) correlated with SL, whereas HGS was positively and significantly ( r = 0.323; r 2 = 0.104; P = 0.030) correlated with gait output at premenopause.
Conclusions: BFM may adversely influence walking balance at postmenopause, whereas HGS may enhance gait output at premenopause but not postmenopause. Therefore, muscle strengthening alone may not enhance gait output in postmenopausal women without balance training.
Background
Symptoms of depression are prevalent in people living with human immune deficiency virus/acquired immune deficiency syndrome (PLWHA), and worsened by lack of physical activity/exercises, leading to restriction in social participation/functioning. This raises the question: what is the extent to which physical exercise training affected, symptoms of depression, physical activity level (PAL) and social participation in PLWHA compared to other forms of intervention, usual care, or no treatment controls?
Method
Eight databases were searched up to July 2020, according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol. Only randomised controlled trials involving adults who were either on HAART/HAART-naïve and reported in the English language, were included. Two independent reviewers determined the eligibility of the studies, extracted data, assessed their quality, and risk of bias using the Physiotherapy Evidence Database (PEDro) tool. Standardised mean difference (SMD) was used as summary statistics for the mean primary outcome (symptoms of depression) and secondary outcomes (PAL and social participation) since different measuring tools/units were used across the included studies. Summary estimates of effects were determined using a random-effects model (I2).
Results
Thirteen studies met the inclusion criteria with 779 participants (n = 596 participants at study completion) randomised into the study groups, comprising 378 males, 310 females and 91 participants with undisclosed gender, and with an age range of 18–86 years. Across the studies, aerobic or aerobic plus resistance exercises were performed 2–3 times/week, at 40–60 min/session, and for between 6-24 weeks, and the risk of bias vary from high to low. Comparing the intervention to control groups showed significant difference in the symptoms of depression (SMD = − 0.74, 95% confidence interval (CI) − 1.01, − 0.48, p ≤ 0.0002; I2 = 47%; 5 studies; 205 participants) unlike PAL (SMD = 0.98, 95% CI − 0.25, 2.17, p = 0.11; I2 = 82%; 2 studies; 62 participants) and social participation (SMD = 0.04, 95% CI − 0.65, 0.73, p = 0.91; I2 = 90%; 6 studies; 373 participants).
Conclusion
Physical exercise training could have an antidepressant-like effect in PLWHA but did not affect PAL and social participation. However, the high heterogeneity in the included studies, implies that adequately powered randomised controlled trials with clinical/methodological similarity are required in future studies.
Objective: To determine the burden and factors associated with post-stroke depression in East central Nigeria.
Method: We carried out this cross-sectional study of 50 stroke survivors (mean age=54.8 ± 8.8 years), at the physiotherapy Department of the University of Nigeria Teaching Hospital, Enugu. Data were collected using Becks Depression Inventory , it was analyzed using Z-scores, Chi-square test and univariate logistic regression.
Results: PSD was more common in females (45.45%); middle-age(60%) adults(27-36/47-56 years respectively); living with spouse (45%); left cerebral lesions (40.74%). Self-employed and unemployed (66.67%), respectively. Age was significantly associated with depression (p=0.03), and was related to the risk ofOR3.7 (95% CI 1.1-12.0 )
Conclusion: Age could be a risk factor for PSD, which was more prevalent in the elderly than young/middle-age adults, female gender, left cerebral lesion, complications, cold case; those living with a spouse, self-employed and unemployed.
Background: Mobile text reminder (SMS) system is considered a viable strategy for targeting/facilitating healthy behavioural change including adherence to prescribed physical exercises (PE) and medication (antiretroviral therapy-ART) which should improve the quality of life (Qol) in people living with HIV/AIDS(PLWHA). Thus, the literature was appraised for evidence of SMS effectiveness in improving ART and PE adherence behaviours and QoL in PLWHA.
Methods: Eight databases–AMED, CINAHL, Cochrane Library, EMBASE, EMCARE, Ovid MEDLINE, PsycINFO, and PubMed-were searched up to December 2020, using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol.This review included only randomised control trials (RCTs) investigating the effectiveness of SMS in improving QoL or PE or ART adherence behaviour or a combination of these variables in PLWHA >18 years.
Two independent reviewers determined the eligibility of the studies. Data were extracted and the quality of the study was assessed with the Physiotherapy Evidence Database (PEDro) tool. The primary outcomes were ART and PE adherence behaviours while the secondary outcome was QoL.
Result: A pooled estimate of effect was not calculated due to the heterogeneity of methods and outcome measures.
Therefore, a narrative synthesis of ten studies that met the inclusion criteria (n = 1621 participants at study completion) comprising males/females, aged ≥ 18 years, was done. There was a significant improvement in ART adherence behaviour except in three underpowered studies. Only the SMS interventions that were developed using the Starks 3-steps Adherence model was associated with positive outcome. The only study that evaluated QoL was underpowered and reported no significant change while there were no RCTs on PE.
Conclusion: Effects of SMS intervention trends towards a significant improvement in ART adherence behaviour in PLWHA. It is plausible that SMS reminders developed using the broader framework of the interpersonal health behaviour theory(ies) may have positive outcome. Nevertheless, the observed heterogeneity in the methods/outcome measures warrants a cautious interpretation of the findings. There is a lack/paucity of RCTs and therefore no evidence in support of the effectiveness of SMS intervention in improving PE adherence and QoL.
Background: Compromised immune function, associated with human immune deficiency virus (HIV) infection, is improved by antiretroviral therapy (ART) which also decreases bone mineral density (BMD), and possibly the quality of life (QoL). However, physical (aerobic/resistance) exercises, were reported to induce reverse effects in uninfected individuals and were appraised in the literature for evidence of similar benefits in people living with HIV/AIDS(PLWHA). The main study objective was to evaluate the impact of physical (aerobic and resistance) exercises on CD4+ count,
BMD and QoL in PLWHA.
Methods: A systematic review was conducted using the Cochrane Collaboration protocol. Searching databases, up to June 2017, only randomized control trials investigating the effects of either aerobic, resistance or a combination of both exercise types with a control/other intervention(s) for a period of at least 4 weeks among adults living with HIV, were included. Two independent reviewers determined the eligibility of the studies. Data were extracted and risk of bias (ROB) was assessed with the Cochrane Collaboration ROB tool. Meta-analyses were conducted using random effect models using the Review Manager (RevMan) computer software.
Results: Nineteen studies met inclusion criteria(n = 491 participants at study completion) comprising male and female with age range 22–66 years. Two meta-analyses across 13 sub-group comparisons were performed. However, there were no RCTs on the impact of physical exercises on BMD in PLWHA. The result showed no significant change in CD4+ count unlike a significant effect of 5.04 point (95%CI:-8.49,-3.74,p = 0.00001) for role activity limitation due to physical health (QoL sub-domain). Overall, the GRADE evidence for this review was of moderate quality.
Conclusions: There was evidence that engaging in moderate intensity aerobic exercises (55–85% Maximum heart rate-MHR), for 30–60 min, two to five times/week for 6–24 weeks significantly improves role activity limitation due to physical health problems, otherwise physical(aerobic or/and resistance) exercises have no significant effects on CD4+ count and other domains of QoL. Also, there is lack of evidence on the impact of exercises on BMD in PLWHA due to the paucity of RCTs. The moderate grade evidence for this review suggests that further research may likely have an important impact on our confidence in the estimate of effects and may change the estimate.
Background
Systematic reviews demonstrated that gait variables are the most reliable predictors of future falls, yet are rarely included in fall screening tools. Thus, most tools have higher specificity than sensitivity, hence may be misleading/detrimental to care. Therefore, this study aimed to determine the validity, and reliability of the velocity field diagram (VFD -a gait analytical tool), and the Timed-up-and-go test (TUG)-commonly used in Nigeria as fall screening tools, compared to a gold standard (known fallers) among community-dwelling older adults.
Method
This is a cross-sectional observational study of 500 older adults (280 fallers and 220 non-fallers), recruited by convenience sampling technique at community health fora on fall prevention. Participants completed a 7-m distance with the number of steps and time it took determined and used to compute the stride length, stride frequency, and velocity, which regression lines formed the VFD. TUG test was simultaneously conducted to discriminate fallers from non-fallers. The cut-off points for falls were: TUG times ≥ 13.5 s; VFD’s intersection point of the stride frequency, and velocity regression lines (E1) ≥ 3.5velots. The receiver operating characteristic (ROC) area under the curves (AUC) was used to explore the ability of the E1 ≥ 3.5velots to discriminate between fallers and non-fallers. The VFD’s and TUG’s sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were determined. Alpha was set at p < 0.05.
Results
The VFD versus TUG sensitivity, specificity, PPV and NPV were 71%, 27%, 55%, and 42%, versus 39%, 59%, 55%, and 43%, respectively. The ROC’s AUC were 0.74(95%CI:0.597,0.882, p = 0.001) for the VFD. The optimal categorizations for discrimination between fallers/non-fallers were ≥ 3.78 versus ≤ 3.78 for VFD (fallers versus non-fallers prevalence is 60.71% versus 95.45%, respectively), with a classification accuracy or prediction rate of 0.76 unlike TUG with AUC = 0.53 (95% CI:0.353,0.700, p = 0.762), and a classification accuracy of 0.68, and optimal characterization of ≥ 12.81 s versus ≤ 12.81 (fallers and non-fallers prevalence = 92.86% versus 36.36%, respectively).
Conclusion
The VFD demonstrated a fair discriminatory power and greater reliability in identifying fallers than the TUG, and therefore, could replace the TUG as a primary tool in screening those at risk of falls.
Background: Upsurge in cardiopulmonary dysfunctions in Enugu, Nigeria, involved mainly cement workers, automobile spray painters, woodworkers, and Cleaners and was worsened in the dry season, suggesting the need for an occupation-specific characterization of the disease features and seasonal evaluation of air quality for prevention and management.
Methods: We conducted a randomized cross-sectional study of eighty consenting participants (in Achara Layout, Enugu), comprising 20 cement workers (39.50 ± 14.95 years), 20 automobile spray painters (40.75 ± 9.85 years), 20 woodworkers (52.20 ± 9.77 years), and 20 cleaners (42.30 ± 9.06 years). The air quality, some haematological (fibrinogen-Fc, and C-reactive protein-CRP), and cardiopulmonary parameters were measured and analyzed using ANCOVA, at p < 0.05.
Results: The dry season particulate matter (PM) in ambient air exceeded the WHO standards in the New layout [PM10 = 541.17 ± 258.72 µg/m3; PM2.5 = 72.92 ± 25.81 µg/m3] and the University campus [PM10 = 244 ± 74.79 µg/m3; PM2.5 = 30.33 ± 16.10 µg/m3], but the former was twice higher. The PM differed significantly (p < 0.05) across the sites. Forced expiratory volume at the first second (FEV1) (F = 6.128; p = 0.001), and Peak expiratory flow rate (PEFR) (F = 5.523; p = 0.002), differed significantly across the groups. FEV1/FVC% was < 70% in cement workers (55.33%) and woodworkers (61.79%), unlike, automobile spray painters (72.22%) and cleaners (70.66%). FEV1 and work duration were significantly and negatively related in cement workers (r = -0.46; r2 = 0.2116; p = 0.041 one-tailed). CRP (normal range ≤ 3.0 mg/L) and Fc (normal range—1.5–3.0 g/L) varied in cement workers (3.32 ± 0.93 mg/L versus 3.01 ± 0.85 g/L), automobile spray painters (2.90 ± 1.19 mg/L versus 2.54 ± 0.99 mg/L), woodworkers (2.79 ± 1.10 mg/L versus 2.37 ± 0.92 g/L) and cleaners (3.06 ± 0.82 mg/L versus 2.54 ± 0.70 g/L).
Conclusion(s): Poor air quality was evident at the study sites, especially in the dry season. Cement workers and automobile spray painters showed significant risks of obstructive pulmonary diseases while woodworkers had restrictive lung diseases. Cement workers and cleaners recorded the highest risk of coronary heart disease (CRP ≥ 3.0 mg/L). The similarity in Fc and CRP trends suggests a role for the inflammation-sensitive proteins in the determination of cardiovascular risk in cement workers and cleaners. Therefore, there are occupation-specific disease endpoints of public health concern that likewise warrant specific preventive and management approaches among the workers.
Objective: To determine the distribution of symptoms of post-stroke depression (PSD) in relation to some predisposing factors in an African population.
Relevance: Environment is a key determinant of behavior, and varied socio-cultural contexts must have implications for modifiable characteristics (age, duration of the stroke, marital status, type of employment, gender, the location of cerebral lesion and complications) of individuals vulnerable to PSD, which may be targeted to enhance recovery.
Method: This was a cross-sectional observational study of 50 (22 females and 28 males) stroke survivors (mean age=54.76±8.79 years), at the physiotherapy department, the University of Nigeria teaching hospital, Enugu, selected using convenience sampling technique. Data were collected using Becks Depression Inventory and analyzed using Z-score, Chi-square test and univariate logistic regression, at p<0.05.
Results: PSD was more prevalent in females (45.45%); young(100%); middle-age(60%) adults(27-36/47-56 years respectively); living with spouse (45%); left cerebral lesions (40.74%); complications(45%); cold case >3 years(47.05%); self-employed and unemployed (66.67%), respectively. Age was significantly associated with depression (χ2 =4.92,df=1,p=0.03), and was related to the risk of PSD (3.7[1.1-12.0], p=0.03, φ = +0.31, φ2=0.1).
Conclusion: Age could be a risk factor for PSD, which was more prevalent in the elderly than young/middle-age adults, female gender, left cerebral lesion, complications, cold case; those living with a spouse, self-employed and unemployed.
Background: Hand hygiene practices (HHP), as a critical component of infection prevention/control, were investigated among physiotherapists in an Ebola endemic region.
Method: A standardized instrument was administered to 44 randomly selected physiotherapists (23 males and 21 females), from three tertiary hospitals in Enugu, Nigeria. Fifteen participants (aged 22–59 years) participated in focus group discussions (FGDs) and comprised 19 participants in a subsequent laboratory study. After treatment, the palms/fingers of physiotherapists were swabbed and cultured, then incubated aerobically overnight at 37°C, and examined for microbial growths. An antibiogram of the bacterial isolates was obtained.
Results: The majority (34/77.3%) of physiotherapists were aware of the HHP protocol, yet only 15/44.1% rated self-compliance at 71–100%. FGDs identified forgetfulness/inadequate HHP materials/infrastructure as the major barriers to HHP. Staphylococcus aureus were the most prevalent organisms, prior to (8/53.33%) and after (4/26.67%) HPP, while Pseudomonas spp. were acquired thereafter. E. coli were the most antibiotic resistant microbes but were completely removed after HHP. Ciprofloxacin and streptomycin were the most effective antibiotics.
Conclusion: Poor implementation of HPP was observed due to inadequate materials/infrastructure/poor behavioral orientation. Possibly, some HPP materials were contaminated; hence, new microbes were acquired. Since HPP removed the most antibiotic resistant microbes, it might be more effective in infection control than antibiotic medication.
Roads to Health in Developing Countries: Understanding the Intersection of Culture and Healing
(2017)
Background:
The most important attribute to which all human beings aspire is good health because it enables us to undertake different forms of activities of daily living. The emergence of scientific knowledge in Western societies has enabled scientists to explore and define several parameters of health by drawing boundaries around factors that are known to influence the attainment of good health. For example, the World Health Organization defined health by taking physical and psychological factors into consideration. Their definition of health also included a caveat that says, “not merely the absence of sickness.”
This definition has guided scientists and health care providers in the Western world in the development of health care programs in non-Western societies.
Objective:
However, ethnomedical beliefs about the cause(s) of illness have given rise to alternative theories of health, sickness, and treatment approaches in the developing world. Thus, there is another side to the story.
Method:
Much of the population in developing countries lives in rural settings where the knowledge of health, sickness, and care has evolved over centuries of practice and experience. The definition of health in these settings tends to orient toward cultural beliefs, traditional practices, and social relationships. Invariably, whereas biomedicine is the dominant medical system in Western societies, traditional medicine — or ethno-medicine — is often the first port of call for patients in developing countries.
Results:
The 2 medical systems represent, and are influenced by, the cultural environment in which they exist. On one hand, biomedicine is very effective in the treatment of objective, measurable disease conditions. On the other hand, ethnomedicine is effective in the management of illness conditions or the experience of disease states. Nevertheless, an attempt to supplant 1 system of care with another from a different cultural environment could pose enormous challenges in non-Western societies.
Conclusion:
In general, we, as human beings, are guided in our health care decisions by past experiences, family and friends, social networks, cultural beliefs, customs, tradition, professional knowledge, and intuition. No medical system has been shown to address all of these elements; hence, the need for collaboration, acceptance, and partnership between all systems of care in cultural communities. In developing countries, the roads to health are incomplete without an examination of the intersection of culture and healing. Perhaps mutual exclusiveness rather inclusiveness of these 2 dominant health systems is the greatest obstacle to health in developing countries.
The most important attribute for which we all aspire as human beings is good health because it enables us to undertake different forms of activities of daily living. The emergence of scientific knowledge in Western societies has enabled us to explore and define several parameters of “health” by drawing boundaries around factors that are known to impact the achievement of good health. For example, the World Health Organization defined health by taking physical and psychological factors into consideration.
Background: Depletion of ovarian hormone in postmenopausal women has been associated with changes in the locomotor apparatus that may compromise walking function including muscle atrophy/weakness, weight gain, and bone demineralization. Therefore, handgrip strength (HGS), bone mineral density (BMD) and body composition [percentage body fat mass (%BFM), fat mass (FM), Fat-free mass (FFM) and body mass index (BMI)], may significantly vary and predict WB in postmenopausal women. Consequently, the study sought to 1. Explore body composition, BMD and muscle strength differences between premenopausal and postmenopausal women and 2. Explore how these variables [I.e., body composition, BMD and muscle strength] relate to WB in postmenopausal women.
Method: Fifty-one pre-menopausal (35.74 + 1.52) and 50 postmenopausal (53.32 + 2.28) women were selected by convenience sampling and studied. Six explanatory variables (HGS, BMD, %BFM, FFM, BMI and FM) were explored to predict WB in postmenopausal women: Data collected were analyzed using multiple linear regression, ANCOVA, independent t-test and Pearson correlation coefficient at p < 0.05.
Result: Postmenopausal women had higher BMI(t = + 1.72; p = 0.04), %BFM(t = + 2.77; p = .003), FM(t = + 1.77; p = 0.04) and lower HGS(t = − 3.05; p = 0.001),compared to the premenopausal women. The predicted main effect of age on HGS was not significant, F(1, 197) = 0.03, p = 0.06, likewise the interaction between age and %BFM, F(1, 197) = 0.02, p = 0.89; unlike the predicted main effect of %BFM, F(1, 197) = 10.34, p = .002, on HGS. HGS was the highest predictor of WB (t = 2.203; β=0.3046) in postmenopausal women and combined with T-score right big toe (Tscorert) to produce R2 = 0.11;F (2, 47)=4.11;p = 0.02 as the best fit for the predictive model. The variance (R2) change was significant from HGS model (R2 = 0.09;p = 0.03) to HGS + Tscorert model (R2 = 0.11;p = 0.02). The regression model equation was therefore given as: WB =5.4805 + 0.1578(HGS) + (− 1.3532) Tscorert.
Conclusion: There are differences in body composition suggesting re-compartmentalization of the body, which may adversely impact the (HGS) muscle strength in postmenopausal women. Muscle strength and BMD areassociated with WB, although, only contribute to a marginal amount of the variance for WB. Therefore, other factors in addition to musculoskeletal health are necessary to mitigate fall risk in postmenopausal women.
Background: Foodstuff traders operating from warehouses (FTFW) are potentially exposed to dangerous rodenticides/pesticides that may have adverse effects on cardiopulmonary function. Methods: 50 consenting male foodstuff traders, comprising 15 traders (21–63 years) operating outside warehouses and 35 FTFW (20–64 years), were randomly recruited at Ogbete Market, Enugu, in a cross-sectional observational study of spirometric and electrocardiographic parameters. 17 FTFW (21–57 years) participated in focus group discussions. Qualitative and quantitative data were analysed thematically and with independent t-test and Pearson correlation coefficient at p < 0.05, respectively. Results: Most FTFW experienced respiratory symptoms, especially dry cough (97,1%) and wheezing (31.4%) with significant reductions in forced vital capacity (FVC) (t = -2.654; p = 0.011), forced expiratory volume in one second (FEV1) (t = -2.240; p = 0.030), maximum expiratory flow rate (FEF200-1200) (t = -1.148; p = -0.047), and forced end-expiratory flow (FEF25-75) (t = -1.11; p = 0.007). The maximum mid-expiratory flow (FEF25-75) was marginally decreased (p > 0.05) with a significantly prolonged (p < 0.05) QTc interval. Conclusion: Allergic response was evident in the FTFW. Significant decrease in FVC may negatively impact lung flow rates and explains the marginal decrease in FEF25-75, which implies a relative limitation in airflow of peripheral/distal airways and elastic recoil of the lungs. This is consistent with obstructive pulmonary disease; a significant decrease in FEF75-85/FEV1 supports this conclusion. Significant decrease in FEF200-1200 indicates abnormalities in the large airways/larynx just as significantly prolonged ventricular repolarization suggests cardiac arrhythmias.
A decline in the CD4 count is a common feature in HIV/AIDS, suggesting a compromise in immunity of patients. In response, highly active antiretroviral therapy (HAART) is prescribed to slow-down a diminution in the CD4 count and risk of AIDS-related malignancies. However, exercise may improve both the utility and population of innate immune cell components, and may be beneficial for patients with HIV infection. Comparing the effects of different exercises against HAART, on CD4 count, helps in understanding the role and evidence-based application of exercises to ameliorate immune deficiency.
Purpose. To identify stroke survivors with symptoms of poststroke depression and the extent of psychiatry needs and care they have received while on physiotherapy rehabilitation. Participants. Fifty stroke survivors (22 females and 28 males) at the outpatient unit of Physiotherapy Department, University of Nigeria Teaching Hospital, Enugu, who gave their informed consent, were randomly selected. Their age range and mean age were 26–66 years and 54.76 ± 8.79 years, respectively. Method. A multiple case study of 50 stroke survivors for symptoms of poststroke depression was done with Beck’s Depression Inventory, mini mental status examination tool, and Modified Motor Assessment Scale. The tests were performed independently by the participants except otherwise stated and scored on a scale of 0–6. Data were analyzed using -test for proportional significance and chi-square test for determining relationship between variables, at p < 0.05. Results. Twenty-one (42.0%) stroke survivors had symptoms of PSD, which was significantly dependent on duration of stroke ( = 21.680, df = 6, and p = 0.001), yet none of the participants had a psychiatry review. Conclusions. Symptoms of PSD may be common in cold compared to new cases of stroke and may need psychiatry care while on physiotherapy rehabilitation.
Background
Infant mortality in rural areas of Nigeria can be minimized if childhood febrile conditions are treated by trained health personnel, deployed to primary healthcare centres (PHCs) rather than the observed preference of mothers for patent medicine dealers (PMDs). However, health service utilization/patronage is driven by consumer satisfaction and perception of services/product value. The objective of this study was to determine ‘mothers’ perception of recovery’ and ‘mothers’ satisfaction’ after PMD treatment of childhood febrile conditions, as likely drivers of mothers’ health-seeking behaviour, which must be targeted to reverse the trend.
Methods
Ugwuogo-Nike, in Enugu, Nigeria, has many PMDs/PHCs, and was selected based on high prevalence of childhood febrile conditions. In total, 385 consenting mothers (aged 15–45 years) were consecutively recruited at PMD shops, after purchasing drugs for childhood febrile conditions, in a cross-sectional observational study using a pre-tested instrument; 33 of them (aged 21–47 years) participated in focus group discussions (FGDs). Qualitative data were thematically analysed while a quantitative study was analysed with Z score and Chi square statistics, at p < 0.05.
Results
Most participants in FGDs perceived that their child had delayed recovery, but were satisfied with PMDs’ treatment of childhood febrile conditions, for reasons that included politeness, caring attitude, drug availability, easy accessibility, flexibility in pricing, shorter waiting time, their God-fearing nature, and disposition as good listeners. Mothers’ satisfaction with PMDs’ treatment is significantly (p < 0.05) associated with mothers’ perception of recovery of their child (χ2 = 192.94, df = 4; p < 0.0001; Cramer’s V = 0.7079). However, predicting mothers’ satisfaction with PMDs’ treatment from a knowledge of mothers’ perception of recovery shows a high accord (lambda[A from B] = 0.8727), unlike when predicting mothers’ perception of recovery based on knowledge of mothers’ satisfaction with PMDs’ treatment (lambda[A from B] = 0.4727).
Conclusions
Mothers’ satisfaction could be the key ‘driver’ of mothers’ health-seeking behaviour and is less likely to be influenced by mothers’ perception of recovery of their child. Therefore, mothers’ negative perception of their child’s recovery may not induce proportionate decline in mothers’ health-seeking behaviour (patronage of PMDs), which might be influenced mainly by mothers’ satisfaction with the positive attributes of PMDs’ personality/practice and sets an important agenda for PHC reforms.
Gegenstand dieser problem- und handlungsorientierten Arbeit sind die verschiedenen unternehmerischen Gestaltungsmöglichkeiten, die im Hinblick auf die Unternehmerzuordnung von Betrieben oder von deren Teilen bestehen. Im einzelnen werden dazu die Grundformen von Betriebs- und Betriebsteilübergängen, Betriebsaufspaltungen und Betriebsparzellierungen dargestellt und ihnen zugrundeliegende unternehmerische Motive ausgewiesen.
Würde jemand die siebziger Jahre im Bildungsbereich nachträglich als das 'Jahrzehnt der Fachhochschulen' apostrophieren, er hätte wohl kaum zu befürchten, als Emphatiker belächelt zu werden. Sind doch allein die äußeren Strukturwandlungen, die in diesem Bereich innerhalb eines knappen Jahrzehnts eingesetzt haben, beachtlich: Ehemalige höhere Fachschulen (z.B. die Ingenieur- und Werkkunstschulen) wurden in Akademien, später in Fachbereiche selbständiger Fachhochschulen umgewandelt und diese schließlich in den allgemeinen Hochschulbereich aufgenommen. Verbunden damit waren Statusänderungen, die keineswegs nur formaler Natur sind: Aus Schülern wurden Studenten, aus graduierten Fachschulabgängem diplomierte Hochschulabsolventen und aus Dozenten, in der Regel in Laufbahnämtern, Hochschulprofessoren.
Bei der Konzeption und Entwicklung der BID-Studiengänge ist neben den inhaltlichen und studienorganisatorischen Überlegungen die Ableitung und Entwicklung realistischer Planungsdaten eine der Hauptaufgaben des Modellversuchs BID und eine wesentliche Voraussetzung für ihre erfolgreiche Umsetzung in die Praxis gewesen. Auf diese Planungsergebnisse und die Umsetzung wird in diesem Beitrag vor allem einzugehen sein.
INHALT: 1. Einleitung 2. Funktion der Ressourcenplanung bei der Einrichtung von Studiengängen im Fachbereich BID 3. Vorgaben der Ressourcenplanung im Fachbereich BID 4. Ressourcenbereich Stellenbedarf 5. Ressourcenbereich Raumbedarf 6. Ressourcenbereich Sachmittelbedarf 7. Zusammenfassender überblick
Inhalt: 1. Einleitung 2. Projektarbeit als Teil der Praxisorientierung des Studiums 3. Funktionselemente der Projektarbeit 4. Ziele der Projektarbeit 5. Bedingungsrahmen der Projektarbeit 6. Gestaltungselemente der Projektarbeit 7. Struktur und Aufbau der Projektarbeit im Fachbereich BID 8. Arbeitsschritte für die Initiierung von Projektarbeiten
Inhalt: 1. Einleitung 2. Überlegungen zur Einführung der Orientierungsphase 3. Leitziele der Orientierungsphase 4. Themenbereiche der Orientierungsphase 5. Durchführung und Arbeitsformen der Orientierungsphase 6. Lehrveranstaltungen der Orientierungsphase im Fachbereich BID 7. Erste Erfahrungen mit der Orientierungsphase 8. Schlußbetrachtung