bluuebunny/crossref_metadata_2025_split huggingface dataset:
Multicolor Flag Game (MFG) as an alternative learning for adaptive students
Authors: Sutaryono Sutaryono , Awang Irawan Fajar , Widya Permana Dhias Fajar 
Published: January 2020

Physical education is the component can unify the cultures, languages, and nations. One of the current issues in the physical activity can be shown in the adaptive student. The purpose of this study was to facilitate the deaf student to get correct information and motivation to attending and joining physical activity in their class. Multicolor Flag Game (MFG) was a Research and Development model. The physical fitness elements are running back and forth, zig zag running, and running past the obstacles. Total participants in the trial and test I was 8 students, 10 students in trial and test phase II, and total 15 students used in the final test. The results of trial and test in phase I showed two of three aspects were Very Good, but one aspect needs attention for the perfection of the results. Cognitive aspect showed 93%, affective aspect 94%, and psychomotor 83%. The result of trial and test phase II significantly different, cognitive aspect in the trial and test phase II was 96%, affective 94%, and psychomotor 87%. The percentage of final test in cognitive was 98%, affective 96%, and psychomotor 90%, and all aspects were in Very Good category. These Multicolor Flag Game makes the atmosphere being excited and help the deaf student attending and participating in physical education class without any reason. MFG can improve student learning outcomes in cognitive, affective, and psychomotor aspects. MFG also can be one of the solutions for the teacher to select the alternative game and may be used as a reference in teaching physical education.
Body image appearances in adolescents’ school going children
Authors: Khalili Marandi Pari , Salamudin Norlena 
Published: January 2020

Abstract The key objective of this research was to analyse and understand the different effect of gender and age on body image appearance at age 12 and 15 years in both gender groups. In other word age and gender how influence on adolescents body image appearance. The sample chosen for this study was 1429 (710 boys and 719 girls) from primary and secondary schools in Tehran. To verify the body image used of questionnaire Body Image Concern Inventory (BICI) (Littleton 2005). The difference between body image appearance of boy and girl, between at age of 12 and 15 years, was analysed and compared using the SPSS version20 ANOVA test. The ranking of the four group samples was achieved by using mean of body image appearance. On analysing the data, it was indicated that there was a significant effect of age, gender and interaction of the variables on body image on boys and girls at the age of 12 and 15 years. The result reveals that in the same age category, boys were at a better level of body image appearance than girls. Also, the result revealed that the body image appearance level was better in the younger age category.
Prediksi Waktu Berakhirnya Gempabumi Susulan dengan Metode Omori, Mogi I, Mogi Ii, dan Utsu untuk Kejadian Gempabumi di Lebak, Banten: Tanggal 07 Juli 2018 – 17 Juli 2018
Authors: Permana Nanda Ridki 
Published: January 2020

Gempa bumi susulan (aftershocks) merupakan gempa yang terjadi setelah gempa bumi utama (mainshock) dengan magnitudo yang lebih kecil yang terjadi pada wilayah yang sama. Telah dilakukan penelitian tentang analisis prakiraan waktu berakhirnya gempa bumi susulan di Lebak, Banten pada tanggal 07 Juli 2018 – 17 Juli 2018 . Metode yang digunakan adalah metode Omori, Mogi I, Mogi II dan Utsu, dimana nilai-nilai konstanta dari persamaan tersebut ditentukan dengan metode Least Square. Data yang diolah merupakan data gempa bumi susulan yang tercatat dari BBMKG Wilayah II Ciputat,Tangerang Selatan. Pada penelitian ini digunakan kasus gempa yaitu gempa Lebak pada tanggal 07 Juli 2018 – 17 Juli 2018. Waktu berakhirnya gempa bumi susulan untuk gempa bumi Lebak yaitu pada hari ke-11. Hasil analisis menunjukkan bahwa gempa bumi di Lebak mempunyai tipe gempa yaitu adanya gempa bumi pendahuluan. Hasil perhitungan menunjukkan bahwa metode yang sesuai untuk memperkirakan waktu berakhirnya gempa bumi susulan di Lebak adalah metode Utsu. Hasil prakiraan untuk Metode Utsu lebih mendekati data aktual daripada metode lainnya. Semakin mendekati waktu (t) berakhirnya gempa bumi susulan maka akan semakin menurun frekuensi gempa n(t) susulan nya.
Pembuatan dan Karakterisasi Plastik Biodegradable Berbahan Dasar Ampas Ubi Kayu dan Kulit Udang
Authors: Astuti Adina Widi , Kusuma Hamdan Hadi , Kumila Biaunik Niski 
Published: January 2020

Penelitian pemanfaatan fabrikasi plastik biodegradable telah dikembangkan karena bersifat ramah lingkungan dan terbarukan. Tujuan penelitian ini untuk membuat plastik biodegradable dengan filler berupa (kitosan dari limbah kulit udang dan tepung ampas ubi kayu dari limbah ampas ubi kayu) dengan penambahan sorbitol sebagai matrix, serta menganalisa menggunakan uji kuat tarik dengan standar ASTM D-638M, FTIR dan biodegradasi. Hasil penelitian ini didapatkan 4 sampel plastik biodegradable dengan variasi perbandingan komposisi massa filler (kitosan:tepung ampas ubi kayu) masing-masing sampel yaitu A (1,30: 0,70) gr, B (1,35: 0,65) gr, C (1,40: 0,60) gr dan D (1,45: 0,55) gr. Dari hasil uji sifat mekanik didapatkan nilai kuat tarik masing-masing sampel yaitu A (1,01±0,11) MPa, B (1,32±0,08) MPa, C (1,66±0,03) MPa dan D (1,97±0,06) MPa. Sedangkan nilai persen elongasi dari masing-masing sampel yaitu A (23,58 ± 1,39) %, B (16,67 ± 0,20) %, C (11,01 ± 1,32) % dan D (8,11 ± 0,72) %. Sedangkan nilai persen elongasi dari masing-masing sampel yaitu A (22.89%), B (15.90%), C (10.56%) dan D (7.85%). Penambahan komposisi massa kitosan terbukti mampu meningkatkan nilai kuat tarik dan modulus young plastik biodegradable, namun untuk nilai persen elongasinya menurun. Uji FTIR menunjukkan bahwa di dalam plastik biodegradable terdapat gugus fungsi C-H, O-H, C≡C, C=N, C=C dan C-O yang merupakan gugus organik. Tingginya intensitas ikatan C≡C pada sampel dengan komposisi massa kitosan paling banyak menyebabkan ikatan lebih sukar merenggang/diputus, karena memiliki energi ikatan rata-rata yang tinggi, sehingga menambah nilai kuat tarik dan memperlambat proses biodegradasi.
Firearms Screening in the Pediatric Inpatient Setting
Authors: Monroe Kimberly K. , Fried Sarah Q. , Rubin Alexandra , Markman Lisa R. , Shefler Alanna , McCaffery Harlan , Arora Nonie S. , Osborn Rachel R. , Freundlich Katherine L. , Mychaliska Kerry P. 
Published: January 2020

OBJECTIVES:
Firearm-related deaths remain a top cause of mortality in American children and adolescents. In a 2012 policy statement, the American Academy of Pediatrics urged pediatricians to incorporate questions about the availability of firearms into their patient history taking. We aim to evaluate the frequency of screening for home firearms in an academic tertiary-care hospital inpatient setting.

METHODS:
This retrospective chart review examined patients with the following pediatric diagnoses admitted to a tertiary-care pediatric hospital from 2006 to 2015: asthma, bronchiolitis, cellulitis, jaundice, single liveborn infant, bacterial and viral pneumonia, and all mood disorders. Data analysts then searched the patient charts that met these inclusion criteria for documentation of firearm screening as indicated by use of the terms “firearm,” “pistol,” “gun,” “handgun,” “bullet,” “ammunition,” or “rifle” in the admissions history and physical.

RESULTS:
Evidence of screening for firearms in the home was found in 1196 of the 40 658 charts included in the study (2.94%). The most frequently screened diagnosis and admitting service were mood disorders and child psychiatry, respectively (1159 of 3107; 37.3%). Only 19.8% of identified gun-owning families received specific anticipatory guidance.

CONCLUSIONS:
Firearm screening and gun safety education occurred infrequently in the inpatient setting. Inpatient encounters may provide an opportunity for increased screening and education because the hospital environment also includes additional resources, exposure to a greater number of providers, and the presence of more family members or caregivers. Further studies are warranted to explore barriers to inpatient screening and possible mechanisms for improvement.
Screening for Social Determinants of Health in Hospitalized Children
Authors: Schwartz Bryanna , Herrmann Lisa E. , Librizzi Jamie , Gayle Tamara , Waloff Kevin , Walsh Heather , Rucker Alexandra , Herrera Nicole , Bhansali Priti 
Published: January 2020

OBJECTIVES:
Outpatient screening for social determinants of health (SDH) improves patient access to resources. However, no studies have examined if and how inpatient pediatric providers perform SDH screening. We aimed to identify inpatient pediatric provider screening practices for SDH, barriers to screening, and the acceptability of screening for hospitalized patients.

METHODS:
We conducted a multicenter descriptive study at 4 children’s hospitals surveying inpatient hospitalists and nurses on the general wards about their SDH screening practices. A survey instrument was developed on the basis of literature pertaining to SDH, content expert review, cognitive interviews, and survey piloting. Descriptive statistics and logistic regression analyses are reported.

RESULTS:
Results from 146 hospitalists and 227 nurses were analyzed (58% and 26% response rate, respectively). Twenty-nine percent of hospitalists and 41% of nurses reported screening for ≥1 SDH frequently or with every hospitalized patient. Only 26% of hospitalists reported consistently communicating SDH needs with primary care providers. Most respondents (97% of hospitalists and 65% of nurses) reported they do not use a specific screening tool, and only 34% of hospitalists and 32% of nurses reported feeling competent screening for SDH. Lack of time, resources, and a standardized inpatient screening tool were reported as barriers to screening.

CONCLUSIONS:
Hospitalization provides an opportunity for SDH screening and connecting patients to resources; however, a minority of pediatric providers currently report screening. Professional development activities training inpatient providers in SDH screening, using a screening instrument, and communicating identified needs to primary care providers may improve the effectiveness of SDH screening in the hospital.
Identifying Modifiable Health Care Barriers to Improve Health Equity for Hospitalized Children
Authors: Lion K. Casey , Zhou Chuan , Ebel Beth E. , Penfold Robert B. , Mangione-Smith Rita 
Published: January 2020

BACKGROUND:Children from socially disadvantaged families experience worse hospital outcomes compared with other children. We sought to identify modifiable barriers to care to target for intervention.METHODS:We conducted a prospective cohort study of hospitalized children over 15 months. Caregivers completed a survey within 3 days of admission and 2 to 8 weeks after discharge to assess 10 reported barriers to care related to their interactions within the health care system (eg, not feeling like they have sufficient skills to navigate the system and experiencing marginalization). Associations between barriers and outcomes (30-day readmissions and length of stay) were assessed by using multivariable regression. Barriers associated with worse outcomes were then tested for associations with a cumulative social disadvantage score based on 5 family sociodemographic characteristics (eg, low income).RESULTS:Of eligible families, 61% (n = 3651) completed the admission survey; of those, 48% (n = 1734) completed follow-up. Nine of 10 barriers were associated with at least 1 worse hospital outcome. Of those, 4 were also positively associated with cumulative social disadvantage: perceiving the system as a barrier (adjusted β = 1.66; 95% confidence interval [CI] 1.02 to 2.30), skill barriers (β = 3.82; 95% CI 3.22 to 4.43), cultural distance (β = 1.75; 95% CI 1.36 to 2.15), and marginalization (β = .71; 95% CI 0.30 to 1.11). Low income had the most consistently strong association with reported barriers.CONCLUSIONS:System barriers, skill barriers, cultural distance, and marginalization were significantly associated with both worse hospital outcomes and social disadvantage, suggesting these are promising targets for intervention to decrease disparities for hospitalized children.
Preventability of 7-Day Versus 30-Day Readmissions at an Academic Children’s Hospital
Authors: Gardner Tiffany A. , Vaz Louise E. , Foster Byron A. , Wagner Tamara , Austin Jared P. 
Published: January 2020

BACKGROUND AND OBJECTIVES:
The 30-day readmission rate is a common quality metric used by Medicare for adult patients. However, studies in pediatrics have shown lower readmission rates and potentially less preventability. Therefore, some question the utility of the 30-day readmission time frame in pediatrics. Our objective was to describe the characteristics of patients readmitted within 30 days of discharge over a 1-year period and determine the preventability of readmissions occurring 0 to 7 vs 8 to 30 days after discharge from a pediatric hospitalist service at an academic children’s hospital.

METHODS:
Retrospective chart review and hospital administrative data were used to gather medical characteristics, demographics, and process-level metrics for readmitted patients between July 1, 2015, and June 30, 2016. All readmissions were reviewed by 2 senior authors and assigned a preventability category. Subgroup analysis comparing preventability in 0-to-7– and 8-to-30–day readmissions groups was performed. Qualitative thematic analysis was performed on readmissions deemed preventable.

RESULTS:
Of 1523 discharges that occurred during the study period, 49 patients, with 65 distinct readmission encounters, were readmitted for an overall 30-day readmission rate of 4.3% (65 of 1523). Twenty-eight percent (9 of 32) of readmissions within 7 days of discharge and 12.1% (4 of 33) occurring 8 to 30 days after discharge were deemed potentially preventable (P = .13). Combined, the 30-day preventable readmission rate was 20% (13 of 65).

CONCLUSIONS:
We identified a possible association between preventability and time to readmission. If confirmed by larger studies, the 7-day, rather than 30-day, time frame may represent a better quality metric for readmitted pediatric patients.
Identification of Caregiver-Reported Social Risk Factors in Hospitalized Children
Authors: Vaz Louise E. , Wagner David V. , Ramsey Katrina L. , Jenisch Celeste , Austin Jared P. , Jungbauer Rebecca M. , Felder Kimberly , Vega-Juarez Raul , Gomez Mauricio , Koskela-Staples Natalie , Harris Michael A. , Zuckerman Katharine E. 
Published: January 2020

OBJECTIVES:Although health systems are increasingly moving toward addressing social determinants of health, social risk screening for hospitalized children is largely unexplored. We sought to determine if inpatient screening was feasible and describe the prevalence of social risk among children and caregivers, with special attention given to children with chronic conditions.METHODS:Caregivers of pediatric patients on the hospitalist service at a children’s hospital in the Pacific Northwest completed a social risk survey in 2017. This survey was used to capture items related to caregiver demographics; socioeconomic, psychosocial, and household risks; and adverse childhood experiences (ACEs). Charts were reviewed for child demographics and medical complexity. Results were tabulated as frequency distributions, and analyses compared the association of risk factors with a child’s medical complexity by using χ2 tests.RESULTS:A total of 265 out of 304 (87%) caregivers consented to participate. One in 3 families endorsed markers of financial stress (eg, difficulty paying for food, rent, or utilities). Forty percent experienced medical bill or insurance troubles. Caregiver mental health concerns were prevalent, affecting over one-third of all respondents. ACEs were also common, with 38% of children having at least 1 ACE. The presence of any ACE was more likely for children with chronic conditions than those without.CONCLUSIONS:We found that social risk screening in the inpatient setting was feasible; social risk was uniformly common and did not disproportionately affect those with chronic diseases. Knowing the prevalence of social risk may assist in appropriate alignment of interventions tiered by social complexity.
Nutritional Advancement in the Hospitalized Child After NPO: A Retrospective Cohort Study
Authors: Burek Alina G. , Liljestrom Tracey , Porada Kelsey , Matschull Lauren , Pan Amy , Havens Peter L. , Goday Praveen S. 
Published: January 2020

OBJECTIVES:
A clear-liquid diet is commonly used after a nil per os (NPO) order in children recovering from acute gastrointestinal (GI) illnesses. Our purpose for this study was to compare outcomes in patients receiving a clear-liquid diet after an NPO order with outcomes in those receiving a regular diet.

METHODS:
In this retrospective cohort study, patients aged 1 to 18 years admitted to a tertiary care children’s hospital between 2016 and 2017 were screened to identify those who had an NPO order placed for acute GI illnesses. Patients with complex medical needs, a feeding disorder, or chronic GI disorders were excluded.

RESULTS:
Of 39 total patients, 17 (44%) received a clear-liquid diet after an NPO order. There was no difference in diet tolerance between patients receiving a clear-liquid diet and those receiving a regular diet on the basis of emesis in the first 12 hours (P = .40), pain scores after the first oral intake (P = .86), return to clear-liquid diet (P = .57), or return to NPO status (P &gt; .99). Patients started on a clear-liquid diet had a longer length of stay (LOS) after diet initiation compared with those receiving a regular diet (median: 43.7 hours [interquartile range: 29.8–53.4] vs median: 20.8 hours [interquartile range 6.7–47.3]), both in the univariate analysis (P = .01) and after controlling for age, diagnosis category, and pain score before and after the first oral intake (P = .03).

CONCLUSIONS:
Patients transitioned to a clear-liquid diet after NPO status have a longer LOS after the first oral intake independent of patient age, diagnosis, and pretransition abdominal pain. Both groups had similar diet tolerance, suggesting that transition to a regular diet after NPO status may decrease LOS without significant adverse effects.
Significant artifacts in schools: teacher and pupil perspectives
Authors: Kaire Sandra 
Published: January 2020

Drawing on the recent research ‘Dominant and demotic school culture: analysis of tensions fields’ this paper analyses found artifacts in 6 different Lithuanian secondary schools. The visual data was collected by making images of places and artifacts which were mentioned during the walks in the school territory with one teacher and one pupil afterwards. The analysis of images focuses particularly on two aspects: a) which artifacts are significant for teachers and pupils in the schools? b) What do these artifacts mean for teachers and pupils? Therefore, the analysis is based on comparing walks among teachers and pupils in all schools. The analysis shows obvious differences on re/presented artifacts among teachers and pupils. The teachers emphasized and showed those artifacts which on one way or another represent their schools’ achievements, like pupils’ sport achievements, pupils’ artworks, and honored pupils’ displays, and were related with aspects of pride. The paper argues the possible reasons for the importance of pride in schools. Meanwhile, pupils were highlighting spaces they like to gather around during non-learning time. Pupils appreciate less visible places because it is possible to have some privacy there. As analysis shows, different sitting artifacts (chairs, sofas, beanbags) play an important role for creating such private pupils’ ‘oases’. On the other hand, such artifacts, as pupils’ artworks, information displays, and sport achievements, seem to be meaningful for pupils if they were contributing in the creation process or were mentioned in these artifacts.
THROUGH THE (NOT SO) PINK GLASSES: GENDER BIAS IN INTIMATE RELATIONSHIPS
Authors: GROCHALSKA MONIKA 
Published: January 2020

This article was written as part of the project funded by the National Science Centre allocated on the basis of the decision no DEC-2011/01/D/HS6/02470. It shows how social representations of intimate relationships are shared among women and where they are rooted. According to Serge Moscovici, social representations are systems of values, ideas and practices, which allow people in groups to understand each other. Thus women have such a system, which is created through their entire life within the process of informal learning. During this processes some gender bias is imposed. This bias becomes a part of social representations of intimate relationships and influences practices of „being-in-relationship”. Those practices often do not fit life situations, contributing to the deterioration of women’s quality of life . All these processes are analysed on the basis of data taken from focus group interviews (FGI) with women. During interviews women often referred to some shared meanings, which constitute their social representations. Finally, these interviews show, that close relationships are highly affected by gender bias, thus they are full of misunderstandings and internal conflicts. The findings highlight the role played by the social representations in women’s subjective experience of their intimate relationships.
Different Perspectives on the Use of L1 inTeaching English to the Elderly
Authors: Słowik Agata 
Published: January 2020

Own-language use has commonly been discouraged by language teachers worldwide ever since the Grammar Translation method gave place to other methods. In the last decade, however, there has been a visible shift in the use of mother tongue and, what is notable, an increasing number of methodologists have begun to point that the use of students’ mother tongue may in fact facilitate the process of learning. Despite the long awaited return of own-language use students’ learning preferences regarding the use of L1 are still often dismissed by teachers either due to lack of experience or to some reservations. Such attitudes may be especially harmful to a group which often demands own-language use in the classroom environment and which remains understudied – the elderly. Therefore, the primary objective of the proposed paper is to highlight the differences between various teacher perceptions of whether or not own-language use does facilitate the process of older adult students’ learning and to collate them with older adult students’ own answers. The secondary objective is to present a possibly wide spectrum of various views reflecting the issues connected with the use of students’ own language and the related influence of teachers’ experiences and perceptions. The disparity between the answers provided by inexperienced teachers, experienced teachers and the elderly learners, especially while taking into account the use of students’ L1, is aimed at drawing some conclusions that may point to alternative directions in the future studies of own-language use in the classroom environment