bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Longitudinal Pediatric Residency Climate Justice Curriculum
Authors: Marwah Harleen , Thapar Isha , McShane Mark , Silva Genevieve S. , Goodall Harrison , Lewis Noreena , Bottone Paul Devine , Hussain Farah 
Published: December 2024

Background Graduate medical education programs must prepare physicians to adapt their care for patients whose health equity and outcomes are being threatened by climate change. This article presents the implementation of a longitudinal climate justice curriculum within a pediatrics residency program.
Objective To measure the self-reported changes in attitudes and intentions for change in behavior after implementation of a climate justice curriculum.
Methods A longitudinal, 4-part, climate justice and health equity (CJHE) curriculum was implemented from 2023 to 2024 into the broader advocacy training of a pediatrics residency program. Resident participants completed pre- and post-session surveys that assessed their attitudes toward climate change and health, as well as their intentions to engage in climate advocacy. Paired deidentified responses were analyzed via Wilcoxon signed-rank test.
Results Thus far, facilitators have conducted 4 introduction sessions, 4 narrative medicine sessions, and 3 health system sustainability sessions. Sixty-eight of 100 residents (68%) completed both pre- and post-session surveys. The curriculum was associated with increased self-reported understanding of how climate change impacts human health (CJHE 1: median of pairwise averages of pair-differences [MPA]=1.00, P&lt;.001; CJHE 3-4: MPA=1.00, P&lt;.001), increased agreement that health care providers can be effective climate advocates (CJHE 1: MPA=2.00, P&lt;.001; CJHE 3-4: MPA=1.50, P&lt;.001), and increased intention to discuss the health impacts of climate change in future patient encounters (CJHE 1: MPA=1.00, P&lt;.001; CJHE 3-4: MPA=1.00, P&lt;.001).
Conclusions This longitudinal CJHE curriculum demonstrated acceptability and increased participants’ self-reported understanding of how climate change impacts human health and the ways in which physicians can act as advocates.
Incorporating Climate Change Education Into Residency: A Focus on Community Risks and Resources
Authors: Moon Charles , Braganza Sandra , Bathory Eleanor 
Published: December 2024

ABSTRACT

Background
Graduate medical education (GME) focused on climate change (CC) health effects is essential. However, few CC education evaluations exist to guide residency programs looking to implement CC content.

Objective
To evaluate the effect of an education session on residents’ self-reported knowledge of CC health effects and confidence utilizing local CC anticipatory guidance and community resources with patients.

Methods
A CC session was integrated into the pediatric, family medicine, and social medicine curricula at an urban academic medical center in 2023. A convenience sample of residents participated in 1 of 4 nonrandomized case-based or lecture-based sessions. Pre- and post-session 5-question Likert-scale surveys were used for assessment and analyzed using paired t tests.

Results
Sixty-eight of 108 eligible residents completed the surveys (28 case-based, 40 lecture-based, 63% response rate). Residents’ understanding and confidence to engage with patients on CC health effects after the educational session improved (Q1 mean difference 1.3, t67=9.85, 95% CI 1.04-1.57, P&lt;.001; Q2 1.5, t67=9.98, 95% CI 1.20-1.82, P&lt;.001; Q3 1.8, t67=12.84, 95% QI 1.54-2.11, P&lt;.001; Q4 2.1, t67=16.25, 95% CI 1.84-2.36, P&lt;.001; Q5 2.1, t67=16.28, 95% CI 1.86-2.38, P&lt;.001).

Conclusions
Resident self-reported understanding of the health effects of CC and confidence utilizing local CC anticipatory guidance and resources with patients increased after a CC education session.
TRASH-CAN: An Approach to Promote Planetary Health Education and Research for Health Care Trainees
Authors: Best Gordon M. , Brenna Connor T.A. , Luo Owen D. , Cheng-Boivin Olivia , Prince Nicole , Hanna Mary , Gaudreau Simard Mathilde , Moloo Husein 
Published: December 2024

Background As future health care leaders who work and train in diverse clinical settings, resident physicians are uniquely positioned to advance sustainable health care systems. However, residents are insufficiently educated about health care sustainability and given limited opportunities to engage in planetary health.
Objective This article introduces and reports on the early outcomes of the Trainee-Led Research and Audit for Sustainability in Healthcare Canada (TRASH-CAN), a resident-driven initiative launched in 2023 with the aim of reducing Canadian health care’s environmental impact.
Methods In 2023-2024, we developed a web-based platform that facilitates trainee-led action to support the promotion of sustainability literature, collaboration with national and international institutions, and execution of quality improvement projects to reduce health care waste under the 3 brand pillars of Learning, Leadership, and Delivery. We have promoted TRASH-CAN and its website through conference presentations, social media, mailing lists, and word of mouth. These activities support our goals of engaging trainees, pairing them with mentors, and initiating a variety of quality improvement projects focused on planetary health.
Results In its first year of operation, TRASH-CAN has developed a fully functional website hosting intake forms and detailing ongoing projects and opportunities. We have enrolled 15 faculty mentors and 16 residents and medical students, with ongoing projects such as transitioning hospitals to reusable alternatives and optimizing procedural custom operating room equipment packs.
Conclusions TRASH-CAN’s inaugural year has led to the initiation of 11 sustainability projects and the enrollment of 31 faculty mentors and trainees.
A Rapid-Response Curricular Approach to Teaching Politically Charged Topics
Authors: Henrich Janet B. , Gielissen Katherine A. , McNamara Cynthia F. , Pathy Shefali , Hirschman Allister F. , Canarie Joseph X. , Dhond Mukta , Richman Ilana , Rabin Tracy L. , Vasquez Luz , Encandela John 
Published: December 2024

Background Residency education in the United States faces challenges from evolving external influence on evidence-based reproductive and gender-affirming health care (R/GAHC). Curricula must incorporate information and resources to assist residents in navigating changes.
Objective To illustrate a process for expeditiously adapting curriculum in response to changing laws affecting R/GAHC.
Methods A 6-step model was used to tailor an R/GAHC module within an existing curriculum. Steps included identifying the medical education problem; conducting needs assessments with residents and educators; and designing, implementing, and evaluating the curriculum. The module was piloted in 2022 with internal medicine residents in 3 training programs at one institution during 4-hour small-group academic half-days. We evaluated the module’s feasibility with time and cost analysis and residents’ self-reported readiness to provide R/GAHC through essential tasks and knowledge. We evaluated acceptability by assessing whether residents and educators engaged in and completed the curriculum, and evidence of administrative support.
Results A needs assessment clarified the educational problem as an urgent need to educate residents on the implications of legal changes affecting R/GAHC. Curriculum planning occurred over 2 months and implementation over 3 months. Of 175 eligible residents, 164 (94%) were trained. Evaluation showed that the curriculum was well received by residents, whose post-training self-assessment showed readiness to provide R/GAHC. Faculty time to plan and implement the module was substantial (estimated 207 person hours), yet participation was consistent, and administrative commitment constant.
Conclusions We demonstrated a generalizable approach for expeditiously tailoring curricula to prepare residents to navigate changing laws affecting health care provision.
A Qualitative Study of Workplace Gossip in the Residency Learning Environment
Authors: Chaikof Michael , Bodley Janet , Farrugia Michele , Tannenbaum Evan , White Bobbie Ann Adair 
Published: December 2024

Background Gossip is a ubiquitous sociocultural phenomenon serving many functions in human interactions, including in workplace and academic settings. Gossip can have profound positive and negative impacts; however, its impact on medical residents and their learning environment is unknown.
Objective To understand the function and impact of workplace gossip—from and about colleagues and supervisors—on medical residents’ experiences in their learning environment.
Methods This exploratory study used principles of constructivist grounded theory. Data were collected from residents in the obstetrics and gynecology and psychiatry programs at a large academic institution via semistructured interviews in 2021. Seven residents were interviewed. Transcripts were analyzed using inductive coding, and themes were identified.
Results Thematic analysis revealed perceived positive and negative impacts of gossip. Perceived positive impacts included affirmation and roadmapping. Perceived negative impacts included anxiety/fear and the role of gossip in reinforcing the educational hierarchy. Other themes, which are perceived to have both positive and negative impacts, included the role of gossip in learning and in group status. The identity of the gossiper, audience, and subject of gossip also impacted its effects. Gossip between residents about faculty members was perceived as roadmapping, or an affirming role, whereas gossip involving faculty members created anxiety and reinforced negative aspects of the hierarchy.
Conclusions Workplace gossip serves both positive and negative roles within the medical learning environment. It can function as informal debriefing and can also threaten psychological safety. Its impact on residents is affected by the identities of the gossiper, subject, and audience.
Stability analysis of a computer virus epidemic model at disease-free equilibrium
Authors: Philip Ochi O. , Andrew Agada A. , Ezekiel Udonsa A. , Timothy Jeremiah , Shamaki Timothy A. 
Published: December 2024

In this study, we partitioned the population into Susceptible (Sc), Protected (Pc), Exposed (Ec), Infected (Ic), Quarantined (Qc) and recovered (Rc) individuals with their corresponding parameters. We analyzed a ScPcEcIcQcRcSc compartmental nonlinear deterministic mathematical model of Computer virus epidemic in a community with constant population. Analytical studies were carried out on the model to: investigate the existence and uniqueness of solution of the model equations and explore the basic properties of the model equations. The disease-free equilibrium points of the model is computed and proved to be locally and globally asymptotically stable if R0 < 0 and unstable if R0 > 0. Finally, we simulate the model system in MATLAB and obtained the graphical behavior of the infected compartmental variables in the model. From the simulation, we observed that the Computer virus infection was eradicated when R0 < 0 while it persist in the environment when R0 > 0.
Effects of nettle content and delivery route on performance, nutrient digestibility, intestinal morphology, immune response, and antioxidant capacity of heat-stressed broiler chickens
Authors: Sadeeq N. , M’Sadiq S. , Beski S. 
Published: December 2024

This study was conducted to assess the effect of nettle supplementation on heat-stressed broiler performance and physiology. A total of 540 Ross-308 broiler chicks were randomly assigned to nine treatments each with six replications of 10 birds. Three contents of nettle were offered in either a fermented or unfermented (0, 1.5, and 3 g/kg) diet or in the drinking water (0, 1.5, and 3 g/L). At day 10, feed intake and FCR increased with nettle content in the diet. Heat-stressed birds that received powdered nettle had a better FCR. At day 35, increasing nettle improved the FCR. Nettle-supplemented broilers had increased dry matter, protein, and fat digestibility. The interaction of factors indicated that a higher NDV titre in birds that received 3% nettle in all forms. A higher NDV titre was found in birds that received fermented nettle, whereas a lower titre was found given the nettle extract. Unfermented nettle substantially increased the immunoglobulin titre of heat-stressed broilers. The interaction of factors indicated an increased total antioxidant capacity (TAC) in birds that received 3% of either fermented or unfermented nettle. The TAC was higher with fermented nettle. The activity of glutathione peroxidase increased with fermented nettle supplementation. Villi length and villous height/crypt depth increased with the supplementation of nettle and was higher in birds that received the unfermented nettle. In addition to its growth promoting properties, this study indicates nettle as a potential agent against heat stress in broiler production.
The Influence of Electronic Word of Mouth in Social Media on Generation Z Purchase Intention in Malaysia
Authors: Haroon Abdulla Saleem , Hong Alex Ng Hou , Hoo Wong Chee , Wolor Christian , Liau Chee How 
Published: December 2024

Objectives: The objective of this paper is to examine the direct effect of information quality, information usefulness, information credibility, attitude towards information on Malaysian Generation Z’ online purchase intention on social media.

Theoretical Framework: The study utilizing the Unified Theory of Acceptance and Use of Technology (UTAUT) theories as the underlying theoretical framework.

Method: A quantitative research methodology is used, and the data collected from 384 Malaysian from the age category between 18-27 years old.

Results and Discussions: Study shows information quality, information usefulness, information credibility and attitude towards information have significant influence on purchase intention of Gen-Z in Malaysia. The findings of this study indicate that electronic word-of-mouth significantly influences the purchase intentions of Generation Z and other demographic groups, as recognised by marketers.

Research Implication: Understanding eWOM's influence on Gen Z purchase intentions in Malaysia can inform targeted marketing strategies and consumer protection policies.

Originality/Value: The findings of this study will contribute to an understanding of the importance of the chosen factors affecting on Malaysian Generation Z’ online purchase intention on social media.
Integrating the Palembang Baso Dialect Into Bipa Level 1 Syllabus: Advancing the SDGs for Quality Education as Preservation of Local Culture
Authors: Mayrita Hastari , Ernawati Yeni , Purnomo Mulyadi Eko , Sholikhah Hani Atus 
Published: December 2024

Objective: This study is to integrate phonetic transcription of the ‘Baso Palembang Sari-Sari’ dialect into the Indonesian Language for Foreign Speakers (BIPA) learning at Level 1.

Theoretical Framework: This research combines the concepts of phonology and phonetic transcription, which studies language sounds and their representation through International Phonetic Alphabet (IPA) symbols, to support the learning of Indonesian for Foreign Speakers (BIPA), with a focus on the integration of regional languages ​​such as Baso Palembang sari-sari to improve pronunciation accuracy, cultural understanding, communication, and preservation of regional languages ​​in Indonesia.

Method: A qualitative method to describe the phonetic transcription of the Baso Palembang Sari-Sari vocabulary. Data were collected through recordings of conversations between students and native speakers, as well as other supporting documents such as dictionaries. The data analysis technique involved phonetic transcription using phonetic symbols and presenting the data in tabular form.

Results and Discussion: The phonetic transcription of 'Baso Palembang Sari-Sari' vocabulary could be categorized into various Level 1 BIPA competency standards, such as everyday speech acts, self-introductions and introductions of others, family member names, and information related to time and location.

Research Implications: The integration of phonetic transcription can enrich BIPA learning materials, helping foreign students better understand and communicate within the local context in Indonesia.

Originality/Value: This research offers a new approach to BIPA teaching by incorporating elements of regional languages, which has the potential to enhance students' understanding of linguistic and cultural diversity in Indonesia, as well as their ability to communicate with local communities.
Locked Down but Not Out: On-line Strength and Conditioning Provides A Viable Stimulus for Girls’ Football Players
Authors: Jones Andrew , Emerson Jonathan , Franklin John , Graham Mike , Wright Matthew 
Published: December 2024

Strength and conditioning is important for physical preparation in girls’ association football players however, during the COVID-19 pandemic on-line “virtual” coaching replaced gym sessions. Using an retrospective observational design we aimed to quantify the internal responses from on-line and gym-based training in 27 (age 14.5 ± 0.9 yrs; stature 162 ± 6.0 cm; mass 56.8 ± 6.6 kg) girls’ football players from 1 FA Regional Talent Club. Players provided session ratings of perceived exertion (RPE) via the CR-100© scale for global (sRPE-G), leg (sRPE-L), upper-body (sRPE-U), and breathless (sRPE-B), and data were analysed through mixed linear modeling. Mean sRPE for gym and on-line were approximately “hard” to “very hard” (62 and 55 Arbitrary Units [AU]) for sRPE-G, “hard” for sRPE-L (57 and 53 AU), “somewhat hard” to “hard” (54 and 42 AU) for sRPE-U and “somewhat hard” (36 and 29 AU) for sRPE-B. We observed gym based training to provide significantly higher global (6.9, 95% confidence intervals; 3.9 to 9.9 Arbitrary Units[AU]) and upper-body (7.6, 3.6 to 11.6 AU). However, differences were less than our pre-defined minimal practical difference (8 AU) and sRPE-L and sRPE-B were statistically equivalent. On-line strength and conditioning may be a viable alternative to gym-based sessions in girls’ association football players.
Product Innovation a Tool for Sustaining a Firm’s Competitiveness Globally through Customer Satisfaction.
Authors: Amoasi Richard , Wu Xiaodan , Anyomi Stanley Kafui 
Published: December 2024

Purpose: Innovation has become an element of strategic importance for sustaining products because the cost of R&D including marketing activities is reduced but levels of consumption and the company’s sales and profits increase. Rapid shifts in consumer tastes and preferences present a challenge for businesses looking to gain a competitive edge in satisfying their clientele and winning their loyalty through innovative product development. The objective of the study was to find out whether innovation (continuous) is efficient in achieving customer satisfaction that results in increasing a firm’s competitive advantage in the market globally. In this paper the researcher examined the factors that sustains customer satisfaction due to innovation and make it a necessity for achieving competitive advantage.
Methodology: A population of 300 samples were drawn from both industry and customers. Questionnaires were administered on the respondents and interviews held for the staff and management for the selected companies. Purposive and convenient sampling techniques were used. The regression method of analysing data was employed.
Findings: The findings of the study reveal that innovation particularly (continuous innovation) is relevant to companies because it is tailored towards the changing tastes, preferences and culture of the market. It also can capture the non-inclusive customers, stimulate immediate trial and restore previously purchased patterns. Customer satisfaction boosts revenue, fosters customer loyalty, ensures business continuity, and establishes the company's competitive advantage.
Unique Contribution: Innovation (continuous) occasioned by customer satisfaction is most often successful because it rides on the publicity and the market advantages the earlier version of the brand enjoyed and reduces the cost of R&D than totally new-to-the-world products (discontinuous innovation). Product innovation of this nature has a shorter period between conception and introduction.
Body Image Negatif Berdampak Pada Kecemasan Remaja Putri di Masa Pubertas: Literature Riview
Authors: Dumar Bergita , Ida Wahyuni  , Nur Fitriah Jumatrin  , Mery Eka Yaya Fujianti  
Published: December 2024

Introduction: Adolescence is a transition period from childhood which results in many changes experienced in all aspects of life, such as physical and psychological aspects. Psychological and physical changes can influence negative Body Image in young women so that it can have an impact on emotional problems such as anxiety, the anxiety that arises can reduce the productivity of young women. Objective: This Literature Review aims to discuss negative Body Image related to anxiety in young women in puberty. Method: This study uses a literature review method to see how big the impact of negative body image is on the anxiety of young women during puberty. This literature uses references from the last 10 years (2014-2024) with titles that are relevant to the title raised. Results: The negative body image that occurs in this transition phase has quite a significant impact on the anxiety of young women during puberty. Conclusion: It can be concluded that anxiety in young women during puberty can be caused by a negative Body Image.

Pendahuluan: Usia remaja menjadi masa peralihan dari masa kanak-kanak yang mengakibatkan banyaknya perubahan yang dialami dalam segala aspek kehidupannya seperti fisik dan aspek psikologis. Perubahan secara psikologis dan fisik dapat mempengaruhi Body Image negative pada remaja putri sehingga dapat berdampak pada masalah emosional seperti kecemasan, kecemasan yang muncul dapat mengurangi produktivas remaja putri.. Tujuan: Literature Riview ini bertujuan untuk membahas terkait Body Image negative terhadap kecemasan pada remaja putri di masa pubertas. Metode: Studi ini memakai metode literature review untuk melihat seberapa besar dampak yang ditimbulkan dari Body Image negatif pada kecemasan remaja putri di masa pubertas.Literature ini menggunakan referensi 10 tahun terakhir (2014-2024) dengan judul yang relevan dengan judul yang diangkat. Hasil: Body Image negatif yang terjadi difase transisi ini berdampak cukup signifikan terhadap kecemasan remaja putri dimasa pubertas.Kesimpulan: Dapat disimpulkan bahwa kecemasan pada remaja putri di masa pubertas dapat diakibatkan karena Body Image yang negative.
LA EXCURSIÓN DOCENTE, UNA VÍA PARA POTENCIAR EL ESTUDIO DE LA LOCALIDAD DESDE LA GEOGRAFÍA DE CUBA
Authors: Pérez Luis Alfonso , Domínguez Pacheco Danay , Despaigne Revé Anny Fredy 
Published: December 2024

Por el gran valor pedagógico que presenta la excursión docente, por los aportes de amor y cuidado a la naturaleza, por el nivel de sensibilidad que se asume ante las diferentes situaciones ambientales y ante la problemática de cómo contribuir al estudio de la localidad en los estudiantes de la Carrera de Geografía en la Universidad de Cienfuegos, se realiza esta investigación con el objetivo de diseñar e implementar una propuesta de excursiones docentes parar fortalecer el estudio de la localidad en los estudiantes.
La misma consta de resumen, introducción, desarrollo donde se fundamenta la propuesta, la propuesta, conclusiones y la bibliografía. Se partió de la constatación inicial y con la aplicación de diferentes instrumentos de diagnóstico, con carácter intencional, que permitió buscar la historia del problema y confirmar el mismo.