bluuebunny/crossref_metadata_2025_split huggingface dataset:
Communication Skills and Practices Vary by Clinician Type
Authors: Jones Amy H. , Jacobs Marni B. , October Tessie W. 
Published: April 2020

OBJECTIVES:
Unscheduled admission to the PICU is a stressful experience for families. During the admission process, families communicate with 4 types of clinicians (resident, nurse practitioner, fellow, and attending physician). All clinicians must manage family stress while communicating concise, accurate information. The manner and variability in how different clinicians communicate with families at the time of PICU admission is not yet known.

METHODS:
We performed a prospective observational study to evaluate communication patterns of various clinician types, including the length of communication encounters and the number of provider interruptions at the time of admission to the PICU during a 3-month period. All nonscheduled admissions to the PICU were eligible for enrollment. The admission intake was audio recorded and directly observed.

RESULTS:
We observed 45 different family–clinician interactions for a total of 19 unique family encounters (48% of eligible admissions). Residents and nurse practitioners spent the most time communicating with families (14.3 and 19 minutes, respectively) compared with fellows (7.3 minutes) and attending physicians (6.6 minutes). Residents were frequently interrupted by pages and phone calls (64% of interactions) and spoke at a higher reading level than all other clinician types (P = .03; 95% confidence interval 74.6–83.9). Qualitatively, residents had more challenges coping with distractions, acknowledging parental emotions, and aligning with parental goals compared with other clinician types.

CONCLUSIONS:
Resident trainees spend significantly more time with families and, during this time, are burdened with frequent interruptions. In this stressful communication environment, residents encounter more barriers to communication and may require additional communication skills to manage relaying complex information while simultaneously responding to parental emotions.
Maternal and Child Health Bureau’s Autism Research Program
Authors: DiBari Jessica N. , Azuine Romuladus E. , Linares Deborah E. , Rocha Imelda , Park Hae Young , Raskin Ramos Lauren , Kogan Michael D. , Kavanagh Laura 
Published: April 2020

OBJECTIVES:
To provide an overview and quantitatively demonstrate the reach of the Health Resources and Services Administration’s Maternal and Child Health Bureau autism research program.

METHODS:
We reviewed program reports and internal data from 59 autism research grantees. The US federal Interagency Autism Coordinating Committee’s strategic plan questions were used as a framework to highlight the contributions of the autism research program in advancing the field.

RESULTS:
The autism research program grantees advance research in several ways. Grantees have strengthened the evidence for autism interventions by conducting 89 studies at 79 distinct research sites. A total of 212 708 participants have enrolled in autism research program studies and 361 researchers have contributed to furthering autism research. The program addresses topics that align with the majority of the Interagency Autism Coordinating Committee’s priority topic areas, including advancements in treatments and interventions, services and supports, and identifying risk factors. Grantee products include 387 peer-reviewed publications, 19 tools, and 13 practice guidelines for improving care and intervention practices.

CONCLUSIONS:
The autism research program has contributed to medical advances in research, leveraged innovative training platforms to provide specialized training, and provided access to health services through research-based screening and diagnostic procedures. Autism research program studies have contributed to the development of evidence-based practice guidelines, informed policy guidelines, and quality improvement efforts to bolster advancements in the field. Although disparities still exist, the Health Resources and Services Administration’s Maternal and Child Health Bureau can reduce gaps in screening and diagnosis by targeting interventions to underserved populations including minority and rural communities.
Improving Behavior Challenges and Quality of Life in the Autism Learning Health Network
Authors: Anixt Julia S. , Murray Donna S. , Coury Daniel L. , Kuhlthau Karen A. , Eskra Diane , Seide Janet , Kelly Amy , Hess Amy , Lipkin Paul H. , Law J. Kiely , Fedele Angie , Lannon Carole 
Published: April 2020

OBJECTIVES:
To summarize baseline data and lessons learned from the Autism Learning Health Network, designed to improve care and outcomes for children with autism spectrum disorder (ASD). We describe challenging behaviors, co-occurring medical conditions, quality of life (QoL), receipt of recommended health services, and next steps.

METHODS:
A cross-sectional study of children 3 to 12 years old with ASD receiving care at 13 sites. Parent-reported characteristics of children with ASD were collected as outcome measures aligned with our network’s aims of reducing rates of challenging behaviors, improving QoL, and ensuring receipt of recommended health services. Parents completed a survey about behavioral challenges, co-occurring conditions, health services, and the Patient-Reported Outcomes Measurement Information System Global Health Measure and the Aberrant Behavior Checklist to assess QoL and behavior symptoms, respectively.

RESULTS:
Analysis included 530 children. Challenging behaviors were reported by the majority of parents (93%), frequently noting attention-deficit/hyperactivity disorder symptoms, irritability, and anxiety. Mean (SD) scores on the Aberrant Behavior Checklist hyperactivity and irritability subscales were 17.9 (10.5) and 13.5 (9.2), respectively. The Patient-Reported Outcomes Measurement Information System Global Health Measure total score of 23.6 (3.7) was lower than scores reported in a general pediatric population. Most children had received recommended well-child (94%) and dental (85%) care in the past 12 months.

CONCLUSIONS:
This baseline data (1) affirmed the focus on addressing challenging behaviors; (2) prioritized 3 behavior domains, that of attention-deficit/hyperactivity disorder, irritability, and anxiety; and (3) identified targets for reducing severity of behaviors and strategies to improve data collection.
Mindfulness-Based Stress Reduction for Parents Implementing Early Intervention for Autism: An RCT
Authors: Weitlauf Amy S. , Broderick Neill , Stainbrook J. Alacia , Taylor Julie Lounds , Herrington Catherine G. , Nicholson Amy G. , Santulli Madeline , Dykens Elisabeth M. , Juárez A. Pablo , Warren Zachary E. 
Published: April 2020

BACKGROUND AND OBJECTIVES:
Systems of care emphasize parent-delivered intervention for children with autism spectrum disorder (ASD). Meanwhile, multiple studies document psychological distress within these parents. This pilot longitudinal randomized controlled trial compared the parent-implemented Early Start Denver Model (P-ESDM) to P-ESDM plus mindfulness-based stress reduction (MBSR) for parents. We evaluated changes in parent functioning during active treatment and at follow-up.

METHODS:
Participants included children (&lt;36 months old) with autism spectrum disorder and caregivers. Participants were randomly assigned to P-ESDM only (n = 31) or P-ESDM plus MBSR (n = 30). Data were collected at baseline, midtreatment, the end of treatment, and 1, 3, and 6 months posttreatment. Multilevel models with discontinuous slopes were used to test for group differences in outcome changes over time.

RESULTS:
Both groups improved during active treatment in all subdomains of parent stress (β = −1.42, −1.25, −0.92; P &lt; 0.001), depressive symptoms, and anxiety symptoms (β = −0.62 and −0.78, respectively; P &lt; 0.05). Parents who received MBSR had greater improvements than those receiving P-ESDM only in parental distress and parent-child dysfunctional interactions (β = −1.91 and −1.38, respectively; P &lt; 0.01). Groups differed in change in mindfulness during treatment (β = 3.15; P &lt; .05), with P-ESDM plus MBSR increasing and P-ESDM declining. Treatment group did not significantly predict change in depressive symptoms, anxiety symptoms, or life satisfaction. Differences emerged on the basis of parent sex, child age, and child behavior problems.

CONCLUSIONS:
Results suggest that manualized, low-intensity stress-reduction strategies may have long-term impacts on parent stress. Limitations and future directions are described.
Nita, Maria. 2016. <i>Praying and Campaigning with Environmental Christians: Green Religion and the Environmental Movement</i>
Authors: Kidwell Jeremy H. 
Published: April 2020

Nita, Maria. 2016. Praying and Campaigning with Environmental Christians: Green Religion and the Environmental Movement. London: Palgrave Macmillan. xi + 261 pp. ISBN: 978-1-137-60034-9 £99.99 (hbk); 978-1-349-95608-1 £99.99 (pbk); 978-1-137-60035-6 £79.50 (e-book).
Tamimi Arab, Pooyan. 2017. <i>Amplifying Islam in the European Soundscape: Religious Pluralism and Secularism in the Netherlands</i>
Authors: Van Stee Elena G. 
Published: April 2020

Tamimi Arab, Pooyan. 2017. Amplifying Islam in the European Soundscape: Religious Pluralism and Secularism in the Netherlands. London: Bloomsbury Academic. x + 216 pp. ISBN: 978- 14742-9143-9 £90.00 (hbk); 978-13500-8118-5 £28.99 (pbk).
O PLANEJAMENTO E A REVISÃO DE TEXTOS NA PRÁTICA PEDAGÓGICA DE PROFESSORES DO ENSINO FUNDAMENTAL
Authors: Da Silva Thalita Folmann , Guimarães Sandra Regina Kirchner 
Published: April 2020

Objetivou-se analisar a prática pedagógica destinada à produção de textos a fim de identificar as estratégias didáticas adotadas para o planejamento e a revisão da produção dos estudantes. Foram realizadas trinta e uma horas de observação da prática de professoras de 4º e 5º anos do Ensino Fundamental. Verificou-se que nas atividades de planejamento as professoras propiciaram a leitura de diferentes textos e promoveram discussões sobre os conteúdos que seriam abordados nas produções. As atividades de revisão foram prevalentes após o término da primeira versão dos textos. Conclui-se que os encaminhamentos observados não possibilitaram aos estudantes relevante melhoria no desempenho em relação à coesão e à coerência nos textos produzidos e, principalmente, na gestão consciente dos elementos constitutivos dos diferentes gêneros textuais. Infere-se que o planejamento e a revisão são atividades metatextuais que contribuem para o desempenho na escrita e, portanto, são ações que precisam ser contempladas na prática pedagógica para um eficiente processo de ensino-aprendizagem da produção textual.
The Effect of Cooperative Learning Model and Peer Teaching Model on Social Skills and Volleyball Games Performance
Authors: Padillah Ade , Yudiana Yunyun , Juliantine Tite 
Published: April 2020

The purpose of this study was to determine the effect of the TGT type cooperative learning model and peer teaching learning model on social skills and volleyball games performance, the effect of the TGT type cooperative learning model and peer teaching learning model on social skills, as well as the TGT type cooperative learning model and peer teaching learning model on volleyball games performance. The research method used in this study was the quasi experimental method. The design used in this study was a pre-test-post-test group design. In this study, the population taken were 360 students at SMAN 1 Garawangi in Kuningan District. The sampling technique used cluster random sampling involving 40 students (22 males; 18 females). The instruments used in this study were the social skills questionnaire, namely the Social Scale System (SSRS), and the volleyball games performance assessment instrument by using the Game Performance Assessment Instrument (GPAI). The conclusion of this study states that there is an effect of the TGT type cooperative learning model and peer teaching learning model on social skills and volleyball games performance; there is an effect of the TGT type cooperative learning model and peer teaching learning model on social skills; and there is an effect of the TGT type learning model and peer teaching learning model on volleyball games performance. AbstrakTujuan penelitian ini untuk mengetahui pengaruh model pembelajaran koopertif learning tipe TGT dan peer teaching terhadap keterampilan sosial dan keterampilan bola voli, pengaruh model pembelajaran koopertif learning tipe TGT dan peer teaching terhadap keterampilan sosial, serta model pembelajaran koopertif learning tipe TGT dan peer teaching terhadap keterampilan bermain bola voli. Metode penelitian yang digunakan dalam penelitian ini adalah metode quasi experiment. Desain yang digunakan dalam penelitian ini adalah pretest-postest group design Dalam penelitian ini, populasi yang diambil adalah siswa SMAN 1 Garawangi di Kabupaten Kuningan kelas Sepuluh dengan total siswa 360 orang. teknik pengambilan sampel menggunaka cluster random sampling yang menghasilkan sebanyak 40 orang siswa, 22 laki laki, 18 perempuan. Instrumen yang digunakan dalam penelitian ini adalah angket keterampilan sosial yaitu Social Scale System (SSRS), dan instrumen penilaian keterampilan bermain Bola voli dengan menggunakan GPAI (Game Performance Assessment Instrument). Kesimpulan dari penelitian ini menyatakan bahwa terdapat pengaruh model pembelajaran koopertif learning tipe TGT dan peer teaching terhadap keterampilan sosial dan keterampilan bola voli, terdapat pengaruh model pembelajaran koopertif learning tipe TGT dan peer teaching terhadap keterampilan sosial, terdapat pengaruh model pembelajaran koopertif learning tipe TGT dan peer teaching terhadap keterampilan bermain bola voli.
The Implementation of Problem Based Learning Model in Improving Cooperation and Learning Outcomes in Physical Education
Authors: Dupri D , Candra Oki , Candra Alfi , Suryani Desi Alif 
Published: April 2020

The decline in the culture of cooperation has an impact on the decrease of the student learning outcomes. The purpose of this study was to see the increase of critical thinking skill and cooperation in Physical Education and Health students through Problem Based Learning Model in Physical Education learning. The method used in this study was experimental method with the Randomize Pre-test and Post-test Control Group Design. The sampling technique in this study was cluster random sampling. The samples of this study were divided into two classes, namely experimental group and control group. The instrument used to measure cooperation was a questionnaire, while learning outcomes were measured by tests. The analysis of this study used SPSS 22 with t-test. This study concludes that the Problem Base Learning model is able to improve the cooperation among the students and also significantly improves learning outcomes. AbstrakMenurunnya budaya kerjasama yang juga berdampak kepada penurunan hasil belajar mahasiswa. Tujuan penelitian ini adalah untuk melihat peningkatan keterampilan berpikir kritis dan Kerjasama mahasiswa Penjaskesrek melalui model Problem Base Learning pada pembelajaran pendidikan jasmani. Metode yang digunakan dalam penelitian ini adalah metode eksperimen dengan Desain dalam penelitian ini adalah Randomize Pretest and Posttest Control Group Design. Teknik pengambilan sampel dalam penelitian ini di ambil secara Cluster Random Sampling, maka sampel pada penlitian ini menjadi dua kelas yaitu kelompok eksperimen kelas 6F dan kelas 6E menjadi kelompok kontrol. Instrumen yang digunakan untuk mengukur kerjasama dengan menggunakan anket dan hasil belajar dengan tes. Analisis penelitian ini menggunakan SPSS 22 dengan uji t. Penelitian ini menyimpulkan bahwa model Problem Base Learning mampu meningkatkan kemampuan kerjasama pada mahasiswa dan juga meningkatkan hasil belajar yang cukup signifikan.
Hubungan antara tekanan darah dengan keparahan stroke menggunakan National Institute Health Stroke Scale
Authors: Razdiq Zayyan Misykati , Imran Yudhisman 
Published: April 2020

LATAR BELAKANGStroke merupakan salah satu penyakit yang menyebabkan tingkat kematian dan disabilitas yang tinggi. Sebesar 75% dari faktor risiko stroke adalah hipertensi. Semenjak tingkat mortalitas stroke mengalami penurunan, kesempatan hidup pasien pasca-stroke dengan gejala sisa yang diakibatkannya semakin meningkat. Sampai saat in masih diperoleh hasil yang kontroversi antara hubungan tekanan darah dengan keparahan stroke menggunakan National Institute Health Stroke Scale (NIHSS), diperoleh hasil penelitian yang menyatakan tidak terdapat hubungan yang signifikan dan sebagian lain menjumpai hubungan yang signifikan. Penelitian ini dilakukan untuk menilai hubungan tekanan darah dengan hasil keparahan stroke menggunakan NIHSS.
METODEPenelitian ini merupakan studi analitik observasional dengan rancangan cross sectional. Pengambilan sampel dilakukan dengan cara consecutive non random sampling pada data rekam medik pasien stroke di Rumah Sakit Pusat Otak Nasional (RSPON), Jakarta Timur dari November hingga Desember 2018. Jumlah rekam medik yang diambil adalah 235 buah. Pengambilan data menggunakan data sekunder. NIHSS merupakan skala penilaian valid yang dapat dipercaya dan efisien untuk mengukur derajat neurologis pasien selama stroke akut dan mengukur hasil keluaran klinis setelah terapi. Analisis data dilakukan secara univariat dan bivariat dengan uji korelasi Spearman.
HASILTerdapat hubungan antara tekanan darah sistolik (p=0.01) dan tekanan darah diastolik (p=0.004) dengan tingkat keparahan stroke.
KESIMPULANTerdapat hubungan antara tekanan darah dan keparahan stroke menggunakan NIHSS pada pasien stroke yang dirawat di RSPON.
Hubungan antara aktivitas fisik dengan fungsi kognitif pada lansia
Authors: Noor Chairina Azkya , Merijanti Lie Tanu 
Published: April 2020

LATAR BELAKANGSeiring dengan meningkatnya jumlah lansia khususnya di Indonesia, semakin meningkat pula permasalahan penyakit akibat proses degeneratif. Tiga puluh dua koma empat persen lansia di Indonesia mengalami gangguan pada fungsi kognitifnya. Fungsi kognitif merupakan salah satu bagian terbesar yang diatur oleh otak. Penuaan menyebabkan terjadinya banyak perubahan pada otak yang dapat mengarah pada kemunduran fungsi neurokognitif. Terdapat beberapa faktor yang diduga dapat memperlambat penurunan fungsi kognitif, salah satunya adalah aktivitas fisik. Studi ini bertujuan untuk mengetahui apakah terdapat hubungan antara aktivitas fisik dengan fungsi kognitif pada lansia.
METODEJenis penelitian ini merupakan observational analitic dengan pendekatan cross sectional yang dilakukan pada bulan November 2015. Sampel diambil secara simple random sampling pada 60 lansia di Posyandu Lansia X, Jakarta. Seluruh lansia yang memenuhi kriteria inklusi dinilai aktivitas fisiknya dari pengisian kuesioner Rapid Assessment of Physical Activity (RAPA), sedangkan nilai fungsi kognitif diperoleh dengan wawancara berdasarkan Mini Mental State Examination (MMSE). Analisis data dilakukan untuk mengetahui hubungan antara aktivitas fisik dengan fungsi kognitif pada lansia digunakan uji Chi-square.
HASILTerdapat hubungan bermakna secara statistik antara aktivitas fisik dengan fungsi kognitif pada lansia (p=0.000).
KESIMPULANAktivitas fisik dapat mempengaruhi fungsi kognitif pada lansia. Lansia dengan aktivitas fisik golongan regular sampai dengan active memiliki nilai fungsi kognitif yang normal dibandingkan lansia tanpa aktivitas fisik atau termasuk ke dalam golongan under-active.
Análisis de riesgos y evaluación de impacto relativa a la protección de datos: su aplicación a las sociedades cooperativas
Authors: Gadea Soler Enrique 
Published: April 2020

El RGPD impone a todas las empresas realizar un análisis de riesgo en los tratamientos de datos personales. Si este análisis indica que existe un alto riesgo será obligatorio realizar una EIPD, con el objeto de prever los impactos y riesgos que los mismos pueden suponer en la privacidad de los interesados. De ese modo, y sobre esa base, el RGPD exige que se implanten las medidas de seguridad y control para garantizar los derechos y libertades de las personas. Este trabajo se centra, por una parte, en analizar cuándo una sociedad cooperativa debe realizar una EIPD y, por otra, en estudiar cuales son las fases que debe comprender la realización de una correcta EIPD.Recibido: 25 julio 2019Aceptado: 21 febrero 2020Publicación en línea: 01 abril 2020
Análisis de la política de desarrollo social en el estado de Oaxaca, México 2013-2016. La economía social como propuesta
Authors: Medina Conde Analaura , Flores Ilhuicatzi Uziel 
Published: April 2020

El trabajo tiene como objetivo general analizar los resultados de la política de Desarrollo Social en el Estado de Oaxaca, se realiza una revisión de la situación de rezago social y de los programas sociales de 2013 a 2016 de las diferentes instancias, se utilizó el programa estadístico Statistical Package for the Social Sciences (SPSS) para el análisis de datos con la medida numérica de los indicadores de desarrollo local, se concluye que el número de cooperativas disminuyó del año 2015 a 2018, que en el año 2015 el Estado pasó al primer lugar nacional en rezago social y en 2016 sólo el 17.5% de la población no es pobre y no es vulnerable, tiene 43,100 personas en extrema pobreza, 380 municipios mantuvieron su nivel, 88 disminuyeron y 98 aumentaron, se presentan los apoyos económicos otorgados a cada región y sus características.Recibido: 14 agosto 2019Aceptado: 24 febrero 2020Publicación en línea: 01 abril 2020
CULTURE SHOCKS FACED BY FORIEGN STUDENTS AT ANTASARI STATE ISLAMIC UNIVERSITY BANJARMASIN
Authors: Kadariyah Nur Laila , Hayati Nur Faizah 
Published: April 2020

This research describes the culture shock faced by the foreign students who study at Antasari State Islamic University Banjarmasin. Foreign students who are conscientious in this research are 7 students come from Turkey and one from Thailand. The objectives of this research are: (1) To find out the culture shocks faced by the foreign students in academic aspects; (2) To find culture shocks faced by the foreign students in social aspects. All of the data have analized by descriptive and qualitative research. The results of this research indicated that the foreign students faced culture shock in academic aspects that consist of (1) In institutional rules: the complicated and long of procedures filling Study Plan Sheet Online, collecting of Study Plan Sheet, registrating of courses (2) The cleanliness of the university environment (3) Lecturers’ Rules which consists of discipline on the schedule the lectures, the use of local language (Banjarese) in the classes wether by lecturers or local students. Then, culture shocks in Social Aspects students faced the behavior and attitude of the local students such as talking and made jokes while lecturing, using handphones while lecturing, spitting anywhere, male and female local students’ interaction, and the system of local public transportation.