bluuebunny/crossref_metadata_2025_split huggingface dataset:
A community-driven and evidence-based approach to developing mental wellness strategies in First Nations: a program protocol
Authors: Morton Ninomiya Melody , George Ningwakwe , George Julie , Linklater Renee , Bull Julie , Plain Sara , Graham Kathryn , Bernards Sharon , Peach Laura , Stergiopoulos Vicky , Kurdyak Paul , McKinley Gerald , Donnelly Peter , Wells Samantha 
Published: February 2020

Abstract
Background
Mental health, substance use/addiction and violence (MSV) are important issues affecting the well-being of Indigenous People in Canada. This paper outlines the protocol for a research-to-action program called the Mental Wellness Program (MWP). The MWP aims to increase community capacity, promote relationship-building among communities, and close gaps in services through processes that place value on and supports Indigenous communities’ rights to self-determination and control. The MWP involves collecting and using local data to develop and implement community-specific mental wellness strategies in five First Nations in Ontario.

Methods
The MWP has four key phases. Phase 1 (data collection) includes a community-wide survey to understand MSV issues, service needs and community strengths; in-depth interviews with individuals with lived experiences with MSV issues to understand, health system strengths, service gaps and challenges, as well as individual and community resilience factors; and focus groups with service providers to improve understanding of system weaknesses and strengths in addressing MSV. Phase 2 (review and synthesis) involves analysis of results from these local data sources and knowledge-sharing events to identify a priority area for strategic development based on local strengths and need. Phase 3 (participatory action research approach) involves community members, including persons with lived experience, working with the community and local service providers to develop, implement, and evaluate the MWP to address the selected priority area. Phase 4 (share) is focused on developing and implementing effective knowledge-sharing initiatives. Guidelines and models for building the MWP are shared regionally and provincially through forums, webinars, and social media, as well as cross-community mentoring.

Discussion
MWP uses local community data to address MSV challenges by building on community supports and resilience factors. Drawing on local data and each community's system of formal and informal supports, the program includes sharing exemplary knowledge-to-action models and wellness strategies developed by and for First Nations people that can be used by other First Nations to identify shared wellness priorities in each community, and determine and execute next steps in addressing areas of main concern.
Morphological variation in Cynodon dactylon (L.) Pers., and its relationship with the environment along a longitudinal gradient
Authors: Wang Miaoli , Zhang Jingxue , Guo Zhipeng , Guan Yongzhuo , Qu Gen , Liu Jianyu , Guo Yuxia , Yan Xuebing 
Published: February 2020

Abstract
Background
Geographical variation in morphological traits may reflect evolutionary patterns of morphological adaptability along environmental gradients. Comprehensive information on longitudinal patterns of morphological trait variation is very meaningful to explore morphological diversity and evolutionary trends in widespread bermudagrass.

Methods
To explore the spatial patterns of morphological traits, we investigated 10 morphological traits of bermudagrass and 10 soil nutrient indexes and collected local climate data for 13 different regions from 119°E to 105°E along the latitude 34°N.

Results
Considerable variations in morphological traits were observed at different longitudes, and the variations in most of the evaluated traits within populations were lower than those among populations. All of the 13 different longitudinal sites were divided into three groups based on morphological traits by cluster analysis. The major sources of diversity at the different longitudes were leaf length of the erect shoot, leaf width of the erect shoot, and the internode lengths of the erect shoot and stolon as determined by principal component analysis. Pearson correlation analysis also indicated that longitude was significantly and negatively correlated with these traits as well. Mean average rainfall was significantly correlated with leaf length of the erect shoot and the internode lengths of the erect shoot and stolon, while mean average temperature was only significantly correlated with internode length of the erect shoots. Available sulfur was significantly correlated with internode length of the erect shoot, plant height, and reproductive branch height, while the exchangeable Ca was significantly correlated with internode lengths of the erect shoot and stolon. Soil pH was significantly correlated with the internode length of the stolon. Longitude is an important factor that affects morphological trait variation in wild bermudagrass, and the leaves of the erect shoot and the internode length enlarged significantly with the collection sites moving from east to west.

Conclusion
Different combinations and interactions of environmental factors (soil and climate) along a longitudinal gradient may have strong effects on one or more morphological traits of bermudagrass.
Effect of chronic kidney disease on outcomes of total joint arthroplasty: a meta-analysis
Authors: Kim Chang-Wan , Kim Hyun-Jung , Lee Chang-Rack , Wang Lih , Rhee Seung Joon 
Published: February 2020

Abstract
Background
This meta-analysis was conducted to evaluate the differences in preoperative comorbidities, postoperative mortality, the rate of periprosthetic joint infection (PJI), and revision rate after total joint arthroplasty (TJA) between patients with chronic kidney disease (CKD)(CKD group) and patients with normal kidney function (non-CKD group).

Methods
We searched MEDLINE, EMBASE, and the Cochrane Library for studies assessing the effect of CKD on TJA outcome. This meta-analysis included studies that (1) compared the outcomes of TJA between the CKD and non-CKD groups; (2) compared the outcomes of TJA based on CKD stage; and (3) evaluated the risk factors for morbidity or mortality after TJA. We compared the mortality, PJI, and revision rate between CKD and non-CKD groups, and between dialysis-dependent patients (dialysis group) and non-dialysis-dependent patients (non-dialysis group).

Results
Eighteen studies were included in this meta-analysis. In most studies that assessed preoperative comorbidities, the number and severity of preoperative comorbidities were reported to be higher in the CKD group than in the non-CKD group. The risk of mortality was found to be higher in the CKD and dialysis groups compared with the respective control groups. In the studies based on administrative data, the unadjusted odds ratio (OR) of PJI was significantly higher in the CKD group than in the non-CKD group; however, no significant difference between the groups was noted in the adjusted OR. After total hip arthroplasty (THA), the risk of PJI was higher in the dialysis group than in the non-dialysis group. No significant difference was noted between the groups in the rate of PJI following total knee arthroplasty. The revision rate did not significantly differ between the CKD and non-CKD groups in the studies that were based on administrative data. However, the unadjusted OR was significantly higher in the dialysis group than in the non-dialysis group.

Conclusions
Preoperative comorbidities and mortality risk were higher in the CKD and dialysis groups than in their respective control groups. The risk of revision was greater in the dialysis group than in the non-dialysis group, and the risk of PJI in the dialysis group became even greater after THA. Surgeons should perform careful preoperative risk stratification and optimization for patients with CKD scheduled to undergo TJA.
Methods used to meta-analyse results from interrupted time series studies: A methodological systematic review protocol
Authors: Korevaar Elizabeth , Karahalios Amalia , Forbes Andrew B. , Turner Simon L. , McDonald Steve , Taljaard Monica , Grimshaw Jeremy M. , Cheng Allen C. , Bero Lisa , McKenzie Joanne E. 
Published: February 2020

Background: Systematic reviews are used to inform healthcare decision making. In reviews that aim to examine the effects of organisational, policy change or public health interventions, or exposures, evidence from interrupted time series (ITS) studies may be included. A core component of many systematic reviews is meta-analysis, which is the statistical synthesis of results across studies. There is currently a lack of guidance informing the choice of meta-analysis methods for combining results from ITS studies, and there have been no studies examining the meta-analysis methods used in practice. This study therefore aims to describe current meta-analysis methods used in a cohort of reviews of ITS studies. Methods: We will identify 100 reviews that include meta-analyses of ITS studies from a search of eight electronic databases covering several disciplines (public health, psychology, education, economics). Study selection will be undertaken independently by two authors. Data extraction will be undertaken by one author, and for a random sample of the reviews, two authors. From eligible reviews we will extract details at the review level including discipline and type of interruption; at the meta-analytic level we will extract type of outcome, effect measure(s), meta-analytic methods, and any methods used to re-analyse the individual ITS studies. Descriptive statistics will be used to summarise the data. Conclusions: This review will describe the methods used to meta-analyse results from ITS studies. Results from this review will inform future methods research examining how different meta-analysis methods perform, and ultimately, the development of guidance.
PENGARUH METODE FERNALD TERHADAP KEMAMPUAN MEMBACA PEMAHAMAN MATA PELAJARAN BAHASA INDONESIA KELAS IV SEKOLAH DASAR
Authors: Pratiwi Ragil , Wulandari Yosi 
Published: February 2020

Penelitian ini bertujuan mengetahui mendeksripsi pengaruh metode fernald terhadap kemampuan membaca peserta didik kelas IV pada mata pelajaran Bahasa Indonesia di SD Negeri Golo Yogyakarta. Metode penelitian ini menggunakan penelitian Quasi Expreimental Design dengan desain yang digunakan adalah Nonequivalent Control Group Design. Populasi dalam penelitian ini adalah peserta didik kelas IV SD Negeri Golo tahun ajaran 2018/2019 yang terdiri 2 kelas, yaitu kelas IV A dan kelas IV B dengan jumlah 53 peserta didik dengan Sampel kelas IVA dan kelas IVB memiliki kemampuan dalam aspek kognitif yang relatif sama. pengambilan sampel menggunakan teknik purposive sampling, yaitu responden yang menjadi anggota sampel. Variabel penelitian ada 2 yaitu variabel independent (variabel bebas) dan variabel dependet (variabel terikat) . Teknik pengumpulan data dalam penelitian ini menggunakan instrument tes yang telah diuji validasi dan reabilitasnya, dan juga menggunakan dokumentasi dan Observasi. Teknik analisis data menggunakan yang didahului dengan uji normalitas dan Homogenitas. Hasil ini yaitu terdapat Rhitung 0,711 lebih besar dari pada Rtabel dikatakan valid karena lebih nilai (0,444). Uji realibitas dari 23 pertanyaan lebih dari (0,6) contoh 0,952 berarti reabel bisa penelitian. Hal ini ditunjukkan untuk menentukan hipotesis yaitu Thitung > Ttabel menggunakan uji independent sampel test dengan nilai sig 0,200 data ini Normal karena data lebih dari 0,05 untuk kelas IVA dan IVB. Nilai sig.(2-tailed) 0,000 adanya pengaruh. Sehingga terdapat ada pengaruh tingkat kemampuan membaca pemahaman di SD Negeri Golo Yogyakarta. Kesimpulan metode Fernald dapat meningkatkan prestasti peserta didik kemampuan membaca pemahaman Bahasa Indonesia di kelas IV SD Negeri Golo Yogyakarta.Kata Kunci: Metode Fernald., Bahasa Indonesia, Kemampuan membaca Pemahaman, SD kelas IV.
PENGARUH KETERAMPILAN MEMBACA PEMAHAMAN TERHADAP KEMAMPUAN PEMECAHAN SOAL CERITA MATEMATIKA SISWA KELAS V SEKOLAH DASAR
Authors: Andanik Rosselina Tria , Fitrianawati Meita 
Published: February 2020

ABSTRAK Penelitian ini bertujuan untuk mengetahui pengaruh keterampilan membaca pemahaman terhadap kemampuan pemecahan soal cerita Matematika peserta didik kelas V SD Muhammadiyah Ambarbinangun. Penelitian ini menggunakan pendekatan penelitian kuantitatif dengan jenis penelitian ex-post facto. Subjek penelitian dalam penelitian ini adalah peserta didik kelas V SD Muhammadiyah Ambarbinangun yang berjumlah 66 peserta didik. Variabel yang diteliti yaitu keterampilan membaca pemahaman (Variabel X) dan kemampuan pemecahan soal cerita Matematika (Variabel Y). Teknik pengumpulan data dalam penelitian ini menggunakan tes yang telah diuji validitas dan reliabilitasnya, dan juga menggunakan wawancara. Pengujian hipotesis menggunakan analisis regresi linier sederhana dan korelasi pearson dengan bantuan program SPSS versi 20. Hasil penelitian yang diolah menggunakan uji regresi linier sederhana dan uji korelasi pearson menunjukkan bahwa keterampilan membaca pemahaman berpengaruh signifikan terhadap kemampuan pemecahan soal cerita Matematika, hal ini ditunjukkan dengan nilai sig kurang dari 0,05 yaitu sebesar 0,000 dengan persamaan regresi linier sederhana Y = 1,500 + 0,612X. Untuk Pearson Correlation diperoleh sebesar 0,746 sehingga jika dilihat dari pedoman derajat hubungan yang sudah tertera, pearson correlationnya adalah berkorelasi kuat. Sehingga dapat disimpulkan bahwa keterampilan membaca pemahaman berpengaruh positif terhadap kemampuan pemecahan soal cerita Matematika dengan derajat hubungan korelasi kuat.
PENGGUNAAN MEDIA AUDIO VISUAL DALAM PEMBELAJARAN BAHASA INDONESIA KELAS V DI SD MUHAMMADIYAH DOMBAN 2
Authors: Eggiet Eggiet , Erviana Vera Yuli 
Published: February 2020

Penelitian ini dilatarbelakangi dunia pendidikan sekarang terus mengikuti perkembangan zaman untuk menghadiri berbagai edukasi dalam proses pembelajaran. Salah satunya dengan menggunakan media audio visual sebagai media pembelajaran. Penelitian ini bertujuan untuk mendeskripsikan penggunaan media audio visual dalam pembelajaran bahasa Indonesia di kelas V SD Muhammadiyah Domban 2 Sleman, dan factor pendukung serta penghambat dalam penggunaan media audi visual pada pembelajaran.Penelitian ini menggunakan pendekatan kualitatif. Subjek penelitian ini adalah guru, 23 siswa kelas V, dan kepala SD Muhammadiyah Domban 2 Sleman. Teknik pengumpulan data yang digunakan adalah observasi, wawancara dan dokumentasi. Instrumen utama adalah peneliti dengan mengunakan alat bantu pedoman observasi, pedoman wawancara,. Data dianalisis melalui reduksi data, penyajian data, dan penarikan kesimpulan. Teknik pemeriksaan keabsahan data menggunakan member check dan triangulasi.Hasil penelitian menunjukan bahwa Pelaksanaan pembelajaran bahasa Indonesia dengan media audio visual berjalan sesuai dengan RPP yang dibuat guru, komponen pembelajaran juga sudah terpenuhi dengan maksimal. Selain itu, didukung dengan sarana prasarana yang lengkap dari pihak sekolah. Hambatan tidak ada nya horden membuat sinar dalam ruangan kurang gelap dan apabila listrik mati proyektor tidak bisa digunakan.. Kata kunci: Media Audio Visual, Pembelajaran Bahasa Indonesia, SD
PENGEMBANGAN MODUL PEMBELAJARAN TEMA 6 “CITA-CITAKU” SUBTEMA 1 AKU DAN CITA-CITAKU BERBASIS LITERASI MEMBACA KELAS IV DI SEKOLAH DASAR
Authors: Safithri Rizki Nurma , Erviana Vera Yuli 
Published: February 2020

Peserta didik masih kekurangan referensi sumber belajar sehingga proses pembelajaran masih mengalami permasalahan dan hambatan yang dirasakan baik guru maupun siswa. Penelitian ini bertujuan untuk mengetahui langkah-langkah pengembangan modul serta mengetahui kelayakan bahan ajar modul tematik terpadu pada tema 6 “Cita-citaku” subtema 1 “Aku dan Cita-citaku” berbasis literasi membaca. Penelitian ini merupakan jenis penelitian pengembangan ( R&D (Research and Development) menggunakan model ADDIE yang dilakukan melalui lima tahap, yaitu analisis, perencanaan, pengembangan, implementasi , dan evaluasi. Subjek uji coba yang digunakan adalah kelas IV SD Muhammadiyah Karangtengah Yogyakarta. Instrumen penelitian berupa lembar validasi dan anget. Teknik analisis data menggunakan analisis data kualitatif dan kuantutatif. Hasil penelitian menunjukkan bahwa modul tematik layak digunakan di dalam pembelajaran tematik terpadu. Hasil uji validasi dari ahli materi sejumlah 86,4 (Sangat Baik); ahli pembelajaran mendapat nilai 68 (Baik); ahli media mendapat nilai 82,1 (Sangat Baik); hasil uji coba produk kelompok kecil penilian guru sejumlah 85,6 (Sangat Baik); penilaian siswa diperoleh nilai 91,67 (Sangat Baik); Penilaian uji coba kelompok besar dari penilaian guru 90,4 (Sangat Baik); penilaian siswa diperoleh 95,21 dan masuk kriteria (Sangat Baik). Kata kunci: Modul Pembelajaran, Literasi Membaca, Sekolah Dasar
When dementia and delirium come together
Authors: Moore Angela , Dening Karen Harrison 
Published: February 2020

Delirium is a multifactorial syndrome that, when superimposed on dementia, can lead to twice the risk of being admitted to acute care than for a person who is cognitively intact. Early detection of delirium can be a challenge, especially when there is an existing diagnosis of dementia. Despite the wealth of literature, there continues to be a widespread lack of knowledge about delirium, and under-detection in all types of health and social care settings. This lack of recognition may lead to poor health outcomes and increased mortality. There is a need for effective training for staff working in community settings, and effective communication between health and social care staff and families who are affected by delirium. Furthermore, delirium superimposed on dementia is common, and may cause distress for patients, caregivers and staff. This article will explore some of the common factors when delirium is comorbid with dementia.
Bridging the skills gap: apprentice assistant practitioners having an impact in mental healthcare services. Part 2. The AAP experience
Authors: Miller Tracey , Morris Andy 
Published: February 2020

It is important to gain understanding of how apprentice assistant practitioners (AAPs) have an impact in mental healthcare services. This article is the second in a series of four looking at AAPs in mental healthcare services, focusing on the experiences of a group of AAPs now working towards their qualified AAP role. The challenge mental healthcare services face and the subsequent need for growing the workforce will be introduced in terms of the developments in the AAP's role.A small group of AAPs approaching completion of the foundation degree in health and social care (FdA H and SC) were voluntarily recruited to take part in filling out a questionnaire, followed by participation in a focus group. All participants work in mental healthcare services and consented to take part. They were asked to outline in the questionnaire how long they had worked in the service, alongside the specific area they specialise in. This was followed by a focus group, which explored their experiences of engaging in the AAP programme and how this affects their role and that of the wider team. They were asked to give their opinion on the development in their role, from the start of the programme up to the final stages of the apprenticeship.
When dementia and delirium come together
Authors: Moore Angela , Dening Karen Harrison 
Published: February 2020

Delirium is a multifactorial syndrome that, when superimposed on dementia, can lead to twice the risk of being admitted to acute care than for a person who is cognitively intact. Early detection of delirium can be a challenge, especially when there is an existing diagnosis of dementia. Despite the wealth of literature, there continues to be a widespread lack of knowledge about delirium, and under-detection in all types of health and social care settings.This lack of recognition may lead to poor health outcomes and increased mortality. There is a need for effective training for staff working in community settings, and effective communication between health and social care staff and families who are affected by delirium. Furthermore, delirium superimposed on dementia is common, and may cause distress for patients, caregivers and staff. This article will explore some of the common factors when delirium is comorbid with dementia.
Morpho-agronomic characterization of Varronia curassavica germplasm conservated “Ex situ”
Authors: Oliveira Bruna Maria Santos de , Blank Arie Fitzgerald , Nizio Daniela Aparecida de Castro , Arrigoni-Blank Maria Fátima , Bacci Leandro , Nascimento Luís Fernando de Andrade , Sá Filho José Carlos Freitas de 
Published: February 2020

Varronia curassavica Jacq. is a medicinal and aromatic plant native to Brazil. The essential oil of this species is valued by the pharmaceutical industry due to its bioactive substances containing anti-inflammatory properties. This study aimed to morpho-agronomically characterize 27 accessions of the collection of V. curassavica of the Active Germplasm Bank of Medicinal and Aromatic Plants of the Federal University of Sergipe. The experiment consisted of a randomized block design with three replications. The morphological characterization occurred in the field, by evaluating the variables plant height; canopy width; canopy shape; stem diameterstem color; leaf blades width, length, and length/width ratio; leaves, petals, and sepals color. The agronomic characterization was performed using the essential oils extracted from dried leaves by hydrodistillation in a Clevenger apparatus. Leaves dry matter yield per plant and essential oil yield and content were also evaluated. The accessions showed great variation for leaves color, with different shades of green, which allowed separating them into dark green leaf and light green leaf plants. Plant height values ranged from 101.33 cm (VCUR-801) to 345.33 cm (VCUR-701). The clustering analysis of the traits revealed seven distinct groups. The accessions VCUR-103 and VCUR-001 were the most divergent, whereas the accessions VCUR-401 and VCUR-404 were the most similar. The morpho-agronomic characterization of V. curassavica accessions provides a correct description of the species by pointing out perspectives for genetic improvement, besides optimizing the conservation process.