bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring Resilience in Undergraduate and Early Career Paramedics
Authors: Mann Katie Leigh , Delport Shannon , Stanton Robert , Every Danielle 
Published: August 2021

Introduction Australian paramedics are frequently exposed to traumatic incidents as part of their role, and subsequently are at increased risk of mental health issues and negative impacts on psychological wellbeing. Evidence suggests student and early career paramedics are also at risk of trauma exposure during clinical placements. Increased levels of resilience are known to be protective against the risks of trauma exposure, and both age and experience may impact resilience. Self-efficacy is also known to influence resilience, however there is limited knowledge regarding the personal factors related to increased resilience in undergraduate and early career paramedic science students. This study aims to examine if resilience differs between age or experience groups, and if controlling for self-efficacy influences these differences. Methods An anonymous online survey was administered to current student paramedics and graduates from a regional Australian university. In addition to demographic characteristics, respondents completed the Brief Resilience Scale and the General Self-Efficacy Scale. Analysis of variance examined differences in resilience score based on age and clinical placement experience groups. Follow up analysis of covariance was conducted to control for self-efficacy scores. Results Analysis showed resilience scores differed between age groups (F(4,54)=3.26 p=0.02. Those 26 to 30 years of age reported significantly higher resilience compared to those 18 to 25 years of age. When controlling for self-efficacy, significant differences were found between clinical placement experience groups F(4,51)=2.72, p=0.04). Those completing 200 to 360 hours had significantly lower scores compared to those with less than 200 hours, 360 to 600 hours, or more than 600 hours. Conclusion We show that self-efficacy moderates resilience in undergraduate paramedic students. Examining the impact of self-efficacy training on resilience may be an important next step in curriculum development.
PENGEMBANGAN PROGRAM PEMBELAJARAN KURIKULUM 2013 DI PAUD RAUDHATUL ALTHFAL MUSLIMAT DESA KUNGKAI BARU KABUPATEN SELUMA
Authors: Nasirun M , Yulidesni Yulidesni , Indrawati Indrawati , Qalbi Zahratul 
Published: August 2021

ABSTRAKTujuan melakukan kegiatan pengabdian yaitu untuk meningkatkan kemampuan guru dalam pengembangan program pembelajaran paud kurikulum Paud (Program Tahunan, Smester dan Program Harian) di Paud Raudhatul Althfal Muslimat Desa Kungkai Baru Kec. Air Periukan Kab. Seluma. Pemecahan masalah dalam kegiatan pengabdian pada masyarakat ini dilakukan dengan pemberian konsep berkaitan kurikulum dan program pembelajaran serta pelatihan pengembangan program pembelajaran anak usia dini dengan kurikulum 2013 (Program Tahunan, Smester dan Program Harian) di Paud Raudhatul Althfal Muslimat Desa Kungkai Baru Kec. Air Periukan Kab. Seluma. Khalayak sasaran dalam kegiatan pengabdian pada masyarakat ini adalah seluruh guru berjumlah 17 orang guru di Paud Raudhatul Althfal Muslimat Desa Kungkai Baru Kec. Air Periukan Kab. Seluma. Setelah dilaksanakan kegiatan pengabdian pada masyarakat yang berupa pengembangan program pembelajaran paud kurikulum dan setelah dilakukan penilaian berupa umpan balik dari peserta dapat disimpulkan bahwa kegiatan pengabdian dapat berjalan dengan baik dan dirasa sangat bermanfaat bagi guru, sesuai dengan harapan dan tujuan kegiatan pengabdian pada masyarakat ini. Kegiatan pengabdian pada masyarakat tersebut sangat baik dan bermanfaat bagi para guru sebab membantu guru dalam memecahkan masalah yang dihadapi berupa pemahaman kurikulum dan program pembelajaran anak usia dini pada Paud Raudhatul Althfal Muslimat Desa Kungkai Baru Kec. Air Periukan Kab. Seluma.
Recomendações para o sono seguro do lactente
Authors: Silva Dandara Dinna Cavalcante da , Santos Alfredo Augusto Fernandes dos , Figueredo Eliza Vitória Nascimento , Lima Ana Beatriz de Almeida , Dantas Hallana Laisa de Lima , Ferreira Anne Laura Costa , Lúcio Ingrid Martins Leite 
Published: August 2021

Objetivo: Identificar e orientar, na literatura o posicionamento redutor do acometimento da Síndrome da Morte Súbita do Lactente (SMSL). Metodologia: trata-se de revisão integrativa de literatura, onde foi realizado um levantamento no nas bases de dados: Scientific Electronic Library Online (Scielo), CINAHL, Science Direct, Medline, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), MedCarib, PAHO, SCOPUS, Wholis e Embase. Utilizando os descritores “morte súbita”, “neonato”, “recém-nascido”, “decúbito dorsal”, “decúbito ventral” com o uso dos operadores booleanos “and” e “or”. Resultados: Após a aplicação dos critérios de inclusão e exclusão, 14 artigos foram qualificados onde 12 orientaram o decúbito dorsal como prevenção para SMSL. Demonstra-se que os principais mecanismos de lesão associados a SMSL são: o uso de colecho/co-sleeping (21%), exposição ao tabaco (18%), objetos macios na cama (18%), decúbito lateral (15%), uso de drogas e alccol durante a gestação (12%) e uso de cobertores (12%). Discussão: Os achados demonstraram a predominância do decúbito dorsal como medida de recomendação e orientação para prevenção da SMSL. Conclusões: A SMSL é possivelmente subnotificada e associada a outros diagnósticos, recomenda-se para os profissionais de saúde insistirem e incentivarem as mães a colocar o recém-nascido a dormir em decúbito dorsal, a fim de prevenir a SMSL.
Auriculoterapia no controle dos sintomas da ansiedade de profissionais de saúde: uma revisão sistemática
Authors: Santos Adriana Vitória Souza Alves do , Santos Rayanne Conceição dos , Ribeiro Caíque Jordan Nunes , Inagaki Ana Dorcas de Melo , Abud Ana Cristina Freire 
Published: August 2021

A ansiedade é um problema comum entre os profissionais da saúde, no entanto, poucos estudos investigam métodos não farmacológicos, como a auriculoterapia, para o seu controle. O objetivo do estudo foi realizar uma revisão sistemática sobre a eficácia da auriculoterapia no controle dos sintomas da ansiedade de profissionais de saúde. Foram seguidas as recomendações do Preferred Reporting Items for Systematic Reviews and Meta-analyses 2020 (PRISMA 2020). Foram incluídos ensaios controlados randomizados nos idiomas português, inglês e espanhol, sem restrição de ano de publicação, registrados nas bases de dados MEDLINE/PubMed, Bireme, Scopus, Embase, CENTRAL (Cochrane Library) e Google Acadêmico. Dos 213 registros encontrados, um ensaio clínico realizado no Brasil foi incluído na análise final. Os resultados demonstraram que a auriculoterapia reduziu os sintomas de ansiedade em 17% no grupo tratado com agulhas, 13% com sementes e 11% com fitas adesivas. Dessa forma, embora a auriculoterapia tenha contribuído para o controle dos sintomas da ansiedade em profissionais de saúde, as evidências são escassas.
Sentimentos e mudanças na vida dos acadêmicos da saúde frente à COVID-19
Authors: Fonseca Graciela Soares , Souza Jeane Barros de , Conceição Vander Monteiro da , Brum Crhis Netto de , Maestri Eleine , Araújo Jeferson Santos 
Published: August 2021

O artigo objetiva compreender as repercussões da pandemia de COVID-19 para a vida dos estudantes de graduação da área da saúde. Trata-se de estudo qualitativo, do tipo ação participante, fundamentado nos pressupostos teórico metodológicos de Paulo Freire. Percorreu-se o Itinerário de Pesquisa de Freire, que possui três etapas interligadas: Investigação Temática; Codificação e Descodificação; e o Desvelamento Crítico. Foi realizado um Círculo de Cultura virtual com a participação de 15 estudantes de diferentes universidades de Santa Catarina, Brasil, em julho de 2020. Os estudantes destacaram que frente a pandemia desenvolveram sentimentos de incertezas, iminência da morte, insegurança, angústia, desânimo, frustração, desconforto, ansiedade, raiva, preocupações, medo, impotência e várias dúvidas sobre a qualidade da sua formação. Apontaram que durante o momento de pandemia faz-se necessário resinificar prioridades pessoais e acadêmicas por meios de momentos que promovam a autorreflexão, autoconhecimento, empatia, amor, resiliência e o protagonismo. A investigação proporcionou conhecer os sentimentos que permeiam o imaginário dos estudantes de cursos de graduação em saúde e desvelar as transformações impostas pela pandemia, ampliando a compreensão relacionada às ressignificações e modos de viver encontrados por eles. O Círculo de Cultura virtual foi interpretado como um dispositivo terapêutico e um recurso de pesquisa adequado para utilização em contextos onde o distanciamento social é imperativo.
Enhancing Vocabulary Among EFL Young Learners Through Picture-Word Inductive Model
Authors: Hamdani Beny 
Published: August 2021

AbstractThis paper critically aims to enhance English vocabularies among EFL young learners of the fifth grade students through picture-word inductive model at elementary school Zainul Hasan Genggong Probolinggo in the academic year of 2019-2020. The research problem is How is the effective picture-word inductive model to enhance vocabulary among young learners of elemantary school Zainul Hasan Genggong Probolinggo? The type of the research is classroom action research. It was conducted in two cycles. The subjects of the research were 20 students of fifth grade. The data were collected from the test, interview, documentation and observation. The result showed that the students had increased their English vocabulary mastery which can be seen from the test result provided by the researcher. This is the evident from the test result that overall there was an increase in the English vocabulary mastery of 5 grade students as much as 50.70 % in the first cycle and 85.54 % in the second cycle. Meanwhile, the observation result showed that the students seemed more enthusiastic during the learning process. In reference to the actions conducted in two cycles, the use of the picture-word inductive model enhances the students’ vocabulary by practicing words into sentences and more attention on mechanical aspects such as spelling and pronunciation. Keywords : Young Learners, Vocabulary Mastery, Picture-word inductive model.
Needs Analysis of ESC (English Short Course) Program for Administrators in State Polytechnic Ambon
Authors: Yelliza Ahmad 
Published: August 2021

English for Specific Purpose (ESP) refers to teaching and learning English as a foreign language for the purpose in using it in the certain domain. The aimed of this study to wholly analyse the cornerstone of ESP focusing on needs analysis; necessities, wants and lacks. The study was conducted by using Research and Development (R&D), see Richey and Klein (2015). The data were obtained from questionnaires and interviews. Additionally, the results of needs analysis shown that English language needs of administrators majoring in daily conversation and English for profession (90 %) with various topics, then (20%) focusing on academic field. Furthermore, it was found that, there were 70% students as C2 (Basic-upper level) and 30% were C1 (Basic-lower level). Furthermore, schedule and difficulties in understanding materials were found as lacks for the administrators. In conclusion, the results of this study with suggestion for ESC program frequently instructors or teachers to design the syllabi and develop teaching materials related to the findings, and institution to issue the policy. It is strongly required do be done as soon as possible in order to support the State of Polytechnic Ambon becomes the best university in eastern Indonesia and can be a reference campus.
The Effectiveness of Ice Breaking to Increase Students’ Motivation in Learning English
Authors: Adi Mohammad Sofyan , Susanti Riska Ayu , Jannah Qomariatul 
Published: August 2021

This study was generally attempted to find the effect of ice breaking to increase students' motivation in English learning at the first grade of SMP Nurul Jadid. This research used pre-experimental design by using one shot case study pre-test and post-test. Before the treatment, the researcher gave the pre-test in one class. Moreover, the researcher taught English by using ice breaking in the experimental class. The last, the researcher conducted the post-test to know whether an ice breaking was effective for teaching English in experimental class. Based on the data analysis, the data t-test (2.77) was higher than t-table value (2.042). The result analyzing showed that there was significant difference on the students’ motivation taught by using ice breaker. The students’ mean score of the pre-test of the experiment class was 60. Then, in the post-test, the mean score of experiment class was 66.1. Therefore, hypothesis H0 was rejected and H1 was accepted. It concluded that ice breaking was effective in teaching English learning toward the students’ motivation for the first grade of SMP Nurul Jadid. Thus, this research make students be enjoy, be active, energize, feeling happiness, interactive in the classroom, stay in the class during learning process, and focus on the material.
Swedishness on Stage
Authors: Marklund Carl 
Published: August 2021

Globalization, stagflation and economic uncertainty challenged the Swedish welfare model during the 1980s, driving renegotiations of state-market relations domestically as well as re-conceptualizations of Sweden’s place in the world internationally. This article addresses how a key media event – the 1638–1988 New Sweden 350th Anniversary of the New Sweden Colony in North America (New Sweden-88) – reflects these shifts. Drawing upon materials from the National Committee for New Sweden ’88 and various public-private Swedish-American foundations and initiatives as well as Swedish and US media reception, the paper argues that these renegotiations of Swedish self-identity in the late 1980s contributed in certain ways to prepare the intellectual ground for far-ranging reforms of the Swedish welfare model which followed during the globalized 1990s.
Multiscale Causes of Persistent Heavy Rainfall in the Meiyu Period over the Middle and Lower Reaches of the Yangtze River
Authors: Xia Yicong , Huang Qian , Yao Suxiang , Sun Tianle 
Published: August 2021

Based on observation data supplied by the Chinese Meteorological Administration (CMA) and reanalysis datasets provided by the ECMWF, the multiscale causes of persistent heavy rainfall events (PHREs) that occurred from 1979 to 2018 during Meiyu periods over the middle and lower reaches of the Yangtze River (MLYR) are investigated. During Meiyu periods, precipitation shows obvious interannual variabilities. In PHRE years, the contribution rate of persistent heavy rainfall to the total precipitation is approximately 57%. Precipitation also shows significant synoptic-scale (less than 10 days) characteristics. Through the quantitative diagnosis of interactions among background-scale (greater than 30 days), quasi-biweekly-scale (10–30-days), and synoptic-scale variables, the possible causes of PHREs are explored. The results reveal that the difference in precipitation intensity between PHRE years and non-PHRE years is determined by the background water vapor, background wind and synoptic-scale wind conditions. In PHRE years, the prevailing background southwesterly winds from lower latitudes provide more background water vapor, and more mean kinetic energy is converted to perturbation energy. Moreover, the active synoptic-scale oscillations from higher latitudes and the convergence of Rossby wave disturbance energy over the MLYR could also cause the occurrence and maintenance of PHREs during Meiyu periods. The multiscale causes and corresponding circulation patterns in 2020 PHREs are similar to PHREs years.
COVID-19 Pandemic and Pediatric Type 1 Diabetes: No Significant Change in Glycemic Control During The Pandemic Lockdown of 2020
Authors: Nwosu Benjamin Udoka , Al-Halbouni Layana , Parajuli Sadichchha , Jasmin Gabrielle , Zitek-Morrison Emily , Barton Bruce A. 
Published: August 2021

ImportanceThere is no consensus on the impact of the 2020 COVID-19 pandemic lockdown on glycemic control in children and adolescents with type 1 diabetes (T1D) in the US.AimTo determine the impact of the pandemic lockdown of March 15th through July 6th, 2020 on glycemic control after controlling for confounders.Subjects and MethodsAn observational study of 110 subjects of mean age 14.8 ± 4.9 years(y), [male 15.4 ± 4.0y, (n=57); female 14.1 ± 3.8y, (n=53), p=0.07] with T1D of 6.31 ± 4.3y (95% CI 1.0-19.7y). Data were collected at 1-4 months before the lockdown and 1-4 months following the lifting of the lockdown at their first post-lockdown clinic visit.ResultsThere was no significant change in A1c between the pre- and post-pandemic lockdown periods, 0.18 ± 1.2%, (95% CI -0.05 to 0.41), p=0.13. There were equally no significant differences in A1c between the male and female subjects, -0.16 ± 1.2 vs -0.19 ± 1.2%, p=0.8; insulin pump users and non-pump users, -0.25 ± 1.0 vs -0.12 ± 1.4%, p=0.5; and pubertal vs prepubertal subjects, 0.18 ± 1.3 vs -0.11 ± 0.3%, p=0.6. The significant predictors of decrease in A1c were pre-lockdown A1c (p&lt;0.0001) and the use of CGM (p=0.019). The CGM users had significant reductions in point-of-care A1c (0.4 ± 0.6%, p=0.0012), the CGM-estimated A1c (p=0.0076), mean glucose concentration (p=0.022), a significant increase in sensor usage (p=0.012), with no change in total daily dose of insulin (TDDI). The non-CGM users had significantly increased TDDI (p&lt;0.0001) but no change in HbA1c, 0.06 ± 1.8%, p=0.86.ConclusionsThere was no change in glycemic control during the pandemic lockdown of 2020 in US children.
Serum Concentrations and Gonadal Expression of INSL3 in Eighteen Males With 45,X/46,XY Mosaicism
Authors: Ljubicic Marie Lindhardt , Jørgensen Anne , Aksglaede Lise , Nielsen John Erik , Albrethsen Jakob , Juul Anders , Johannsen Trine Holm 
Published: August 2021

ObjectiveInsulin-like factor 3 (INSL3) is produced in the testes and has been proposed as a circulating biomarker of Leydig cell capacity, but remains undescribed in 45,X/46,XY mosaicism. The aim was to examine serum concentrations and gonadal expression of INSL3 in 45,X/46,XY mosaicism.MethodsRetrospectively collected data from medical records, gonadal tissue samples, and prospectively analyzed serum samples from eighteen male patients with 45,X/46,XY mosaicism (one prepubertal, four testosterone-treated, 13 untreated) were included. Biochemical, clinical, and histological outcomes were evaluated according to serum INSL3 concentrations, quantified by LC-MS/MS methodology, and gonadal INSL3 immunohistochemical expression.ResultsSerum INSL3 concentrations spanned from below to above the reference range. In untreated patients, the median serum INSL3 SD score was -0.80 (IQR: -1.65 to 0.55) and no significant difference was observed between INSL3 and testosterone. There was no clear association between serum INSL3 and External Genitalia Score at diagnosis, spontaneous puberty, or sperm concentration. INSL3 and CYP11A1 expression overlapped, except for less pronounced INSL3 expression in areas with severe Leydig cell hyperplasia. No other apparent links between INSL3 expression and histological outcomes were observed.ConclusionsIn this pilot study, serum INSL3 concentrations ranged and seemed independent of other reproductive hormones and clinical features in males with 45,X/46,XY mosaicism. Discordant expression of INSL3 and CYP11A1 may explain low INSL3 and normal testosterone concentrations in some patients. Further studies are needed to elucidate the divergence between serum INSL3 and testosterone and the potential clinical use of INSL3.
CEACAM Gene Family Mutations Associated With Inherited Breast Cancer Risk – A Comparative Oncology Approach to Discovery
Authors: Huskey Anna L. W. , McNeely Isaac , Merner Nancy D. 
Published: August 2021

IntroductionRecent studies comparing canine mammary tumors (CMTs) and human breast cancers have revealed remarkable tumor similarities, identifying shared expression profiles and acquired mutations. CMTs can also provide a model of inherited breast cancer susceptibility in humans; thus, we investigated breed-specific whole genome sequencing (WGS) data in search for novel CMT risk factors that could subsequently explain inherited breast cancer risk in humans.MethodsWGS was carried out on five CMT-affected Gold Retrievers from a large pedigree of 18 CMT-affected dogs. Protein truncating variants (PTVs) detected in all five samples (within human orthlogs) were validated and then genotyped in the 13 remaining CMT-affected Golden Retrievers. Allele frequencies were compared to canine controls. Subsequently, human blood-derived exomes from The Cancer Genome Atlas breast cancer cases were analyzed and allele frequencies were compared to Exome Variant Server ethnic-matched controls.ResultsCarcinoembryonic Antigen-related Cell Adhesion Molecule 24(CEACAM24) c.247dupG;p.(Val83Glyfs∗48) was the only validated variant and had a frequency of 66.7% amongst the 18 Golden Retrievers with CMT. This was significant compared to the European Variation Archive (p-value 1.52 × 10–8) and non-Golden Retriever American Kennel Club breeds (p-value 2.48 × 10–5). With no direct ortholog ofCEACAM24in humans but high homology to all CEACAM gene family proteins, all humanCEACAMgenes were investigated for PTVs. A total of six and sixteen rare PTVs were identified in African and European American breast cancer cases, respectively. Single variant assessment revealed five PTVs associated with breast cancer risk. Gene-based aggregation analyses revealed that rare PTVs inCEACAM6,CEACAM7, andCEACAM8are associated with European American breast cancer risk, and rare PTVs inCEACAM7are associated with breast cancer risk in African Americans. Ultimately, rare PTVs in the entireCEACAMgene family are associated with breast cancer risk in both European and African Americans with respectivep-values of 1.75 × 10–13and 1.87 × 10–04.ConclusionThis study reports the first association of inheritedCEACAMmutations and breast cancer risk, and potentially implicates the whole gene family in genetic risk. Precisely how these mutations contribute to breast cancer needs to be determined; especially considering our current knowledge on the role that theCEACAMgene family plays in tumor development, progression, and metastasis.