bluuebunny/crossref_metadata_2025_split huggingface dataset:
Korean adolescents’ experiences studying abroad and subsequent readjustment to life after returning
Authors: Lee Ji-yeon , Lee Dong Hun 
Published: December 2024

IntroductionThis qualitative study explored the socio-cultural adjustment and re-adjustment experiences of South Korean adolescents who studied in English-speaking countries and later returned to South Korea.MethodsThe study interviewed 12 adolescents (6 males, 6 females) aged 12–16 who studied in countries such as the U.S., Canada, England, New Zealand, and Australia.ResultsThe findings highlight the students’ adjustment processes abroad, including the initial “honeymoon” phase, followed by crises like language barriers, homesickness, and difficulties in relationships with peers and teachers. Upon returning to Korea, students faced challenges with academic performance, stricter school regulations, and social reintegration, often exacerbated by biases toward those who studied abroad.DiscussionThe study underscores the importance of support systems during both phases and highlights the need for educational interventions that can ease the transition both abroad and at home. This research contributes to understanding the complexities of cross-cultural adjustment and re-entry, especially in the context of adolescents’ identity and belonging, suggesting sustainable education system to support students’ both abroad and returning process.
Nutrition literacy profile among adolescents in Kuwait: a cross-sectional study
Authors: AlBaloul Anwar H. , AlKhalidi Maraheb M. , AlAjmi Haya 
Published: December 2024

BackgroundAdolescent nutrition literacy and knowledge are associated with nutrient intake and obesity. With the rising prevalence of obesity in Kuwait, limited studies have assessed nutrition literacy among Kuwaiti adolescents. Therefore, this study aims to assess nutrition literacy among Kuwaiti adolescents and examine factors associated with nutrition literacy, such as body mass index (BMI) and dietary intake.MethodsA school-based cross-sectional study was conducted in public schools across Kuwait, enrolling a convenience sample of 375 adolescents (mean age = 15.6 years, 53.1% female participants). A self-administered questionnaire was used to collect relevant data. The Nutrition Literacy Assessment Instrument (NLit) score was used to assess nutrition knowledge and skills in making food choices.ResultsThe median NLit score among adolescents was 29 (IQR = 6). A large percentage (72.5%) of Kuwaiti adolescents demonstrated adequate overall nutrition literacy and scored adequately in the majority of NLit subscales. However, the majority of adolescents (73.3%) demonstrated inadequate nutrition literacy in understanding food labels. Predictors of NLit included BMI, place of residence, and smoking status. Moreover, the NLit score was negatively associated with the intake of sugar-sweetened beverages.ConclusionThis study’s findings may inform future research aimed at designing effective nutrition literacy interventions to enhance food choices among adolescents in Kuwait. The results of this study may also provide insights for policymakers and public health professionals to tailor food and nutrition programs to address the decline in food literacy skills and combat obesity.
Diaphragm injuries in a mature trauma system: still a diagnostic challenge
Authors: Karhof S. , Simmermacher R. K. J. , Gerbranda P. , van Wessem K. J. P. , Leenen L. P. H. , Hietbrink F. 
Published: December 2024

BackgroundA traumatic diaphragm defect is a rare injury. A missed diaphragm injury may cause serious morbidity and mortality. Detection rate during the first assessment of trauma patients is notoriously low. However, important improvements in imaging modalities were developed. The aim of this study was to analyze traumatic diaphragm injuries in relation to diagnostic tools, therapeutic interventions and outcome over the past two decades.MethodsA retrospective analysis was performed of all trauma patients with traumatic diaphragm injuries between 2000 and 2018 at a level I trauma center. Data collected were baseline characteristics, diagnostics that were performed, treatment given and follow-up.ResultsA total of 47 patients with traumatic diaphragm injuries were evaluated. The majority of injuries was seen following blunt trauma (72%). Mortality was 21%, mainly due to concomitant injuries. One patient died due to the consequences of an unrecognized diaphragm injury. In 29 cases (62%) the injury was diagnosed pre-operatively through imaging, with the remaining being diagnosed during laparotomy. In 11 patients (35%) the diaphragmatic injury was not seen on a pre-operative CT-scan. Postoperative complications occurred in 19 patients, mostly of pulmonary origin (i.e., pneumonia). No recurrences were reported.ConclusionThis study confirms diaphragm injuries are infrequent injuries, with high mortality. Even more, despite major improvement in diagnostic modalities over the past 2 decades, the algorithm for detection of diaphragmatic injuries has not changed nor has its outcome. Although the incidence is low, since consequences are severe, it is important to have a high index of suspicion in abdominal trauma, even in a non-conclusive CT-scan.
Comparative evaluation of negative lymph node count, positive lymph node count, and lymph node ratio in prognostication of survival following completely resection for non-small cell lung cancer: a multicenter population-based analysis
Authors: Huang Qiming , Chen Shai , Xiao Yuanyuan , Chen Wei , He Shancheng , Xie Baochang , Zhao Wenqi , Xu Yuhui , Luo Guiping 
Published: December 2024

ObjectiveLung cancer is the leading cause of cancer-related mortality. Lymph node involvement remains a crucial prognostic factor in non-small cell lung cancer (NSCLC), and the TNM system is the current standard for staging. However, it mainly considers the anatomical location of lymph nodes, neglecting the significance of node count. Metrics like metastatic lymph node count and lymph node ratio (LNR) have been proposed as more accurate predictors.MethodsWe used data from the SEER 17 Registry Database (2010–2019), including 52,790 NSCLC patients who underwent lobectomy or pneumonectomy, with at least one lymph node examined. Primary outcomes were overall survival (OS) and cancer-specific survival (CSS). Cox regression models assessed the prognostic value of negative lymph node (NLN) count, number of positive lymph node (NPLN), and LNR, with cut-points determined using X-tile software. Model performance was evaluated by the Akaike information criterion (AIC).ResultsThe Cox proportional hazards model analysis revealed that NLN, NPLN, and LNR are independent prognostic factors for OS and LCSS (P &lt; 0.0001). Higher NLN counts were associated with better survival (HR = 0.79, 95% CI = 0.76–0.83, P &lt; 0.0001), while higher NPLN (HR = 2.19, 95% CI = 1.79–2.67, P &lt; 0.0001) and LNR (HR = 1.64, 95% CI = 1.79–2.67, P &lt; 0.0001) values indicated worse outcomes. Kaplan-Meier curves for all three groups (NLN, NPLN, LNR) demonstrated clear stratification (P &lt; 0.0001). The NLN-based model (60,066.5502) exhibited the strongest predictive performance, followed by the NPLN (60,508.8957) and LNR models (60,349.4583), although the differences in AIC were minimal.ConclusionsNLN count, NPLN, and LNR were all identified as independent prognostic indicators in patients with NSCLC. Among these, the predictive model based on NLN demonstrated a marginally superior prognostic value compared to NPLN, with NPLN outperforming the LNR model. Notably, higher NLN counts, along with lower NPLN and LNR values, were consistently associated with improved survival outcomes. The relationship between these prognostic markers and NSCLC survival warrants further validation through prospective studies.
A bio scientific study of the new gold complex as an anti-breast cancer agent, as well as its preparation , Molar Conductivity and Spectral identification of some other metal complexes
Authors: Siham Sami Noor  , Ibtihal Kadhim Kareem  
Published: December 2024

Synthesis of Heterocyclic Organic Ligand involved the preparation of non-homogeneous ring ligand derived from ortho-aminobenzylamine. This was achieved by the azo compound prepared in the first step. The second step included the reaction of the azo compound with 4-(benzyloxy)benzaldehyde .ligand was characterized using various spectroscopic and diagnostic techniques, including mass spectrometry, proton nuclear magnetic resonance, Fourier-transform infrared spectroscopy , and ultraviolet-visible spectroscopy . In addition, precise analysis of C, H, N elements and melting point measurements were conducted. the molar ratio (1:2) (M:L) was found for the ligand (BPDIM ) to prepare metal complexes for cobalt, and copper (divalent) while maintaining a molar ratio of (1:1) for gold complexes (trivalent). While supporting the values of accurate analysis of elements (C.H.N) and the results of flame atomic absorption spectroscopy, the proposed molecular formulas for all studied complexes were investigated. In addition, infrared spectroscopy, Electronic spectra of metal complexes, molar conductance.The new complexes showed variations in conductance depending on the metal ion and oxidation state. This study aimed to conduct an in vitro cytotoxicity comparative study of BPDIM and its Au(III) complex on human breast cancer cells (MCF-7) and other normal cells. The Au(III) complex was found to be highly selective in targeting cancer cells without affecting normal healthy cells, compared to the ligand. Thus, this complex can be considered as a new drug for treating breast cancer cells (MCF-7), and an attempt in the future to study its effect on other types of cancer.
PENGEMBANGAN MEDIA PEMBELAJARAN BAHASA INDONESIA BERBASIS KOMIK PADA MATERI MENGANALISIS TEKS NEGOSIASI KELAS X SMK
Authors: Zega Yathree Warni , Harefa Trisman 
Published: December 2024

Berlangsungnya kegiatan pembelajaran yang baik dalam kelas diakibatkan adanya interaksi yang baik antara guru dengan peserta didik untuk saling bertukar informasi. Pada kegiatan pembelajaran guru diharapkan mampu memanfaatkan dan mengembangkan media pembelajaran sehingga kegiatan pembelajaran dapat berlangsung dengan baik. Namun kenyataannya, guru di SMKN 1 Gunungsitoli masih menggunakan media pembelajaran yang tidak bervariasi secara khusus dalam pembelajaran bahasa indonesia. Tujuan dari penelitian ini adalah untuk mengembangakna media pembelajaran berbasis komik pada materi menganalisis struktur dan kebahasaan teks negosiasi di kelas X SMK yang valid, praktis, dan efektif. Pengembangan media pembelajaran berbasis komik menggunakan model pengembangan 4D dengan 4 tahapan yaitu: pendefinisian (defines), perancangan (design), pengembangan (develop), dan penyebaran (disseminate). Berdasarkan hasil penelitian, media pembelajaran berbasis komik yang dikembangkan telah teruji sangat valid dan layak oleh validator ahli. Validasi ahli materi mencapai 86,3% dengan kategori sangat layak, validasi ahli bahasa memperoleh nilai 100%, dan hasil validasi ahli desain sebesar 93,3%. Selanjutnya, kepraktisan media pembelajaran berbasis komik sangat praktis digunakan dengan persentase kepraktisan pada uji perorangan sebesar 86,7%, uji kelompok kecil sebesar 93,3%, dan uji lapangan sebesar 93,3%. Media pembelajaran komik juga telah teruji sangat efektif digunakan dengan persentase ketuntasan klasikal 85%. Berdasarkan hasil penelitian di atas, maka media pembelajaran yang telah dikembangkan dengan model pengembangan 4D telah memenuhi tujuan penelitian.
Kata kunci: media pembelajaran komik, 4D, valid, praktis, efektif
PENERAPAN MODEL PEMBELAJARAN NUMBEREAD HEAD TOGETHER DALAM MENINGKATKAN HASIL BELAJAR SISWA
Authors: Zebua Pertahankan Sejahtera , Laoli Eka Septianti 
Published: December 2024

Penelitian ini dilatar belakangi oleh pengamatan peneliti pada pelaksanaan pembelajaran di UPTD SMP Negeri 2 Mandrehe Barat, yang selama ini mengalami hambatan dalam prosesnya Penelitian ini bermaskud untuk memperoleh informasi Penerapan Model Pembelajaran Treffinger terhadap hasil belajar siswa Kelas VIII UPTD SMP Negeri 2 Mandrehe Barat. Jenis penelitian ini adalah Penelitian Tindakan Kelas (PTK). Populasi dalam penelitian ini adalah siswa UPTD SMP Negeri 2 Mandrehe Barat yaitu Kelas VIII/B berjumlah 21 orang. Instrument yang digunakan berupa lembar observasi, tes hasil belajar dan dokumentasi. Dalam pelaksanaan ini Peneliti berkolaborasi dengan guru mata pelajaran, penulis sebagai pelaksana kegiatan penelitian, sedangkan guru mata pelajaran berfungsi sebagai pengamat. Berdasarkan hasil penelitian, Pada siklus I hasil lembar observasi guru rata-rata mencapai 52,5% dan pada siklus II mengalami peningkatan menjadi 90,00%. Demikian juga pada hasil lembar observasi siswa, pada siklus I rata-rata 48,87% dan pada siklus II mengalami peningkatan signifikan dengan rata-rata mencapai 86,63%. Dari tes hasil belajar siklus I diperoleh data dan diolah sebagai hasil penelitian diperoleh rata-rata mencapai 72,95%, presentase ketuntasan hasil belajar siswa siklus I sebesar 66,67%, dan pada tes hasil belajar siklus II diperoleh data dan diolah sebagai hasil penelitian mencapai 81,06%, ditentukan presentase ketuntasan siswa pada siklus II sebesar 95,23%. Disimpulkan bahwa ada peningkatan hasil belajar siswa melalui Penerapan Model Pembelajaran Numbered Head Together di kelas VIII UPTD SMP Negeri 2 Mandrehe Barat Tahun Pelajaran 2022/2023
PENGEMBANGAN KREATIVITAS SISWA KELAS VB MELALUI PEMBELAJARAN AKTIF TIPE CARD SORT PADA SISWA SDI ONEKORE 3
Authors: Sadipun Berty 
Published: December 2024

Peneitian ini bertujuan untuk mengetahui apakah pembelajaran PPPKn melalui pembelajaran aktif tipe card sort dapat mengembangkan kreativitas siswa dalam menyelesaikan soal PPKn mencapai 75%. Dengan indikator penilaian sebagai berikut: 1) mampu mengerjakan tugas yang tela diberikan pada pertemuan sebelumnya, 2) siswa mampu menjawab soa atau jawaban di atas 75%, 3) siswa mampu menempatkan soal atau jawaban di atas 75%. Penelitian ini dilakukan di SDI Onekore 3 pada siswa kelas VB dengan jumlah 39 orang. Pengumpulan data dilakukan dengan observasi, wawancara, dokumentasi dan catatan lapangan. Analisis data dalam penelitian ini dilakukan secara deskriptif kualitatif. Hal ini dapat dilihat pada akhir siklus II, dimana kemampuan siswa mengerjakan tugas 86,49 % dari 28,21 % Kemampuan siswa menjawab soal PPKn dengan benar 89,19 % dari 69,23 %. Kemampuan siswa menempatkan kartu soal atau jawaban berdasarkan kategori mencapai 97,30 % dari 58,97 %. Sikap siswa terhadap pembelajaran aktif tipe card sort secara umum sikapnya positif. Hal ini dapat dilihat pada dua siklus pernyataan sikap pada siklus I 92,31 % dan siklus II 98,20 %. Kesimpulan dari penelitian ini bahwa dengan penggunaan pendekatan pembelajaran aktif tipe card sort dapat meningkatkan kreativitas siswa dalam menyelesaikan soal PPKn di atas 75% pada materi Kebebesan Berorganisasi. Dengan demikian peningkatan kreativitas ini akan berdampak pada peningkatan hasil belajar siswa.
STRUKTUR WOE JAWA (SUKU JAWA) DI DESA BEI WALI KECAMATAN BHAJAWA KABUPATEN NGADA NUSA TENGGARA TIMUR
Authors: Hoban Nong , Bhara Agustinus , Bego Karolus Charlaes 
Published: December 2024

Tujuan penulisan adalah mengetahui struktur woe jawa (suku Jawa) di desa Bei Wali Kecamatan Bhajawa Kabupaten Ngadha. Methode penelitian yang digunakan adalah penelitian kualitatif. Teknik pengumpulan data adalah wawancara, observasi, dan dokumentasi, Teknik analisis data sebagai berikut: reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa: woe jawa adalah salah satu organisasi sosial geneologis, sama halnya dengan woe-woe lain yang ada pada suku bangsa Ngada, khususnya masyarakat penganut budaya ngadhu bhaga. Woe jawa sebagai sebuah organisasi, maka woe jawa memiliki struktur yang menjadi pedoman untuk mengatur kehidupan sosial dan ekonomi dalam persekutuannya.
The Effect of Puzzles on Nursing Students' Learning Concepts Related to Vital Signs: A Randomized Controlled Study
Authors: Acun Aysun 
Published: December 2024

Background
This study aims to evaluate the effect of puzzles on nursing students' learning concepts related to vital signs.

Method

This study has a pretest, posttest, open-label, randomized controlled design. The sample in the study consists of 107 first-year nursing students who were randomized into experimental (
n
= 52) and control (
n
= 55) groups. Puzzles related to the concepts of pulse, respiration, and blood pressure were applied to the experimental group of students for 2 weeks.

Results

It was determined that the posttest and follow-up test knowledge scores of the experimental group were statistically significantly higher (
p
= .000) than the control group.

Conclusion

In the study, it was seen that puzzles were effective in learning concepts related to vital signs (
p
< .05). The use of puzzles, one of the interactive learning methods, is recommended throughout nursing education.

[
J Nurs Educ
. 2024;63(X):XXX–XXX.]
Student-Authored Multiple-Choice Questions: An Innovative Response to Competency-Based Education
Authors: Pawlow Patricia C. , Griffith Patricia B. 
Published: December 2024

Background
The shift to competency-based education inspired reflection on using multiple-choice questions (MCQs) to develop and assess student competency. Student-authored MCQs in other fields demonstrate a higher level of knowledge; however, a gap examining the use of this teaching methodology in nurse practitioner education exists.

Method
Nurse practitioner students created MCQs addressing content objectives. Faculty reviewed each MCQ's accuracy; students integrated feedback and revised questions. Finalized MCQs were posted in a question bank for examination preparation.

Results
The question bank contained 112 questions covering 32 topics. Students demonstrated increasing success on these questions in subsequent examinations. Questions sometimes revealed content misunderstanding, which faculty addressed and clarified. Student surveys revealed interest in assignment integration in all courses.

Conclusion

This assignment has progressed to a group project, and a competency-based rubric, mapped to the level 2 American Association of Colleges of Nursing's
The Essentials: Core Competencies for Professional Nursing Education
, was added. Using student-authored MCQs is a novel method to develop “knows how” competencies.

[
J Nurs Educ
. 2024;63(X):XXX–XXX.]
De La Mettrie à Sénèque : la politique de la « parole du fond du tombeau » dans l’Essai sur la vie de Sénèque de Diderot
Authors: Sugino Shun 
Published: December 2024

Dans l’Essai sur la vie de Sénèque Diderot, une phrase célèbre affirme : « On ne pense, on ne parle avec force que du fond de son tombeau : c’est là qu’il faut se placer, c’est de là qu’il faut s’adresser aux hommes. » Cette citation suit un passage critiquant vivement l’Anti-Sénèque de La Mettrie, présenté comme un philosophe corrompu, par opposition avec l’idéal du philosophe bravant la mort représenté par Sénèque ou par Diogène, qui affrontent « avec force » le pouvoir souverain. Cet article propose d’analyser le concept de « parole du fond du tombeau » dans le cadre du projet apologétique de l’Essai. En esquissant deux modèles distincts du philosophe dans l’arène politique, Diderot crée une communauté imaginaire autour de la figure de Sénèque qui prononce « la parole du fond de son tombeau », engageant ainsi les lecteurs et sa propre postérité. Diderot lui-même, en filigrane, se projette parlant du fond de son propre tombeau.
Diderot face à « l’usage du théâtre »
Authors: Buffat Marc 
Published: December 2024

L’invention du drame par Diderot implique une critique du théâtre existant. Celui-ci est condamné, non parce qu’il s’écarte du naturel, mais parce qu’il le censure. Ainsi l’émotion et le corps sensibles sont interdits sur scène, laissant la place au seul corps-machine de comédiens « de bois ». D’autre part l’exiguïté des théâtres interdit que l’on montre des actions simultanées qui seules peuvent porter l’effet du spectacle à son comble. Il y a là un irréalisme du spectacle théâtral qui fait son invraisemblance et contrevient aux deux fondements de la poétique selon Diderot en ces année 50 : l’illusion et l’identification du spectateur aux personnages victimes. Enfin, outre qu’ils produisent des spectacles sans effet sur leurs spectateurs, les codes alors en vigueur de l’écriture et de la représentation dramatiques constituent autant de préjugés et la théorie du nouveau théâtre, en les critiquant au nom de la nature et de la raison, participe du combat des Lumières.
Des mères face à la « continuité pédagogique » en France et en Suisse au printemps 2020
Authors: Barbier Pascal , Le Goff Jean-Marie , Landour Julie 
Published: December 2024

Cet article propose une analyse de l’expérience du travail scolaire confiné durant le printemps 2020 chez des mères françaises et suisses interviewées entre fin 2020 et début 2021. En se centrant sur les principales exécutantes de la « continuité pédagogique » au sein des foyers, il documente les variations des réactions, plus ou moins inquiètes, face à la prise en charge de l’école à la maison. Sont ainsi analysées les déclinaisons sociales de la réception par les mères de la « continuité pédagogique », montrant la fragilité globale des classes populaires et les ressorts variés du sentiment de compétence exprimé au sein des classes moyennes et supérieures. L’article appréhende également les variations nationales de ce vécu en suggérant que ces dernières se fondent sur des politiques publiques d’emploi et éducatives différenciées.
Du merveilleux spirituel dans l’œuvre de Sylvie Germain
Authors: Boblet Marie-Hélène 
Published: December 2024

Conteuse anachronique de fables qui déjouent les codes et les principes du réalisme, Sylvie Germain appartient à la famille d’un Barbey ou d’un Bernanos : son œuvre confirme la prophétie malrucienne d’un XXIe siècle « spirituel ». Ses romans accueillent la puissance du mystère et le tourment de la foi ; ils interrogent l’inexplicable lien entre le visible et l’invisible, l’immense et l’infime, le charnel et le spirituel, le sublimis et l’humilis. Les transports de l’imagination, ici, ne se réduisent pas à quelques fantaisies ludiques : ils illustrent la puissance spéculative de la fiction.
Représentations fantastiques du hors-temps
Authors: Thoizet Évelyne 
Published: December 2024

Dans ses romans, Sylvie Germain ouvre parfois la temporalité de ses personnages sur un hors-temps qui n’est au sens strict ni représentable, ni concevable et qui est l’équivalent temporel du hors-champ spatial. C’est cette expérience sensible et mystérieuse de l’extratemporalité qu’il s’agit de définir et d’interroger : le hors-temps apparaît comme fantastique au sens où il manifeste un réel non médiatisé, un instant d’éternité en rupture avec le temps humain configuré dans le récit. Bien que ce moment hors du temps soit ressenti comme une évidence par les personnages de Sylvie Germain, il reste inexplicable.
L’esprit incarnat ou le transit générationnel
Authors: Le Hène Maryk 
Published: December 2024

« Et le verbe s’est fait chair » : on examine, dans cet article, comment cette antienne traverse l’œuvre de Sylvie Germain, comment l’esprit transite de génération en génération et imprime sa marque dans les chairs successives. On explore le concept d’incarnation, et la façon dont il se distingue de la carnation ou s’oppose à « l’excarnation ». On se penche sur la place du verbe dans la dynamique de l’incarnation et le mouvement de la présence à soi et au monde.