bluuebunny/crossref_metadata_2025_split huggingface dataset:
A speech therapy treatment protocol for exercise induced laryngeal obstruction
Authors: Karlsen Tom , Vreim Kristine , Røksund Ola D. , Vollsæter Maria , Muralitharan Praveen , Ellingsen Thor Andre , Heimdal John-Helge , Halvorsen Thomas , Clemm Hege 
Published: June 2024

BackgroundExercise induced laryngeal obstruction (EILO) is a common cause of exertional breathing problems in young individuals, relevant to 5%–7% of young people. It is caused by paradoxical inspiratory adduction of laryngeal structures and diagnosed by continuous visualization of the larynx during high intensity exercise. Empirical data suggest that EILO consists of different subtypes that require different therapeutic approaches. Currently applied treatment approaches do not rest on randomized controlled trials (RCTs), and thus evidence-based guidelines cannot be established. This protocol describes the speech therapy treatment approach which is applied to EILO patients in a large prospective RCT called HelpILO.Methods and analysisConsenting patients consecutively diagnosed with EILO at Haukeland University Hospital are randomized into four treatment arms. Speech therapy is represented in two of these, provided in a structured manner based on general speech therapy principles and abdominal breathing, combined with experience obtained with these patients at our hospital during the last decades. The main outcome measure of HelpILO is changes of laryngoscopically visualized laryngeal adduction, rated at peak exercise before vs. after interventions, using a validated scoring system.Ethics and disseminationDespite widespread use of speech therapy in patients with EILO, this approach is insufficiently tested in RCTs, and the study is therefore considered ethically appropriate. The study will provide knowledge listed as a priority in a recent statement issued by major respiratory and laryngological societies and requested by clinicians and researchers engaged in this area. The results will be presented at relevant conferences, patient fora, and media platforms, and published in relevant peer reviewed international journals.
Assessment of knowledge, attitude, and practice toward first aid management of choking hazards among Eastern Province Saudi adults: an observational study
Authors: Thirunavukkarasu Ashokkumar , Alanazi Abdulrahman Raji , Al-Rasheedi Abdullah N. , Alruwaili Danah Khalid , Abdel-Salam Doaa Mazen , Alriwely Nasser Saleh , Alruwaili Abdulrahman Fayez J. , Alanazi Abdulhadi Abdullah Z. , Alruwaili Sultan Farhan O. , Alruwaili Abdulaziz Raja R. 
Published: June 2024

Background and aimChildhood choking is a global health concern that mainly affects children under the age of 5 years. The parent’s and caretaker’s responsibility is critical in the children’s lives and can potentially influence the result of at-home injuries such as choking. We aimed to assess the knowledge, attitude, practice, and associated factors of first aid management toward choking hazards among Saudi adults from the Eastern Province.MethodsThe present analytical study was carried out among 390 Saudi adults attending different primary health centers in the Eastern Province of Saudi Arabia. We used a standard and validated data research topic tool to assess knowledge, attitude, and practice. Spearman’s correlation was applied to determine the correlation between each section, while binomial logistic regression analysis was applied to identify the associated factors.ResultsWe observed knowledge, attitude, and practice scores in 43.3, 38.9, and 36.4% of the participants, respectively. Furthermore, positive correlations between knowledge and attitude (rho = 0.42, p = 0.001), between knowledge and practice (rho = 0.57, p = 0.001), and between attitude and practice (rho = 0.41, p = 0.001) were revealed in our survey. The knowledge of the participants was significantly higher with the age group of 30–40 years [adjusted odds ratio (AOR) = 3.67 (1.94–4.65), p = 0.001] and participants who received training in first aid management [AOR = 1.64 (1.12–2.49), p = 0.037]. This study found that males [AOR = 0.36 (0.21–0.63), p = 0.001] and those working in the private sector [AOR = 0.61 (0.31–0.87), p = 0.018] had significantly lower attitudes.ConclusionOur results underscore the importance of continuous health education initiatives and training courses at primary health care centers regarding first aid management of choking hazards to improve awareness and practices. Furthermore, we recommend prospective multicenter studies to address region-specific knowledge gaps.
Evidence of weight loss in junior female judo athletes affects their development
Authors: Yoshida Ena , Hayashida Harumi , Sakurai Tomonobu , Kawasaki Kenzo 
Published: June 2024

PurposeThe facile manipulation of body weight in junior athletes has the potential to pose significant risks to their lifelong health. In judo, which is a weight class sport, pre-competition weight loss is widespread even among juniors, but information on the current situation is scarce, especially for female athletes, for whom it is important to provide adequate nutrition and enhance bone mass during the growth period, and the details of the current situation are not clear. Therefore, the purpose of this study was to determine the actual weight loss during the growth period in junior female judo athletes and its subsequent impact on their health.MethodsThe survey was a cross-sectional survey of junior female judo athletes in Japan using a questionnaire. Participants were asked to respond via an online questionnaire about their weight, height, weight loss experience, menstruation, competition results, and other lifestyle.Results51.8% of subjects experienced weight loss for competition during their junior high school years (ages 12–15). Those who experienced weight loss during secondary sexual characteristics were found to be significantly shorter in current height than those who did not (p &lt; 0.05). Weight loss during secondary sexual characteristics did not affect current menstrual cycle. There was no significant difference in competition results due to the experience of weight loss during junior high school (χ2 = 4.485, df = 3, n.s.).ConclusionsThese findings suggest that weight loss during the growth spurt phase may adversely impact normal development. It also suggested that weight loss during the junior high school years may not be a strategy to bring about better competition results. These observations indicate the need for education on appropriate class selection and weight control for junior athletes in weight class competitions.
The Micromorphology and Its Taxonomic Value of the Genus Sanicula L. in China (Apiaceae)
Authors: Song Boni , Yong Feng , Liu Changkun , Wang Yunyi , Yang Lei , Chen Lian , Wang Yuan , Zhou Songdong , He Xingjin 
Published: June 2024

The genus Sanicula L. possesses many medically important plants, belonging to the family Apiaceae. It is one of the most taxonomically difficult taxa, largely due to the great variability in habit, foliage, flowers and fruits. Previous studies have mainly focused on the molecular studies of this genus, and the morphological research for this genus was limited, especially in the micromorphological research. In the current study, we newly obtained leaf materials from twenty-two Sanicula members, fruit and pollen materials from twenty Sanicula members and performed comprehensively micromorphological analyses for this complicated genus. The results of the leaf epidermis showed that the upper and lower epidermis were smooth and glabrous, and the cell shape was polygonal or irregular. The patterns of anticlinal wall were shallowly undulating, deeply undulating, subflat or flat. The cuticular membrane ornamentations were diverse, and some species had epidermal appendage. All Sanicula species observed the stomata in the lower epidermis, and only five species (S. rugulosa, S. elongata, S. hacquetioides, S. tienmuensis and S. elata) observed stomata in the upper epidermis, which can easily identify them from other Sanicula members. In addition, we found that the fruits scarcely compressed, and some fruits had their distinctive shape, such as the fruit shape of S. tienmuensis was subglobose, S. subgiraldii was broadly ovate and S. pengshuiensis was ellipsoid. All Sanicula taxa fruits surfaces were covered with prickles, bristles, protuberance, or tubercles, prickles were either long or short, uncinate or straight, rarely scale-like, ribs inconspicuous or slightly prominent, but the prickles/bristles/tubercles were different in shape, sparseness and arrangement. The vittae were distinct in S. rubriflora, S. chinensis, S. caerulescens, S. pengshuiensis, S. pauciflora, S. lamelligera, S. oviformis, S. flavovirens and S. elata, and the remaining taxa were obscure. These findings indicated that the fruits can clearly distinguish these Sanicula members. Furthermore, the micromorphological characteristics of pollen showed that the equatorial view included four shapes: ellipsoid, subrectangular, equatorially constricted and super-rectangular-equatorially constricted; and the polar view possessed four shapes: triangular, triangular–circular, suborbicular and trilobate circular. The germ furrow and the outer wall ornamentation of all Sanicula taxa were quite similar, indicating that the genus was a natural unit. In summary, our study promoted the improvement of a taxonomic system for the genus and also provided additional evidence for future taxonomic study of the genus Sanicula.
Fichas de rendimento e preços de soluções de reforço estrutural de elementos de betão armado
Authors: Santos Cláudia Sofia Folgado , Cabaço António Manuel Gardete Mendes , Vasconcelos Ana Neyra Brandão de 
Published: June 2024

As fichas de rendimento de operações de construção, contendo informação sobre os recursos, os rendimentos e os preços unitários das atividades, assumem um papel importante no planeamento económico da construção. No caso particular das soluções de reforço de elementos de betão armado, não existem, até à data, fichas de rendimento para esse tipo de operações. Neste sentido, foi realizado um estágio profissional para a Ordem dos Engenheiros, no Laboratório Nacional de Engenharia Civil (LNEC), tendo em vista a elaboração de fichas de rendimento para diferentes soluções de reforço de elementos de betão armado: chapas de aço coladas, chapas de aço aparafusadas, laminados de compósitos reforçados com fibras de carbono colados e betão projetado. Foi utilizada, para o efeito, a estrutura de informação das fichas de rendimento do LNEC – com a indicação dos custos diretos, custos indiretos e custo total –, tendo sido estudadas, para as referidas soluções de reforço, diferentes áreas de reforço e elementos construtivos (pilares e vigas). O estudo contemplou a elaboração de 120 fichas de rendimento. Nesta comunicação, é apresentada uma ficha de rendimento tipo e é efetuada uma comparação de preços para diferentes cenários de 4 soluções de reforço, identificando-se quais as soluções recomendáveis para cada cenário e as circunstâncias que ditam essa recomendação. Os custos apresentados nas fichas de rendimento são referentes ao ano de 2020.
Driving Factors Of Employee Performance Inspiration Auto2000 Pasteur
Authors: Sutisna Mamun 
Published: June 2024

Based on the observations and preliminary survey on the research object, it was hypothesized that the main driving factor for employee performance is compensation. This study aims to determine the effect of compensation on employee performance at Auto2000 Pasteur Bandung. This study used quantitative methods that are causal and used primary data whose data collection used questionnaires with the calculation of results using the Likert scale with a scale of numbers 1-5. The technique used in sampling uses non-probability sampling with census sampling techniques. The population in this study was 68 Auto2000 Pasteur employees and the same number of samples. Data analysis method using Smart PLS. Data that have been obtained from questionnaires and have been tabulated are then analyzed using validity reliability tests, R2 tests, hypothesis tests, and partial tests (t-tests). The results showed that compensation significantly positively affected the performance of employees of the company Auto2000 Pasteur.
Pengaruh Viscap Brand Ambassador dan Loyalitas Penggemar terhadap Brand Image Scarlett di Media Sosial Tiktok
Authors: Lumeno Merlis , Yusrin Nur Amalyna 
Published: June 2024

Purpose: The objectives of this research are: 1) to determine whether the visibility of Brand Ambassador has an effect on Brand Image; 2) to determine whether the Credibility of the Brand Ambassador has an effect on Brand Image; 3) to determine whether the Attraction of the Brand Ambassador has an effect on Brand Image; and 4) to determine whether the power of brand ambassador influences brand image. 5) to find out whether Fan Loyalty to Brand Ambassadors influences Brand Image, 6) to find out whether VISCAP and Fan Loyalty to Brand Ambassadors influence Brand Image
Research methodology: The research method used in this study was quantitative, with multiple linear regression analysis. The samples in this study were obtained using Cochran’s formula to obtain 384 samples. Data collection techniques use questionnaires
Results: The research results show that there is an influence of VISCAP and Fan Loyalty which has a significant positive influence on the scarlet whitening brand image on Tiktok social media. The coefficient of determination is 0.573. This means that 57.3% of the variation in the brand image variable for the Scarlet Whitening product can be explained by the variables of Visibility, Credibility, Attraction, Power and Fan Loyalty. Meanwhile, 42.7% of the variation in the Brand Image variable was explained by other variables not discussed in this study.
Limitations: In the research that has been carried out, researchers experienced difficulties when searching for sampling theories and also limited time to collect data for data processing.
Contribution: The achievements of this research can contribute to Tiktok always paying attention to product excellence and continuing to retain consumers, even though it will use a different brand ambassador.
Efektifitas Metode Ceramah Dan Small Group Discussion tentang Kesehatan Reproduksi dan Seksual Terhadap Pengetahuan, Sikap Dan Perilaku Remaja
Authors: Handayani Aris , Abdul Latip  , Kharisma Kusumaningtyas  , Titi Maharrani  , Ervi Husni  , Domas Nurchandra Pramudianti  
Published: June 2024

Background: adolescents are in a phase of rapid growth and development both physically, psychologically, intellectually, socially and sexually, causing great curiosity and tend to take risky attitudes without adequate consideration, which can lead to various consequences including Sexually Transmitted Infections and unwanted pregnancies.This study aims to explain the effectiveness of sexual and reproductive health education with lecture and small group discussion methods on the level of knowledge, attitudes and behavior of adolescents.Method: this study is a Quasy -Experimental Research (pre-post test control group design) with two treatment groups and one control group. A total of 68 adolescents from 135 respondents were involved using proportional random sampling method. Each group was treated with different learning methods, namely lecture method and small group discussion consisting of 68 respondents. Data collection was carried out using pre and post questionnaires, then analyzed using the Wilcoxon Signed Rank Test and Mann Whitney Test with a significant level of P, 0.005. Results: This study shows that the effectiveness of the lecture and small discussion methods are: 1) knowledge about the small group discussion method and the lecture method have the same significant value P = 0.000 (<0.05). 2) attitudes and behaviors towards the lecture method are significantly different from the Small Group Discussion method p = 0.000 (<0.05). Conclusion: This study states that the small group discussion method is better used to improve knowledge and attitudes towards sexual and reproductive health behavior in adolescents than the lecture method because in this phase it is a phase of growth in adolescents so that adolescents want to know more about sexual and reproductive health material.
Keywords: Reproductive health, knowledge, behavior, adolescent, attitude
Hubungan Intensitas Penggunaan Smartphone dengan Perkembangan pada Anak Prasekolah
Authors: Farah Hanifah  , Susilaningrum Rekawati , Harumi Ani Media , Astuti Setiyani  
Published: June 2024

Masa prasekolah merupakan periode penting dalam proses perkembangan anak. World Health Organization (WHO) melaporkan bahwa 5-25% dari anak-anak usia prasekolah menderita gangguan perkembangan. Perkembangan dimasa itu menjadi penentu keberhasilan perkembangan anak prasekolah di periode yang akan datang. Smartphone membuat anak semakin mudah mendapatkan akses media informasi dan teknologi, sehingga anak-anak malas menjadi malas bergerak dan beraktivitas. Tujuan penelitian ini adalah untuk membuktikan hubungan intensitas penggunaan smartphone dengan perkembangan anak pasekolah di TK Aisyiyah Busthanul Athfal 45 Surabaya. Penelitian bersifat observasional dengan desain cross sectional. Hasil penelitian yang telah dilakukan diketahui ada hubungan intensitas penggunaan smartphone dengan perkembanagan anak hasil menggunakan uji chi square menunjukkan p-value = (0,024) < (0,05). Kesimpulan dari penelitian ini adanya hubungan antara intensitas penggunaan smartphone dengan perkembangan pada anak prasekolah di TK Aisyiyah Busthanul Athfal 45 Surabaya. Saran bagi para orang tua sebaiknya anak tetap dalam pengawasan ketika menggunkan smartphone. Perkembangan anak juga tetap terus dipantau dengan deteksi dini ke tenaga kesehatan, agar stimulasi perkembangan anak tetap stabil sesuai dengan usianya.
Clinique des institutions
Authors: Corre Cécile , David Catherine 
Published: June 2024

Dans les institutions, des contenus et formations psychiques divers circulent, plus ou moins conscients et subjectivés, individuels et groupaux. Ils proviennent de la relation avec les personnes accueillies et du rapport des professionnels au cadre institutionnel. Leur transmission se produit entre les générations institutionnelles, ainsi que dans et entre les espaces de travail. Nous proposons d’étudier ici certaines modalités groupales de transmission dans les institutions : résonances, diffraction transférentielle, ambiances, contrat narcissique et incorporât institutionnels, ainsi que leurs effets dans l’institution.
Le paradoxe comme attitude dans le cynisme : Diogène face aux opinions
Authors: Chapuis Maxime 
Published: June 2024

Diogène de Sinope se donne comme principe de falsifier les valeurs et d’aller à contre-courant de ses contemporains. Dès lors, on pourrait croire qu’il revendique dans sa conduite le paradoxe au sens de ce qui heurte l’opinion ; pourtant, il réfute cette qualification, afin d’insister sur l’adéquation entre son discours et son mode de vie, dans la continuité de Socrate, dont il ne reprend pas pleinement à son compte, néanmoins, les paradoxes sur la vertu. Avec le cynisme, le paradoxe ne se présente plus tant sous une forme propositionnelle que comme une attitude qui se traduit par des gestes à l’encontre des opinions : c’est son corps même que le cynique oppose à la doxa.
Les paradoxes de l’acatalepsie : saisie, non-saisie, et insaisissabilité dans les traditions académiciennes et sceptiques
Authors: Godinot Enzo 
Published: June 2024

Cet article analyse les différents paradoxes associés aux usages académiciens et sceptiques des concepts de saisie [ katalepsis ], d’insaisissabilité [ akatalèpsia ] et d’absence de saisie lors d’une représentation [ akatalèptos ]. Il s’agit de montrer, que les philosophies déniant aux dogmatiques leur prétention à saisir fermement quelque chose de certain ne se contredisent pas nécessairement en prétendant saisir l’insaisissable ou en universalisant l’insaisissabilité. Évitant les paradoxes infamants auxquels leurs adversaires cherchent à les réduire (que nous nommerons « paradoxe du dogme dissoluble » ou « paradoxe des indiscernables distincts »), les académiciens et les sceptiques exposèrent leur pessimisme gnoséologique à travers des stratégies argumentatives qui assument parfois une tournure paradoxale, mais non contradictoire, parce qu’elle est la mieux adaptée à notre état d’« ignare ignorance », ignorance absolue qui s’ignore elle-même en tant que telle.
Paradoxes éthiques et divinisation du sage : Philon d’Alexandrie et les stoïciens
Authors: Simeoni Francesca 
Published: June 2024

Cette contribution examine l’apport original de Philon d’Alexandrie à la transmission d’une tradition de paradoxes décrivant la condition du sage, attestés dans des sources stoïciennes et repris dans le Quod omnis probus liber sit philonien. Deux questions relatives à la condition paradoxale du sage sont analysées : sa divinisation et le modèle de science qui la caractérise. Philon montre en effet une interprétation complémentaire, qu’il désigne comme « disjonctive », de la perfection du sage : il reprend les paradoxes stoïciens, mais change substantiellement le « paradigme conjonctif », qui, selon la célèbre analyse de Jacques Brunschwig, les sous-tend. Ce changement a lieu grâce à l’intervention d’une clé non seulement médio-platonicienne, mais aussi biblique : celle de la transcendance de la perfection divine.
How to Be Freed from a Leadership Curse? A Political ‘Code of Conduct’ by the Nandi Council of Elders during the 2013 Elections in Kenya
Authors: Josse-Durand Chloé 
Published: June 2024

In April 2012, more than a year before Kenya’s 2013 elections, the Nandi Kaburwo Council of Elders in Nandi Hills undertook the original task of writing the Nandi County Political Code of Conduct (NCPCC). Throughout Kenya, the pre-election period was characterized by a significant involvement of councils of elders in spreading messages of peace and promoting “good leadership,” unlike 2007 when these councils played an active role in mobilizing Kenyans to take part in the post-electoral violence. Printed as an 8-page booklet, the NCPCC was targeting local candidates, their supporters and political parties. It displayed regulations aimed to contribute to the “transformation of Nandi County” into a prosperous place, an “island of new politics, free of political madness.” Inspired from the role models of the Kenyan “Goodwill Ambassadors” for peace put in place in 2012, and based on oral narratives about iconic pre-colonial Nandi leaders—such as Kimnyolei and Koitalel Samoei—, this code of conduct brings to light cultural, social, economic and political dynamics mobilized by a wide range of actors (NGO, elders, candidates, entrepreneurs) during electoral times. Therefore, I believe it is crucial for the researcher to present and analyze it as a primary source that illustrates the aspirations and strategies of a local elite with their own conception of leadership. More broadly, through this original document, one can question the role played by councils of elders in Kenyan politics from a grassroots perspective, as well as the role they play in “re-inventing” their political history under the guise of preserving traditions.