bluuebunny/crossref_metadata_2025_split huggingface dataset:
Aquatic gymnastics program to improve kinesthetic manual praxis in children with Down syndrome
Authors: Georgieva Diyana , Ivanova Veselina 
Published: August 2023

Background and Study Aim. An alternative solution to improve the praxis function in children with Down syndrom is the application of modern therapeutic programs that take place in the aquatic environment. The article focuses on a study tracking the effects of a therapeutic program based on water gymnastics resources as an alternative technology to improve kinesthetic manual praxis in individuals with Down syndrome.
Material and Methods. Thirty children with Down syndrome (aged between 9 and 11 years) participated in the experiment and were differentiated in equal numbers into two groups: experimental (undergoing an 11-month therapeutic water gymnastics course) and control (taught using traditional technologies). The research battery for tracking the dynamics in the kinesthetic organization of manual movements included three neuropsychological probes with six items each, performed separately by the fingers of both hands. The empirical data were processed according to generally accepted methods of mathematical statistics: a Shapiro-Wilk test for the assumption of normality, descriptive statistics for the dependent variables and an independent samples t- test to verify between-group differences. SPSS 16.0 statistical package was used for statistical analysis, with a level of significance α = 0.05.
Results. In the primary phase, the two groups were homogeneous in terms of the initial results of their performance in the area of fine motor movements. In the final phase, a statistically significant difference was identified between the experimental and control groups in the performance of all three probes: Reproduction of finger postures by the visual model (t = 4.053, p<0.001); Reproduction of finger postures by the kinesthetic model (t = 2.973, p<0.01); Transfer of finger postures by the kinesthetic model (t = 2.866, p<0.05). A significant improvement was registered in the experimental group's performance in all components of manual praxis (Δ= 15.70%; Δ= 12.58%; Δ= 10.39%).
Conclusions. The positive dynamics in praxis function development within the studied domain serve as clear evidence. These changes in the realization of purposeful, pre-planned manual actions can be generated through a well-structured training and therapy program utilizing the benefits of water gymnastics as an intervention method. This is a sufficiently encouraging fact for children with Down syndrome, given the specific psychomotor profile determined by the genetic pathology.
Chronic abscess in isthmocele: a rare entity
Authors: Jacob Sujamol , B. S. Lakshmi , S. Sujin 
Published: August 2023

Uterine isthmocele, also known as caesarean scar defect or uterine niche is a triangular defect in the anterior uterine wall at the site of the previous caesarean scar, with its base communicating with the uterine cavity. It represents an inadequate healing of the myometrium following caesarean section. Transvaginal ultrasound (TVS), saline infusion sonohysterogram (SIS), hysterosalpingogram, hysteroscopy, and MRI are various modalities to make a confirmatory diagnosis. Medical or surgical management is undertaken depending on the size and type of defect. The aim is to manage symptomatic patients. But chronic presentation of isthmocele is very rare and hence difficult to diagnose. Hereby presenting this case report, where the isthmocele was presented as a chronic abscess. Hence reporting this case for early suspicion of isthmocele and prompt management.
Lifestyle, nutrition knowledge, body dissatisfaction, and nutritional status of IPB university students in Indonesia
Authors: Farisa Dian Tiara , Khomsan Ali 
Published: August 2023

Background: Adolescents experience changes as a response to concerned behaviour about body shape, leading to a restricted diet in their food consumption. It is stated that 76.56% of male students and 82.87% of female students experienced body dissatisfaction. As a result, the students are developing negative eating behaviour despite having a normal nutritional status.
Methods: This comparative cross-sectional study was conducted at IPB University dormitories. The study involved selecting samples using a systematic random sampling method. Total samples were 80 students.
Results: A significant difference was found in the diversity of food consumption between male and female subject groups (p=0.038). This research also showed other significant differences found in consumption of green leafy vegetable group (p=0.013), fruits and vegetables source of vitamin A group (p=0.000), and meat and fish group (p=0.033) within the male and female subjects. The other significant differences were also found in the frequency of exercise (p=0.000) and in the level of physical activity (p=0.027) between male and female subject groups. There was a significant correlation between nutritional knowledge and nutritional status of male (r=0.784, p=0.045) subjects, and correlation between body dissatisfaction and nutritional status of male (r=0.349, p=0.027) and of female (r=0.383, p=0.015) subjects.
Conclusions: There was a significant relationship between nutritional knowledge and nutritional status in male subjects. Furthermore, there is a relationship between body dissatisfaction and the nutritional status of the subject, where subjects with more nutritional status tend to have higher body dissatisfaction scores.
Assessment of psychological distress and its association with socio-demographic variables among cancer patients in a tertiary care hospital in Bengaluru, Karnataka: a cross sectional study
Authors: S. Pooja , Savatagi Shivanand , Sengupta Angan , Jayanna Krishnamurthy 
Published: August 2023

Background: Cancer diagnosis is known to cause significant mental distress and anxiety. Psychologically distressed patients are less compliant to treatments and endure longer hospitalization. Assessment of distress is critical to develop necessary interventions. Our research aims to assess the severity, contributing factors, and relationships between socio-demographic characteristics and psychological distress in cancer patients.
Methods: A cross sectional study with random sample of 188 cancer patients were assessed for distress with NCCN distress thermometer (DT) from a tertiary care facility. Descriptive analysis and Chi-square test performed using SPSS-28.
Results: 75% reported "moderate and above" distress levels, with a mean distress of 5.5±2.99. Respondents below 40 years, females, currently unmarried, nuclear families, highly educated, and financially dependent were more likely to experience severe distress (score 8-10). Significant emotional concerns were associated with severe distress, followed by practical problems.
Conclusions: Distress can be routinely screened with a simple visual analogue scale like DT. A severely distress patient had 3 or more physical, practical, emotional and 2 or more social and spiritual concerns and a person with mild distress had just one emotional concern and spiritual concern and none of the other three. Early identification, routine screening and psychosocial support can reduce distress with optimal efficacy.
Specifics of Canada&apos;s Approach to Online Safety
Authors: Shchukina Tatiana 
Published: August 2023

Online platforms are increasingly central to participation in economic, democratic, cultural and public life. However, such platforms can also be used to threaten and intimidate Canadians and to promote views that target communities, put people&apos;s safety at risk, and undermine Canada&apos;s social cohesion or democracy.
The Government of Canada is committed to putting in place a transparent and accountable regulatory framework for online safety in Canada and confronting online harms while respecting freedom of expression, privacy protection, and the open exchange of ideas and debate online. Now, more than ever, online services must be held responsible for addressing harmful content on their platforms and creating a safe online space that protects all Canadians.
The new legislation would set out a statutory requirement for regulated entities to take all reasonable measures to make harmful content inaccessible in Canada. This obligation would require regulated entities to do whatever is reasonable and within their power to monitor for the regulated categories of harmful content on their services, including through the use of automated systems based on algorithms.
PERFIL CLÍNICO E EPIDEMIOLÓGICO DE GESTANTES COM DIABETES MELLITUS GESTACIONAL EM UM MUNICÍPIO DE SANTA CATARINA
Authors: Soares Gabriel Gomes , Azevedo Mateus de Andrade , Jesus Bruno Moreira Luz de , Vieira Guilherme Silva , Bristot Margarete 
Published: August 2023

Identificar o perfil clínico e epidemiológico de gestantes com diabetes mellitus gestacional em um centro de referência de um município da região sul de Santa Catarina. Estudo transversal com coleta de dados secundários e abordagem quantitativa, abordando gestantes atendidas em um centro de referência do município de Criciúma - SC. A coleta de dados foi realizada com o auxílio de um formulário abrangendo dados antropométricos, comorbidades, fatores de risco, desfechos maternos e fetais e os seus determinantes. A prevalência de diabetes mellitus gestacional encontrada foi de 19,6%. Sobrepeso ou obesidade estavam presentes em 71,0% das gestantes. Como terapia medicamentosa, a metformina foi utilizada por 20,1% das gestantes, e a via de parto cesárea foi realizada por 69,8%. A idade gestacional precoce ao diagnóstico e a idade materna avançada foram associadas com via de parto cesárea. O índice de massa corporal foi associado positivamente com a intensidade da terapia utilizada para controle glicêmico. A prevalência de diabetes mellitus gestacional encontrada foi superior à dos estudos de base populacional no país e no mundo. A obesidade também apresentou alta prevalência nestas gestantes, sendo fortemente associada à gênese da patologia e à necessidade de terapia mais agressiva. Todavia, é uma condição passível de prevenção e tratamento, podendo ser um alvo de grande impacto na saúde pública, se abordada de uma forma eficaz.
Descritores: Gestação; Hiperglicemia; Insulina; Metformina; Obesidade.
AS BRINCADEIRAS LÚDICO-AGRESSIVAS A PARTIR DO OLHAR DAS PROFESSORAS DA EDUCAÇÃO INFANTIL
Authors: Pacheco João Pedro Fretta , Camargo Gislene 
Published: August 2023

A Educação Infantil tem como eixos principais as interações e as brincadeiras. As brincadeiras constituem-se por diferentes abordagens e possuem um referencial teórico amplo e necessário aos saberes e fazeres das professoras de Educação Infantil. Essa pesquisa surgiu da observação das brincadeiras das crianças e o modo como as professoras lidavam com as brincadeiras lúdico-agressivas e os brinquedos relacionados a elas. A partir disso surgiu a seguinte indagação: Quais as percepções das professoras da Educação Infantil sobre as causas das brincadeiras lúdico-agressivas? Assim, elaborou-se o objetivo geral: Reconhecer as percepções das professoras da Educação Infantil sobre as causas das brincadeiras lúdico-agressivas; e os específicos: Examinar a influência da mídia nas brincadeiras lúdico-agressivas; identificar como o contexto sociocultural afeta as brincadeiras; relacionar o conhecimento das professoras sobre as brincadeiras lúdico-agressivas com o que consideram suas causas. Utilizou-se como metodologia a pesquisa qualitativa através de questionário no formato online, que continha 7 (sete) perguntas e foi enviado para 9 (nove) professoras, das quais tivemos o retorno de 6 (seis). As principais referências foram: Volpato (2017), Brasil (2018), Barbosa (2011), Brougère (2006), entre outros. Notou-se que as professoras ainda possuem um pensamento estigmatizado e falta conhecimento teórico em relação a essas brincadeiras. Suas ações diante das brincadeiras lúdico-agressivas é de proibi-las no contexto da Educação Infantil, sem proporcionar uma discussão aprofundada com as crianças. As professoras atribuem as causas das brincadeiras lúdico-agressivas ao fácil e exagerado acesso às mídias e indicam os pais e irmãos como responsáveis pelos comportamentos lúdico-agressivos das crianças.
Palavras-chave: Brincadeiras lúdico-agressivas. Professoras. Educação Infantil.
O LETRAMENTO LITERÁRIO NA EDUCAÇÃO INFANTIL COMO INSTRUMENTO DE CONTRIBUIÇÃO PARA O PROCESSO DE ALFABETIZAÇÃO
Authors: Pacheco Juliana Aparecida Storck , Sachet Claudia Milanez 
Published: August 2023

Este artigo, intitulado O letramento literário na educação infantil como instrumento de contribuição para o processo de alfabetização, teve como objetivo geral analisar de que forma o letramento literário vem sendo trabalhado pelos professores da educação infantil como forma de contribuição para o processo de alfabetização. Para atingir tal objetivo, foram estudados autores como: Cosson (2006), Tfouni (2002), Viana (2002), dentre outros. A metodologia seguiu uma pesquisa bibliográfica e de campo, pois utilizou-se de referências bibliográficas para compreender o conceito de Letramento e Letramento Literário, bem como se realizou uma entrevista com professoras de Educação Infantil para compreender se, em seus planejamentos, estão abordando a literatura sob a perspectiva do letramento literário com vistas a contribuir com o futuro processo de alfabetização das crianças. Na análise, contatou-se que o letramento literário vem sendo trabalhado por alguns dos professores da educação infantil: P1, P4 e P5 mostraram trabalhar nessa perspectiva; porém as professoras P2 e P3 não. Dessas professoras, duas (2) eram da rede privada e apenas uma (1) da rede pública. A atuação do professor no incentivo à leitura por meio do letramento literário é fundamental, pois é no encontro com a literatura que a criança tem oportunidade de ampliar, transformar e enriquecer sua experiência de vida.
PALAVRAS CHAVE: Letramento Literário; Alfabetização; Leitura; Literatura.
OS DESAFIOS PEDAGÓGICOS ENFRENTADOS POR PROFESSORES NO PERÍODO PANDÊMICO DA COVID – 19
Authors: Antunes Gabrielle Padilha , Bittencourt Ricardo Luiz de 
Published: August 2023

Este artigo fala sobre os desafios que professores da rede municipal de Criciúma/SC encontraram no período de pandemia. Os objetivos da pesquisa foram analisar os principais desafios que os professores enfrentaram. Registrando os principais desafios, analisando as estratégias adotadas pelos professores e compreender os fatores que produziram estes desafios profissionais. Uma pesquisa de campo, focalizada em um grupo específico onde se baseia nas observações do mesmo. O instrumento utilizado foi a entrevista semiestruturada, as entrevistas foram feitas com professores que trabalharam no ano de 2020 no período de pandemia. As entrevistas foram gravadas e transcritas para oito páginas que foram divididas em três blocos, que são o painel dos sujeitos pesquisados, o trabalho pedagógico em transformação e os desafios da prática pedagógica. Foram usados nomes fictícios para cada professora para manter a identidade de cada uma. Os principais autores foram Ferreira, Santos, Rigolon (2014); Macedo (2021). Santos, Junior (2020); Souza (2021); Paludo (2020); Olegario (2022); Palú, Schutz, Ayler (2020), que trazem os relatos sobre as dificuldades que os professores e escolas passaram com a COVID-19. Tiveram que reinventar a prática pedagógica, os instrumentos que mais foram utilizados no período de pandemia pelos alunos e as estratégias adotadas.
PALAVRAS CHAVE: Desafio de professores. Aulas remotas. Pandemia COVID-19.
Pengaruh Karakteristik CEO dan Good Corporate Governance terhadap Kinerja Perusahaan pada Perusahaan Manufaktur di BEI
Authors: Sari Rini Nurmala , Nazir Ahmad Gatot , Kurnianti Destria 
Published: August 2023

ABSTRACT
The purpose of this study was to examine the influence of the characteristics of the CEO and Good Corporate Governance on company performance as measured by ROA, ROE, and Tobin's Q. The sample from this research is the manufacturing companies listed on the Indonesia Stock Exchange for the 2016-2021 period. The method used in this study uses panel data regression. The results of this regression indicate that CEO business education, CEO tenure, and commissioner size have no significant effect on firm performance using ROA, ROE, and Tobin's Q. At the same time, board size has a significant positive effect on firm performance using ROA and Tobin's Q. However, the size of the board of directors has no significant effect on company performance when measured using ROE. The number of audit committees has a negative and significant effect on company performance when using ROE and has no significant effect on company performance as measured by ROA and Tobin's Q.
Keywords: Characteristics of CEO, Good Corporate Governance, Company Performance

ABSTRAK
Tujuan dari penelitian ini adalah untuk menguji pengaruh karakteristik CEO dan Good Corporate Governance (GCG) terhadap kinerja perusahaan yang diukur dengan ROA, ROE dan Tobin's Q. Sampel dari penelitian ini yaitu perusahaan manufaktur yang terdaftar di Bursa Efek Indonesia periode 2016-2021. Metode yang digunakan dalam penelitian ini menggunakan regresi data panel. Hasil regresi ini menunjukkan bahwa CEO business education, CEO tenure, dan ukuran komisaris tidak berpengaruh signifikan terhadap kinerja perusahaan menggunakan ROA, ROE, dan Tobin's Q. Pada saat yang sama, ukuran direksi memiliki efek positif yang signifikan terhadap kinerja perusahaan menggunakan ROA dan Tobins Q. Namun, ukuran direksi tidak berpengaruh signifikan terhadap kinerja perusahaan saat diukur menggunakan ROE. Jumlah komite audit berpengaruh negatif dan signifikan terhadap kinerja perusahaan saat menggunakan ROE dan tidak berpengaruh signifikan terhadap kinerja perusahaan yang diukur dengan ROA dan Tobin's Q.
Kata kunci: Karakteristik CEO, Good Corporate Governance, Kinerja Perusahaan
Match Rates Among Underrepresented Minority and Female Applicants to Orthopaedic Surgery Residency Programs from 2011 to 2021
Authors: Harris Andrew B. , Vankara Ashish , McDaniel Claire , Badin Daniel , Laporte Dawn , Aiyer Ameithab 
Published: August 2023

Background:
Orthopaedic surgery residency programs have traditionally had less representation of underrepresented minority (URM) and female trainees compared with other medical specialties. Widespread efforts have been implemented to increase the diversity of orthopaedic surgery residency programs; however, it is not known whether URM and female applicants are increasingly likely to match as a result. Thus, we aimed to study the independent association between URM and female applicants and matching into orthopaedic surgery over the past decade.

Methods:
Applicant-level data from the Electronic Residency Application Service were reviewed from 2011 to 2021 with variables including demographic variables, URM status, and matriculation to an orthopaedic surgery residency program. Multivariate logistic regression was used to identify the likelihood of matriculating into orthopaedic surgery when controlling for number of applications, top 40 medical school status, AOA status, and MD/other degree.

Results:
Twelve thousand one hundred eleven applicants were identified from 2011 to 2021 with a match rate of 70% overall. Two thousand fifty-six applicants (17%) were female and 1,926 (16%) classified as URM. The total number of applications increased from 1,074 in 2011 to 1,229 in 2021. The adjusted odds ratio (OR) associated with matching among all applicants decreased from 0.75 in 2011 to 0.64 in 2021, p < 0.001, and the OR of non-URM male and female applicants also decreased (female: 0.79-0.69, p < 0.001; male: 0.78-0.65, p < 0.001). The OR of URM male applicants did not change significantly (0.57-0.55, p = 0.60). The OR for URM female applicants, however, increased significantly from 0.46 to 0.61, p < 0.001. Over the entire time frame, the odds of matching were significantly lower for URM applicants compared with non-URM applicants (both male and female).

Conclusions:
Overall, the adjusted odds ratio of matching into orthopaedic surgery among female URM applicants has increased over the past decade, indicating successful efforts to improve the diversity of orthopaedic surgery training programs. The odds of URM male applicants have remained relatively constant, and the odds of URM male and female applicants were significantly lower than all non-URM applicants.

Level of Evidence:
III.
Studying the Effect of COVID-19 on Liver Enzymes and Lipid Profile in Iraqi Recovering Patients
Authors: Salman Zainab Zouher , Mohammed Sanad Baqer , Muhi Samer Abdulhasan 
Published: August 2023

The Covid-19 virus disease has been shown to affect numerous organs and systems including the liver. The study aimed to compare lipid profiles and liver enzyme levels in individuals who had recovered from Covid-19 infection. To achieve the study objectives, liver Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline phosphatase (ALP), Random Blood Sugar (RBS) and Lipid profile which include cholesterol, High-Density Lipoprotein (HDL), Triglycerides (T.G), Low-Density Lipoprotein (LDL), and Very low-density Lipoprotein (VLDL) were determined.
One hundred twenty serum samples were obtained, of which fifty samples were utilized as the control healthy persons (not affected by COVID) and seventy samples came from COVID-19 patients who had recovered. Liver enzymes showed a significant increase in serum AST, ALT, and ALP between the two groups (p-values) of 0.001. The lipid profile demonstrated notable ariations which showed an increase in cholesterol, TG, LDL, and VLDL., as well as a decrease in HDL level in the recovered patients’ group compared to the control (p-values) with a value of 0.001. There were no significant differences in RBS between the recovered patients’ group as compared with the control, (p-value) (0.062). Also, body mass index )BMI( and age showed no significant differences. This study concluded that Covid 19 survivors experienced issues with their lipid profiles and liver enzymes
Deep Learning-based Predictive Model of mRNA Vaccine Deterioration: An Analysis of the Stanford COVID-19 mRNA Vaccine Dataset
Authors: Sulayman Nisreen 
Published: August 2023

The emergence of SARS-CoV-2, the virus responsible for the COVID-19 pandemic, has resulted in a global health crisis leading to widespread illness, death, and daily life disruptions. Having a vaccine for COVID-19 is crucial to controlling the spread of the virus which will help to end the pandemic and restore normalcy to society. Messenger RNA (mRNA) molecules vaccine has led the way as the swift vaccine candidate for COVID-19, but it faces key probable restrictions including spontaneous deterioration. To address mRNA degradation issues, Stanford University academics and the Eterna community sponsored a Kaggle competition.This study aims to build a deep learning (DL) model which will predict deterioration rates at each base of the mRNA molecule. A sequence DL model based on a bidirectional gated recurrent unit (GRU) is implemented. The model is applied to the Stanford COVID-19 mRNA vaccine dataset to predict the mRNA sequences deterioration by predicting five reactivity values for every base in the sequence, namely reactivity values, deterioration rates at high pH, at high temperature, at high pH with Magnesium, and at high temperature with Magnesium. The Stanford COVID-19 mRNA vaccine dataset is split into the training set, validation set, and test set. The bidirectional GRU model minimizes the mean column wise root mean squared error (MCRMSE) of deterioration rates at each base of the mRNA sequence molecule with a value of 0.32086 for the test set which outperformed the winning models with a margin of (0.02112). This study would help other researchers better understand how to forecast mRNA sequence molecule properties to develop a stable COVID-19 vaccine.