bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analyzing the Content of 2nd Secondary School Grade English Language Textbooks in Light of Life Skills in Jordan
Authors: Amer Mohammad Bani , Majid Al-Khataybeh  
Published: April 2022

This descriptive-analytic study aimed at identifying the included life skills in the content of 2nd secondary school grade English language textbooks in Jordan through a model for classifying life skills. The researchers designed the content analysis card sought to collect data relevant to the study. The findings of the study showed that there is variance in presenting the nine main domains in 2nd secondary school grade English language textbooks. Even in the one domain, there is a variance in presenting the items. The findings indicated that there are 2676 life skills included in 2nd secondary school grade English language textbooks in Jordan; the effective communicative 24.96%, interpersonal relationship 13.57%, decision-making 11.43%, problem-solving 10.61%, self-awareness building 10.54%, creative thinking 7.70%, empathy 7.66%, coping with stress and emotions 7.51%, critical thinking 6.02%. Also, the findings indicated that the effective communication life skills in 2nd secondary school grade English language textbooks in Jordan have the highest percentage.
Tingkat kebugaran jasmani siswa ditinjau dari kebiasaan berolahraga dimasa pandemi covid-19 di SMKN 3 kabupaten lebong
Authors: Novero Fischo , Prabowo Andika , Nopiyanto Yahya Eko 
Published: April 2022

Penelitian ini bertujuan untuk mengetahui tingkat kebugaran jasmani siswa SMKN 3 Kabupaten Lebong ditinjau dari kebiasaan berolahraga dimasa pandemi covid-19. Masalah yang terjadi pada siswa SMKN 3 Kabupaten Lebong adalah pada masa pandemi covid-19 siswa tidak masuk sekolah dan tidak belajar pendidikan jasmani maka dari itu perlu diteliti kebugaran jasmani yang dimiliki siswa dimasa pandemi covid-19. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian deskriptif kuantitatif dengan survei dan tes dengan sampel penelitian yang berjumlah 30 orang siswa. Berdasarkan data yang diperoleh hasil penelitian survei tingkat kebugaran jasmani menggunakan istrumen angket secara keseluruhan berdasarkan 8 faktor hasil tingkat kebugaran jasmani siswa SMKN 3 Kabupaten Lebong dimasa pandemi covid-19 yang telah dihitung dan memiliki nilai rata-rata keseluruhan 70.84% berada pada kategori “baik”.Hal ini diperkuat oleh hasil tes kesegaran jasmani yang dilakukan dengan 5 item tes sebagian besar siswa berada pada kategori “baik”. berdasarkan hasil keseluruhan tes, tingkat kebugaran jasmani siswa SMKN 3 Kabupaten Lebong dimasa pandemi covid-19 berada pada kategori “baik”.
Kontribusi koordinasi mata tangan terhadap keterampilan servis forehand bulutangkis pada atlet PB. PORPU Provinsi Bengkulu
Authors: Difa Abqori Dzikro , Sugihartono Tono , Ilahi Bogy Restu 
Published: April 2022

Permasalahan dalam penelitian ini adalah masih banyak atlet yang kurang konsisten melakukan servis dan melakukannya dengan asal-asalan. Sedangkan tujuan penelitian adalah untuk mengetahui terdapat atau tidak kontribusi koordinasi mata tangan terhadap keterampilan servis forehand bulutangkis. Metode penelitian ini adalah kuantitatif. Sampel penelitian ini adalah 25 atlet bulutangkis PB.PORPU Provinsi Bengkulu. Data yang diperoleh hasil penelitian dengan uji korelasi didapatkan hasil 16rxy=0,396"> = 0,655 > 16rtabel=0,396"> dapat disimpulkan terdapat kontribusi koordinasi mata tangan terhadap keterampilan servis forehand bulutangkis pada atlet PB.PORPU Provinsi Bengkulu. Setelah mengetahui kontribusi koordinasi mata tangan terhadap servis forehand, kemudian diperoleh hasil kontribusi koordinasi mata tangan terhadap keterampilan servis forehand bulutangkis pada atlet PB.PORPU Provinsi Bengkulu sebesar 65,5%.
PENGARUH PENDIDIKAN KESEHATAN DENGAN METODE BRAINSTORMING BOOKLET DAN LEAFLET TERHADAP PENGETAHUAN DAN SIKAP IBU BALITA STUNTING DI PUSKESMAS MALALAK TAHUN 2021
Authors: Harleni Harleni , Yanti Rahmita , Wahyu Diana Novia 
Published: April 2022

Abstrak: Stunting adalah kondisi dimana balita memiliki panjang atau tinggi badan yang kurang jika dibandingkan dengan umur. Tujuan penelitian untuk mengetahui pengaruh pendidikan kesehatan dengan metode brainstorming booklet dan leaflet terhadap pengetahuan dan sikap ibu balita stunting di puskesmas malalak. Metode penelitian adalah eksperimen semu (quasi experiment) dengan rancangan pretest-posttest design. Penelitian di laksanakan pada 11-25 November 2021. Populasi penelitian seluruh seluruh ibu yang memiliki balita stunting di Desa Malalak sebanyak 112 orang. Jumlah sampel sebanyak 32 orang ibu balita, dimana terdiri dari 2 kelompok yaitu 16 orang untuk kelompok dengan metode brainstorming booklet dan 16 orang untuk kelompok dengan metode brainstorming leaflet. Hasil penelitian didapatkan selisih rata-rata pengetahuan metode brainstorming booklet 20,72 dan metode brainstorming leaflet 12,28. Sedangkan selisih sikap metode metode brainstorming leaflet 9,78 dan metode metode brainstorming booklet 23,22. Penelitian ini menggunaka uji Wilcoxon dengan tingkat kepercayaan 95% didapatkan nilai p-value=0,00 yang berarti adanya perbedaan antara pengetahuan dan sikap sebelum dan sesudah diberikan intervensi tentang stunting pada balita. Untuk itu kegiatan penyuluhan gizi dapat diberikan sesuai dengan ketersediaan sarana dan prasarana agar dapat mendukung terselenggaranya kegiatan ini agar efektif dan efisien. Kata Kunci : Pengetahuan, Sikap, Booklet, Leaflet, Stunting
Response of Drainage Pattern and Basin Evolution to Tectonic and Climatic Changes Along the Dinarides-Hellenides Orogen
Authors: Gemignani L. , Mittelbach B. V. , Simon D. , Rohrmann A. , Grund M. U. , Bernhardt A. , Hippe K. , Giese J. , Handy M. R. 
Published: April 2022

The junction of the Dinaric and Hellenic mountain belts hosts a trans-orogenic normal fault system (Shkoder-Peja Normal Fault, SPNF) that has accommodated oroclinal bending, as well as focused basin formation and drainage of the Drin River catchment. Analysis of fluvial morphology of this catchment reveals higher values of river slope indices (ksn) and χ (Chi) between the normal faults of the SPNF and the Drin drainage divide. The drainage divide is predicted to be migrating away from the SPNF, except at the NE end of the SPNF system. Two basins analysed in the hangingwall of the SPNF, the Western Kosovo Basin (WKB) and Tropoja Basin (TB), contain late Pliocene-to-Holocene sedimentary rocks deposited well after the main fault activity and immediately after the Last Glacial Maximum (LGM). These layers document an early Pleistocene transition from lacustrine to fluvial conditions that reflects a sudden change from internal to external drainage of paleo-lakes. In the TB, these layers were incised to form three generations of river terraces, interpreted to reflect episodic downstream incision during re-organisation of the paleo-Drin River drainage system. 36Cl-cosmogenic-nuclide depth-profile ages of the two youngest terraces (∼12, ∼8 ka) correlate with periods of wetter climate and increased sediment transport in post-LGM time. The incision rate (∼12 mm/yr) is significantly greater than reported in central and southern Albania. Thus, glacial/interglacial climatic variability, hinterland erosion and base-level changes appear to have regulated basin filling and excavation cycles when the rivers draining the WKB and TB became part of the river network emptying into the Adriatic Sea. These dramatic morphological changes occurred long after normal faulting and clockwise rotation on the SPNF initiated in late Oligocene-Miocene time. Faulting provided a structural and erosional template upon which climate-induced erosion in Holocene time effected reorganisation of the regional drainage pattern, including the formation and partial demise of lakes and basins. The arc of the main drainage divide around the SPNF deviates from the general coincidence of this divide with the NW-SE trend of the Dinaric-Hellenic mountain chain. This arc encompasses the morphological imprint left by roll-back subduction of the Adriatic slab beneath the northwestern Hellenides.
The Association of Serum Total Bile Acids With Bone Mineral Density in Chinese Adults Aged 20–59: A Retrospective Cross-Sectional Study
Authors: Liu Jingxin , Chen Yuxing , Luo Qi 
Published: April 2022

ObjectiveAccording to a recent study, serum total bile acids (TBA) may preserve lumbar bone mineral density (BMD) in Cushing syndrome patients, and BMD is directly linked to bone health. We were interested in examining the association between TBA and in Chinese adults aged 20–59 years.MethodsWe retrospectively analyzed the physical examination results of 2,490 general healthy subjects in Hainan West Central Hospital. Femoral neck BMD and TBA were measured, and the relationship between TBA and femoral neck BMD was evaluated by curve fitting, a generalized additive model, and multiple linear regression analysis.ResultsThe fitted smooth curve and generalized additive model showed a nonlinear relationship between TBA and femoral neck BMD, and a positive correlation between TBA and femoral neck BMD was found after we made adjustments for the potential confounders.ConclusionTBA is positively associated with femoral neck BMD in Chinese adults aged 20–59 years.
Effect of Levothyroxine on Pregnancy Outcomes in Pregnant Women With Hypothyroxinemia: An Interventional Study
Authors: Li Guohua , Liu Yang , Su Xiujuan , Huang Shijia , Liu Xiaosong , Du Qiaoling 
Published: April 2022

ContextAdverse maternal outcomes and perinatal complications are associated with maternal hypothyroidism. However, the utility of levothyroxine (L-T4) in the treatment of pregnant women with hypothyroxinemia is unclear.ObjectiveThis study aimed to evaluate the effects of L-T4 on maternal and perinatal outcomes in pregnant women with hypothyroxinemia.MethodsThe nonrandomized interventional study was conducted at Shanghai First Maternity and Infant Hospital, Punan Hospital of Shanghai, and Beicai Community Health Center of Shanghai. The pregnant women with hypothyroxinemia from the first trimester were enrolled and divided into treatment and control groups. 463 taking L-T4 and 501 not administering L-T4 were analyzed in the study. All participants were screened for TPOAB/TGAB antibody status.Main OutcomeThe primary outcome of the study was the hypertensive disorder of pregnancy (HDP), measured as the proportion of HDP. In addition to this primary outcome, some secondary outcomes will be measured: miscarriage, gestational diabetes mellitus, premature rupture of membranes, placental abruption, intrahepatic cholestasis of pregnancy, fetal distress, macrosomia, and neonates admitted to the neonatal intensive care unit (NICU). The effects of L-T4 on the incidence of adverse pregnancy outcomes and perinatal complications were compared.ResultsMultivariate logistic regression analysis showed that L-T4 treatment (adjusted odds ratio = 1.78 [95% CI = 1.00-3.16], p = 0.04) significantly reduced the incidence of miscarriage. Otherwise, lower neonates admitted to the NICU were strongly associated with the L-T4 group (adjusted odds ratio = 1.36 [95% CI = 1.01 – 1.83], p = 0.04). There were no significant differences in the incidence rates of other adverse maternal outcomes and perinatal complications between pregnant women with hypothyroxinemia receiving and those not receiving L-T4 treatment.ConclusionThe incidence of HDP was not significantly reduced using L-T4 in pregnant women with hypothyroxinemia. The results of this study also showed that L-T4 treatment significantly reduced the miscarriages rate and the proportion of newborns admitted to the NICU.
Underwater Endoscopic Mucosal Resection of Small Rectal Neuroendocrine Tumors
Authors: Okada Masahiro , Shinozaki Satoshi , Ikeda Eriko , Hayashi Yoshikazu , Takezawa Takahito , Fukuda Hisashi , Morikawa Takaaki , Kitamura Masafumi , Arita Munefumi , Nomura Tatsuma , Sakamoto Hirotsugu , Sunada Keijiro , Fukushima Noriyoshi , Lefor Alan Kawarai , Yamamoto Hironori 
Published: April 2022

Background and Study AimsThe resection strategy for rectal neuroendocrine tumors (NET) &lt; 10 mm is not uniform. We compared the utility of underwater endoscopic mucosal resection (UEMR) to endoscopic submucosal resection with a ligation device (ESMR-L) to resect rectal NETs.Patients and MethodsPatients with rectal NET &lt; 10 mm treated with UEMR or ESMR-L were included. Their medical records were retrospectively reviewed.ResultsThirty-two patients were divided into a UEMR group (n = 7) and an ESMR-L group (n = 25). Histopathological diagnosis of NET by biopsy was known before resection in 43% (3/7) in the UEMR group and 68% (17/25) in the ESMR-L group, (p = 0.379). UEMR was performed on an outpatient basis for all patients, and 92% of ESMR-L (23/25) were performed as inpatient procedures (p &lt; 0.001). The procedure time was significantly shorter in the UEMR group than in the ESMR-L group [median (IQR), min, 6 (5–8) vs. 12 (9–14), p = 0.002]. En bloc resection and R0 resection rates were 100% in both groups. Pathological evaluations were predominantly NET G1 in both groups (UEMR: 7/7, 100% and ESMR-L: 23/25, 92%). Two patients in the ESMR-L group developed delayed bleeding, controlled by endoscopic hemostasis. Device costs were significantly higher in the ESMR-L group than the UEMR group by approximately US$180 [median (IQR), $90.45 (83.64–108.41) vs. $274.73 (265.86–292.45), P &lt; 0.001].ConclusionUEMR results in similar resection quality with shorter procedure time and lower costs compared to ESMR-L. We recommend UEMR for the resection of rectal NET &lt; 10 mm.
A Longitudinal Research on the Distribution and Prognosis of Intracerebral Hemorrhage During the COVID-19 Pandemic
Authors: Lin Gangqiang , Xu Xueqian , Luan Xiaoqian , Qiu Huihua , Shao Shengfang , Wu Qingsong , Xu Wei , Huang Guiqian , He Jincai , Feng Liang 
Published: April 2022

PurposeGlobally, intracerebral hemorrhage (ICH) is a common cerebrovascular disease. At the beginning of 2020, due to the coronavirus disease 2019 (COVID-19) pandemic, the allocation of medical resources and the patient treatment and referrals were affected to varying degrees. We aimed to determine the characteristics and prognoses and associated factors of patients with ICH.Patients and MethodsThe baseline demographic characteristics and ICH outcomes were compared between patients diagnosed with ICH between January and June 2020 (the 2020 group) and between January and June 2019 (the 2019 group). COVID-19 positive patients were excluded from the study. A 30-day data from patients in the 2019 and 2020 groups were analyzed to create survival curves for these patients. We also used regression models to identify the significant determinants of poor outcomes [modified Rankin score (mRS): 3–6] and death.ResultsThe number of patients diagnosed with ICH was slightly lower in the 2020 group (n = 707) than in the 2019 group (n = 719). During the lockdown period (February 2020), the admission rates for ICH decreased greatly by 35.1%. The distribution of the patients' domicile (P = 0.002) and the mRS (P &lt; 0.001) differed significantly between the years. The survival curve revealed that the highest risk of death was in the acute stage (especially in the first 5 days) of ICH. At 30 days, mortality was 19.8% in February 2019 and 29.4% in February 2020 (P = 0.119). Multivariate analysis revealed age, baseline mRS, postoperative complications, massive brainstem hemorrhage, and creatinine as factors significantly associated with poor outcomes and death following ICH. Neurosurgery and massive supratentorial hemorrhage were only correlated with the risk of death.ConclusionDuring the lockdown period, the COVID-19 pandemic caused a decrease in the admission rates and severe conditions at admission due to strict traffic constraints for infection control. This led to high mortality and disability in patients with ICH. It is necessary to ensure an effective green channel and allocate adequate medical resources for patients to receive timely treatment and neurosurgery.
Effect of COVID-19 Pandemic on Well Child Care and Vaccination
Authors: Onimoe Grace , Angappan Dhanalakshmi , Chandar Marie Christianne Ravie , Rikleen Sarah 
Published: April 2022

ObjectivesThe COVID-19 virus is highly contagious primarily via aerosol transmission and has a high mortality rate. On March 13, 2020, the United States declared a national emergency in response to the COVID-19 pandemic. This study aims to enumerate the effect of the pandemic on vaccination rates during the COVID-19 lockdown and the aftermath in pediatric patients aged 6weeks-6 years.Study DesignA retrospective review of medical records was performed of missed well childcare visits at MetroHealth from March 1, 2020 to June 30, 2020. The sample size of 400 children aged 6 weeks to 6 years were randomly selected. Demographic data, number of calls made to attempt, scheduled WCC, no show rates for clinic appointments, number of missed WCC, location of MH facility, insurance type, vaccination status prior to the pandemic were collected. Statistical analysis was performed with SPSS software (IBM Corp. Released 2020. IBM SPSS Statistics for Windows, Version 27.0. Armonk, NY: IBM Corp).ResultsFrom this descriptive study, we found that 43.5% of patients were not up to date on their childhood vaccination. The mean age was 24.38 months (SD 20.15). There were slightly more males (52.8%) in the study than females (47.3%) and most children were of African American descent. More than 50% of patients missed a scheduled well child appointment and 27% had a missed at least two consecutive appointments.ConclusionThe COVID-19 pandemic has no doubt made a significant mark on health care; the effects would be both immediate and delayed, with vulnerable population being the most impacted. There is an urgent need to prevent a large-scale health disaster of catastrophic potential that could occur if an effective vaccination strategy is not implemented rapidly.
Disulfiram Protects Against Radiation-Induced Intestinal Injury in Mice
Authors: Yuan Qingwen , Peng Renjun , Yu Huijie , Wang Sinian , Chen Zhongmin , Dong Suhe , Li Wei , Cheng Bo , Jiang Qisheng , Cong Yuwen , Li Fengsheng , Li Changzheng 
Published: April 2022

Radiation-induced intestinal injury (RIII) occurs after high doses of radiation exposure. RIII restricts the therapeutic efficacy of radiotherapy in cancer and increases morbidity and mortality in nuclear disasters. Currently, there is no approved agent for the prevention or treatment of RIII. Here, we reported that the disulfiram, an FDA-approved alcohol deterrent, prolonged the survival in mice after lethal irradiation. Pretreatment with disulfiram inhibited proliferation within 24 h after irradiation, but improved crypt regeneration at 3.5 days post-irradiation. Mechanistically, disulfiram promoted Lgr5+ intestinal stem cells (ISCs) survival and maintained their ability to regenerate intestinal epithelium after radiation. Moreover, disulfiram suppresses DNA damage accumulation, thus inhibits aberrant mitosis after radiation. Unexpectedly, disulfiram treatment did not inhibit crypt cell apoptosis 4 h after radiation and the regeneration of crypts from PUMA-deficient mice after irradiation was also promoted by disulfiram. In conclusion, our findings demonstrate that disulfiram regulates the DNA damage response and survival of ISCs through affecting the cell cycle. Given its radioprotective efficacy and decades of application in humans, disulfiram is a promising candidate to prevent RIII in cancer therapy and nuclear accident.
Effects of Virtual Reality-Based Distraction of Pain, Fear, and Anxiety During Needle-Related Procedures in Children and Adolescents
Authors: Wang Yan , Guo Liangmei , Xiong Xinjuan 
Published: April 2022

BackgroundNeedle-related pain, fear, and anxiety can be a deterrent to treatments in children and adolescents. Virtual reality (VR) can be used to manage the poor experience of needle procedures.ObjectiveThis meta-analysis aimed to examine the effects of VR on pain, fear, and anxiety related to needle procedures in children and adolescents.MethodsPubMed, EMBASE, and the Cochrane Library were searched for potentially eligible studies published up to June 2021. The outcomes were pain assessed by the Wong-Baker Faces Pain Scale (WBS) or Faces Pain Scale-Revised (FPS-R), and Visual Analog Scale (VAS), fear assessed by Children's Fear Scale (CFS), and anxiety assessed by Children's Anxiety Meter (CAM), VAS, or CFS. Because of expected heterogeneity among studies, all analyses were conducted using the random-effects model.ResultsTen studies were included (571 children in the VR group and 575 in the control group). Based on the WBS, VR reduced pain, either self-reported (WMD = −2.17, 95%CI: −3.37, −0.97), parent-reported (WMD = −3.52, 95%CI: −4.62, −2.42), nurse-reported (WMD = −3.29, 95%CI: −5.59, −0.99), and physician/investigator-reported (WMD = −3.48, 95%CI: −5.93, −1.04). Using the FPS-R, VR reduced needle-related pain compared with controls (WMD = −0.85, 95%CI: −1.64, −0.06). Similar results were observed for fear (children/adolescents: WMD = −1.52, 95%CI: −2.18, −0.86; parents: WMD = −1.71, 95%CI: −2.30, −1.13; nurses: WMD = −1.55, 95%CI: −2.47, −0.63; physicians/investigators: WMD = −0.59, 95%CI: −1.00, −0.18) and anxiety (self-reported: WMD = −2.79, 95%CI: −4.07, −1.54; parent-reported: WMD = −3.87, 95%CI: −5.58, −2.15; nurse-reported: WMD = −4.64, 95%CI: −6.56, −2.71; physician/investigator-reported: WMD = −2.06, 95%CI: −4.13, −0.00).ConclusionA VR-based intervention could reduce needle-related pain, fear, and anxiety in children and adolescents.
Biomethane Community: A Research Agenda towards Sustainability
Authors: D’Adamo Idiano , Sassanelli Claudio 
Published: April 2022

The bioeconomy is an effective solution to align with the sustainability agenda and to meet the pressing calls for action from Cop26 on a global scale. The topic of the circular bioeconomy has gained a key role in the literature, while the theme of energy community is a basic form of social aggregation among stakeholders. This work focuses on biomethane and proposes a framework based on several criteria that are evaluated using a hybrid Analytic Hierarchy Process (AHP) and 10-point scale methodology. The results show that regulation and energy community are considered the two most relevant categories. The overall ranking of criteria sees the stakeholders’ engagement as the most important, followed by more significant subsidies for small- and medium-sized plants and the principle of self-sufficiency applied at the inter-regional level. Subsequently, the Italian Adriatic corridor composed of four MMAP (Marche, Molise, Abruzzo, and Puglia) regions is considered as a case study in order to evaluate the possible environmental (854 thousand tons CO2eqyear) and economic (from 49 million EUR to 405 million EUR in function of plant size) benefits associated with potential biomethane production of 681.6 million m3. It is found that the biomethane community is an enabler of sustainability and this strategy can be used for sharing different natural resources.
Les Hommes du Paléolithique Moyen et la question de l’ancienneté de l’Homme moderne en Afrique
Authors: Tillier Anne-Marie 
Published: April 2022

The humans of the middle-paleolithic and the presence of modern humans in Africa.
A short review of the fossil human record from the Middle Paleolithic of Africa provides evidence of the peculiarities of this continent with regard to Eurasia. Contrary to what is well known in Eurasia, there are no representatives of the Neanderthal population in Africa. Moreover, the first anatomically modern humans are older in Africa than in Europe. However, the African antiquity of these modern humans is still a matter of debate with regard to the Levantine modern humans. So the evolutionary model which favors the African origins of modern humans cannot be maintained from the available data.