bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychological support for children with special educational needs in an inclusive education
Authors: Zhasulan Karibaev , Akbota Autaeva , Aziya Zhumabaeva , Kazhimukhanovich Kaliyev Nurzhan , Salikbayevna Zhangoziyeva Manet , Aigul Sultangaliyeva 
Published: May 2022

The rate of disabled individuals is quite high in Kazakhstan. It is a fact that people with disabilities also have problems related to education and work, as well as the problems they face in social life. With the psychological support to be provided in the fields of education, the problems of the disabled individuals can be minimized, the deficiencies can be eliminated, and the fact that they know that they receive education with other individuals with equal opportunities can provide a sense of trust in disabled individuals. This study aims to determine the importance of psychological support for disabled children who continue their education. The qualitative research method was used in the research. Open-ended questions prepared by the researcher were asked. The study group of the research consists of 28 counselor teachers working in a state school with mainstreaming students in Kazakhstan. Results reveal that disabled individuals need psychological support in their education. It turned out that the psychological support provided was insufficient.

Keywords: Disabled person; Inclusive Education; psychological support.
Adaptation of the academic motivation scale for future professionals in physical education and sports
Authors: Pavlova Iuliia , Bodnar Ivanna , Shvets Vadym , Petrytsa Petro , Nalyvayko Natalia 
Published: May 2022

The purpose of the research was to adapt the Academic Motivation Scale in the context of investigating students’ motivation to study physical education and sports, including the assessment of psychometric properties and experimental validation of the model tool. In this study, a combination of quantitative and qualitative research methods was used. After comparison with alternatively possible models, the seven-factor model showed the highest correspondence. The test–retest factors were above 0.7 for all subscales, indicating high reliability of the questionnaire. The analysis of the participants’ results revealed that the highest indicators were for extrinsic and identified regulation and internal motivation related to knowledge acquisition. The obtained version of the Academic Motivation Scale is a valid instrument and has acceptable psychometric properties and can be used to study the learning motivation of university students, in particular future specialists in physical education and sports.

Keywords: Extrinsic motivation; intrinsic motivation; reliability; student; validity.
The effect of academic stress and learning motivation of pre-service teachers in aerobics
Authors: Padli Padli , Kiram Yanuar , Arifianto Irfan , Komaini Anton , Setiawan Yogi , Mairifendi Martio 
Published: May 2022

The purpose of this study was to determine how much influence academic stress had on pre-service teachers’ learning motivation. Mixed methods with a sequential explanatory design were the methods used in the study, while the sample used in this study amounted to 155 pre-service teachers obtained using random sampling from the Department of Sports Coaching Education in 2019-2020 from Padang State University. The instruments in this study include a pre-service teacher motivation questionnaire and academic stress observation sheets and semi-open interviews. The data analysis used was descriptive and inferential. The results of academic stress and motivation obtained good results. This is reinforced by the relationship between academic stress and motivation and there is an influence between the two, with a contribution of 53.2%. Based on the results of the study, it is recommended that pre-services need to be given more motivation from stakeholders related to sports to reduce pre-service academic stress.

Keywords: Academic stress, motivation, pre-service teacher.
An overview of high school student’s self-esteem in relation to parent and peer attachment
Authors: Migena Kecaj , Rina Muka , Edmond Rapti 
Published: May 2022

Attachment is the emotional bond between the infant and the primary caregiver that has a tremendous impact throughout their life. The current study aimed to explore the attachment of adolescents to parents and peers, their relationship and the impact on the development of self-esteem in adolescents aged between 16 and 18 years. The sample (N = 561) was randomly selected and data were collected across males (N = 250) and females (N = 311) from high schools. The method used in this study is the descriptive research design and data were collected using questionnaires about attachment and self-esteem. The results indicated that, overall, there was a correlation between parent attachment and peer attachment to self-esteem in adolescents. It turned out that attachment to parents shows a significant relationship with self-esteem regarding peer attachment. According to the research findings, we can conclude that a secure parent attachment contributes to a secure peer attachment and high self-esteem. The findings of this study can serve as an empirical basis for taking initiatives that focus on improving the psychosocial well-being of adolescents.
Keywords: Attachment; development; relationship; high school; self-esteem; students.
Strategic Policymaking within Complex Timescapes
Authors: Room Graham 
Published: May 2022

The complex interactions of social life serve to structure in time the opportunities, threats, and constraints that confront different social actors. This article examines policymaking within such complex “timescapes.” It does so by reference to the policy sciences literature and the complexity literature. The former is rich in its qualitative treatment of policymaking and time but has been slow to exploit the analytical tools of the complexity literature. The latter has been slow to appreciate the complexity of timescapes and to recognise the importance of power and the struggle for positional advantage. This article develops a synthesis of the two, combining their analytical power. It shows how this can illuminate the policy world, both conceptually and practically. It draws on Hirschman’s treatment of the “interlocking vicious circles” that hold development back and the “upward spirals” that can—when the time is right—be mobilised. It sets this within an appreciation of political economy and institutionalism. It concludes by considering the practical tools available for policy makers to navigate complex timescapes—and how the social scientist can subject those policy decisions to stringent scrutiny.
Differences in defence-related gene expression and metabolite accumulation reveal insights into the resistance of Greek grape wine cultivars to <i> Botrytis </i> bunch rot
Authors: Tziros George T. , Ainalidou Aggeliki , Samaras Anastasios , Kollaros Marios , Karamanoli Katerina , Menkissoglu-Spiroudi Urania , Karaoglanidis George S. 
Published: May 2022

Berries of 13 Greek grape wine cultivars were evaluated for resistance to Botrytis bunch rot. Artificial inoculations on detached berries revealed that the Greek cultivars tested varied regarding their susceptibility to Botrytis cinerea. Cultivar (cv.) “Limnio” was found to be highly resistant, while higher susceptibility was observed on berries of cv. “Roditis”. To determine the molecular basis of the observed resistance or susceptibility of cv. “Limnio” and “Roditis”, an expression analysis of 12 defence-related genes, was carried out on artificially inoculated berries of the two cultivars at different time points after inoculation. Gene expression measurements in the resistant cv. “Limnio” showed that the artificial inoculation with the pathogen triggered the induction of genes encoding pathogenesis-related (PR) proteins such as chitinases (CHIT), polygalacturonase-inhibiting protein (PGIP), serine proteinase inhibitor (PIN) and enzymes involved in phytoalexin synthesis such as phenylalanine ammonia-lyase (PAL) and stilbene synthase (STS). In contrast, on the susceptible cv. “Roditis”, most of the same genes were down-regulated. Metabolomic analysis revealed significant differences in the initial metabolic profiles of “Limnio” and “Roditis” berries. Furthermore, in response to inoculation, the abundance of several metabolites increased in the resistant cultivar indicating intensification of metabolic processes. Proline and mannitol accumulation, as well as the modification of metabolites related to phenylpropanoid and lignin biosynthesis, are among the major players in defence responses of the “Limnio” cultivar. The above findings enhance our understanding of the resistance of Greek grape wine cultivars to B. cinerea and, at the same time, lay the foundation for breeding wine grape cultivars in the future.
Identification of fossil contourite drifts in the Delaware Basin, U.S.A.
Authors: Price Buddy J. , Janson Xavier , Kerans Charles , Eberli Gregor P. 
Published: May 2022

ABSTRACT
Carbonate contourite drifts formed by bottom currents are common on modern sea floors but are rarely defined in the rock record. Regional subsurface well-log mapping in the northern Delaware Basin in southeast New Mexico, USA, reveals early Permian carbonate-dominated elongate, mounded accumulations along the slope of the western margin of the basin. Thickness maps also show possible moats oriented oblique to depositional dip. The thickness variations and moat geometries are hard to explain by deposition from gravity flows but are consistent with deposition from bottom currents with a counterclockwise deflection in the basin. The contourite drift system consists of three large elongate carbonate drifts that form in relation to significant bathymetric irregularities which may alter currents, resulting in localized drift accumulations along the slopes.
These findings highlight the significant role bottom currents play in shaping carbonate margin and slope architecture, rivaling the impact of gravity flows. Furthermore, full-scale assessment of the basin geometry and deposits provide insight into paleo-oceanographic circulation that is inherently difficult to assess. Identification of these large sedimentary bodies requires extensive basin-wide data sets, which were acquired by decades of work in the Permian Basin, as well as comparison with drifts in modern carbonate settings. These new interpretations in one of the most data-rich geologic regions in the world indicate that drift systems may be easily overlooked and are likely more common in the ancient rock record than currently recognized.
Immediate versus early (24-hours) urinary catheter removal after elective minimally invasive colonic resection: study protocol for a randomized, multicenter, non-inferiority trial
Authors: Pedrazzani Corrado , Montroni Isacco , Conti Cristian , Turri Giulia , Foppa Caterina , Carvello Michele , Taffurelli Giovanni , Ugolini Giampaolo , Spinelli Antonino 
Published: May 2022

Abstract
Background
Enhanced Recovery After Surgery (ERAS) represents the standard of care in colorectal surgery. Among ERAS items, early removal of urinary catheter (UC) is considered a key issue, though adherence to this specific item still varies among centers. UC placement allows for monitoring of post-operative urinary output but relates to an increased risk of urinary tract infection (UTI), reduced mobility, and patient’s discomfort. Several studies investigated the role of early UC removal specifically looking at the rate of acute urinary retention (AUR) but most of them were retrospective, single-center, underpowered, cohort studies. The main purpose of this study is to compare the rate of AUR after immediate (at the end of the surgery) versus early (within 24 hours from the completion of surgery) removal of UC in patients undergoing minimally invasive colorectal resection (MICR). The secondary outcomes focus on goals that could be positively impacted by the immediate removal of the UC at the end of the surgery. In particular, the rate of UTIs, perception of pain, time-to-return of bowel and physical functions, postoperative complications and length of hospital stay will be measured.
Methods
This is a prospective, randomized, controlled, two-arm, multi-center, study comparing the rate of AUR after immediate versus early removal of UC in patients undergoing minimally invasive colorectal resection (MICR). The investigators hypothesize that immediate UC removal is non-inferior to 24-hours UC removal in terms of AUR rate. Randomization is at the patient level and participants are randomized 1:1 to remove their UC either immediately or within 24 hours from the completion of surgery. Those eligible for inclusion were patients undergoing any MICR with an anastomosis above the peritoneal reflection. Those patients who need to continue urinary output monitoring after the surgery will be excluded. The number of patients calculated to be enrolled in each group is 108 based on an expected AUR rate of 3% for the 24-hours UC removal group and considering acceptable an AUR of 9% for the immediate UC removal group.
Discussion
The demonstration of a non-inferiority of immediate versus 24-hours removal of UC would call into question the usefulness of urinary drainage in the setting of MICR.
Trials registration:
ClinicalTrials.gov, ID: NCT05249192. Prospectively registered on 9th February 2022.
Accuracy of medical student measurements of CT right-to-left ventricular diameter in patients with acute pulmonary embolism
Authors: Durant Edward , Fetterolf Sarah M. , Engelhart Darcy C. , Farshidpour Leyla S. , Shan Judy , Hung Yun-Yi , Chang Joshua C. , Roudsari Bahman Sayyar , Vinson David R. 
Published: May 2022

Abstract
Background:Acute pulmonary embolism (PE) is a common disease with varying presentations, necessitating risk stratification to determine management. Measurement of right ventricle (RV) to left ventricle (LV) ratio >=1.0 on computed tomography pulmonary angiogram (CTPA) suggests RV strain, which may indicate a worse prognosis. Two prior studies showed that residents with brief training by a radiologist could accurately measure RV/LV ratio on CTPA. In this study, we assessed whether medical students could accurately measure RV dilatation on CTPA. Methods: We conducted a post hoc analysis of a retrospective cohort study of adults undergoing management for acute PE at 21 community Emergency Departments across Kaiser Permanente Northern California (KPNC) from 2013 to 2015. We created a sample of 120 patients from the original 2,387 patients, stratified to contain an equal number of patients from each of the five Pulmonary Embolism Severity Index classes. The sample had a proportional ratio of home/short stay to hospitalized patients. Four medical students measured RV and LV diameter on CTPA after a series of brief training sessions from an emergency medicine physician and an interventional radiologist. We used Cohen’s kappa statistics, Bland-Altman plots, and Pearson correlation coefficients to assess interrater reliability, comparing the student measurements with those of the radiologist. Results:Of the 120 CTPAs, 108 images were accessible and constitute the study cohort. Among the 108 CTPAs, 79 (73%) showed RV dilatation and 29 (27%) did not. The kappa statistic for the presence of RV dilatation of the medical students compared to the radiologist showed moderate agreement for 3 medical students (kappa (95% CI): 0.46 (0.21-0.70), 0.49 (0.31-0.68), 0.50 (0.32- 0.68)) and fair agreement for one medical student (kappa (95% CI): 0.29 (0.10- 0.47)). The average interrater differences in RV/LV ratio between a radiologist and each of the four medical students were -0.04, -0.05, 0.04, and 0.24. Pearson correlation coefficients were 0.87, 0.80, 0.74, and 0.78, respectively, indicating moderate correlation (p<0.001 for all).Conclusion: With brief training, medical students were able to identify RV dilatation on CTPA in moderate agreement with that of a radiologist. Further study is needed to determine whether medical student accuracy could improve with additional training.
An International, Stepped-Wedge, Cluster-Randomized Trial Investigating the 0/1-hour Algorithm in Suspected Acute Coronary Syndrome in Asia: The rational of the DROP-Asian ACS study
Authors: Inoue Kenji , Chieh Jack Tan Wei , Yeh Lim Chew , Chiang Shuo-Ju , Phrommintikul Arintaya , Suwanasom Pannipa , Kasim Sazzli , Ahmad Bakhtiar , Mohammad Alzamani , Oyamada Shunsuke , Hirano Yohei , Ouchi Shohei , Terakura Moriyuki , Yokoyama Naoyuki , Kozuma Ken , Nanasato Mamoru , Higuchi Ryosuke , Yumoto Kazuhiko , Fukuzawa Tomoyuki , Shimada Issei , Giannitsis Evangelos , Twerenbold Raphael , Minamino Tohru 
Published: May 2022

Abstract
BackgroundMore than half of the world’s population lives in Asia. With current life expectancies in Asian countries, the burden of cardiovascular disease is increasing exponentially. Overcrowding in the emergency departments (ED) has become a public health problem. Since 2015, the European Society of Cardiology recommends the use of a 0/1-h algorithm based on high-sensitivity cardiac troponin (hs-cTn) for rapid triage of patients with suspected non-ST elevation acute coronary syndrome (NSTE-ACS). However, these algorithms are currently not recommended by Asian guidelines due to the lack of suitable data.MethodsThe DROP-Asian ACS is a prospective, stepped-wedge, cluster-randomized trial enrolling 4,080 participants presenting with chest pain to the ED of eleven centers in five Asian countries within 20.5 months (UMIN; 000042461). Initially, all clusters will apply 'usual care' according to local standard operating procedures including hs-cTnT but not the 0/1-h algorithm. Every 1.5 months, one cluster will randomly be allocated to switch to the 0/1-h algorithm using hs-cTnT. The primary outcome is the incidence of major adverse cardiac events (MACE), the composite of all-cause death, myocardial infarction, unstable angina or revascularization within 30 days. The difference in MACE (with one-sided 95% CI) was estimated to evaluate non-inferiority. The non-inferiority margin was prespecified at 1.5%. Secondary efficacy outcomes include costs for healthcare resources and duration of stay in ED. ConclusionsThis study provides important evidence concerning the safety and efficacy of the 0/1-h algorithm in Asian countries and may help to reduce congestion of the ED as well as medical costs.
Will COVID-19 directives to reduce regularly scheduled physical examinations affect recurrence detection in early breast cancer patients?
Authors: Beltran-Bless Ana-Alicia , Alshamsan Bader , Alzahrani Mashari Jemaan , Hilton John , Baines Kelly-Anne , Samuel Vicky , Pond Gregory R , Vandermeer Lisa , Clemons Mark , Larocque Gail 
Published: May 2022

Abstract
Purpose: The COVID-19 pandemic resulted in a rapid move to virtual care. Questions exist as to whether reduced in-person assessment, with physical examination of early breast cancer patients (EBC), will affect the detection of recurrences. We evaluated recurrence patterns of patients transferred into a survivorship program through a single centre Wellness Beyond Cancer Program (WBCP).Methods: Consecutive EBC patients who returned to formal oncologist follow-up between February 1, 2013, and January 1, 2019, due to breast cancer recurrence were reviewed. Descriptive analyses were used to present patients and disease characteristics stratified by type of recurrence and mode of cancer detection.Results: Of 206 recurrences, 41 were ipsilateral breast recurrences (19.9%), 135 were distant recurrences (65.5%), and 30 were contralateral new breast cancers (14.6%). Ipsilateral breast recurrences were detected by patients in 53.7% (22/41) of cases and by routine imaging in 41.5% (17/21). The majority of distant recurrences (125/135, 92.6%) were detected via patient-reported symptoms. Contralateral breast primaries were primarily detected by imaging 83.3% (25/30) and patient-reported symptoms 16.7%, (5/30). Only 2/206 (1.14%) recurrences/new primaries were detected by healthcare providers at routinely scheduled follow-up visits.Conclusions: Despite following ASCO follow-up guidelines, healthcare providers rarely detect recurrences at routine follow-up appointments. While reduced in-person visits may affect other aspects of follow-up care (e.g. toxicity management), it appears unlikely, provided patients attend regular screening tests, that less frequent in-person follow-up is associated with worse breast cancer-related outcomes.
Effects of less invasive surfactant administration versus intubation-surfactant-extubation on bronchopulmonary dysplasia in preterm infants with respiratory distress syndrome: a single-center, retrospective study from China
Authors: Xu Chun-cai , Bao Ying-ying , Zhao Jing-xin , Cheng Ke , Wu Jing-yuan , Wu Ming-yuan , Zhu Jiajun 
Published: May 2022

Abstract
Background
This study evaluated the effects of less invasive surfactant administration (LISA) and intubation-surfactant-extubation (InSurE) on bronchopulmonary dysplasia (BPD) in preterm infants with respiratory distress syndrome (RDS).
Methods
Neonates with respiratory distress syndrome requiring surfactant, with gestational ages < 32 weeks and birth weights < 1500 g admitted to our neonatal intensive care unit from January 2018 to December 2019, were retrospectively analyzed. LISA and InSurE were used independently. The incidence of BPD at 36 weeks postmenstrual age, pre-discharge mortality, and need for mechanical ventilation (MV) within 72 h of birth were compared between LISA and InSurE group. Secondary outcomes including necrotizing enterocolitis requiring surgery, retinopathy of prematurity ≥ stage 3, patent ductus arteriosus requiring medical therapy or surgery, and length of hospitalization were analyzed.
Results
Among the 148 included neonates, there were 46 and 102 infants in the LISA and InSurE groups, respectively. There were no significant between-group differences in BPD incidence, the severity of BPD at 36 weeks postmenstrual age, and the rate of MV within the first 72 h after birth (P > 0.05). The incidence of necrotizing enterocolitis requiring surgery, retinopathy of prematurity ≥ stage 3, patent ductus arteriosus requiring medical therapy or surgery, and length of hospitalization did not differ significantly between the two groups (P > 0.05).
Conclusions
For surfactant administration among preterm infants with respiratory distress syndrome, LISA did not decrease bronchopulmonary dysplasia and severity of BPD at 36 weeks postmenstrual age. The benefits of LISA require further evaluation.