bluuebunny/crossref_metadata_2025 huggingface dataset:
Posłannictwo rodziny w formacji osoby ludzkiej i społeczeństwa
Authors: Rychlicki Czesław
Published: May 2021

Refleksja nad misją rodziny w procesie formowania osoby i społeczeństwa staje się aktualna w kontekście kulturowych i ideologicznych niebezpieczeństw naszych czasów, które wpływają na naturę i fundamentalną tożsamość tych instytucji, których podstawą jest rodzina, oparta na małżeństwie. Poprzez pewne hasła – solidarność, demokracja, tolerancja i równość – które nabrały siły przekonywania w politycznej propagandzie i reklamie, zauważalna jest tendencja do zmiany tożsamości małżeństwa i rodziny, które są dwiema instytucjami ściśle ze sobą związanymi i ze swej natury ukierunkowanymi na cel, jakim jest dobro osoby i społeczeństwa. Zagrożenia te są sprzeczne z prawem naturalnym oraz zobowiązaniami rodziny i małżeństwa, zmierzającymi do formacji osób z nich się wywodzących.

Chrześcijaństwo wyprowadza prawdę o roli małżeństwa i rodziny z doktryny obecnej w Piśmie Świętym. Bóg stworzył człowieka jako mężczyznę i kobietę oraz powierzył im funkcję przekazywania nowego życia i jego rozwoju fizycznego i duchowego. Dlatego żadna próba zmiany charakteru małżeństwa i rodziny nie może być akceptowana w świetle prawa naturalnego i prawa Stwórcy. Tylko wzajemna współpraca między instytucjami świeckimi i kościelnymi na rzecz rozwoju rodziny i życia ludzkiego może służyć dojrzałości społecznej i formacji osób oraz może stworzyć klimat pokoju i umocnić prestiż państwa.
Violence and Power Relations in Mark Ravenhill's Notorious Play
Authors: Guven Samet , Edman Timuçin Buğra
Published: May 2021

The twentieth century witnessed the death of at least 100 million people due to wars, genocides, and conflicts. Catastrophic and violent events that emerged in the last decades of the 20th century led to new trends in Britain, such as in-yer-face theatre. One of the forerunners of this movement, Mark Ravenhill, reflected the realities on stage in order to create a new awareness about the case of violence. In this respect, this study will attempt to demonstrate that the Foucauldian approach to violence did immensely affect the English drama of the time by apparently showing itself in Ravenhill’s Shopping and Fucking. This play was first performed on 26th September, 1996 at the Royal Court Theatre. Together with the content, the title is enough to shock the public. The playwright is surely good at finding affective titles for his plays; however, this one affects the norms and values more than the others since the title of the play is printed with asterisks as Shopping and F***ing. Shortly, the aim of this article is to analyze the dynamism, changes, socio-political importance, and effects of violence in Ravenhill’s infamous play by taking power and family relations into consideration.
THE EFFECT OF URINARY INCONTINENCE ON QUALITY OF LIFE IN ELDERLY LIVING IN HOSPICE AND AT HOME
Authors: DURDU Tugba , KÖKSAL Serdar Selçuk , YAVUZER Hakan , TURFANER SİPAHİOĞLU Nurver
Published: May 2021

Aim: The aim of the study was to analyze the effect of urinary incontinence on the quality of life of elderly people living at home and those living in a hospice by focusing on the different demographic and incontinence related factors. Method: The study was designed as a cross-sectional descriptive study and was conducted between December 2015 and June 2016. Fifty participants aged ≥ 65 years who met the inclusion criteria were incruited in the study. Twenty-five of them were admitted by random sampling method from patients applying to faculty’s geriatric outpatient clinic with the complaint of incontinence. The other 25 were selected according to the study criteria out of elderly people living in the Darulaceze Institute. The International Consultation on Incontinence Questionnaire-ShortForm (ICIQ-SF), Incontinence Quality of Life (I-QOL) scale, and Katz Activities of Daily Living scale were used with all the individuals. Other variables were assessed using a demographic data form. Results: There was no difference between the quality of life (QOL) scores between the hospice and home groups (p=0.836, p=0.865, p=0.841, p=0.883). Social life was the most affected subdomain for both groups. Urinary incontinence (UI) affected psychologic effect (PE) and behavioral restriction (BR) aspects of QOL in individuals between the ages of 65 and 75 years more than those >75 years of age in the hospice (p=0.024, p=0.019). A higher UI output lowered BR scores only in hospice patients (p=0.016). For both groups, frequent incontinence episodes indicated a significantly lower QOL in terms of PE than rare episodes (p=0.032-home, p=0.022-hospice) and lower QOL in BR in home care (p=0.037). Mixed type incontinence affected QOL in terms of BR more than other types of incontinence in both groups (p=0.019-hospice, p=0.007-home). There was a significant correlation between I-QOL and ICIQ-SF visual analogue scale scores that measured quality of life (r=-0.64, p<0.001). Conclusions: Frequency of incontinence episodes is the major factor affecting QOL in both groups. Incontinence output has a significant role in QOL for hospice patients. The ICIQ-SF visual scale may be sufficient to evaluate the quality of life. I-QOL can be used for further evaluation of different aspects. Studies on incontinence and QOL in the institutionalized and home-care elderly population should be encouraged to improve conditions.
Handling COVID-19 from a Collaborative Governance Perspective in Pekanbaru City
Authors: Amin Raja Muhammad , Febrina Rury , Wicaksono Baskoro
Published: May 2021

Identical collaborative governance is used in government and must handle COVID-19 to create fast, precise, focused, integrated and synergistic steps between ministries/agencies, local governments, and other stakeholders. This research describes collaborative governance in efforts to deal with COVID-19 in Riau Province, especially Pekanbaru City, considering that the city recorded a relatively high initial increase in cases compared to other areas in Riau Province as well as the implementation of collaborative management. The research method is qualitative, with the type of research used is the exploratory type and literature study. This article analyses several aspects of collaborative governance, namely the initial role of the government, non-state actors, joint decision making, formal organizing, gaining consensus, and the existence of problems to collaborate both on public policies and services.
The Evaluation of Agropolitan Program in Central Java, Indonesia
Authors: Handayani Alfina , Jamal Rachman , Komalawati Komalawati , Kristanto Budi Adi
Published: May 2021

Agropolitan has been considered a solution for minimizing urbanization and creating equitable development between rural and urban areas. It has been one of the programs mentioned in the spatial planning agendas of the Government of Central Java. In Central Java, agropolitan has been started in 2002 and has left many problems related to the implementation. The objective of this study is to evaluate the implementation of agropolitan in Central Java. The research was conducted from April to October 2019. This study uses purposive sampling in determining the sample of the performance of the agribusiness sub-terminal at that location. The research started by completing pre-surveys to gain a brief description of the study areas and agropolitan program. The research collected in-depth information about the agropolitan program through focus group discussions and in-depth interviews with farmer respondents, traders, and ofﬁcers involved in agropolitan activities. Data were analyzed using scoring factors and descriptive qualitative. The results showed that in terms of projects, the implementation of agropolitan activities was in a GOOD category, but it was in the MEDIUM category in terms of sustainability. Furthermore, lack of community involvement, support from local government, the unavailability of an exit strategy, and the inflexibility of STAs to sell different commodities were some problems encountered in the implementation and sustainability of the program. As agropolitan is still one of the priorities of the Central Java Government, it is recommended to involve all stakeholders in the whole stages of the program from planning to evaluation, optimize or reactivate the Agropolitan working group, develop an institution that could sustainably implement the programs and the facilities, as well as increase human resource capacity.
Strategy for Strengthening Research and Development Capacity in West Sumatra Province
Authors: Afriyanni Afriyanni , Fitri Suci Emilia , Pranasari Melati Ayuning , Manoby Worry Mambusy
Published: May 2021

The government places research and development (R & D) to take a significant role in implementing local government in an agency. However, there are still many regional research and development tools joined by the Regional Development Planning Agency (Bappeda). This research is qualitative research that aims to describe the conditions and problems of regional research and development joined by the Regional Development Planning Agency (Bappeda) and the strengthening strategy and role of regional research and development tools in planning dominance. Primary data were collected through online surveys and in-depth interviews and secondary data through the study of documentation and related statutory regulations. Data analysis was carried out descriptively. The results showed that the regional research and development under the Regional Development Planning Agency (Bappeda) still face internal and external obstacles. Their roles and functions are not optimal. This study recommends strategies for strengthening regional research and development and mechanisms for synergizing the roles of research, development, and planning.
Rural Assets Administration and Establishment of Village-Owned Enterprises for the Enhancement of Rural Economy
Authors: Sara I Made , Jayawarsa A. A. Ketut , Saputra Komang Adi Kurniawan
Published: May 2021

This research aimed to examine the effect of village-owned asset administration and the formation of village-owned enterprises on improving the economy of rural communities. This research was conducted in Bali Province with a population of 636 villages. Furthermore, a sampling technique using proportionate stratified random sampling found 87 samples of the study. With a survey research design using a questionnaire, the data is collected directly by the researcher towards the respondent. The collected data were analyzed using multiple linear regression techniques. This study indicates that the administration of village assets and the formation of village-owned enterprises have a significant positive effect on improving the rural economy. The contribution of the research is to develop policy theory that is used as a basis for research discussion and practical contributions to be used as village observers, village practitioners, and village government as a basis for decision making and village entrepreneurship development for community welfare. The administration of village assets aims to ensure that all village assets under the control of the asset manager are recorded properly. In this research, suggestions for improving regulations governing the management of village assets can be suggested.
SWOT Analysis of Education, Training, and Systems Apparatus Career Development: Study at Regional Financial and Asset Management Agency, Musi Rawas District
Authors: Susanto Yohanes , Yuliana Yuliana
Published: May 2021

The study aims to analyze the education and training system and apparatus development at the Regional Financial and Asset Management Agency of Musi Rawas District with the study indicators, namely aspects of education and training of apparatus, career development, or apparatus and placement of human resources using SWOT analysis. Data collection was conducted through interviews, observation, and documentation study methods. The results showed that the Regional Financial and Asset Management Agency of Musi Rawas District is in the prime and steady condition in developing human resources for apparatus. It is really possible to continue increasing growth and achieving maximum progress even though it poses a large enough threat. The strategic recommendation given is the Progressive Strategy, which means that the organization is stable. The human resource development strategy can be carried out progressively towards improving human resources by increasing activities that encourage the development of human resources intensively and continuously. To implement human resource development at the Regional Financial and Asset Management Agency of Musi Rawas District to run well and as needed, it is recommended to determine the priority scale of the education and training. It must be based on the results of the Training Needs Analysis. Then in the implementation of Movements and Promotions carried out based on Career Patterns, Workload Analysis, and Job Analysis.
Indonesia’s Village Fund Program: Does It Contribute to Poverty Reduction?
Authors: Saragi Novita Briliani
Published: May 2021

To stimulate rural development and reduce poverty in rural areas, The Government of Indonesia enacted the policy of Village Fund in 2014. However, a few studies have been conducted to examine this program. This study describes how poverty alleviation goes following Village Fund Program in Indonesia between 2015-2019. The poverty reduction was represented by holistic data, including insufficient and village status improvement through the Village Development Index (VDI). The analysis is conducted using a descriptive method by dividing the areas into six regions, Sumatera, Java & Bali, Kalimantan, Sulawesi, Maluku & NT, and Papua. The result showed that over five years, the village fund dramatically increases. Moreover, this growth is along with the slight decline the poverty. The researchers found that the decreasing number of poverty from 2015 to 2019 is about 15%. The VDI status for districts/municipalities shows that the status improved from underdeveloped villages in 2015 to developing villages in 2019. Java is the region that contributed to making the status improved either to be developing, developed, or independent. At the same time, it is the Papua region known as the region consisting of most of the least underdeveloped villages. Since the goal of this policy in poverty reduction still works slowly, it needs a lot of effort from many levels of government, from the village, regional, and national officials, to work together cooperatively.
Comparative Study: Dimension Policy of Smart People in Metropolitan City of Bandung, Jakarta, and Pekanbaru
Authors: Wicaksono Baskoro , Asta Refaldo , Rafi M.
Published: May 2021

The advancement of information and communication technology (ICT) has become a major focus that is often seen in Indonesia's concept of smart cities. As a result, various stakeholders often ignore smart people's dimensions, which have an essential role in realizing a smart city. Therefore, this study aims to explain and compare various smart people policies in metropolitan cities such as Bandung, Jakarta, and Pekanbaru. This study uses literature study research techniques sourced from journals, proceedings, books, and official government websites that provide information relevant to the study's focus. The results showed that smart people's policy dimensions in Bandung, Jakarta, and Pekanbaru consist of three policy dimensions: policies at the education level, creative industry policies, and Smart City Living Lab policies. In the education sector policy, the Municipal Governments of Bandung, Jakarta, and Pekanbaru have the same program orientation. Then, the creative industry sector policy has a different program orientation. The city of Bandung focuses on developing the Little Bandung website, Jakarta focuses on the One District One Center (OK OCE) program. In contrast, Pekanbaru focuses on the Madani Food Week program. Furthermore, the policies in the Smart City Living Lab sector in Bandung, Jakarta, and Pekanbaru have not focused on the parameters of the small-scale smart city development model.
Las arañas (Arachnida: Araneae) del estado de Hidalgo, México: contribución al conocimiento de su biodiversidad
Authors: Orozco-Gil Miguel , Desales Lara Marco Antonio
Published: May 2021

En México existen pocas o nulas colecciones en instituciones dedicadas al estudio de las arañas. Esto se refleja en el limitado conocimiento sobre su biodiversidad, pues solo nueve entidades federativas de 32 tienen documentada su araneofauna. En Hidalgo, el número de especies de arañas solo se conoce a partir de dos recopilaciones bibliográficas sobre la biodiversidad de arañas en México. Por lo anterior, el presente trabajo se orientó en ampliar el conocimiento de las arañas de esta entidad a través de una exhaustiva revisión bibliográfica y la examinación del material depositado en la Colección de Arácnidos del Estado de México (CAEM) de la Facultad de Ciencias de la Universidad Autónoma del Estado de México (UAEMéx). Se encontró un nuevo registro para México (Anyphaena pacifica) y diez nuevos registros para el estado de Hidalgo (Anyphaena cf. hespar, Eustala rosae, Habronattus oregonensis, Ixchela abernathyi, Mecaphesa decora, Oxyopes salticus, Paraphidippus aurantius, Phidippus carneus, Steatoda grossa y Theridion niveum). Se proporciona un listado faunístico que consta de 207 especies de arañas, agrupadas en 101 géneros y 33 familias. Las familias con mayor número de géneros y especies fueron: Theridiidae, Araneidae, Lycosidae, Salticidae y Gnaphosidae. Con el presente trabajo, Hidalgo pasó del décimo quinto lugar al octavo sitio en cuanto a diversidad de arañas en México.
Descripción y señal acústica de tres nuevas especies del género Conocephalus Thunberg, 1815 (Ensifera: Tettigoniidae)
Authors: Cedillo-Salinas Lizeth Berenice , Barrientos-Lozano Ludivina , Rocha-Sánchez Aurora Y. , Sánchez-Reyes Uriel Jeshua , Correa-Sandoval Alfonso
Published: May 2021

El género Conocephalus Thunberg, 1815 (Orthoptera: Conocephalinae) está representado por más de 151 especies distribuidas en todo el mundo. Para México se reportan seis especies: Conocephalus (Anisoptera) magdalenae, C. (A.) cinereus, C. (A.) ictus, C. (A.) strictus, C. (A.) resinus y C. (Aphauropus) leptopterus. La presencia de especies crípticas en este género dificulta la delimitación de nuevas especies, sin embargo, el uso de caracteres de la genitalia interna y de la señal acústica de llamado son de utilidad para el diagnóstico de nuevos taxones. En este trabajo se describen tres nuevas especies del género Conocephalus: Conocephalus (A.) jaliscienses n. sp., de Lagos de Moreno, Jalisco; C. (A.) tempoalensis n. sp., de Tempoal, Veracruz; y C. (A.) tepemeh n. sp., de San Juan, Huazalingo, Hidalgo. C. (A.) jaliscienses n. sp., presenta afinidad con C. (A.) magdalenae; mientras que C. (A.) tempoalensis n. sp., y C. (A.) tepemeh n. sp., son afines a C. (A.) ictus. Las nuevas especies difieren de los taxones con los que muestran afinidad en caracteres morfológicos externos e internos (genitalia), así como en la señal acústica de llamado de los machos. Se ilustran los caracteres de diagnóstico de machos y hembras y se analiza la señal acústica de llamado para cada una de las nuevas especies.
The Effects of Continuous Usage of a Diabetes Management App on Glycemic Control in Real-world Clinical Practice: Retrospective Analysis
Authors: Tu Yu-Zhen , Chang Ya-Ting , Chiou Hung-Yi , Lai Ken
Published: May 2021

Background

The efficacy of digital technology in improving diabetes management has typically been demonstrated through studies such as randomized controlled trials, which have reported a steeper reduction in hemoglobin A1c (HbA1c) values for patients who adopted a digital solution. However, evidence from real-world clinical practice is still limited.

Objective

This study aimed to evaluate the effectiveness of digital interventions by tracking HbA1c improvements over 1 year in real-world clinical settings.

Methods

Patients used the Health2Sync mobile app to track self-measured outcomes and communicate with health care professionals (HCPs). HCPs used the web-based Patient Management Platform to monitor patient data, view test results from clinical laboratories, and communicate with patients. Patients who have been onboarded for at least 13 months and have consecutive HbA1c findings for 5 quarters were included in the analysis. They were then stratified into 3 groups (high, mid, and low retention) based on their level of use of Health2Sync in the first 6 months of onboarding. A mixed model was built to compare the slopes of the rate of reduction in HbA1c among the groups. In addition, these patients’ retention on the app from the seventh to the 12th month was verified through multiple comparisons.

Results

A sample of 2036 users was included in the analysis. With the mixed model coefficient estimates, we found that app users had significant HbA1c percentage reductions as the passed quarter count increased (t=–9.869; P<.001), and that effectiveness increased in the high (t=–5.173) and mid retention (t=–6.620) groups as the interaction effects were significantly negative compared to that in the low retention group (P<.001) in the passed quarter count. The low retention group also had the highest average HbA1c value at the end of 13 months (high: 7.01%, SD 1.02%; mid: 6.99%, SD 1.00%; low: 7.17%, SD 1.14%) (Bonferroni correction: high vs low, P=.07; mid vs low, P=.02; high vs mid, P>.99). The level of use of the app remained consistent in the seventh to the 12th month after onboarding (high: 5.23 [SD 1.37] months, mid: 2.43 [SD 1.68] months, low: 0.41 [SD 0.97] months) (P<.001).

Conclusions

Our analysis shows that continuous usage of the diabetes management app is associated with better glycemic control in real-world clinical practice. Further studies are required to reveal the efficacy for specific diabetes types and to observe effects beyond 1 year.
Support Seeking in the Postpartum Period: Content Analysis of Posts in Web-Based Parenting Discussion Groups
Authors: Chivers Bonnie R , Garad Rhonda M , Moran Lisa J , Lim Siew , Harrison Cheryce L
Published: May 2021

Background

The transition from pregnancy to motherhood is a major developmental phase that can be challenging for both women and their families. For new mothers, the postpartum period is recognized as a critical period for increased risk of both physical and mental health concerns. For this reason, it is imperative that women receive accurate, evidence-based information during this time.

Objective

This study aims to explore the conversations of new mothers on a web-based parenting forum to investigate what topics or concerns are being discussed.

Methods

A leading Australian web-based support forum for women before and after birth was used to obtain a sample of posts from the mothers of infants aged 0-12 months. Quantitative data (word frequencies and sentiment analysis) and qualitative data (post content) were extracted from discussion threads and examined to determine sentiments and theoretical storylines.

Results

In total, 260 posts were sampled. Infant care was the most prominent overarching topic discussed, with feeding and sleep being the most discussed subtopics. Discussions about maternal care were much less frequent but included questions about birth recovery, breastfeeding concerns, and interconception. A pattern of behavior emerged within the posts. This pattern resembled a cycle of learning across five phases: help seeking, solution ideation, testing and skill development, consolidation, and empowerment and improved mental well-being. A dynamic interplay was observed as mothers navigated new concerns or developmental changes.

Conclusions

Engagement in web-based forums to seek help and support during the postpartum period was common, with infant health and well-being being the primary concerns for new mothers during this time. The identification of a maternal learning cycle within the forum underscores the contributory role of web-based communities in maternal peer social support, information seeking, and early parenting practices.
A Machine Learning Approach to Passively Informed Prediction of Mental Health Risk in People with Diabetes: Retrospective Case-Control Analysis
Authors: Yu Jessica , Chiu Carter , Wang Yajuan , Dzubur Eldin , Lu Wei , Hoffman Julia
Published: May 2021

Background

Proactive detection of mental health needs among people with diabetes mellitus could facilitate early intervention, improve overall health and quality of life, and reduce individual and societal health and economic burdens. Passive sensing and ecological momentary assessment are relatively newer methods that may be leveraged for such proactive detection.

Objective

The primary aim of this study was to conceptualize, develop, and evaluate a novel machine learning approach for predicting mental health risk in people with diabetes mellitus.

Methods

A retrospective study was designed to develop and evaluate a machine learning model, utilizing data collected from 142,432 individuals with diabetes enrolled in the Livongo for Diabetes program. First, participants’ mental health statuses were verified using prescription and medical and pharmacy claims data. Next, four categories of passive sensing signals were extracted from the participants’ behavior in the program, including demographics and glucometer, coaching, and event data. Data sets were then assembled to create participant-period instances, and descriptive analyses were conducted to understand the correlation between mental health status and passive sensing signals. Passive sensing signals were then entered into the model to train and test its performance. The model was evaluated based on seven measures: sensitivity, specificity, precision, area under the curve, F1 score, accuracy, and confusion matrix. SHapley Additive exPlanations (SHAP) values were computed to determine the importance of individual signals.

Results

In the training (and validation) and three subsequent test sets, the model achieved a confidence score greater than 0.5 for sensitivity, specificity, area under the curve, and accuracy. Signals identified as important by SHAP values included demographics such as race and gender, participant’s emotional state during blood glucose checks, time of day of blood glucose checks, blood glucose values, and interaction with the Livongo mobile app and web platform.

Conclusions

Results of this study demonstrate the utility of a passively informed mental health risk algorithm and invite further exploration to identify additional signals and determine when and where such algorithms should be deployed.
Geographical Disparities in HIV Seroprevalence Among Men Who Have Sex with Men and People Who Inject Drugs in Nigeria: Exploratory Spatial Data Analysis (Preprint)
Authors: Onovo Amobi , Kalaiwo Abiye , Katbi Moses , Ogorry Otse , Jaquet Antoine , Keiser Olivia
Published: May 2021

BACKGROUND

The assessment of geographical heterogeneity of HIV among men who have sex with men (MSM) and people who inject drugs (PWID) can usefully inform targeted HIV prevention and care strategies.

OBJECTIVE

We aimed to measure HIV seroprevalence and identify hotspots of HIV infection among MSM and PWID in Nigeria.

METHODS

We included all MSM and PWID accessing HIV testing services across 7 prioritized states (Lagos, Nasarawa, Akwa Ibom, Cross Rivers, Rivers, Benue, and the Federal Capital Territory) in 3 geographic regions (North Central, South South, and South West) between October 1, 2016, and September 30, 2017. We extracted data from national testing registers, georeferenced all HIV test results aggregated at the local government area level, and calculated HIV seroprevalence. We calculated and compared HIV seroprevalence from our study to the 2014 integrated biological and behavioural surveillance survey and used global spatial autocorrelation and hotspot analysis to highlight patterns of HIV infection and identify areas of significant clustering of HIV cases.

RESULTS

MSM and PWID had HIV seroprevalence rates of 12.14% (3209/26,423) and 11.88% (1126/9474), respectively. Global spatial autocorrelation Moran I statistics revealed a clustered distribution of HIV infection among MSM and PWID with a <5% and <1% likelihood that this clustered pattern could be due to chance, respectively. Significant clusters of HIV infection (Getis-Ord-Gi* statistics) confined to the North Central and South South regions were identified among MSM and PWID. Compared to the 2014 integrated biological and behavioural surveillance survey, our results suggest an increased HIV seroprevalence among PWID and a substantial decrease among MSM.

CONCLUSIONS

This study identified geographical areas to prioritize for control of HIV infection among MSM and PWID, thus demonstrating that geographical information system technology is a useful tool to inform public health planning for interventions targeting epidemic control of HIV infection.
Attitudes and expectations of clinical research participants towards digital health and mobile dietary assessment tools: Cross-sectional survey study (Preprint)
Authors: Schäfer Florent , Quinquis Laurent , Klein Maxime , Escutnaire Joséphine , Chavanel Frédéric , Chevallier Hélène , Fagherazzi Guy
Published: May 2021

BACKGROUND

The implementation of digital technologies in clinical research represents an opportunity to facilitate the collection of health data and empower research participants. The acceptance of health technologies is usually evaluated in patients or healthcare practitioners, but not in clinical research participants.

OBJECTIVE

We aimed to evaluate clinical research participants’ equipment, usage and appeal for digital health and digital dietary assessment tools.

METHODS

A 27-item questionnaire was provided to the 11.695 members of a nutrition clinical research participant database from the Nantes area (France), to assess (1) participants’ social and demography parameters, (2) equipment and usage of health apps and devices, (3) expectations in research setting and (4) opinion about the future of clinical research. Each item was described using frequency and percentage overall and by age classes. To address observed frequencies and age-related differences, a global proportion comparison was performed using chi-square or Fisher-exact tests. Results of pairwise proportion comparisons were adjusted to account for multiple comparisons according to the Bonferroni-Holm method.

RESULTS

A total of 1529 respondents (81.0% women, 19.0% men) completed the survey, of which 95.1% reported owning a smartphone and 78.1% declared using at least one health app. Main uses of health apps included physical activity tracking (54.7%, age-related group difference, p<0.001) and food quality assessment (45.7%, unrelated to age groups). Overall, 20.4% of respondents declared owning a connected wristband or watch. Most (93.8%) participants expected the use of connected devices for research purposes. However, protection of personal data (37.5%), reliability (35.5%) and skilled use of such devices (28.5%) were perceived as the main barriers. Most participants (93.3%) would agree to track their food intake using a mobile app and 80.5% would complete it for at least a week while taking part in a clinical study. Only 13.2% would devote more than 10 minutes per meal to such record. A majority (60.4%) of respondents would accept to share their social media posts in an anonymous way and most (82.2%) of them would accept to interact with a chatbot for research purposes.

CONCLUSIONS

Our cross-sectional study suggests that clinical study participants are enthusiastic about all forms of digital health technologies and participant-centered studies but remain concerned about the use of personal data. Repeated assessments are suggested to evaluate the research participant’s interest in technologies following the increase in use and demand for innovative health services during the pandemic of COVID-19.

CLINICALTRIAL

Not applicable (not a trial)
Proses Bisnis Layanan Medical Checkup (MCU) Menggunakan Business Process Model and Notation (BPMN)
Authors: Bakhrun Akhmad , Hutahaean Jonner
Published: May 2021

Latar Belakang: Layanan medical check up (MCU) dibutuhkan untuk berbagai keperluan, di antaranya untuk persyaratan pengangkatan Pegawai Negeri Sipil (PNS). Pasien yang menjalani MCU perlu mengetahui proses yang harus diikuti, lama proses, dan jadwal penerimaan hasil agar pasien dapat mempersiapkan diri dengan baik. Di sisi lain, manajemen rumah sakit juga perlu mengevaluasi layanan MCU agar selalu unggul, kompetitif, dan berkelanjutan.Tujuan: Membangun model proses bisnis layanan MCU dalam persyaratan pengangkatan PNS.Metode: Observasi dan eksplorasi untuk menganalisis proses bisnis layanan MCU serta mempelajari dokumen hasil MCU seperti hasil pemeriksaan laboratorium dan thorax serta surat hasil MCU yang telah disahkan oleh ketua tim penguji kesehatan rumah sakit. Pemodelan proses bisnis dibuat menggunakan BPMN dengan tool Bizagi.Hasil: Model proses bisnis untuk panduan pasien dan peningkatan layanan MCU dapat diimplementasikan menjadi Standard Operating Procedure (SOP) layanan MCU di rumah sakit. Selain itu, model ini merupakan requirement awal yang sangat penting untuk membangun perangkat lunak pencatatan data MCU yang terintegrasi.Kesimpulan: Adanya model proses BPMN dapat memudahkan pasien untuk mengetahui tahapan proses MCU yang sedang mereka jalani dan perkiraan waktu selesainya. Manajemen rumah sakit juga dapat menjadikan model ini untuk mengevaluasi dan meningkatkan layanan MCU.
Predictive Approaches for Acute Dialysis Requirement and Death in COVID-19
Authors: Vaid Akhil , Chan Lili , Chaudhary Kumardeep , Jaladanki Suraj K. , Paranjpe Ishan , Russak Adam , Kia Arash , Timsina Prem , Levin Matthew A. , He John Cijiang , Böttinger Erwin P. , Charney Alexander W. , Fayad Zahi A. , Coca Steven G. , Glicksberg Benjamin S. , Nadkarni Girish N. ,   on behalf of MSCIC
Published: May 2021

Background and objectives

AKI treated with dialysis initiation is a common complication of coronavirus disease 2019 (COVID-19) among hospitalized patients. However, dialysis supplies and personnel are often limited.

Design, setting, participants, & measurements

Using data from adult patients hospitalized with COVID-19 from five hospitals from the Mount Sinai Health System who were admitted between March 10 and December 26, 2020, we developed and validated several models (logistic regression, Least Absolute Shrinkage and Selection Operator (LASSO), random forest, and eXtreme GradientBoosting [XGBoost; with and without imputation]) for predicting treatment with dialysis or death at various time horizons (1, 3, 5, and 7 days) after hospital admission. Patients admitted to the Mount Sinai Hospital were used for internal validation, whereas the other hospitals formed part of the external validation cohort. Features included demographics, comorbidities, and laboratory and vital signs within 12 hours of hospital admission.

Results

A total of 6093 patients (2442 in training and 3651 in external validation) were included in the final cohort. Of the different modeling approaches used, XGBoost without imputation had the highest area under the receiver operating characteristic (AUROC) curve on internal validation (range of 0.93–0.98) and area under the precision-recall curve (AUPRC; range of 0.78–0.82) for all time points. XGBoost without imputation also had the highest test parameters on external validation (AUROC range of 0.85–0.87, and AUPRC range of 0.27–0.54) across all time windows. XGBoost without imputation outperformed all models with higher precision and recall (mean difference in AUROC of 0.04; mean difference in AUPRC of 0.15). Features of creatinine, BUN, and red cell distribution width were major drivers of the model’s prediction.

Conclusions

An XGBoost model without imputation for prediction of a composite outcome of either death or dialysis in patients positive for COVID-19 had the best performance, as compared with standard and other machine learning models.

Podcast

This article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2021_07_09_CJN17311120.mp3
Japanese Network Economy-ERGM analysis of the “Big Six”
Authors: Gosztonyi Márton
Published: May 2021

The paper analyses the network of relationships between large companies that defines the Japanese economy using ERGM (Exponential Random Graph Model) method. The Japanese economy, because of the presence of keiretsu groups and other corporate groups, is an excellent example of what can happen to a country’s economy if large corporations and financial institutions in the market operate in a closely interconnected, highly centralized and dependent network. This is an important issue, because this economic practice is happening globally right now. Therefore, the interpretation of the Japanese network and the analysis of its economic performance also reflect the long-term negative and positive effects of this trend.
IMPACTOS DE LA PANDEMIA COVID-19 EN EL RENDIMIENTO ESCOLAR DURANTE LA TRANSICIÓN A LA EDUCACIÓN VIRTUAL
Authors: Gervacio Jiménez Herlinda , Castillo Elías Benjamín
Published: May 2021

El objetivo del presente estudio fue identificar y analizar los impactos y retos académicos, así como las problemáticas a las que se han enfrentado los estudiantes de sexto y cuarto semestre de preparatoria, durante la suspensión de actividades educativas presenciales y el traslado a las actividades escolares virtuales, a causa de la actual pandemia del coronavirus Covid-19 que provocó recurrir a una educación virtual.  Se utilizó una metodología mixta para el proceso de recolección, análisis y vinculación de datos cuantitativos y cualitativos; los datos cuantitativos se recolectaron a través de encuestas diseñadas en Google Forms, mientras que los datos cualitativos se recolectaron por medio de video llamadas grupales e informantes clave. Los resultados mostraron impactos negativos en el rendimiento escolar debido a factores socioeconómicos que enfrentaron y siguen enfrentando los estudiantes y sus familias, afectando su bienestar socioemocional. Dentro de las afectaciones y limitantes predominantes, se observó la condición económica, falta de equipo y dispositivos electrónicos, escaso manejo de plataformas y herramientas virtuales, falta de conexión a internet y un deficiente acompañamiento psicológico durante el confinamiento. Se concluyó que el cierre prolongado de la Universidad ha tenido efectos y repercusiones negativas en distintos aspectos de la vida cotidiana de los estudiantes, un alto grado de vulnerabilidad en las habilidades socioemocionales provocando con ello un deterioro socioemocional y estancamiento académico.
O TRABALHO COMO CAMINHO AO ENSINO TÉCNICO INTEGRADO
Authors: Magalhães Costa Rafael , Omar Caliari Rogério , De Resende Ferreira Maria José
Published: May 2021

O texto aborda resultados de pesquisa realizada pelo programa de Mestrado em Educação Profissional e Tecnológica em rede nacional. Analisa as contribuições da Oficina de Orientação Profissional desenvolvida junto aos concludentes do Ensino fundamental que frequentam o curso preparatório denominado de Pré-Ifes na cidade de Cachoeiro de Itapemirim – ES.  Os aportes teóricos que fundamentam essa investigação estão atrelados aos campos de conhecimento Trabalho, Educação e Psicologia Social. Metodologicamente, optamos por uma pesquisa qualitativa com abordagem da pesquisa intervenção. Para produção dos dados, foram utilizadas as técnicas de questionários aos estudantes do 9° ano e entrevistas com o Grupo Gestor do Ifes campus Cachoeiro de Itapemirim, além do uso de diário de campo durante todo o processo investigativo. Após a produção, implementação e validação da intervenção pedagógica, depreendemos que a Oficina de Orientação Profissional qualificou as atividades do projeto de extensão Ifes Portas Abertas, ofertado pelo campus cachoeirense, bem como subsidiou as escolhas estudantis no sentido de contribuir para o ingresso, permanência e êxito escolar dos estudantes junto ao curso técnico pleiteado.
Planeación tributaria y gestión financiera en el sector de la construcción en Colombia
Authors:   Corporación Universitaria Remington, Farfán Rodríguez Juliana Carolina , Mosquera Restrepo Yesica Leonor ,   Aguas del Chocó S. A. ESP, Chocó
Published: May 2021

El Fondo Editorial Remington, presenta el libro “Planeación tributaria y gestión financiera en el sector de la construcción en Colombia”, cuyo objetivo es proponer planes estratégicos de planeación tributaria desde la gestión financiera como mecanismo de acción fundamentado en un profundo conocimiento de la norma, no solo los cambios actuales, sino además el entendimiento de los efectos que han tenido las modificaciones periódicas en la carga fiscal desde 1990 hasta 2019, específicamente para el sector de la construcción.
Social Support Resources for Families with Disabled Children in the Leningrad Region
Authors: Tsinchenko G. M. , Orlova I. S.
Published: May 2021

Goals and objectives. The article analyzes the resources of support for families with disabled children living in the Leningrad region. There is substantial state support for this category of families, developing the potential of non-state support resources. The results of the government’s efforts to support families with children with disabilities, as well as the tasks set to be solved in the near and long term, are considered.Methods. The study uses a set of general scientific methods, such as analysis, synthesis, generalization, comparison, system-functional and complex approach. Within the framework of the stated theme, theoretical provisions and modern approaches have been organized by studying the works of various authors, regulatory documents and official statistics.The theoretical and practical significance of the study is that it can be the basis for further study of social resources and life strategies of families with children with disabilities, their transformation. The analysis provides an opportunity to identify the problems of families with children with disabilities in Leningrad, actualizes the importance of state policy regarding these categories of families, both in the process of formation and in its implementation. The materials provide us with positive results achieved by the authorities of the Leningrad region and identify ways to further develop both state and non-state social support for families with children with disabilities in the region.Results and conclusions. The article presents the results of the research of the resources of state and non-state social support for families with children with disabilities in The Leningrad region. Conclusions have been drawn on the need to unite the efforts of state and non-state resources in this direction
Introduction of Project Orientated Style of Management into the Professional Education System
Authors: Smirnov V. P. , Shifrin M. B.
Published: May 2021

This article substantiates the necessity of project principals and methods application while managing educational organizations in conditions of professional education updating. Key factors, which influence the development of the professional education system with the inter- action of the state policy in educational sphere, are presented. It is defined that the providing with the constant development of any educational organization, the rise of the efficiency of its activity is possible if it is based on the outstripping character of the project management. The problems any management meets while creating the project educational organization system and the possible ways of resolving them are described.
Scenario Modeling in Health System Management Perm Region (Part 2)
Authors: Tsatsulin A. N. , Tsatsulin B. A.
Published: May 2021

In continuation of the article, the authors of the study devoted to the problems of scenario modeling and solving specific problems of management and development of the health care system of the Perm Territory, built the author’s dynamic multivariate model, which was based on an authoritative approach and consists of a set of five structural simultaneous equations. As a result, each equation of the system is a linear form of recursive regression, where the independent variable as a factor-factor taken into account in one equation becomes a depend- ent variable as an effective factor-factor. In order to eliminate the phenomenon of autocor- relation of residual values, the method of time lagging was used. To estimate the parameters of the reduced form of structural simultaneous equations, the two-step least squares method was used as a special case of the maximum likelihood method. The obtained parameter esti- mates on the whole turned out to be effective with moderate consistency and satisfactory bias. The constructed model made it possible to carry out a short-term forecast of the most important target socio-economic indicator of the success of healthcare development in the region until 2023. The authors considered the national goal as such a priority indicator — the expected (future) life expectancy of the population of the study area. At the end of the article, conclusions were drawn and the prospects for further scientific research of the authors were outlined.
POLÍTICAS PÚBLICAS DE INCENTIVO AO LIVRO, LEITURA E A LITERATURA
Authors: Belo Roberto
Published: May 2021

Este trabalho visa a discutir algumas das principais leis e diretrizes de incentivo ao livro, à leitura e à literatura presentes na sociedade brasileira. Com pouco mais de 202,7 milhões de habitantes, considerado a sétima maior economia do mundo e o quinto maior país em extensão territorial, o Brasil é um dos países mais desiguais do planeta, sobretudo na democratização de acesso aos bens culturais, como as bibliotecas.
ANÁLISE COGNITIVA DO PROCESSO LEITOR NO RECONHECIMENTO DE PALAVRAS
Authors: Araújo Jussara Oliveira , Martins Silvana Andrade
Published: May 2021

A leitura é uma aptidão difícil de ser desenvolvida, exigindo um extenso aprendizado. Nesta perspectiva, objetiva- se descrever e analisar as habilidades de reconhecimento de palavras, através do Modelo de Reconhecimento de Palavras, proposto por Ellis (1995). Os resultados obtidos contribuem para uma prática pedagógica mais eficiente na formação da competência leitora.
LEITURA LITERÁRIA NO CICLO 1 DO ENSINO FUNDAMENTAL: O LIVRO DIDÁTICO COMO DEFLAGRADOR DE LEITORES PRECÁRIOS
Authors: Oliveira Lima Sheila
Published: May 2021

A política para formação do leitor no Brasil conta, entre outros, com a distribuição de livros didáticos de língua materna para escolas públicas de todo o país. Tais materiais veiculam metodologias de abordagem da leitura ineficazes para a formação do leitor em sua fase inicial, conforme aponta estudo realizado entre 2013 e 2015 com os dois primeiros volumes de dez coleções didáticas de Língua Portuguesa.
A LITERATURA NECESSÁRIA: LEITURA E FORMAÇÃO DO LEITOR
Authors: Mendonça Paulo Roberto
Published: May 2021

No presente ensaio, discuto a importância do texto literário nos dias de hoje. A questão que aqui se impõe é a da crise da leitura nas escolas e nas universidades. Sumariamente, explico por que classificar a literatura como ‘bem incompressível”. Segundo Antônio Cândido, aquilo de que uma sociedade não deveria jamais prescindir.
NOTAS SOBRE UM CURSO DE LITERATURA BRASILEIRA PARA ESTRANGEIROS NO BRASIL
Authors: Alves da Silva Ana Amalia
Published: May 2021

Neste artigo, apresento algumas reflexões sobre a criação do curso de Literatura Brasileira para Estrangeiros e da condução das aulas, na cidade de São Paulo, de maio a julho de 2015, como professora autônoma em uma escola de idiomas. Trata-se de um estudo de caso e de uma tentativa de contribuir para o entendimento da prática ainda jovem do ensino de Literatura Brasileira para falantes de outras línguas no Brasil.
EDUCAÇÃO LITERÁRIA: UM ESTUDO NO PRÉ-ESCOLAR E NO 1º CICLO DO ENSINO BÁSICO
Authors: Bento Inês , Balça Angela
Published: May 2021

Este estudo reflete sobre a importância da promoção de uma educação literária com as crianças. A metodologia centrou-se na investigação-ação e no modelo Literature based reading activities. Os resultados apontam para um maior envolvimento emocional, fruição leitora e uma maior capacidade crítica e reflexiva das crianças, quando os docentes trabalham com o livro de literatura infantil.