bluuebunny/crossref_metadata_2025 huggingface dataset:
Nonsyndromic impacted triple supernumerary teeth in the maxilla, including single dens in dente malformation: A case report with a two-year follow-up
Authors: Sarcev Ivan , Petronijevic-Sarcev Branislava , Mirkovic Sinisa
Published: June 2022

Introduction. A percutaneous transhepatic approach has been used to place tunneled catheters for hemodialysis in the inferior vena cava. This route through the suprahepatic vein could be used to place a tunnelled catheter for permanent hemodialysis without complications and with an excellent permeability rate. Case report. From 2011 to 2020 at the Military Medical Academy, we treated 4 patients with the transhepatic central venous catheter for hemodialysis. All of them had exhausted approaches during the period of hemodialysis. Arterio-venous fistulas thrombosed on the arms, subclavian vein thrombosis bilaterally or superior and inferior vena cava thrombosis, as well as bilateral iliac and femoral vein thrombosis were present as complications of longterm hemodialysis through femoral catheters. Peritoneal dialysis was not possible. One patient needed a scroll catheter since the hemodialysis did not have a good outcome, and one patient needed a thrombolysis of catheter due to its malfunction. The other two patients have been on hemodialysis without complications for 300 and 1,650 days, respectively. Conclusion. Transhepatic venous access under ultrasound and radioscopic guidance is a simple and safe method. It is an acceptable alternative for permanent hemodialysis catheters when other venous accesses are exhausted and when it is performed by a well-trained team.
Rights of custody under the Hague convention on the Civil Aspects of International Child Abduction
Authors: Dzeletovic Mirna
Published: June 2022

This paper focuses on the rights of custody under the Hague Convention on the Civil Aspects of International Child Abduction. Article 5 of the Convention stipulates that rights of custody for the purposes of this Convention shall include rights relating to the care of the person for the child and, in particular, the right to determine the child?s place of residence. The existence of this right is assessed according to the law of the state in which the child was habitually resident before the removal or retention and in this regard no doubts are observed in practice. On the other hand, although article 5 of the Convention gives definition of the rights of custody, application of this provision is accompanied by different interpretations. Judicial and administrative authorities have doubts which rights parent must possess in order to be protected by the Convention. The paper concludes that it should be considered that a parent who does not live with the child, but has the right of veto over the child?s international relocation or his/her consent is required to change the child?s residence, has the rights of custody and can apply for the prompt return of a child under the Hague Convention on the Civil Aspects of International Child Abduction.
Mergers and Acquisitions in the Maritime Transport Industry 1996—2000
Authors: BROOKS MARY R. , RITCHIE PAMELA
Published: June 2022

Mergers and acquisitions (M&As), as an alternative to internally generated corporate growth, have increased on a global scale over the past two decades. What has been written about M&As in the maritime transport sector has focused on the most high-profile of these, and on consolidations within sub-sectors of the industry. Using a database of all M&As globally, and extracting the cases involving companies coded as being in the maritime transport sector, this article examines the overall pattern of maritime transport-related M&As on a global scale from January 1, 1996 to December 31, 2000. It addresses the motivations for these M&As and finds that 40 percent of the M&As were cross-border deals. A substantial number of all cases were either financial restructurings or acquisitions of assets (36 percent). The article examines a sample of the remaining 64 percent of cases on a case-by-case basis and concludes that the industry, while going through a period of consolidation, is also embarking on alternate patterns of growth, particularly strategic and synergist expansion. Target-driven motives are also found. As minority acquisitions also play a significant role in the sector's strategic plans, they receive more attention.
Safety Technology Adoption Patterns in the U.S. Motor Carrier Industry
Authors: CANTOR DAVID E. , CORSI THOMAS M. , GRIMM CURTIS M.
Published: June 2022

This article reports results of an investigation of safety technology adoption practices among the largest firms in the U.S. motor carrier industry. A national survey was conducted to determine firms' adoption patterns of available and leading-edge safety technologies. It was found that, in general, motor carrier firms are at the early stages of safety technology adoption. Further, it was discovered that the larger firms, with a broad geographic scope of operations, are the leaders in safety technology adoption. It is the authors' hope that the article will stimulate increased interest in the pursuit of research on this important topic.
Skill Requirements of Contemporary Senior- and Entry-Level Logistics Managers: A Comparative Analysis
Authors: MURPHY PAUL R. , POIST RICHARD F.
Published: June 2022

While there is little question that the logistician's role(s) and responsibilities have undergone dramatic change in recent years, managerial skills and knowledge remain the foundation of effective and efficient logistics management. With this in mind, this article uses Poist's (1984) BLM (Business, Logistics, Management) framework to compare skill requirements for senior-and entry-level logistics managers. The article reports findings from a survey of U.S.-based search firms that engage in the recruitment and placement of managers in logistics, transportation, supply chain management, and related fields. Consistent with previous research based on the BLM framework, results from the present study indicate that management skills are most important for both senior-and entry-level managers, followed in order by logistics skills and business skills. Having said this, the study finds strong differences between senior- and entry-level personnel within the business, logistics, and management components of the BLM framework.
The Real-Time Global Supply Chain Game: New Educational Tool for Developing Supply Chain Management Professionals
Authors: CORSI THOMAS M. , BOYSON SANDOR , VERBRAECK ALEXANDER , VAN HOUTEN STIJN-PIETER , HAN CHAODONG , MACDONALD JOHN R.
Published: June 2022

Researchers at Delft University and the Robert H. Smith School of Business at the University of Maryland have developed the “Global Supply Chain Game” (GSCG). A specific instance of the game is called the “Distributor Game,” centered on globalization and the real-time supply chain. The GSCG differs from many existing business learning games in that, as opposed to being turn-based and locked in on demonstrating a single phenomenon (i.e., the bullwhip effect), it simulates a real-world experience by operating on a continuous clock with ongoing events and responses to individual decisions. The decision-making processes of the distributors in the game are controlled by human players. To confront the human players with a complex and dynamic environment, suppliers, markets, and competing distribution centers are represented by computer-controlled actors. The Distributor Game has been tested at the Robert H. Smith School of Business in seven courses since January 2005. The beta-tests include four MBA classes, two Executive MBA classes, and a single undergraduate class. Each class has been consistent in its approval of the game as a tool in simulating the complexities of a global supply chain and facilitating learning about how to successfully manage this environment.
A Quality Management Framework for Liner Shipping Companies to Implement the 24-Hour Advance Vessel Manifest Rule
Authors: BICHOU KHALID , LAI KEE-HUNG , LUN Y.H. VENUS , CHENG T.C.E.
Published: June 2022

We examine how the principles of quality management (QM) can be employed to ensure maritime security for liner shipping companies (LSCs), and emphasize the interface relationships between the regulatory framework and the QM system, which appear to be overlooked in both theory and practice. This article suggests a conceptual framework for managing quality in the context of the new maritime security regime. We illustrate the application of this framework with an LSC using a ten-step approach to ensure regulatory compliance and quality conformance with the 24-Hour Advance Vessel Manifest Rule so that the legal requirements, as well as the operational and service goals, can be fully met. The article also provides procedural mechanisms and guidelines for LSCs and other maritime interests contemplating the implementation of maritime security with quality in view of similar undertakings.
Using Personality Traits to Select Customer-Oriented Logistics Personnel
Authors: PERIATT JEFFERY A. , CHAKRABARTY SUBHRA , LEMAY STEPHEN A.
Published: June 2022

Although training can improve customer orientation in logistics personnel, recruiting employees who possess enduring personality traits that stimulate customer-oriented behaviors will greatly help logistics organizations to carry out the marketing concept. This research examined the relationship between personality traits and customer orientation using the five-factor model of personality and the SOCO scale for customer orientation. Data for this study were collected as part of a larger multi-organizational job classification study sponsored by the Council of Supply Chain Management Professionals. Responses were gathered from 354 respondents in 43 logistics organizations.
Retaining Passenger Loyalty through Data Mining: A Case Study of Taiwanese Airlines
Authors: WONG JEHN-YIH , CHUNG PI-HENG
Published: June 2022

Passenger loads on Taiwanese domestic flights have rapidly declined following the launch of the Taiwan High Speed Rail in 2007. Retaining passenger loyalty is thus a crucial challenge facing Taiwan domestic airlines. This study develops a loyal passenger mining process that is used to assess passenger loyalty and extract their information by a data mining technique from a database. Analytical results demonstrate that loyal passengers had high satisfaction in terms of service preferences, including airport service, passenger cabin facilities, information provision and complaint resolution, and flights departing on schedule. Loyal passengers also emphasized luggage services and obtaining airline information without an agency. The suggestions of this study not only provide Taiwanese airlines with a valuable reference for planning database marketing and managing loyal passengers but also expand the applicability of management information systems (MIS) to airline industry research.
A Model of Logistics Outsourcing Strategy
Authors: MELLO JOHN E. , STANK THEODORE P. , ESPER TERRY L.
Published: June 2022

Previous research points to an apparent gap between the prescriptive models designed to guide companies in making systematic outsourcing decisions and the practices some companies actually use. While prescriptive models would suggest the predominance of outsourcing decisions are made using top-down, proactive, systematic- and strategic-competence-driven processes, prior researchers observed that actual decisions are often made using local, reactive, ad-hoc, and seemingly limited-strategy-driven processes. This article addresses this inconsistency by presenting a data-driven descriptive model of logistics outsourcing strategy, based on grounded theory research methods, that explores the experiences of logistics professionals. Our findings support the idea that while prescriptive models providing congnitive approaches to logistics outsourcing exist in the literature, in practice both cognitive and experiential search and evaluation are used to make outsourcing decisions. Additionally, we extend the work of de Boer, Gaytan, and Arroyo (2006) by adding personal factors, such as experience and self-interest, and cultural factors, such as organizational values and norms, as inputs to the process.
Risk Assessment for the Security of Inbound Containers at U.S. Ports: A Failure, Mode, Effects, and Criticality Analysis Approach
Authors: KUMAR SAMEER , VERRUSO JANIS
Published: June 2022

This study proposes a design of a decision support framework for a reliable cargo container shipment and handling system based on failure mode effect and criticality analysis for inbound containers at U.S. ports. The proposed prototype of a simple risk assessment system is offered that safeguards against potential security risks in cargo container shipments entering U.S. ports. An application of the proposed framework is presented—in a situation involving an inbound shipment from China designated for a U.S. destination—that shows how effectively it helps reduce the risk of failure. Additionally, the industry research looks at how the initiatives being deployed affect supply chain managers as they contend with the changes and the associated costs faced by their businesses.
1477-PUB: The Comparison between Sodium–Glucose Cotransporter 2 Inhibitor and Glucagon-Like Peptide 1 Receptor Agonist Treatment Depending on the Change in Blood Pressure in Japanese Patients with Type 2 Diabetes Mellitus on the Renal Function
Authors: KOBAYASHI KAZUO , TOYODA MASAO , HATORI NOBUO , TAMURA KOUICHI
Published: June 2022

Background and Aim: Direct comparison between sodium glucose cotransporter 2 inhibitor (SGLT2i) and glucagon-like peptide 1 receptor agonist (GLP1Ra) —that have shown a renal protective effect in previous large-scale clinical trials—has not been evaluated thoroughly. The aim of this study is to clarify the difference between the renal protective effect of SGLT2i and GLP1Ra treatment, depending on the decreased mean arterial pressure (MAP) .

Methods: We conducted different retrospective surveys for patients treated with SGLT2i and GLP1Ra, continuously administered over a period of more than 1 year. This study included 541 SGLT2i-treated patients without the concomitant use of GLP1Ra and 265 GLP1Ra-treated patients without the concomitant use of SGLT2i. We constructed two cohort models based on the change in MAP after treatment (ΔMAP) . The comparisons between SGLT2i and GLP1Ra were performed with a generalized linear model, including inverse probability weights using the propensity score.

Results: In the ΔMAP<0 model, SGLT2i-treated patients (n=316) showed a significant increase in eGFR and a decrease in the logarithmic value of the urine albumin-to-creatinine ratio, when compared with GLP1Ra-treated patients (n=142) (the differences were 2.7 mL/min/1.73m2 per year [5% confidence interval (CI) : 0.1, 5.2], p = 0.04, and -0.14 [95% CI: -0.26, -0.03], p = 0.01, respectively) . In addition, a significantly larger decrease in the MAP of SGLT2i-treated patients was observed (-2.3 mmHg [95% CI, -4.4, -0.3], p = 0.02) , when compared with that of GLP1Ra-treated patients. In the ΔMAP≥0 model, no significant difference was observed between the two groups.

Conclusion: The decrease in blood pressure was related to the more favorable influence on renal function in SGLT2i-treated patients than in GLP1Ra-treated patients.

Disclosure

K.Kobayashi: None. M.Toyoda: None. N.Hatori: None. K.Tamura: None.
1478-PUB: Five Times Sit-to-Stand Are Associated with Microalbuminuria in Type 2 Diabetes: A Cross-Sectional Study
Authors: OSAKA TAKAFUMI , FUKUI MICHIAKI , FUKUI HITOMI
Published: June 2022

Background and Aims: Diabetic nephropathy is one of the most important complications of diabetes mellitus. Recently, it has been reported that diabetics with sarcopenia have a high incidence of nephropathy. Five times sit-to-stand was developed as a measure of lower extremity strength, but it has been evaluated as physical function. However, the association between of physical function with microalbuminuria has been still unknown. Thus, we evaluated five times sit-to-stand and investigated its association with microalbuminuria in a cross-sectional study.

Materials and Methods: This cross-sectional study recruited T2DM patients attending Ayabe City Hospital. Urinary albumin-to-creatinine ratio (UACR) was obtained by spot urine exams. We assessed the association of five times sit-to-stand with log UACR with linear regression model. In the multivariate model, we used age, gender, height, skeletal muscle mass, grip strength, body fat mass, systolic blood pressure, diastolic blood pressure, hemoglobin A1c, smoking status and alcohol as co-variates.

Results: Among 4patients (269 men, 66.4 %) , mean age, body mass index, hemoglobin A1c, five times sit-to-stand, and median UACR were 68.5 ± 11.1 years, 23.7 ± 3.8 kg/m2, 7.1 ± 0.8 %, 8.4 ± 2.2 seconds, and 12.7 mg/gCr respectively. Log UACR was associated with five times sit-to-stand in an univariate model (r = 0.19, P < 0.001) , and in a multivariate model (ß = 0.12, P = 0.035) .

Conclusion: Five times sit-to-stand was associated with UACR in Japanese patients with type 2 diabetes. The important relationship between physical function and diabetic nephropathy was shown. Further research is needed to determine whether maintaining physical function can prevent the progression of diabetic nephropathy.

Disclosure

T.Osaka: n/a. M.Fukui: None. H.Fukui: None.
1487-PUB: Fostering the Health Literacy of Younger Generations
Authors: KANEKO SHIZUKA , KAMIYA KAZUKO
Published: June 2022

Prevention of the onset and the increase in severity of lifestyle-related diseases extends healthy life spans. It is important to start educating younger generations on basic life knowledge, disease and health literacy. This class was offered in both private and public elementary (ES) and junior high schools (JHS) from 2015. A questionnaire (Q) survey was conducted before and after the class. The effects of education and future challenges were discussed. Qs were distributed to 727 students, consisting of 4th to 6th graders in 5 public ES and 3rd graders in JHS. The Qs were collected from 727 students before class and 715 students after class. 7submitted responses both before and after the class. A paired analysis was performed on these responses. Those who answered “I don’t eat breakfast” was less than 5% in both ES and JHS, while those who answered “sweet bread (including cakes) ” was about 30% in both ES and JHS. Those who were able to accurately list the three major nutrients carbohydrate, protein and fat, essential in larger amounts for growth and body’s basic function, improved from 5% (before class) to 71.2% (after class) in ES students and to 86.4% in JHS students. Logistic multivariate regression analysis showed no significant difference in improvement of the correct answers from pre- to post-class between 4th-grade students and 6th-grade students, nor between ES students and JHS. There were significant differences between different ES. Significantly more JHS than ES students (P<0.01) and more female than male students (P<0.01) answered that they had questions. There were many erroneous answers regarding calcium and vitamins. There were students even in the 3rd grade of JHS who lacked a proper understanding of the three major nutrients. They confused them with others. A better understanding of diseases and the three major nutrients can be gained from the 4th grade of ES by conducting classes related to the human body and diseases. Repeated health classes starting in ES may foster health literacy concerning lifestyle-related diseases.

Disclosure

S.Kaneko: None. K.Kamiya: None.
1495-PUB: Insulin Patch Pumps: Are There Patient-Related Advantages for People with Diabetes?
Authors: KULZER BERNHARD , FRECKMANN GUIDO , HEINEMANN LUTZ , SCHNELL OLIVER , HINZMANN ROLF , ZIEGLER RALPH
Published: June 2022

Objective: Patch pumps, i.e. tubeless insulin pumps, are an attractive alternative to conventional insulin pumps for people with type 1 diabetes and type 2 diabetes on insulin therapy. However, to date, the patient-related benefits of patch pumps are not well understood.

Methods: A systematic review was conducted to summarize potential patient-relevant advantages and disadvantages of patch pumps and to assess relevant studies on patient-reported outcomes (PROs) . Relevant studies were identified by a systematic PubMed search. In addition, the reference lists of the respective articles and Google Scholar were checked for further references. English-language articles published before June 30, 2021, were included; no other publication date criteria were specified.

Results: A total of 12 studies were included. The results of this analysis demonstrate that patch pumps improve quality of life, reduce diabetes-related symptoms, increase patient satisfaction, and are preferred by patients compared with conventional insulin pumps and daily multiple injection (MDI) therapy. However, several methodological limitations of the identified studies limit the power of this analysis.

Conclusions: Despite the limited number of studies evaluating the benefits of patch pumps in relation to PROs, there is increasing evidence that people with diabetes prefer patch pumps compared to MDI and conventional pumps. It is notable that this aspect has been relatively understudied. More systematic studies evaluating the benefit of patch pumps in relation to PROs are needed.

Disclosure

B.Kulzer: Advisory Panel; Bayer AG, Bayer AG, Becton, Dickinson and Company, Becton, Dickinson and Company, Berlin-Chemie AG, Berlin-Chemie AG, Dexcom, Inc., Dexcom, Inc., Insulet Corporation, Novo Nordisk, Roche Diabetes Care, Sanofi, Sanofi-Aventis Deutschland GmbH, Research Support; Novo Nordisk, Roche Diabetes Care. G.Freckmann: Advisory Panel; Abbott Diabetes, Dexcom, Inc., Lilly, Roche Diabetes Care, Roche Diagnostics, Consultant; Ascensia Diabetes Care, Berlin-Chemie AG, Boydsens, Metronom, mySugr, Roche Diabetes Care, Sanofi-Aventis Deutschland GmbH, Research Support; Dexcom, Inc., Medtronic, Menarini Group, Roche Diabetes Care, Sanofi, Speaker's Bureau; Berlin-Chemie AG, Dexcom, Inc., Lilly, Novo Nordisk, Roche Diabetes Care, Terumo Corporation. L.Heinemann: Board Member; Lifecare, Inc., Consultant; Becton, Dickinson and Company, Roche Diabetes Care, Stock/Shareholder; Profil Institut für Stoffwechselforschung GmbH, Science Consulting in Diabetes GmbH. O.Schnell: Advisory Panel; AstraZeneca, Boehringer Ingelheim International GmbH, Lilly, Roche Diabetes Care. R.Hinzmann: Employee; Roche Diabetes Care. R.Ziegler: Advisory Panel; Eli Lilly and Company, mySugr, Novo Nordisk, Roche Diabetes Care, Speaker's Bureau; A. Menarini Diagnostics, Abbott Diabetes, Dexcom, Inc., Eli Lilly and Company, Glooko, Inc., Novo Nordisk, Roche Diabetes Care.
1496-PUB: Augmenting Clinical Trial Data with In-Silico Evidence to Evaluate Initial Conversion Dose Changes for Technosphere Insulin (TI)
Authors: DESBOROUGH LANE , KAISERMAN KEVIN B. , HANNA JOSEPH , JAFFE KAREN , ULLOA JOHANNA
Published: June 2022

Background: TI is an inhaled mealtime insulin with ultra-rapid onset and short duration of action closely mimicking physiologic insulin. Clinical studies demonstrated a higher initial dose could result in faster titration to overcome a perceived lack of effect. The aim was to develop an in silico model to augment results of a study (NCT04849845) evaluating an increased initial conversion of TI from injected insulin vs. the current label in 20 adults with diabetes that showed significantly improved post-prandial control after 45 minutes.

Methods: The in silico model characterizes blood glucose trends and outcomes utilizing published equations and distributions derived from real-world data sources. Inputs with the largest effects on glucose outcomes were combined to match study parameters to generate one million meal boluses. The model was validated using common modeling and simulation recommendations.

Results: Model inputs were constrained to match clinical study parameters; in silico results substantiated and complemented in vivo safety and efficacy results with similar predictive values and acceptable hypoglycemia distributions.

Conclusions: Clinical data augmented by in silico data support that an increased initial dose is not associated with any new safety concerns. Leveraging in silico data generates high quality evidence faster and with less risk to patients.

Disclosure

L.Desborough: Consultant; Luna, MannKind Corporation, Roche Diabetes Care, Securecell AG, Tandem Diabetes Care, Inc., Employee; Nudge BG, Inc. K.B.Kaiserman: Advisory Panel; Medtronic, Consultant; Medtronic, Employee; MannKind Corporation, Research Support; Medtronic, Speaker's Bureau; Medtronic, Stock/Shareholder; MannKind Corporation. J.Hanna: Employee; MannKind Corporation, Medtronic. K.Jaffe: None. J.Ulloa: Employee; MannKind Corporation, Medtronic, Stock/Shareholder; MannKind Corporation, Medtronic.
1501-PUB: Pharm2Home Initiative: Pharmacist-Led, Chronic-Disease-and-Medication-Therapy Management between Medical Appointments
Authors: YOUNG CLIPPER F. , WONG SHIRLEY
Published: June 2022

Objective: The mission of this initiative is to get to know each participant behind their diagnoses - through telehealth and home visits - for enhancing the personalized healthcare delivery in chronic disease management. The initiative emphasizes on the management of type 2 diabetes (T2D) , hypertension, chronic kidney disease, COPD, heart failure, and asthma. This abstract focuses on evaluating outcomes relating to T2D.

Methods: The evaluation uses a cross-sectional design to summarize the baseline demographic data pertaining to participants and analyze outcomes from June to December 2021. Descriptive statistics were used to study the current outcomes of the initiative.

Results: The selected process and impact outcomes are summarized along with demographic information.

Conclusion: Many participants increased frequencies on blood glucose and pressure monitoring. These behavioral changes are translated into A1c improvement. Through connecting with participants, their urgent medical needs were met when primary care providers (PCPs) were unavailable, e.g., resolving hypoglycemia episodes, medication titrations for managing hyperglycemia. Findings have shown that this model refines the care delivery for patients with diabetes going beyond the walls of clinics by partnering clinical pharmacists with diabetologists and PCPs at a safety-net clinic system.

Disclosure

C.F.Young: Advisory Panel; Sanofi-Aventis U.S. S.Wong: None.

Funding

Sutter Health
1505-PUB: Impact of Diabetes on Radiotherapy-Related Infection
Authors: HIROTA HIROSHI , YOSHIMURA RYOICHI , ITO KEI , NAKAMURA YOSHIKO
Published: June 2022

Background and Purpose: Poor perioperative glucose control in diabetes patients is associated with infectious adverse effects (AEs) . Radical radiotherapy (RT) for head and neck (H&N) cancer extensively destroys skin and the mucosa barrier function, and can be as invasive as surgery. In this study, the risk of radiation-induced acute infectious AEs was investigated in a cohort of diabetic patients given RT for H&N cancer.

Materials and Methods: Acute AEs associated with RT in diabetic patients treated between January 2017 and July 2021 at three institutions were retrospectively analyzed. Patients were included if they met the following criteria: confirmed diagnosis of type 1 or 2 diabetes mellitus, age > years, stable on glucose-lowering therapy before starting RT, and had undergone RT for pathologically proven malignancies. The endpoint was the rate of acute infectious AEs graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events v5.0.

Results: A total of 216 patients were eligible for the present study (median follow-up, 15.6 months; range, 1.3-33.3 months; median age, 72 years; range, 33-90 years) . The median glycated hemoglobin (A1c) value at the start of RT was 7.4% (range, 4.1%-12.7%) . Grade ≥ 3 acute infectious AEs that occurred in 31 (14.4%) patients included mucosal infection, pneumonia, and sepsis. Five patients died due to infectious AEs that developed during or after RT. Concurrent chemoradiotherapy (CCRT) (OR, 2.0; 95%CI, 0.9-4.6; P = 0.08) tended to be a predictor of severe infectious AEs. The frequency of glucose control by diabetologists during CCRT was significantly lower than during RT alone (P = 0.001) .

Conclusions: The incidence of severe infectious AEs was high in the present cohort of irradiated diabetic patients with H&N cancer compared with historical data. Patients with CCRT had a higher risk of AEs, which should be considered before irradiation. Therapeutic intervention for glucose control by diabetologists during CCRT may lead to fewer severe infectious AEs.

Disclosure

K. Ito: None.
1508-PUB: Food Insecurity in Rural Communities Before and During the COVID-Pandemic
Authors: ARIAS CAROLINA QUINTERO , RONY MELISSA , JENSEN ERICA , PATEL RAHI , O'CALLAGHAN STASHA , KOZIATEK CHRISTIAN A. , DORAN KELLY , ANTHOPOLOS REBECCCA , THORPE LORNA , ELBEL BRIAN , MCGRAW NANCY A. , LEE DAVID C.
Published: June 2022

Introduction: In times of economic crisis, there have been sharp increases in levels of food insecurity. During the COVID-pandemic, the USDA reported that food insecurity remained stable at 15% in America from 20to 2020. This national average may not reflect the heightened risk of rural areas and counties with known socioeconomic disadvantages.

Objective: To evaluate food insecurity in a rural county with documented poor health outcomes and assess the impact of the COVID-pandemic.

Methods: We performed a cross-sectional survey of all households in Sullivan County, a rural county that has the second-worst health outcomes among all counties in New York State. The survey included two screening questions that have been validated to identify households with food insecurity. The questions were asked in reference to 2019, before the pandemic, and for 2020, during the pandemic. Respondents were also asked to fill out household and demographic questions. To help mitigate non-response bias, statistical raking was performed using age, sex, race/ethnicity, and health insurance strata. We also performed geospatial analysis within the county to identify significant clusters of food insecurity.

Results: Of 4,725 survey responses analyzed, 26% of households reported food insecurity in 2019, which increased to 35% in 2020. We identified high levels of food insecurity in 58% of Black households and 58% of Hispanic households in 2020. Food insecurity in 2020 was also present in 58% of unmarried households with children and in 64% of households insured by Medicaid. Nearest neighbor analyses revealed that hotspots of food insecurity were primarily located in or near urban clusters within this rural county.

Conclusion: Our countywide health survey of a particularly at-risk rural county identified significant increases in food insecurity during the COVID-pandemic. Economic responses to future pandemics may need to focus on bolstering food security among single households with children and those insured by Medicaid.

Disclosure

C.Quintero arias: None. B.Elbel: None. N.A.Mcgraw: None. D.C.Lee: None. M.Rony: None. E.Jensen: None. R.Patel: None. S.O'callaghan: None. C.A.Koziatek: None. K.Doran: None. R.Anthopolos: None. L.Thorpe: None.

Funding

National Institute of Diabetes and Digestive and Kidney Diseases (R01DK124400)
1516-PUB: Combined Effects of Fruit and Vegetable Intake on Obesity in Japanese Patients with Type 2 Diabetes
Authors: TAKEUCHI MIZUKI , HATTA MARIKO , HORIKAWA CHIKA , TAKEDA YASUNAGA , KATO NORIKO , KATO MITSUTOSHI , YOKOYAMA HIROKI , SAITO TOSHIKO , MAEGAWA HIROSHI , FUJIHARA KAZUYA , SONE HIROHITO
Published: June 2022

Although intake of both vegetables and fruits is known to be negatively associated with obesity in people with and without diabetes, the combined effects of these two food groups including cut-off values for intake have yet to be determined. We investigated the association according to combinations of the amount of fruit and vegetable intake determined by a food frequency questionnaire among 1579 patients with type 2 diabetes (990 men, mean age 50y) registered in the Japan Diabetes Clinical Data Management Study. Logistic regression analysis was used to calculate multi-adjusted odds ratios (ORs) for obesity (BMI ≥25) . Intake of fruits and vegetables was analyzed according to quintiles. Patients in the top quintile of fruit intake (≥150g) and the top three quintiles of vegetable intake (>200g) were significantly less obese than those in the bottom quintiles. In patients above/ below the thresholds for intake of fruits and vegetables, ORs for obesity for daily fruit intake of ≥150g and for daily vegetable intake >200g vs. lower amounts significantly decreased to 0.64 (95%CI: 0.50-0.82) and 0.55 (0.44-0.68) , respectively. In addition, ORs for 4 groups of combinations of intake of vegetables and fruits above and below the threshold were calculated. The ORs were significantly reduced regardless of the amount of fruit intake if vegetable intake was >200g. ORs further decreased significantly when fruit intake was ≥150g and that of vegetables was >200g. However, when vegetable intake was <200g, the OR did not decrease significantly even if fruit intake was high. There was a significant decrease of 0.39 (0.28-0.53) in the OR in the group with more of both dietary fruits and vegetables compared to the group with lower amounts of both. These results showed that in Japanese people with type 2 diabetes >200g of vegetables per day is essential to avoid obesity regardless of the amount of fruit consumed. However, an additional effect on body weight could be expected with simultaneous fruit intake ≥150g.

Disclosure

M.Takeuchi: None. K.Fujihara: None. H.Sone: Research Support; Astellas Pharma Inc., Eisai Co., Ltd., Kyowa Kirin Co., Ltd., Novo Nordisk, Ono Pharmaceutical Co., Ltd., Taisho Pharmaceutical Holdings Co., Ltd., Takeda Pharmaceutical Company Limited. M.Hatta: None. C.Horikawa: None. Y.Takeda: None. N.Kato: n/a. M.Kato: None. H.Yokoyama: None. T.Saito: None. H.Maegawa: None.
1517-PUB: Prevalence of Self-Reported Central Obesity among Indian Males and Females in a Nationwide Community Screening Program
Authors: SABOO BANSHI D. , PARIKH RAKESH M. , GUPTA AMIT , CH VASANTH K. , MAKKAR BRIJ M. , AGARWAL SANJAY , CHAWLA PURVI M. , KOVIL RAJIV R. , BHATTACHARYYA SUPRATIK , CHITTAWAR SACHIN , NANDITHA ARUN
Published: June 2022

Background: Central obesity is a risk factor for cardiovascular and metabolic disorders including diabetes, hypertension and dyslipidemia. Index of central obesity (ICO) , defined as ratio of waist circumference and height, has been earlier proposed as a screening tool for central obesity and metabolic syndrome. We report the prevalence of self-reported central obesity based on ICO in a nationwide community screening program from data collected by the Research Society for the Study of Diabetes in India (RSSDI) as part of the Defeat Diabetes Campaign.

Methodology: Data collected from the One Nation, One Day, One Million Tests campaign by RSSDI was retrospectively analyzed. A data of 105481 adults was included in the analysis (69483 were males and 35956 females) . ICO (calculated from self-reported waist size & height) cutoff of 0.5 was used to estimate the prevalence of central obesity in the Indian population.

Results: 69.3% (n=73072) of the overall cohort was found to be having central obesity, prevalence being slightly higher among females (75.1%) compared to males (66.3%) . Prevalence of central obesity was higher among diabetic subjects (77.8%) compared to the nondiabetes population (64.6%) . Prevalence of central obesity was higher among females with diabetes (81.5%) compared to males (75.9%) . Prevalence of central obesity was 60.8% and 71.8% in males and females without diabetes respectively.

Conclusions: Central obesity is highly prevalent in the Indian population, with prevalence being slightly higher among females compared to males and among people living with diabetes when compared to nondiabetes subjects. As central obesity is a known risk factor for CVD and Metabolic disorders - strategies and interventions directed to address central obesity may be developed and implemented to prevent the future incidence of CVD and Metabolic disorders including diabetes. ICO is a simple screening tool in population dense and resource limited settings.

Disclosure

B.D.Saboo: None. S.Chittawar: None. A.Nanditha: None. R.M.Parikh: None. A.Gupta: Speaker's Bureau; Lupin Pharmaceuticals, Inc., Medtronic, Novartis AG, Novo Nordisk, Sanofi. V.K.Ch: None. B.M.Makkar: None. S.Agarwal: Speaker's Bureau; Novo Nordisk, Roche Diabetes Care, Sanofi, USV Private Limited. P.M.Chawla: Speaker's Bureau; Biocon, Boehringer Ingelheim International GmbH, Eris Lifesciences Ltd., Novo Nordisk, Sanofi. R.R.Kovil: None. S.Bhattacharyya: None.
Análisis comparativo de modelos tradicionales y modernos para pronóstico de la demanda: enfoques y características
Authors: Fierro Torres César Ángel , Castillo Pérez Velia Herminia , Torres Saucedo Claudia Irene
Published: June 2022

En estadística inferencial, el pronóstico es un proceso matemático mediante el cual se hace una estimación del valor futuro de una o más variables, como puede ser la demanda. El objetivo de este presente trabajo de investigación documental fue definir la clasificación de los principales tipos de pronósticos. Además, proponer algunos de los modelos más representativos utilizados actualmente para ser implementados por pequeñas y medianas empresas, aquellos que, con base en la literatura consultada, tienen mayor potencial para lograr un pronóstico de demanda exitoso. Se encontró que los pronósticos pueden ser univariados o multivariados; sin embargo, a fin de encontrar las alternativas que impliquen menor costo para la empresa por procesamiento de datos, se consideraron exclusivamente modelos de pronósticos de series de tiempo univariados, ya que requieren únicamente los datos históricos de las ventas de la empresa. Los modelos de pronósticos de serie de tiempo se clasificaron en tres enfoques: 1) estadísticos o tradicionales, de los cuales se recomendaron el modelo de suavización exponencial triple o de Holt-Winters y el modelo de promedios móviles autorregresivos integrados (Arima), 2) de aprendizaje automático, de los cuales se destacaron el modelo bosque aleatorio y el modelo de redes neuronales recurrentes de gran memoria a corto plazo (LSTM), 3) híbridos, de los cuales se sugirieron el modelo Arima-LSTM y el modelo Facebook Prophet.
A UTILIZAÇÃO DE CONTEÚDOS DIFERENTES NÃO GARANTE QUALIDADE NAS AULAS: O CASO DO ENSINO O RUGBY NAS AULAS DE EDUCAÇÃO FÍSICA
Authors: Luz Moura Diego , Alixandre Ferreira Vanessa , Eugênio de Araújo João Gabriel , Cruz Parente Maria Larissy da
Published: June 2022

O objetivo desse artigo é analisar a experiência no ensino do conteúdo Rugby nas aulas de educação física. O artigo caracteriza-se como uma pesquisa qualitativa, onde foi utilizado o método etnográfico. Foram observadas as aulas de educação física de uma instituição pública de Petrolina/PE. Realizamos uma entrevista com o professor e aplicamos questionários aos alunos. Os resultados apontam que apenas a inserção de conteúdos diferentes não pode ser entendido como uma boa prática ou prática inovadora nas aulas de educação física. A inserção de diferentes conteúdos é de fato uma demanda necessária diversificar o currículo da educação física na escola, mas não pode ser visto como um engodo para atribuir qualidade ou inovação nas aulas.
The Impact of Attitudes, Beliefs, and Cognitive Reflection on the Development of Critical Thinking Skills in Online Students
Authors: Simonovic Boban , Vione Katia , Fido Dean , Stupple Edward , Martin James , Clarke Richard
Published: June 2022

Learning and development of critical thinking (CT) skills in higher education is essential for academic achievement. The following experiment is the first to examine the effect of online student’s perceptions and attitudes towards CT across dimensions of confidence, valuing, misconceptions, cognitive reflection, and authors writing. Furthermore, a CT intervention was developed, and the effects of the intervention examined with an aim to help students improve their grade point average. The analyses demonstrated that student’s confidence and cognitive reflection predict academic achievement. Moreover, the online CT intervention was associated with improved students’ CT attitudes, skills, and academic performance. Significant interactions were observed between time (pre- and post-intervention) and intervention in cognitive reflection, confidence, beliefs, and attitudes related to CT, and student grade point average (GPA, as a measure of student’s performance on online modules). It was concluded that the CT can be taught and that an intervention based on “how to think” rather than a “what to think” mixed approach can help online students develop CT, strengthen their confidence in CT and help students improve their academic performance in an online setting.
Improving Retention Factors and Student Success Online Utilizing the Community of Inquiry Framework’s Instructor Presence Model
Authors: Rosser-Majors Michelle L , Rebeor Sandra , McMahon Christine , Wilson Andrea , Stubbs Stephanie L , Harper Yolanda , Sliwinski Laura
Published: June 2022

Considerable research on effective instruction in the virtual classroom exists. Yet very little is known about the extent to which instructor presence (IP) based on the Community of Inquiry model (CoI), are directly related to retention and student success. CoI includes three components of IP: teaching (TP), cognitive (CP), and social (SP). These IP engagement strategies have been suggested to improve outcomes if effectively applied in the virtual classroom. Attrition rates, retention, engagement, and student and instructor success rates are critical aspects of an effective virtual classroom and identifying practices that support these efforts is essential. This study suggests that CoI engagement strategies, when applied by instructors to the online classroom effectively, can improve factors associated with retention and success. To prepare instructors, we designed and utilized a series of seven self-paced interactive modules. With the training, the educators were able to engage with students more effectively by integrating best practices associated with IP. Course dropout rates and student success rates both significantly improved (p = .05; p < .001 respectively) after these engagement strategies were more efficaciously integrated into the classroom by the trained instructors.
Book Review: Leading the eLearning Transformation of Higher Education: Leadership Strategies for the New Generation, 2nd ed. Gary E. Miller and Kathleen S. Ives (Eds.)
Authors: Olcott, Jr. Don
Published: June 2022

Olcott, D. J.  (2022).  Book Review: Leading the eLearning transformation of higher education: Leadership strategies for the new generation, 2nd ed. Gary E. Miller and Kathleen S. Ives (Eds.). Online Learning, 26(2), 1-7.
Face-to-face vs. Online Asynchronous Teaching in a Conservation Biology Course
Authors: Wells Carrie , Pass Michelle , Walsh Jane
Published: June 2022

In order to be effective, e-learning environments should include a diverse range of pedagogical practices and should focus on active learning student-centered pedagogical. Therefore, it should not be the delivery medium, but rather the instructional methods that facilitate proper learning. Courses that incorporate effective instructional methods will support better learning than courses that do not use effective methods, regardless of the mode of delivery. We compared a traditionally taught face to face Conservation Biology course, Biol 4244/5244, for Biology majors to a fully online asynchronous e-learning course designed using essentially the same materials but varying course delivery. The Biol 4244/4244 course is designated by the University of North Carolina at Charlotte as a “writing-intensive course”, where communication is a significant part of the course learning experience. We found no significant differences in learning outcomes, regardless of the method of course delivery. Overall, we feel that this study indicates that online instruction in this type of course is a viable alternative to face-to-face instruction.
OLJ June 2022 26(2)
Authors: Rice Mary Frances
Published: June 2022

Full Issue
Metaphoric Perceptions of University Students on the Concept of Favoritism
Authors: DEMİRBİLEK Nesip
Published: June 2022

Purpose: The aim of the study is to determine how university students conceptualize and perceive the concept of favoritism through metaphors. Design/Methodology/Approach: Phenomenological pattern of qualitative research methods in research; The easily sampling technique was used in the selection of the study group. A total of 158 students studying at Muş Alparslan University in the 2020-2021 academic year were included in the research. The metaphor sentence was sent online to university students. The "content analysis" technique was used to analyze the data. Findings: According to the results of the research, the categories created with the metaphors produced by the university students in terms of frequency; The existence of inequality, injustice, and discrimination (f = 59), the stealing of the labor of the deserving person, and alienation from life (f = 36), great harm (f = 35), being legitimate and continuous (f = 13), unfair gain (f = 6 ), being worthless and disgusting (f = 5), not looking at merit (f = 2), and having two sides (f = 1). Highlights: As a result; Based on the statements of the students of Muş Alparslan University, it was concluded that favoritism, a social behavioral disorder with very bad consequences, threatens the development and security of societies and negatively affects the entire society.
PENGEMBANGAN MEDIA PEMBELAJARAN INTERAKTIF BERBANTUAN MACROMEDIA FLASH TERHADAP KEMAMPUAN BERPIKIR KRITIS MATEMATIS SISWA IV SD NEGERI 101788 MARINDAL I
Authors: Hasibuan Ainul Marhamah , Fatmawati Fatmawati
Published: June 2022

Tujuan dari penelitian ini adalah untul melihat tingkat kelayakan dan keefektifan pengembangan media pembelajaran interaktif berbantuan macromedia flash dalam meningkatkan kemampuan berpikir kreatis siswa. Penelitian ini dilaksanakan di sekolah dasar negeri 101788 Marindal I. Subjek penelitian ini adalah seluruh siswa kelas IV SD Negeri 101788 Marindal I tahun ajaran 2021/2022 yang berjumlah 50 siswa. Metode penelitian ini adalah penelitian pengembangan 4D Tiagarajan. Hasil penelitian menunjukkan (1) Berdasarkan hasil validitas ahli materi 82,42%, ahli desain 90,23%, dan ahli bahasa 92, 44 %. Dari hasil validasi media yang dikembangkan maka media pembelajaran interaktif ini termasuk dalam kriteria sangat baik dan dinyatakan valid serta layak untuk digunakan; (2) media pembelajaran interaktif berbantuan macromedia flash dikategorikan praktis karena media hasil tanggapan respon siswa dari uji coba I dan uji coba II mengalami peningkatan; dan (3) Berdasarkan hasil penelitian media pembelajaran interaktif berbantuan macromedia flash dikatakan efektif digunakan dalam pembelajaran dengan asumsi nilai Bahasa indonesia siswa lebih tinggi saat menggunakan modul.