bluuebunny/crossref_metadata_2025 huggingface dataset:
A LEMON a Day Keeps Fatigue Away – The ABCDE of Fatigue
Authors: Kalra Sanjay , Sahay Rakesh
Published: May 2018

Fatigue is a common symptom in clinical medicine. The complex and multifaceted etiopathogenesis of fatigue is a challenge for the differential diagnosis and management of fatigue. This brief communication shares two simple mnemonics – LEMON and ABCDE – which help in the evaluation of fatigue. These frameworks are as relevant to endocrinology and diabetes as to general practice. The mnemonic LEMON stands for lifestyle, endocrine, medical/metabolic, observer (physician) and nutrition-related factors which may cause fatigue; ABCDE lists the aetiology of fatigue in three columns related to physiological/nutritional, psychosocial and biomedical causes (each column includes one cause and how this relates to the ABCDE rubric).
Effect of Body Lotions on Capillary Blood Glucose Measurement – Interference of Hydroquinone-containing Body Lotion with Capillary Glucose Measurement
Authors: Omengue Andrea MA , Sobngwi Eugène , Dehayem Mesmin , Balt Eric V , Boli Anne MO , Choukem Simeon P , Gautier Jean F , Mbanya Jean-Claude
Published: May 2018

The reliability of capillary blood glucose measurements is tremendously important for patients’ care and follow-up. Some factors independent of glucose control could however affect readings during ambulatory monitoring of capillary glucose levels in patients with diabetes mellitus. We sought to evaluate the impact of three body lotions commonly used in Cameroon on different strata of glycaemia. We explored their influence over time on measured capillary glucose values. We enrolled 16 participants. Eligible individuals were adult patients with diabetes (n=12) stratified into three levels of capillary glucose values (100 ± 40 mg/dL [5.55 ± 2.22 mmol/L], 200 ± 40 mg/dL [11.1 ± 2.22 mmol/L] and 300 ± 40 mg/dL [16.65 ± 2.22 mmol/L]) and normoglycaemic individuals (n=4). We measured capillary blood glucose before application, immediately after, then 5, 30 and 60 minutes after application of sweet almond oil, corticosteroid cream and hydroquinone lotion. The measurements made on impregnated body lotion-permeated fingers were compared to that of a clean finger. We observed a significant increase (delta [95% confidence interval, CI]: 119.5% [77.4–222.1]) of capillary glucose level immediately after administration of hydroquinone-containing body lotion (p<0.001). Capillary glucose values after the use of corticoid cream and sweet almond oil was stable 5, 30 and 60 minutes after application (p=0.875 and p=0.883 respectively). In the case of the hydroquinone-containing body lotion, there was a significant difference between capillary glucose level at 5 minutes (delta [95%CI]: 81.6% [55.3–214.2]; p<0.001), 30 minutes (delta [95%CI]: 71.6% [21.8–134.6]; p<0.001) and 60 minutes (delta [95%CI]: 58.3% [2.8–133.3]; p=0.013) after application compared to the value obtained from the clean finger. We observed from our study that there were significant variations in capillary blood glucose measurements induced by the use of hydroquinone lotion.
The GlucoCoper – a Tool for the Assessment of Coping Mechanisms
Authors: Kalra Sanjay , Balhara Yatan Pal Singh , Verma Komal , Kalra Bharti
Published: May 2018

Diabetes distress – commonly encountered as a part of life with diabetes mellitus – can be effectively managed by coping skills training. Systematic assessment and documentation of the existing coping skills (and lack thereof) is a pre-requisite for planning such coping skills training. A six-item tool, the GlucoCoper – which assesses two negative (resistance, blame) and four positive (acceptance, optimism, planning and action) coping mechanisms – was administered to English-literate adult participants with type 2 diabetes (T2DM) at an endocrine centre in India. Each item was graded on a 10-point Likert scale. The GlucoCoper was administered to 338 participants. The tool demonstrated high internal validity. Total score on the GlucoCoper correlated with fasting and postprandial glucose. The GlucoCoper is a valid tool which can be used to assess and rate coping in persons with T2DM. It has potential in helping plan, deliver and monitor coping skills training in persons with diabetes distress.
88F-fluorocholine-positron Emission Tomography/Computerised Tomography is Useful in Localising99mTc-sestamethoxyisobutylisonitrile-negative Parathyroid Cyst Causing Normocalcemic Primary Hyperparathyroidism
Authors: Dutta Deep , Gupta Pradeep Kumar , Sharma Meha , Damble Nishikant Avinash , Madan Renu , Dogra Shruti
Published: May 2018

Parathyroid cysts are extremely rare and are rarely associated with primary hyperparathyroidism (PHPT), which are difficult to localise, as they are99mTc-sesta-methoxyisobutylisonitrile (sestaMIBI) negative. We report for the first time the utility of18F-fluorocholinepositron emission tomography/computerised tomography (PC-PET/CT) in localising parathyroid cyst causing normocalcemic PHPT. A 76-year-old lady with progressively worsening osteoporosis from 2014–2017 (in spite of annual zolendronic acid infusions, daily calcium and vitamin-D supplementation) with persistently normal serum calcium and vitamin D, but elevated parathyroid hormone, had normal sestaMIBI scans of the neck on multiple occasions. FC-PET/CT finally revealed soft tissue uptake, suggestive of right superior parathyroid adenoma/hyperplasia. Surgical removal of the culprit lesion resulted in resolution of hyperparathyroidism, histopathologic evaluation of which revealed a cystic lesion lined by chief cell variant parathyroid cells without any nuclear atypia, capsular or vascular invasion. FC-PET/CT is useful in localising culprit parathyroid lesions, especially when they are sestaMIBI negative. PC-PET/CT is useful in localising parathyroid hyperplasia and ectopic parathyroids, which are frequently missed by sestaMIBI. There is an urgent need for comparative studies between sestaMIBI and FC-PET/CT in PHPT. We report for the first time the usefulness of FC-PET/CT in localising sestaMIBI-negative functional parathyroid cyst causing normocalcemic PHPT.
Ischaemic Haemorrhagic Stroke in a Child with New Onset Type 1 Diabetes Mellitus
Authors: Mohd Nor Noor Shafina , Fong Choong Yi , Rahmat Kartini , Vanessa Lee Wan Mun , Anuar Zaini Azriyanti , Jalaludin Muhammad Yazid
Published: May 2018

Cerebral oedema is the most common neurological complication of diabetic ketoacidosis (DKA). However, ischaemic and haemorrhagic brain injury has been reported infrequently. A 10-year old girl who was previously well presented with severe DKA. She was tachycardic with poor peripheral perfusion but normotensive. However, two fast boluses totalling 40 ml/kg normal saline were given. She was transferred to another hospital where she was intubated due to drowsiness. Rehydration fluid (maintenance and 48-hour correction for 7.5% dehydration) was started followed by insulin infusion. She was extubated within 24 hours of admission. Her ketosis resolved soon after and subcutaneous insulin was started. However, about 48 hours after admission, her Glasgow Coma Scale score dropped to 11/15 (E4M5V2) with expressive aphasia and upper motor neuron signs. One dose of mannitol was given. Her symptoms improved gradually and at 26-month follow-up she had a near-complete recovery with only minimal left lower limb weakness. Serial magnetic resonance imaging brain scans showed vascular ischaemic injury at the frontal-parietal watershed regions with haemorrhagic transformation. This case reiterates the importance of monitoring the neurological status of patient’s with DKA closely for possible neurological complications including an ischaemic and haemorrhagic stroke.
Functionalized Caprolactone-Polyethylene Glycol Based Thermo-Responsive Hydrogels of Silibinin for the Treatment of Malignant Melanoma
Authors: Makhmalzadeh Behzad Sharif , Molavi Ommoleila , Vakili Mohammad Reza , Zhang Hai-Feng , Solimani Amir , Abyaneh Hoda Soleymani , Loebenberg Raimar , Lai Raymond , Lavasanifar Afsaneh
Published: May 2018

Purpose: Silibinin, is a natural compound, which has shown anticancer activity in various malignancies. In this study, we evaluated the anticancer effects of silibinin in B16-F10 melanoma cells and developed a novel thermoresponsive hydrogel for local delivery of this compound. Method: A thermoresponsive hydrogel loaded with silibinin was prepared using triblock copolymers of poly[(α-benzyl carboxylate-e-caprolactone)-co-(α-carboxyl-e-caprolactone)]ran-b-PEG-b-[(α-benzyl carboxylate-e-caprolactone) -co-(α-carboxyl-e-caprolactone)]ran (PCBCL-b-PEG-b-PCBCL), namely PolyGelTM, and compared with a Pluronic F-127 formulation of silibinin. Sol-gel transition temperature of hydrogels was measured by inverse flow method and modulated differential scanning calorimetry (MDSC). Silibinin loading efficiency was measured by HPLC. The MTT and clonogenic assays were used to assess the cytotoxicity and anti-proliferative effects of silibinin on B16-F10 melanoma cells. Flow cytotmetry was used to quantify the induced level of apoptosis and measure the intracellular level of activated STAT3 (pSTAT3) following silibinin treatment in B16.F10 cells. The effects of silibinin on the activation of oncogenic proteins were also evaluated by western blot. Results: Silibinin inhibited cell proliferation (IC50 = 67 µM), provoked cell cycle arrest, induced apoptosis, suppressed key oncogenic pathways (i.e STAT3 and MEK/ERK), and enhanced the cytotoxic effects of doxorubicin in B16-F10 cells. Both PolyGelTM and Pluronic F-127 hydrogels were effective in loading silibinin. A lower drug release pattern within 24h, fitting first- order release kinetics, was observed for the release of silibinin from both gels compared to free drug.  PolyGelTM demonstrated enhanced percutaneous absorption of silibinin through increasing mouse skin intracellular lipid fluidity as documented by DSC of skin following PolyGelTM use. Silibinin loaded in PolyGel TM inhibited the growth of B16-F10 cells (IC50 = 30 µM) and effectively suppressed pSTAT3 activity in B16-F10 cells at 10 µM. Conclusion: Our results imply a great potential for PolyGel TM formulations of silibinin for local treatment of malignant melanoma. This article is open to POST-PUBLICATION REVIEW. Registered readers (see “For Readers”) may comment by clicking on ABSTRACT on the issue’s content page.__________________________________________________________
Message from Editor
Authors: Uzunboylu Huseyin
Published: May 2018

Dear Colleagues;It is a great honour for us to welcome you as Editor of Cypriot Journal of Educational Sciences, which has accepted publications indexed in qualified databases since 2006. Our main aim is to increase the quality of the journal day by day. We are ready to publish the new issue of Cypriot Journal of Educational Sciences, which has eight articles with authors from various countries. The aim of this issue is to give the researchers an opportunity to share their academic studies.
Application examples and student views on active learning approach integrated with branches of art
Authors: Orak Seval , Demirci Cavide
Published: May 2018

This study aims to analyse the views of elementary school students on active learning integrated with art branches in core courses (Turkish, mathematics, science and social studies). The research was conducted in the province of Bursa during the academic year 2015–2016, and the study sample comprised of 22 students, including 15 male and 7 female students. The core courses of elementary school were taught using active learning techniques, and the subjects taught during the lessons were evaluated through art branches. The research data obtained through observation and by means of an interview form were analysed and interpreted by descriptive analysis method. The frequencies and percentages of the data obtained using qualitative analysis were calculated. Through active learning approaches, the students learnt better and in a more enjoyable way, their self-esteem also increased. Thus, the elementary school students had positive views on active learning integrated with art branches in core courses.

Keywords: Active learning approach, arts branches, student views, interdisciplinary teaching
Social relationship network and communication at old age
Authors: Boz Hayat
Published: May 2018

Old age is a period when the social environment of the elderly person shrinks due to reasons such as loss of social role,health, decline of income and empty nest situation. This research was carried out in order to determine, how elderly people use the social relationship networks and communication with their environment, to satisfy the needs for establishing relationships with other people, acceptance and belonging. In this study, interview technique was used as qualitative data collection method and four female and six male participants aged 65 and over were interviewed. Questions about socioeconomic and demographic characteristics, daily life activities and obstacles, social acquaintances, what kind of people they wanted to socialise with or not, their preferences in communication content,who they had been in conflict with in and why,were asked to participants. Among the daily activities, worshiping, listening to radio and watching television were donewithout gender difference, and it was found that not being able to 􀍚visit neighbours􀍛 was in the first place among the activities that could not be done, but this was also prevented by their spouse, the daughter-in-law or the children. Their children and grandchildren were their main social acquaintances, and these were followed by relatives. They were mainly talking about the current events and politics. They preferred to talk to people with similar personality traits and people whom were generally acceptable to society. They, mainly, had conflicts with their daughters, spouse, daughter in-laws and siblings about not doing what they wanted or being obstructed about the things they wanted to do and have financial issues.Participants who had lost their spouse and participants who lost their peers felt loneliness and felt sad for being lonely. The participants felt health was the bad aspect of being old; and being able to worship as they wanted to and getting respect were good aspects of being old. The worry about the future was determined to be individual in some participants andgeneral in others.

Keywords: Social relations in old age, communication conflicts in old age, communication content in old age.
Lisansüstü Öğrencilerinin Bilimsel Araştırma Yeterliliklerinin Danışman Görüşlerine Dayalı Olarak İncelenmesi: Kuzey Kıbrıs Türkiye Cumhuriyeti Örneği
Authors: AKGÜN Özcan Erkan , GÜNTAŞ Selime
Published: May 2018

Bu araştırmada, tez danışmanlarının görüşlerine dayalı olarak, lisansüstü öğrencilerinin bilimsel araştırma yeterliliklerinin incelenmesi amaçlanmıştır. Araştırma kapsamında Kuzey Kıbrıs Türk Cumhuriyet’indeki üniversitelerde görev yapmakta olup yüksek lisans ve doktora öğrencilerine danışmanlık yapan 43 öğretim üyesine ulaşılmıştır.  Araştırmada görüşlerin belirlenmesi amacıyla Büyüköztürk ve Köklü’nün (1999) çalışmalarında kullandıkları “Lisansüstü Eğitim Öğrencilerinin Araştırma Yeterliklerini Belirleme Ölçeği” kullanılmıştır. Ölçekte toplam 33 soru bulunmaktadır.  Ölçekte yer alan maddelerin cevap seçenekleri üçlü derecelendirme ölçeği olarak, Hiç, Kısmen ve Tam seçenekleri ile oluşturulmuştur. Araştırmada, kesitsel tarama modeli kullanılmıştır. Bulgular incelendiğinde danışman görüşlerine göre doktora öğrencileri birçok açıdan yeterli görülürken, yüksek lisans öğrencilerinin yeterli olmadığı çok sayıda yeterlilik bulunmaktadır. Ayrıca doktora öğrencilerinin bilimsel araştırma yeterlilikleri, yüksek lisans öğrencilerine göre daha yüksek görülmektedir. Bu sonuçlar dikkate alındığında bilimsel araştırma yeterliliklerinin kazandırılması açısından lisansüstü programların özellikle yüksek lisans programlarında gözden geçirilmesi gerektiği söylenebilir. İleride yapılacak araştırmalarda düşük düzeyde araştırma yeterliliklerinin nasıl kazandırılması gerektiği araştırılarak çözüm önerileri geliştirilmelidir. Bu öneriler karşılaştırmalı çalışmalarda incelenerek yerine göre en uygulanabilir çözümler belirlenmeli ve uygulamaya konulmalıdır.
Empirical Facts of Educational Chances for Women in Islamic World: Past and Present
Authors: Ja'far Handoko , Rigo Taufik
Published: May 2018

This article explores educational opportunities in the early period of Islam until the 13th century, which shows the significant role of women in education. It can be argued that the role of women in education can be traced not only in certain areas of religious knowledge but also in the patronage of education and even in determining the political policy of the government. Unfortunately, compared to the next period until the 21st century, policy concerning education has recently turned to unfair treatment such as marginalization, exclusion, and even deprivation. What is surprising is that the reasons for the genitals, which deprive women of their right to participate in education, casually occurred. In other cases, socio-cultures are restricting their access to education. The factual errors on educational thoughts for woman here are explicitly used as an empirical description in this study, while its purpose is to demonstrate the shift in the treatment of female education. The result expected in this study is to reach the historical footprint of Islamic education and ensure inappropriate reasons, such as genital terms, used and abused as arguments for not allowing woman to get education.

Artikel ini mengeksplorasi peluang pendidikan pada periode awal Islam hingga abad ke-13 yang menunjukkan peran penting wanita dalam pendidikan. Dapat dikatakan bahwa peran perempuan dalam pendidikan dapat ditelusuri tidak hanya di bidang pengetahuan agama tertentu tetapi juga mereka terlibat dalam patronase pendidikan dan bahkan terlibat dalam penentuan kebijakan politik pemerintah. Sayangnya, dibandingkan dengan periode berikutnya hingga pada abad ke-21, kebijakan penanganan pendidikan akhir-akhir ini berubah menjadi perlakuan tidak adil seperti marginalisasi, eksklusi, dan bahkan deprivasi. Satu hal yang mengejutkan adalah perempuan dianggap sebagai aurat dan dijadikan alasan untuk mencabut hak mereka untuk berpartisipasi dalam pendidikan terjadi begitu saja. Kasus lainnya, sosio-budaya membatasi akses perempuan untuk berpendidikan. Kesalahan faktual pada pemikiran pendidikan bagi perempuan sebagaimana tersebut, secara eksplisit digambarkan sebagai deskripsi empiris dalam penelitian ini sementara tujuan penelitian adalah untuk menunjukkan pergeseran perlakuan atas pendidikan perempuan. dengan mencapai jejak historis pendidikan Islam dan memastikan tidak tepatnya penggunaan alasan seputar aurat dan penyalahgunaannya sebagai argumen untuk tidak mengizinkan perempuan mendapatkan pendidikan.
Politicization of Religion: Religion in Political Discourse
Authors: Syarif Fajar
Published: May 2018

This article discusses the position of religion in politic that has relation to leadership. The main argumentation of this research is religion will constantly become a political power and social movement. In one side the research has different opinion from the integration politic paradigm and secular that proposed by Hasan al-Bannā and ‘Alī Abd. al-Rāziq, but in another side, it has reinforced the two paradigms. By using literature study and descriptive method and philosophical historical approach, it indicates Islam will constantly exist and has influence in the political process. Although Islam is not depending on politic and on the contrary. Islam and politic are both integrated dimension of life, so both are not able to be separated from social politic dynamics.

Artikel ini membahas kedudukan agama dalam politik yang berkaitan dengan kepemimpinan. Argumentasi utama penelitian ini adalah bahwa agama tetap akan menjadi kekuatan politik dan gerakan sosial. Di satu sisi penelitian ini berbeda pendapat dengan paradigma politik integrasi dan sekuler yang dikemukakan oleh Hasan al-Banna dan ‘Alî Abd. al-Rāziq, namun di sisi lain memperkuat kedua paradigma tersebut. Dengan menempuh studi kepustakaan dan menggunakan metode deskriptif serta pendekatan filosofis dan historis, penelitian ini menunjukkan bahwa Islam akan tetap eksis dan berpengaruh dalam proses politik. Hakikat Islam meskipun tidak bergantung pada politik dan begitu pula politik tidak bergantung pada Islam. Islam dan politik merupakan dua dimensi yang integral dalam kehidupan, maka keduanya tidak dapat dipisahkan dari dinamika sosial politik.
Maintaining Employees’ Morality to Improve Internal Control in the Sharia Microfinance Institution
Authors: Mukhibad Hasan
Published: May 2018

Problems of fraud committed by a company’s internal party are hitherto still problematic to figure out, including in sharia microfinance institutions. This research examines the benefit of maintaining employees’ morality for the improvement of internal control in sharia microfinance institution. The object of this research is Anda BMT (sharia microfinance institution in Indonesia). The research uses a qualitative method. The data were obtained by interviewing the managers and twenty employees, and also through field observations for four months. The result of this research shows that the management needs to improve the employees’ morality as it is the key element to prevent fraud act. The efforts made to improve the employees’ morality are like praying together, joining a program of Islamic study once a week, and targeting all employees to read the Quran at least One Day One Juz (ODOJ). Islamic religious activities should be applied to sharia financial institutions in order to improve the employees’ morality and to diminish the act of fraud. It is because the employees who properly carry out Islamic religious activities may reduce the potency of fraud.

Masalah kecurangan (fraud) yang dilakukan oleh pihak internal perusahaan masih menjadi masalah yang sulit dipecahkan sampai saat, termasuk di dalamnya adalah lembaga keuangan syariah. Penelitian ini bertujuan untuk mengeksplorasi model mengembangkan lingkungan pengendali yang digunakan untuk meningkatkan efektifitas sistem pengendalian internal. Obyek penelitian ini adalah BMT Anda. Metode penelitian menggunakan metode kualitatif. Data dikumpulkan dengan metode wawancara dan pengamatan di lapangan selama 4 bulan. Narasumber penelitian adalah manajer, dan 20 karyawan. Hasil penelitian menunjukkan bahwa manajemen memiliki komitmen bahwa etika karyawan merupakan elemen kunci untuk menghindari kecurangan. Upaya untuk menjaga etika karyawan, manajemen mewajibkan karyawan untuk melaksanakan salat berjamaah (Dhuhur dan Asar), mengikuti kegiatan pengajian seminggu sekali, dan menargetkan semua karyawan untuk membaca Alquran setidaknya satu hari satu juz (One Day One Juz - ODOJ). Pelaksanaan kegiatan keagamaan Islam harus diterapkan pada lembaga keuangan syariah dalam upaya meningkatkan etika karyawan, selanjutnya akan mengurangi potensi kecurangan. Hal ini dikarenakan karyawan yang melaksanakan kegiatan keagamaan secara benar bisa mengurangi potensi kecurangan.
The Transcendent Unity Behind the Diversity of Religions and Religiosity in the Perspective of Perennial Philosophy and Its Relevance to the Indonesian Context
Authors: Baharudin M. , Luthfan Muhammad Aqil
Published: May 2018

This study is conducted to answer an important question: is there any transcendent unity behind the diversity or plurality of religions and religiosity? This question will be answered through perennial philosophy approach. The study found that, according to perennial philosophers, there is a transcendent unity behind the diversity or plurality of religions and religiosity. This transcendent unity is seen in ‘the common vision’, or what in Islam is called the ‘basic message of religion’, namely ‘submission’ to always fear God and live His presence in everyday life. Further, the perennial philosophers argue that the True God is one; therefore, all religions emerging from the One are in principle the same for they come from the same source. In other words, the diversity of religions and religiosity lies only in the exoteric level, and all religions actually have a transcendent unity in the esoteric level. However, in this case, the perennial philosophers do not mean to unify or equate all religions. In fact, they try to open a way to a spiritual ascent through the reviving of the religious traditions in every religion.

Penelitian ini dilakukan untuk menjawab sebuah pertanyaan penting: adakah kesatuan transenden di balik keragaman atau pluralitas agama dengan religiusitas? Pertanyaan ini akan dijawab melalui pendekatan filsafat perennial. Penelitian ini menemukan bahwa, menurut para filsuf perennial, ada kesatuan transenden di balik keragaman atau pluralitas agama dan religiusitas. Kesatuan transenden ini terlihat dalam pandangan bersama, atau apa yang di dalam Islam disebut pesan dasar agama, yaitu tunduk untuk selalu takut kepada Tuhan dan menjalani kehadiran-Nya dalam kehidupan sehari-hari. Selanjutnya, para filsuf perennial berpendapat bahwa Tuhan yang Sejati adalah satu. Oleh karena itu, semua agama yang muncul dari Yang Satu pada prinsipnya sama karena mereka berasal dari sumber yang sama. Dengan kata lain, keragaman agama dan religiusitas hanya terletak pada tingkat eksoteris, dan semua agama benar-benar memiliki kesatuan transenden di tingkat esoteris. Namun, dalam kasus ini, filsuf perennial tidak bermaksud menyatukan atau menyamakan semua agama. Sebenarnya, mereka mencoba membuka jalan menuju pendakian spiritual melalui kebangkitan kembali tradisi keagamaan di setiap agama.
Physician Use of Electronic Health Records: Survey Study Assessing Factors Associated With Provider Reported Satisfaction and Perceived Patient Impact (Preprint)
Authors: Williams Daniel Clay , Warren Robert W , Ebeling Myla , Andrews Annie L , Teufel II Ronald J
Published: May 2018

BACKGROUND

The effect electronic health record (EHR) implementation has on physician satisfaction and patient care remains unclear. A better understanding of physician perceptions of EHRs and factors that influence those perceptions is needed to improve the physician and patient experience when using EHRs.

OBJECTIVE

The objective of this study was to determine provider and clinical practice factors associated with physician EHR satisfaction and perception of patient impact.

METHODS

We surveyed a random sample of physicians, including residents and fellows, at a US quaternary care academic hospital from February to March 2016. The survey assessed provider demographics, clinical practice factors (ie, attending, fellow, or resident), and overall EHR experience. The primary outcomes assessed were provider satisfaction and provider perceptions of impact to patient care. Responses on the satisfaction and patient impact questions were recorded on a continuous scale initially anchored at neutral (scale range 0 to 100: 0 defined as “extremely negatively” and 100 as “extremely positively”). Independent variables assessed included demographic and clinical practice factors, including perceived efficiency in using the EHR. One-way analysis of variance or the Kruskal-Wallis test was used for bivariate comparisons, and linear regression was used for multivariable modeling.

RESULTS

Of 157 physicians, 111 (70.7%) completed the survey; 51.4% (57/111) of the respondents were attending physicians, and of those, 71.9% (41/57) reported a >50% clinical full-time-equivalency and half reported supervising residents >50% of the time. A total of 50.5% (56/111) of the respondents were primary care practitioners, previous EHR experience was evenly distributed, and 12.6% (14/111) of the total sample were EHR super-users. Responses to how our current EHR affects satisfaction were rated above the neutral survey anchor point (mean 58 [SD 22]), as were their perceptions as to how the EHR impacts the patient (mean 61 [SD 18]). In bivariate comparisons, only physician age, clinical role (resident, fellow, or attending), and perceived efficiency were associated with EHR satisfaction. In the linear regression models, physicians with higher reported perceived efficiency reported higher overall satisfaction and patient impact after controlling for other variables in the model.

CONCLUSIONS

Physician satisfaction with EHRs and their perception of its impact on clinical care were generally positive, but physician characteristics, greater age, and attending level were associated with worse EHR satisfaction. Perceived efficiency is the factor most associated with physician satisfaction with EHRs when controlling for other factors. Understanding physician perceptions of EHRs may allow targeting of technology resources to ensure efficiency and satisfaction with EHR system use during clinical care.
The Accuracy of Smart Devices for Measuring Physical Activity in Daily Life: Validation Study (Preprint)
Authors: Degroote Laurent , De Bourdeaudhuij Ilse , Verloigne Maïté , Poppe Louise , Crombez Geert
Published: May 2018

BACKGROUND

Wearables for monitoring physical activity (PA) are increasingly popular. These devices are not only used by consumers to monitor their own levels of PA but also by researchers to track the behavior of large samples. Consequently, it is important to explore how accurately PA can be tracked via these devices.

OBJECTIVES

The aim of this study was, therefore, to investigate convergent validity of 3 Android Wear smartwatches—Polar M600 (Polar Electro Oy, Kempele, Finland), Huawei Watch (Huawei Technologies Co, Ltd, Shenzhen, Guangdong, China), Asus Zenwatch3 (AsusTek Computer Inc, Taipei, Taiwan)—and Fitbit Charge with an ActiGraph accelerometer for measuring steps and moderate to vigorous physical activity (MVPA) on both a day level and 15-min level.

METHODS

A free-living protocol was used in which 36 adults engaged in usual daily activities over 2 days while wearing 2 different wearables on the nondominant wrist and an ActiGraph GT3X+ accelerometer on the hip. Validity was evaluated on both levels by comparing each wearable with the ActiGraph GT3X+ accelerometer using correlations and Bland-Altman plots in IBM SPSS 24.0.

RESULTS

On a day level, all devices showed strong correlations (Spearman r=.757-.892) and good agreement (interclass correlation coefficient, ICC=.695-.885) for measuring steps, whereas moderate correlations (Spearman r=.557-.577) and low agreement (ICC=.377-.660) for measuring MVPA. Bland-Altman revealed a systematic overestimation of the wearables for measuring steps but a variation between over- and undercounting of MVPA. On a 15-min level, all devices showed strong correlations (Spearman r=.752-.917) and good agreement (ICC=.792-.887) for measuring steps, whereas weak correlations (Spearman r=.116-.208) and low agreement (ICC=.461-.577) for measuring MVPA. Bland-Altman revealed a systematic overestimation of the wearables for steps but under- or overestimation for MVPA depending on the device.

CONCLUSIONS

In sum, all 4 consumer-level devices can be considered accurate step counters in free-living conditions. This study, however, provides evidence of systematic bias for all devices in measurement of MVPA. The results on a 15-min level also indicate that these devices are not sufficiently accurate to provide correct real-time feedback.
A percepção do consumidor de carne ovina e caprina no município de Olho d’Água – PB
Authors: Pessoa Rosa Maria , Gois Glayciane Costa , Santos Luana de Fátima Damasceno dos
Published: May 2018

The objective was to evaluate the consumption of goat and sheep meat in the municipality of Olho d'Água - Paraíba. A total of 80 questionnaires containing 12 questions about sex, age, civil status, monthly income, schooling, consumption, reasons for not consuming, frequency of consumption, place of purchase, influence on purchase, preference for type of cut and consumption of “buchada” were applied. The results showed that the majority of respondents were female (62,5%), ranging in age from 16 to 30 years (81,25%), monthly income from R$ 260 to 500 (48,75%) and high school complete (37,5%). 62,5% of the interviewees consume goat and sheep, those who do not consume goat/sheep claimed that these meats are greasy (65%), presenting a "rancid". 53% of the interviewees consume sheep and goats weekly. The free market (45,30%) is the main place of purchase The price (45,27%) is the factor that most influences the time of purchase. The cut back (shank) is preferred by the interviewees (39,44%). Regarding “buchada”, 61% of respondents appreciate it while 39% do not like this delicacy. Thus, it can be concluded that goats and sheep are very consumed by the population of Olho d'Água - PB. Incentives should be carried out with the aim of increasing consumption through the dissemination of nutritional quality and the benefit that this product brings to human health.
Produtividade de forragem e composição química de Stylosanthes capitata cv. Lavradeiro sob níveis de fósforo
Authors: Costa Newton , Paulino Valdinei Tadeu Paulino , Gianluppi Vicente , Bendahan Amaury Burlamaqui , Magalhães João Avelar
Published: May 2018

The effects of phosphorus levels (0, 40, 80 and 120 kg of P2O5 ha-1) on green dry matter (GDM), chemical composition and nodulation of Stylosanthes capitata cv. Lavradeiro were evaluated under field conditions in Roraima´s savannas. Phosphorus fertilization increased significantly (P
Rethinking the Performer: Towards a Devising Performance Practice
Authors: Jennifer Torrence
Published: May 2018

The performer’s perspective and the impact of collaboration on the performer’s artistic practice is often overlooked in frameworks designed to analyze collaboration in contemporary music. The conception of what a performer is ‘for’ in the development of a new musical piece is, at least in part, what constitutes a performer’s artistic practice, whether that is the performer as an interpreter and executor of scores, as an adviser to the composer, and/or as a co-creating deviser. The interpreter-adviser-deviser model is conceived as a framework for considering the ways composer-performer collaborations can influence and contribute to the construction of a performer’s artistic practice and subjectivity. Collaboration is not only a method of creating new works, it's also a method for creating artistic practices. Drawing on examples of devised practices as exhibited in Jennifer Torrence’s artistic research, practices which are communicated through reflections, dialogues, images, and videos, the article ultimately argues that it is the performer as deviser that offers the most radical rethinking of the purpose, role, and potential of the performer in contemporary music collaboration.
V e r t i k a l a k u s t i k med horisontell prosodi
Authors: sten sandell
Published: May 2018

Free improvised music allows me as a musician to be able to change direction at any time. Free improvised music is the only form of music where I can completely change my way of playing depending on the character of the room or the space. The room becomes a co-player that I can either go along with or resist. In my project I investigate different ways to explore and clarify how changes of direction in free improvisation can be performed and how the spatial conditions and other conditions affect the way the music is played. The form of improvised music I am examining is extremely dialogue-oriented, where action and reaction within the dialogue in the room play a vital role in the process. What I would like to try out and demonstrate is how a sonic language entirely based on the participants’ sensitivity can be moulded, i.e. a language that is altogether based on the listening and playing of a person in a particular space. The sounding image process that becomes a link to the narrative text. Through the use of sound, text and image, and all their mixed forms, and drawing from my experiences as a musician and composer, I hope it will be possible for you to follow this twisty way toward something.
1 place 33 rooms – Portrait of a house
Authors: Christine Petersen
Published: May 2018

1 place 33 rooms
“Memory, including collective memory, is linked to houses. When we eradicate a place in the exterior world, we lose a major pathway into our own history.” Lena Lindgren, Morgenbladet, 2. November 2012

The project is based on a real place, a house in Oslo. I am interested in how our memory connects with places and houses, in expanding our understanding of what a house and a place are, seen from the perspective of our own cultural background, time and history – and in the perceptions and experiences that are associated with it. In the significance of how the rooms are organised in relation to each other and what happens if the room is freed from the context in which it stands. It is rare to experience an isolated room that doesn’t relate to anything else, torn from its place, time and spatial context. The neutral room simply doesn’t exist. A key aspect of architecture is the experience of going from one room to another. The way the rooms are organised in relation to each other affects the sense of what it is like to be in the house. From the starting point that architecture begins with a single room, I have explored what criteria a space has to fulfil to be called a room and how big it has to be. Everyone relates to rooms – whether it is a private room like a bedroom, kitchen, dining room, or a public space such as a café, library or railway station. The work comprises six physical installations, plus the book and archive “33 fortellinger” (33 stories).
luxurious migrant // performing whiteness
Authors: Stacey Sacks
Published: May 2018

Stacey Sacks is a PhD candidate in Performing Arts at Stockholm’s University of the Arts. Her Doctoral Project *This Untethered Buffoon or the Trickster in Everything* takes form as a suite of hyper-disciplinary experiments with mask, clown, stop-motion animation, film, photography, sculpture, text, drawing and performance.

Drawing on Gayatri Chakravorty Spivak’s concept of ‘critical intimacy’ the performance-essay 'luxurious migrant' reflects on whiteness and privilege and the performance of it. As an intra-cultural, auto-ethnographic excavation it attempts and possibly fails to critically engage with notions of access, authority and power from within the cultural canon. As such it is a creative experimentation with theory and performance, an exploration of the improvisatory impulse and what it means to be ‘on’ the moment.

Since clown naturally contains transgressive elements, the project explores how the genre can be used in a neo-colonial context to subvert or interrupt the dominant discourse, whether satire and parody function as activism and if it is in fact possible to push back white supremacy through critical engagement and play, starting with a robust self-critique.
Under the Mirroring Surface
Authors: Adam Kraft
Published: May 2018

In my work I experiment with interventional urban commons, through practices of altering and re-purposing existing structures. The work is both informal and transgressive in its methodology, with the core intention to investigate and participate in the shaping and making of the social city. Art and research can provide keys to accessing such a city in the making; a space where we can challenge the preconceptions of what is possible, and to imagine alternative strategies for the creation of realities.
This article presents a theoretical frame work together with a number of strategies practiced under the Lefebvrian concept of the ‘Right to the City.’
Maturidade da Cultura de Segurança no Trabalho: Aplicação do Modelo de Hudson em um Laticínio no Sudoeste do Paraná
Authors: Buffon Gabriela , De Aguiar Jairo Leonardi , Godarth Kellerman Augusto Lemes
Published: May 2018

O estudo buscou analisar o grau de maturidade da cultura de segurança no trabalho do setor operacional de um laticínio localizado no Sudoeste do Paraná. A abordagem quantitativa fez uso de questionário fechado, baseado no modelo de análise da maturidade da cultura de segurança proposto por Hudson (2001 apud Gonçalves, 2011). A pesquisa foi feita junto a uma amostra de 47 funcionários operacionais e três gestores da empresa responsáveis pela área de segurança e prevenção de acidentes de trabalho do laticínio. Como principais resultados, os funcionários operacionais atribuem grau de maturidade da cultura de segurança no trabalho no estágio “sustentável”, enquanto, para a gerência, a maturidade da cultura de segurança encontra-se no estágio “proativo”. O estudo aponta os fatores “envolvimento” e “aprendizagem organizacional” como demandantes de ações de melhoria, visando reposicionamento entre os estágios de maturidade da cultura de segurança no trabalho na empresa.
Dos Fragmentos à Complexidade: Princípios para a Construção da Estratégia no Século XXI
Authors: Terra Leonardo Augusto Amaral , Passador João Luiz
Published: May 2018

Este esforço de pesquisa visa apontar orientações epistemológicas sobre como as investigações na área de gestão devem ser tratadas e as consequências metodológicas dessa mudança de percepção, visando possibilitar o surgimento de um espaço teórico reflexivo, capaz de responder à complexidade dos cenários contemporâneos. Para tanto, foi desenvolvida uma pesquisa teórica, cujo resultado apontou que, para romper com a lógica fragmentadora que permeia a própria estrutura de apreensão do conhecimento na área de gestão, é preciso que as abordagens multimétodos se tornem parte do cotidiano das pesquisas na área da estratégia, estruturadas para abarcar as etapas teóricas, empíricas, indutivas e dedutivas de forma a permitir uma completa compreensão dos fenômenos relacionados ao processo estratégico.
Bridge Device for Mounting and Local Adjustment of Wireless Sensor Network
Authors: Georgiev Stiliyan Yordanov , Kolev Hristo Gospodinov , Todorov Petko Alexandrov
Published: May 2018

The remote sensor networks are used for collecting area-specific data and retransmit them through radio for further processing. For proper mounting and initial functional test of sensors as part of a larger sensor field system is comfortably to use portable bridge devise for mounting and local adjustment of sensor system. The devise translates the sensor system radio communication channel to the widely used Bluetooth standard. Such way any available smart devise can be used as input-output terminal for communication and adjustment of sensors part of the sensor system. The created radio bridge device is compact, functional, cheap and a useful addition to any LoRa sensor system.
Modeling the Probability Distribution of Coordinates of Target, Detected by Two Sensors in Their Intersection Zone
Authors: Varbanov Vladimir D.
Published: May 2018

Sensors ability to accurately determine the coordinates of a target is often limited to one or two spatial coordinates, in example range at expense angle, as the accuracy is further degraded by noise of the signal. The problem can be mitigated by fusing the data of more than one sensor. The variance the fused coordinates can be evaluated theoretically or computationally through modeling. The paper focuses of the second approach.
Role of Big Data in Business and Information Technology
Authors: Patil Deepali Deoram
Published: May 2018

This paper aims to evaluate the significance of the impact of big data in various fields and determine its future in those areas. A comprehensive review of literature on influence and trends of big data variables with respect to different fields built hypothetical foundation of the paper. The big data is a tremendous amount of structured and unstructured data that provides major insights into a particular field which further supports the decision-making systems and builds the foundation of company’s competitiveness. Data contributes in the processing, evaluation, understanding and decision-making steps. Big data influences every area that constitutes of pools of data. This proposed paper is beneficial to accumulate the knowledge regarding the hidden patterns and insights of big data variables and assess the value of it in major areas such as business and information technology.
Biomarkers development for early detection of cancer: Reducing the burden of cancer in the ageing society
Authors: Paneghetti Laura , Gallotta Andrea , Parrozzani Chiara , Fassina Giorgio
Published: May 2018

The ageing process in the European society will become one of the key driving forces of change over the next decades. The specific demands of older generations constitute a key market of the future, and the pressure to improve and expand health services increases, especially as far as chronic diseases, such as cancer. Availability of cost effective cancer early detection protocols, based on predictive biomarkers, will improve patients management reducing consequently the high costs associated to treating patients when the disease is at an advanced stage.
Low Anisakis-specific IgE prevalence in dyspeptic patients in Italy – a retrospective study
Authors: Bruschi Fabrizio , Castagna Barbara , Mori-Ubaldini Francesca , Pinto Barbara , Costa Francesco , Bonino Ferruccio
Published: May 2018

The aims of this case-control study were to determine the prevalence of
Anisakis
-specific IgE in patients reporting chronic or acute gastrointestinal (GI) symptoms and to investigate the correlation with raw fish ingestion habits.

A group of patients undergoing gastric endoscopy and a control group of healty subjects answered a self-administered questionnaire on their food habits, presence of symptoms (both allergic and not allergic), and general life style. The presence of anti-Anisakis IgE has been evaluated using a serum immunoCAP assay.

Our data show a low prevalence of IgE directed against Anisakis allergens in Italy in dyspeptic patients, despite the high consumption of poorly cooked fish. These findings does not correlate with the results of studies from other Mediterranean countries, such as Spain, for example.

The general prevalence of Anisakis allergens sensitization in Italy could be further investigated through screenings in the allergic population, especially on those patients who claim to have developed a fish allergy and with history of raw fish consumption. Moreover, the attention should be moved on recent allergic reactions associated with fishing ingestion. This could in fact indicate a recent encounter with the parasite. Finally, we must underline that the evaluation of Anisakis-specific IgG would have probably shown a difference in terms of exposure between the two groups; thus, it might be useful to detect also this antibody class in future population-based studies.
Kompetensi Komunikasi Politik Politisi Perempuan Jawa Timur
Authors: Indriastuti Yudiana
Published: May 2018

As politicians, women have the ability to politicize well. Some local leaders held by women are able to perform well in developing the region. Some women politicians are able to have a strategic role as chairman or deputy chairman of the commission although there are not many. It's just that their activities and actions are never exposed in the media. With the exposure of women politicians in constituent media and the public knows who and how they are so when performing political functions will be easier than when they are not known to anyone. In this research, the competence of interpersonal communication in women politicians is weak. Women politicians are very weak in the mastery of knowledge about politics so that the process of adaptation is not good. The leadership factor currently held by women politicians contributes in building the communication competence of women politicians, although not large. The contribution is more evident when women politicians become the number one in an area. The leadership factor currently held by women politicians contributes in building the communication competence of women politicians, although not large. The contribution is more evident when women politicians become the number one in an area Keywords: female politicians, political communication competence