bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnostic Accuracy of Smartwatches for the Detection of Cardiac Arrhythmia: Systematic Review and Meta-analysis
Authors: Nazarian Scarlet , Lam Kyle , Darzi Ara , Ashrafian Hutan
Published: June 2021

Background

Significant morbidity, mortality, and financial burden are associated with cardiac rhythm abnormalities. Conventional investigative tools are often unsuccessful in detecting cardiac arrhythmias because of their episodic nature. Smartwatches have gained popularity in recent years as a health tool for the detection of cardiac rhythms.

Objective

This study aims to systematically review and meta-analyze the diagnostic accuracy of smartwatches in the detection of cardiac arrhythmias.

Methods

A systematic literature search of the Embase, MEDLINE, and Cochrane Library databases was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to identify studies reporting the use of a smartwatch for the detection of cardiac arrhythmia. Summary estimates of sensitivity, specificity, and area under the curve were attempted using a bivariate model for the diagnostic meta-analysis. Studies were examined for quality using the Quality Assessment of Diagnostic Accuracy Studies 2 tool.

Results

A total of 18 studies examining atrial fibrillation detection, bradyarrhythmias and tachyarrhythmias, and premature contractions were analyzed, measuring diagnostic accuracy in 424,371 subjects in total. The signals analyzed by smartwatches were based on photoplethysmography. The overall sensitivity, specificity, and accuracy of smartwatches for detecting cardiac arrhythmias were 100% (95% CI 0.99-1.00), 95% (95% CI 0.93-0.97), and 97% (95% CI 0.96-0.99), respectively. The pooled positive predictive value and negative predictive value for detecting cardiac arrhythmias were 85% (95% CI 0.79-0.90) and 100% (95% CI 1.0-1.0), respectively.

Conclusions

This review demonstrates the evolving field of digital disease detection. The current diagnostic accuracy of smartwatch technology for the detection of cardiac arrhythmias is high. Although the innovative drive of digital devices in health care will continue to gain momentum toward screening, the process of accurate evidence accrual and regulatory standards ready to accept their introduction is strongly needed.

Trial Registration

PROSPERO International Prospective Register of Systematic Reviews CRD42020213237; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=213237.
Effectiveness of eHealth Interventions in Improving Medication Adherence for Patients With Chronic Obstructive Pulmonary Disease or Asthma: Systematic Review
Authors: Schulte Mieke H J , Aardoom Jiska J , Loheide-Niesmann Lisa , Verstraete Leonie L L , Ossebaard Hans C , Riper Heleen
Published: June 2021

Background

Poor treatment adherence in patients with chronic obstructive pulmonary disease (COPD) or asthma is a global public health concern with severe consequences in terms of patient health and societal costs. A potentially promising tool for addressing poor compliance is eHealth.

Objective

This review investigates the effects of eHealth interventions on medication adherence in patients with COPD or asthma.

Methods

A systematic literature search was conducted in the databases of Cochrane Library, PsycINFO, PubMed, and Embase for studies with publication dates between January 1, 2000, and October 29, 2020. We selected randomized controlled trials targeting adult patients with COPD or asthma, which evaluated the effectiveness of an eHealth intervention on medication adherence. The risk of bias in the included studies was examined using the Cochrane Collaboration’s risk of bias tool. The results were narratively reviewed.

Results

In total, six studies focusing on COPD and seven focusing on asthma were analyzed. Interventions were mostly internet-based or telephone-based, and could entail telemonitoring of symptoms and medication adherence, education, counseling, consultations, and self-support modules. Control groups mostly comprised usual care conditions, whereas a small number of studies used a face-to-face intervention or waiting list as the control condition. For COPD, the majority of eHealth interventions were investigated as an add-on to usual care (5/6 studies), whereas for asthma the majority of interventions were investigated as a standalone intervention (5/7 studies). Regarding eHealth interventions targeting medication adherence for COPD, two studies reported nonsignificant effects, one study found a significant effect in comparison to usual care, and three reported mixed results. Of the seven studies that investigated eHealth interventions targeting medication adherence in asthma, three studies found significant effects, two reported nonsignificant effects, and two reported mixed effects.

Conclusions

The mixed results on the effectiveness of eHealth interventions in improving treatment adherence for asthma and COPD are presumably related to the type, context, and intensity of the interventions, as well as to differences in the operationalization and measurement of adherence outcomes. Much remains to be learned about the potential of eHealth to optimize treatment adherence in COPD and asthma.
The Utilization, Innovation and Development of CBL in Clinical Medical Education during the COVID‐19 Pandemic (Preprint)
Authors: Xu Langyu
Published: June 2021

UNSTRUCTURED

Background: The COVID-19 pandemic has severely prevented the traditional face-to-face teaching, including the case-based learning (CBL), in medical education. While learning and instructing online has become the main way of teaching worldwide during the pandemic, it cannot yet fully meet the needs of medical students to improve their clinical thinking ability that requires experience in the hospital. Therefore, the online CBL shows special advantages in the situation. Here, we have examined the advantages and limitations, innovation, and recent development of internet based CBL (I-CBL) in clinical medical education to not only meet the challenges brought about by the COVID-19 pandemic, but also put forward new directions for internet based future medical education. Methods: We compared three leading methods of I-CBL described in the literature, i.e., WeChat, Online Conference, and Online Learning Platform. We analyzed the key development of I-CBL and then suggested new directions for further expanding it. Results: WeChat has more advantages over the other two methods in many aspects in China, where it is the main smart phone app for communication. Therefore, it is recommended that universities adopt WeChat or similar apps to enable I-CBL. Conclusion: There are still many gaps in the development of I-CBL. Compared with the short-term impact of the COVID-19 pandemic, the long-term impact and significance of I-CBL is more noteworthy. Colleges and universities should be prepared to invest into integrating high-tech with I-CBL to modernize medical education in the internet 5G age.
Analysis of Body Mass Index (BMI) Trends Among a Pediatric Dental Patient Population: A Pilot Study. (Preprint)
Authors: Su Tengfei , Jackson Mac , Sacry Keaton , MPH Karl Kingsley
Published: June 2021

BACKGROUND

Over the past few decades, a growing trend of overweight and obesity has emerged among the pediatric population. This is a cause of significant concern as these are significantly correlated to other negative oral and systemic health outcomes over time. Although measurement of body mass index (BMI) is common among pediatric physicians and primary care providers, few studies have explored the feasibility of BMI measurement and analysis from pediatric dental providers.

OBJECTIVE

The primary objective of this study was to compile and analyze pediatric BMI measurements taken from a pediatric dental school patient population.

METHODS

This study was a retrospective analysis of previously collected data of pediatric patients between 2012 and 2019 (N=451), which was reviewed and approved by the Institutional Review Board (IRB). Descriptive statistics and trend analysis were compiled to determine the trends in pediatric BMI over time.

RESULTS

Nearly equal percentages of females and males were represented in the study (P=0.432), with the overwhelming majority identified as racial/ethnic minorities (84.5%), P=0.0075. These data revealed that pediatric BMI increased significantly from 25.6 in 2012 to 31.3 in 2018 (22.1%), P=0.031. No significant differences between males and females were observed (P=0.4824) or between minority and non-minority patients (P=0.8288).

CONCLUSIONS

This study provides significant novel temporal information regarding pediatric BMI among this low-income, minority patient population and highlights the need for expanding the dental school (and pediatric dental residency) curriculum to include more topics related to measuring and tracking overweight and obese children and the most appropriate methods for use in the pediatric dental office.
Testing an mHealth System for Individuals With Mild to Moderate Alcohol Use Disorders: Protocol for a Type 1 Hybrid Effectiveness-Implementation Trial (Preprint)
Authors: Park Linda S , Chih Ming-Yuan , Stephenson Christine , Schumacher Nicholas , Brown Randall , Gustafson David , Barrett Bruce , Quanbeck Andrew
Published: June 2021

BACKGROUND

The extent of human interaction needed to achieve effective and cost-effective use of mobile health (mHealth) apps for individuals with mild to moderate alcohol use disorder (AUD) remains largely unexamined. This study seeks to understand how varying levels of human interaction affect the ways in which an mHealth intervention for the prevention and treatment of AUDs works or does not work, for whom, and under what circumstances.

OBJECTIVE

The primary aim is to detect the effectiveness of an mHealth intervention by assessing differences in self-reported risky drinking patterns and quality of life between participants in three study groups (self-monitored, peer-supported, and clinically integrated). The cost-effectiveness of each approach will also be assessed.

METHODS

This hybrid type 1 study is an unblinded patient-level randomized clinical trial testing the effects of using an evidence-based mHealth system on participants’ drinking patterns and quality of life. There are two groups of participants for this study: individuals receiving the intervention and health care professionals practicing in the broader health care environment. The intervention is a smartphone app that encourages users to reduce their alcohol consumption within the context of integrative medicine using techniques to build healthy habits. The primary outcomes for quantitative analysis will be participant data on their risky drinking days and quality of life as well as app use from weekly and quarterly surveys. Cost measures include intervention and implementation costs. The cost per participant will be determined for each study arm, with intervention and implementation costs separated within each group. There will also be a qualitative assessment of health care professionals’ engagement with the app as well as their thoughts on participant experience with the app.

RESULTS

This protocol was approved by the Health Sciences Minimal Risk Institutional Review Board on November 18, 2019, with subsequent annual reviews. Recruitment began on March 6, 2020, but was suspended on March 13, 2020, due to the COVID-19 pandemic restrictions. Limited recruitment resumed on July 6, 2020. Trial status as of November 17, 2021, is as follows: 357 participants were enrolled in the study for a planned enrollment of 546 participants.

CONCLUSIONS

The new knowledge gained from this study could have wide and lasting benefits related to the integration of mHealth systems for individuals with mild to moderate AUDs. The results of this study will guide policy makers and providers toward cost-effective ways to incorporate technology in health care and community settings.

CLINICALTRIAL

ClinicalTrials.gov NCT04011644; https://clinicaltrials.gov/ct2/show/NCT04011644

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/31109
The role of digital health for post-surgery care of older patients with hip fracture: a scoping review (Preprint)
Authors: Zhang Jing , Ge Yufeng , Yang Minghui , Ivers Rebecca , Webster Ruth , Tian Maoyi
Published: June 2021

BACKGROUND

Digital health interventions have the potential to improve the integration of health care at all system levels. Hip fracture is a serious injury for older people and integrated post-surgery care for hip fracture is vital for good recovery.

OBJECTIVE

The aim of this study was to understand and characterise digital health interventions used for hip fracture post-surgery care, and further to examine the extent to which of these digital health interventions address the six domains of the World Health Organisation (WHO) integrated care for older people framework.

METHODS

A scoping review was conducted, by searching the literature from English and Chinese electronic databases and trial registries, including Medline, EMBASE, ProQuest, PsycINFO, The Cochrane library, CINAHL, Open Science Framework, Clinicaltrials.gov, VIP, China National Knowledge of Infrastructure (CNKI) and Wanfang. Keywords used in the English database included hip fracture, post-surgery care and digital health interventions, while Chinese keywords included “Kuan Bu Gu Zhe (hip fracture)”, “Shu Hou Kang Fu (post-surgery care)” and “Shu Zi Jian Kang (digital health)”. Interventional, observational, qualitative studies as well as case reports and study reports were included in this study. We used a combined framework, the WHO integrated care for older people and WHO digital health intervention classifications, to support data synthesis.

RESULTS

A total of 4,542 articles were identified, of which 39 studies were included in the analysis. We identified only six randomised controlled trials. Digital health interventions were mainly used to help doctors provide clinical care and facilitate service delivery between the patients, caregivers and health providers. No studies focused on health workforce, financial policy or the development of infrastructure. The primary users of digital health interventions were limited to healthcare providers and patients, with no studies involving healthcare managers or the use of data services to support the data collection, management, use and exchange. From the post-surgery care perspective, most digital health interventions focused on physical therapy, bone protection and falls prevention. The functionalities of digital health interventions were mainly limited to health education or promotion and providing remote services. There were limited interventions implemented in low-and middle-income countries.

CONCLUSIONS

There are opportunities to expand the use of digital health for post-surgery care of hip fracture patients, but this requires a stronger evidence base, including high-quality larger-scale studies, more focus on application in resource-constrained settings, expanding to more users and capabilities of interventions, and exploring the role of digital health for the integrated care model to mitigate health system challenges.
Chatbot using Zomato API
Authors: Aghi Kushagar
Published: June 2021

Chatbots are program that interact with humans using natural language like English. Computer based chatbots are getting to be distinctly famous as an intuitive and successful open framework between human and machines. They provide conversational output in response, and if commanded, can sometimes also execute tasks. One such bot is being designed in this project, where data about restaurants on the basis of some inputs are collected. Using this data, chatbot is trained to answer the queries. Our project describes the design and development of a conversational agent called Intelligent-Bot. Any questions regarding the restaurant details, are all answered by restaurant search bot.
A Fast and Accurate System for Face Mask Detection in Public Places
Authors: Naushad Nourin
Published: June 2021

Changes in the way of life of everybody around the world. In those progressions wearing a cover has been indispensable to each person. Location of individuals who are not wearing veils is a test because of Outbreak of the Coronavirus pandemic has made different the enormous number of populaces. The COVID-19 pandemic has reshaped life. Numerous of us are remaining at home, staying away from individuals in the city and changing every day propensities, such as going to class or work, in manners we never envisioned. While we are changing old practices, there are new schedules we need to receive. Most importantly is the propensity for wearing a veil or face covering at whatever point we are in a public space. Veils and face covers can forestall the wearer from communicating the COVID-19 infection to other people and may give some assurance to the wearer. All-inclusive cover use can altogether diminish infection transmission locally by forestalling anybody, including the individuals who are accidentally conveying the infection, from communicating it to other people. Along these lines, the significance of wearing veil and its identification is exceptionally clear. Face veil recognition frameworks are currently progressively significant, particularly in keen medical clinics for viable patient consideration. They're likewise significant in arenas, air terminals, stockrooms, and other swarmed spaces where pedestrian activity is weighty and security guidelines are basic to defending everybody's wellbeing. Face veil recognition framework can guarantee our security and the security of others. This task can be utilized in schools, clinics, banks, air terminals, and so forth as a digitized examining instrument. The procedure of recognizing individuals' countenances and isolating them into two classes in particular individuals with covers and individuals without covers is finished with the assistance of picture handling and profound learning. With the assistance of this task, an individual who is expected to screen individuals can be situated in a far off region furthermore, still can screen productively and give directions appropriately. Different libraries of python like Open CV, Tensor Flow and Keras are utilized. In Deep Learning Convolution Neural Networks is a class Deep Neural Networks which is used to prepare the models in this task.
A Smart Baby Monitoring System an IOT based Smart Cradle System
Authors: Dhake Swati
Published: June 2021

Availability of high speed web and wide use of mobile phones ends up in gain the recognition to IOT. The current variety of operating mothers has greatly exaggerated. This paper presents the planning of good Cradle that supports the planning of good Cradle that supports such Video observation. The Cradle swings mechanically on detection of baby cry sound. later on, baby care has become a daily challenge for several families. Thus, most parents send their babies to their grandparent’s house or to baby care homes. However, the oldsters cannot ceaselessly monitor their babies’ conditions either in traditional or abnormal things. Therefore, a web of Things-based Baby Monitoring System is projected as Associate in Nursing economical and low-priced IOT-based system for observation in real time. We also providing a live video police work for our system that plays a key role in providing higher baby care whereas oldsters square measure away. within the designed system. The projected system exploits sensors to watch the baby's very important parameters, such as ambient temperature and wetness sensing, moisture, and crying, vaccination remainder, the system design consists of a baby cradle that may mechanically swing employing a motor once the baby cries. oldsters can even monitor their babies condition through Associate in Nursing external internet camera and turn on the lullaby toy situated on the baby cradle remotely. The proposed system paradigm is invented and tested to prove its effectiveness in terms of price and ease and to ensure safe operation to change the baby-parenting anyplace and anytime through the network. projected system provides Associate in Nursing alarm once the smoke is detected, therefore if there's fireplace then oldsters will reach to their infants. Finally, the baby observation system is tried to figure effectively in observation the baby's state of affairs and encompassing conditions according to the paradigm
Infrared Thermometer using Arduino
Authors: Kumar Prof. Dharmesh
Published: June 2021

In gift things, social distancing is that the most vital reality. Moreover, the very fact is COVID-19 patient's initial symptom is vital sign is high. the explanation why, measure body temperature is most vital, however has to maintain social distancing. Whereas ancient thermometers can’t confirm of social distancing, wherever our developed contactless measuring system are able to do temperature on show by victimisation Arduino uno because the main management device also as MLX90615 because the infrared (IR) measuring system device. As a result, compared with the standard measuring system, it shows robust points like convenient reading, wide selection of temperature activity, and accuracy wherever temperature output is displayed digitally. Besides, it might be used all over attributable to its easy-handling
IoT based Wireless cARdrONE Surveillance Robot
Authors: Lavhate Mr. Atul S
Published: June 2021

A robot has been created which can be utilized for multipurpose applications identified with observation with a remote intention. It is essentially carried out for observing different conditions in the general climate. We propose a financially savvy four wheels reconnaissance robot utilizing Arduino microcontroller which utilize servomotor including DC Motor, RC beneficiary and transmitter, different sorts of various sensors and so on. A high goal camcorder is appended with the robot for securing of pictures and video from the encompassing. By watching the situational pictures and recordings, the client can find out about climate. This framework is valuable for checking in zones where there is no Internet association and furthermore the breakdown of the correspondence framework during any fiasco. Our venture "Wireless cARdrONE Surveillance Robot" portrays the degrees and strategies referenced previously
Solar Powered Smart Irrigation System with GSM for Agriculture
Authors: Dandhare Niketan B.
Published: June 2021

Most of the Indian people are dependent on agriculture and for this reason our country’s economy is mainly dependent on agriculture, so efficient agriculture requires proper irrigation and can improve our country’s economy accordingly. We can achieve this with the help of various electronic devices and through its use we can get proper irrigation in this field in an automated manner. Project Irrigation and Water Level Control using AT89S52 designed to address agricultural sector issues related to irrigation and water monitoring systems with available water resources. Prolonged periods of dry weather conditions due to fluctuations in annual rainfall can significantly reduce agricultural yields. Profiteering companies need an efficient irrigation system as their intolerance to the cost and drought of establishing these crops. On this project we're the usage of AT89s52 (8051 microcontroller), humidity sensor, dc water pump, relay driving force, level sensor, gsm modem, sun panel, battery etc. A sprinkler turns on / off depending on soil moisture condition and condition. The motor can be displayed in text messages via the GSM model on a 16X2 LCD. Also, the water level can be monitored by level sensors. It helps to know the availability of water at the input source
Device to Device based Women Safety System
Authors: Bisht Yogesh Singh
Published: June 2021

Device-to-device (D2D) communication, which offers ultra-low latency for user communication, is projected to play a large role in future cellular networks. This new mode could work in either licensed or unlicensed spectrum. It's a fresh take on the classic cellular communication model. Its advantages, however, come with a slew of technological and financial difficulties that must be addressed before it can be fully integrated into the cellular ecosystem. This paper discusses the main characteristics of D2D communication and how we can use this to build Human Safety Device.
Analysis of Beam Forming Antenna using Soft-Computing Techniques
Authors: Maddineni Bhavyasri
Published: June 2021

Antenna Beam forming is a technology or a technique that is finding increasing use in systems of cellular telecommunication, especially 5G, as well as many other wireless systems. Beam forming refers to the formation of a beam of energy from a set of phased arrays. With the use of phased arrays, it is possible to control the direction and shape of the beam from multiple antennas, based on the spacing between antennas and the phase of signal from each antenna element in the array. Beam forming focuses a wireless signal towards a specific receiving device, rather than having the signal spread in all directions from the broadcast antenna. By focusing signal in specific direction, the beam forming technique allows delivery of higher signal quality to the receiver, which would result in faster information transfer with fewer errors and without the need to boost the broadcast power. Beam forming technique is also used to reduce the interference of signals. Beam forming is majorly involved with computing resources which requires high time and power resources. Parameters that would be analyzed during this project are Half Power Beam width (HPBW), First Null Beam width (FNBW), Gain, Voltage Standing Wave Ratio, Front to Back Power Ratio, Side Lobe Levels.
Arduino based Home Kitchen Air Monitoring System
Authors: Bhargava Gaurav
Published: June 2021

Home Kitchen Air pollution is an addition of harmful substances in the atmosphere, which results in environmental damage. The industrial development and reduction in forests which are two main root cause of air pollution has increased the death rates people dying from diseases like breathing problem and lung cancer. So, to fight against this serious threat to mankind, we decided to standby this society and we made our mind to do something to detect the amount of impurities in the air and considerably reduce the amount of impurity present in the air. In the project, we are detecting impurities using gas sensor. Impure air is input to the gas sensor. The sensor is connected to the Arduino which consist of code which will help us in detecting the amount of impurities in the air. After taking the inputs regarding the amount of impurities from the doctor we have set a limit up to which extent impurities are not harmful. If the limit exceeds then a buzzer sounds along with LCD display which gives us the information that it’s time to switch ON the filtering device. After that filtering device gets turned ON and home kitchen air gets purified. Coming to applications it can be used in the place where there is a need of oil mist collectors, dust collectors, UV air purifiers etc. Which is defined to describe acute health and discomfort effects that appear to be linked to poor kitchen air quality and the time spent in a building. In this project, we are going to present an kitchen air quality monitoring system. Our system is connected to the sensor, and as a result we will get good air.
Design of a Reduced BER Millimetre Waves Model using MIMO and OFDM Communication System
Authors: Varade Dr. Suchita W.
Published: June 2021

The motivation behind this paper is to present another technique for isolating remote correspondence, (for example, the 802.11a/b/g/n and cell UMTS MAC conventions) across numerous problematic correspondence joins (like Ethernet) utilizing milli meter waves MIMO correspondence. The object is to present the fitting equipment, programming, and framework design needed to give the premise to a remote framework (utilizing a 802.11a/b/g/n and cell conventions as a model) that can scale to help a huge number of clients at the same time (say in a huge place of business, super corporate retailer, and so forth) or in a little, however extremely thick correspondence RF area. Components of correspondence between a base station and a Mobile Station will be examined measurably to exhibit higher throughput, less crashes and lower bit mistake rates (BER) with the given transmission capacity characterized by the 802.11n remote detail (utilization of MIMO channels will be assessed). Another organization nodal worldview will be introduced. Elective connection layer correspondence strategies will be suggested and broke down for the impact on cell phones. The examination will depict how the calculations utilized by state machines executed on Mobile Stations and Wi-Fi customer gadgets will be impacted by new base station transmission conduct. New equipment plan strategies that can be utilized to improve this engineering just as equipment plan standards concerning the insignificant equipment practical squares needed to help such a framework configuration will be portrayed. Recreation plan and check reproduction procedures to demonstrate the plan will oblige a worthy degree of execution to meet the exacting planning as it identifies with this new framework engineering.
Catia Customization for Design and Modeling of Two Stage Spur Gearbox
Authors: Patwardhan Mayuresh V.
Published: June 2021

In this paper, we describe how the customization of design task, in solid modeling with CATIA V5 for two stage spur gearbox can be approached, by means of macros (piece of code) and with GUI form. The user has to supply some basic requirements of the gearbox and rest of the different parameters for design of gearbox is calculated by formulas. And then with the help of these parameters, part model of gearbox is created.
One District One Product of India
Authors: Srivastava Dolley
Published: June 2021

The Aim of this research paper is to develop a website used to find products and crafts in INDIA on a single platform – like the ancient craft, world-famous work on clothes which aims to encourage such indigenous and specialized products and crafts. The “ONE DISTRICT ONE PRODUCT”(ODOP) website has been conceived with the view to provide a platform to sell indigenous and specialized products and crafts made in various districts of various states which is very helpful in providing employment.
DIREITO À SAÚDE E A RESERVA DO POSSÍVEL
RIGHT TO HEALTH AND THE RESERVE POSSIBLE
Authors: Silva (UFPE) Josimário , Neves (Faculdade Damas) Eduardo , Santos (Instituto Apoio) Diogo
Published: June 2021

O Direito à saúde está garantido na constituição federal desde a sua promulgação em 1988, como um direito fundamental. Esse direito garante o princípio da universalidade onde qualquer pessoa sem nenhuma distinção de credo ou ideologia, inclusive estrangeiro, pode ser atendida pelo Sistema Único de Saúde em sua rede básica, de média e alta complexidade. Nesta visão, surge um problema que o Estado brasileiro vem se deparando com muita frequência, a cobertura de necessidades em saúde com orçamento limitado. Esse artigo pretende trazer alguns questionamentos e reflexões sobre o papel do judiciário nas demandas em saúde, assim como a atuação estatal na promoção do complexo direito à saúde, ao mesmo tempo um direito fundamental, individual, social e cultural, além de se revelar enquanto um bem especialmente avaliado pelo mercado.
A JUSTIÇA EM TOMÁS DE AQUINO
THE JUSTICE IN THOMAS AQUINAS
Authors: Silva - OSB (Faculdade Damas) Altamir (D. Rafael) Francisco
Published: June 2021

O percurso histórico para a compreensão do pensamento tomista sobre a justiça, se fundamenta em duas colunas basilares: a Bíblia e a Patrística. Tomás vê a justiça como o reflexo de Deus nas ações humanas quando estas praticam a misericórdia.
CONTRIBUIÇÃO DA ECONOMIA SOLIDÁRIA NAS EXPERIÊNCIAS DA ASSOCIAÇÃO DO MOVIMENTO DE MULHERES CAMPONESAS DE RIACHO DE SANTANA-BAHIA-BRASIL
Authors: Oliveira Bárbara Lourena de Sousa Santos , Garcia Rita Vieira , Lima Jessica
Published: June 2021

O presente trabalho tem a pretensão de demonstrar como as aprendizagens vivenciadas nas práticas do movimento social de mulheres e da Economia Solidária contribuíram com a inserção de mulheres camponesas nos espaços organizativos e produtivos no contexto da AMMCRS. O texto traz o perfil das mulheres e a trajetória da Associação visando à contextualização da situação e os processos desenvolvidos com as práticas, cogitando-os como elementos construtores socioeducativos. A metodologia adotada se insere no campo da pesquisa qualitativa exploratória junto com uma pesquisa-ação usando os seguintes instrumentos: roda de conversa, mapa falado, questionário e entrevista. Os resultados sugerem que as práticas da autogestão, do comércio de ciclo curto, as relações entre associadas e parcerias, além das reuniões na Associação contribuíram com o desenvolvimento pessoal e coletivo, social e político das mulheres na Associação fortalecimento da Economia Solidária localmente.
Apresentação
Authors: Fossá Juliano Luiz , Souza Marcia , Cavagnolli Murilo , Matte Alessandra , De Dios Hernández Dagoberto , De los Rios Cardona Juan Camilo
Published: June 2021

Apresentação
ELEMENTOS DE FORMACIÓN EMPRENDEDORA EN EL USO DE HERRAMIENTAS PARA LA CONSOLIDACIÓN DE MIPYMES: CASO DEL SECTOR RESTAURANTERO
Authors: Lara Salazar José Rosario , Lara Manjarrez Itzel Alejandra , Campos Sánchez Alejandro
Published: June 2021

El presente proyecto pretende analizar el impacto que tienen los conocimientos académicos (CA) y la inteligencia emocional (IE) como elementos de la formación emprendedora en la importancia percibida de planeación estratégica (PE) como factor que incide en el desarrollo y consolidación de las Micro, Pequeñas y Medianas Empresas (MiPyMEs). Asimismo, se resalta la importancia que se fomente el emprendimiento desde temprana edad ya que la población joven que tenga conocimientos teóricos adquiridos en su nivel profesional aunado a la experiencia de emprender da pauta a un nivel emprendedor mayor en México. Como metodología se realizó un análisis de correlación para conocer la relación causal entre las variables de estudio, así como un modelo de regresiones lineales, a fin de identificar la capacidad explicativa de las variables CA e IE sobre la variable importancia percibida de la PE, en los emprendedores del sector restaurantero de la Zona Metropolitana de Guadalajara (ZMG)
Family Medicine Residents’ Experience During Early Phases of the COVID-19 Pandemic
Authors: Seehusen Dean A. , Kost Amanda , Barr Wendy B. , Theobald Mary , Harper Diane M. , Eden Aimee R.
Published: June 2021

Background and Objectives: Residents have been thrust onto the front lines of the US medical response to COVID-19. This study aimed to quantify and describe the experiences of family medicine residents nationally during the early phases of the pandemic. Specific areas of interest included training received and the residents’ personal sense of safety. The purpose of this study was to look for differences among residents based on geographic location. 
Method: This May 2020 survey was conducted by the Council of Academic Family Medicine Educational Research Alliance (CERA) of a random sample of 5,000 resident members of the American Academy of Family Physicians (AAFP).
Results: The overall response rate for the survey was 5.66% (283/5,000). More than 40% of residents reported having felt in moderate to significant personal danger during the COVID-19 pandemic. Fewer than 20% had been tested for COVID-19 themselves. Among all respondents, 176 (65.7%) of the residents had provided direct patient care for COVID-19-positive patients. Most had been trained on personal protective equipment and the medical aspects of COVID-19, but 16.2% reported no training on how to care for COVID-19 patients. Minority residents, and residents in larger urban areas were less likely to receive timely training. 
Conclusions: The COVID-19 pandemic has had a major impact on family medicine residents’ medical education and their sense of safety. Regional variations in residents’ educational experiences during the pandemic exist. Training prior to COVID-19 exposure was not universal. In our sample, minority residents were less likely to receive timely training than White residents.
Significados personales del concepto de juego equitativo en niños y niñas costarricenses personales del concepto de juego equitativo en niños costarricenses
Authors: Hernández Solís Luis Armando , Batanero Bernabeu Carmen , Álvarez Arroyo Rocío , Gea Serrano María Magdalena
Published: June 2021

El objetivo de este trabajo es describir los significados personales que asigna al juego equitativo el estudiantado costarricense de sexto curso de educación primaria. A partir de un análisis cuantitativo y cualitativo de las respuestas a dos problemas asociados a la noción de juego equitativo, se describen las estrategias empleadas y conflictos semióticos detectados; también, se comparan los resultados obtenidos con los que se establecieron en la investigación previa. En general, se muestra una adecuada comprensión de la noción de juego equitativo; sin embargo, presentan grandes dificultades al justificar la ganancia según la esperanza de ganar de cada jugador y con frecuencia justifican sus respuestas con estrategias aditivas, las cuales generan respuestas incorrectas. Además, se obtuvo un rendimiento inferior respecto a los resultados consignados en estudios previos con sujetos de igual edad que no recibieron enseñanza en el tema.
Indicadores de gestión comunitaria: aportes desde la mirada de las personas directoras de instituciones educativas
Authors: Solano Castro Adrián , Bolaños Ortiz Olman , Monge Rodríguez Ingrid
Published: June 2021

En el sistema educativo costarricense la aprobación de la política educativa resalta el proceso de gestión comunitaria como un elemento para la autonomía del centro educativo. El presente estudio tiene como objetivo analizar la construcción de indicadores de gestión comunitaria desde la percepción de la persona directora. La metodología se basa en un enfoque mixto con un diseño secuencial; en la fase I se recogió información cualitativa por medio de grupos focales y en la fase II se recogió información cuantitativa por medio de encuesta. Se contó con la participación de personas directoras del Ministerio de Educación Pública, específicamente de las Direcciones Regionales Educativas de Pérez Zeledón y San Carlos.  Los resultados muestran la necesidad de construir indicadores de gestión comunitaria que le permitan a la persona gestora de la educación fortalecer la gestión, precisando decisiones y acciones en el ámbito comunitario. Además, para lograr autonomía del centro educativo es importante generar los mecanismos de evaluación y seguimiento.
Consensuar un pacto educativo en contextos de cambio: derecho de cada persona a la educación
Authors: Martins Cecilia
Published: June 2021

El derecho de cada persona a la educación resulta un elemento trasformador en sí mismo, con el potencial de transformar las vidas de las personas, comunidades y sociedades. Existe una amplia gama de marcos normativos, declaraciones y compromisos firmados y asumidos por los países de la región. Sin embargo, con tan solo mencionar el tema no es suficiente. La necesidad de un compromiso no solo político sino económico y de financiamiento de la educación, para que efectivamente pueda garantizarse el derecho a la continuidad educativa de todas las personas en un marco de educación de calidad, inclusivo y con equidad. En este sentido, también cabe destacar el valor comparativo que constituye la gobernanza y su formidable efecto de incidencia educativa al reforzar la vital importancia de la adopción de un enfoque de derechos, basado en la no discriminación, pero sobre todas las situaciones, enfocado en la igualdad de acceso y permanencia de grupos más vulnerables.
Current state of corporate governance practices in Colombia
Authors: Gaitán Sandra , Saravia Jimmy A.
Published: June 2021

In this paper, we review the current state of corporate governance in Colombia. First, we discuss the evolution of the legal framework of corporate governance including the main changes in the code of best corporate governance practices that took place since the global financial crisis of 2008. After this, we discuss key corporate governance issues such as the ownership structure of listed corporations and the market for corporate control, we analyze the practices of corporate boards of Colombian listed companies and their remuneration systems and the role of pension funds and hedge funds as shareholder activists. We also review the evidence regarding corporate governance and firm performance. Finally, we discuss the current state of corporate social responsibility (CSR) and an assessment of corporate governance specifics by industry. We conclude that there are opportunities for future research in several of these fields of study, especially regarding boards of director practices, director remuneration, and corporate social responsibility.
Clinical Pharmacist’s Contribution on Treatment Adherence and Quality of Life in Patients with Stroke: A prospective, controlled, clinical pharmacist led-educational study
Authors: Fırat Oğuzhan , Arsava Ethem Murat , Togay-Isıkay Canan , Basol Merve , Topcuoglu Mehmet A. , Demirkan Kutay
Published: June 2021

Background: Stroke is one of the leading causes of repetitive and
disability, affecting the quality of life of the patients negatively,
causing depressive symptoms. Aim: The aim of this study was to determine
the clinical pharmacist’s contribution on treatment adherence and
quality of life (QOL) in patients with stroke, and assessing patient’s
satisfaction. Methods: A total of 98 patients with first-ever stroke
were included in the study and followed up by for 3 months. This
interventional 2-phase study was conducted sequentially at two different
university hospitals. Patients in intervention group (IG) was given
education by clinical pharmacist and patient in control group (CG) was
only given routine care. Medication adherence and QOL was assessed at
discharge day, 1st and 3rd month after discharge. Results: The increase
in treatment adherence of the patients in IG was significant over time
(p<0.001). The scores of the patients in IG from the ‘energy’
and ‘work/productivity’ subscales at 1st and 3rd months after discharge
were higher than the patients in CG (p<0.05). The patient’s
satisfaction in IG was also higher than the patients in CG
(p<0.001). Conclusion: Clinical pharmacist-led education is
beneficial to improve treatment adherence and patient’s satisfaction in
patients with first ever stroke. Clinical pharmacist should be
integrated to improve QOL and treatment adherence multidisciplinary team
consisting physician, nurse and physiotherapist. Further studies are
needed to assess the impact of clinical pharmacists’ interventions on
protection from the second stroke of these patients.
A Numerical Method for Pricing Discrete Double Barrier Option by Lagrange Interpolation on Jacobi Nodes
Authors: Sobhani Amirhossein , milev mariyan
Published: June 2021

In this paper, a rapid and high accurate numerical method for pricing
discrete single and double barrier knock-out call options is presented.
With regard to the well-known Black-Scholes model, the price of an
option in each monitoring date could be calculated by computing a
recursive integral formula that is based on the heat equation solution.
We have approximated these recursive solutions with the aid of Lagrange
interpolation on Jacobi polynomial nodes. After that, an operational
matrix, that makes our computation significantly fast, has been derived.
In some theorems, the convergence of the presented method has been shown
and the rate of convergence has been derived. The most important benefit
of this method is that its complexity is very low and does not depend on
the number of monitoring dates. The numerical results confirm the
accuracy and efficiency of the presented numerical algorithm.
Using an integrated gene network technique to depict the genetic architecture of pediatric malignancies
Authors: Mcarthur Kristian , Vinson Can , Hail Zoey , Burke Taylan , Brock George
Published: June 2021

Childhood malignancies have a mostly unknown genetic origin. It is critical, therefore, to develop fresh ways for deciphering the range of pediatric cancer genes. Statistical network modeling approaches have emerged as effective methods for inferring gene-disease associations and have been used to adult malignancies but not to pediatric malignancies. We used co-expression network analysis to get a multi-layer knowledge of pan-cancer transcriptome data from the Treehouse Childhood Cancer Initiative. Six modules were shown to be significantly correlated with pediatric tumor histotypes and to be functionally connected to developmental processes. Topological studies revealed that genes associated with childhood cancer propensity and prospective treatment targets were critical regulators of cancer-histotype-specific modules. A module with activities involved in DNA repair and cell cycle control was associated with several pediatric cancers. This canonical oncogenic module encapsulated the majority of the genes associated with pediatric cancer propensity and therapeutically actionable genes. The driver genes were co-expressed in a module associated with epigenetic and post-transcriptional processes in juvenile acute leukemias, indicating a key role for these pathways in the evolution of hematologic malignancies. This integrated pan-cancer analysis characterizes pediatric tumor-associated modules in detail and lays the groundwork for the investigation of new candidate genes implicated in juvenile carcinogenesis.
Tissue transglutaminase is involved in the inflammatory processes of active chronic gastritis
Authors: Riezzo Giuseppe , Orlando Antonella , Clemente Caterina , D’Attoma Benedetta , Valentini Anna , Armentano Raffaele , Giorgio Pietro , Pisani Antonio , Russo Francesco
Published: June 2021

Since tissue transglutaminase-2 (TG2) can represent a marker of inflammation for some gastrointestinal (GI) diseases, we aimed to evaluate TG2 and inflammatory markers? mucosal content in gastric antrum biopsies to shed light on the histological and biochemical background of chronic gastritis inflammation. Fifty-one of 78 patients who underwent upper GI endoscopy (UGIE) for dyspeptic symptoms, had a gastric biopsy. The symptom profile was assessed by a GI symptom rating scale (GSRS) score. Thirty-five patients (69%) showed chronic gastritis. TG2, interleukin-6 (IL)-6, IL-8, IL-10, tumor necrosis factor (TNF)-?, lipopolysaccharides (LPS) and toll-like receptor (TLR)-4 were evaluated in serum and the culture medium of gastric biopsies. TG2, IL-8, IL-10, TLR-4 and TNF-? were significantly higher in active chronic gastritis than in the inactive one and were linked to macrophage concentration. IL-6 was significantly lower in the active form of chronic gastritis than in the inactive one and negatively correlated with TG2. Lastly, IL-10 significantly correlated with the macrophage score. TG2 can exert an active role in chronic gastritis pathogenesis by cooperating with different markers of inflammation. It seems that TG2 can represent a possible therapeutic target for modulating inflammation and disease progression.
A critical review on heat and mass transfer modelling of viral infection and virion evolution: The case of SARS-CoV2
Authors: Trancossi Michele , Pascoa Jose , Sharma Shivesh
Published: June 2021

Is it possible to characterize the SARS-CoV-2 viral infection by analyzing
the viral hijacking of cellular metabolism for its reproduction and
multiplication? Gibbs free energy appears to be the critical factor of
successful virus infection. A virus always has a more negative Gibbs free
energy of growth than its host. Hence, the synthesis of viral components is
thermodynamically favourable. On the other side, it could be essential to
better thermodynamically understand how S1 and S2 spike protein interacts
with the ACE2 receptors and the cell membrane more efficiently than the
usual nutrients, which are intercepted. Gibbs energy gives a static model,
which does not include the time arrow of viral evolution. A better
comprehension of this evolutional path could require an accurate analysis of
entropy generation or exergy disruption of binding, replication, and
multiplication.