bluuebunny/crossref_metadata_2025 huggingface dataset:
Training for the IT industry in the Context of Digitalization
Authors: Klimova Julia , Uskov Vladimir
Published: May 2020

The informatization is a global trend in the development of the digital economy. It leads to significant changes in requirements for personnel and specialists. The education system provides a tool for training personnel: Federal State Educational Standards outline the basic requirements for future specialists. Unfortunately, the current standards do not always meet the challenges and trends of the digital economy. The research objective was to study the issue of IT training during the period of transition to a digital economy. A thorough analysis of available scientific literature made it possible to describe the theoretical aspects of digital economy, as well as the IT industry. The authors identified a number of categories of specialists that are necessary for the formation and development of the digital economy. A detailed analysis of statistical data revealed some global trends in informatization, as well as the availability of IT specialists in Russian and world econo­mies. The authors also outline the main directions for further research. The results obtained can of interest to researchers involved in the development of the digital economy.
The joint effect of natural and human-induced environmental factors on surface water quality in the Birim North District of Ghana
Authors: Afitiri Abdul-Rahaman , Armah Frederick Ato , Afrifa Ernest K. A. , Ekumah Bernard
Published: May 2020

Anthropogenic activities threaten surface water quality across the globe, especially in contexts where monitoring is non-existent or weak. Our understanding of the effect, order and magnitude of natural and human-induced environmental factors on surface water quality is limited. This study assessed the effect, predictive order and magnitude of natural and human-induced environmental variables on surface water quality in the Birim North District of Ghana. Approximately 540 samples were collected from 15 rivers and streams in 2018 and analysed using 31 indicators. Landsat satellite images (2018 and 2019) of the study area were analysed for land use land cover data. The data were fitted to ordinary least squares (OLS) regression model. Season (50%) most accounted for variability in the surface water quality whereas elevation and forest cover accounted for 28% and 21%, respectively. Surface water quality in the Akoase and Nyafoman/Noyem clusters were 30% and 10% respectively better in quality than the Adofokrom/Amenam cluster. The increasing order of magnitude of variables in predicting surface water quality was Buffer, Cultivated area, Built-up, Forest, Rivers and streams cluster, Elevation, and Season. Consequently, management interventions for surface water ecosystems should account for spatio-temporal heterogeneity in the factors that influence surface water quality.
Diurnal and nocturnal pH control in microalgae raceway reactors by combining classical and event-based control approaches
Authors: Rodríguez-Miranda E. , Guzmán J. L. , Berenguel M. , Acién F. G. , Visioli A.
Published: May 2020

The pH control in raceway reactors is crucial for an optimal performance of the system. Classical pH control is exclusively performed during the daytime period for cost saving reasons. This paper demonstrates that pH can be controlled 24 hours a day by using both a continuous-based and an event-based control approach, being able to improve the system's performance and reducing costs at the same time. Thus, experimental tests on a raceway reactor for several days are presented to show a comparison between traditional control algorithms during the daytime period versus an event-based control approach operating during both daytime and night-time periods. As a result, the combination of classical PI control for the daytime period and the event-based control for the night-time period is presented as a promising pH control architecture in raceway reactors.
TERRITORIALIDADES, CONHECIMENTOS, TRANSFORMAÇÕES E CONFLITOS EM UM ESTUDO DA PESCA ARTESANAL EM LAGUNA GARZÓN, URUGUAI
Authors: D’Ambrosio Camarero Leticia , Clavijo Inti , Betancourt Viviana Cuberos
Published: May 2020

O presente artigo apresenta alguns aspetos do resultado de uma pesquisa etnográfica sobre as territorialidades, temporalidades e os conhecimentos ecológicos pesqueiros, as transformações e os diversos conflitos observados em torno à pescaria artesanal da Laguna Garzón em Uruguai. A partir do trabalho de campo tem sido reveladas diferentes formas de categorização e significação da lagoa, o oceano, a barra, os peixes e seu entorno, que dão conta do conhecimento gerado nas práticas da localidade, que no nosso critério resultam interessantes de se cristalizar neste artigo. Através das diferentes interlocuções com os pescadores da zona, revela-se uma rede discursiva que expõe diferentes elementos que caracterizam uma pescaria que possui algumas particularidades no Leste do território uruguaio. Esta articula diferentes espaços entre o político e o jurídico assim como os conhecimentos ecológicos locais e os saberes tradicionais dos povoadores em relação à dinâmica médio-ambiental da área. A territorialidade nativa e as formas de geo-referenciamento na lagoa vinculam-se com a mobilidade e as características das espécies capturadas assim como à conexão da água doce e salgada com o espaço oceânico. O entorno está demarcado por um grande dinamismo onde interatuam humanos e não-humanos. No percurso da pesquisa o trabalho etnográfico tem permitido a aproximação com as diferentes formas de construção do entorno da lagoa que conjuga-se na cotidianidade da localidade, por enquanto em outros momentos desencontra-se e faz emergir diversos conflitos que ainda hoje continuam sem ter sido resolvidos.
OFICINAS DE FUTEBOL COMO INSTRUMENTO DE PROMOÇÃO DO AUTOCONTROLE ENTRE PESSOAS QUE CONSOMEM CRACK
Authors: Alves Ygor Diego Delgado , Pereira Pedro Paulo Gomes
Published: May 2020

Neste artigo, fruto de pesquisa etnográfica realizada entre os anos de 2012 – 2014, pudemos verificar que no jogo de futebol, um enfrentamento entre equipes submetidas à mesma regra e com um juiz responsável por interpretá-la a cada jogada e distribuir as punições, a luta aberta entre jogadores está fora das possibilidades permitidas pelas regras adotadas e tanto quanto existe uma barreira a enquadrar o jogo e a defendê-lo das influências externas irá se desenvolver através dos treinos e jogos em campeonatos, uma couraça protetora no jogador contra o extravasamento de certas emoções. Isto possibilita maior autocontrole em pessoas que consomem crack.
Innovation and Sustainable Tourism: reflections of the state-of-the-art in the period 2010-2017
Authors: Martins-Rodrigues Maria Carolina , Barbieri da Rosa Luciana Aparecida , Damke Luana Ines , Godoy Tais Pentiado , Gomes Clandia Maffini
Published: May 2020

This article aims to launch the publications on Strategic Innovation Management and Sustainable Tourism, part of the research in the Web of Science database of ISI Web of Knowledge. Thus, the objective of this article is to analyse as characteristics of the publications related to the theme Strategic Management and Sustainable Tourism in the period from 2010 to 2017, totalling 199 selected articles. The methodology used for this study, is a bibliometric and descriptive research. The survey results show the year with the highest number of publications was 2016 (44). Journal of Sustainable Tourism presented the highest number of publications with a total of 20.

Keywords: Bibliometry. Innovation. Sustainable Tourism.
Seeds of Mung Bean (Vigna radiata (L.) R.Wilczek): Taxonomy, Phytochemistry, Medicinal Uses and Pharmacology
Authors: Uppalwar Sonali V. , Garg Vandana , Dutt Rohit
Published: May 2020

Background:

Seeds of Mung bean (Vigna radiata (L.) R.Wilczek) have been recognized
as a 'Green pearl' of Asian cuisine due to abundance of dietary fibres, protein, minerals,vitamins
and wide variety of bioactive agents.

Methods:

Literature has been collected through SciFinder, Web of Science, Google Scholar,
Pubmed, and a library. This review shares updated information on the botany, distribution, health
benefits, phytochemistry and pharmacology of Mung bean seeds.

Results:

Bioactive components of mung bean seeds exhibited a wide array of activities such as anticancer,
antihyperlipidemic, antihypertensive, antidiabetic, anti-microbial, antioxidant, treatment of
alcoholism, reducing obesity, increasing muscular strength, rheumatism, piles, liver and neurological
diseases. This curative potential highlighted its various beneficial outcomes in the field of drug
research and increasing scientific interest in the identification of bioactive compounds responsible
for various pharmacological activities. This legume is gaining importance for its use in the pharmaceutical,
food and cosmetic products.

Conclusion:

Existing literature authenticates the potential benefits of mung bean seeds from nutritional
as well as medicinal perspective. This food grain needs to be explored for identification, isolation,
and characterization of bioactive compounds against varied ailments.
HIV and Risk Behaviors Among Visitors of Inmates at the Great Tehran Prison, Iran, 2018
Authors: Najafi Zeinab , Shekarbeigi Saeede , Koochak Hamid Emadi , Farhoudi Behnam , SeyedAlinaghi SeyedAhmad , Mirzazadeh Ali
Published: May 2020

Objectives:

The objective of the present study was to determine the prevalence of HIV and risk behaviors among the inmates’ visitors at the Great Tehran Prison in 2018.This population is more likely to be infected with HIV due to their relationship with inmates. However, they have not been prioritized to the other populations in comparison to inmates who are usually prioritized over others.

Methods:

Using a convenient sampling method, we recruited inmates’ visitorsat the Great Tehran Prison in 2018. An anonymous questionnaire collected information on the participant’s demographic characteristics, relationship with inmate, imprisonment history, drug-related risk behaviors, and HIV-related risk behaviors.Rapid HIV blood test detected HIV positive people. To examine the association between risk behaviors and HIV infection, we used a multivariate logistic regression model to calculate the adjusted Odds Ratio (OR)(adjusted Odds ratio of 23.140, 95% CI OR: 1.994–268.5).1

Results:

1131 visitors were asked to participate in the study; out of which 1120 consented (99%).Out of the 1120 participants, 55.2% were female, and the majority (72.4%) aged older than 35 years. Of those who had a sexual partner, 50% did not usea condom in the last 6 months. Overall, HIV prevalence was 0.4% in the inmate visitors, but it was significantly higher among those with a history of drug injection(p=0.003).

Conclusion:

Our findings indicated that overall the HIV prevalence is low among inmates’ visitors; Subgroups with a history of injection have high HIV prevalence which needs to be prioritized for HIV screening and treatment.
sistema de radiodifusão nos 100 primeiros dias do governo Bolsonaro
Authors: Castilho Marcio de Souza
Published: May 2020

O artigo tem o objetivo de examinar as ações governamentais nos primeiros 100 dias da gestão do presidente Jair Bolsonaro no tocante às políticas de comunicação. A pesquisa se apoia na análise de atos, decretos e portarias publicados no Diário Oficial da União, no período de 1º de janeiro a 10 de abril de 2019. Em diálogo com as contribuições trazidas por autores na área da Economia Política da Comunicação, buscamos extrair algumas reflexões preliminares sobre a nova estrutura de comunicação do governo, o papel da Empresa Brasil de Comunicação e o direcionamento adotado no sistema de radiodifusão pública. O estudo aponta para o aparelhamento governamental na EBC e permanências da lógica de criminalização de rádios comunitárias, causando prejuízos ao princípio da complementaridade entre os sistemas privado, público e estatal.
Apresentação
Authors: Cervi Emerson Urizzi , Mendonça Ricardo Fabrino , Chagas Viktor
Published: May 2020

Editorial da Revista Compolítica 2020.1.
An Online Influenza Surveillance System for Primary Care Workers in Switzerland: Observational Prospective Pilot Study
Authors: Martin Sébastien , Maeder Muriel Nirina , Gonçalves Ana Rita , Pedrazzini Baptiste , Perdrix Jean , Rochat Carine , Senn Nicolas , Mueller Yolanda
Published: May 2020

Background

A better understanding of the influenza epidemiology among primary care workers could guide future recommendations to prevent transmission in primary care practices. Therefore, we designed a pilot study to assess the feasibility of using a work-based online influenza surveillance system among primary care workers. Such an approach is of particular relevance in the context of the coronavirus disease (COVID-19) pandemic, as its findings could apply to other infectious diseases with similar mechanisms of transmission.

Objective

This study aims to determine the feasibility of using a work-based online influenza surveillance system for primary care workers in Switzerland.

Methods

Physicians and staff of one walk-in clinic and two selected primary care practices were enrolled in this observational prospective pilot study during the 2017-2018 influenza season. They were invited to record symptoms of influenza-like illness in a weekly online survey sent by email and to self-collect a nasopharyngeal swab in case any symptoms were recorded. Samples were tested by real-time polymerase chain reaction for influenza A, influenza B, and a panel of respiratory pathogens.

Results

Among 67 eligible staff members, 58% (n=39) consented to the study and 53% (n=36) provided data. From the time all participants were included, the weekly survey response rate stayed close to 100% until the end of the study. Of 79 symptomatic episodes (mean 2.2 episodes per participant), 10 episodes in 7 participants fitted the definition of an influenza-like illness case (attack rate: 7/36, 19%). One swab tested positive for influenza A H1N1 (attack rate: 3%, 95% CI 0%-18%). Swabbing was considered relatively easy.

Conclusions

A work-based online influenza surveillance system is feasible for use among primary care workers. This promising methodology could be broadly used in future studies to improve the understanding of influenza epidemiology and other diseases such as COVID-19. This could prove to be highly useful in primary care settings and guide future recommendations to prevent transmission. A larger study will also help to assess asymptomatic infections.
Effectiveness of Internet-Based Electronic Technology Interventions on Breastfeeding Outcomes: Systematic Review (Preprint)
Authors: Almohanna Alaa Ali , Win Khin Than , Meedya Shahla
Published: May 2020

BACKGROUND

Supporting women to initiate and continue breastfeeding is a global challenge. A range of breastfeeding interventions employing electronic technologies (e-technologies) are being developed, which offer different delivery modes and features over the internet; however, the impact of internet-based e-technologies on breastfeeding outcomes remains unclear.

OBJECTIVE

This study aimed to identify the characteristics of current internet-based breastfeeding interventions employing e-technologies and investigate the effects of internet-based e-technologies on breastfeeding outcomes.

METHODS

A systematic search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines in the following databases: Scopus, Web of Science, the Cochrane Database of Systematic Reviews, ScienceDirect, Google Scholar, the Association for Computing Machinery, SpringerLink, and Institute of Electrical and Electronics Engineers Xplore.

RESULTS

This systematic review included 16 studies published between 2007 and 2018, with 4018 women in 8 countries. The characteristics of the interventions were grouped based on (1) mode of delivery (web-based, mobile phone apps, and computer kiosk), (2) purpose of the interventions (education and support), and (3) key strategies (monitoring and breastfeeding tracking, personalization, online discussion forum, web-based consultation, and breastfeeding station locators). Combining educational activities with web-based personalized support through discussion forums appeared to be the most effective way to improve breastfeeding outcomes and long-term exclusive breastfeeding rates. Monitoring and breastfeeding trackers appeared to be the least effective ways.

CONCLUSIONS

This study demonstrated a variety of internet-based e-technologies that professionals can use to promote, educate, and support breastfeeding women. Future internet-based breastfeeding interventions employing e-technologies might consider improving interaction with mothers and personalizing the content of the proposed interventions.
Patient Care During the COVID-19 Pandemic: Use of Virtual Care (Preprint)
Authors: Wong Andy , Bhyat Rashaad , Srivastava Siddhartha , Boissé Lomax Lysa , Appireddy Ramana
Published: May 2020

UNSTRUCTURED

Virtual care, the use of videoconferencing technology to connect with patients, has become critical in providing continuing care for patients during the current COVID-19 pandemic. Virtual care has now been adopted by health care providers across the spectrum, including physicians, residents, nurse practitioners, nurses, and allied health care professionals. Virtual care is novel and nuanced compared to in-person care. Most of the health care providers who are delivering or expected to deliver virtual care have little to no prior experience with it. The nuances of virtual care involve regulatory standards, platforms, technology and troubleshooting, patient selection, etiquette, and workflow, all of which comprise critical points in the provision of health care. It is important to consistently deliver high-quality, equitable, and professional virtual care to inspire patients with the trust they need to continue follow-up of their care in these difficult times. We have been adopting virtual care in our clinical practice for over two years. In partnership with Canada Health Infoway, we have assembled a primer for virtual care that can serve as a guide for any health care provider in Canada and globally, with the goal of providing seamless transitions between in-person and virtual care.
Executive Function After Prenatal Alcohol Exposure in Children in a South African Population: Cross-sectional Study (Preprint)
Authors: Louw Jacobus Gidion , van Heerden Alastair , Olivier Leana , Lambrechts Tersius , Broodryk Mandi , Bunge Liska , Vosloo Martlé , Tomlinson Mark
Published: May 2020

BACKGROUND

Alcohol is a teratogen; its consumption during pregnancy can lead to negative birth outcomes, collectively referred to as fetal alcohol spectrum disorders. Neurodevelopmental delays in higher-order cognitive functions that affect development of executive functions are a common feature. Studies on executive function in children have focused on children diagnosed with fetal alcohol spectrum disorder, and there is a lack of information on the impact on children not diagnosed with fetal alcohol spectrum disorder but who had been exposed to alcohol.

OBJECTIVE

The aim of this study was to compare the development of executive function in children between 4 and 6 years of age with and without prenatal exposure to alcohol.

METHODS

Children both exposed and not exposed to alcohol were recruited as part of a feasibility RCT evaluating a computer-based cognitive training program for improving executive function development. The study was conducted in a low–socioeconomic status community in South Africa with a high prevalence of fetal alcohol spectrum disorder. Neurodevelopment was assessed in participating children; NEPSY-II standardized scores for executive function domains were compared using a multivariate analysis of variance with group membership as the predictor variable.

RESULTS

No significant differences in executive functions assessments (P=.39) were found between children in the alcohol-exposed group (n=76) and those in the nonexposed group (n=40). Both groups showed moderate to severe delays in domains. In all but one subtest, the average score for both groups was below the 25th percentile of expected norms.

CONCLUSIONS

We expected that alcohol exposure would have a measurable impact on executive function development. The lack of differences highlights the prevalence of developmental delays in low–socioeconomic status communities in South Africa and suggests that children are exposed to various threats to cognitive development.

INTERNATIONAL REGISTERED REPORT

RR2-10.2196/14489
Adoption of the mobile platform of medical and senior care: An empirical examination of perceived value (Preprint)
Authors: Xiong Jie , Zuo Meiyun
Published: May 2020

BACKGROUND

The mobile platform of medical and senior care (MPMSC) is the platform that provides users with one-stop medical and senior care services through mobile devices. The MPMSC presents users—namely, older adults and their family members—with multiple benefits. However, we lack sufficient understanding of the factors motivating users to adopt such new platform.

OBJECTIVE

The aim of this study is to understand the factors that drive older adults and their family members to adopt MPMSC.

METHODS

Focusing on the unique characteristics of MPMSC, this study develops a research model based on perceived value theory to understand the benefit and sacrifice factors influencing user adoption of the MPMSC. This study uses Partial Least Squares techniques to analyze data collected from a sample of 215 potential users to verify its hypotheses.

RESULTS

The results demonstrate that perceived value is a predictor in explaining users’ intention to adopt MPMSC (β=0.701, P＜0.001). In terms of benefit factors, perceived service usefulness (β=0.325, P＜0.001) has a positive impact on perceived value, and perceived service complementarity has a positive impact on perceived value too (β=0.179, P=0.006). In terms of sacrifice factors, perceived service fee has a negative impact on perceived value (β=-0.415, P＜0.001), while legal concerns have a negative impact on intention to adopt MPMSC (β=-0.112, P=0.02). The research model explained 54.7% of the variance in intention to adopt MPMSC and 58.2% of the variance in perceived value.

CONCLUSIONS

Based on the perceived value theory, we proposed and tested the MPMSC adoption model. The findings can enhance our understanding of the factors influencing the adoption of MPMSC, and help practitioners successfully implement MPMSC by attracting more users.
Acceptance of a Virtual Reality Headset Designed for Fall Prevention in Older Adults: Questionnaire Study (Preprint)
Authors: Mascret Nicolas , Delbes Lisa , Voron Amélie , Temprado Jean-Jacques , Montagne Gilles
Published: May 2020

BACKGROUND

Falls are a common phenomenon among people aged 65 and older and affect older adults’ health, quality of life, and autonomy. Technology-based intervention programs are designed to prevent the occurrence of falls and their effectiveness often surpasses that of more conventional programs. However, to be effective, these programs must first be accepted by seniors.

OBJECTIVE

Based on the technology acceptance model, this study aimed to examine the acceptance among older adults before a first use of a virtual reality headset (VRH) used in an intervention program designed to prevent falls.

METHODS

A sample of 271 French older adults (mean age 73.69 years, SD 6.37 years) voluntarily and anonymously filled out a questionnaire containing the focal constructs (perceived usefulness, perceived enjoyment, perceived ease of use, intention to use, fall-related self-efficacy, and self-avoidance goals) adapted to the VRH, which was designed to prevent falls.

RESULTS

The results of the structural equation modeling analysis showed that intention to use the VRH was positively predicted by perceived usefulness, perceived enjoyment, and perceived ease of use. Perceived usefulness of the VRH was also negatively predicted by fall-related self-efficacy (ie, the perceived level of confidence of an individual when performing daily activities without falling) and positively predicted by self-avoidance goals (ie, participating in a physical activity to avoid physical regression).

CONCLUSIONS

A better understanding of the initial acceptance among older adults of this VRH is the first step to involving older adults in intervention programs designed to prevent falls using this kind of device.
Correction: Unibody Endograft Using AFX 2 for Less Invasive and Faster Endovascular Aortic Repair: Protocol for a Multicenter Nonrandomized Study (Preprint)
Authors: Silingardi Roberto , Sirignano Pasqualino , Andreoli Francesco , Mansour Wassim , Migliari Mattia , Speziale Francesco ,   LIVE Study Collaborators
Published: May 2020

INTERNATIONAL REGISTERED REPORT

PRR1-10.2196/20698
Mindfulness-Based Programs for Patients With Cancer via eHealth and Mobile Health: Systematic Review and Synthesis of Quantitative Research (Preprint)
Authors: Matis Juraj , Svetlak Miroslav , Slezackova Alena , Svoboda Marek , Šumec Rastislav
Published: May 2020

BACKGROUND

eHealth mindfulness-based programs (eMBPs) are on the rise in complex oncology and palliative care. However, we are still at the beginning of answering the questions of how effective eMBPs are and for whom, and what kinds of delivery modes are the most efficient.

OBJECTIVE

This systematic review aims to examine the feasibility and efficacy of eMBPs in improving the mental health and well-being of patients with cancer, to describe intervention characteristics and delivery modes of these programs, and to summarize the results of the included studies in terms of moderators, mediators, and predictors of efficacy, adherence, and attrition.

METHODS

In total, 4 databases (PubMed, PsycINFO, Scopus, and Web of Knowledge) were searched using relevant search terms (eg, mindfulness, program, eHealth, neoplasm) and their variations. No restrictions were imposed on language or publication type. The results of the efficacy of eMBPs were synthesized through the summarizing effect estimates method.

RESULTS

A total of 29 published papers describing 24 original studies were included in this review. In general, the results indicate that eMBPs have the potential to reduce the levels of stress, anxiety, depression, fatigue, sleep problems, and pain, and improve the levels of mindfulness, posttraumatic growth, and some parameters of general health. The largest median of Cohen d effect sizes were observed in reducing anxiety and depression (within-subject: median −0.38, IQR −0.62 to −0.27; between-group:
median −0.42, IQR −0.58 to −0.22) and facilitating posttraumatic growth (within-subject: median 0.42, IQR 0.35 to 0.48;
between-group: median 0.32, IQR 0.22 to 0.39). The efficacy of eMBP may be comparable with that of parallel, face-to-face
MBPs in some cases. All studies that evaluated the feasibility of eMBPs reported that they are feasible for patients with cancer.
Potential moderators, mediators, and predictors of the efficacy, attrition, and adherence of eMBPs are discussed.

CONCLUSIONS

Although the effects of the reviewed studies were highly heterogeneous, the review provides evidence that eMBPs are an appropriate way for mindfulness practice to be delivered to patients with cancer. Thus far, existing eMBPs have mostly attempted to convert proven face-to-face mindfulness programs to the eHealth mode. They have not yet fully exploited the potential of eHealth technology.
Blockchain Applications in Health Care and Public Health: Increased Transparency (Preprint)
Authors: Velmovitsky Pedro Elkind , Bublitz Frederico Moreira , Fadrique Laura Xavier , Morita Plinio Pelegrini
Published: May 2020

BACKGROUND

Although big data and smart technologies allow for the development of precision medicine and predictive models in health care, there are still several challenges that need to be addressed before the full potential of these data can be realized (eg, data sharing and interoperability issues, lack of massive genomic data sets, data ownership, and security and privacy of health data). Health companies are exploring the use of blockchain, a tamperproof and distributed digital ledger, to address some of these challenges.

OBJECTIVE

In this viewpoint, we aim to obtain an overview of blockchain solutions that aim to solve challenges in health care from an industry perspective, focusing on solutions developed by health and technology companies.

METHODS

We conducted a literature review following the protocol defined by Levac et al to analyze the findings in a systematic manner. In addition to traditional databases such as IEEE and PubMed, we included search and news outlets such as CoinDesk, CoinTelegraph, and Medium.

RESULTS

Health care companies are using blockchain to improve challenges in five key areas. For electronic health records, blockchain can help to mitigate interoperability and data sharing in the industry by creating an overarching mechanism to link disparate personal records and can stimulate data sharing by connecting owners and buyers directly. For the drug (and food) supply chain, blockchain can provide an auditable log of a product’s provenance and transportation (including information on the conditions in which the product was transported), increasing transparency and eliminating counterfeit products in the supply chain. For health insurance, blockchain can facilitate the claims management process and help users to calculate medical and pharmaceutical benefits. For genomics, by connecting data buyers and owners directly, blockchain can offer a secure and auditable way of sharing genomic data, increasing their availability. For consent management, as all participants in a blockchain network view an immutable version of the truth, blockchain can provide an immutable and timestamped log of consent, increasing transparency in the consent management process.

CONCLUSIONS

Blockchain technology can improve several challenges faced by the health care industry. However, companies must evaluate how the features of blockchain can affect their systems (eg, the append-only nature of blockchain limits the deletion of data stored in the network, and distributed systems, although more secure, are less efficient). Although these trade-offs need to be considered when viewing blockchain solutions, the technology has the potential to optimize processes, minimize inefficiencies, and increase trust in all contexts covered in this viewpoint.

CLINICALTRIAL
Users are passive in accessing digested scientific evidence using social media: impressions from a cross-sectional study and an insight about how to overcome this barrier (Preprint)
Authors: Machado Gabriela Manco , Braga Mariana Minatel
Published: May 2020

BACKGROUND

The use of and interest in social media by health professionals as a tool for being updated as well as interacting with new scientific evidence are a reality.

OBJECTIVE

This manuscript aims to describe the first impressions from the development and the implementation of a social media web page to share digested scientific evidence (evidence translated by professionals/scientists into a more straightforward way to clinicians). Besides, we aimed to expose strengths and weakness we observed for this approach. Finally, we present a manner to overcome possible barriers found when implementing the dissemination of evidence-based information to potential users (clinicians).

METHODS

An institutional Facebook web page was launched by some researchers from the Dental School of the University of São Paulo, aiming to share reliable scientific evidence and offer scientifically digested evidence to permit clinicians to get the reliable information in Pediatric Dentistry. Another purpose was to empower them to understand further how and why such evidence could be relevant to guide their clinical practice. We collected the web page metrics of usability: posts reach (potential views) and users’ involvement (approvals, clicks on posts, comments, and shares). The relationship between the magnitude of the post reach and users’ involvement was tested using Bootstrapping Quantile Regression analysis (x1000). Weakness and strengths related to this strategy using the Facebook page were identified, and solutions proposed to minimize identified barriers.

RESULTS

After one year, the number of followers on Facebook page reached 1,347. The publications were potentially exposed to 4,784 users, and subsequent interaction with the page occurred only in 18% of cases. Users’ involvement with page content was associated with the number of users that visit the page (P= .005). However, users’ interaction with the page was not associated with the potential number of users that could have seen the page. (P= .25; Coef=.04; 95%;CI= -0.03 to .12). Even considering the users that effectively approved the posts, only 7%, on average, interacted with the links available into the post to going deeper to the topic.

CONCLUSIONS

Although social media being effective to rapidly and globally disseminate scientific content, our experience revealed the user’s passivity of our Facebook page in interacting with links to access information beyond those scientifically digested by the initiative. We expect to overcome users’ passivity with the development of a mobile app with the same purpose of the Facebook page, but offering a more interactive and dynamic interface.
Applying Website Rankings to Digital Health Centers in the United States to Assess Public Engagement: Website Usability Study (Preprint)
Authors: Calvano Joshua David , Fundingsland Jr Edwin Lauritz , Lai Deborah , Silacci Sara , Raja Ali S , He Shuhan
Published: May 2020

BACKGROUND

As the public increasingly uses the internet to search for resources and information regarding health and medicine, it is important that health care organizations provide adequate web resources. Website usability refers to the ease of user experience on a website. In this study, we conducted usability analyses on digital health center websites.

OBJECTIVE

The primary aims of this study were to (1) replicate a preexisting usability scoring methodology for digital health centers; (2) apply and test this replicated usability scoring methodology on a sample set of digital health center websites; and (3) derive recommendations from the results on potential areas of improvements for our sample of digital health center websites.

METHODS

Website usability testing was conducted from March 1, 2020, to March 15, 2020. We replicated a methodology and scoring system from previous literature and applied them to digital health center websites. Our sample included 67 digital health centers that were affiliated with US universities or hospital systems. Usability was split into the following four broad categories: accessibility, marketing, content quality, and technology. Usability tools were used to score websites in each of the four categories. The composite of the key factors of each category was used to generate a general usability and overall usability score for each website.

RESULTS

The category with the highest average score (6.3) was content quality. The content quality score also had the highest SD (2.18) and an SE of 0.27. The lowest performing category was technology, which had an average score of 0.9. The technology score also had the smallest SD (0.07) and an SE of 0.01.

CONCLUSIONS

Our data suggest that content quality, on average, was the highest scoring variable among digital health center websites. As content is crucial to digital health knowledge, it is justified that digital health centers invest more resources into creating quality content. The overall lowest scoring variable was technology. Potential reasons for this finding include designated funding for servers, a lack of regulatory frameworks for social media presence and liability, and infrequent website audits. An easy approach for improving this variable is increasing website speed. Accessibility is another area that organizations can potentially improve. We recommend that these organizations perform periodic audits of their web presence with usability tools.
Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: Retrospective Cohort Study (Preprint)
Authors: Ramaswamy Ashwin , Yu Miko , Drangsholt Siri , Ng Eric , Culligan Patrick J , Schlegel Peter N , Hu Jim C
Published: May 2020

BACKGROUND

New York City was the international epicenter of the COVID-19 pandemic. Health care providers responded by rapidly transitioning from in-person to video consultations. Telemedicine (ie, video visits) is a potentially disruptive innovation; however, little is known about patient satisfaction with this emerging alternative to the traditional clinical encounter.

OBJECTIVE

This study aimed to determine if patient satisfaction differs between video and in-person visits.

METHODS

In this retrospective observational cohort study, we analyzed 38,609 Press Ganey patient satisfaction survey outcomes from clinic encounters (620 video visits vs 37,989 in-person visits) at a single-institution, urban, quaternary academic medical center in New York City for patients aged 18 years, from April 1, 2019, to March 31, 2020. Time was categorized as pre–COVID-19 and COVID-19 (before vs after March 4, 2020). Wilcoxon-Mann-Whitney tests and multivariable linear regression were used for hypothesis testing and statistical modeling, respectively.

RESULTS

We experienced an 8729% increase in video visit utilization during the COVID-19 pandemic compared to the same period last year. Video visit Press Ganey scores were significantly higher than in-person visits (94.9% vs 92.5%; P<.001). In adjusted analyses, video visits (parameter estimate [PE] 2.18; 95% CI 1.20-3.16) and the COVID-19 period (PE 0.55; 95% CI 0.04-1.06) were associated with higher patient satisfaction. Younger age (PE –2.05; 95% CI –2.66 to –1.22), female gender (PE –0.73; 95% CI –0.96 to –0.50), and new visit type (PE –0.75; 95% CI –1.00 to –0.49) were associated with lower patient satisfaction.

CONCLUSIONS

Patient satisfaction with video visits is high and is not a barrier toward a paradigm shift away from traditional in-person clinic visits. Future research comparing other clinic visit quality indicators is needed to guide and implement the widespread adoption of telemedicine.
Telemedicine, diabetes and endocrinologic diseases in the COVID-19 era: the patients’ point of view from a high impacted area. (Preprint)
Authors: Iadarola Carmine , Lovati Elisabetta , Lucotti Pietro Carlo Giuseppe , Cutti Sara , Santacroce Giovanni , Sprio Elisa , Di Sabatino Antonio
Published: May 2020

BACKGROUND

The effectiveness of telemedicine has been widely investigated, also in a diabetologic setting. Available evidence support an important role of telemedicine in emergency times, like the present COVID-19 outbreak.

OBJECTIVE

The aim of the study is to evaluate the feasibility and patient satisfaction associated with virtual visit use in an outpatient diabetology and endocrinology unit in Pavia, Italy, during the present COVID-19 pandemic.

METHODS

We submitted a custom-made satisfaction questionnaire to each patient who underwent a televisit from the 1st of April to the 1st of May 2020. The questionnaire was proposed to 51 subjects. Furthermore, the patients were asked about their gender, age and visit reason.

RESULTS

All patients accepted to answer our questionnaire. Their mean age was of 38 years (minimum 20, maximum 79) and most of patients were women (39). The patients resulted affected by different disease: type 1, type 2 and gestational diabetes, hypothyroidism during pregnancy, Graves’ disease, Klinefelter Syndrome, Acromegaly, Cushing syndrome and hypopituitarism. The majority of them didn’t find any difficulty in using the informatic system, recognized a value of telemedicine in preventing COVID-19 contagion, and considered the tele-visit useful.

CONCLUSIONS

Our results show that patients were overall satisfied of this new approach. Telemedicine, also in a diabetologic and endocrinologic setting, can be of help in providing continuing healthcare, while keeping health providers and patients safe during COVID-19 pandemic.
 

CLINICALTRIAL
Exploring User Needs in the Development of a Virtual Reality–Based Advanced Life Support Training Platform: Exploratory Usability Study (Preprint)
Authors: Moore Nathan , Yoo Soojeong , Poronnik Philip , Brown Martin , Ahmadpour Naseem
Published: May 2020

BACKGROUND

Traditional methods of delivering Advanced Life Support (ALS) training and reaccreditation are resource-intensive and costly. Interactive simulations and gameplay using virtual reality (VR) technology can complement traditional training processes as a cost-effective, engaging, and flexible training tool.

OBJECTIVE

This exploratory study aimed to determine the specific user needs of clinicians engaging with a new interactive VR ALS simulation (ALS-SimVR) application to inform the ongoing development of such training platforms.

METHODS

Semistructured interviews were conducted with experienced clinicians (n=10, median age=40.9 years) following a single playthrough of the application. All clinicians have been directly involved in the delivery of ALS training in both clinical and educational settings (median years of ALS experience=12.4; all had minimal or no VR experience). Interviews were supplemented with an assessment of usability (using heuristic evaluation) and presence.

RESULTS

The ALS-SimVR training app was well received. Thematic analysis of the interviews revealed five main areas of user needs that can inform future design efforts for creating engaging VR training apps: affordances, agency, diverse input modalities, mental models, and advanced roles.

CONCLUSIONS

This study was conducted to identify the needs of clinicians engaging with ALS-SimVR. However, our findings revealed broader design considerations that will be crucial in guiding future work in this area. Although aligning the training scenarios with accepted teaching algorithms is important, our findings reveal that improving user experience and engagement requires careful attention to technology-specific issues such as input modalities.
STO GODINA EVROAZIJSKE INTEGRACIONE IDEJE
Authors: Milosevic Zoran
Published: May 2020

Evroazijstvo je počelo da pretenduje na ulogu glavne integracione ideologije na postsovjetskom prostoru. Klasično evroazijstvo pojavilo se među ruskim emigrantima 20-ih godina prošlog veka, kao reakcija na raspad slovenofilskih iluzija i očekivanja nakon završetka Prvog svetskog rata, kao i propasti starih carstava na čijim ruševinama su nastali nacionalizam i separatizam. Evroazijci su odustali od ideje stvaranja zajedničke slovenske civilizacije, u čijem je centru trebala da bude Rusija, iznoseći ideju Evroazije kao posebnog civilizacijskog prostora, koji se delimično podudarao sa granicama nekadašnjeg Ruskog carstva i SSSR-a. Ključnu ulogu u popularizaciji ideje evroazijstva tokom perioda perestrojke i postperestrojke, igrala su novinarska dela Leva Gumiljova i Aleksandra Dugina, koja su stvorila uslove za pozitivnu percepciju evroazijstva i prihvatanje tih ideja od strane intelektualnih i političkih elita u postsovjetskoj eri. Bivši predsednik Kazahstana, NursultanNazarbajev, prvi je put 1994. godine izrazio ideju o potrebi stvaranja Evroazijske unije, do čije će realizacije proteći skoro 20 godina, prolazeći kroz različite faze, od Evroazijske ekonomske zajednice, preko Carinske unije, do zajedničkog ekonomskog prostora do čijeg je otelotvorenja došlo stvaranjem Evroazijskog saveza, 2014. godine. Evroazijstvo je, između ostalog, sastavni element modernog ruskog identiteta i geopolitičke prakse. To je najvažniji rezultat prvog veka od pojave evroazijske ideje, koji je doveo do kasnijeg stvaranja sveevroazijske ideje (kao ujedinjenja Slovena-Rusa sa turskim narodima) koja je potom preoblikovana u ideju „Velike Evroazije“. Pojam „Velika Evroazija“ se relativno nedavno pojavio u geopolitičkom rečniku. Pomenuti pojam uključuje kompletnu Evroaziju i deo Afrike. Prema klasifikaciji UN-a, u Veliku Evroaziju se ubraja 48 država Evrope, 50 država Azije i 7 država Severne Afrike, koje pokrivaju prostor osam od dvanaest lokalnih civilizacija i devet civilizacijskih asocijacija.
REDUPLICATION OF WORD CLASS OF INDONESIAN PROSEDIC MORPHOLOGY: TOWARDS A SEMANTICO-PRAGMATIC PERSPECTIVE
Authors: Setyaningsih Yuliana , Rahardi R. Kunjana
Published: May 2020

This research is meant to describe reduplication of word classes in prosedic morphology in the perspective of semantico-pragmatics. This research data is in the form of reduolication  of closed class words in the use of language in the mass media. The substantive data source of this research is in the form of text in which there are data in the form of reduplicative forms. The locational data source is the national mass media, i.e. Net TV both print and electronic, which can be reached by the research team around the time of research. After the data is classified and properly verified, the next step is the analysis and interpretation of the data. The analytical method applied is a distributional method with techniques for direct elements. Finally, the results of the analysis and interpretation of the data are presented in an informal method. The results showed that the most dominant reduplication occurred in closed word classes in Indonesian in the mass media was adverb reduplication. In this study, adjective reduplication was also quite significant, even though it was not the case with adverb reduplication and verb reduplication. Reduplication of nouns occupies the least significant portion. In terms of meanings, research in a semantico-pragmatic perspective rather than semantic linguistics is purely necessary to continue to be pursued so that new perspectives can be born in researching language.
‘Connecting with Young Men’: The Impact of Training in Ireland.
Authors: Carroll Paula , Richardson N Noel , Grace Billy
Published: May 2020

‘Connecting with Young Men’, Unit 6 in ENGAGE, Ireland’s National Men’s Health Training programme was developed to support service providers to engage young in mental health and related services. This study evaluated the impact of Unit 6 on front line service providers’ knowledge, skills, capacity, and practice pre and immediately post-training via questionnaire (n=206). At 1-month post-training interviews were conducted with youth workers (n=11), SPHE (social and emotional health curriculum) teachers (n=3), and sports personnel (n=3) (12-40 mins) to explore their experience of the training and its impact on practice. Overall, feedback regarding training satisfaction was largely positive (8.43±1.43/10). Participants selfreported level of knowledge (p=0.000), skills (p=0.000), capacity to engage (p<0.003) and identify priorities for young men (p<0.001), and success at convincing other service providers within (p<0.001) and beyond (p<0.000) their organization to prioritize engaging young men increased immediately post-training. Notably, 57.3% of service providers said that they would integrate the training into their work practice. Critical components of Unit 6 included (a) the focus on understanding gender as a dynamic construct, (b) the use of experiential and interactive sessions, and (c) the integration of ongoing reflective practice. The provision of more practical tips on ‘how’ to initiate and build relationships with young men as well as including young men’s voices would strengthen the training. Unit 6 has been effective in building capacity among service providers to engage young men. While assessing the longer-term impact of the training on practice is recommended, these findings have implications for those who wish to develop gender-sensitive services for young men elsewhere.