bluuebunny/crossref_metadata_2025 huggingface dataset:
DEVELOPING CREATIVE AND LIFELONG LEARNERS AND PROFESSIONAL COMMUNITIES
Authors: Sharma Sunil Kumar
Published: December 2021

In a narrow concept of learning we associate it with formal mode of imparting education at school, college and university etc. But in comprehensive view learning is a lifelong process which starts right from birth and ends with death. It is a continuous process. Child is told, from an early age, that he should get good formal education for his better adjustment and survival in the society. Education opens the way to maximize our potential to find better, more satisfying jobs, earn more and, perhaps, become more successful in our chosen career. However in a broader view ‘schooling’ is only one type of learning. There are many other ways and opportunities to enhance our knowledge and develop the skills and creativity we need throughout life. Undoubtedly, Education plays an important role in Development of a society. A developed society always need its citizens well knowledged, skilled and with a professional attitude for smooth running of same. Educational institutions train young generations by channelizing their energy in various directions and fields and turning them a valuable human resources for the society and nation. But irony is that this kind of education limits them to a particular area of earning money and other aspects of life are ignored. Innovations and creativity aspects of learning get missing which is much needed for development of self and society. Lifelong learning is about creating and maintaining a positive attitude to learning both for personal and professional development. This paper is an attempt to throw light on different ways to create and promote an environment of lifelong learning in institutions resulting developing professional communities…………………………………………………………………………………………………………
STRATEGIC ROLE OF INDIAN NAVY IN IOR AT PRESENT
Authors: Pandey Hemant Kumar , Dwivedi Akhilesh
Published: December 2021

The Indian Ocean Region (IOR) turned out to be the most engaging region for global activities in recent years. The Indian Ocean consists of the most important trade routes of the world. The Indian Ocean provides a way to move through various regions of the world. World's huge economic players always keep an eye on the IOR for its strategic importance. The Indian Ocean is a gateway to the Atlantic Ocean through the Mediterranean Sea via the Red Sea and it also provides a way to the Pacific Ocean through the Strait of Malacca. It is the main shipping channel for the Pacific and Atlantic oceans. The Indian Ocean region is spread over 28 states, three continents and covers 17.5% of the global land area. The IOR is home to almost 36% of the population of the world. The region is proven to have a rich petroleum resources and other metals. Indian Ocean is also a rich source of fish and its export. Major Sea routes of the world pass through the Indian Ocean that connects the Middle East, Africa, and East Asia with Europe and the Americas. The Indian Ocean Region (IOR) has become a home for economic developments, disputes, conflicts, and competition for regional influence by regional and extra-regional powers. The Trade flow from IOR across the globe has its importance for the global economy as well as regional countries. The growing presence of regional power (China) is a major concern for India and other regional countries and that has compelled them to reshape their maritime strategies. This article aims to state the importance of IOR in Indian reference and Chinese presence in IOR and its strategies.
PERCEPTION OF MAJOR STAKEHOLDERS OF SECONDARY SCHOOLS ON LIFE SKILLS EDUCATION
Authors: Alli Sk Samsul
Published: December 2021

The present study titled, “Perception of Major Stakeholders of secondary schools on Life Skills Education” was conducted to: (i) ascertain the perception of major stakeholders of secondary schools education such as- headmasters, teachers, students and parents with reference to the dimensions of life skills education such as- psychological abilities; interpersonal skills that help people take decisions, solve problems, think critically, communicate effectively, build healthy relationship, empathize with others, and cope with the stress and strain ultimate aim of the study was, however, to explore the perception of stakeholders for improvement LSE among the students. Four different tools and techniques were used for data collection such as-questionnaire, interview schedule, focus group discussion. The data were analysed qualitatively as well as quantitatively technique like-percentage analysis was done and thick description under qualitative technique. The study examined that lack government support and ineffective teaching learning materials. Challenges faced by headmasters of each school such as, lack of funds , negative peer pressure, lack of interest among student, lack of time, lack of teaching staffs. Majority of teachers reported that LSE lessons were not taught at all in their school. Some teachers responded that the lesson of life skills education was scheduled only once in a week, might be due to adequate time and material in the schools. While only 9 (22.5%) indicated that they were taught twice in a week. Majority of parents (76%) were said that life skills education is essential to make the child feel self-reliant in his work and duties and 17(68%) were responded that life skills education was all about to make an individual to deal effectively with confronting day to day situations. Majority of students expressed that they were not aware of about the concept life skills and importance of LSE this might be possible due to the fact that most of the teachers and headmasters of schools were not concerned about the importance of LSE.
EQUITABLE AND INCLUSIVE EDUCATION THROUGH NEP 2019
Authors: Gaikwad Suvarna Pramod
Published: December 2021

Various new education policies were formed to modify the educational scenario suitable to prepare our youth to meet present and upcoming challenges. NEP 2019 is based on the components of easy access in school, justice to all, maintaining education quality, low expenditures and accountability. NEP 2019 restructured school curriculum and pedagogy from 10+2 to 5+3+3+4. These changes are made to make students alert and appropriate to their developmental needs. This article will focus on Equitable and Inclusive Education.
GENDER CONCEPT and ROLES FOR DEVELOPMENT
Authors: Singh Subhash
Published: December 2021

The paper examines the concept of gender and sex, the difference between gender and sex and explain the terms gender dynamics. Gender is a social construct that impacts attitudes, roles, responsibilities and behavior patterns of boys and girls, men and women in all societies. Increasing attention has been given to the importance of achieving gender equality in education. To date, however, most efforts have focused on addressing gender parity - an equal number or proportion of girls and boys accessing educational opportunities. Although simple gender parity may be easier to measure, gender equality encompasses a wider concept, of which gender parity is only a part. Gender equality moves beyond access and requires that girls and boys also experience the same levels of quality and outcomes of education. One of the key impediments to achieving gender equality in education is that it cannot be addressed in a vacuum; rather, educational institutions are products of the inequalities that exist in larger society.
योग प्रशिक्षणाचा हॉकी खेळाडूंच्या समन्वय घटकावर होणारा परिणाम
Authors: कराड दिनेश
Published: December 2021

हॉकी खेळाच्या खेळाडूंना आपले कौशल्य सादर करताना उत्तम प्रकारचे समन्वय आवश्यक असते.ही गरज योगद्वारे पूर्ण केली जाऊ शकते का हे पाहण्यासाठी नाशिक शहरामधील २१ वयोगटातील एकूण २५ पुरुष खेळाडूंची सहेतुक पद्धतीने निवड करण्यात आली.सदर संशोधनासाठी प्रायोगिक पद्धत वापरण्यात आली. बॉल ट्यापिंग कसोटी (समन्वय) माहिती संकलनाचे साधन म्हणून वापरण्यात आली.सांख्यिकीय विश्लेषणासाठी मध्यमान, प्रमाणविचलन, मध्यमानातील फरक, यांचा वापर करण्यात आला.योगामुळे हॉकी खेळाडूंच्या समन्वय व कौशल्य कार्यमान या घटकावर योग प्रशिक्षणाचा सार्थक परिणाम होतो हे स्पष्ट झाले.
अध्ययन-अध्यापनाच्या गुणवत्ता विकासात संगणक व बहूमाध्यमे (मल्टिमिडीया) यांच्या उपयोगाचे विविधांगी दृष्टिकोन
Authors: थूल सज्जन , पाटील मनीषा गुलाबराव
Published: December 2021

वर्तमान काळात अध्ययन-अध्यापनाची प्रभावात्माकता वाढविण्यात व शिक्षण प्रक्रियेत नाविन्यपूर्णता टिकवून ठेवण्यात सर्वात महत्वाची भूमिका संगणक व बहुमाध्यमे निभावत आहेत. बहुमाध्यम (मल्टिमिडीया) हे माहिती तंत्रज्ञानातील महत्वाची शाखा म्हणून उदयास आलेले आहे. मल्टिमिडीया म्हणजे टेक्स्ट, ग्राफिक्स, फोटोग्राफ, अॅनिमेशन-व्हिडीओ, ऑडीयो डिव्हाईस यांचा वापर करुन विविध प्रकारच्या कलाकृती तयार करणे होय. मल्टिमिडीयात व्हिडीओ, संगीत, ध्वनी, चित्रालेख आणि मजकुर या सर्व प्रकारच्या माध्यमांचे एकत्रीकरण असते. मल्टिमिडीया म्हणजे विषयवस्तू, ध्वनी, लेखाचित्र, चित्रातील जिवंतपणा आणि दृश्य इत्यादी माहितीचे एकत्रित सादरीकरणे होय. यात फोटोग्राफ, लेखाचित्र, संगीत, ध्वनी, दृश्य, चित्रातील जिवंतपणा, विषय वस्तू इत्यादी बाबींचा समावेश होतो. मल्टिमिडीयात तांत्रिक सजृनशीलतेबरोबरच कलात्मक कल्पनाशक्तीलाही भरपूर वाव आहे. मोठ-मोठे चित्रकोश, माहितीकोश, शब्दकोष या तंत्रज्ञानाच्या माध्यमातून एका छोट्या सीडीवर किंवा हार्ड डिस्क अथवा पेनड्राईव वर रुपांतरीत केले जातात. विविध प्रकारची प्रेझेंटेशन्स, शैक्षणिक माहिती, विज्ञानाचे प्रयोग, उत्पादनाची माहिती अतिशय कमी कालावधीत व जलदगतीने विद्यार्थ्यांपर्यंत पोहचविणे हे केवळ मल्टिमिडीयामुळे शक्य झाले आहे. संगणक हा बहुमाध्यामांचा सर्वात महत्वाचा व अविभाज्य घटक आहे. त्यामुळे विनासंगणक बहुमाध्यांचा विचार करता येणार नाही. शिक्षण क्षेत्रातही या साधनांचा वापर मोठ्या प्रमाणावर होत आहे. विद्यार्थ्यांची एकाग्रता आणि रुची टिकवून ठेवणे या साधनांमुळे शक्य झाले आहे. कितीही कठीण व क्लिष्ट विषय असला तरी या साधनाच्या माध्यमाने सोपा करून शिकविता येतो. अध्ययन-अध्यापनाची गुणवत्ता वाढविण्यासाठी संगणक व बहुमाध्यमांशिवाय दुसरा पर्याय सध्या तरी उपलब्ध नाही.
नई शिक्षा नीति 2020 में उच्च शिक्षा की भूमिका
Authors: यादव प्रतिभा
Published: December 2021

राष्ट्रीय शिक्षा नीति २०२० भारत के आगामी भविष्य को नए परिवर्तनों एवं चुनौतियों से सशक्त एवं प्रभावी रूप से सामना करने तथा एक श्रेष्ठ भारत निर्माण को संकल्पित करने के उद्देश्य से मानव समाज के उन्नयन हेतु लागू की गई है| राष्ट्रीय शिक्षा नीति २०२० उच्च शिक्षा में नए उत्परिवर्तनों हेतु प्रतिबद्ध है जो समाज में गुणवत्ता, नवाचार, प्रौघोगिकी तथा भारत केंद्रित शिक्षा के समन्वयन से नवीन कीर्तिमान स्थापित करेगी| उच्च शिक्षा के क्षेत्र में राष्ट्रीय शिक्षा नीति २०२० मुख्य रूप से बहुविषयक संस्थानों की स्थापना, विषय चयन की स्वतंत्रता, ड्राप आउट छात्रों को पुनः अध्ययन, उच्च नामांकन अनुपात तथा शिक्षा के लिए राष्ट्रीय पाठ्यक्रम शामिल है| राष्ट्रीय शिक्षा नीति २०२० संपूर्ण उच्च शिक्षा के लिए भारतीय उच्च शिक्षा संस्थान की स्थापना जिसमे नियमन, मानक, वित्त पोषण तथा मान्यता शामिल है, हेतु संकल्पित है| अनुसंधान सहित शिक्षा राष्ट्रीय शिक्षा नीति २०२० का महत्त्वपूर्ण घटक है जिसमे राष्ट्रीय अनुसंधान फाउंडेशन के गठन तथा अनुसंधान के क्षेत्र में विशेष उपलब्धि को प्रेरित करना, समान, समावेशी तथा जीवंत व्यावसायिक एवं मूलभूत शोध आधारित शिक्षा से मानव जीवन के सामाजिक आर्थिक एवं नैतिक विकास हेतु प्रतिबद्धता मुख्य है|
CONTEMPORARY MONASTIC LIFE OF MONKS AND NUNS INVIETNAM
Authors: Suong Nguyen Thi
Published: December 2021

Buddhism is one outstanding religionby peaceful, harmonious, and pure features in the world. Buddhism has inspired humankind, even scientists. That is a source of exceptional cultural achievements withover five million followers follow the Dhamma in threemain traditions: Theravāda in Sri Lanka and Southeast Asia, Dharmaguptaka in East Asia, and Mulasarvastivada for Tibet and the Himalayan region are going on around the world at present.
SGP- LOCALLY CLOSED SETS IN TOPOLOGICAL SPACES (PART -II)
Authors: Marigoudar Tippeshi V. , Holliyavar Manjunathayya M.
Published: December 2021

The aim of this paper is to introduce the new class of sgp- locally closed sets in topological spaces and studied some of their properties and characterizations.
USE OF INQUIRY TRAINING MODEL FOR TEACHING CHEMISTRY
Authors: Tapsale Sudarshan D. , Shinde Geeta , Bhise Kaluram Nathu
Published: December 2021

Education system of India has great history of Gurukul system and today’s world of technological use, but teaching and learning on different platforms are same that is to learn something new. So many changes have been taking place in Education field as time changes same modification in the ways of teaching –learning methods. Education plays important role in the student’s life and this way changed students learning style. Students are always interested in learning new things and are engaged in creating new ideas and to develop new ideas especially in the subjects of science. To solve this problem, an innovation of new methods of teaching was developed with a new by Richard Such man (1961) like Inquiry training model. This study includes the students of science background and graduate students of science, like those want to learn chemistry subjects. In this model children’s Enters through difficult situation and followed one by one steps up to their satisfaction and teacher guides, motivates the students to show the way or path to students. This method is effective for development of motivation and achievement in science particularly chemistry subject for the better understanding of area .
CHANGING DIMENSIONS OF LAW: AN ANALYSIS
Authors: Singh Amit Pratap
Published: December 2021

It is the most common conception amongst us that law governs our behaviour through rules and sanctions. It sometime provides for what is permissible and obligated to be done like road or traffic rules or duties towards old age parents. But mostly it tells us what we can’t do or manifest like thinking about waging war against the nation or killing a fellow human being. Some jurists also claim that these kinds of do’s and don’ts are norms which we call laws.
REMITTANCE BEHAVIOUR OF OUT-MIGRATION IN ROHTAS DISTRICT
Authors: Jee Shyam Krishna
Published: December 2021

Intact Human migration is an important area of research in Population Geography. It has been related to mankind from the very beginning of human life. During earlier days people used to move from one forest to another in search of food. The development of civilization helped people to keep animals and cultivated land. This led to the development of settlement. But at this stage also, people continued to move from one region to another in search of fertile land. In due course of time, the development of trade, industry and transport encouraged people to move from one area to another. These developments accelerated rural-urban migration which caused urbanization and industrialization. Remittances has also affected the migration level in this study remittance behaviour has been analysed. It affects the variable measuring economic development. In any economy, unbalanced regional development leads to internal migration. Moreover, globalization and liberalization generated system as well as flow of remittances. In present study remittance behaviour of out-migrants in state of Bihar and Rohtas district has been discussed. In this study age-group factor have been carved out according to remittance behaviour.
TEACHERS VIEW ON VALUE EDUCATION AT JANGALMAHAL IN WEST BENGAL
Authors: Khanda1 Subhasish , Mishra S. P.
Published: December 2021

The present study emphasises on teachers’ view on values education at Jangalmahal. Qualitative research method has been employed for the study. Purposefully 20 teachers were selected from the Jangalmahal area of West Bengal and interviewed by using researcher made structured interview schedules. Collected data was analysed qualitatively by using content-analysis techniques. The study found that honesty, sincerity, love, innovation, trust, politeness, peace, discipline, creativity, problem solving ability and courtesy are important values necessary from students and to impart those values teachers used discussion, narration and collaboration, field trips, discussion, demonstration, problem solving, creative writing, model making and inductive - deductive methods, role play and activity as methods of teaching to develop students personality, responsible-cooperative citizenship and patriotism. The suggested for value based school curriculum, recruitment of teachers and training of teachers
बंगाल के सुप्रसिद्ध चित्रकार - असित कुमार हाल्दार एवं क्षितीन्द्रनाथ मजूमदार - एक अध्ययन
Authors: कष्यप प्रेमलता
Published: December 2021

कला सदैव से मनुश्य की सहचरी रही है, मनुष्य के सृजन की प्रक्रिया, जिसमें नवीनता का समावेष हो वही कला है। कला एक ऐसी अभिव्यक्ति है, जिसमें सुख षान्ति की प्राप्ति होती है। आत्मा के स्वरूप को समझने की जिज्ञासा और प्रवृत्ति को समझना एक मानवीय स्वभाव है। कलाकार की कृतियों के माध्यम से इस स्वरूप को आसानी से समझा जा सकता है। बगांल षैली कला के पुर्नजागरण काल का अभ्युदय माना जाता है। जिसका श्रेय श्री ई0वी0हेविल और श्री अवनीन्द्रनाथ जी को निःसन्देह जाता है। अवनीन्द्र नाथ के षिश्य असित कुमार हाल्दार और क्षितिन्द्रनाथ मजूमदार हुए जिन्होनें बगांल शैली में कार्य किया जहां क्षितीन्द्रनाथ मजूमदार जी के चित्र वैष्णव धर्म से आते प्राते हैं, वहीं असित कुमार हाल्दार ने चित्रों में बौद्धधर्म सौन्दर्य के साथ, सामाजिक चिन्तन के साथ चित्रों में सौन्दर्य का परिचय दिया है। दोनों कलाकारों का आधुनिक भारतीय चित्रकला को अन्तराश्ट्रीय स्थान पर पहुंचाने में पूर्ण सहयोग है। दोनों कलाकारों ने ही बगांल स्कूल से निकलकर उत्तर प्रदेश की कला में नयी दिशा प्रदान की।
SCOPE AND MAGNITUDE OF THE DOMESTIC VIOLENCE IN MADHYA PRADESH
Authors: Alune Jyoti , Bhalerao Anand , Mandloi Sadhana
Published: December 2021

Women are often in great danger in the place where they are living and working, where they face a regime of violence. Those victimized suffer physically or psychologically. Only they are not able to make their own decision voice or protection themselves. Their human rights are denied and their lives are stolen from them. The term domestic include violence by are intimate partners, Family members and at the place of working as senior officer and co-worker. In recent year, there has been a greater understanding of the problem of domestic violence to causes and consequences and an international consensus has developed on the need to deal with the issue. The convention the united nations general assembly some 20 Years ago and the platform for action adopted at the fourth International conference on women worldwide continue suffer, with estimates varying from 20 to 50 percent from century to century.
जनपद फर्रूखाबाद में जनसंख्या के सामाजिक एवं आर्थिक घटक
Authors: बर्मन संदीप  सिंह
Published: December 2021

जनसंख्या अर्थात् जनता का वर्णन एक ऐसा विषय है जिसमें विकास की सीमा को निश्चित किया जा सकता है जिससे भावी विकास में उसका उपयोग सम्भव हो सके। भूगोल में जनसंख्या के वितरण पक्ष का विवरणात्मक और विवेचनात्मक अध्ययन जनसंख्याओं की विभिन्न विशेषताओं को ध्यान में रखकर किया जाता है। यह विशेषताएं जलवायु, भूमि की बनावट, खनिज की उपलब्धता आदि से प्रभावित होती है। इस प्रकार जनसंख्या को मानव भूगोल की एक महत्वपूर्ण शाखा माना जाता है।
STATUS OF SELECTED PUBLIC HEALTH FACILITIES IN THANE DISTRICT: A COMPARATIVE STUDY
Authors: Singh Gulab T. , Sharma Harishchandra
Published: December 2021

The present paper attempts to provide an in-depth insight about the availability and disparity prevailing in health facilities such as availability of beds and doctors per 25000 of the population in different talukas of Thane district of Maharashtra during 2008-09 to 2018-19. The research reveals the presence of huge disparity concerning said infrastructural facilities in the district during the given period. The research analysis indicates that Ulhasnagar taluka in the district had the highest availability of hospital beds per 25000 of the population in government hospitals while Kalyan taluka witnessed the lowest availability. Talking about the doctors' availability in the district, Ulhasnagar and Murbad taluka noted the highest availability while Ambernath witnessed taluka’s lowest availability during the study period. The present study is based on secondary data, collected through various published sources. The data has been analysed using simple statistical tools such as tables and graphs. The average has been calculated to rank the position of the taluka in the availability of selected health infrastructural facilities in the district.
The Disclosure of Personally Identifiable Information in Studies of Neighborhood Contexts and Patient Outcomes
Authors: Rundle Andrew Graham , Bader Michael David Miller , Mooney Stephen John
Published: December 2021

Clinical epidemiology and patient-oriented health care research that incorporates neighborhood-level data is becoming increasingly common. A key step in conducting this research is converting patient address data to longitude and latitude data, a process known as geocoding. Several commonly used approaches to geocoding (eg, ggmap or the tidygeocoder R package) send patient addresses over the internet to web-based third-party geocoding services. Here, we describe how these approaches to geocoding disclose patients’ personally identifiable information (PII) and how the subsequent publication of the research findings discloses the same patients’ protected health information (PHI). We explain how these disclosures can occur and recommend strategies to maintain patient privacy when studying neighborhood effects on patient outcomes.
Implementation and Experiences of Telehealth: Balancing Policies With Practice in Countries of South Asia, Kuwait, and the European Union
Authors: John Oommen , Sarbadhikari Suptendra Nath , Prabhu Thanga , Goel Ashvini , Thomas Alexander , Shroff Sunil , Allaudin Fazilah , Weerabaddana Chaminda , Alhuwail Dari , Koirala Udaya , Johnrose Jayalal , Codyre Patricia , Bleaden Andy , Singh Shubnum , Bajaj Shuchin
Published: December 2021

This viewpoint summarizes the discussion that occurred during the “Translating Policy to Practice in Telehealth–Lessons from Global Implementation Experiences” panel that was held virtually at Telemedicon2020, December 18-20, 2020. This panel brought together policy and implementation experts from some countries of South Asia, Kuwait, and the European Union to share their experiences in the development and implementation of telehealth standards and of the scale up of telehealth interventions within health systems. Several common themes arose from the discussion, including the significant role of people; encouragement by respective government policymakers; addressing concerns, particularly related to privacy, confidentiality, and security; and capacity building of human resources. These are discussed in turn, along with the future directions identified by the panelists, which emphasized the need for active encouragement toward the adoption and diffusion of digital health in general and of telehealth in particular. All stakeholders, ranging from governmental policymakers to common citizens, need to come together to build trusting partnerships to realize the advantages offered by telehealth.
An Association of Influenza Epidemics in Children With Mobile App Data: Population-Based Observational Study in Osaka, Japan
Authors: Katayama Yusuke , Kiyohara Kosuke , Hirose Tomoya , Ishida Kenichiro , Tachino Jotaro , Nakao Shunichiro , Noda Tomohiro , Ojima Masahiro , Kiguchi Takeyuki , Matsuyama Tasuku , Kitamura Tetsuhisa
Published: December 2021

Background

Early surveillance to prevent the spread of influenza is a major public health concern. If there is an association of influenza epidemics with mobile app data, it may be possible to forecast influenza earlier and more easily.

Objective

We aimed to assess the relationship between seasonal influenza and the frequency of mobile app use among children in Osaka Prefecture, Japan.

Methods

This was a retrospective observational study that was performed over a three-year period from January 2017 to December 2019. Using a linear regression model, we calculated the R2 value of the regression model to evaluate the relationship between the number of “fever” events selected in the mobile app and the number of influenza patients ≤14 years of age. We conducted three-fold cross-validation using data from two years as the training data set and the data of the remaining year as the test data set to evaluate the validity of the regression model. And we calculated Spearman correlation coefficients between the calculated number of influenza patients estimated using the regression model and the number of influenza patients, limited to the period from December to April when influenza is prevalent in Japan.

Results

We included 29,392 mobile app users. The R2 value for the linear regression model was 0.944, and the adjusted R2 value was 0.915. The mean Spearman correlation coefficient for the three regression models was 0.804. During the influenza season (December–April), the Spearman correlation coefficient between the number of influenza patients and the calculated number estimated using the linear regression model was 0.946 (P<.001).

Conclusions

In this study, the number of times that mobile apps were used was positively associated with the number of influenza patients. In particular, there was a good association of the number of influenza patients with the number of “fever” events selected in the mobile app during the influenza epidemic season.
Fertility Workup With Video Consultation During the COVID-19 Pandemic: Pilot Quantitative and Qualitative Study
Authors: Grens Hilde , de Bruin Jan Peter , Huppelschoten Aleida , Kremer Jan A M
Published: December 2021

Background

Due to the COVID-19 pandemic, major parts of elective health care in the Netherlands, such as reproductive medicine, were paused. When health care was resumed, video consultation was used as a new solution to continue consultations with the new governmental rules of social distancing. Prior to this COVID-19 situation, video consultation was not used extensively in the Netherlands; therefore, physicians and patients are not familiar with this way of consultation.

Objective

The purpose of this study was to measure the level of patient centeredness and shared decision making in infertile couples who have undergone fertility workup through video consultation.

Methods

This is a questionnaire study with an additional qualitative part for a more in depth understanding. Infertile couples (ie, male and female partners with an unfulfilled wish for a child after 1 year of unprotected intercourse) were referred to a fertility center and underwent fertility workup through video consultation. The fertility workup consisted of 2 separate video consultations, with diagnostic tests according to a protocol. After the last video consultation couples received a digital questionnaire, which consisted of a modified version of the Patient-Centered Questionnaire-Infertility (PCQ-I) and CollaboRATE questionnaire. Fifty-three eligible infertile couples were approached, and of these, 22 participated. Four women were approached for a semistructured interview.

Results

The median score on the modified PCQ-I (scale of 0 to 3) was 2.64. The highest rating was for the subscale communication and information, and the lowest rating was for the subscale organization of care. The median score on the CollaboRATE questionnaire (scale of 1 to 9) was 8 for all 3 subquestions. Patients mentioned privacy, less travel time, and easy use of the program as possible benefits of video consultation. However, patients preferred the first consultation with their physician to be face-to-face consultation as video consultation was considered less personal.

Conclusions

The high levels of patient centeredness and shared decision making show that video consultation is a promising way of providing care remotely, although attention has to be payed to mitigate the more impersonal setting of video consultation when compared with face-to-face consultation.
Device- and Nondevice-Guided Slow Breathing to Reduce Blood Pressure in Patients with Hypertension: Protocol for a Systematic Review and Meta-analysis
Authors: de Freitas Gonçalves Kamila Shelry , Queiroz Godoy Daniel Ana Carolina , Tatagiba Lamas José Luiz , Ceretta Oliveira Henrique , Silveira Renata C C P , Cloutier Lyne , Velludo Veiga Eugenia
Published: December 2021

Background

Physiotherapy can include both device-guided slow breathing (DGSB) and nondevice-guided slow breathing (NDGSB) in the treatment of systemic arterial hypertension.

Objective

The aim of this study is to summarize the effects of DGSB on blood pressure levels of patients with hypertension based on the published literature to date.

Methods

A systematic search of all published randomized controlled trials (RCTs) on the effects of device-guided and nondevice-guided slow breathing in patients with hypertension, without language restriction, was carried out up to a publication date of January 2020 in nine databases: PubMed/MEDLINE, Latin American and Caribbean Health Sciences Literature (LILACS), EMBASE, CENTRAL (Cochrane Central Register of Controlled Trials), Physiotherapy Evidence Database (PEDro), CINAHL (Cumulative Index to Nursing and Allied Health Literature), Scopus, Web of Science, and Livivo. Clinical trial records databases (ClinicalTrials.gov), and bases for the open gray literature, including Gray Literature Report and ProQuest Central (Citation, Abstract or Indexing, and Dissertations and Theses), were also searched for potentially eligible RCTs. The quality assessment of the included studies will be performed using the Cochrane Risk of Bias Tool for Randomized Trials. The overall quality of the evidence for each outcome will be assessed using the GRADE (Grading of Recommendations, Development and Evaluation) system.

Results

As of December 2021, the review was completed and all data from continuous variables referring to blood pressure values (mmHg) were synthesized.

Conclusions

This systematic review will provide a summary of the current evidence on the effects of both DGSB and NDGSB on blood pressure levels. This information can contribute to decision-making by health professionals related to the use of these interventions in patients with hypertension.

Trial Registration

PROSPERO (Prospective International Register of Systematic Reviews) CRD42020147554; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=147554

International Registered Report Identifier (IRRID)

RR1-10.2196/33579
The Successful Synchronized Orchestration of an Investigator-Initiated Multicenter Trial Using a Clinical Trial Management System and Team Approach: Design and Utility Study (Preprint)
Authors: Mudaranthakam Dinesh Pal , Brown Alexandra , Kerling Elizabeth , Carlson Susan E , Valentine Christina J , Gajewski Byron
Published: December 2021

BACKGROUND

As the cost of clinical trials continues to rise, novel approaches are required to ensure ethical allocation of resources. Multisite trials have been increasingly utilized in phase 1 trials for rare diseases and in phase 2 and 3 trials to meet accrual needs. The benefits of multisite trials include easier patient recruitment, expanded generalizability, and more robust statistical analyses. However, there are several problems more likely to arise in multisite trials, including accrual inequality, protocol nonadherence, data entry mistakes, and data integration difficulties.

OBJECTIVE

The Biostatistics & Data Science department at the University of Kansas Medical Center developed a clinical trial management system (comprehensive research information system [CRIS]) specifically designed to streamline multisite clinical trial management.

METHODS

A National Institute of Child Health and Human Development–funded phase 3 trial, the ADORE (assessment of docosahexaenoic acid [DHA] on reducing early preterm birth) trial fully utilized CRIS to provide automated accrual reports, centralize data capture, automate trial completion reports, and streamline data harmonization.

RESULTS

Using the ADORE trial as an example, we describe the utility of CRIS in database design, regulatory compliance, training standardization, study management, and automated reporting. Our goal is to continue to build a CRIS through use in subsequent multisite trials. Reports generated to suit the needs of future studies will be available as templates.

CONCLUSIONS

The implementation of similar tools and systems could provide significant cost-saving and operational benefit to multisite trials.

CLINICALTRIAL

ClinicalTrials.gov NCT02626299; https://tinyurl.com/j6erphcj
Characterizing and Identifying the Prevalence of Web-Based Misinformation Relating to Medication for Opioid Use Disorder: Machine Learning Approach (Preprint)
Authors: ElSherief Mai , Sumner Steven A , Jones Christopher M , Law Royal K , Kacha-Ochana Akadia , Shieber Lyna , Cordier LeShaundra , Holton Kelly , De Choudhury Munmun
Published: December 2021

BACKGROUND

Expanding access to and use of medication for opioid use disorder (MOUD) is a key component of overdose prevention. An important barrier to the uptake of MOUD is exposure to inaccurate and potentially harmful health misinformation on social media or web-based forums where individuals commonly seek information. There is a significant need to devise computational techniques to describe the prevalence of web-based health misinformation related to MOUD to facilitate mitigation efforts.

OBJECTIVE

By adopting a multidisciplinary, mixed methods strategy, this paper aims to present machine learning and natural language analysis approaches to identify the characteristics and prevalence of web-based misinformation related to MOUD to inform future prevention, treatment, and response efforts.

METHODS

The team harnessed public social media posts and comments in the English language from Twitter (6,365,245 posts), YouTube (99,386 posts), Reddit (13,483,419 posts), and Drugs-Forum (5549 posts). Leveraging public health expert annotations on a sample of 2400 of these social media posts that were found to be semantically most similar to a variety of prevailing opioid use disorder–related myths based on representational learning, the team developed a supervised machine learning classifier. This classifier identified whether a post’s language promoted one of the leading myths challenging addiction treatment: that the use of agonist therapy for MOUD is simply replacing one drug with another. Platform-level prevalence was calculated thereafter by machine labeling all unannotated posts with the classifier and noting the proportion of myth-indicative posts over all posts.

RESULTS

Our results demonstrate promise in identifying social media postings that center on treatment myths about opioid use disorder with an accuracy of 91% and an area under the curve of 0.9, including how these discussions vary across platforms in terms of prevalence and linguistic characteristics, with the lowest prevalence on web-based health communities such as Reddit and Drugs-Forum and the highest on Twitter. Specifically, the prevalence of the stated MOUD myth ranged from 0.4% on web-based health communities to 0.9% on Twitter.

CONCLUSIONS

This work provides one of the first large-scale assessments of a key MOUD-related myth across multiple social media platforms and highlights the feasibility and importance of ongoing assessment of health misinformation related to addiction treatment.
Investigating the Implementation of SMS and Mobile Messaging in Population Screening (the SIPS Study): Protocol for a Delphi Study (Preprint)
Authors: Acharya Amish , Judah Gaby , Ashrafian Hutan , Sounderajah Viknesh , Johnstone-Waddell Nick , Stevenson Anne , Darzi Ara
Published: December 2021

BACKGROUND

The use of mobile messaging, including SMS, and web-based messaging in health care has grown significantly. Using messaging to facilitate patient communication has been advocated in several circumstances, including population screening. These programs, however, pose unique challenges to mobile communication, as messaging is often sent from a central hub to a diverse population with differing needs. Despite this, there is a paucity of robust frameworks to guide implementation.

OBJECTIVE

The aim of this protocol is to describe the methods that will be used to develop a guide for the principles of use of mobile messaging for population screening programs in England.

METHODS

This modified Delphi study will be conducted in two parts: evidence synthesis and consensus generation. The former will include a review of literature published from January 1, 2000, to October 1, 2021. This will elicit key themes to inform an online scoping questionnaire posed to a group of experts from academia, clinical medicine, industry, and public health. Thematic analysis of free-text responses by two independent authors will elicit items to be used during consensus generation. Patient and Public Involvement and Engagement groups will be convened to ensure that a comprehensive item list is generated that represents the public’s perspective. Each item will then be anonymously voted on by experts as to its importance and feasibility of implementation in screening during three rounds of a Delphi process. Consensus will be defined a priori at 70%, with items considered important and feasible being eligible for inclusion in the final recommendation. A list of desirable items (ie, important but not currently feasible) will be developed to guide future work.

RESULTS

The Institutional Review Board at Imperial College London has granted ethical approval for this study (reference 20IC6088). Results are expected to involve a list of recommendations to screening services, with findings being made available to screening services through Public Health England. This study will, thus, provide a formal guideline for the use of mobile messaging in screening services and will provide future directions in this field.

CONCLUSIONS

The use of mobile messaging has grown significantly across health care services, especially given the COVID-19 pandemic, but its implementation in screening programs remains challenging. This modified Delphi approach with leading experts will provide invaluable insights into facilitating the incorporation of messaging into these programs and will create awareness of future developments in this area.

INTERNATIONAL REGISTERED REPORT

PRR1-10.2196/32660
Relationships between job stress, psychological adaptation, negative affective states and Internet gaming disorder among migrant factory workers in China: cross-sectional survey (Preprint)
Authors: Yang Xue , Wang Zixin , Cao He , Zhang Kechun , Ye Danhua , Cai Yong , Cao Bolin , Wang Ying , Meng Xiaojun , Ke Wujian , Sun Caijun , Deng Kai , Li Linghua , Hou Fengsu , Zhang Lei , Chen Yaqi , Hu Tian , Lin Yifan , Fu Leiwen , Luo Dan , Liang Bowen , Chen Dahui , Leng Xinying , Li Minchao , Zhou Jiasheng , Zhao Jiacong , Xu Chen , Yu Xiaoyue , Wang Rongxi , Chen Hui , Liu Shangbin , Dai Suhui , Wu Shaomin , Zou Huachun
Published: December 2021

BACKGROUND

Factory workers make up a large proportion of China’s internal migrants and may be highly susceptible to Internet gaming disorder (IGD). However, little research on IGD has been conducted in this population.

OBJECTIVE

This study aims to investigate the prevalence and potential factors of IGD among migrant factory workers in China. Furthermore, it aims to examine a mediation model based on the framework of the general strain model among migrant factory workers.

METHODS

A stratified multi-stage sampling approach was used for recruitment. In the first stage, the research team randomly selected 16 factories in Longhua district, and then randomly selected three to four workshops from each factory. All full-time employees aged ≥18 years in the selected workshops were invited to participate in the study. A total of 2,023 factory workers completed a self-administered questionnaire between October and December 2019. Structural equation modeling was conducted to test the proposed mediation model.

RESULTS

Most of the participants (67.3%) were male, aged 35 years old or below (71.7%), and without teritary education (91%). The prevalence of probable depression, probable anxiety, and IGD was 39.3%, 28.7%, and 7.5%. Being male, younger age, and shorter duration of living in Shenzhen were associated with higher IGD scores. Job stress was significantly associated with IGD (B=.02, β=.11, p=.01) but not with negative affective states (B=.04, β=.01, p=.77). Psychological adaptation was significantly associated with negative affective states (B=-2.93, β=-.37, p<.001) but not with IGD (B=.04, β=.09, p>.05). Negative affective states were positively associated with IGD (B=.02, β=.27, p<.001). The indirect effect of psychological adaptation (B=-.05, β=-.10, 95%CI=-.14 to -.07, p=.004) but not job stress (B=.001, β=.003, 95%CI=-.02 to .03, p=.76) on IGD through negative affective states was statistically significant. The significant indirect effect and insignificant direct effect of psychological adaptation on IGD suggested a full mediation effect of negative affective states.

CONCLUSIONS

This study provides evidence for applying the general strain model to understand IGD among migrant factory workers. Efforts to prevent negative affective states, IGD and other risk behaviors in this special and huge population in China are in urgent need. The observed psychological factors and mechanisms are modifiable, and can inform the design of evidence-based prevention programs for IGD in this population.
Classifying Autism From Crowdsourced Semistructured Speech Recordings: Machine Learning Model Comparison Study (Preprint)
Authors: Chi Nathan A , Washington Peter , Kline Aaron , Husic Arman , Hou Cathy , He Chloe , Dunlap Kaitlyn , Wall Dennis P
Published: December 2021

BACKGROUND

Autism spectrum disorder (ASD) is a neurodevelopmental disorder that results in altered behavior, social development, and communication patterns. In recent years, autism prevalence has tripled, with 1 in 44 children now affected. Given that traditional diagnosis is a lengthy, labor-intensive process that requires the work of trained physicians, significant attention has been given to developing systems that automatically detect autism. We work toward this goal by analyzing audio data, as prosody abnormalities are a signal of autism, with affected children displaying speech idiosyncrasies such as echolalia, monotonous intonation, atypical pitch, and irregular linguistic stress patterns.

OBJECTIVE

We aimed to test the ability for machine learning approaches to aid in detection of autism in self-recorded speech audio captured from children with ASD and neurotypical (NT) children in their home environments.

METHODS

We considered three methods to detect autism in child speech: (1) random forests trained on extracted audio features (including Mel-frequency cepstral coefficients); (2) convolutional neural networks trained on spectrograms; and (3) fine-tuned wav2vec 2.0—a state-of-the-art transformer-based speech recognition model. We trained our classifiers on our novel data set of cellphone-recorded child speech audio curated from the Guess What? mobile game, an app designed to crowdsource videos of children with ASD and NT children in a natural home environment.

RESULTS

The random forest classifier achieved 70% accuracy, the fine-tuned wav2vec 2.0 model achieved 77% accuracy, and the convolutional neural network achieved 79% accuracy when classifying children’s audio as either ASD or NT. We used 5-fold cross-validation to evaluate model performance.

CONCLUSIONS

Our models were able to predict autism status when trained on a varied selection of home audio clips with inconsistent recording qualities, which may be more representative of real-world conditions. The results demonstrate that machine learning methods offer promise in detecting autism automatically from speech without specialized equipment.
Offline Reputation Matters: Physicians’ Online Reputation Bias in Online Health Communities (Preprint)
Authors: Jiang Jin , Sun Yuxin , DANG Yuanyuan , Guo Shanshan , Wang Shuai
Published: December 2021

BACKGROUND

Online health communities (OHCs) have gradually become an important service platform for patients to communicate with physicians and obtain treatment and related medical information. With the rise of OHCs, an increasing number of scholars have begun to study the incentive mechanism of a physician’s online contribution behavior. However, previous studies have ignored the limited effect of online reputation on a physician’s online contribution and the moderating effect of offline reputation.

OBJECTIVE

We hypothesized that online reputation shows an inverted U-shaped relation with a physician’s contribution and that offline reputation reduces the inverted U-shaped relation, thus weakening the positive impact of reputation on performance and strengthening the negative impact of reputation performance.

METHODS

Based on incentive theory and prior studies, we proposed three hypotheses. We collected the panel data of 6,648 physicians from Good Physician, one of the largest OHCs in China. An empirical model was built to test our hypotheses. Additionally, the variables representing online reputation were replaced and the data set was split for the robustness check.

RESULTS

First, our results support the hypothesis of an inverted U-shaped relationship between a physician’s online reputation and their online contribution behavior(β=-0.127, t=13.624, P<.001). Second, we identify the bipolar impact of online and offline reputation on a physician’s online contribution. Specifically, over a period of time, online reputation will promote the contribution of physicians(slope=1.514, P<.001), while offline reputation will inhibit the contribution. Third, our research shows that offline reputation can weaken the impact of online reputation on a physician’s online contribution.

CONCLUSIONS

We amended the bias of the positive linear correlation between online reputations and online contributions in OHCs. Moreover, by identifying the moderating effect of offline reputation, we ameliorated the interpreting mechanism of online reputation on a physician’s online contribution. The findings improve our understanding of physicians' online contribution behaviors and contribute to the literature on OHCs. Our research can provide guidance for an OHC to design effective personalized incentive mechanisms and encourage physicians to provide more high-quality services.