bluuebunny/crossref_metadata_2025 huggingface dataset:
Baby Walker: Mother’s Knowledge, Injury Prevention Behavior and Incidence of Injury among Toddler in Paseban District, Jakarta
Authors: Revelin Velmi , Supriyanti Sri Indiyah
Published: May 2020

Baby walker is still popularly used by several families, which aims to eneble the child to quickly walk, even though their use might cause injuries. This study aims to determine the relationship of the mother knowledge and prevention behavior toward the injury of baby walker among toddler in Paseban urban village. This study used descriptive corelatif design with applies cross sectional designe. The population are 83 and total sampling is used to take the sample. The sample are 83 responden. The data were analyzed using Chi-Square with p value =0.05 was considered significant. The injury association of baby walker has 47% toodlers, mother’s knowledge has 50.6%, mother’s who has good prevention behavior are 55.4%, the result of the analysis correlation of mother’s knowladge has a p-value = 0.000, mother’s prevention behavior has a p-value = 0.000. It can be interpreted that there is a significant relationship among mother’s knowladge and prevention behavior toward the injury of baby walker among toddler in Paseban urban village. Based on the results of these studies, improvement of mother knowledge is important in an effort to prevent the occurrence of injury to children who use baby walker by counseling, with good knowledge, mother can prevention behavior on the injury association of baby walker.
Experiencing Positive Health, as a Family, While Living With a Rare Complex Disease: Bringing Participatory Medicine Through Collaborative Decision Making Into the Real World
Authors:   Caridi Family, Poduri Annapurna , Devinsky Orrin , Tabacinic Miriam , Jadad Alejandro R
Published: May 2020

Physician–patient collaboration was recognized as a critical core of participatory medicine more than a century ago. However, the subsequent focus on scientific research to enable cures and increased dominance of physicians in health care subordinated patients to a passive role. This paternalistic model weakened in the past 50 years—as women, minorities, and the disabled achieved greater rights, and as incurable chronic diseases and unrelieved pain disorders became more prevalent—promoting a more equitable role for physicians and patients. By 2000, a shared decision-making model became the pinnacle for clinical decisions, despite a dearth of data on health outcomes, or the model’s reliance on single patient or solo practitioner studies, or evidence that no single model could fit all clinical situations. We report about a young woman with intractable epilepsy due to a congenital brain malformation whose family and medical specialists used a collaborative decision-making approach. This model positioned the health professionals as supporters of the proactive family, and enabled them all to explore and co-create knowledge beyond the clinical realm. Together, they involved other members of the community in the decisions, while harnessing diverse relationships to allow all family members to achieve positive levels of health, despite the resistance of the seizures to medical treatment and the incurable nature of the underlying disease.
Evaluating the Quality of Health-Related WeChat Public Accounts: Cross-Sectional Study (Preprint)
Authors: Wang Fuzhi , Wang Zhuoxin , Sun Weiwei , Yang Xiumu , Bian Zhiwei , Shen Lining , Pan Wei , Liu Peng , Chen Xingzhi , Fu Lianguo , Zhang Fan , Luo Dan
Published: May 2020

BACKGROUND

As representatives of health information communication platforms accessed through mobile phones and mobile terminals, health-related WeChat public accounts (HWPAs) have a large consumer base in the Chinese-speaking world. However, there is still a lack of general understanding of the status quo of HWPAs and the quality of the articles they release.

OBJECTIVE

The aims of this study were to assess the conformity of HWPAs to the Health on the Net Foundation Code of Conduct (HONcode) and to evaluate the suitability of articles disseminated by HWPAs.

METHODS

The survey was conducted from April 23 to May 5, 2019. Based on the monthly (March 1-31, 2019) WeChat Index provided by Qingbo Big Data, the top 100 HWPAs were examined to evaluate their HONcode compliance. The first four articles published by each HWPA on the survey dates were selected as samples to evaluate their suitability. All materials were assessed by three raters. The materials were assessed using the HONcode checklist and the Suitability Assessment of Materials (SAM) score sheet. Data analysis was performed with SPSS version 17.0 (SPSS Inc, Chicago, IL, USA) and Excel version 2013 (Microsoft Inc, Washington DC, USA).

RESULTS

A total of 93 HWPAs and 210 of their released articles were included in this study. For six of the eight principles, the 93 HWPAs nearly consistently did not meet the requirements of the HONcode. The HWPAs certified by Tencent Corporation (66/93, 71%) were generally slightly superior to those without such certification (27/93, 29%) in terms of compliance with HONcode principles. The mean SAM score for the 210 articles was 67.72 (SD 10.930), which indicated “adequate” suitability. There was no significant difference between the SAM scores of the articles published by certified and uncertified HWPAs (P=.07), except in the literacy requirements dimension (tdf=97=–2.418, P=.02).

CONCLUSIONS

The HWPAs had low HONcode conformity. Although the suitability of health information released by HWPAs was at a moderate level, there were still problems identified, such as difficulty in tracing information sources, excessive implicit advertisements, and irregular usage of charts. In addition, the low approval requirements of HWPAs were not conducive to improvement of their service quality.
Deep Learning Neural Networks to Predict Serious Complications After Bariatric Surgery: Analysis of Scandinavian Obesity Surgery Registry Data (Preprint)
Authors: Cao Yang , Montgomery Scott , Ottosson Johan , Näslund Erik , Stenberg Erik
Published: May 2020

BACKGROUND

Obesity is one of today’s most visible public health problems worldwide. Although modern bariatric surgery is ostensibly considered safe, serious complications and mortality still occur in some patients.

OBJECTIVE

This study aimed to explore whether serious postoperative complications of bariatric surgery recorded in a national quality registry can be predicted preoperatively using deep learning methods.

METHODS

Patients who were registered in the Scandinavian Obesity Surgery Registry (SOReg) between 2010 and 2015 were included in this study. The patients who underwent a bariatric procedure between 2010 and 2014 were used as training data, and those who underwent a bariatric procedure in 2015 were used as test data. Postoperative complications were graded according to the Clavien-Dindo classification, and complications requiring intervention under general anesthesia or resulting in organ failure or death were considered serious. Three supervised deep learning neural networks were applied and compared in our study: multilayer perceptron (MLP), convolutional neural network (CNN), and recurrent neural network (RNN). The synthetic minority oversampling technique (SMOTE) was used to artificially augment the patients with serious complications. The performances of the neural networks were evaluated using accuracy, sensitivity, specificity, Matthews correlation coefficient, and area under the receiver operating characteristic curve.

RESULTS

In total, 37,811 and 6250 patients were used as the training data and test data, with incidence rates of serious complication of 3.2% (1220/37,811) and 3.0% (188/6250), respectively. When trained using the SMOTE data, the MLP appeared to have a desirable performance, with an area under curve (AUC) of 0.84 (95% CI 0.83-0.85). However, its performance was low for the test data, with an AUC of 0.54 (95% CI 0.53-0.55). The performance of CNN was similar to that of MLP. It generated AUCs of 0.79 (95% CI 0.78-0.80) and 0.57 (95% CI 0.59-0.61) for the SMOTE data and test data, respectively. Compared with the MLP and CNN, the RNN showed worse performance, with AUCs of 0.65 (95% CI 0.64-0.66) and 0.55 (95% CI 0.53-0.57) for the SMOTE data and test data, respectively.

CONCLUSIONS

MLP and CNN showed improved, but limited, ability for predicting the postoperative serious complications after bariatric surgery in the Scandinavian Obesity Surgery Registry data. However, the overfitting issue is still apparent and needs to be overcome by incorporating intra- and perioperative information.

CLINICALTRIAL
Knowledge and Behaviors Toward COVID-19 Among US Residents During the Early Days of the Pandemic: Cross-Sectional Online Questionnaire (Preprint)
Authors: Clements John M
Published: May 2020

BACKGROUND

The early days of the coronavirus disease (COVID-19) pandemic in the United States brought uncertainty in the knowledge about COVID-19 and what to do about it. It is necessary to understand public knowledge and behaviors if we are to effectively address the pandemic.

OBJECTIVE

The aim of this study is to test the hypothesis that knowledge about COVID-19 influences participation in different behaviors including self-reports of purchasing more goods than usual, attending large gatherings, and using medical masks.

METHODS

This study was funded and approved by the Institutional Review Board on March 17, 2020. The cross-sectional online survey of 1034 US residents aged 18 years or older was conducted on March 17, 2020.

RESULTS

For every point increase in knowledge, the odds of participation in purchasing more goods (odds ratio [OR] 0.88, 95% CI 0.81-0.95), attending large gatherings (OR 0.87, 95% CI 0.81-0.93), and using medical masks (OR 0.56, 95% CI 0.50-0.62) decreased by 12%, 13%, and 44%, respectively. Gen X and millennial participants had 56% and 76% higher odds, respectively, of increased purchasing behavior compared to baby boomers. The results suggest that there is a politicization of response recommendations. Democrats had 30% lower odds of attending large gatherings (OR 0.70, 95% CI 0.50-0.97) and 48% lower odds of using medical masks (OR 0.52, 95% CI 0.34-0.78) compared to Republicans.

CONCLUSIONS

This survey is one of the first attempts to study determinants of knowledge and behaviors in response to the COVID-19 pandemic in the United States. A national, coordinated effort toward a pandemic response may ensure better compliance with behavioral recommendations to address this public health emergency.
Evaluation of a Web-Based ADHD Awareness Training in Primary Care: Pilot Randomized Controlled Trial With Nested Interviews (Preprint)
Authors: French Blandine , Hall Charlotte , Perez Vallejos Elvira , Sayal Kapil , Daley David
Published: May 2020

BACKGROUND

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder affecting up to 5% of children and adults. Undiagnosed and untreated ADHD can result in adverse long-term health, educational, and social impacts for affected individuals. Therefore, it is important to identify this disorder as early as possible. General practitioners (GPs) frequently play a gatekeeper role in access to specialist services in charge of diagnosis and treatment. Studies have shown that their lack of knowledge and understanding about ADHD can create barriers to care.

OBJECTIVE

This pilot randomized controlled trial assesses the efficacy of a web-based psychoeducation program on ADHD tailored for GPs.

METHODS

A total of 221 participants were randomized to either a sham intervention control or an awareness training intervention and they completed questionnaires on ADHD knowledge, confidence, and attitude at 3 time points (preintervention, postintervention, and 2-week follow-up). Participants in the intervention arm were invited to participate in a survey and follow-up interview between 3 and 6 months after the intervention.

RESULTS

The responses of 109 GPs were included in the analysis. The knowledge (P<.001) and confidence (P<.001) of the GPs increased after the intervention, whereas misconceptions decreased (P=.04); this was maintained at the 2-week follow-up (knowledge, P<.001; confidence, P<.001; misconceptions, P=.03). Interviews and surveys also confirmed a change in practice over time.

CONCLUSIONS

These findings demonstrate that a short web-based intervention can increase GPs’ understanding, attitude, and practice toward ADHD, potentially improving patients’ access to care.

CLINICALTRIAL

International Standard Randomized Controlled Trial Number ISRCTN45400501; http://www.isrctn.com/ISRCTN45400501.
Measuring Mobility and Room Occupancy in Clinical Settings: System Development and Implementation (Preprint)
Authors: Marini Gabriele , Tag Benjamin , Goncalves Jorge , Velloso Eduardo , Jurdak Raja , Capurro Daniel , McCarthy Clare , Shearer William , Kostakos Vassilis
Published: May 2020

BACKGROUND

The use of location-based data in clinical settings is often limited to real-time monitoring. In this study, we aim to develop a proximity-based localization system and show how its longitudinal deployment can provide operational insights related to staff and patients' mobility and room occupancy in clinical settings. Such a streamlined data-driven approach can help in increasing the uptime of operating rooms and more broadly provide an improved understanding of facility utilization.

OBJECTIVE

The aim of this study is to measure the accuracy of the system and algorithmically calculate measures of mobility and occupancy.

METHODS

We developed a Bluetooth low energy, proximity-based localization system and deployed it in a hospital for 30 days. The system recorded the position of 75 people (17 patients and 55 staff) during this period. In addition, we collected ground-truth data and used them to validate system performance and accuracy. A number of analyses were conducted to estimate how people move in the hospital and where they spend their time.

RESULTS

Using ground-truth data, we estimated the accuracy of our system to be 96%. Using mobility trace analysis, we generated occupancy rates for different rooms in the hospital occupied by both staff and patients. We were also able to measure how much time, on average, patients spend in different rooms of the hospital. Finally, using unsupervised hierarchical clustering, we showed that the system could differentiate between staff and patients without training.

CONCLUSIONS

Analysis of longitudinal, location-based data can offer rich operational insights into hospital efficiency. In particular, they allow quick and consistent assessment of new strategies and protocols and provide a quantitative way to measure their effectiveness.
Game-Based Meditation Therapy to Improve Posttraumatic Stress and Neurobiological Stress Systems in Traumatized Adolescents: Protocol for a Randomized Controlled Trial (Preprint)
Authors: Schuurmans Angela A T , Nijhof Karin S , Scholte Ron , Popma Arne , Otten Roy
Published: May 2020

BACKGROUND

Many adolescents in residential care have been exposed to prolonged traumatic experiences such as violence, neglect, or abuse. Consequently, they suffer from posttraumatic stress. This not only negatively affects psychological and behavioral outcomes (eg, increased anxiety, depression, and aggression) but also has adverse effects on physiological outcomes, in particular on their neurobiological stress systems. Although current evidence-based treatment options are effective, they have their limitations. An alternative to traditional trauma treatment is meditation-based treatment that focuses on stress regulation and relaxation. Muse is a game-based meditation intervention that makes use of adolescents’ intrinsic motivation. The neurofeedback element reinforces relaxation abilities.

OBJECTIVE

This paper describes the protocol for a randomized controlled trial in which the goal is to examine the effectiveness of Muse (InteraXon Inc) in reducing posttraumatic stress and normalizing neurobiological stress systems in a sample of traumatized adolescents in residential care.

METHODS

This will be a multicenter, multi-informant, and multimethod randomized controlled trial. Participants will be adolescents (N=80), aged 10 to 18 years, with clinical levels of posttraumatic symptoms, who are randomized to receive either the Muse therapy sessions and treatment as usual (intervention) or treatment as usual alone (control). Data will be collected at 3 measurement instances: pretest (T1), posttest (T2), and at 2-month follow-up. Primary outcomes will be posttraumatic symptoms (self-report and mentor report) and stress (self-report) at posttest. Secondary outcomes will be neurobiological stress parameters under both resting and acute stress conditions, and anxiety, depression, and aggression at posttest. Secondary outcomes also include all measures at 2-month follow-up: posttraumatic symptoms, stress, anxiety, depression aggression, and neurobiological resting parameters.

RESULTS

The medical-ethical committee Arnhem-Nijmegen (NL58674.091.16) approved the trial on November 15, 2017. The study was registered on December 2, 2017. Participant enrollment started in January 2018, and the results of the study are expected to be published in spring or summer 2021.

CONCLUSIONS

Study results will demonstrate whether game-based meditation therapy improves posttraumatic stress and neurobiological stress systems, and whether it is more effective than treatment as usual alone for traumatized adolescents.

CLINICALTRIAL

Netherlands Trial Register NL6689 (NTR6859); https://www.trialregister.nl/trial/6689

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/19881
Association between Social Media Use and Depressive Symptoms: A Cross-sectional Survey (Preprint)
Authors: Lee Hee Yun , Luo Yan , Won Cho Rong , Lee Jiyoung , Baik Jeongwon
Published: May 2020

BACKGROUND

The use of social media or social networking site (SNS) is increasing across all age groups, and one of the primary motives of using SNS is to seek health-related information. Previous research shows inconclusive results regarding the effect of SNS use on depression, as social comparison that individuals experience while using SNS increases the likelihood of depression. But other argues the beneficial use of SNS in managing mental health.

OBJECTIVE

Our study aims to explore the relationship between SNS use for health purpose and depression across the four age groups (18-34 years old, 35-49 years old, 50-64 years old, and above 65 years old).

METHODS

A sample of 6,789 adults aged 18 and older was extracted from a 2017 and 2018 Health Information National Trends Survey (HINTS). Univariate and bivariate analyses to examine the association between each variable and four age groups were conducted. Multiple linear regression analyses to predict depression level among participants with use of SNS for health purpose were conducted.

RESULTS

SNS use for health purpose and depression were positively associated for all age groups with strongest association among the youngest group (=.113, P<.001). Income and self-reported health status indicated an inverse relationship for all age groups, while race and marital status differed by age group. Gender and frequency of visiting health care providers predicted higher level of depression depending on age group, such as positive association among 35-49 years old group (=.076, P<.05; =.077, P<.05, respectively).

CONCLUSIONS

Overall, SNS users may be susceptible to social comparison. Age-tailored interventions educating on healthy SNS use along with identifying individuals with existing depressive symptoms through assessment of SNS use pattern are needed.
Health Goal Attainment of Patients With Chronic Diseases in Web-Based Patient Communities: Content and Survival Analysis (Preprint)
Authors: Song Jiahe , Xu Pei , Paradice David B
Published: May 2020

BACKGROUND

Activities directed at attaining health goals are a major part of the daily lives of those fighting chronic diseases. A proliferating population of patients with chronic diseases are participating in web-based patient communities, wherein they can exchange health information and pursue health goals with others virtually.

OBJECTIVE

In this study, we aimed to understand the effect of participation in social media–enabled web-based patient communities on health goal attainment. In particular, we studied the antecedents of health goal attainment in terms of social support and self-reflection in web-based patient communities.

METHODS

This data set consists of web-based health management activities of 392 patients across 13 health support groups, that is, groups with medical issues such as high blood pressure, diabetes, and breast cancer; the data of the activities were collected from a leading web-based patient community. Content analysis was used to code the social interactions among the patients on the web-based platform. Cox regression for survival analysis was used to model the hazard ratio of health goal attainment.

RESULTS

Our analysis indicated that emotional support from web-based patient communities can increase patients’ probability of achieving their goals (hazard ratio 1.957, 95% CI 1.416-2.706; P<.001) while informational support does not appear to be effective (P=.06). In addition, health-related self-reflection increases the patients’ likelihood of goal attainment through web-based patient communities (hazard ratio 1.937, 95% CI 1.318-2.848; P<.001), but leisure-oriented self-reflection reduces this likelihood (hazard ratio 0.588, 95% CI 0.442-0.784; P<.001).

CONCLUSIONS

Social media–enabled web-based platforms assist health goal management via both social interaction and personal discipline. This study extends the understanding of web-based patient communities by investigating the effects of both social and cognitive factors on goal attainment. In particular, our study advocates that health goals relating to chronic conditions can be better managed when patients use the facilities of web-based health communities strategically.
A Data Driven Approach to Profile Potential SARS-CoV-2 Drug Interactions Using TylerADE (Preprint)
Authors: Schumaker Robert P , Veronin Michael A , Rohm Trevor , Boyett Matthew C , Dixit Rohit R
Published: May 2020

BACKGROUND

The SARS-CoV-2 global pandemic has brought much research attention not only in the discovery of a vaccine, but also in the use of existing medication to reduce respiratory infection and alleviate patient symptoms. So far there has been no safe and effective treatment for the virus.

OBJECTIVE

We use a data driven approach on a cleaned FAERS database to determine the adverse drug reaction severity of several covid-19 drug combinations and further investigate their safety for vulnerable populations such as individuals 65 years and older.

METHODS

For our experiment we used FAERS data from 2004 Quarter 1 through 2018 Quarter 2. This data encompasses a total of 135,276,263 records across 7 tables. From this data we plan to test those drug combinations under investigation for covid-19 treatment. More specifically we plan to focus on the antivirals of hydroxychloroquine/azithromycin, hydroxychloroquine/chloroquine and lopinavir/ritonavir.

RESULTS

Our key findings include 1. hydroxychloroquine/chloroquine is associated with increased adverse drug event severity versus other drug combinations already not recommended by NIH treatment guidelines, 2. hydroxychloroquine/azithromycin is associated with lower adverse drug event severity among older populations and 3. lopinavir/ritonavir has lower adverse reaction severity among toddlers.

CONCLUSIONS

While this approach does not consider drug efficacy, it can help prioritize clinical trials for drug combinations by focusing on those combinations with decreased adverse drug reaction severity.
Influence of Mass and Social Media on Psychobehavioral Responses Among Medical Students During the Downward Trend of COVID-19 in Fujian, China: Cross-Sectional Study (Preprint)
Authors: Lin Yulan , Hu Zhijian , Alias Haridah , Wong Li Ping
Published: May 2020

BACKGROUND

An extensive amount of information related to the novel coronavirus (COVID-19) pandemic was disseminated by mass and social media in China. To date, there is limited evidence on how this infodemic may influence psychobehavioral responses to the crisis.

OBJECTIVE

The aim of this study is to assess the psychobehavioral responses to the COVID-19 outbreak and examine their associations with mass and social media exposure.

METHODS

A cross-sectional study among medical and health sciences students from the Fujian Medical University in Fuzhou, China, was conducted between April 6-22, 2020.

RESULTS

A total of 2086 completed responses were received. Multivariable analyses demonstrated that four constructs of the Health Belief Model (HBM)—higher perception of susceptibility (odds ratio [OR] 1.44; 95% CI 1.07-1.94), severity (OR 1.32; 95% CI 1.10-1.59), self-efficacy (OR 1.61; 95% CI 1.21-2.15), and perceived control or intention to carry out prevention measures (OR 1.32; 95% CI 1.09-1.59)—were significantly associated with a higher mass media exposure score, whereas only three constructs—higher perception of severity (OR 1.43; 95% CI 1.19-1.72), self-efficacy (OR 1.85; 95% CI 1.38-2.48), and perceived control or intention to carry out prevention measures (OR 1.32; 95% CI 1.08-1.58)—were significantly associated with a higher social media exposure score. Lower emotional consequences and barriers to carry out prevention measures were also significantly associated with greater mass and social media exposure. Our findings on anxiety levels revealed that 38.1% (n=795; 95% CI 36.0-40.2) of respondents reported moderate-to-severe anxiety. A lower anxiety level was significantly associated with higher mass and social media exposure in the univariable analyses; however, the associations were not significant in the multivariable analyses.

CONCLUSIONS

In essence, both mass and social media are useful means of disseminating health messages and contribute to the betterment of psychobehavioral responses to COVID-19. Our findings stress the importance of the credibility of information shared through mass and social media outlets and viable strategies to counter misinformation during a pandemic.
#BBQBecky & #PermitPatty: African-American Humor & Resistive Discourse on Twitter
Authors: Dunning Eric
Published: May 2020

Humor has always been a social tool by which to navigate the slings and arrows of human existence. This has been exceptionally true for historically marginalized groups, such as African-Americans. Throughout U.S. history, “Black humor” has served to challenge authority, resist domination, lampoon the powerful and assuage injustices. It has served and both balm and weapon for a cultural group that has often found itself on the outside looking in, while being punished for being in that position. However, even within marginalized groups, canonical examples of cultural humor have been largely produced by a small segment of the population (i.e.,comedians, writers, poets, musicians). Social media, Twitter especially, has removed the barriers of production and gatekeeping of humor. Therefore, by examining responses to a cultural moment by “non-elite” African-Americans on Twitter, as the this paper does, helps to elucidate some evident trends, narratives, rhetorical strategies and tropes that may possibly be considered universal hallmarks of “Black Humor” as resistive discourse. Furthermore, these hallmarks can perhaps be understood to be the preeminent forms by which African-Americans create community, resist oppression and challenge hegemonic norms.
AMLO: simbología religiosa y efectos cognoscitivos de un discurso electoral
Authors: Arriaga Martínez Rafael
Published: May 2020

En el presente artículo, el autor estudia el proceso electoral de 2018 que concluyó con la victoria de Andrés Manuel López Obrador (AMLO). A partir de los postulados de la teoría de la racionalidad
de Max Weber y Raymond Boudon y una lectura socio-cognoscitiva del mismo acontecimiento, analiza el discurso de campaña del entonces candidato, asumiendo como un hecho que la racionalidad de su estrategia electoral se encuentra objetivada en la alianza electoral con el Partido Encuentro Social, y en comportamientos que provocan efectos cognoscitivos de carácter religioso entre los votantes
La corrupción gubernamental y su percepción entre los universitarios tamaulipecos
Authors: Ramírez Sirgo Luis Eduardo , Casas Cárdenas Ernesto
Published: May 2020

En los últimos años ha sido común la difusión de hechos de corrupción en México, en los que  están implicados servidores públicos de alto nivel indistintamente del partido político al  que pertenezcan; los casos destacan tanto por la cantidad de recursos públicos sustraídos de las arcas gubernamentales, como por las redes de protección institucional de que han dispuesto, así como por la falta de sanción judicial. En este marco, la presente investigación tiene como objetivo conocer el fenómeno de la corrupción gubernamental en México, particularmente en el estado de Tamaulipas, de acuerdo con diferentes índices elaborados por instituciones públicas y privadas; asimismo, conocer la percepción de los universitarios tamaulipecos sobre este problema social
Sumário
Authors: Mazzioni Sady , Feuerschütte Simone Ghisi
Published: May 2020

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Perfecting the methods of monitoring the buildings and structures deformation
Authors: Kornilov Yu.N. , Tsareva O.S.
Published: May 2020

The authors present the peculiarities of evaluating the parameters (module, direction and coordinates of the application point) of the displacement vector of the object’s deformation mark, its stabilitydegree is to be evaluated, and on this basis technologies simplifying the processes of performing field work necessary to obtain relevant information are discussed. Various options to implementpolar spatial intersection during observations from fixed stations are considered. In particular, if there aren’t any connecting marks between the instrument’s standing points, it is proposed to use a remote target or measure directional angles (magnetic azimuths) of reference directions. Methods for obtaining the coordinates and displacement vectors of deformation marks in the same coordinate system are considered, depending on the implementation of the polar spatial intersection. An example of implementing the proposed observation methodology on the example of the Hydrocorpus-1 building located at 29 Polytechnicheskaya st., St. Petersburg, Russia is presented. The results obtained indicate the correctness of the proposed methodology.
Pemanfaatan Media Youtube dalam meningkatkan Pemahaman Program KB di KP KB Insan Sejahtera Desa Sukajaya Lembang
Authors: Indriasari Dilla
Published: May 2020

This study examines the role of the youtube media and understanding of the family planning program, the research problem is how the role of the youtube media in enhancing the understanding of the family planning program. Family Planning is an effort to plan also to control the population through the use of contraceptive methods in an effort to create economic and social benefits for all levels of the population. By increasing community participation in the use of KB MKJP. KB counseling is expected to help fertile age cuouples in choosing the right contraception. The use of Non MKJP is very dominating, meaning that many people still do not understand the importance of KB MKJP. Because family planning counseling has not been reached at all levels of society because of the limited extension workers. YouTube media can provide family planning information and help people choose the right contraceptive method for themselves. This study aims to find out the description of the family planning program and how the use of YouTube media in enhancing the understanding of family planning in the Insan Sejahtera family planning family planning company. In this study, researchers used a descriptive method with a qualitative approach. Data collected through interviews, observation and documentation. The population of the study was 327 fertile age cuouples with a sample of 10 fertile age cuouples using Non MKJP. The results showed that youtube media was effective in increasing understanding of the family planning program, as seen from the difference between before and after the introduction of the youtube media. Understanding of the family planning program is demonstrated by community participation in the use of the MKJP.
KAMPUNG JAMUR SEBAGAI BENTUK PEMBERDAYAAN MASYARAKAT DI CIKARAU KELURAHAN DADOK TUNGGUL HITAM KECAMATAN KOTO TANGAH KOTA PADANG
Authors: Putri Lili Dasa
Published: May 2020

Menjamurnya pembudidaya jamur tiram disebabkan oleh banyaknya peminat dan permintaan dari masyarakat. Jamur memiliki banyak manfaat dalam pemenuhan gizi, disamping rasanya yang enak dan murah didapat. Hal ini dijadikan peluang oleh masyarakat Cikarau Kelurahan Dadok Tunggul Hitam Kecamatan Koto Tangah kota Padang sebabagi lahan untuk usaha dan dalam rangka mengembangkan dan memberdayakan masyarakat. Pemberdayaan masyarakat melalui kampung jamur ini membuat banyak lahirnya pembudidaya jamur yang baru didaerah ini dan menjadi sentra jamur. Masyarakat Cikarau selain menjual hasil panen jamur mentah juga memberdayakan dirinya dengan mengolahan jamur menjadi berbagai makanan dan cemilan. Dengan usaha dan keinginan yang tinggi untuk merubah nasib melalui budidaya jamur mendatangkan hasil baik dan membuat masyarakat menjadi berdaya dari segi finansial dan sosial. Dengan hasil yang dicapai oleh masyarakat kampung jamur ini juga mendatangkan mitra yang mau bekerjasama dengan masyarakat khususnya yang membudidayakan jamur tiram ini.
Teknik Identifikasi Kebutuhan Belajar Berbasis Partisipasi Masyarakat Dalam Pelatihan Kewirausahaan
Authors: Hidayat Dayat
Published: May 2020

Kurang berhasilnya pengembangan program kewirausahaan masyarakat disebabkan rendahnya partisipasi warga belajar mengikuti pembelajaran di PKBM Nurul Furqon. Warga belajar kurang dilibatkan dalam merencanakan program pelatihan kewirausahaan yang dilaksanakan. Kondisi ini yang latar belakang pengurus melakukan identifikasi kebutuhan belajar masyarakat dalam menyusun program pelatihan kewirausahaan di PKBM Nurul Furqon. Teknik identifikasi ini digunakan untuk meningkatkan partisipasi warga belajar mengikuti pelatihan kewirausahaan berbasis partisipasi masyarakat. Tujuan penelitian ini untuk mendeskripsikan teknik identifikasi kebutuhan belajar berbasis partisipasi masyarakat dalam pelatihan kewirausahaan di PKBM Nurul Furqon. Penelitian dilakukan menggunakan pendekatan kualitatif dan metode studi kasus. Teknik pengumpulan data menggunakan observasi, wawancara dan studi dokumentasi. Hasil penelitian menyimpulkan bahwa tujuan identifikasi pelatihan kewirausahaan dilakukan untuk memperoleh data permasalahan yang dihadapi dan menentukan kebutuhan warga belajar, merumuskan, menyusun perencanaan, dan melaksanakan proses pelatihan kewirausahaan. Pada akhir proses pelatihan dilakukan penilaian yang bertujuan membandingkan seluruh modal atau biaya usaha yang dikeluarkan dengan hasil, manfaat, dan keuntungan usaha yang telah diperoleh warga belajar.
Lactation vs formula feeding: Insulin, glucose and fatty acid metabolism during the postpartum period
Authors: Admin Ada , Ramos-Roman Maria A. , Syed-Abdul Majid M. , Adams-Huet Beverley , Casey Brian M. , Parks Elizabeth J.
Published: May 2020

Milk production may
involve a transient development of insulin resistance in non-mammary tissues to
support redistribution of maternal macronutrients to match the requirements of
the lactating mammary gland. In the
present study, adipose and liver metabolic responses were measured in the
fasting state and during a 2-step (10 and 20 mU/m2/min) hyperinsulinemic-euglycemic
clamp with stable isotopes, in 6-week postpartum women who were lactating (n=12)
or formula-feeding (n=6) their infants and who were closely matched for
baseline characteristics (e.g., parity, body composition, intrahepatic lipid). When controlling for the low insulin
concentrations of both groups, the lactating women exhibited a fasting rate of endogenous
glucose production (EGP) that was 2.6-fold greater, and a lipolysis rate that
was 2.3-fold greater than the formula-feeding group. During the clamp, the groups exhibited similar
suppression rates of EGP and lipolysis.
In the lactating women only, higher prolactin concentrations were
associated with greater suppression rates of lipolysis, lower intrahepatic
lipid and plasma triacylglycerol concentrations. These data suggest that whole-body alterations
in glucose transport may be organ specific and facilitate nutrient partitioning
during lactation. Recapitulating a shift
toward noninsulin-mediated glucose uptake could be an early postpartum strategy
to enhance lactation success in women at risk for delayed onset of milk
production.
Enhancing Healthcare Information Sharing with Blockchain Technology
Authors: Yates Tod D.
Published: May 2020

Blockchain, the foundation of many cryptocurrencies, also can be useful for many other industries such as healthcare. Blockchain can enforce immutability and non-repudiation for information stored on it. Although some say the technology is not yet mature enough, others are putting blockchain to the test with programs and pilots. Examining these efforts and dissecting the detail allows us to look at blockchain’s qualities and pitfalls to allow data sharing efforts with medical records.It is widely agreed that sharing medical data outside of the silos where it is captured or created will benefit the individual’s care and outcomes. Regulation and personal humility often stand in the way of this sharing. Blockchain is offering new and novel ways to share data properly and securely with only the providers or researchers who are supposed to receive it. Blockchain is also allowing the patient to take control of their health data and in some cases, even profit from it. This is the concept behind a proposal by the author to allow a patient to share all or part of their data for research and to be justly compensated for that sharing.
Authors: Yanti Meri , Afdhal Afdhal
Published: May 2020

Penelitian ini bertujuan untuk mengetahui, mendeskripsikan dan menganalisis faktor pendorong dan penarik masyarkat Suayan untuk marantau, serta dampak positif dan dampak negatif marantau yang ada pada masyarakat Nagari Suayan.

Penelitian ini menggunakan jenis penelitian kualitatif. Informan dalam penelitin ini terdiri dari 10 orang dengan satu orang informan kunci yaitu Bapak Afrizal AK.Tuo selaku tokoh adat nagari dan kesembilan lainnya informan tambahan, pemilihan informan dilakukan secara purposive sampling. Teknik pengumpulan data yang digunakan adalah obsevasi, wawancara, dokumentasi. Teknik analisi data yang digunakan meliputi; catatan lapangan, reduksi data, penyajian data, dan penarikan kesimpulan.

Hasil penelitian mengakatakan bahwa terdapat dua faktor pendorong yaitu (a) Anggapan merantau sudah menjadi tradisi dan merantau untuk mengubah nasib. (b) Desakan ekonomi. Selain itu terdapat beberapa faktor penarik juga yaitu (a) Terdapatnya pekerjaan dan pendapatan yang menjanjikan, (b) Adanya perkumpulan sesama orang sekampung. Dampak positif yaitu (a) ekonomi terpenuhi, (b) mendapatkan prestise dilingkungan masyarakat. Dampak negatif yaitu, (a) tidak terdatanya penduduk yang merantau, (b) sering ditinggal pergi suami ataupun anak laki-laki untuk merantau.
Authors: Nasution Nurul Maidah , Prarikeslan Widya
Published: May 2020

Tujuan penelitian adalah melihat sebaran suhu permukaan laut, konsentrasi klorofil-a, hubungan antara suhu permukaan laut dengan klorofil-a serta zona potensial penangkapan ikan bulan Juni, Juli dan Agustus berdasarkan data 3 tahun terakhir menggunakan citra terra modis. Metode yang digunakan adalah analisis overlay antara suhu permukaan laut, konsentrasi klorofil-a dengan melihat faktor kedalaman dan mempertimbangkan jalur penangkapan ikan. Hasil yang didapatkan suhu permukaan laut memiliki sebaran antara 27,10C – 32,20C, Umumnya suhu bulan Juni lebih tinggi dibandingkan bulan Juli dan Agustus mencapai 32,20C tahun 2018. Klorofil-a berkisar antara 0,1 – 6,2 mg/m3 dengan konsentrasi klorofil-a tertinggi mencapai terjadi pada bulan Juni. Analisis hubungan antara suhu permukaan laut dengan klorofil-a melalui regresi linear sederhana, ada pengaruh yang sangat kuat antara suhu permukaan laut dengan klorofil-a terlihat dari koefisien korelasi (R) 0,826, koefisien determinasi (R2) 0,683 yang artinya suhu permukaan laut di pantai Natal berpengaruh terhadap klorofil-a sebesar 68,3% selebihnya dipengaruhnya oleh faktor lain. Zona potensial penangkapan ikan (fishing ground) terjadi pada zona Ib hingga zona II DPPI.

Kata kunci: terra modis; spl; klorofil-a; ikan kembung; daerah penangkapan ikan
ОСОБЕННОСТИ КЛИНИЧЕСКОГО ТЕЧЕНИЯ COVID-19
Authors: Савостьянов Владимир
Published: May 2020

В статье с позицией фундаментальных законов гидромеханики кровообращения анализируются патогенетические механизмы возникновения ОРДС при COVID-19, и предлагаются методы их ранней цифровой диагностики.
Las bases subjetivas de la violencia política en Atoyac, Guerrero (México). Una interpretación del proceso insurreccional de la guerrilla del Partido de los Pobres en los años sesenta del siglo XX
Authors: Ávila Coronel Francisco
Published: May 2020

El presente artículo busca explicar el proceso de insurrección de la guerrilla del Partido de los Pobres, liderado por el maestro rural Lucio Cabañas Barrientos en Atoyac, Guerrero (México). El enfoque de esta investigación busca estudiar las violencias culturales y sociales cotidianas, como parte de un proceso histórico que formó parte del fenómeno de la violencia política-caciquil. El problema-eje de esta investigación será la contrarreforma agraria iniciada durante los años cuarenta del siglo XX, que hacia los años sesenta producirá en Guerrero un acentuado problema agrario cruzado por el problema de la herencia de la tierra, las tensiones en torno a linderos y los pleitos familiares y comunitarios por el usufructo del trabajo familiar o colectivo. Se verá el alejamiento institucional del Estado para intervenir en las disputas y cómo el gobierno promovía una cultura de violencia, en la que los actores dominantes podrían legitimarse con la “ley del más fuerte”. Se estudiarán diversas reglas comunitarias no escritas, que establecían como legítimo el recurso de la venganza y la justicia por propia mano. En dicho contexto de furor campesino, agravado por el agravio económico de caciques locales, y el abuso de corruptos gobernantes, se explicará el salto de la violencia social a la política; el camino que los campesinos de Atoyac seguirían para organizar una lucha armada de pobres contra ricos.
Aprendiendo en el "más acá": Entrevista realizada a Quimey Sol Ramos en el Bachillerato Popular Trans "Mocha Celis", el 25 de agosto de 2019
Authors: Raina Andrea
Published: May 2020

Dialogar con Quimey Ramos es mínimamente una invitación a preguntarnos, a repensarnos, a emocionarnos, a debatir… a cuestionarlo todo.

Entrevistarla fue una experiencia transformadora en los términos que ha enseñado Alessandro Portelli: involucrando nuestra subjetividad como historiadores/as, aumentando nuestras responsabilidades en el oficio; pero también y sobre todo, desde lo primero y más simple que es nuestra humanidad. Cada una de las reflexiones que Quimey nos compartió caló un poco más hondo, llegando al hueso de cada una de las preguntas, pero para encontrarnos con mas inquietudes; como en un juego de Mamushkas interminable que nos topaba con sentidos más profundos cada vez. Con la capacidad de entrar en un laberinto pero saliendo cada vez con más claridad, afirmando aquellas certezas con la convicción que sólo las verdades vividas te dan.

Hablamos, de memorias, de verdades, de in-justicias, de historias, de derechos, de subversión, de educación, hablamos del "más allá" y el "más acá" de una sociedad que divide, hablamos de la necesidad de reconocernos, de sincerarnos y del cambio urgente que queremos
Memorias y Fotografías. Recordando la alfarería en el Río Vaupés. Tesis de Maestría en Historia y Memoria
Authors: Stoehr Rojas Silvia Mathilde
Published: May 2020

Revisión de la tesis Memorias y Fotografías. Recordando la alfarería en el Río Vaupés
Avaliação da germinação de sementes de Spondias tuberosa Arr. dispersas por caprinos
Authors: Sena Fernando Henrique , Almeida Jarcilene Silva de
Published: May 2020

Elevadas densidades de caprinos em florestas tropicais secas têm causado sérios problemas em relação ao recrutamento, crescimento, distribuição e capacidade regenerativa de plantas, especialmente para espécies endêmicas. Plântulas de Spondias tuberosa Arr. (umbu), uma frutífera endêmica da Caatinga e de grande importância sociocultural, estão escassas em virtude da alimentação destes animais. Apesar dessa problemática, uma eventual tarefa desses animais como dispersores de sementes em regiões mais defaunadas é desprezada. Diante disso, o objetivo do estudo foi avaliar o poder germinativo de sementes de umbuzeiro após passagem pelo trato gastrointestinal de caprinos. Sementes foram oferecidas a 13 caprinos, alojados em um pequeno cercado. Todas as sementes regurgitadas e as dispostas nas fezes foram coletadas. Sementes com escarificação física e controle também foram testadas. A taxa de recuperação de sementes foi de 69%. O percentual médio de germinação apresentou índices maiores para o tratamento das sementes regurgitadas quando comparado aos demais. O tempo médio de germinação, o índice de velocidade de emergência e a sincronia foram estatisticamente diferentes nas sementes escarificadas mecanicamente. As sementes de umbu consumidas por caprinos obtiveram um percentual de recuperação elevado especialmente pelo processo de regurgitação das mesmas, sendo responsável também pelo incremento porcentagem média de germinação da espécie. Apesar destes pontos, é necessário considerar o modo como as sementes são depositadas, que neste caso, é normalmente agregado, diminuindo as chances de estabelecimento da espécie em ambientes naturais, não podendo, portanto, considerá-lo como dispersor legítimo.
Neoliberalismo e desenvolvimento regional
Authors: Silva Raphael de Oliveira , Marques Mabel Diz
Published: May 2020

A tradição neoliberal tem produzido modificações no papel do Estado e na condução da vida pública, dessas transformações não escapa as políticas regionais. Nesse contexto, o presente artigo visa averiguar o caráter das políticas regionais no Brasil nos últimos 20 anos, se a sua condução está sujeita as diretrizes neoliberais estabelecidas para “Estado de Consolidação”, bem como as possibilidades e limites que tais orientações impõem a desenvolvimento regional. Para tanto, é realizada uma revisão de literatura sobre o conceito de neoliberalismo e suas remodelações do papel do Estado; a influência deste sobre as orientações nas políticas regionais proposta por organismos internacionais; e, por fim, apresenta o direcionamento das política de desenvolvimento regional no Brasil, nos últimos 20 anos, e sua interlocução com a lógica neoliberal. Os resultados sugerem que embora haja a retomada das políticas regionais no país, com impactos regionais relevantes, a condução da política está restrita a agenda de políticas neoliberais que formam “Estado de Consolidação”, portanto, sujeita as orientações dos credores do Estado, com atuação reduzida a conceder estímulo ao aumento de competitividade do território no sentido de torna-los mais atrativos para as decisões de localização, da produção, emprego e população do mercado.
Palavras-chave: Neoliberalismo. Desenvolvimento Regional. Políticas Regionais.
Controlador Self-Tuning: Aplicado a Control de Procesos con Dinámicas Altamente Variables
Authors: Franco Mejía Edinson , Martínez M. John Jairo , Calero R. Héctor
Published: May 2020

En este artículo se presentan los resultados de la investigación y desarrollo de un controlador adaptativo self-Tuning, los algoritmos, los resultados de la validación del programa con plantas cuyas dinámicas son fuertemente variables y las conclusiones importantes para la implementación de esta estrategia de control.