bluuebunny/crossref_metadata_2025 huggingface dataset:
La responsabilidad por cuota de mercado en el daño ambiental. ¿Una solución al problema de las externalidades negativas ambientales?
Authors: Estrada García Pablo Andrés
Published: December 2019

El presente artículo de investigación cuestiona la conveniencia y posibilidad de aplicar la responsabilidad por cuota de mercado (market share liability) en la imputación de daños ambientales en el ordenamiento jurídico colombiano. En primer lugar, se desarrolla el principio de contaminador-pagador y el problema de los recursos naturales desde una perspectiva económica. En segundo lugar, se explica el concepto de responsabilidad por cuota de mercado evidenciando la posibilidad de aplicación a otros supuestos no contemplados por la jurisprudencia anglosajona. En tercer lugar, haciendo uso de algunas herramientas del análisis económico del derecho, se señalan dos argumentos, uno a favor y otro en contra, de la posibilidad de aplicación de la responsabilidad proporcional en los daños ambientales. Y, por último, se concluye con la necesidad de realizar un estudio desde diferentes perspectivas que permita ponderar los intereses en juego.
Desafíos normativos en materia de avances biomédicos: una relación necesaria entre la medicina, la ingeniería y el derecho en Colombia
Authors: Vieira Ceballos Paula Andrea
Published: December 2019

Un requisito fundamental para la experimentación en el ámbito biomédico es que sea lícita, es decir, que el objeto perseguido, el fin de la acción y las circunstancias sean acordes a los derechos humanos y la norma.Así, la competencia del congreso es señalar estas reflexiones axiológicas preponderantes y elaborar normas sancionables para salvaguardar la vida, la integridad personal, honra y dignidad, y limitar aquellos extremos que puedan quedar a la libre interpretación. De manera que es de vital importancia el diálogo entre la labor legislativa con la ciencia para lograr el amparo del ser humano y su entorno, así como fomentar el desarrollo de la investigación científica, siempre y cuando esta sea beneficiosa para la humanidad.Entre tanto, algunas innovaciones han incursionado en el quehacer médico, sin contar con regulación jurídica, lo cual representa desafíos normativos en cuanto a las posibilidades de emprender nuevas alternativas sobre el cuerpo, situación que conlleva a que las relaciones entre la ciencia y la sociedad no estén reguladas en su totalidad.Esta propuesta de investigación se enmarca en un tipo de corte cualitativo, pues se pretende el análisis de información documental, esto es, constitucional, legal, jurisprudencial y doctrinal, que proporcione información para desarrollar la pregunta problema que se plantea de la siguiente manera: ¿En qué forma los avances biomédicos representan un desafío constitucional contemporáneo en Colombia?
COMPORTAMENTO SEDENTÁRIO EM ADOLESCENTES: ANÁLISE HIERÁRQUICA DE FATORES ASSOCIADOS
Authors: Piola Thiago Silva , Bacil Eliane Denise Araújo , Silva Michael Pereira , Campos Jhonatan Gritten , Malta Neto Nicolau Augusto , De Campos Wagner
Published: December 2019

Objetivo: verificar fatores associados aos diversos contextos de comportamentos sedentários em adolescentes.  Métodos: estudo correlacional de corte transversal, com amostra representativa de adolescentes de São José dos Pinhais-PR (n = 785). Os comportamentos sedentários autorreportados, foram o tempo em atividades de tela, educacionais, culturais, sociais e transporte. Os fatores associados ao comportamento sedentário foram: sexo, nível de atividade física, nível socioeconômico, maturação sexual e estado nutricional. As associações foram testadas com a regressão de Poisson. Resultados: O sexo feminino foi associado ao elevado tempo de tela (RP: 0,83; IC95%: 0,72- 0,96), em atividades educacionais (RP: 1,62; IC95%: 1,38 – 1,90), em atividades culturais (RP: 0,41; IC9%: 0,30 – 0,56) e sociais (RP: 0,58; IC95%: 0,53 – 0,64). O nível insuficiente de atividades físicas se associou as atividades culturais (RP: 0,68; IC95%: 0,49 – 0,94) e ao tempo em transporte (RP: 0,51; IC95%: 0,45 – 0,58). A maturação sexual foi associada as atividades sociais (RP: 0,80; IC95%: 0,68 – 0,95). O estado nutricional se associou as atividades culturais (RP: 1,62; IC95%: 1,04 – 2,52). Conclusões: os achados sugerem que diferentes tipos de comportamento sedentário podem estar associados ao sexo feminino, nível de atividade física, maturação sexual e estado nutricional, e esses fatores devem ser considerados em futuras intervenções para a promoção da saúde.
ASSOCIAÇÃO ENTRE ALIMENTAÇÃO VEGETARIANA E A PREVENÇÃO DO CÂNCER COLORRETAL: UMA REVISÃO DE LITERATURA
Authors: Dagostin Caroline , Rigo Flávia , Damázio Louyse Sulzbach
Published: December 2019

O câncer colorretal representa a neoplasia maligna mais comum do trato gastrointestinal e a terceira causa de morte relacionada ao câncer no mundo. Ele pode ter origem hereditária ou esporádica, sendo esta última responsável por aproximadamente 95% dos casos. Vários fatores de risco contribuem para o desenvolvimento dessa neoplasia, porém, a alimentação parece ser o fator mais influente, pois é capaz de modular a composição da microbiota intestinal. O objetivo desse estudo foi revisar a literatura referente à alimentação e o desencadeamento do câncer colorretal, a relação de uma dieta rica em carnes no desenvolvimento dessa patologia e investigar a alimentação vegetariana atuando como possível fator de prevenção. O método constitui-se de uma revisão bibliográfica narrativa, realizada a partir de buscas de artigos originais e de revisão. O alto consumo de carne vermelha e processada pode estar relacionado com o surgimento de câncer colorretal por causar alterações na microbiota, bem como produzir compostos N-nitrosos, aminas aromáticas policíclicas e hidrocarbonetos aromáticos policíclicos, compostos considerados genotóxicos. Além disso, o ferro heme pode elevar a síntese das espécies reativas de oxigênio e estimular a formação endógena de compostos N-nitrosos. No entanto, a alimentação vegetariana pode ser capaz prevenir a disbiose e manter a microbiota intestinal saudável devido ao consumo elevado de alimentos vegetais que disponibilizam fitoquímicos, antioxidantes e anti-inflamatorios, ou seja, potenciais agentes anti-tumorigênicos. Sugere-se que através de mudanças nos hábitos alimentares e comportamentais, torna-se possível retardar ou prevenir o surgimento de câncer.
EDUCAÇÃO E TRABALHO INTERPROFISSIONAL NA ATENÇÃO AO TRANSTORNO DO ESPECTRO DO AUTISMO: UMA NECESSIDADE PARA A INTEGRALIDADE DO CUIDADO NO SUS
Authors: Maranhão Samantha , Lisboa Lilian , Reis Celina , Freitas Júnior Reginaldo
Published: December 2019

Objetivo: Trata-se de um relato de experiência na área da saúde e educação, cujo objetivo é documentar e refletir a relação entre educação e trabalho interprofissional na atenção ao Transtorno do Espectro do Autismo (TEA). Método: Localizado no município de Macaíba, no Rio Grande do Norte, o Serviço de Atenção ao TEA (SATEA) está inserido no Sistema Único de Saúde (SUS) como referência ambulatorial para a atenção à saúde materno-infantil e para reabilitação auditiva, motora e intelectual. A implementação do SATEA veio com a prerrogativa de atuar na formação, desenvolvimento e educação permanente de profissionais de saúde, desenvolvendo ações integradas de ensino, pesquisa e extensão centradas nas concepções de responsabilidade social, equidade, qualidade e eficiência, para gerar evidências científicas, desenvolver estratégias e promover parcerias capazes de fortalecer e auxiliar o SUS. Resultado: O SATEA vem se constituindo como serviço de referência local ao atendimento de crianças com TEA. Muito deste reconhecimento advém de um trabalho pautado pela interprofissionalidade e pela construção de práticas colaborativas com as equipes locais de Estratégia de Saúde da Família. Esta experiência tem favorecido o acesso dos profissionais locais à educação permanente, reconhecendo-os enquanto agentes fundamentais para o aprendizado em serviço e para a legitimação do papel formador do SUS. Conclusão: Compreende-se que as experiências apresentadas neste trabalho podem servir de base para outros serviços especializados na saúde materno-infantil e na reabilitação; além de oferecer aos usuários do SUS a documentação do processo de implantação e implementação de um serviço especializado no atendimento do TEA.
SINGULARIDADES NA RELAÇÃO DOCENTE E DISCENTE E A FORMAÇÃO EM ENFERMAGEM
Authors: Silva Luiz Anildo Anacleto Da , Schimdt Sandra Márcia Soares , Soder Rafael Marcelo , Noal Helena Carolina , Arboit Éder Luís , Stamm Bruna , Parcianello Luana
Published: December 2019

O objetivo do estudo foi evidenciar as atitudes discentes que contribuem para a formação em enfermagem na perspectiva dos professores, assim como evidenciar as atitudes docentes que contribuem para a formação em enfermagem sob a expectativa dos estudantes. Método: Trata-se de uma pesquisa qualitativa, descritiva e exploratória. Os resultados evidenciam que os docentes consideraram mais importantes na formação em enfermagem: O comprometimento com a formação; A formação crítica e reflexiva; A construção do conhecimento e comprometimento com a ética e a responsabilidade social. Os estudantes consideraram importante nos professores: O conhecimento dos docentes; A postura docente; A respeitabilidade; A ética nas relações entre docentes e discentes. Diante disso, conclui-se que a relação de proximidade, interatividade e comprometimento entre docentes e discentes é primordial na formação em enfermagem.
REFLEXÕES SOBRE NOÇÕES DE INTEGRALIDADE E NECESSIDADES SOCIAIS EM CUIDADOS DE SAÚDE
Authors: Ruiz da Silva Luiz Alberto , Genaro Martins de Oliveira Bruna Tadeusa , Gomes Gleizze Ilana , Sacco Ana Carolina
Published: December 2019

Este artigo tem por objetivo, a análise e reflexão sobre as noções de integralidade e o sentido que tais elementos causam nas necessidades sociais em saúde. Qual a necessidade do estudo de um conceito para a formação de uma política pública na área de saúde? Qual a importância em se discutir, a partir de uma premissa histórica, a formação das noções de integralidade e como estas noções se relacionam com as necessidades sociais em saúde? Foi partindo dessas questões que o presente artigo foi construído, procurando observar a formação das noções de integralidade, bem como dos seus significados, tendo como base para tal uma abordagem histórica. Nesta análise pode ser observada a necessidade de se fazer com que as ideias em relação as noções de integralidade sejam inseridas na formação dos profissionais de saúde, tendo a percepção de que ainda não existe uma ação prática em campo neste processo de formação, e no serviço oferecido à população. Dessa forma faz-se necessário uma reformulação no modo como é conduzida a formação profissional, fazendo com que sejam destacadas as noções de integralidade aplicadas às necessidades sociais em saúde, dentro do contexto de atuação. Esse contexto constitui-se em uma proposta de ação estratégica para transformar a organização dos processos formativos e dos serviços oferecidos à população, implicando na compreensão da saúde a partir de uma visão ampliada e totalizante.
Tarla Bitkileri Türlerinde Avrupa Birliği ve Türkiye Çeşit Tescil Mevzuatının Karşılaştırılması
Authors: ÇELEN Hasan
Published: December 2019

Türkiye Avrupa Birliği üyeliği için müzakere sürecindedir. Avrupa Birliği dünya tohumculuk sektörünün güçlü bir paydaşı ve referans noktasıdır. Türk çeşit tescil sisteminin AB ile uyumlu olması Türk tohumculuk sektörü açısından önemli bir nirengi noktası olacaktır. Bu çalışmada Avrupa Birliğinin tarla bitkisi türlerinde çeşit tescil uygulamalarını düzenleyen tarla bitkisi türleri çeşitlerinin ortak kataloğuna dair 13 Haziran 2002 tarihli 2002/53/EC sayılı Konsey Direktifi ile ülkemiz Bitki Çeşitlerinin Kayıt Altına Alınması Yönetmeliği ve ilgili bazı mevzuatlar karşılaştırılmıştır. Bu karşılaştırmalar bir uyum tablosu içerisinde toplanarak, başlıklara göre farklılıklar ve uyumluluklar açıklanmıştır. Ülkemiz çeşit tescil mevzuatının büyük bir oranda AB mevzuatı ile uyumlu olduğu görülmüştür. Ülkemiz çeşit muhafaza sisteminin güçlendirilerek 2005/834/EC sayılı Avrupa Konseyi kararına ilave yapılarak ülkemiz çeşit muhafaza uygulamalarının AB ile eşdeğerliğinin onaylanmasının sağlanmasının, ülkemiz ıslahçılarına dezavantaj sağlayan üretim izni uygulamasının revize edilmesi önemli görülmektedir. Makalede Türkiye’deki üretim izni uygulamasının Türk ıslahçılarına dezavantaj yaratan mevcut halini daha eşit ve adil bir biçime dönüştürecek önerilerde bulunulmuştur.
ANALISIS KESALAHAN MAHASISWA MATEMATIKA DALAM MENYELESAIKAN SOAL- SOAL LOGIKA
Authors: Romadiastri Yulia
Published: December 2019

Logika adalah salah satu materi dasar untuk maha- siswa matematika yang bersifat abstrak, sehingga tidak sedikit mahasiswa yang mengalami kesulitan dalam mem- pelajarinya. Banyaknya kesalahan yang dilakukan ma- hasiswa dalam mengerjakan soal bisa menjadi petunjuk sejauh mana tingkat penguasaan materi mereka. Tujuan penelitian ini adalah untuk mengetahui letak kesalahan mahasiswa dan mengetahui faktor-faktor yang menyebab- kan kesalahan mahasiswa dalam menyelesaikan soal-soal logika. Metode pengumpulan data yang digunakan adalah metode dokumentasi, metode tes, dan metode wawan- cara. Penelitian ini menggunakan metode deskriptif dan bersifat kualitatif. Subjek penelitian adalah mahasiswa Prodi Tadris Matematika Semester 1 Fakultas Tarbiyah IAIN Walisongo Semarang yang diambil satu kelas yaitu kelas TM1A. Hasil yang diperoleh adalah bahwa kesala- han mahasiswa terbagi menjadi tiga kategori yaitu pada kesalahan pemahaman konsep-konsep logika, kesalahan dalam keterampilan menyelesaikan soal dan kesalahan dalam pemecahan masalah. Yang melakukan kesalahan pada pemahaman konsep sebesar 7,5%, kesalahan pada keterampilan menyelesaikan soal sebesar 22,1% dan kes- alahan dalam memecahkan masalah sebesar 17,3%. Ada- pun faktor-faktor yang menyebabkan mahasiswa men- galami kesalahan dalam menyelesaikan soal logika adalah: mahasiswa tidak menguasai konsep-konsep pada materi sebelumnya yang menjadi materi prasyarat, materi yang bersifat abstrak sehingga mahasiswa merasa bosan, dan kurangnya berlatih dalam mengerjakan soal-soal logika.
Medication Management Apps for Diabetes: Systematic Assessment of the Transparency and Reliability of Health Information Dissemination
Authors: Huang Zhilian , Lum Elaine , Car Josip
Published: December 2019

Background

Smartphone apps are increasingly used for diabetes self-management because of their ubiquity and ability to help users to personalize health care management. The number of diabetes apps has proliferated in recent years, but only a small subset of apps that pose a higher risk are regulated by governmental agencies. The transparency and reliability of information sources are unclear for apps that provide health care advice and are not regulated by governmental agencies.

Objective

This study aimed to assess the transparency and reliability of information disseminated via diabetes apps against 8 criteria adapted from the Health On the Net code of conduct (HONcode) principles.

Methods

English-language diabetes-related terms were searched on a market explorer (42matters) on June 12, 2018. Apps with medication and blood glucose management features were downloaded and evaluated against the App-HONcode criteria adapted from the 8 HONcode principles: authoritative, complementarity, privacy, attribution, justifiability, transparency, financial disclosure, and advertising policy. Apps were profiled by operating platforms (ie, Android and iOS) and the number of downloads (ie, Android only: ≥100,000 downloads and <100,000 downloads).

Results

A total of 143 apps (81 Android and 62 iOS) were downloaded and assessed against the adapted App-HONcode criteria. Most of the apps on the Android and iOS platforms fulfilled between 2 and 6 criteria, but few (20/143, 14.0%) apps mentioned the qualifications of individuals who contributed to app development. Less than half (59/143, 39.2%) of the apps disclaimed that the information provided or app functions do not replace the advice of the health care provider. A higher proportion of iOS apps fulfilled 5 or more App-HONcode criteria compared with Android apps. However, Android apps were more likely to have the developer’s email listed on the app store (Android: 75/81, 98%; and iOS: 52/62, 84%; P=.005) compared with iOS apps. Of the Android apps assessed, a significantly higher proportion of highly downloaded apps had a privacy and confidentiality clause (high downloads: 15/17, 88%; and low downloads: 33/64, 52%; P=.006) and were more likely to discuss their financial sources (high downloads: 14/17, 82%; and low downloads: 32/64, 50%; P=.03) compared with apps with a low number of downloads.

Conclusions

Gaps in the disclosure of the developer’s qualification, funding source, and the complementary role of the app in disease management were identified. App stores, developers, and medical providers should collaborate to close these gaps and provide more transparency and reliability to app users. Future work can further examine the consent-seeking process for data collection, data management policies, the appropriateness of advertising content, and clarity of privacy clause of these apps.
Evaluating the Feasibility and Acceptability of a Mobile Health–Based Female Community Health Volunteer Program for Hypertension Control in Rural Nepal: Cross-Sectional Study
Authors: Ni Zhao , Atluri Namratha , Shaw Ryan J , Tan Jingru , Khan Kinza , Merk Helena , Ge Yunfan , Shrestha Shrinkhala , Shrestha Abha , Vasudevan Lavanya , Karmacharya Biraj , Yan Lijing L
Published: December 2019

Background

Hypertension is a major modifiable risk factor for cardiovascular disease, the world’s leading cause of death. The prevalence of hypertension is disproportionately higher in South Asian countries than in other regions of the world. Screening for hypertension in primary care settings remains a challenge in many South Asian countries, including Nepal. Nepal is located in the Himalayan Mountains region, posing significant geographical challenges for its rural citizens to access primary health care and service delivery. This barrier increases the costs and inconvenience for rural Nepalis to access hypertension screening and treatment. As a result, the prevalence of hypertension in Nepal tripled in the last 25 years to 22.4%-38.6%. Nepal’s Ministry of Health and Population relies on female community health volunteers to link health centers and communities to provide basic health services. Over 50,000 of these volunteers in Nepal have received basic health care training and are assigned to take care of maternal and child health. Due to limited health care resources, adopting new methods to control hypertension is an urgent need in Nepal. Several recent studies in Nepal have recommended extending the role of female community health volunteers to include hypertension management through blood pressure monitoring and home-based education.

Objective

The goal of this study was to assess if a mobile health–based female community health volunteer approach of combining the traditional community health volunteer program with digital technologies would be feasible and acceptable in rural Nepal.

Methods

In this study, we recruited 17 female community health volunteers and extended their role from maternal and child health to hypertension management through screening blood pressures.

Results

All 17 female community health volunteers successfully measured 1113 rural Nepalis’ blood pressures, identified 169 hypertensive patients, and collected health behaviors data of the 169 hypertensive patients. Among the 169 patients, 70% of them had a mobile phone, and 92% were interested in receiving health-related information via a mobile phone. Among those who were interested in receiving information via a mobile phone, 84% preferred voice calls, and 7% and 1% preferred texting and apps, respectively.

Conclusions

Results from this study indicate that a digital health intervention that leverages feature-phones combined with female community health volunteers may be an acceptable and pragmatic way to implement an evidence-based program to reduce hypertension in rural Nepal.
Geriatric Trauma – A Rising Tide. Assessing Patient Safety Challenges in a Vulnerable Population Using Norwegian Trauma Registry Data and Focus Group Interviews: Protocol for a Mixed Methods Study
Authors: Cuevas-Østrem Mathias , Røise Olav , Wisborg Torben , Jeppesen Elisabeth
Published: December 2019

Background

Elderly trauma patients constitute a vulnerable group, with a substantial risk of morbidity and mortality even after low-energy falls. As the world’s elderly population continues to increase, the number of elderly trauma patients is expected to increase. Limited data are available about the possible patient safety challenges that elderly trauma patients face. The outcomes and characteristics of the Norwegian geriatric trauma population are not described on a national level.

Objective

The aim of this project is to investigate whether patient safety challenges exist for geriatric trauma patients in Norway. An important objective of the study is to identify risk areas that will facilitate further work to safeguard and promote quality and safety in the Norwegian trauma system.

Methods

This is a population-based mixed methods project divided into 4 parts: 3 quantitative retrospective cohort studies and 1 qualitative interview study. The quantitative studies will compare adult (aged 16-64 years) and elderly (aged ≥65 years) trauma patients captured in the Norwegian Trauma Registry (NTR) with a date of injury from January 1, 2015, to December 31, 2018. Descriptive statistics and relevant statistical methods to compare groups will be applied. The qualitative study will comprise focus group interviews with doctors responsible for trauma care, and data will be analyzed using a thematic analysis to identify important themes.

Results

The project received funding in January 2019 and was approved by the Oslo University Hospital data protection officer (No. 19/16593). Registry data have been extracted for 33,344 patients, and the analysis of these data has begun. Focus group interviews will be conducted from spring 2020. Results from this project are expected to be ready for publication from fall 2020.

Conclusions

By combining data from the NTR with interviews with doctors responsible for treatment and transfer of elderly trauma patients, we will provide increased knowledge about trauma in Norwegian geriatric patients on a national level that will form the basis for further research aiming at developing interventions that hopefully will make the trauma system better equipped to manage the rising tide of geriatric trauma.

International Registered Report Identifier (IRRID)

PRR1-10.2196/15722
Mind Your Data: Privacy and Legal Matters in eHealth (Preprint)
Authors: Zegers Catharina M L , Witteveen Annemieke , Schulte Mieke H J , Henrich Julia F , Vermeij Anouk , Klever Brigit , Dekker Andre
Published: December 2019

UNSTRUCTURED

The health care sector can benefit considerably from developments in digital technology. Consequently, eHealth applications are rapidly increasing in number and sophistication. For successful development and implementation of eHealth, it is paramount to guarantee the privacy and safety of patients and their collected data. At the same time, anonymized data that are collected through eHealth could be used in the development of innovative and personalized diagnostic, prognostic, and treatment tools. To address the needs of researchers, health care providers, and eHealth developers for more information and practical tools to handle privacy and legal matters in eHealth, the Dutch national Digital Society Research Programme organized the “Mind Your Data: Privacy and Legal Matters in eHealth” conference. In this paper, we share the key take home messages from the conference based on the following five tradeoffs: (1) privacy versus independence, (2) informed consent versus convenience, (3) clinical research versus clinical routine data, (4) responsibility and standardization, and (5) privacy versus solidarity.
Medical Mobile App Classification Using the National Institute for Health and Care Excellence Evidence Standards Framework for Digital Health Technologies: Interrater Reliability Study (Preprint)
Authors: Nwe Khine , Larsen Mark Erik , Nelissen Natalie , Wong David Chi-Wai
Published: December 2019

BACKGROUND

Clinical governance of medical mobile apps is challenging, and there is currently no standard method for assessing the quality of such apps. In 2018, the National Institute for Health and Care Excellence (NICE) developed a framework for assessing the required level of evidence for digital health technologies (DHTs), as determined by their clinical function. The framework can potentially be used to assess mobile apps, which are a subset of DHTs. To be used reliably in this context, the framework must allow unambiguous classification of an app’s clinical function.

OBJECTIVE

The objective of this study was to determine whether mobile health apps could be reliably classified using the NICE evidence standards framework for DHTs.

METHODS

We manually extracted app titles, screenshots, and content descriptions for all apps listed on the National Health Service (NHS) Apps Library website on July 12, 2019; none of the apps were downloaded. Using this information, 2 mobile health (mHealth) researchers independently classified each app to one of the 4 functional tiers (ie, 1, 2, 3a, and 3b) described in the NICE digital technologies evaluation framework. Coders also answered contextual questions from the framework to identify whether apps were deemed to be higher risk. Agreement between coders was assessed using Cohen κ statistic.

RESULTS

In total, we assessed 76 apps from the NHS Apps Library. There was classification agreement for 42 apps. Of these, 0 apps were unanimously classified into Tier 1; 24, into Tier 2; 15, into Tier 3a; and 3, into Tier 3b. There was disagreement between coders in 34/76 cases (45%); interrater agreement was poor (Cohen κ=0.32, 95% CI 0.16-0.47). Further investigation of disagreements highlighted 5 main explanatory themes: apps that did not correspond to any tier, apps that corresponded to multiple tiers, ambiguous tier descriptions, ambiguous app descriptions, and coder error.

CONCLUSIONS

The current iteration of the NICE evidence standards framework for DHTs did not allow mHealth researchers to consistently and unambiguously classify digital health mobile apps listed on the NHS app library according to their functional tier.
Analysis of YouTube videos on musculoskeletal pain: neck, back, shoulder, knee and hand pain (Preprint)
Authors: Guler Mehmet Akif
Published: December 2019

BACKGROUND

Today, the Internet has become primary source for intracktable health-releated information.

OBJECTIVE

This study aims to analyze the content, information and quailty of YouTube videos related to neck, low back, shoulder, knee and hand pain on patients’ perspective.

METHODS

A search for Youtube videos were conducted on February 17-21, 2019 using the key words “neck pain”, “back pain”, “shoulder pain”, “knee pain” and “hand pain”. The educational quality and accuracy of the videos was measured using the Global Quality Score and the DISCERN score and the video features was evaluated using the number of views, likes, comments.

RESULTS

A total of 250 videos evaluated and the most watched and most liked videos were on back pain. There was no significant difference between pain regions on the duration, dislike, comment of the videos. Only 42 (16.8%) of the videos were high quailty. Most of the videos were uploaded by chiropractors and trainers. Between pain regions, Global Quality Score and the DISCERN scores were similar and the quality of the videos were low.

CONCLUSIONS

Youtube is an important source for patients. The quality, reliability of the videos on different musculoskeletal pain regions offered on YouTube are low. Health professionals should inform patients about the quality of the video resources and direct patients to the proper sources of information.
Fabrication of drug eluting medical device for treating stenosis by 3D printing and dip coating using aspirin as a model drug
Authors: Akki Rajesh , RAMYA MUNAGALA GAYATRI , Krishna K. Chinni , Kathirvel Singaram
Published: December 2019

3D printing is a new innovative manufacturing method for fabrication of customized medical devices. The customized medical devices & long-lasting implantable devices.has increasing demand for addressing some critical cases in surgeries.

The main aim of this work was to explore the potential of 3D printing in Fabrication of medical devices and prosthetics. The characters of the polymers, the features of softwares were studied.

The study showed that drug loading into filament through hot melt extrusion and followed by 3D printing has many defects such as denaturing of drugs at higher printing temperatures.

The invention discloses the dip coating process  after fabrication of a 3D printed polymer structure. The drug release depends up on the surface area of the device, coated polymer, concentration of drug and thickness of the coat.

The method for preparing the personalized drug eluting coronary stent / Bone wedges / Braces comprises the step that according to image data of coronary angiogram or volume rendered data from CT scans. The designing was done by adopting a QCA technique for measuring the diameter of a diseased coronary artery and reconstructing in a three-dimensional manner. According to indexes such as lesion vascular diameter, lesion length and lesion vascular pattern, a personalized coronary stent can be made for each patient in a customized manner and a stent most suitable for the lesion state of a patient can be prepared.

Keywords: 3D printing, manufacturing method, Fabrication of medical devices
Optimization and Characterization of Fenugreek Seed Polymer Nanoparticles Loaded with Diltiazem HCl Nanoparticles by Desolvation Method
Authors: Ramya Munagala Gayatri , Akki Rajesh , Jyothsna Chakrala
Published: December 2019

The main aim of the present investigation is to optimize and evaluate the fenugreek seed polymer nanoparticles using Diltiazem HCl as a model drug because Diltiazem HCl has short half-life. Nanoparticles were prepared by using desolvation method and evaluated to study the influence of polymer concentration and stirring speed on different characteristics of nanoparticles such as particle size, surface morphology, zeta potential, Encapsulation efficiency and In-vitro drug release. FTIR, DSC and XRD studies were also performed to determine the compatibility, degradation and crystalline nature of drug before and after formulation of nanoparticles. F7 (1:2 polymer concentration and 600 stirring speed) was optimized formulation based on its particle size (672.1nm), encapsulation efficiency (83.1) having higher stability of Zeta potential value of -26.2, smooth surface morphology and having higher retarded drug release with non fickkian diffusion. By studying all the characteristics it was finally concluded that a natural polymer obtained from fenugreek seed can be used as a rate controlling polymer in the preparation of nanoparticles.

Keywords:  Diltiazem HCl, Fenugreek seed polymer, rate controlling polymer,      Nanoparticles, Desolvation.
Development and Validation of Spectrophotometric and Chromatographic Method for the Estimation of Apremilast in Bulk and Formulations
Authors: Badhe Pallavi , Aher Smita , Saudagar Ravindranath B.
Published: December 2019

Objective: Objective of the present analytical research work was to develop and validate Spectrophotometric method and High Performance Liquid Chromatographic method (HPLC Method) for the Apremilast bulk and tablets dosage form.

Methods: A spectrophotometric method and a HPLC method have been developed and validated for estimation of APR in pharmaceutical oral dosage form.

Method A (UV SPECTROMETRY Method): The stock and working standard solutions of the drugs were prepared in methanol. Standard solutions were scanned over the range of 400-200 nm in spectrum mode of spectrophotometer at medium scanning speed using UV spectrophotometer. The maximum absorbance for Apremilast was found at 230 nm.

Method B (HPLC Method): The HPLC Method for Apremilast was developed using Cosmosil C18 (4.6mm x 250mm, Particle size: 5µm), as stationary particle, isocratic mode. Methanol: Water (80:20v/v) pH3 as mobile phase. Mobile phase was maintained at a flow rate of 0.8 ml/min and detection was carried out at 230 nm. Both the methods were validated in accordance with ICH guidelines

Results: Apremilast was found to be linear in the concentration range of 2-10 µg/ml for spectrophotometric method and 10-50 µg/ml for HPLC method. Retention time was found to be 4.0 min for Apremilast. The amount of Apremilast in marketed formulation by spectrophotometric method was found to be 99.82 %, the amount of Apremilast in marketed formulation by HPLC method was found to be 99.98 %.

Interpretation and Conclusion: Results of assay and validation study were found to be satisfactory. So, the methods can be successfully applied for the routine analysis of Apremilast.

Keywords: HPLC, bulk dosage form, tablets,
Loyalty status of consumers to cigarettes brands and influencing factors in Bangalore City: A descriptive study
Authors: Parmar Preetika , Radha ,
Published: December 2019

Background :- Brand  loyalty  has  been  studied  in  many  industries  and  countless  product  categories.  Despite  the  fact,  very  few  research  here  been  conducted on the tobacco product category in India.  The aim of this study was to determine the loyalty status of consumers to cigarettes brands and factors that influence the loyalty status groups.

Design and methods:-  A descriptive study was conducted during the period of March 2017- April 2017 among the smokers visiting VS Dental College & Hospital , Bangalore Karnataka. A total of 340 smokers participated in the study. Data was collected using a self administered questionnaire. Descriptive statistics with frequency and percentage was used to describe the data. 

Results :- It was  observed that, four main  loyalty  levels  exist  i.e.  hardcore,  softcore,  shifters and switchers and have different demographic characteristics and reasons for their loyalty  status. The  hardcore  loyal  gave  their  main  reasons  as  high  satisfaction derived quickly,  affordable price and  strong  smell. The softcore reasons were;  strength of the kick, similar menthol and same price.

Conclusion:- The study concluded that the loyalty status groups of smokers exist i.e. hardcore loyal, softcore loyal, shifters loyal and switchers.  The reason behind the loyalty status groups is due to the nature of cigarettes and unique characteristics among the group of smokers.

Keywords:  cigarettes, brand loyalty , brand switching , consumers , loyalty status.
Concessão de uso em unidades de conservação de proteção integral: a tramitação do Projeto de Lei 249/2013 e potenciais implicações da Lei 16.260/2016 no Estado de São Paulo
Authors: Lopes Fernanda Nogueira , Pagani Maria Inez , Assis Julia Camara
Published: December 2019

Unidades de Conservação (UC) são uma estratégia usual para a conservação da biodiversidade, porém, sem uma gestão integrada com a sociedade, não são suficientes para garantir a conservação ambiental. As limitações de gestão estão relacionadas com a falta de investimentos em recursos financeiros e humanos por parte dos órgãos governamentais responsáveis. A concessão das áreas de uso público de UCs começou a ser praticada no Brasil sem uma legislação específica. Este trabalho avaliou a tramitação e as potenciais implicações do Projeto de Lei 249/13, recentemente aprovado na forma da Lei 16260/2016, na gestão das UCs. Foram feitos o levantamento e análise de documentos, totalizando 31 documentos, entre eles documentos acadêmicos, notícias, manifestações formais e documentos legais. Identificamos que a tramitação do PL e a aprovação da Lei ocorreram sem uma ampla discussão com a sociedade e apoio técnico na sua elaboração, o que pode trazer implicações negativas. Mesmo com a lei em vigor, destacamos que ainda há possibilidades de atuação de ONGs, Ministério Público e outros profissionais autônomos, por meio de apoio técnico e legal na elaboração dos editais, planos de manejo e contratos de concessão e participação dos mesmos nas audiências públicas.
TÉCNICAS DE ABORDAGEM SOMÁTICA COMO FUNDAMENTO PARA A DANÇA DO CANTOR EM ESPETÁCULOS INTEGRADOS DE CANÇÃO POPULAR
Authors: Osorio Alexandre Freire da Silva
Published: December 2019

Discute-se o papel de técnicas de abordagem somática para o revelar da dança própria do cantor. São apontadas similaridades entre a técnica Klauss Vianna e a técnica vocal desenvolvida por Leila Farah, na busca pela conscientização do caminho do som/movimento no corpo. A vivência conjunta nas duas técnicas estimula um protagonismo por parte do cantor durante o processo criativo de espetáculos de canção, um caminho distinto do percorrido por musicais tradicionais.
NO QUE ESTÁ POR VIR, SEREMOS TODOS FILÓSOFOS-ENGENHEIROS-DANÇARINOS OU NÃO SEREMOS NADA
Authors: Renzo Taddei
Published: December 2019

Este texto argumenta que, ante os desafios postos pelo que se convencionou chamar de Antropoceno – cuja manifestação mais dramática são as mudanças climáticas –, por um lado, e pela possibilidade de uma “explosão de superinteligência” no campo da inteligência artificial, por outro, três habilidades serão fundamentais para a existência das coletividades humanas no futuro: a de ser capaz de avaliação ética das novas possibilidades tecnológicas; a de ação reflexiva e criativa dentro de um contexto de incertezas incontornáveis; e habilidade para construir alianças pragmáticas com povos e formas de vida com os quais não se compartem regimes epistêmicos. Tais habilidades encarnam-se na figura do filósofo-engenheiro-dançarino, ou, mais apropriadamente, do eticista-bricoleur-coreógrafo.
“Pobres mulheres do sertão!”: um olhar feminino sobre as mulheres de Goiás no final do século XIX
Authors: De Souza Rildo Bento
Published: December 2019

O objetivo desse artigo é analisar o olhar feminino sobre as mulheres goianas no final do século XIX, a partir do relato memorialístico de Augusta de Faro Fleury Curado intitulado “Do Rio de Janeiro à Goiás – 1896 (A viagem era assim)”. Pretende-se, também, compreender o sertão goiano a que a autora se refere, o contexto da escrita da obra e a conjuntura das mulheres no período.
Ensaio sobre diversidade historiográfica: como escrever (e reconhecer) histórias dos sertões a partir de novas e “velhas” epistemologias
Authors: Santos Evandro dos
Published: December 2019

O presente artigo, escrito na forma de ensaio, discute questões teóricas e historiográficas relativas à proposta de se estabelecer a História dos Sertões como uma área específica de estudos, concebida por meio de um diálogo aberto e crítico com as demais perspectivas que tematizaram os sertões nos diferentes campos de conhecimento das Humanidades ao longo do tempo, no Brasil e no exterior. Considerando a necessária atenção à pluralidade histórica e semântica do conceito de “sertão” e seus correlatos em idiomas estrangeiros, o artigo estuda a questão do impacto das formas limitadas de história possíveis diante da imposição de um ponto de vista europeu. O artigo propõe um breve encontro entre tal ponto de vista (denominado como eurocentrismo) e as proposições de alguns estudiosos ligados aos chamados estudos pós-coloniais e estudos subalternos e pondera sobre a possibilidade de uma área de investigação dedicada à história e historiografia dos sertões organizada através da sistematização dos estudos dispersos sobre o assunto e, sobretudo, do trabalho com o conceito de sertão como ferramenta para a construção de historiografias brasileiras e americanas mais diversas e plurais. De modo geral, a pesquisa procura examinar as dimensões políticas, sociais e intelectuais de um conceito que se articula aos principais debates que compõem o âmbito historiográfico contemporâneo no que diz respeito, por exemplo, às relações entre natureza e cultura, à problemática das chamadas novas e “velhas” espacialidades (o nacional, o regional, o global etc.) e à colonialidade do poder.
Final Notes
Authors: Mariam Kharatyan
Published: December 2019

Mariam Kharatyan
Chapter 6 of 7: "Final notes"
Crveni Njegoš – novo, ideološko čitanje crnogorskoga mitropolita u prvim godinama komunističke vlasti
Authors: Prekić Adnan
Published: December 2019

U radu se analizira odnos komunističkih vlasti u Crnoj Gori prema crnogorskom mitropolitu i jednom od najvažnijih južnoslavenskih književnika XIX. stoljeća – Petru II. Petroviću Njegošu, čije je djelo Gorski vijenac
kamen temeljac crnogorske duhovnosti. Za razliku od drugih stvaralaca iz XVIII. i XIX. stoljeća, koji su potpuno nebitni komunističkim vlastima, Njegoš kao jedan od simbola crnogorske duhovnosti dobiva novo,
socijalističko tumačenje. Analizom referentne arhivske građe, periodičkoga tiska i drugih izvora na dva primjera (stogodišnjica objavljivanja Gorskoga vijenca 1947. i stogodišnjica Njegoševe smrti 1951.) objašnjava se odnos komunističkih vlasti prema Njegoševu stvaralaštvu. Na tim primjerima prepoznaju se jasne namjere komunističkih vlasti da Njegošev književni opus uklope u novi, ideološki
kontekst socijalističke države.
The error bounds of Gauss-Lobatto quadratures for weights of Bernstein-Szegö type
Authors: Mutavdzic Rada , Pejcev Aleksandar , Spalevic Miodrag
Published: December 2019

In this paper, we consider the Gauss-Lobatto quadrature formulas for the
Bernstein-Szeg? weights, i.e., any of the four Chebyshev weights divided by
a polynomial of the form ?(t) = 1-4?/(1+?)2 t2, where t ?(-1,1) and ? ?
(-1,0]. Our objective is to study the kernel in the contour integral
representation of the remainder term and to locate the points on elliptic
contours where the modulus of the kernel is maximal. We use this to derive
the error bounds for mentioned quadrature formulas.
Foudroyant middle-ear pneumococcal inflammation with meningoencephalitis in a six-year-old girl
Authors: Cvorovic Ljiljana , Relic Nenad , Rsovac Snezana , Arsovic Nenad
Published: December 2019

Introduction. Intracranial complications of otitis media still occur, despite
great progress in the treatment of all forms of inflammation. These are
serious conditions which are still life-threatening and require a fast and
accurate diagnosis and an adequate treatment. We present an illustrative case
of an acute, foudroyant, pneumococcal, suppurative otitis media with
infection spreading into endocranium and development of meningoencephalitis
and otic hydrocephalus. Case report. A 6-year-old girl was admitted to the
University Children's Clinic because of fever, headache, vomiting and
disorder of consciousness. Computed tomography scan of the endocranium and
temporal bone has revealed brain edema and hypodense content in the left
mastoid and timpanic cavity. The diagnosis of acute otitis media with
meningoencephalitis was made and we started with intensive antibiotic
treatment. Lumbar puncture and haemoculture were confirmed a pneumococcal
infection. Otosurgical treatment was conducted too due to an inadequate
reaction to conservative treatment. Firstly, left mastoidectomy with the
implantation of ventilation tube has been performed, followed by radical
tympanomastoidectomy because there was no improvement. Three weeks after the
second operation, a magnetic resonance imaging of the endocranium was
performed and an otic hydrocephalus was diagnosed. A neurosurgical operation
was performed on the same day with the setting of the ventriculo-peritoneal
shunt. Conclusion. Intracranial complications of acute otitis media in
children are extremely rare and they require multidisciplinary treatment.
Surgical treatment of the ear shouldn't be postponed and the choice of the
type of otosurgical intervention should be individually adapted. Audiological
and neurological complications of the disease are frequent and they further
prolong and impair the treatment.
Self-Compassion dan Regulasi Emosi pada Remaja
Authors: Hasmarlin Hanum , Hirmaningsih Hirmaningsih
Published: December 2019

Individu mengalami berbagai perubahan emosi pada masa remaja. Emosi remaja yang cenderung meledak-ledak dan sulit dikendalikan apabila tidak dikelola dengan baik dapat menimbulkan berbagai masalah bagi remaja dan lingkungan sekitarnya. Untuk itu, remaja membutuhkan kemampuan regulasi emosi. Penelitian ini bertujuan untuk menguji secara empirik hubungan self-compassion dengan regulasi emosi pada remaja. Alat ukur yang digunakan adalah skala self-compassion dari Neff (2003) dan skala regulasi emosi dari Gratz dan Roemer (2004). Subjek dalam penelitian ini adalah remaja berstatus siswa SMA berjumlah 398 subjek yang diperoleh dengan melakukan teknik kuota sampling. Data dianalisis menggunakan teknik korelasi product moment yang menunjukkan koefisien korelasi sebesar 0,494 pada taraf signifikansi 0,000 (p<0.01). Hasil tersebut menunjukkan bahwa self-compassion memiliki hubungan yang positif dengan regulasi emosi pada remaja. Selain itu, dengan melihat R2 diketahui bahwa self-compassion memberikan sumbangan efektif sebesar 24,4% terhadap regulasi emosi. Berdasarkan aspek-aspek pada self-compassion, diperoleh aspek common humanity memberikan sumbangan efektif paling besar terhadap regulasi emosi yakni 13,68%. Ditinjau dari perbedaan jenis kelamin, terdapat perbedaan regulasi emosi pada laki-laki dan perempuan. Namun, tidak terdapat perbedaan self-compassion antara laki-laki dan perempuan.
ENGLISH LANGUAGE RECEPTIVE VOCABULARY PROFILE: A CASE OF NOVICE BUSINESS UNDERGRADUATE STUDENTS
Authors: Munirah Lateh Nor Hazwani , Shamsudin Sarimah , Abdul Raof Abdul Halim Abdul Raof
Published: December 2019

One of the challenges for undergraduate students is coping with the demand for English language use at universities. Generally, vocabulary knowledge of learners affects how well learners can function in the language, whereby better vocabulary attainment enables more effective use of the language. Thus, it is vital to understand the vocabulary ability of university students to ensure that their overall English language proficiency could be enhanced. This study explores the receptive vocabulary profile of 35 novice business undergraduates at a public university in Malaysia. The profile was explored in terms of size and level. Two tests were administered -- the Vocabulary Size Test (Nation & Beglar, 2007) and Vocabulary Levels Test (Schmitt, Schmitt, & Clapham, 2001). In terms of size, the results indicate the average was 2971 word families (the maximum known was 3800). This is in line with their vocabulary level which reveals 97% of the students did not reach the mastery level of 3000 word family level i.e. have not acquired adequate vocabulary to be able to use the language. The study offers insights into the profile of receptive vocabulary of novice undergraduate students which could be used to enhance vocabulary teaching and learning at universities.
 
Keywords: Business undergraduates, receptive vocabulary profile, vocabulary level, vocabulary size, word families
 
Cite as: Lateh, N. H. M., Shamsudin, S., & Abdul Raof, A. H. (2019). English language receptive vocabulary profile: A case of novice business undergraduate students. Journal of Nusantara Studies, 4(2), 29-44. http://dx.doi.org/10.24200/jonus.vol4iss2pp29-44