bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of MyTeen Text Messaging Program to Support Parents of Adolescents: Qualitative Study (Preprint)
Authors: Chu Joanna Ting Wai , Wadham Angela , Jiang Yannan , Whittaker Robyn , Stasiak Karolina , Shepherd Matthew , Bullen Christopher
Published: November 2019

BACKGROUND

Parents play an important role in the lives of adolescents, and supporting and addressing the needs of families continue to be the focus of many researchers and policy makers. Mobile health interventions have great potential for supporting parents at a population level because of their broad reach and convenience. However, limited evidence exists for such interventions for parents of adolescents. This study reports on the formative work conducted with parents and/or primary caregivers to identify their needs and preferences for the development of MyTeen—an SMS text messaging program on promoting parental competence and mental health literacy for parents of adolescents (aged 10-15 years).

OBJECTIVE

The aim of this qualitative study was to explore parents and/or primary caregivers’ perspectives around youth well-being, parenting, and parenting support and their input on the development of MyTeen SMS text messaging parenting intervention.

METHODS

A total of 5 focus groups (n=45) were conducted with parents or primary caregivers of adolescents aged 10 to 15 years between October and December 2017 in New Zealand. A semistructured interview guideline and prompts were used. Data were audiotaped, transcribed, and analyzed using inductive thematic analysis.

RESULTS

Participants were concerned about youth mental health (ie, stigma and increasing demand on adolescents), and a number of parenting challenges (ie, social expectations, time, impact of technology, changes in family communication pattern, and recognizing and talking about mental health issues) were noted. Importantly, participants reported the lack of services and support available for families, and many were not aware of services for parents themselves. A number of recommendations were given on the style, content, and frequency of developing the text messaging program.

CONCLUSIONS

Findings from this qualitative work informed the development of MyTeen, an SMS text messaging program designed to increase parental competence and improve mental health literacy for parents of adolescents.
Patients’ Attitudes Toward an Online Patient Portal for Communicating Laboratory Test Results: Real-World Study Using the eHealth Impact Questionnaire (Preprint)
Authors: Talboom-Kamp Esther , Tossaint-Schoenmakers Rosian , Goedhart Annelijn , Versluis Anke , Kasteleyn Marise
Published: November 2019

BACKGROUND

Communicating laboratory test results online has several advantages for patients, such as improving clinical efficiency and accessibility, thereby helping patients to take an active role in managing their health.

OBJECTIVE

This study aimed to investigate the experiences and self-efficacy of patients using an online patient portal that communicates laboratory test results.

METHODS

We used the online-administered eHealth Impact Questionnaire to explore patients’ attitudes toward the portal. Patients visiting the portal were asked to complete the questionnaire. The subscale Information and Presentation assessed the usability of the patient portal and the subscale Motivation and Confidence to Act assessed self-efficacy to determine whether patients were motivated to act on the presented information. We used a cutoff score of 65 or greater to determine whether the portal was rated positively.

RESULTS

The questionnaire was completed by 354 of 13,907 patients who viewed their laboratory results in the patient portal, with a response rate of 2.55%. The mean Information and Presentation score was 67.70 (SD 13.12) and the mean Motivation and Confidence to Act score was 63.59 (SD 16.22). We found a positive, significant correlation between the 2 subscales (r345=.77, P<.001).

CONCLUSIONS

Patients participating in the study rated the usability of the portal positively. However, the portal only slightly helped patients to take an active role in managing their own health. The low response rate precludes generalization of the results. Future research should examine avenues to further increase patients’ self-efficacy and study whether portal acceptability differs in subgroups. Patient portals conveying laboratory test results in understandable language seem usable and potentially provide a viable way to help patients take a more active role in managing their own health.
Combination of 3-Dimensional Virtual Reality and Hands-On Aromatherapy in Improving Institutionalized Older Adults’ Psychological Health: Quasi-Experimental Study (Preprint)
Authors: Cheng Vivian Ya-Wen , Huang Chiu-Mieh , Liao Jung-Yu , Hsu Hsiao-Pei , Wang Shih-Wen , Huang Su-Fei , Guo Jong-Long
Published: November 2019

BACKGROUND

In Taiwan, which has one of the most rapidly aging populations in the world, it is becoming increasingly critical to promote successful aging strategies that are effective, easily usable, and acceptable to institutionalized older adults. Although many practitioners and professionals have explored aromatherapy and identified its psychological benefits, the effectiveness of combining 3-dimensional (3D) virtual reality and hands-on aromatherapy remains unknown.

OBJECTIVE

A quasi-experimental trial was designed to evaluate the effectiveness of this combination in lowering perceived stress and promoting happiness, sleep quality, meditation experience, and life satisfaction among institutionalized older adults in Taiwan.

METHODS

A total of 60 institutionalized elderly participants either received the combined intervention or were in a control group. Weekly 2-hour sessions were implemented over 9 weeks. The outcome variables were happiness, perceived stress, sleep quality, meditation experience, and life satisfaction, which were assessed at baseline and after the intervention.

RESULTS

Generalized estimating equation (GEE) analyses indicated that the experimental group showed significant post-intervention improvements in terms of scores for happiness, perceived stress, sleep quality, meditation experience, and life satisfaction (n=48; all P<.001). Another GEE analysis showed that the significant improvements in the 5 outcome variables persisted in participants aged 80 years and older (n=35; all P<.001).

CONCLUSIONS

This is the first trial to explore the effectiveness of a combination of 3D virtual reality and hands-on aromatherapy in improving older adults’ psychological health. The results are promising for the promotion of psychological health in institutionalized older adults.

CLINICALTRIAL

ClinicalTrials.gov NCT04324216; https://clinicaltrials.gov/ct2/show/NCT04324216.
Encoding the Circumambient Psychological Moment: Clause Relations, Parallel Structures and Alliteration in Henry James’ “The Ambassadors”
Authors: Collins William
Published: November 2019

Henry James’ “The Ambassadors” might be termed an Impressionist Suspense Novel in that the action of the novel centers on the shifting impressions and groping for hidden meaning in the mind of its main character, Lambert Strether. The subtle changes in Strether’s struggle for understanding are registered in a series of intense encounters with Chadwick Newsome, and his lover, Madame Marie de Vionnet and are communicated to the reader in the complex syntax of James’ prose. This article will examine James’ use of four linguistic devices to render character portraits and signal shifting impressions: clause relations, parallel grammatical structures, lexical repetition and replacement, and serial alliterative modifiers.
From the Editors
Authors: Caputo Virginia , Pearson Landon
Published: November 2019

Overview of the Issue.
Situating Children’s Rights in Cultural Perspectives on Childhood: Intermedial Dialogue.
Authors: Evers Sandra J.T.M. , Vadeboncoeur Jennifer , Weber Barbara
Published: November 2019

Against the backdrop of the recent 25th anniversary of the adoption of the UN Convention on the Rights of the Child, this article proposes the use of an analytical approach that enables inquiry into and responsiveness to varied cultural perspectives on the meaning of “children” and “childhood” in the context of children’s rights. This method of inquiry, which we call “intermedial dialogue,” assesses conceptual convergence and divergence between stakeholders and facilitates the creation of common ground across different cultural and contextual perspectives. The article begins with a discussion of the limits of the current discourse of children’s rights. Cultural conceptualizations of “children” and “childhood” are introduced to show variation and the significance of context. We then present “intermedial dialogue,” which is both a method and an epistemological stance that integrates the views of those referred to as children, young people under the age of 18, in the UN Convention on the Rights of the Child.
(in)visible bodies and (de) contextualization: A critique of the Independent Review of Cathedral Valley Group Home
Authors: Grantham Sheila
Published: November 2019

AbstractThe Report on the Independent Review of Cathedral Valley Group Home (Tuckett, 2010) was commissioned by the Minister of Family Services and Consumer Affairs due to allegations by the former Indigenous residents, who claimed that various forms of exploitation had occurred. The home was operational in the 1970’s and early 1980’s in Manitoba, and although non-Indigenous children and youth resided in the home, the majority of its residents were Indigenous. Although the report was an attempt to evaluate the treatment of the residents that stayed at the group home, the Report on the Independent Review of Cathedral Valley Group Home instead further marginalizes the voices of those Indigenous residences through narratives that de-race, decontextualize and privilege the non-Indigenous voice.
Inuit Early Child Care Centres
Authors: Pearson Landon
Published: November 2019

The wisdom of the Inuit people (IQ) is a great resource to draw on for designing early childhood centres for all Indigenous children as well as for others   in our increasingly diverse society.  Respecting their rights, as the two settings described in this article do, can lighten the burden of trauma carried by so many children and, by building trust , release their humanity to the benefit of us all.
The United Nations Committee on the Rights of the Child: Does its structure and working methods optimize efficacy and promote child participation?
Authors: Blackstock Cindy
Published: November 2019

This paper discusses the constitution and working methods of the Committee before suggesting that its membership requirements and working methods are inadequate to optimize alignment with the four pillars of the Convention and ensure persons of high moral character and credential fill Committee ranks.   Recommendations for reform are proposed.
Integrating Children and Youth Participation into Resilience Planning
Authors: Derr Victoria , Sitzoglou Maria , Gülgönen Tuline , Corona Yolanda
Published: November 2019

Article 12 of the United Nations Convention on the Rights of the Child of 1989 places obligations on States to provide opportunities for children to express their opinions and to have these opinions be taken seriously in matters that affect their lives. While many studies from around the world have shown that children and youth can meaningfully participate to inform a wide range of issues, wide-scale implementation of children’s participation and thus the realization of children’s rights, is still not widely achieved. In the context of planning for urban resilience, three cities in three diverse nations approached integration of children and youth into resilience planning, with varying success. While each city was able to support children’s voicing of perspectives facilitators also struggled with how to authentically integrate youth voices into a new realm of planning—for urban resilience. This article thus shares the approaches and objectives from each city and reflects on what can be learned from these experiences when trying to integrate children and youth opinions and perspectives into community planning, particularly when guided by international frameworks or agendas. While each city has some success in realizing children’s rights to participate, to a certain extent, lack of municipal frameworks for participation and lack of knowledge about and support for children’s participation among municipal leaders inhibited the realization of children’s participation.
The right of the Ch´ol children of Chiapas to live in peace in their territories
Authors: Corona-Caraveo Yolanda
Published: November 2019

In this article, we expose the kind of relationship that exists between the indigenous children of two villages of Chiapas, Mexico, and their natural environments. Although both communities belong to the same (Ch’ol) ethnicity and are located at a short distance from each other, we observe significant differences between them according to the organization of each community and to whether or not they are affiliated to the Zapatista movement. We discuss, on one hand, the view of nature of these two communities, their relationship with productive activities, their ethics in relation to animals, and the stories of the oral tradition associated to beings whom they consider to be “keepers of the jungle”.
Between World Borders:
Authors: Tavares James
Published: November 2019

This paper explores from a critical mad studies perspective, the under-investigated relationship between madness and constructions of childhood. Through analyzing a video published by the Oprah Winfrey Network on YouTube where the host conducts an ‘interview’ with a young girl labelled with ‘childhood schizophrenia’ named Jani, I argue mad experiences of children are doubly characterized as dubious. Beyond dubious, they are conceptualized as a form of human experience so unfamiliar to sane adult perceptions they become conceptualized as entertainment. Moreover, I contend viewing the different psychogeographies or world(s) of mad people, more specifically children, that are not omnipresent to sane and mad minds alike, as farcical or disordered is problematic as it excises these realities are in fact real to those who experience them. This paper asserts the sanist move to only consider the shared phenomenological conscious experiences of populations at large is a form of cognitive injustice that ignores the multiplicity of realities that exist. What I propose towards the end of the paper is that scholarly analysis consider individuals as individuals, rather than what their subjective intersectional identities culturally demarcate. What mad positive futures can be imagined if we dare to consider Jani as Jani and not a ‘crazy little girl?
'Not Like Other Girls':
Authors: Ghosh Nandini
Published: November 2019

Feminist disability scholars have argued that gendered societal standards influence and construct cultural notions of femininity and shape the development of identities of women with disabilities. Gender socialisation is one of the basic processes whereby identities are constructed and maintained through learning of socio-cultural ideologies regarding gender appropriate behaviour and its performance in daily life contexts. This paper attempts to reveal the ways in which girls with locomotor disability in West Bengal experience processes of gender socialisation, in the light of patriarchal and abilist ideologies existing their own cultural context. It also seeks to explore the ways in which these girls negotiate the self and a feminine performance in different ways, adhering to, questioning and subverting such ideologies in their daily lives. The paper is based on empirical data collected from sixteen women with locomotor disabilities living in the rural district of 24 Parganas (S) and the urban locale of Kolkata in West Bengal.
“Can Disability Be Positive?” Reflecting on Children’s Rights and Disability through Shaking the Movers: A Youth-led Consultative, Collaborative, Participatory Model
Authors: Bendo Daniella
Published: November 2019

This article takes a reflective approach from the perspective of the National Coordinator of a youth-led consultative and collaborative model known as Shaking the Movers, developed by The Landon Pearson Resource Centre for the Study of Childhood and Children’s Rights at Carleton University in Ottawa, Ontario. It reflects on the model which was used to run a workshop that focused on children’s rights and disability to explore the guiding question: “Can Disability be Positive?” It reveals how the event unfolded, key messages from working with children and youth with disabilities, how the model worked or instances when it did not and key components that are helpful for other’s who may be interested in organizing a youth-led consultative and collaborative workshop with young people with disabilities. Ultimately, the paper explores the concepts of marginality and relationality and the ways these notions highlight how adult-centric views creep into the best laid efforts of adults who are aware of the strength of youth-led workshops.
Childhood Experiences of North Korean Refugees at the Intersection of Disability and Refugee Status
Authors: Song Yosung , Freedman Justin
Published: November 2019

The purpose of this paper is to examine how the intersection of disability and refugee is experienced by North Korean refugees during their childhood. A Critical Disability Studies theoretical framework is used to understand the interplay of social and embodied aspects of disability within the conditions faced by North Korean refugees across multiple borders and contexts. Data is reported from interviews with two teachers and eight young adults and students about their childhood experiences before, during, and after their journey to relocate in South Korea. We report findings of the violence that North Korean refugee children and adolescents experience and the structural, political, economic, and cultural conditions that shape North Korean refugee children’s access to rights, such as health care and education. Further, we highlight how identities, such as gender and ethnicity, impact the embodied experiences of North Korean refugee children, and their relationship to multiple nation-states.
“Help Them Back Home”: Italian Fantasies of (Neoliberal) Inclusion from Buona Scuola to Salvini’s Government
Authors: Migliarini Valentina
Published: November 2019

This paper explores how inclusive education in the Italian context has shifted from the Marxist model based on the solidarity of Integrazione Scolastica (see D’Alessio, 2011) to a neoliberal approach which targets Black migrant and forced-migrant children. The introduction of Renzi’s policy reform, Buona Scuola, marked this shift towards neoliberal inclusion, and the current far-right government, led by Salvini, adds a populist character to it, evident in his mantra of “helping them back home”. Drawing from Butler’s (1997) notions of subjectivation and referring to Tomlinson’s (1982) concept of benevolent humanitarianism, the paper analyzes how Italian educators conceptualize the inclusion of migrants and refugees through neoliberal fantasies.  However, the space of neoliberal inclusion is ableist, racist, and exclusionary. Ultimately, the paper advances the intersectional approach of Disability Critical Race Theory (DisCrit) to (re)frame educational and social inclusion in Italy and to refute a neoliberal model that perpetuates racial disparities (Annamma, Connor, Ferri, 2013; 2016).
KAJIAN KRIMINOLOGI PEREDARAN NARKOTIKA (SEBUAH STUDI DI KABUPATEN ACEH TIMUR)
Authors: Muammar Muammar
Published: November 2019

The impact of globalization has penetrated throughout the civilization of the nations of the world, running so fast. Especially very influential on changes in various lines of life. Related to this is the issue of increasing narcotics abuse and narcotics illicit trafficking which has created conditions that have hindered the development process and weakened civilization. Eradication of narcotics distribution is a national problem, because it has a negative impact that can damage and threaten the lives of the people, nation and state and can hamper the national development process. The rise of narcotics abuse does not only occur in big cities, but has reached small cities in all ten regions of the Republic of Indonesia, including East Aceh Regency. The increasingly diverse lifestyle of the people due to the influence of globalization also contributes to the increasing circulation of narcotics in East Aceh District. This certainly must receive serious attention, because if we look at what is happening in East Aceh District and several other regions in Indonesia, the crime of narcotics distribution from time to time always increases which in the end is increasingly unsettling the community, so before these things increase In East Aceh District, an effective solution must be found to eradicate it. Factors that cause a person to commit a narcotics crime in East Aceh Regency are due to economic factors where a person needs money to live and the difficulty of getting work, family environmental factors, social environmental factors and availability / lack of supervision factors. Efforts in tackling narcotics circulation in East Aceh district involve many parties, including: firstly, pre-emptive efforts by providing counseling in the community and schools about narcotics carried out by the police in tackling narcotics crime in East Aceh District. Second, preventive measures (prevention) by conducting raids and patrols routinely, providing oversight of the association and positive activities carried out by the police, prosecutors, religious leaders, community leaders and youth organizations. The third repressive effort (action) which aims to provide a deterrent effect on the perpetrators of drug trafficking crimes involving all law enforcement officials ranging from the Police, Attorney and District Courts and Detention Houses.Keywords: Crimonology, Narcotics Circulation.
URGENSI LAYANAN KONSELING BAGI WANITA BINAAN (STUDI DI LEMBAGA PEMASYARAKATAN KELAS III SIGLI)
Authors: Latif Umar , Syarif Muhammad
Published: November 2019

Providing counseling services for assisted women in LP is a very important thing. Problems faced by women in Class III LP Sigli, such as feeling depressed because they are far away from their children, husband and family, and so forth. So in this study, researchers focus on why counseling services are very important to be provided, how the form of counseling services and the effectiveness of the implementation of counseling services for women in prison in Class III prisons Sigli. This qualitative research collected data using observation, interview and documentation methods. The results of the study found that psychological problems of household life of fostered residents in Sigli Class III Correctional Institution are unhealthy mental conditions of fostered residents such as anxiety, anxiety, feelings of guilt and regret, and because of losing various important things in his life, especially those related to his family while they served their sentences at the Penitentiary. Handling of psychological problems in the lives of fostered households is adjusted to the guidance of Islamic teachings by paying attention to the problems faced by clients. Handling is done by helping clients increase their knowledge, understanding and practice of religion and try to involve the counselor from outside, such as the cleric or teungku to fill routine recitals or lectures that are able to arouse the spirit of life and comfort after participating in the study. Counseling services have been done well and maximally at Sigli Class III Women's Penitentiary and of course it can be said to be running effectively, even though there are still some technical obstacles in its implementation. But in general, can be said to be effective.Keywords: Counseling, Assisted Women and Correctional Institutions.
Upaya Pemerintah Kota Banda Aceh Dalam Melindungi Anak Penyandang Disabilitas
Authors: Rispalman Rispalman , Islami Iman
Published: November 2019

Children with disabilities are vulnerable to poor treatment and the growth will be very difficult in a community environment. Therefore, it must be a child with a disability given the attention of the local government to provide protection for the child's disability. This research is categorized as field research Research) and Library Research, is a type of qualitative research. The results of this research show, based on data obtained from the social service city of Banda Aceh, currently the city of Banda Aceh there are 467 children with disabilities with the category of 7 types of disabilities, of the 7 types of disability that most of the levels are Tuna Runggu and Tuna. In the management of children with disabilities, the Government of Banda Aceh carried out several activities in terms of social assistance fund Rp. 4 million (four million rupiahs) per year, the establishment of a disabled child Family Communication Forum (FKKADK) and the provision of disability aids for children with disabilities according to their degree of disability. The efforts of the activities undertaken by the Government of Banda Aceh are in accordance with the provisions of article 8 of the Candy PPPA number 4 year 2017 about special protection for children with disabilities who said that the implementation of special protection for children with disabilities in the form of activities to be a reference for the area in drafting the action plan is adjusted to the condition, the situation, needs, and capabilities of the area and with the appropriate implementation on the article with article 90 of law number 8 year 2016 social rehabilitation, social protection, social empowerment, and social security. In the implementation of child protection with disabilities in Banda Aceh in accordance with the provisions of Islamic law relating to maqasid sharia.
Teori ‘Asabiyyah Ibn Khaldun dalam Perspektif Hukum Islam
Authors: Mulia Muji
Published: November 2019

The theory of 'Asabiyyah (Solidarity of groups, fanaticism of tribes or nepotism) is the fruit of the Ibn Khaldun think. The birth of the theory of 'Asabiyyah is not separated from his observation of the condition of Muslims when it is in the interfaith and seize power by relying on the solidarity of Groups, group. This article is about to examine the theory of 'asabiyyah Ibn khaldun. This article is reviewed with a historical and normative approach. The results showed that in order to practice this 'Asabiyyah theory does not lead to evil and negative, according to Ibn Khaldun's opinion, it is the only solution to control and control the operation of the group. Religion is instrumental in lowering the tension of this asabiyyah practice. Although Ibn Khaldun has explained 'Asabiyyah (Solidarity Group, fanaticism group) part of Sunnatullah that cannot be eliminated from human life, we should also see from the Islamic eyewear in this case Islamic law on the practice of ' Asabiyyah (Solidarity Group). In the view of Islamic law, the practice of 'Asabiyyah (solidarity Group) is not allowed to be banned by reason of violating the purpose of establishing Islamic law itself. The purpose of established Islamic law is to create the benefit of mankind. While the practice of solidarity group, Fanatime tribe, and nepotism gave misery, the distress, hostility and destruction of the joints of human life, both in the world and in the hereafter.
Editorial: Multilevel analysis of corporate governance and leadership
Authors: Bodolica Virginia
Published: November 2019

The articles included in this volume of the journal discuss a broad variety of topics,
including accrual and real earnings management, board of directors’ characteristics, mandatory disclosure of non-financial information, digital transformation strategies of firm leaders, post-adoption effect of alternative performance measures’ guidelines, corporate controlling system expectations, quality of governance frameworks and practices, strategic dividend decisions, network governance, and compliance management. All these aspects continue to make headlines in the popular press and remain topical in the extant corporate governance literature (Bodolica, Dupuis, & Spraggon, 2019).
Perspectives of Development and Enhancement of the Efficiency of the Functioning of Small Forms of Business on the Village
Authors: Tkachuk Vadym , Vitriak Oksana
Published: November 2019

The article substantiates the prospects for the development and increase of the functioning efficiency of small farming forms in the countryside. Particular attention is paid to the study of factors that have a negative impact on the farms and households functioning.
Based on the analysis of statistical indicators, it has been established that the most significant factors that have a negative impact on the functioning of small farming forms in the countryside are the difficulty of manufactured products realization, insufficiently effective state support, lack of developed infrastructure, low education level of households' heads. In order to minimize the negative impact of the identified range of problems, it is proposed to introduce preventive measures in the following areas: the state support system improvement, infrastructure development, the production base and resource support improvement, integration relations development.
Schwannoma of the abdominal wall - diagnostic chalenge
Authors: Nikolic Bojan , Vukomanovic-Djurdjevic Biserka , Mitrovic Miroslav , Golubovic Jelena , Pesic Jasna
Published: November 2019

Introduction. Schwannoma or neurilemmoma is a benign tumor of the nerve sheath originating from the Schwann cells. Localization in abdominal wall is rare. Schwannomas usually manifest themselves as slow-growing asymptomatic tumors. Symptomatology depends on the location, the involved nerve and the size of the tumor. Case report. We present a 43-year-old female patient with a schwannoma localized in the right hypochondriac region. Diagnostic procedures included ultra-sound with color Doppler (US), high-resolution magnetic resonance imaging (MRI), and histopathological examinations (HP). US showed a solid, well-circumscribed mass, with a whorled, echogenic internal architecture in the anterior abdominal wall. MRI revealed an oval, well-circumscribed, heterogeneous, 3 ? 2.5 ? 2.5 centimeters large fusiform mass. T1- weighted imaging presented low signal intensity, while T2- weighted image showed heterogeneously high signal intensity. The lesion was completely removed. After pathohistological analysis with standard and immunohistochemical methods of coloring, the diagnosis of the schwannoma was confirmed. Conclusion. Schwannoma as a slow-growing tumor, which is often without clinical manifestations, may cause a delay in diagnosis and treatment. Clinical presentation of a schwannoma is indolent and non-specific. Diagnosis of this tumor requires a multidisciplinary and interdisciplinary approach. MR is a useful and highly specific method for the verification of peripheral nerve sheath tumors. A HP analysis confirmed definitive diagnosis of the lesion.
Patient-related outcome measures and clinical evaluation of dental implant therapy in the elderly population-a cross - sectional study
Authors: Dragovic Svetlana , Lazic Zoran , Dragovic Miroslav , Vukadinovic Miroslav , Milicic Biljana , Spadijer-Gostovic Aleksandra
Published: November 2019

Background/Aim. Oral health disorders are crucial regarding general health and quality of life of the elders. The aim of this cross-sectional study was to evaluate the long-term clinical and patient-centered outcomes of dental implants, placed in partially and fully edentulous people older than 65 years. Methods. A total of 38 participants with an overall number of 168 implants were selected and underwent clinical and radiological examination. The implant survival rate, implant failure rate and other complications were recorded and analyzed. All participants agreed to respond to the Oral Health Impact Profile-14 (OHIP-14) questionnaire and another questionnaires on the Visual Analog Scale (VAS) related to their experiences and satisfaction with the overall implant treatment. Univariate and multivariate regression models were used to verify the relation between the OHIP score and the VAS questionnaires? items. Results. The implant survival rate was 94.3%. The number of implants without any complication was 73.2% (123), while biological and technical ones occurred in 17.3% (29) and 9.5% (16) implants, respectively. Regarding quality of life, significant difference was found only between those who wear fixed and removable restauration (p = 0.001). The multivariate regression model showed that the degree of satisfaction with shape and size of dentures was significantly associated with lower OHIP scores, indicating a better quality of life. Conclusion. Ac-cording to the results obtained, it can be concluded that dental implant therapy in elderly people can be considered as predictable long-term treatment option regarding high implant survival rate, minimal complications and significantly better quality of life found in the group with fixed dentures.
The increasing doses of methotrexate pharmacokinetics after intravenous administration in rats - model selection
Authors: Rajsic Ivana , Pavlovic Nebojsa , Milijasevic Boris , Vukmirovic Sasa , Spasic Dragan , Zigic Miodrag , Grahovac Nenad , Golocorbin-Kon Svetlana , Mikov Momir
Published: November 2019

Background/Aim. Methotrexate (MTX) plays a significant role in the treatment of various diseases, but the toxicity remains the main issue of its use, especially when administered in high doses. Considering altered pharmacokinetics of MTX as a factor strongly implicated in the large interpatient variability and unexpected toxicity in certain patients, the accurate description of MTX pharmacokinetic behaviour of both low and high doses is of the utmost importance. Therefore, the objective of this study was to determine the pharmacokinetics of MTX after intravenous (iv) administration in ascending doses of 5, 40, 80 and 160 mg/kg in rats and to select the appropriate mathematical model describing MTX pharmacokinetics. Methods. Plasma concentrations of MTX were measured using the liquid chromatography - mass spectrometry (LC/MS) method. Pharmacokinetic parameters were calculated by non-compartmental and two-compartmental integer-order analyses. Results. MTX showed linear pharmacokinetics following iv administration up to the dose of 80 mg/kg. The administration of a high dose of MTX (160 mg/kg) resulted in the similar pharmacokinetic behaviour as when applied in the twice lower dose (80 mg/kg), which can be explained by dose-dependent changes in the expression of solute carrier (SLC) and ATP binding cassette (ABC) transport proteins and intracellular metabolism. Furthermore, the classical two-compartment model could not explain the pharmacokinetics of MTX in a small percentage of experimental animals, which opens up new strategies for the use of fractional order pharmacokinetic models in MTX therapy optimisation. Conclusion. These results of pharmacokinetic analyses may be helpful in adjusting the dosage regimen of MTX, but the application of novel pharmacokinetic models, such as those based on fractional calculus, is still needed in the process of MTX therapy optimisation.
Motstridende mål i kroppsøving i Norge – en analyse av læreplanene i faget i perioden 2006 til 2015
Authors: Lyngstad Idar
Published: November 2019

Siden 2006 har læreplanens formål og kompetansemål i kroppsøving i norsk skole blitt endret i 2012 og 2015. I denne artikkelen er det foretatt en analyse av endringer i formål og kompetansemål i læreplanene i kroppsøving i perioden fra og med 2006 til 2015. Grunnlaget for analysen er hentet fra teori om kroppsøvingsfagets mål og begrunnelse av Peter J. Arnold (1988) og Claes Annerstedt (2001). Analysen viser at målformuleringene i læreplanene har blitt utviklet i et spenningsfelt mellom et ferdighets- og prestasjonsfokus, som definerer måloppnåelse hos eleven etter forhåndsdefinerte fysisk-motoriske kriterier og rene idrettslige prestasjoner på den ene siden, og på den andre siden mål om individuell ferdighetslæring som definerer måloppnåelse etter øvings- og treningsprinsipper som er relevante for å oppnå kroppslig utvikling og helse ut ifra elevens læreforutsetninger, som er ulike. Kunnskapsdepartementet forsøker å ivareta to ulike forståelser om mål i kroppsøving som det er krevende å forene i et helhetlig fagsyn i læreplanen. Læreplaner i framtiden vil trolig også utvikles i et spenningsfelt mellom disse ulike forståelsene av formål og kompetanser i faget, men det er usikkert hvor fruktbart dette vil være.
Flashmob i lærerutdanninger – studenters erfaringer med å skape dans sammen
Authors: Rustad Hilde , Langens Tonje Fjogstad
Published: November 2019

Denne artikkelen handler om lærerstudenter og deres erfaringer knyttet til gjennomføring av flashmob som studentdrevet danseprosjekt. Artikkelen undersøker sammenhenger mellom flashmobprosjektet og utviklingen av lærerstudentenes profesjonspersonlige kompetanse. Forskningsmaterialet utgjøres av studenttekster fra to kroppsøvingslærerutdanninger: årsstudium i kroppsøving ved OsloMet – storbyuniversitetet og faglærerutdanningen i kroppsøving og idrettsfag ved Norges idrettshøgskole. Forskningsprosjektet er kvalitativt og har en hermeneutisk-fenomenologisk tilnærming. Gjennom analyse av studentenes besvarelser kom forfatterne fram til fire temaer: «følelser», «å skape dans», «nærhet og samarbeid» og «lærerrollen». Gjennom en profesjonsfaglig drøfting av disse temaene viser artikkelen blant annet hvordan flashmobprosjektet har relevans i et lærerutdanningsperspektiv ved at studenterfaringene kan knyttes til selvbestemmelse, medbestemmelse og solidaritet. Det framkommer tydelige sammenhenger mellom studentenes erfaringer og profesjonspersonlig kompetanse; flashmobprosjektet trer fram som et profesjonspersonlig dannelsesprosjekt som kan bidra til å gi studentene en kroppslig forankret autoritet.
Sårbarhet som profesjonsetisk kompetanse? En metarefleksjon basert på undervisning i skapende dans i høyere utdanning
Authors: Ørbæk Trine , Engelsrud Gunn
Published: November 2019

I denne artikkelen stilles spørsmål om erfaringer av sårbarhet kan gis relevans i relasjon til profesjonsetisk kompetanse i lærerutdanning: Kan vi få fram troverdig kunnskap om betydningen av lærerutdannerens opplevde sårbarhet i undervisningssituasjonen? Hvilken betydning kan opplevd sårbarhet ha for lærerutdannerens profesjonsetiske kompetanse? Kan sårbarhet bli en kvalitet ved undervisning i lærerutdanning? I så fall hva er betingelsen for det? Undervisning om skapende dans i kroppsøvingslærerutdanning brukes som case, der en lærerutdanners metarefleksjon over egen undervisning brukes som materiale. Metarefleksjonene analyseres videre gjennom etiske og fenomenologiske begreper, som mellomkroppslig samspill og kroppslig resonans. Analysen får fram at det å tenke om sårbarhet som profesjonsetisk kompetanse kan være verdt å diskutere; herunder om sårbarhet og bearbeidelsen av dette kan være en ressurs for å skape gode relasjoner til studentene, inngå som en beredskap for å møte etiske valgsituasjoner, bidra til å handle moralsk i undervisingsøyeblikket, samt være en kilde til empati. Konklusjoner fra analysene er at det å vedkjenne seg og å bearbeide sårbarhet bør kunne gjøres relevant som bidrag inn i lærerutdannerens profesjonsetiske kompetanse og bli en kvalitet ved undervisning i lærerutdanning.
The Research Data Centre of the German Federal Employment Agency at the Institute for Employment Research (RDC-IAB)
Authors: Antoni Manfred , Schmucker Alexandra
Published: November 2019

Background and data portfolioSince 2004, the Research Data Centre of the German Federal Employment Agency at the Institute for Employment Research (RDC-IAB) has been offering comprehensive individual data on employees, unemployed persons, job seekers and participants in active labour market policy programmes for scientific labour market research. For this purpose, data from employer notifications and from different administrative processes in the labour market administration are linked. These administrative data are also combined with survey data. In addition, linked employer-employee data allow simultaneous analyses of the supply and demand sides of the labour market.

Data linkageThe data can be linked using unique identifiers, such as social insurance numbers, client numbers from local employment agencies, or establishment numbers. Since the foundation of the German Record Linkage Center (GRLC) in 2011, the RDC-IAB also applies methods for linking with non-unique and error-prone linkage identifiers like names, addresses and birth dates.

Data accessGerman data protection law classifies the data offered by the RDC-IAB as highly sensitive and strictly regulates their use by external researchers. The RDC-IAB has therefore established various data access modes. Although data can be transferred directly to research institutions in anonymised form, this procedure is generally not effective for linked data, as the loss of information due to the necessary anonymisation would be too great. For this reason, the RDC-IAB focuses on the access modes on-site use and remote data execution. In cooperation with other data centres, RDC-IAB has therefore established on-site data access at currently 16 locations worldwide.
Data Centre Profile: The Provincial Health Data Centre of the Western Cape Province, South Africa
Authors: Boulle Andrew , Heekes Alexa , Tiffin Nicki , Smith Mariette , Mutemaringa Themba , Zinyakatira Nesbert , Phelanyane Florence , Pienaar Cara , Buddiga Kasturi , Coetzee Eduan , Van Rooyen Renier , Dyers Robin , Fredericks Naadir , Loff Adam , Shand Lesley , Moodley Melvin , De Vega Ian , Vallabhjee Krish
Published: November 2019

Introduction

The Western Cape Provincial Health Data Centre (PHDC) consolidates person-level clinical data across government services, leveraging sustained investments in patient registration systems, a unique identifier, and maturation of administrative and clinical digital health systems.

Objectives

The PHDC supports clinical care directly through tools for clinicians which integrate patient data or identify patients in need of interventions, and indirectly through supporting operational and epidemiological analyses. 

Methods

The PHDC is housed entirely within government. Data are processed from a range of source systems, usually daily, through distinct harmonisation and curation, beneficiation, and reporting processes. Linkage is predominantly through the unique identifier which doubles as a pervasive folder number, augmented by other identifiers. Further data processing includes triangulation of multiple data sources for enumerating health conditions, with assignment of certainty levels for each enumeration. Outputs include patient-specific email alerts, a web-based consolidated patient clinical viewing platform, filterable line-listings of patients with specific conditions and associated characteristics and outcomes, management reports and dashboards, and data releases in response to operational and research data requests.  Strict architectural, administrative and governance processes ensure privacy-protection. 

Results

In the past decade 8 million unique people are recorded as having sought healthcare in the provincial public sector health services, with current utilisation at 15 million attendances or admissions a year.  Cross-sectional enumeration of health conditions includes over 430 000 people with HIV, 500 000 with hypertension, 235 000 with diabetes. 110 000 pregnancies and 54 000 patients with tuberculosis are enumerated annually. Each year over 50 data requests are processed for internal and external requesters in accordance with data request and release governance processes. 

Conclusions

The single consolidated environment for person-level health data in the Western Cape has created new opportunities for supporting patient care, while improving the governance around access to and release of sensitive patient data.
STUDI KOMPARASI KEJADIAN HIPERTENSI PADA PELATIHAN TRAINING OF TRAINER KELUARGA SEHAT DI BBPK CILOTO DAN BAPELKES BATAM
Authors: Supriyono Supriyono
Published: November 2019

Penelitian ini bertujuan untuk membandingkan kejadian hipertensi secara empiris pada  dua lokasi yang  meliputi hubungan karakteristik (usia, jenis kelamin dan tingkat pendidikan)  dengan  kejadian hipertensi  pada  peserta  pelatihan TOT  Keluarga Sehat. Penelitian ini  bersifat observasional dengan pendekatan cross sectional. Populasi dalam penelitian ini menggunakan sampel jenuh, dimana sampel yang digunakan adalah seluruh peserta yang mengikuti pelatihan, yaitu sebanyak  60 responden, yang tersebar di 2 lokasi yaitu BBPK Ciloto dan Bapelkes Batam, masing-masing  30 responden. Untuk mengetahui hubungan antar variabel dengan menggunakan uji statistik Sperman Rank. Sedangkan untuk mengetahui perbandingan antar  dua  populasi adalah dengan distribusi frekuensi dari variabel-variabel. Dalam penelitian ini diperoleh hasil  tidak ada hubungan yang signifikan secara statistik antara usia, jenis kelamin  dan tingkat pendidikan dengan hipertensi. Namun bila dilihat dari masing-masing variabel, maka peserta pelatihan dari BBPK Ciloto mempunyai kejadian hipertensi lebih baik  dibandingkan dengan peserta dari Bapelkes Batam. Disarankan  agar setiap lembaga pendidikan dan pelatihan menyediakan poliklinik yang dilengkapi dengan tenaga medis dan paramedis.
PERAN PETUGAS KESEHATAN TERHADAP SANITASI RUMAH DI KELURAHAN SEMANGGI KOTA SURAKARTA
Authors: Wulandari Windi , Kartikasari Dewi Anjar , Ratri Lufiana Puspita
Published: November 2019

Kondisi sanitasi rumah yang tidak memenuhi syarat kesehatan dapat menimbulkan berbagai macam penyakit dan gangguan kesehatan. Data pemeriksaan rumah sehat di Kelurahan Semanggi diperoleh sebanyak 43,25%. Peran petugas sanitasi dan kepala puskesmas menjadi salah satu yang menentukan keberhasilan cakupan dalam pelaksanaan inspeksi sanitasi di wilayah puskesmas selama 1 (satu) tahun. Berdasarkan survei pendahuluan yang telah dilakukan menunjukkan bahwa masyarakat di kelurahan semanggi jarang mendapatkan info maupun penyuluhan dari petugas yang berkaitan dengan rumah sehat. Penelitian ini bertujuan untuk menganalisis peran petugas terhadap sanitasi rumah di Desa Semanggi Kota Surakarta. Jenis penelitian ini adalah survei analitik dengan menggunakan desain penelitian cross-sectional. Populasi penelitian ini adalah masyarakat yang bertempat tinggal di Kelurahan Semanggi dengan populasi 4.772 rumah dan jumlah sampel 108 rumah, dengan teknik pengambilan proportionate random sampling. Hasil penelitian menunjukkan ada hubungan antara peran petugas kesehatan dengan sanitasi rumah (p=0,000). Petugas kesehatan mempunyai peranan dalam terwujudnya rumah sehat di kelurahan semanggi.