bluuebunny/crossref_metadata_2025 huggingface dataset:
Radikula ve Yerinde Kök Kesimi Uygulamalarının Siirt-Pervari Orijinli Ceviz Fidanlarında (Juglas regia) Bazı Fidan Kalite Özelliklerine Etkisi
Authors: TONGUÇ Fatih , AYDIN Mehmet
Published: August 2019

Bu çalışma, Elazığ Orman İşletme Müdürlüğü, Altınova Orman İşletme şefliğine ait Orman Fidanlığında yetiştirilen Siirt-Pervari orjinli cevizlerde (Juglans regia L.) gerçekleştirilmiştir. Çalışmada ekim yastıklarına ekilen ve çimlenen tohumlarda radikula ve yerinde kök kesimi uygulamaları yapılarak fidan kalite özelliklerinden; fidan boyu (FB), kök boğazı çapı (KBÇ), ana (AKS) ve yan kök sayıları (YKS) ile gürbüzlük indeksi (Gİ) üzerinde bu uygulamaların etkilerinin belirlenmesi amaçlanmıştır. Varyans analizi sonuçlarına göre; yerinde kök kesimi ve radikula kesimi yapılan fidanlar arasında FB, Gİ ve AKS bakımından istatistiki anlamda (α=0.001) farklılıklar bulunmazken, kontrol grubundaki fidanlar, daha uzun boy büyümesi yaparak istatistiksel olarak farklı bulunmuştur. Fidanların KBÇ ve YKS açısından radikula kesimi, yerinde kök kesimi ve kontrol grubu arasında istatistiki açıdan anlamlı (α=0.001) farklılık bulunmamıştır. Fidanların anakök sayıları ise radikula ve yerinde kök kesimi yapılan gruplarda kontrol grubuna göre istatistiksel anlamda önemli ve 3 kat daha fazla bulunmuştur.
The Evaluation of Antimicrobial and Antibiofilm Activity of Bioactive Compounds Obtained from Aspergillus Sclerotiorum
Authors: ÜSTÜN Ayşe , YAZICI Ayşenur , ALBAYRAK İSKENDER Nurcan , ÖRTÜCÜ Serkan
Published: August 2019

This study was concerned with the screening of antimicrobial products from fungi collected from soil and evalution of their antibiofilm activity. The isolate having antimicrobial and antibiofilm compounds was characterized by the molecular methods and identified as Aspergillus sclerotiorum. A. sclerotiorum was grown in yeast peptone glucose (YPG) medium and extracellular medium was extraction by 1:1 ethyl acetate. Crude extraction characterized through thin layer chromatography (TLC) on silica gel 60 HF254 and was detected five bands. Agar diffusion and TLC overlay assays were done against Gram-positive (Staphylococcus aureus ATCC 25923, meticilin resistance S. aureus (MRSA) and Enterococcus faecalis ATCC 29212) and Gram-negative bacteria (Escherichia coli ATCC 25922 and Pseudomonas aeruginosa ATCC 27853). The most dense band (Rf:0.42) showed the best inhibition zone on TLC overlay. The results showed that the most dense band can potential source for antimicrobial compound. After the most dense band in silica gel was scraped and dissolved ethyl acetate for minimum inhibitory concentration (MIC) determination and crystal violet assay against S. aureus and MRSA. These results indicate that fungi, A. sclerotiorum, isolated from soil was potential source for antimicrobial and antibiofilm compounds.
Farklı Sodyum Adsorbsiyon Oranı Değerlerine Sahip Sulama Sularının Bazı Toprak Özelliklerine Etkisi
Authors: TEMİZEL Kadir Ersin , TOK Sedat
Published: August 2019

Sodyum derişiminin yüksek olduğu sulama sularıyla toprağın sulanması genellikle toprağın sodyum içeriğinin artmasına neden olur. Sulama suyunun sahip olduğu tuz ve Sodyum Absorbsiyon Oranı (SAR) değerleri toprağın fiziksel yapısında önemli değişiklikler meydana getirmektedir. Yapılan çalışmalarda killi topraklarda sınırlandırıcı değişebilir Na miktarının 1 - 1.5 meq 100-1 g toprak olduğu belirtilmiştir ki bu değer 4-8 Değişebilir Sodyum Yüzdesi (ESP) değerine karşılık gelmektedir. Yapılan bu çalışmada EC değerleri sabit ve 0, 15, 30, 40 SAR değerlerine sahip sulama sularının toprağın ESP, EC ve pH gibi bazı özelliklerine etkileri incelenmiştir. Deneme boyunca her konudan 3 tekerrür kullanılmış ve her tekerrürün üçer katmanından deneme sonunda toprak örnekleri alınmıştır. ESP değerleri, toplam Na değerinin, toplam Ca, Mg, K ve Na değerlerine bölümüyle bulunmuştur. EC ve pH değerleri ise laboratuvarda toprak örneklerinin ekstraktları hazırlanıp, bunların EC ve pH okuyan cihazlarla ölçülmesiyle bulunmuştur. SAR değerlerinin artmasıyla ESP değerlerinin de arttığı görülmüş ve katman bazında incelendiğinde konular arasında istatistiksel olarak önemli farklılıklar çıktığı gözlemlenmiştir. En yüksek ESP değeri ortalaması SAR40 konusunun üçüncü katmanında 4.124 olarak meydana gelirken, en düşük ESP değeri SAR0 konusunun ikinci katmanında 1.312 olacak şekilde meydana gelmiştir. SAR değerlerinin artmasıyla EC ve pH değerleri artmış, istatistiksel olarak katman bazında bakıldığında önemli farklılıklar gözlemlenmiştir.
Türkiye’de Tohumculuk Sektörünün Mevcut Durumu, Sorunlar ve Öneriler
Authors: ARAS Baran
Published: August 2019

Dünya nüfusunun 7.5 milyarı geçerek günbegün artmasından dolayı, hem insan hem hayvan beslenmesinde kullanılan bitkisel ürünlerin üretimi daha çok önem kazanmaktadır. Bitkisel üretimin temelini de tohumluk oluşturmaktadır. Tarımsal üretimde yüksek nitelikte tohumluk kullanımı ile %20 ile %100’ü aşan oranlarda verim artışı sağlanabilmektedir. Ülkemiz tohumculuğu açısından, bazıları yapısal olan çeşitli sorunlar mevcut olmakla birlikte bunlar çözülebilecek sorunlardır. Tarımsal girdi fiyatlarının yüksekliği, destekleme uygulamalarındaki eksiklikler, tohumculuk alanındaki teknoloji kullanımının istenilen düzeyde olmaması, denetim eksikliği ve paydaşlar arası işbirliğinin yetersizliği bunların başında gelmektedir. Tüm bunlara rağmen Türkiye tohum sektörü gün geçtikçe gelişmekte ve paralelinde de sertifikalı tohumluk üretim miktarımız yıldan yıla artmaktadır. 2019 yılı başı itibarı ile yetkili özel tohumcu kuruluş sayısı 600’ün üzerindedir. 2007 yılı toplam sertifikalı tohum üretimimiz 325 bin ton ve ihracat değerimiz 50 milyon dolar iken 2017 yılında bu rakamlar 1 milyon tonun ve 136 milyon doların üzerinde gerçekleşmiştir. Orta vadede, tohum üretiminin 1.5-2 milyon ton ve ihracat değerinin de 500 milyon dolara ulaşması hedeflenmektedir. Sertifikalı tohum üretimi ve tüketiminin artırılması için özellikle, üretimde kullanılan girdiler için üreticilere yapılan desteklemeler artırılmalı, ürün alım fiyatları için kalite kriterleri belirlenmeli ve tohumculuk alanındaki yayım ve işbirliği faaliyetleri artırılmalıdır. Bu çalışmada ülkemizde ve dünyada tohumculuğun durumu, sertifikalı tohum üretiminde görülen bazı sorunlar ve çözüm önerileri ele alınmaya çalışılmıştır.
Mısır Üretiminde Girdi İsrafında Etkili Olan Faktörler: Kahramanmaraş İli Örneği
Authors: İKİKAT TÜMER Emine , AYTOP Yeşim , KUŞÇU Özlem
Published: August 2019

Tarımsal üretimde kullanılan girdilerin bilinçli ve planlı kullanılması tarımsal üretimin sürdürülebilirliği açısından üzerinde durulması gereken önemli konulardan birisidir. Bu araştırmanın amacı, Kahramanmaraş ilindeki mısır üreticilerinin girdi kullanım düzeylerini ve girdi israfını etkileyen faktörleri belirlemektir. Araştırmanın ana materyalini Kahramanmaraş ilinde 104 üretici ile yüz yüze yapılan anketlerden elde edilen veriler oluşturmaktadır. Verilerin analizinde tanımlayıcı istatistikler ve lojistik regresyon analizinden yararlanılmıştır. Araştırma bulgularına göre, üreticilerin %80,1’inin girdi israfında bulunduğu, en çok sulamada en az ise ilaç kullanımında israf olduğu tespit edilmiştir. Lojistik regresyon model sonucuna göre; eğitim seviyesi ve ailede yaşayan birey sayısı arttıkça girdi israf etme olasılığının azalacağı, yaş arttıkça israf etme olasılığının artacağı sonucuna ulaşılmıştır. Çalışmanın sonuçları ile tarımsal üretimde kullanılan girdi miktarının azaltılması, maliyetlerin düşürülmesi, çiftçi gelirinin artırılması, girdi israfının önlenmesi ve dolayısıyla çevre kirliliğinin önüne geçilmesine yönelik çalışmalara katkı sağlanmış olacaktır. Çalışmanın konunun ilgili paydaşlarına yol gösterici nitelikte bir kaynak olması beklenmektedir.
Studies of Anticancer Activity of Beta-carotene, Alpha-tocopherol and Ascorbic acid in SH-SY5Y Neuroblastoma Cells
Authors: DARENDELİOĞLU Ekrem
Published: August 2019

Neuroblastoma (NB; SH-SY5Y cells) is important characteristic of the most widespread cancer in children after leukaemia and brain cancer. Discovery of new treatment approaches are required for NB disease. Epidemiological studies have demonstrated that different types of antioxidants are associated with decreased cancer and neurodegenerative diseases. Fruits and vegetables have a plenty source of Beta-carotene (BC), Alpha-tocopherol (vit E) and Ascorbic acid (vit C) that have potent free radicals scavenging actions and inhibitory properties to biochemical oxidation. BC, vit E and vit C increase the intracellular reactive oxygen species (ROS) generation and encourages cell apoptosis. It was found that these antioxidants resulted in an increase in the malondialdehyde (MDA) (marker of lipid peroxidation; LPO) and ROS levels at high concentration suggesting it behaves as a prooxidant in this study. The outcomes obviously indicated that studies of SH-SY5Y with dose-dependent BC, vit E and vit C results in oxidative damage through an increase in ROS and LPO generation and the expression of apoptotic marker caspase-3. These consequences find out additional evidences that these antioxidants could be involved in the process of apoptosis for new therapy in NB cells.
Yerli Alfa-Amilaz Enzimi Üretimi İçin Yerli Fungus İzolasyonu, Makroskobik, Mikroskobik Tanımlaması, DNA Dizi Analizi ve Biyoinformatik Değerlendirmeler
Authors: ÜNAL Arzu , MALKOÇ Semra , Ocak İjlal , Korcan Safiye Elif
Published: August 2019

Bu çalışmada ekmek yapımında ticari önemi olan alfa-amilaz enzimi üreten termofilik ve mezofilik yerli fungusların izolasyonu, makroskobik, mikroskobik ve moleküler tür teşhisleri gerçekleştirilmiştir. Mikroorganizma Kültür Koleksiyon Merkezlerine ve Mikrobiyal Gen Bankalarına genetik materyal oluşturulması ve yerli izolatlardan patente konu yerli enzim üretimi amaçlanmıştır. Afyon, Eskişehir, Uşak, Ankara termal alanlardan 23 termotolerant fungus izole edilmiştir. İzolatların makroskobik ve mikroskobik incelemeleri sonucunda yüksek amilaz enzimi üreten Aspergillus niger, Aspergillus terreus ve Trichoderma atroviride türüne ait 6 izolatın tür teşhisi yapılmıştır. İzolatların fungus spesifik primerleri kullanılarak 18S rDNA ve ITS bölgeleri PCR amplifikasyonu, moleküler tanımlaması yapılmış ve Web tabanlı BLAST analizleri ile karşılaştırılmıştır. Moleküler karakterizasyon çalışması sonucunda klasik tanımlama ile moleküler tanımlamanın birbirini desteklediği görülmüştür.
Berdan ve Kazanlı (Mersin-Güney Türkiye) Sondajlarının Ostrakod Topluluğu
Authors: ŞAFAK Ümit
Published: August 2019

Araştırma, Tarsus ve Mersin yolu üzerindeki Berdan ve Kazanlı civarında yapılan 2 sondaj çalışması üzerinde gerçekleştirilmiştir. Kil, marn, kumtaşı, silttaşı ve killi kireçtaşında yapılan 2 sondajda, Adana Baseni Neojen (Tortoniyen-Erken Pliyosen) birimlerinin stratigrafik ve ortamsal özellikleri çalışılmıştır. İstifin litolojisi ve mikropaleontolojik değerlendirme sonucunda Kuzgun formasyonunda Kazanlı sondajında epineritik koşullarla başlayan ortamsal özelliğin istifin üst seviyelerine doğru acısu özelliğine geçtiği görülmektedir. Berdan sondajında Kuzgun formasyonu alt seviyesinde neritik özellikli ostrakod cinsleri yanında planktonik foraminifer faunası bulunmuştur. Formasyon orta seviyesinde sığlaşma göstererek yer yer acısu koşullarına geçiş göstermektedir. Bu sondajda kesilen Handere formasyonunda ise neritik koşullar belirgindir. Çalışmadaki Kuzgun formasyonu denizel düzeyleri Globoquadrina dehiscens, Globigerinoides trilobus trilobus, G. trilobus sacculifer, G.obliquus obliquus, G.obliquus extremus, Orbulina universa, Dentoglobigerina venezuelana gibi planktonik foraminifer, Cytheridea acuminata neapolitana, C. acuminata acuminata, Loxoconcha rhomboidea, L. turbida, Neomonoceratina mouliana gibi ostrakod türlerini içermektedir. Bu formasyonun acısu özelliği gösteren ostrakod türleri ise Cyprideis seminulum, C. anatolica, C. torosa, C. pannonica’dır. Berdan sondajında kesilen Handere Formasyonu içerisinde ise Carinocythereis carinata, Urocythereis seminulum, Krithe monosteracensis gibi neritik ortamda gözlenen ostrakod türleri bulunmuştur.  
Environmental monitoring of Aichi virus and human bocavirus in samples from wastewater treatment plant, drain, and River Nile in Egypt
Authors: Shaheen Mohamed N. F. , Abd El-Daim Sahar E. , Ahmed Nehal I. , Elmahdy Elmahdy M.
Published: August 2019

Wastewater plays a major role in water pollution causing transmission of several viral pathogens, including Aichi virus (AiV) and human bocavirus (HBoV), associated with gastrointestinal illness in humans. In this study, we investigated the presence of AiV and HBoV in aquatic, sludge, sediment matrices collected from Abu-Rawash wastewater treatment plant (WWTP), El-Rahawy drain, Rosetta branch of the River Nile in Egypt by conventional polymerase chain reaction (PCR). AiV RNA was detected in 16.6% (2/12), 8.3% (1/12), 8.3% (1/12), 22% (16/72), 12.5% (3/24), 4% (1/24), and 0/24 (0%) of untreated raw sewage, treated sewage, sewage sludge, drainage water, drain sediment, river water, and river sediment, respectively. On the other hand, HBoV DNA was detected in 41.6% (5/12), 25% (3/12), 16.6% (2/12), 48.6% (35/72), 29% (7/24), 3/24 (12.5%), 4% (1/24) of untreated raw sewage, treated raw sewage, sewage sludge, drainage water, drain sediment, river water, and river sediment, respectively. This study provides data on the presence of these viruses in various types of water samples that are valuable to environmental risk assessment. In addition, the current study demonstrates the importance of environmental monitoring as an additional tool to investigate the epidemiology of AiV and HBoV circulating in a given community.
Microbiota, Immune System and Autism Spectrum Disorders: An Integrative Model towards Novel Treatment Options
Authors: Carpita Barbara , Marazziti Donatella , Palego Lionella , Giannaccini Gino , Betti Laura , Dell'Osso Liliana
Published: August 2019

Background:

Autism Spectrum Disorder (ASD) is a condition strongly associated with genetic predisposition and familial aggregation. Among ASD patients, different levels of symptoms severity are detectable, while the presence of intermediate autism phenotypes in close relatives of ASD probands is also known in literature. Recently, increasing attention has been paid to environmental factors that might play a role in modulating the relationship between genomic risk and development and severity of ASD. Within this framework, an increasing body of evidence has stressed a possible role of both gut microbiota and inflammation in the pathophysiology of neurodevelopment. The aim of this paper is to review findings about the link between microbiota dysbiosis, inflammation and ASD.

Methods:

Articles ranging from 1990 to 2018 were identified on PUBMED and Google Scholar databases, with keyword combinations as: microbiota, immune system, inflammation, ASD, autism, broad autism phenotype, adult.

Results:

Recent evidence suggests that microbiota alterations, immune system and neurodevelopment may be deeply intertwined, shaping each other during early life. However, results from both animal models and human samples are still heterogeneous, while few studies focused on adult patients and ASD intermediate phenotypes.

Conclusion:

A better understanding of these pathways, within an integrative framework between central and peripheral systems, might not only shed more light on neural basis of ASD symptoms, clarifying brain pathophysiology, but it may also allow to develop new therapeutic strategies for these disorders, still poorly responsive to available treatments.
Successful application of mivar expert systems for MIPRA – solving action planning problems for robotic systems in real time
Authors: Varlamov O. O. , Aladin D. V.
Published: August 2019

For the first time in the world, mivar expert systems were used for solving action planning problems for robotic systems. The KESMI (Wi!Mi) Razumator solution was used to create a mivar-based system called MIPRA (mivar-based intelligent planner of robot actions), which delivers a qualitative (by several orders of magnitude) boost to the process of solving STRIPS-type problems, i. e. constructing algorithms for planning the actions of a robot tasked with relocating blocks in the blocks-world domain. Practical experiments, which any researcher can verify and replicate, have shown that, instead of many hours and powerful multiprocessor servers, MIPRA, runs on an ordinary computer and takes seconds to solve problems involving relocations of the following numbers of blocks: 10 blocks – 0.98 s; 50 blocks – 3.44 s; 100 blocks – 10.57 s; 200 blocks – 38.32 s, and 300 blocks – 84.07 s. The mivar approach implemented in MIPRA allows it to handle tasks with more than three towers on the table and with varied numbers of blocks, even in changing conditions. This creates an opportunity, in the future, to solve a greater variety of action planning problems for different robots, such as, e. g., ensuring logical compliance with traffic regulations for autonomous vehicles, etc.
Producción de plántulas de Pinus pseudostrobus en composta a base de residuos de Shiitake en vivero
Authors: Romero-Arenas Omar , Flores Flores Adriana del Pilar , Rivera Tapia José Antonio , Hernández Aldana Fernando , Parraguirre Lezama José Filomeno Conrado , Villa Ruano Nemesio , Landeta Cortés Gerardo
Published: August 2019

En México, los sustratos comerciales más utilizados para la producción de plántula forestal son Peat Moss, agrolita y vermiculita, cuyos costos son elevados y reducen los márgenes de utilidad; por lo anterior, se buscan sustratos alternativos capaces de promover plántulas de buena calidad. Los residuos de la producción del hongo Shiitake (Lentinula edodes) aún no han sido caracterizados para el aprovechamiento forestal. En la presente investigación, se realizó una evaluación físico-química y bacteriológica de la composta a base de residuos del cultivo del hongo Shiitake para evaluar la producción de plántula de Pinus pseudostrobus en vivero. La composta mostró un contenido de N de 1.14 mg kg-1 (1.14 ppm), K de 0.80 mg kg-1 (0.80 ppm), P de 0.18 mg kg-1 (0.18 ppm), MO de 93.60% y conductividad eléctrica de 3.82 mS cm-1. Además, presentó 3.6 × 104 unidades formadoras de colonias por gramo, siendo los géneros más abundantes Pseudomonas y Klebsiella con 1.08 × 104, lo que representa 60% del total de la carga bacteriana. El índice de calidad de Dickson para el tratamiento 3 (composta de Shiitake 50% + vermiculita 33% + agrolita 33%) fue 0.27, superando al testigo (0.24). La composta elaborada de residuos del hongo Shiitake puede contribuir en el sector forestal para la producción de calidad de Pinus pseudostrobus en vivero.
An R package for computation of mangrove forest structural parameters using plot and plotless methods
Authors: Araújo Rafael J. , Shideler Geoffrey S.
Published: August 2019

Mangrove structure is influenced not only by the magnitude and periodicity of favorable energy inputs (temperature, hydroperiod, tides, sunlight, and nutrients), but also by stressors (salinity, drought, storms, and frost), which may have a diminishing effect on forest structure. In worldwide characterization of mangrove forests, researchers use several structural parameters to inform, compare, classify, and evaluate mangrove communities for both research and management. However, the calculation of these structural parameters involves a multi-step series of protocols and formula applications that are error-prone and time consuming. Using standard mangrove structure methodologies found in the literature, the mangroveStructure package for R was developed to deliver a simple tool to quickly calculate mangrove forest structure based on either plot or plotless methods. Outputs of the package include density, diameter, basal area, height, as well as relative values of density, dominance, frequency, and importance value. Output also includes common structural indices (complexity index and mean stand diameter) and visual representations of relative values, diameter and height histograms, and canopy height distributions along the transect line. This package will be useful to scientists interested in mangrove field surveys and those seeking a better understanding of mangrove ecosystems structural variability. To familiarize users with its many features, the package includes example data sets collected in the mangroves of Darién, Panama, and south Florida, USA.
Promoting Identification and Use of Aid Resources by Caregivers of Seniors: Co-Design of an Electronic Health Tool
Authors: Giroux Dominique , Tremblay Mélanie , Latulippe Karine , Provencher Véronique , Poulin Valérie , Giguere Anik , Dubé Véronique , Sévigny Andrée , Guay Manon , Ethier Sophie , Carignan Maude
Published: August 2019

Background

The importance of supporting caregivers is recognized in home care for older persons, and facilitating their help-seeking process is a way to meet that need. The use of electronic health (eHealth) is a potentially promising solution to facilitate caregivers’ help-seeking process.

Objective

The aim of this research was to develop, in partnership with community organizations, health and social service professionals and caregivers, an eHealth tool promoting the earlier identification of needs of older persons and an optimal use of available resources.

Methods

To design the tool, 8 co-design sessions (CoDs) were conducted and 3 advisory committees were created (in 11 regions) in Quebec between May 2017 and May 2018. A variety of methods were used, including the sorting method, the use of personas, eHealth tool analysis, brainstorming, sketching, prototyping, and pretesting.

Results

A total of 74 co-designers (women n=64 and men n=10) were recruited to participate in the CoDs or the advisory committees. This number allowed for the identification of needs to which the tool must respond and for the identification of its requirements (functionalities and content), as well as for the development of the information architecture. Throughout the study, adjustments were made to the planning of CoD, notably because certain steps required more sessions than expected. Among others, this was true for the identification of functionalities.

Conclusions

This study led to the development of an eHealth tool for caregivers of functionally dependent older persons to help them identify their needs and the resources available to meet them.

International Registered Report Identifier (IRRID)

RR2-10.2196/11634
Community-Based Chronic Disease Prevention and Management for Aboriginal People in New South Wales, Australia: Mixed Methods Evaluation of the 1 Deadly Step Program
Authors: Peiris David , Wright Lachlan , News Madeline , Corcoran Katherine
Published: August 2019

Background

Chronic diseases account for over 70% of health gaps between Aboriginal people and the rest of the Australian population. The 1 Deadly Step program involves community-based events that use a sporting platform and cultural ambassadors to improve chronic disease prevention and management in New South Wales (NSW).

Objective

This study aimed to evaluate the feasibility and acceptability of a community-based chronic disease screening program for Aboriginal people.

Methods

In 2015, the program was enhanced to include an iPad app for screening assessments, a results portal for nominated care providers, and a reporting portal for program administrators and implemented in 9 NSW community events. A mixed methods evaluation comprising survey data, analytics obtained from iPad and Web portal usage, and key informant interviews was conducted.

Results

Overall, 1046 people were screened between April 2015 and April 2016 (mean age 40.3 years, 640 (61.19%) female, 957 (91.49%) Aboriginal or Torres Strait Islander). High chronic disease rates were observed (231 [22.08%] participants at high cardiovascular disease (CVD) risk, 173 [16.54%] with diabetes, and 181 [17.30%] with albuminuria). A minority at high risk of CVD (99/231 [42.9%]) and with diabetes (73/173 [42.2%]) were meeting guideline-recommended management goals. Overall, 297 participants completed surveys (response rate 37.4%) with 85.1% reporting satisfaction with event organization and information gained and 6.1% experiencing problems with certain screening activities. Furthermore, 21 interviews were conducted. A strong local working group and processes that harnessed community social networks were key to implementation success. Although software enhancements facilitated screening and data management, some technical difficulties (eg, time delays in processing blood test results) impeded smooth processing of information. Only 51.43% of participants had a medical review recorded postevent with wide intersite variability (10.5%-85.6%). Factors associated with successful follow-up included clinic managers with overall program responsibility and availability of medical staff for immediate discussion of results on event day. The program was considered highly resource intensive to implement and support from a central coordinating body and integration with existing operational processes was essential.

Conclusions

1 Deadly Step offers an effective and acceptable strategy to engage Aboriginal communities in chronic disease screening. High rates of risk factors and management gaps were encountered, including people with no previous knowledge of these issues. Strategies to improve linkage to primary care could enhance the program’s impact on reducing chronic disease burden.
Investigating the Use of Mobile Health Interventions in Vulnerable Populations for Cardiovascular Disease Management: Scoping Review
Authors: Wali Sahr , Hussain-Shamsy Neesha , Ross Heather , Cafazzo Joseph
Published: August 2019

Background

Cardiovascular disease (CVD) has grown to become one of the leading causes of mortality worldwide. The advancements of CVD-related treatments have led to a decline in CVD prevalence among individuals in high-income countries (HICs). However, these improvements do not reflect the state of individuals in low- and middle-income countries (LMICs) and vulnerable subgroup populations in HICs, such as the Indigenous. To help minimize the health disparities in these populations, technology-based interventions have been offered as a potential solution, but there is concern regarding if they will be effective, or even needed, as these tools have been designed for use in HICs.

Objective

The objective of this study was to explore how mobile health (mHealth) interventions currently assist individuals in Indigenous communities and LMICs with CVD management.

Methods

A scoping review guided by the methods outlined by Arksey and O’Malley was conducted. A comprehensive search was completed by 2 reviewers in 5 electronic databases using keywords related to mobile health, cardiovascular disease, self-care, Indigenous communities, and LMICs. Studies were screened over 2 rounds and critically reviewed using a descriptive-analytical narrative method. Descriptive data were categorized into thematic groups reflecting the major findings related to the study objective.

Results

We identified a total of 11 original articles and 11 review papers that met the criteria for this scoping review. The majority of the studies included a telemonitoring- and text messaging (short message service, SMS)–related feature associated with the intervention. The use of SMS was the most common approach to effectively promote disease management among individuals in both LMICs and Indigenous communities. However, customizing for cultural considerations within the design of the intervention was highlighted as a pivotal component to encourage CVD management. Specifically, individuals emphasized that the inclusion of collaborative partnerships with community members would strengthen the effectiveness of the intervention by ensuring it was designed with the appropriate context.

Conclusions

Technology-based interventions used within Indigenous communities and LMICs have shown their potential to assist individuals with managing their condition. Although the literature available regarding this topic is limited, this review outlines key components to promote the effective use of these tools in the context of these vulnerable populations.
The Extent and Coverage of Current Knowledge of Connected Health: Systematic Mapping Study
Authors: Karampela Maria , Isomursu Minna , Porat Talya , Maramis Christos , Mountford Nicola , Giunti Guido , Chouvarda Ioanna , Lehocki Fedor
Published: August 2019

Background

This study examines the development of the connected health (CH) research landscape with a view to providing an overview of the existing CH research. The research field of CH has experienced rapid growth coinciding with increasing pressure on health care systems to become more proactive and patient centered.

Objective

This study aimed to assess the extent and coverage of the current body of knowledge in CH. In doing so, we sought to identify specific topics that have drawn the attention of CH researchers and to identify research gaps, in particular those offering opportunities for further interdisciplinary research.

Methods

A systematic mapping study that combined scientific contributions from research in the disciplines of medicine, business, computer science, and engineering was used. Overall, seven classification criteria were used to analyze the papers, including publication source, publication year, research type, empirical type, contribution type, research topic, and the medical condition studied.

Results

The search resulted in 208 papers that were analyzed by a multidisciplinary group of researchers. The results indicated a slow start for CH research but showed a more recent steady upswing since 2013. The majority of papers proposed health care solutions (77/208, 37.0%) or evaluated CH approaches (49/208, 23.5%). Case studies (59/208, 28.3%) and experiments (55/208, 26.4%) were the most popular forms of scientific validation used. Diabetes, cancer, multiple sclerosis, and heart conditions were among the most prevalent medical conditions studied.

Conclusions

We conclude that CH research has become an established field of research that has grown over the last five years. The results of this study indicate a focus on technology-driven research with a strong contribution from medicine, whereas the business aspects of CH have received less research attention.
Comparing Characteristics of Patients Who Connect Their iPhones to an Electronic Health Records System Versus Patients Who Connect Without Personal Devices: Cohort Study
Authors: Gordon William J , Bates David W , Fuchs Daniel , Pappas John , Silacci Sara , Landman Adam
Published: August 2019

Background

While individual access to health records has traditionally been through paper and other physical media, there has been a recent push toward digitizing this process. Direct patient access to health data through application programming interfaces (APIs) is an important part of current United States policy initiatives, and Apple has created the product “Health Records on iPhone” to leverage APIs for this purpose.

Objective

The objective of this study was to examine the characteristics of patients at our institution who connected their personal iPhone devices to our electronic health records (EHRs) system through “Health Records on iPhone”, as compared to patients at our institution who used our patient portal but did not connect a personal device to our system.

Methods

We examined adult patients at our institution who had authorized an iPhone device to download their health data from the Partners HealthCare EHR via APIs through “Health Records on iPhone” from February 18, 2018 (the date this feature was enabled at our health system) until February 17, 2019. We compared these patients to adult patients who used our portal at least once during this period but did not authorize an iPhone device to download their data via APIs.

Results

Variables associated with an increased likelihood of using “Health Records on iPhone” included male gender (adjusted OR 3.36; 95% CI 3.11-3.62; P<.001) and younger age, particularly below 50 years of age. With each decade of age over 50, people were less likely to be “Health Records on iPhone” product users. Asian patients were more likely to use the product than Caucasian patients (adjusted OR 1.32; 95% CI 1.16-1.51; P<.001), though there was no significant difference between African Americans and Caucasians (adjusted OR 1.15; 95% CI 0.94-1.41; P=.17). Patients who resided in higher ZIP code income quartiles were more likely to be users than those in the lowest quartile.

Conclusions

Early results from the implementation of patient-facing APIs at a single institution suggest that there are opportunities for expanding these technologies to ensure all patients are aware of, and have access to, their health data on their personal devices. More work is needed on expanding these technologies to different patient populations.
Development and Implementation of a Nurse-Led Model of Care Coordination to Provide Health-Sector Continuity of Care for People With Multimorbidity: Protocol for a Mixed Methods Study
Authors: Davis Kate M , Eckert Marion C , Shakib Sepehr , Harmon Joanne , Hutchinson Amanda D , Sharplin Greg , Caughey Gillian E
Published: August 2019

Background

Innovative strategies are required to reduce care fragmentation for people with multimorbidity. Coordinated models of health care delivery need to be adopted to deliver consumer-centered continuity of care. Nurse-led services have emerged over the past 20 years as evidence-based structured models of care delivery, providing a range of positive and coordinated health care outcomes. Although nurse-led services are effective in a range of clinical settings, strategies to improve continuity of care across the secondary and primary health care sectors for people with multimorbidity have not been examined.

Objective

To implement a nurse-led model of care coordination from a multidisciplinary outpatient setting and provide continuity of care between the secondary and primary health care sectors for people with multimorbidity.

Methods

This action research mixed methods study will have two phases. Phase 1 includes a systematic review, stakeholder forums, and validation workshop to collaboratively develop a model of care for a nurse-led care coordination service. Phase 2, through a series of iterative action research cycles, will implement a nurse-led model of care coordination in a multidisciplinary outpatient setting. Three to five iterative action research cycles will allow the model to be refined and further developed with multiple data collection points throughout.

Results

Pilot implementation of the model of care coordination commenced in October 2018. Formal study recruitment commenced in May 2019 and the intervention and follow-up phases are ongoing. The results of the data analysis are expected to be available by March 2020.

Conclusions

Nursing, clinician, and patient outcomes and experiences with the nurse-led model of care coordination will provide a template to improve continuity of care between the secondary and primary health care systems. The model template may provide a future pathway for implementation of nurse-led services both nationally and internationally.

International Registered Report Identifier (IRRID)

DERR1-10.2196/15006
Psychiatric Illness and Mortality in Hospitalized ESKD Dialysis Patients
Authors: Kimmel Paul L. , Fwu Chyng-Wen , Abbott Kevin C. , Moxey-Mims Marva M. , Mendley Susan , Norton Jenna M. , Eggers Paul W.
Published: August 2019

Background and objectives

Limited existing data on psychiatric illness in ESKD patients suggest these diseases are common and burdensome, but under-recognized in clinical practice.

Design, setting, participants, & measurements

We examined hospitalizations with psychiatric diagnoses using inpatient claims from the first year of ESKD in adult and pediatric Medicare recipients who initiated treatment from 1996 to 2013. We assessed associations between hospitalizations with psychiatric diagnoses and all-cause death after discharge in adult dialysis patients using multivariable-adjusted Cox proportional hazards regression models.

Results

In the first ESKD year, 72% of elderly adults, 66% of adults and 64% of children had at least one hospitalization. Approximately 2% of adults and 1% of children were hospitalized with a primary psychiatric diagnosis. The most common primary psychiatric diagnoses were depression/affective disorder in adults and children, and organic disorders/dementias in elderly adults. Prevalence of hospitalizations with psychiatric diagnoses increased over time across groups, primarily from secondary diagnoses. 19% of elderly adults, 25% of adults and 15% of children were hospitalized with a secondary psychiatric diagnosis. Hazards ratios of all-cause death were higher in all dialysis adults hospitalized with either primary (1.29; 1.26 to 1.32) or secondary (1.11; 1.10 to 1.12) psychiatric diagnoses than in those hospitalized without psychiatric diagnoses.

Conclusions

Hospitalizations with psychiatric diagnoses are common in pediatric and adult ESKD patients, and are associated with subsequent higher mortality, compared with hospitalizations without psychiatric diagnoses. The prevalence of hospitalizations with psychiatric diagnoses likely underestimates the burden of mental illness in the population.
The Role of Ignorance about Keynes’s Inexact, Approximation Approach to Measurement in the A Treatise on Probability in the Keynes-Tinbergen Exchanges of 1938-1940 in the Economic Journal
Authors: E Brady Michael
Published: August 2019

J.Tinbergen and J. M. Keynes held diametrically opposed positions on measurement. Tinbergen’s physics background led him to deploy an exact approach to measurement based on the specification of probability distributions, like the normal and log normal, with exact and precisely probabilities that were linear, additive and definite. All probabilities for Tinbergen were assumed to be well defined, precise, exact, determinate, definite, additive, linear, independent single number answers, whether the field was physics or economics. Keynes’s approach was an inexact one. Probabilities for Keynes were, with a few exceptions, partially defined, imprecise, inexact, indefinite, indeterminate ,non additive, non linear, and dependent. Probability estimates for Keynes required two numbers to specify the probability within a lower and upper bound (limit), and not one single number like Tinbergen’s approach. Keynes called this approach Approximation. Keynesian probabilities are interval valued.The problem, from Keynes’s perspective, was that Tinbergen was trying to apply to economic data techniques which were only sound when applied in physics ,where laboratory controlled environments with detailed experimental design could generate data and replicate/duplicate the experiments. Keynes had always argued that economics was not a physical or life science like physics, engineering, biology or chemistry and that it could never be like physics.
Group Work and Substitution of Words in Senior School Certificate English Comprehension Examination
Authors: Oladunjoye, PhD Oluwayomi S.
Published: August 2019

This study was conducted on 50 participants, all students at the Senior Secondary level. The purpose was to generate pedagogy for improved teaching of a difficult aspect of comprehension—word substitution. Word substitution is expected to be a reflection of extensive reading as it has to do with how much of vocabulary reservation the candidate possesses and how best he is able to use them. Unfortunately, not many students find this aspect interesting possibly because of the drop in attitude to reading. The researcher, therefore, experimented with Group strategy to find out if working as a group could indeed improve the teaching of word substitution and help more students acquire the skills that would make them work more independently and successfully in tackling comprehension questions. All the four research questions were treated to favor group work and the only one null hypothesis was rejected. Group work is widely recommended for words substitution but learner’s autonomy is equally encouraged.
O processo de representação política construído pelas igrejas pentecostais no Brasil (1985-2016)
Authors: Silva Luis Gustavo Teixeira Da
Published: August 2019

A presença de representantes políticos vinculados às igrejas pentecostais é um fenômeno em expressiva ascensão no sistema político brasileiro. Este artigo tem como propósito discutir as formas de construção da representação política dos pentecostais para os cargos no Poder Legislativo brasileiro. Na primeira seção analisamos as razões da mobilização político-eleitoral das igrejas pentecostais e o processo de autorização política pelos eleitores/fiéis aos candidatos de suas denominações. Na segunda seção o enfoque se concentra na compreensão do modelo peculiar de representação política construído pelas igrejas pentecostais, por meio das estratégias mobilizadas para sua execução e a relação entre representante e representado. Por fim, o artigo se compromete a avaliar os riscos desta forma de atuação política das religiões à democracia brasileira.
THE ROLE OF LOCAL GOVERNMENT IN REALIZING SUSTAINABLE MARINE TOURISM IN PEMUTERAN VILLAGE GEROKGAK SUB DISTRICT BULELENG BALI PROVINCE
Authors: Sanjiwani Ni Made Gandhi
Published: August 2019

This paper aims to study the role of local government in realizing sustainable marine tourism. Pemuteran Village is one of the best practices of sustainable marine tourism in the developing world. Three types of government roles were studied, namely: regulator, facilitator, and of executor.. These roles were positioned as exogenous latent variables in a causal relationship with  sustainable marine tourism in the village. Sustainability is measured through reflective constructs, i.e. economic benefit, socio-cultural benefit, and environmental benefit felt by the local community of Pemuteran Village. The data were  collected from 60 respondents, consisting of community leaders, non-governmental organizations, and tourism industry stakeholders in Pemuteran Village. Then, questionnaires were analyzed by structural equation modelling—partial least square (path modelling). The results show that the government roles did not have a significant effect on marine tourism sustainability. However, the role of local government and the existence of marine tourism sustainability were reflected significantly in its three constructs where the most represented construct in this relationship respectively are the role of facilitator and the environmental benefit. The most important finding in this research is that the role of local government was not only measured  by regulator and facilitator roles, as in previous research, but includes analysis of the executor role. which proved significant in structural model evaluationone of the best practices of sustainable marine tourism — – partial least square (path modelling). The results show that the government roles did not have aprove significantly aeffect on marine tourism sustainability. However, the role of local government and the existence of marine tourism sustainability were reflected significantly in its three constructs where the most represented construct in this relationship respectively are the role of facilitator and the environmental benefit. The most important finding in this research is that the role of local government waswere not only measured throughtby regulator and facilitator roles, as inthe previous research did, but includes analysisalso of the by executor role. which is proved significantly in its structural model evaluation
EFFECT OF HONEY AND STEVIA AS SUGAR SUBSTITUTE ON SENSORY EVALUATION OF CHIFFON CAKE
Authors: Sanggramasari Sandra
Published: August 2019

This research contributes to sugar substitution as a sweetener. Honey and stevia are natural sugar substitutes in various food products. The purpose of this research is to recognize the difference in appearance, flavour and texture of chiffon cake using sugar, honey and stevia. The research used an experimental method. This research used descriptive analysis technique of observation and interviews with reference to a comparison that is sensory evaluation of chiffon cake characteristic, which include appearance, flavour and texture. The results show that panelists prefer chiffon cake using sugar as a sweetener in terms of appearance and texture. However, chiffon cake using honey as a sugar substitute is preferable to panelists in terms of flavour and overall aspects.
IMPACT OF PILGRIMAGE TOURISM TO THE SHEIKH QURO’S TOMB KARAWANG ON THE LOCAL COMMUNITY QUALITY OF LIFE
Authors: Puspita Nungky , Gunadi I Made Adhi , Nuradawiah Lita
Published: August 2019

Pilgrimage tour of Syekh Quro is the religious tour in Karawang located in Pulobata, Pulokalapa village, Lemahabang Wadas district, Karawang regency, West Java Province. This reseach is aimed to identify the impact of the religious tour activity of Syekh Quro’s Tomb toward local society quality of life. The research method used in this research is descriptiv qualitative. The finding showed that the tourism impact toward local society quality of life clarify that pilgrimage tourism give positive impact on Pulobata communities. These positive impacts are seen on the aspects of material wellbeing, community wellbeing, emotional wellbeing, and health and safety wellbeing.
CONSTRUCTION MODEL OF TOURIST VILLAGE DEVELOPMENT TOWARDS SMART ECO-TOURISM VILLAGE DESTINATION IN PAKSEBALI TO BECOME TOURISM ICON IN KLUNGKUNG REGENCY, BALI
Authors: Pantiyasa I Wayan , Sulasmini Ni Made Ayu , Rosalina Putu Devi
Published: August 2019

Paksebali is a newly developed tourist village in Bali. The development encounters challenges on the destination management, promotion, and stakeholders’ support. This study aimed at formulating strategy and construct the tourist village development model. Observation, interview, documentation, and FGD were used to collect data which then analyzed descriptively using qualitative and SWOT analysis. The study displayed the current condition of Paksebali is in the growth-oriented strategy. The construction of Paksebali development model towards smart eco-tourism village destination was initiated with identification of supporting components. This can be formulated into a tourist village development strategy including ICT-based management.Paksebali is a newly developed tourist village in Bali. The development encounters challenges on the destination management, promotion, and stakeholders’ support. This study aimed at formulating strategy and construct the tourist village development model. Observation, interview, documentation, and FGD were used to collect data which then analyzed descriptively using qualitative and SWOT analysis. The study displayed current condition of Paksebali is in the growth oriented strategy. The construction of Paksebali development model towards smart eco-tourism village destination was initiated with identification of supporting components. This can be formulated into tourist village development strategy including ICT-based management.