bluuebunny/crossref_metadata_2025 huggingface dataset:
Dampak Program Upaya Khusus Padi, Jagung, dan Kedelai (UPSUS PAJALE) terhadap Tingkat Ketahanan Pangan di Kabupaten Malang
Authors:   Jurusan Sosial Ekonomi, Fakultas Pertanian, Universitas Brawijaya, Hidayatulloh Wenang , Koestiono Djoko
Published: December 2021

Food security in some area can be measured by Food Security and Vulnerability Atlas (FSVA). FSVA is measured with three aspects which are food availability, accessibility, and utilization aspects. Based on FSVA of East Java 2018, there are 3 sub-districts in Malang Regency in insecurity condition. Food security problems in Malang Regency are low rice land area, poverty, and low clean water availability. One of efforts to solve these problems are with Special Efforts Rice, Corn, and Soybean Program. To determine the impact of this program on levels food security by using FSVA and the differences between sub-districts participating in the UPSUS PAJALE activity and sub-districts that did not participate. This study is aim to describe food security level in Malang Regency and analyze impact of Special Efforts Rice, Corn, and Soybean Program on food security level in Malang Regency. The data analysis method used is the analysis of the Food Security and Vulnerability Atlas (FSVA) in the form of individual indicator analysis, composite analysis, spatial analysis, and descriptive analysis. Overall, the condition of food security in Malang Regency in 2018 and 2019 is included in priority 4 (resistant condition), so there is no significant change, but there are no sub-districts included in priority 1 or very food vulnerable. The UPSUS PAJALE program is also able to maintain the level of food security in 2018-2019 which is included in priority 4 (somewhat resistant), but has not increased the level of food security.
Trade and cooperation opportunities for the MERCOSUR countries in the livestock sector and beef meat in Indonesia
Authors: Sterzer Sebastian , Azizah Siti
Published: December 2021

Indonesia is the largest economy in the Southeast Asia region, with the largest population in that region as well. Therefore, each productive and industrial sector that helps the growth and development of the country and its population gets attraction. The livestock sector can be a good example of the above. In this sense, the countries that make up the Southern Common Market (MERCOSUR), that is, Argentina, Brazil, Paraguay, and Uruguay (Venezuela is suspended) can contribute to develop the livestock sector in Indonesia, looking for further cooperation and business opportunities that can also help to improve the well-being of Indonesians. The objective in this article will be to make a brief approach to the Indonesian livestock sector in general and the beef market, to understand how the MERCOSUR countries could contribute to the development of that. The results of the analysis indicate that Indonesia should develop its livestock sector using best practices that contribute to sustainable development, with support from the public sector. The use of new technologies could contribute to the improvement of the sector, and bovine genetics can contribute to a greater and better supply. It is concluded that the MERCOSUR countries have opportunities to contribute to the growth and development of the livestock sector in Indonesia, through the signing of relevant legal agreements both at the bilateral level and, in the case of MERCOSUR, acting as a bloc.
Principal-Agent in Implementing Village Funds in Linggo Village, Kejayan District, Pasuruan Regency
Authors: Aminullah Aminullah
Published: December 2021

The village fund is one of the many policy programs carried out by the government sourced from the state budget (APBN) which is allocated directly to the village. But in the implementation of the village fund, there are still problems so that in general the village fund is still not effective. This study analyzes the role of actors in the implementation of village funds from the perspective of the principal-agent whose locus is in Linggo village, Kejayan district, pasuruan regency. The focus in this study is the role of principal and agent in the stages of planning, implementation, and reporting of the village fund by measuring the effectiveness of implementation through the principles for cultivating effective implementation practice. Novelty of this research is to see the effectiveness of the implementation of the village fund from the perspective of the relationship of the principal agent. This study aims to create a model of the effectiveness of the village fund policy implementation in linggo village, kejayan district. The results showed that the relationship between the principal and agent must increase oversight so that the policy objectives can be achieved.
REDCap Delivery of a Web-Based Intervention for Patients With Voice Disorders: Usability Study
Authors: Stambler Danielle Mollie , Feddema Erin , Riggins Olivia , Campeau Kari , Breuch Lee-Ann Kastman , Kessler Molly M , Misono Stephanie
Published: December 2021

Background

Web-based health interventions are increasingly common and are promising for patients with voice disorders because web-based participation does not require voice use. To address needs such as Health Insurance Portability and Accountability Act compliance, unique user access, the ability to send automated reminders, and a limited development budget, we used the Research Electronic Data Capture (REDCap) data management platform to deliver a patient-facing psychological intervention designed for patients with voice disorders. This was a novel use of REDCap.

Objective

We aimed to evaluate the usability of the intervention, with this intervention serving as a use case for REDCap-based patient-facing interventions.

Methods

We used REDCap survey instruments to develop the web-based voice intervention modules, then conducted usability evaluations using (1) heuristic evaluations by 2 evaluators, and (2) formal usability testing with 7 participants, consisting of predetermined tasks, a think-aloud protocol, ease-of-use measurements, a product reaction card, and a debriefing interview.

Results

Heuristic evaluations found strengths in visibility of system status and real-world match, and weaknesses in user control and help documentation. Based on this feedback, changes to the intervention were made before usability testing. Overall, usability testing participants found the intervention useful and easy to use, although testing revealed some concerns with design, content, and terminology. Some concerns were readily addressed, and others required adaptations within REDCap.

Conclusions

The REDCap version of a complex web-based patient-facing intervention performed well in heuristic evaluation and formal usability testing. REDCap can effectively be used for patient-facing intervention delivery, particularly if the limitations of the platform are anticipated and mitigated.
Proposal for Post Hoc Quality Control in Instrumented Motion Analysis Using Markerless Motion Capture: Development and Usability Study
Authors: Röhling Hanna Marie , Althoff Patrik , Arsenova Radina , Drebinger Daniel , Gigengack Norman , Chorschew Anna , Kroneberg Daniel , Rönnefarth Maria , Ellermeyer Tobias , Rosenkranz Sina Cathérine , Heesen Christoph , Behnia Behnoush , Hirano Shigeki , Kuwabara Satoshi , Paul Friedemann , Brandt Alexander Ulrich , Schmitz-Hübsch Tanja
Published: December 2021

Background

Instrumented assessment of motor symptoms has emerged as a promising extension to the clinical assessment of several movement disorders. The use of mobile and inexpensive technologies such as some markerless motion capture technologies is especially promising for large-scale application but has not transitioned into clinical routine to date. A crucial step on this path is to implement standardized, clinically applicable tools that identify and control for quality concerns.

Objective

The main goal of this study comprises the development of a systematic quality control (QC) procedure for data collected with markerless motion capture technology and its experimental implementation to identify specific quality concerns and thereby rate the usability of recordings.

Methods

We developed a post hoc QC pipeline that was evaluated using a large set of short motor task recordings of healthy controls (2010 recordings from 162 subjects) and people with multiple sclerosis (2682 recordings from 187 subjects). For each of these recordings, 2 raters independently applied the pipeline. They provided overall usability decisions and identified technical and performance-related quality concerns, which yielded respective proportions of their occurrence as a main result.

Results

The approach developed here has proven user-friendly and applicable on a large scale. Raters’ decisions on recording usability were concordant in 71.5%-92.3% of cases, depending on the motor task. Furthermore, 39.6%-85.1% of recordings were concordantly rated as being of satisfactory quality whereas in 5.0%-26.3%, both raters agreed to discard the recording.

Conclusions

We present a QC pipeline that seems feasible and useful for instant quality screening in the clinical setting. Results confirm the need of QC despite using standard test setups, testing protocols, and operator training for the employed system and by extension, for other task-based motor assessment technologies. Results of the QC process can be used to clean existing data sets, optimize quality assurance measures, as well as foster the development of automated QC approaches and therefore improve the overall reliability of kinematic data sets.
Remote Assessment of Cardiovascular Risk Factors and Cognition in Middle-Aged and Older Adults: Proof-of-Concept Study
Authors: Eastman Jennifer A , Kaup Allison R , Bahorik Amber L , Butcher Xochitl , Attarha Mouna , Marcus Gregory M , Pletcher Mark J , Olgin Jeffrey E , Barnes Deborah E , Yaffe Kristine
Published: December 2021

Background

Adults with cardiovascular disease risk factors (CVRFs) are also at increased risk of developing cognitive decline and dementia. However, it is often difficult to study the relationships between CVRFs and cognitive function because cognitive assessment typically requires time-consuming in-person neuropsychological evaluations that may not be feasible for real-world situations.

Objective

We conducted a proof-of-concept study to determine if the association between CVRFs and cognitive function could be detected using web-based, self-administered cognitive tasks and CVRF assessment.

Methods

We recruited 239 participants aged ≥50 years (mean age 62.7 years, SD 8.8; 42.7% [n=102] female, 88.7% [n=212] White) who were enrolled in the Health eHeart Study, a web-based platform focused on cardiac disease. The participants self-reported CVRFs (hypertension, high cholesterol, diabetes, and atrial fibrillation) using web-based health surveys between August 2016 and July 2018. After an average of 3 years of follow-up, we remotely evaluated episodic memory, working memory, and executive function via the web-based Posit Science platform, BrainHQ. Raw data were normalized and averaged into 3 domain scores. We used linear regression models to examine the association between CVRFs and cognitive function.

Results

CVRF prevalence was 62.8% (n=150) for high cholesterol, 45.2% (n=108) for hypertension, 10.9% (n=26) for atrial fibrillation, and 7.5% (n=18) for diabetes. In multivariable models, atrial fibrillation was associated with worse working memory (β=-.51, 95% CI -0.91 to -0.11) and worse episodic memory (β=-.31, 95% CI -0.59 to -0.04); hypertension was associated with worse episodic memory (β=-.27, 95% CI -0.44 to -0.11). Diabetes and high cholesterol were not associated with cognitive performance.

Conclusions

Self-administered web-based tools can be used to detect both CVRFs and cognitive health. We observed that atrial fibrillation and hypertension were associated with worse cognitive function even in those in their 60s and 70s. The potential of mobile assessments to detect risk factors for cognitive aging merits further investigation.
The Effect of Internet-Delivered Cognitive Behavioral Therapy Versus Psychoeducation Only on Psychological Distress in Patients With Noncardiac Chest Pain: Randomized Controlled Trial
Authors: Mourad Ghassan , Eriksson-Liebon Magda , Karlström Patric , Johansson Peter
Published: December 2021

Background

Patients with recurrent episodes of noncardiac chest pain (NCCP) experience cardiac anxiety as they misinterpret the pain to be cardiac related and avoid physical activity that they think could threaten their lives. Psychological interventions, such as internet-delivered cognitive behavioral therapy (iCBT), targeting anxiety can be a feasible solution by supporting patients to learn how to perceive and handle their chest pain.

Objective

This study aims to evaluate the effects of a nurse-led iCBT program on cardiac anxiety and other patient-reported outcomes in patients with NCCP.

Methods

Patients with at least two health care consultations because of NCCP during the past 6 months, and who were experiencing cardiac anxiety (Cardiac Anxiety Questionnaire score ≥24), were randomized into 5 weeks of iCBT (n=54) or psychoeducation (n=55). Patients were aged 54 (SD 17) years versus 57 (SD 16) years and were mainly women (32/54, 59% vs 35/55, 64%). The iCBT program comprised psychoeducation, mindfulness, and exposure to physical activity, with weekly homework assignments. The primary outcome was cardiac anxiety. The secondary outcomes were fear of bodily sensations, depressive symptoms, health-related quality of life, and chest pain frequency. Intention-to-treat analysis was applied, and the patients were followed up for 3 months. Mixed model analysis was used to determine between-group differences in primary and secondary outcomes.

Results

No significant differences were found between the iCBT and psychoeducation groups regarding cardiac anxiety or any of the secondary outcomes in terms of the interaction effect of time and group over the 3-month follow-up. iCBT demonstrated a small effect size on cardiac anxiety (Cohen d=0.31). In the iCBT group, 36% (16/44) of patients reported a positive reliable change score (≥11 points on the Cardiac Anxiety Questionnaire), and thus an improvement in cardiac anxiety, compared with 27% of (13/48) patients in the psychoeducation group. Within-group analysis showed further significant improvement in cardiac anxiety (P=.04) at the 3-month follow-up compared with the 5-week follow-up in the iCBT group but not in the psychoeducation group.

Conclusions

iCBT was not superior to psychoeducation in decreasing cardiac anxiety in patients with NCCP. However, iCBT tends to have better long-term effects on psychological distress, including cardiac anxiety, health-related quality of life, and NCCP frequency than psychoeducation. The effects need to be followed up to draw more reliable conclusions.

Trial Registration

ClinicalTrials.gov NCT03336112; https://www.clinicaltrials.gov/ct2/show/NCT03336112
An Integrated, Scalable, Electronic Video Consent Process to Power Precision Health Research: Large, Population-Based, Cohort Implementation and Scalability Study (Preprint)
Authors: Lajonchere Clara , Naeim Arash , Dry Sarah , Wenger Neil , Elashoff David , Vangala Sitaram , Petruse Antonia , Ariannejad Maryam , Magyar Clara , Johansen Liliana , Werre Gabriela , Kroloff Maxwell , Geschwind Daniel
Published: December 2021

BACKGROUND

Obtaining explicit consent from patients to use their remnant biological samples and deidentified clinical data for research is essential for advancing precision medicine.

OBJECTIVE

We aimed to describe the operational implementation and scalability of an electronic universal consent process that was used to power an institutional precision health biobank across a large academic health system.

METHODS

The University of California, Los Angeles, implemented the use of innovative electronic consent videos as the primary recruitment tool for precision health research. The consent videos targeted patients aged ≥18 years across ambulatory clinical laboratories, perioperative settings, and hospital settings. Each of these major areas had slightly different workflows and patient populations. Sociodemographic information, comorbidity data, health utilization data (ambulatory visits, emergency room visits, and hospital admissions), and consent decision data were collected.

RESULTS

The consenting approach proved scalable across 22 clinical sites (hospital and ambulatory settings). Over 40,000 participants completed the consent process at a rate of 800 to 1000 patients per week over a 2-year time period. Participants were representative of the adult University of California, Los Angeles, Health population. The opt-in rates in the perioperative (16,500/22,519, 73.3%) and ambulatory clinics (2308/3390, 68.1%) were higher than those in clinical laboratories (7506/14,235, 52.7%; P<.001). Patients with higher medical acuity were more likely to opt in. The multivariate analyses showed that African American (odds ratio [OR] 0.53, 95% CI 0.49-0.58; P<.001), Asian (OR 0.72, 95% CI 0.68-0.77; P<.001), and multiple-race populations (OR 0.73, 95% CI 0.69-0.77; P<.001) were less likely to participate than White individuals.

CONCLUSIONS

This is one of the few large-scale, electronic video–based consent implementation programs that reports a 65.5% (26,314/40,144) average overall opt-in rate across a large academic health system. This rate is higher than those previously reported for email (3.6%) and electronic biobank (50%) informed consent rates. This study demonstrates a scalable recruitment approach for population health research.
Influences on User Trust in Healthcare Artificial Intelligence (HAI): A Systematic Review (Preprint)
Authors: Jermutus Eva , Kneale Dylan , Thomas James , Michie Susan
Published: December 2021

BACKGROUND

Artificial Intelligence (AI) is becoming increasingly prominent in domains such as healthcare. It is argued to be transformative through altering the way in which healthcare data is used as well as tackling rising costs and staff shortages. The realisation and success of AI depends heavily on people’s trust in its applications. Yet, the influences on trust in AI applications in healthcare so far have been underexplored

OBJECTIVE

The objective of this study was to identify aspects (related to users, the AI application and the wider context) influencing trust in healthcare AI (HAI).

METHODS

We performed a systematic review to map out influences on user trust in HAI. To identify relevant studies, we searched 7 electronic databases in November 2019 (ACM digital library, IEEE Explore, NHS Evidence, Ovid ProQuest Dissertations & Thesis Global, Ovid PsycINFO, PubMed, Web of Science Core Collection). Searches were restricted to publications available in English and German with no publication date restriction. To be included studies had to be empirical; focus on an AI application (excluding robotics) in a health-related setting; and evaluate applications with regards to users.

RESULTS

Overall, 3 studies, one mixed-method and 2 qualitative studies in English were included. Influences on trust fell into three broad categories: human-related (knowledge, expectation, mental model, self-efficacy, type of user, age, gender), AI-related (data privacy and safety, operational safety, transparency, design, customizability, trialability, explainability, understandability, power-control-balance, benevolence) and related to wider context (AI company, media, social network of the user). The factors resulted in an updated logic model illustrating the relationship between these aspects.

CONCLUSIONS

Trust in healthcare AI depends on a variety of factors, both external and internal to the AI application. This study contributes to our understanding of what influences trust in HAI by highlighting key influences as well as pointing to gaps and issues in existing research on trust and AI. In so doing, it offers a starting point for further investigation of trust environments as well as trustworthy AI applications.
Mobile Phone–Based Intervention Among Adolescents Living With Perinatally Acquired HIV Transitioning from Pediatric to Adult Care: Protocol for the Interactive Transition Support for Adolescents Living With HIV using Social Media (InTSHA) Study (Preprint)
Authors: Zanoni Brian C , Archary Moherndran , Sibaya Thobekile , Goldstein Madeleine , Bergam Scarlett , Denton David , Cordero Vincente , Peng Cynthia , Psaros Christina , Marconi Vincent C , Haberer Jessica E
Published: December 2021

BACKGROUND

Adolescents living with perinatally acquired HIV often have poor retention in care and viral suppression during the transition from pediatric to adult-based care.

OBJECTIVE

The aim of this study is to evaluate a mobile phone–based intervention, Interactive Transition Support for Adolescents Living With HIV using Social Media (InTSHA), among adolescents living with perinatally acquired HIV as they transition from pediatric to adult care in South Africa.

METHODS

InTSHA uses encrypted, closed group chats delivered via WhatsApp (Meta Platforms Inc) to develop peer support and improve communication between adolescents, their caregivers, and health care providers. The intervention is based on formative work with adolescents, caregivers, and health care providers and builds on several existing adolescent support programs as well as the Social-ecological Model of Adolescent and Young Adult Readiness for Transition (SMART). The final InTSHA intervention involves 10 modules conducted weekly through moderated WhatsApp group chats with adolescents and separately with their caregivers. We will randomly assign 80 South African adolescents living with perinatally acquired HIV who are aware of their HIV status and aged between 15 and 19 years to receive either the intervention (n=40) or standard of care (n=40).

RESULTS

We will measure acceptability of the intervention as the primary outcome and evaluate feasibility and preliminary effectiveness for retention in care and viral suppression after completion of the intervention and at least 6 months after randomization. In addition, we will measure secondary outcomes evaluating the impact of the InTSHA intervention on peer support, self-esteem, depression, stigma, sexual education, connection to health care providers, and transition readiness. Enrollment began on April 15, 2021. As of December 31, 2021 a total of 78 out of expected 80 participants have been enrolled.

CONCLUSIONS

If successful, the intervention will be evaluated in a fully powered randomized controlled trial with a larger number of adolescents from urban and rural populations to further evaluate the generalizability of InTSHA.

CLINICALTRIAL

ClinicalTrials.gov NCT03624413; https://clinicaltrials.gov/ct2/show/NCT03624413

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/35455
Роль магнію в лікуванні стану відміни алкоголю з делірієм
Authors: Havrylov O.O. , Gomon M.L.
Published: December 2021

Актуальність. На сьогодні роль магнію в лікуванні алкогольного делірію є невизначеною, хоча відомо про його участь в патогенезі цього тяжкого стану. Мета дослідження: виявлення переваг і недоліків седації з додаванням магнію сульфату порівняно зі стандартною седативною терапією. Матеріали та методи. Досліджено 40 пролікованих пацієнтів, які були рандомізовані на 2 групи. Рівень седації контролювався за Richmond agitation-sedation scale та утримувався в діапазоні від 0 до –2 балів. У всіх групах оцінювалися параметри: тривалість делірію, середній артеріальний тиск (САТ), пульс, магній, кортизол і серотонін плазми, лабораторні показники стану нирок і печінки. У контрольній групі проводилася седація 10–20 мг діазепаму кожні 4–6 годин з інфузією барбітуратів при необхідності. У дослідній групі лікування було ідентичним із додаванням магнію сульфату 50 мг/кг кожні 8 годин. Результати. Тривалість делірію була вірогідно нижчою в дослідній групі порівняно з контролем, p < 0,05. Гіпомагніємію виявлено майже в половини пацієнтів. При порівнянні показників гемодинаміки виявлено вірогідне зниження САТ та частоти серцевих скорочень на третій день в обох групах, p < 0,05. У дослідній групі виявлено 4 випадки (20 %) гіпотонії, у контрольній групі — 2 випадки (10 %). При дослідженні динаміки кортизолу та серотоніну виявлено вірогідну різницю на третій день в обох групах, p < 0,05. Вірогідної різниці в цих показниках на третій день між групами не виявлено, p ≥ 0,05. Лабораторні показники стану печінки та нирок в обох групах не відрізнялися, p ≥ 0,05. Висновки. Використання магнію сульфату дозволяє зменшити тривалість делірію, але має надлишковий вплив на гемодинаміку. Ефект магнезії не верифікується такими біомаркерами, як кортизол і серотонін.
Особливості клінічних проявів нової коронавірусної інфекції у хворих при їх госпіталізації під час епідемії COVID-19 залежно від ступеня тяжкості
Authors: Trykhlib V.I. , Tsiurak N.R. , Beliaeva K.P. , Lysenko T.I. , Yeroshenko A.O. , Martynchyk O.S.
Published: December 2021

У статті наведений огляд літератури й результати власного дослідження. Було встановлено, що в нашій групі серед тих, хто проходив стаціонарне лікування, було більше осіб віком 18–30 років, а серед тих, хто лікувався у відділенні реанімації та інтенсивної терапії (ВРІТ), — віком 60 років і старше. У середньому хворі, які лікувались у ВРІТ, надходили на 6-ту добу хвороби. Більшість хворих скаржились на сухий або малопродуктивний кашель, помірну загальну слабість. Вірогідно частіше помірна загальна слабість реєструвалась у пацієнтів із середньотяжким перебігом, а помірна й виражена була характерна для пацієнтів з тяжким перебігом (р < 0,05). Задишка була наявна переважно в тяжкохворих (у третини хворих — при фізичному навантаженні, у 17,7 % — у спокої). Серед хворих з нетяжким перебігом у незначної кількості осіб була задишка при фізичному навантаженні (від 4,3 до 12,1 %). При госпіталізації в середньому температура була в межах норми або ж субфебрильною, остання переважала в пацієнтів при середньотяжкому перебігу (p < 0,05). При легкому перебігу в половини хворих температура була в межах норми. Фебрильна температура частіше реєструвалась при середньотяжкому й тяжкому перебігу. Піретична температура тіла найбільш характерна для тяжкого перебігу (p < 0,05). Привертає увагу той факт, що навіть серед тих хворих, які лікувались у ВРІТ, при надходженні у чверті температура була в межах норми, у 41,2 % була субфебрильною. У середньому тривалість гарячки до госпіталізації в тяжкохворих становила 5 діб, у тих, хто потім помер, — 2 дні. Вірогідно частіше відзначали сухий кашель у тяжких хворих (p < 0,05). При легкому перебігу тільки п’ята частина хворих скаржились на сухий або малопродуктивний кашель. При середньотяжкому перебігу сухий або малопродуктивний кашель турбував третину хворих. Суттєвої різниці в частоті скарг на першіння в горлі не відзначалось (р > 0,05). У середньому частота дихання при надходженні в тяжкохворих, які вижили, і тих, хто не вижив, не відрізнялась, у той же час у тих, хто потім помер, частіше реєструвались частота дихання понад 30/хв і більше, тахікардія і більш низькі показники сатурації.
Determinantes da inadimplência de pessoas físicas em cooperativa de crédito em Santa Catarina
Authors: Baldi Marilice , William Gianetti Giovani
Published: December 2021

A inadimplência das operações de crédito é uma dasprincipais preocupações das instituições financeiras, principalmentedas cooperativas de crédito, já que impacta diretamente em seuresultado operacional. A adequada análise do perfil do associadoe da operação de crédito contratada possibilita identificar, commaior assertividade, características que elevariam a probabilidadede inadimplência. O objetivo do presente estudo é identificar osprincipais fatores que afetam a inadimplência em operações de créditode pessoa física em uma cooperativa de crédito de Santa Catarina. Paraestimar a probabilidade de inadimplência utilizou-se um modelo deregressão logística, que considera explicitamente as característicasindividuais dos associados e os atributos dos produtos de uma amostrade 13.079 operações de crédito da cooperativa. Entre as característicasindividuais dos associados, o estado civil separado e a categoriaprofissional administrador estão relacionados à maior probabilidade deinadimplência. No que tange aos atributos os produtos, a probabilidadede inadimplência é mais elevada nas contratações da modalidade decrédito rural. Por fim, nota-se que as operações relativamente maisseguras estão concentradas em indivíduos do sexo feminino, beminstruídos, casados, com maior tempo de relacionamento com acooperativa e que contratam crédito em modalidades que exigemcontrapartida na forma de bens móveis ou imóveis.
La economía circular en los nuevos modelos de negocio
Authors: González Graciela Carrillo , Pomar Fernández Silvia
Published: December 2021

Objetivo: analizar las características del contexto que están impulsando la adopción de un enfoque circular en los nuevos modelos de negocio, reconociendo el papel fundamental que juega el consumidor en esta tendencia.Diseño metodológico: se basó en la revisión de artículos, informes y blogs que exponen el debate de la economía circular, se consultaron encuestas publicadas sobre el comportamiento de los consumidores. Para el análisis se identificaron las características que explican las tendencias y los patrones que inciden en la decisión de comprar en empresas con modelos sustentables y circulares.Resultados: se constata que los consumidores, en particular las generaciones jóvenes, son altamente sensibles a la narrativa de la crisis ambiental y a las tendencias que surgen en las redes llevándolos a adoptar estilos de vida que definen su decisión de compra, lo cual ha influido como un elemento determinante en la transición de los negocios hacia modelos sustentables y de economía circular.Limitaciones de la investigación: insuficiente información al ser un tema relativamente nuevo, los casos que se encuentran están dispersos y poco sistematizados.Hallazgos: la edad de los consumidores es clave para las decisiones de compra, los jóvenes son los que principalmente optan por alternativas de productos sustentables al ser más susceptibles a la influencia del discurso predominante y a la opinión de otros consumidores en las redes. Las empresas están realizando cambios en sus modelos para transitar hacia la economía circular, en atención a estos nuevos consumidores.
Control metabólico de pacientes con diabetes mellitus tipo 2: comparación entre Diabetimss y consultorios de medicina familiar
Authors: Wong Márquez Luis F. , García Torres Osvaldo , Cruz Morales Roberto A. , Álvarez Villaseñor Andrea S.
Published: December 2021

Objetivo: determinar el control metabólico de pacientes con diabetes mellitus tipo 2 atendidos en Diabetimss y en consultorios de medicina familiar. Métodos: estudio transversal analítico, se analizaron 243 expedientes; se valoró la tasa de control metabólico de los pacientes con diabetes mellitus tipo 2 en la consulta de medicina familiar así como en Diabetimss. Se realizó estadística descriptiva para variables demográficas y χ2 de Pearson para determinar diferencias estadísticas entre grupos. Resultados: de los 243 expedientes, 54.3% fue del grupo Diabetimss y 45.7%, de la consulta de medicina familiar, la edad fue de 54.11 ±10.86 vs 63.83 ± 12.03 años, glucosa en ayuno de 128.61 ±45.63 vs 150.27 ± 55.24 (p= 0.001, ic 0.000-0.000), triglicéridos 154.20 ±90.96 vs 176.86 ±88.05 (p= 0.001, ic 1.377-3.865) y HbA1c 6.84 ± 1.52 vs 7.93 ±2.26 (p= 0.001 ic 0.526-1.656). Conclusión: existió descontrol metabólico en la población estudiada, independientemente del contexto de consulta. Se detectaron valores altos en los niveles de colesterol, hdl, ldl y triglicéridos, se presentaron diferencias estadísticamente significativas en ambos grupos.
Observaciones al artículo: “Actividad física y su asociación con el estado emocional en adultos mayores con obesidad”
Authors: Flores Campos Jesús , Flores Soto Mirian , Saravia Gutiérrez Luis
Published: December 2021

Carta al editor
An Inventory Model for Deteriorating Items with Stock Dependent Demand and Partial Backlogging
Authors: Kumar Vikas
Published: December 2021

Abstract: In this paper, we formulate a deteriorating inventory model with stock-dependent demand Moreover, it is assumed that the shortages are allowed and partially backlogged, depending on the length of the waiting time for the next replenishment. The objective is to find the optimal replenishment to maximizing the total profit per unit time. We then provide a simple algorithm to find the optimal replenishment schedule for the proposed model. Finally, we use some numerical examples to illustrate the model. Keywords- Inventory, Deteriorating items, Stock dependent demand, Partial backlogging
Farming Assistant Web Services: Agricultor
Authors: Mathur Garima
Published: December 2021

Abstract: Our farming assistant web services provides assistance to new as well as establish farmers to get the solutions to dayto-day problems faced in the field. A farmer gets to connect with other farmers throughout India to get more information about a particular crop which is popular in other states. Keywords: Farmers, Assistance, Web Development
PELACAKAN GERAKAN TANGAN UNTUK PENGENALAN GERAK-ISYARAT
Authors: Jawas Naser
Published: December 2021

Pelacakan gerakan tangan (hand tracking) adalah metode yang digunakan untuk melacak pergerakan tangan dalam sebuah rangkaian frame video. Pelacakan gerakan tangan ini merupakan salah satu pekerjaan yang penting dalam aplikasi-aplikasi interaksi antar manusia dan komputer (human computer interaction) yang menggunakan gerak-isyarat tangan. Tidak seperti pada pelacakan anggota badan lainnya, tangan memerlukan penanganan yang berbeda karena dalam citra bentuk tangan dapat berubah akibat dari pergerakan persendian sehingga informasi / fitur bentuk tangan tidak dapat dikatakan reliable untuk proses pelacakan gerakan tangan. Hanya fitur warna dan fitur gerak yang dapat dikatakan reliable untuk pelacakan gerakan tangan. Oleh karena itu, pada penelitian ini diusulkan sebuah metode untuk melakukan pelackan gerakan tangan dengan memanfaatkan penggabungan beberapa fitur seperti gerak dan warna dengan tetap mempertahankan kesederhanaan komputasi. Kesederhanaan komputasi didapatkan dengan melakukan seleksi fitur yang akan dilacak sehingga fitur yang dilacak tidak terlalu banyak namun fitur-fitur tersebut memang merupakan fitur kunci yang dapat memberikan penanda yang baik untuk metode pelacakan gerakan. Pada penelitian ini digunakan 2 buah algoritma untuk mendeteksi gerakan tangan yakni mean shift dan optical flow. Keduanya dapat melakukan deteksi gerakan namun masih memiliki beberapa kesalahan deteksi yang menyebabkan penurunan tingkat akurasi deteksi gerakan tangan
SISTEM INFORMASI CUSTOMER RELATIONSHIP MANAGEMENT PADA PT. ANEKA SUSU
Authors: Elhias Nst Mas Ayoe
Published: December 2021

Pada saat sekarang ini sebagian besar perusahaan Retail masih menggunakan komunikasi secara langsungdan mencatat hasil transaksi dan pengolahan datanya masih dalam bentuk pengolahan data customer sehingga dengan sistem yang lama dapat memerlukan waktu yang relatif lama dan lambat. Pada sistem lama perusahaan masih menggunakan sistem pengolahan data dengan menggunakan sistem berupa microsoft excel maupun microsof word oleh sebab itu tidak dapat melakukan hubungan secara terus-menerus kepada pelanggan. Hal ini menimbulkan masalah dikarenakan pelanggan tidak dapat membantu pemasaran produk yang dimiliki perusahaan, dan akhirnya terjadi penurunan penghasilan dari perusahan.Selain itu juga dengan perkembangan teknologi yang semakin pesat saat ini dalam persaingan bisnis muncul permintaan pelanggan yang bermacam-macam serta kualitas dan pelayanan yang diberikan suatu perusahaan kepada pelanggan. Oleh sebab itu perusahaan menerapkan metode CRM. Metode Customer Relationship Management merupakan suatu metode untuk menarik pelanggan baru agar membeli produk perusahaan dan juga mempertahankan pelanggan lama agar tetap membantu proses pemasaran terhadap produk-produk perusahaan. Dengan penggunaan sistem management pelanggan menggunakan metode Customer Relationship Management (CRM) dapat menarik pelanggan baru dan mempertahankan pelanggan yang telah ada agar dapat membantu setiap proses pemasaran yang dilakukan oleh perusahaan. Peran CRM disini memberikan pengaruh yang sangat besar terhadap tingkat kepuasan pelangga, dengan melayani pelanggan sepenuh hati dan mempertahankan loyalitas pelanggan dengan aplikasi yang bisa diakses dengan mudah.
Socio-Psychological Impacts of Terminal Illness on Patients and their Spousal Relationship
Authors: Ullah I. , Naz A.
Published: December 2021

This phenomenological study was conducted to explore the im- pacts of terminal illness on patients and familial relationships of couples in Pakhtun society. 36 terminally ill patients selected purposively were interviewed separately (24 male & 12 female patients) by the way of open-ended questions. Numerous themes were extracted following verbatim transcripts. All the participants explained the impacts of terminal illness on their social lives and the positive and negative aspects of their spousal relationship. Depression, anger and desperation were apparent in the terminal patients. Similarly bitterness, guilt, persistent sadness and loss were common in the patients and alternatively in their partners as explained by the patients. This research highlights adistinct viewpoint on the damaging influences which terminal illness can have on the marital rela- tionship. However it also recommends how to deal the situation in apositive manner by making adjustments required by the concerned disease. The findings indicate that social scientists need to confess and reply to the incredible psycho-social im- pacts that serious illnesses and related medical procedures can have on the patients and their families even in this modern era of advance technology. Advance social and psychotherapeutic techniques and socio-psychological support of partners can as- sist such patients to live with apositive life style till the end.
Antioxidant Activity and Anti-Nutritional Factors in Acacia Nilotica Gum
Authors: Kazi Layla Khaled  , Rukshana Irani
Published: December 2021

The rapidly growing civilization and economy need the judicious usage of floral and faunal heritage. Acacia nilotica (Family: Fabaceae) is a beneficial plant species and each part of it exhibits numerous biological and pharmacological effects. The gum exudates of Acacia nilotica trees are underutilized plant products that can be explored for their potential as a therapeutic and curative agent. Its nutritional composition, interaction with anti-nutritional factors and antioxidants can determine its utility as a food. The present investigation was aimed to estimate the anti-nutritional factors and antioxidant activity of Acacia nilotica gum. It also focused on establishing a relationship of the obtained data with the ethnomedicinal and pharmacological properties claimed in the literature. The analysis was carried out using standard methods and protocols involving spectrophotometric and gravimetric principlesR. The anti- nutritional components like tannin, trypsin inhibitor, phytate, oxalate, total saponin, steroidal saponins, alkaloid content of Acacia nilotica gum was found to be 0.2369±0.0354 g tannic acid equivalent/100 g, 0.0108±0.0037 TIU/mg, 156.3333±9.4516 mg/100 g, 132.5±28.3152mg/100 g, 12.7183±6.7788 mg diosgenin equivalent /g, 0.0705±0.01 mg diosgenin equivalent /g, 0.1333±0.0577 g/100 g respectively. The amounts of total phenols and flavonoids was determined to be 8.0033±2.7211 mg of gallic acid equivalent/g sample, 0.0458±0.0186 mg quercetin equivalent /g sample respectively with a significant DPPH Scavenging activity. The results indicate that the quantity of   anti-nutritional factors in gum is within the range of the contents of anti-nutritional factors found in commonly consumed foods. The substantial  presence of  phenol,  flavonoids  and DPPH  activity in  the gum  indicates the  presence of  high  antioxidant properties.  The  presence  of  anti-nutritional  factors  and  antioxidants  in  favourable  levels  can  impart  diverse  physiological responses. The present study concluded that Acacia nilotica gum can be used as a nutritious food commodity with a plethora of recuperative activities.
Problems of Commodity Nomenclatures Implementation in the International Trade on the Example of Chapter 56 “Nonwovens” of the EAEU Commodity Nomenclature of Foreign Eco nomic Activity
Authors: Zhiryayeva E. V. , Koltsova V. G.
Published: December 2021

The article examines the problems of using the Commodity Nomenclature of Foreign Economic Activity. The following problems are highlighted: the lag of the Harmonized Commodity Description and Coding System from the development of technologies; disagreement of countries with the decisions of the Harmonized System Committee; mistakes in texts; difficulties with the implementation of the classification decisions of the Federal Customs Service and Eurasian Economic Commission. Discrepancies in classification lead to distortion of mirror statistics of foreign trade and make it possible to identify “risk” and “cover” goods. The purpose of the work was to compare the imports by the Russian Federation nonwovens of chapter 56 from three countries — the main exporters at the level of commodity headings and subheadings. The hypothesis was tested: since chapter 56 is not the leading one in the volume of imports, there will be no significant discrepancies in the mirror statistics. Research method was comparison of data on Russian imports from a trading partner country and corresponding data on exports of a trading partner country to Russia. Data source is Trade Map of the International Trade Center. Headings 5602 (felt) and 5603 (nonwovens) were considered, which include goods that are similar in structure and properties, as well as heading 5607 — twine, cordage, ropes and cables. These goods are imported from both European and Asian countries. However, only when importing from the Asian direction — from China — discrepancies in the mirror statistics were found. It is shown that goods of “risk” (heading 5602) were imported into Russia from China in 9 times less than exported from China, and goods of “cover” (heading 5603) were imported from China by 5% more, than exported by China. The subheading of twine, cordage, ropes and cables made of synthetic fibers (570650) also represents risk goods, imports of which are 3 times less than exports from China. There are several cover headings that include similar goods with a lower duty rate. Comparison of duties showed that the main reason for classification errors leading to distortion of mirror statistics is the deliberately wrong choice of the code in the presence of close alternatives, which allows to reduce the customs payment. The hypothesis that group 56 will not show significant discrepancies in mirror statistics has not been confirmed.
Creative Social Potential of Digital Society
Authors: Gavra D. P. , Bayer J. P.
Published: December 2021

In the article, the authors consider the phenomenon of creativity, creativity as a demanded competence in contemporary society. Artists, poets, composers, musicians, carriers of the so-called fine art creativity, have always been in demand. In the “fast” digital world, creativity takes on new characteristics, turns into a mass-market productive force. The public demand for creativity and the supply for this characteristic are undergoing noticeable changes now.

Creativity has now become a demanded competence that can bring high income to its owners. The authors analyze the influence of common social institutions of socialization on the development of creativity. The article provides a definition of individual and social creativity, structuring the sociological approaches available in world science to the study of creativity and its nature. The authors introduce a new term — paracreativity and reveal its features.

The authors come to the conclusion that society, by creating and maintaining social norms, aimed at developing inner freedom and creativity, contributes to the formation of happier social groups and thus individuals, where each individual has created conditions for the disclosure and realization of his creative potential for the benefit of himself and a large or small society, depending on the scale of the activity. Meanwhile, in the digital world, the creator himself regulates the scale of his activities, using/neglecting social networks.
Sundhedskompetencer som en sociokulturel ressource i sundhed
Authors: Bak Carsten Kronborg
Published: December 2021

Formålet med denne artikel er at få introduceret begrebet »health literacy« (sundhedskompetencer på dansk) for en sociologisk interesseret læserskare. Begrebet har de seneste år fået større international bevågenhed i forskerkredse, hos World Health Organisation (WHO) og blandt sundhedsmyndighederi flere europæiske lande. Interessen blandt danske sundhedsmyndigheder er imidlertid meget beskeden, og der har hovedsageligt været et fokus i forskningen og begrebsudviklingen fra sundhedsfaglige forskere.Sundhedskompetencer betragtes som en »social determinant« i sundhed, der kan bidrage til at få reduceret den sociale ulighed i sundhed de kommende år. Det er min overbevisning at sociologiske teorier og analyser kunne bidrage til en gunstig videreudvikling af begrebet i de kommende år. I artiklen argumenteres der for at begrebet bør indlejres i sociologisk teori og forstås som en »sociokulturel« ressource sundhed fremfor som en individuel, rationel adfærd med fokus på det enkelte individs evne til at finde, forstå, vurdere og anvende sundhedsinformationer. Dette fokus har fyldt mest i den eksisterende begrebsudvikling.Bourdieus kapitalinteraktioner og særligt social og kulturel kapital kobles med Cockerhams kollektive livsstilsteori og bidrager med en forståelse af sundhedskompetencer som en sociokulturel ressource i sundhed. Artiklen inddrager resultater fra forskellige empiriske studier af, hvordan sundhedskompetencer spredes i sociale netværk, og hvordan kulturel kapital og kollektiv livsstil påvirker sundhedskompetencer.
Placa dental e índice de higiene oral
Authors: Tovo Luiz Carlos
Published: December 2021

Em um grupo de indivíduos selecionados é feita uma comparação dos Índices de Higiene Oral pelo método de Greene e Vermillion, sem e com o uso de revelador, com o objetivo de saber das vantagens ou não do emprego de reveladores para melhor identificar os depósitos dentais.
Gengivite ulcerativa necrosante aguda (GUNA): etiologia e tratamento
Authors: Tovo Luiz Carlos , Witt Adauto
Published: December 2021

22 indivíduos portadores de GUNA foram tratados por 10 dias com rigorosa higiene oral, ficando completamente curados, o que permite admitir, ser fundamental a presença de placa dental na etipatogenia desta doença.
Cuidados especiais com o politraumatizado
Authors: Brandão Gaspar Soares
Published: December 2021

A partir de conceitos gerais, são revistas as condições de atendimento do politraumatizado, nas várias etapas dos cuidados gerais e locais. Cuidados e indicações com os pacientes nas diversas fases em que sob o ponto de vista didático é desenvolvido o tema. É realizada revisão sobre os exames clínicos, laboratoriais e as atenções a dispensar no transporte dos feridos.