bluuebunny/crossref_metadata_2025 huggingface dataset:
Meditação mantém níveis de linfócitos TCD4+ e TCD8+ e carga viral constante em pessoas vivendo com HIV AIDS durante a pandemia da Covid-19
Authors: Furtado Dennis Costa , De Barros Emanuele  Rodrigues , Porto Grinauria de Sousa Maia , Correia Lara Maria Taumaturgo Dias , De Almeida Valéria Duarte , De Oliveira Lucidio Clebeson , Fernandes Thales Allyrio Araújo de Medeiros , Do Nascimento Ellany Gurgel Cosme , Nelson Isabel Cristina Amaral de Souza Rosso , De Andrade Micássio Fernandes
Published: December 2023

Introdução: A meditação pode ser uma estratégia para lidar com comorbidades psicoemocionais e físicas que afetam pessoas vivendo com HIV (PVH) e que podem ser exacerbadas durante a pandemia de Covid-19. Objetivo: Avaliar os níveis de linfócitos TCD4+ e TCD8+, carga viral e parâmetros metabólicos de PVH submetidos a sessões de meditação. Procedimento experimental: Estudo de caso-crossover no qual sete participantes frequentaram sessões de meditação guiadas remotamente entre julho e agosto de 2020 (oito semanas), uma sessão por semana, com duração média de uma hora cada. A quantificação de linfócitos TCD4+ e TCD8+ foi realizada por citometria de fluxo; a carga viral foi detectada pela técnica de reação em cadeia da polimerase e os parâmetros metabólicos por quimiluminescência. Resultados: A meditação manteve constantes os níveis de linfócitos TCD4+ (p=0,93) e TCD8+ (p=0,37) e a carga viral (<40). Foi observado um aumento no colesterol de lipoproteína de alta densidade (HDL-c) (p=0,01*), no entanto glicose (p=0,15), triglicerídeos (p=0,43), colesterol total (p=0,18), Transaminase Glutâmica Oxalacética (p=0,46) e Transaminase Glutâmica Pirúvica (p=0,36) não sofreram alterações. Conclusão: A meditação aumenta o HDL-c em PVH. Os níveis de linfócitos TCD4+ e TCD8+ e a carga viral permaneceram constantes durante a intervenção. A adesão à prática da meditação pode se traduzir em um maior comprometimento com a busca pela saúde e, assim, melhorar a qualidade de vida desses indivíduos.
Consumo alimentar e sua associação com saúde mental: Resultados de estudos brasileiros de base populacional
Authors: Meller Fernanda Oliveira , Manosso Luana Meller , Quadra Micaela Rabelo , Da Silva Tamara Justin , Eugênio Fernanda Daminelli , Honorato Muniky de Luca , Schäfer Antônio Augusto
Published: December 2023

O presente estudo objetivou avaliar a associação do consumo de alimentos in natura ou minimamente processados e de Alimentos Ultraprocessados (AUP) com a saúde mental durante a pandemia de Covid-19. Trata-se de um estudo transversal, realizado com dados de duas pesquisas de base populacional conduzidas em Criciúma (SC) e Rio Grande (RS) entre 2020 e 2021. Os participantes foram indivíduos com 18 anos ou mais de idade, residentes na área urbana. A variável independente foi a frequência de consumo de alimentos in natura ou minimamente processados e de AUP. Sintomas depressivos e estresse percebidos foram os desfechos. Para avaliar as associações foram realizadas análises brutas utilizando-se teste Qui-quadrado de Pearson (nível de significância de 5%) e análises ajustadas utilizando-se regressão de Poisson. Foram estudados 2.170 indivíduos. Na análise bruta, tanto o consumo de alimentos in natura ou minimamente processados quanto o consumo de AUP foram associados aos sintomas depressivos e estresse. Após análise ajustada, indivíduos pertencentes aos maiores tercis de consumo de alimentos in natura ou minimamente processados tiveram prevalências 37% e 28% menores de sintomas depressivos e 29% e 26% menores de estresse, comparados àqueles com menor consumo. Indivíduos com maior consumo de alimentos ultraprocessados apresentaram prevalência 35% maior de sintomas depressivos quando comparados àqueles com menor consumo. Isso destaca a importância da atuação intersetorial e interdisciplinar entre nutrição e saúde mental, especialmente após a pandemia de Covid-19.
Gobierno colombiano y ELN: análisis sobre los posibles acuerdos de paz, desde el barómetro de Ocaña
Authors: Rincón Manosalva Maira Alejandra , Jaime Jaime Lizbeth , Vergara Llanos Jean Carlos
Published: December 2023

El presente artículo tiene como objeto analizar la percepción de los habitantes del municipio de Ocaña, frente al proceso de paz entre el Gobierno Colombiano y el Ejército de Liberación Nacional (ELN), tomando como base los resultados arrojados por la encuesta “barómetro Ocaña” aplicada en el año 2019 y en el año 2021. Esta investigación se desarrolló a través de un enfoque cuantitativo, mediante un muestreo probabilístico de acuerdo al tipo de investigación, así como también según el diseño, es estratificado, permitiendo estudiar la percepción de la ciudadanía con relación a los acuerdos de paz. Este trabajo investigativo consta de tres etapas, en un primer momento se realiza la contextualización sobre el conflicto armado con el ELN, seguidamente se realiza un análisis sobre los puntos expuestos en la agenda de paz de negociación con el ELN y para finalizar se presenta la interpretación de las variables derivadas de la investigación.
Cuerpos que resisten: violencia sexual contra la comunidad LGBTIQ+ en el marco del conflicto armado colombiano
Authors: Cabeza Carranza Ángela Yamile
Published: December 2023

La comunidad LGBTIQ+ ha sido víctima de un impacto diferencial en el marco del conflicto armado colombiano que se materializa en un conjunto de delitos contra la libertad, integridad y formación sexual. La violencia ejercida por los grupos armados contra esta comunidad tiene un objetivo específico: corregir su orientación o identidad sexual.
El objetivo de este artículo consiste en analizar los factores que facilitan la violencia sexual, de revelar las dificultades institucionales en el acceso a la justicia que se identifican para las víctimas en el marco del conflicto armado y de las posibles soluciones que se pueden establecer desde el campo del derecho para la justicia, reparación y no repetición.
Mediante un estudio analítico descriptivo, se concluyó principalmente que el contexto de conflicto agudiza las situaciones de discriminación preexistentes de las que son víctimas la comunidad LGBTIQ+. Así mismo, que la protección del Estado ha sido ineficiente en términos de garantías procesales para las víctimas.
Brand Preference of Smartphone
Authors: Singh Sanju Kumar , Upadhyay Jitendra Prasad
Published: December 2023

The research aims at finding out the factors that majorly influence the buying decision of a customer when choosing a Smartphone. This research used quantitative method. In this study populations for this people residing inside Kathmandu valley who were using mobile phones. The sample size of 270 respondents who were job holders and using mobile phones were surveyed based on one of the non-probability sampling techniques, the convenience sampling method. This research used independent variables, advertisement, brand image, brand loyalties, price satisfaction and attributes. In addition, variables Price has positive and significant effect on brand preferences but remaining variables, advertisement, brand image, brand loyalties positive but not significant effect. Finally, Prices Factors one of dominant variables that makes people thinks to choose the smartphones in Kathmandu City.
Multivariate spatio-temporal modeling of drought prediction using graph neural network
Authors: Yu Jiaxin , Ma Tinghuai , Jia Li , Rong Huan , Su Yuming , Wahab Mohamed Magdy Abdel
Published: December 2023

Drought is a serious natural disaster that causes huge losses to various regions of the world. To effectively cope with this disaster, we need to use drought indices to classify and compare the drought conditions of different regions. We can take appropriate measures according to the category of drought to mitigate the impact of drought. Recently, deep learning models have shown promising results in this domain. However, few of these models consider the relationships between different areas, which limits their ability to capture the complex spatio-temporal dynamics of droughts. In this study, we propose a novel multivariate spatio-temporal sensitive network (MSTSN) for drought prediction, which incorporates both geographical and temporal knowledge in the network and improves its predictive power. We obtained the standardized precipitation evapotranspiration index and meteorological data from the climatic research unit dataset, covering the period from 1961 to 2018. This is the first deep learning method that embeds geographical knowledge in drought prediction. We also provide a solid foundation for comparing our method with other deep learning baselines and evaluating their performance. Experiments show that our method consistently outperforms the existing state-of-the-art methods on various metrics, validating the effectiveness of geospatial and temporal information.
Integrating water quality monitoring and ecological assessment for wetland classification and risk evaluation in the Kirala Kele wetland, Sri Lanka
Authors: Nikawela N. D. L. , Aththanayake A. M. N. S. , Bellanthudawa B. K. A. , Wijetunga S.
Published: December 2023

We conducted the present study to assess the spatial and temporal variations of selected physicochemical water quality parameters, to quantify the level of ecological risks of disturbances occurring, and to understand the relationship between the selected disturbances observed and physicochemical parameters of surface water of sampling sites of the Kirala Kele wetland. We selected sampling sites to reflect different land uses in the Kirala Kele wetland using purposive sampling and collected triplicated surface water samples to assess quality of water. The sampling sites of wetland characterization and risk assessment were followed using the protocol by Escom. We found that there was a significant temporal variation of pH, electrical conductivity, water temperature, and dissolved oxygen content among sampling sites (p > 0.05, One-Way ANOVA), however, spatial variation of electrical conductivity and dissolved oxygen was significantly higher in site 9, site 10, and site 11, respectively (p > 0.05, One-Way ANOVA). Site 2, site 5, site 10, and site 11 showed a category B level in wetland characterization and risk assessment highlighting the few levels of modifications and largely natural status of sites. The study demonstrates the applicability of this model for rapid assessment of wetland characteristics and risks to sustainably conserve and manage wetlands.
Krytyczny realizm Roya Bhaskara – Basic Critical Realism
Authors: Stochmal Małgorzata
Published: December 2023

Krytyczny realizm przyczynia się do rozwoju rzeczywistej wiedzy o społeczeństwie, przezwyciężając niedomagania wielu konkurencyjnych sposobów ujmowania rzeczywistości społecznej. Realistyczna filozofia nauki i nauk społecznych wprowadzona przez Roya Bhaskara daje impuls do postrzegania rzeczywistości społecznej w zupełnie odmienny sposób. Dorobek naukowy Bhaskara jest ogromny, jednak nie jest dostatecznie spopularyzowany wśród polskich czytelników. Głównym celem artykułu jest zaprezentowanie założeń krytycznego realizmu odnoszących się do pierwszego etapu rozwoju teorii, określanego mianem Basic Critical Realism. Publikacja prezentuje ważniejsze nawiązania do zagadnień ontologicznych, epistemologicznych oraz częściowo do wymiaru metafizyki. Artykuł kieruję do odbiorców zainteresowanych krytyczno-realistyczną wizją opisu rzeczywistości, reprezentujących różne dziedziny nauki i dyscypliny naukowe, pragnących wykorzystać ten intelektualny program w planowanych przedsięwzięciach badawczych.
Gênero e diversidade na escola e sua interface na formação de professores/as
Authors: Silva Jeane Felix da , Carvalho Maria Eulina Pessoa de , Miranda Joseval dos Reis
Published: December 2023

Este texto trata do Curso de Especialização Gênero e Diversidade na Escola (GDE), uma proposta pioneira, de âmbito nacional, destinada à formação de educadoras/es. Inicialmente, recupera a proposta de oferta desse curso de formação docente continuada, situando-a em seu contexto político. Em seguida, apresenta a experiência do Núcleo Interdisciplinar de Pesquisa e Ação sobre Mulher e Relações de Sexo e Gênero, do Centro de Educação da Universidade Federal da Paraíba, em sua primeira oferta, em 2014-2015. Focaliza, então, a experiência recente de sua segunda turma em 2020-2021, no formato à distância, durante o isolamento social decorrente da pandemia de Covid-19, e descreve seu alunado, suas motivações e expectativas, com base em um questionário aplicado em julho de 2021. Neste momento de ataque aos estudos e às políticas de gênero, especialmente na educação escolar, finaliza argumentando sobre a importância da inclusão da perspectiva de gênero na formação docente.
Muscle Quality and Risk of Metabolic Syndrome in Adult Patients with
Inherited Metabolic Diseases
Authors: Luengo-Pérez Luis Mguel , Ambrojo Ana , Fernández-Bueso Mercedes , Guijarro Marta , Ferreira Ana , Luzes Goncalo , Pereira M. , Calhau Conceição , Rocha Júlio Cesar
Published: December 2023

Adult patients with several Inherited Metabolic Diseases (IMD) follow diets controlled
in proteins, rich in carbohydrates, and free amino acids formulae, which cause hyperinsulinism
and ectopic fat. Previous studies showed IMD adult patients have a higher prevalence of
metabolic syndrome and their complications [1]. Recently, ultrasound [US) has been validated
for malnutrition, assessing muscle quality subjectively [2]. Higher echo intensity (EI) is associated
with poorer muscle quality and functional results in aging [3] and other clinical settings, but it
has never been evaluated in IMD. US measurements were conducted on 19 IMD patients and 6
healthy controls at Hospital Universitario de Badajoz (HUB) to assess EI, anthropometry, bioimpedance,
and biochemistry. The HUB ethics committee approved the protocol and informed consent.
Statistics were made with Jamovi. The mean age was 29.9 (range 18-47) in IMD patients vs.
33.7 (26-47) in controls. The distribution of IMD is shown in Figure 2. The mean EI in IMD was
56.9 (60.9 in PKU) vs. 54.4 in controls, NOT being the differences statistically significant (t-
Student p =0.633; in PKU, p =0.246). The box plot is shown in Figure 3. IMD patients had excess
body fat in a variable degree depending on the method (Figure 4): anthropometry, BIA,
preperitoneal fat or myosteatosis. 40% had insulin resistance by HOMA, 20% prediabetes by
HbA1c, 58.8% had low HDL-cholesterol levels, and 29.4% had hypertriglyceridemia. Insulin
resistance status is shown in Figure 5. Obesity by anthropometry was significantly correlated
with subcutaneous abdominal and preperitoneal fat by ultrasound and fat mass by BIA. Fat mass
by BIA was correlated to preperitoneal fat, and fat-free mass by BIA with HOMA and degree of
metabolic control of IMD. Muscle quality, by an objective tool, such as echo intensity, is worse
in patients with IMD than in controls, reflecting poorer muscle metabolic condition and a higher
risk of metabolic syndrome. It is not statistically significant, probably due to the small sample
size. The prevalence of obesity and other metabolic syndrome components is higher in IMD patients
than in the general population of the same age. Body composition analysis by BIA and nutritional
ultrasound can help to identify patients at risk of metabolic syndrome before biochemical
markers show.
Estudos sobre Almeida Garrett – Ideário e percursos
Authors: Machado Fernando Augusto
Published: December 2023

Figura cimeira da criação literária e nome incontornável nas áreas da poesia, do romance e da dramaturgia, Almeida Garrett ocupa também um lugar proeminente e dos mais determinantes na história das ideias em Portugal e na cultura portuguesa, bem como na história da arquitetura dos destinos pátrios no século XIX. Reconhecida e abundantemente celebrada a sua grandeza no vetor da estética literária, a penumbra tem e continua em parte a envolver o segundo vetor. Todavia, ele é extremamente importante e consequencial. O génio, versatilidade e convicções deste militante da liberdade concederam a esta dimensão abundantes espaços próprios enquanto ensaísta, tribuno, jornalista, legislador ou panfletário, mas ela atravessa também a generalidade da sua obra literária. Os estudos contidos no presente livro tentam clarear algumas sombras dessa penumbra, chamando temas mais pertinentes e estruturantes do ideário deste autor das Viagens na minha terra, de Frei Luís de Sousa, da Lírica de João Mínimo ou de Portugal na balança da Europa. É neste intuito que percorre as problemáticas da modernidade, da política, da educação, da religião e do género.
Virtual exchange for graduate and adult learners: A literature review
Authors: Shiffman Catherine Dunn
Published: December 2023

Little is known about characteristics and learning outcomes of virtual exchanges (VEs) designed for graduate and adult learners. VEs can offer novel experiences that disrupt, test, and refine learner understanding and practice of their profession (Kolb & Kolb, 2017). In contrast to younger students, adults typically hold more established understandings of their world and self, have focused learning goals, and often juggle multiple responsibilities that limit in-person international learning (e.g., Bergman, 2021; Jarvis, 2010; Merriam et al., 2007). Systematic literature procedures were used to examine four questions: What are the characteristics of VEs designed for graduate students? What are the learning goals, structures, and activities? What student outcomes are reported? And what insights about adult learner experiences in VE are identified? The review suggests there is a strong emphasis on professional preparation in graduate-level VE with particular attention to culture and collaboration. Limited information about students as adult learners was examined (e.g., their perspectives, preferences, and challenges). This article points to the need for more research, models, and instructional and curricular supports to realize the potential of VE for graduate and adult learners.
Oblicza nekropolii – Cmentarz Wojskowy na Powązkach w Warszawie
Authors: Wodnicka-Kasprzak Urszula
Published: December 2023

To miejsce jedyne w swoim rodzaju. Jego tożsamość wyznaczyły polskie dzieje i człowiek jako twórca form materialnych we współpracy z procesami natury. Jest dziełem zbiorowym, kształtowanym wciąż od ponad stulecia. Wizerunek kreowany przez kolejne pokolenia nieustannie na nowo daje się czytać – jako całość lub wycinkowo – poprzez pojedyncze nagrobki i pomniki, szczególnie te o wartości artystycznej. A są na Wojskowych Powązkach ślady działalności uznanych twórców, których nazwiska i same dzie- ła w przestrzeni cmentarza zwyczajnie pozostają nieeksponowane. Niniejsze opracowanie ma na celu zatrzymanie uwagi na niektórych realizacjach, by pozbawić je anonimowości co do autora, aby mogły być również odbierane w pełniejszym kontekście kultury i czasu, w którym powstały. Artykuł jest efektem wielokrotnych wycieczek po cmentarzu z aparatem w ręku, trudu kadrowania możliwie wyizolowanych z otoczenia ujęć interesujących form pomników oraz poszukiwań danych dotyczących ich autorów. Rdzeń założenia cmentarza określono w pierwszych latach po I wojnie światowej. Powązki Wojskowe kształtowane były wówczas przez polskie państwo jako panteon pamięci o ofiarach walk narodowowy- zwoleńczych (powstanie styczniowe), bitew I wojny światowej i wojny polsko-bolszewickiej. Następne, masowe pochówki nastąpiły w 1939 r. i po ekshumacjach poległych powstańców warszawskich i lud- ności cywilnej Warszawy w 1945 r. Władze komunistyczne nie były zainteresowane kontynuowaniem narodowych i katolickich treści w kulturze, dlatego decyzją z 1964 r. postanowiono nadać nekropolii bar- dziej świecki charakter, zmieniono wtedy nazwę na „Cmentarz Komunalny dawny Wojskowy”. Utworzona została Aleja Zasłużonych z monumentalnymi grobowcami Bieruta i Marchlewskiego oraz grobami wielu osób ze świata elity, wśród nich artystów. Pomijając ograniczenia wynikające z ówczesnej ideologii patro- nat państwowy w okresie PRL-u miał pozytywny wpływ na poziom artystyczny realizowanych upamięt- nień m.in. przez organizowane konkursy. Ze względu na ograniczoną dostępność informacji o autorach realizacje z tego czasu (lata 60. i 70. XX w.) stanowią większość prezentowanych w pracy przykładów. Słowa kluczowe: cmentarz, Cmentarz Wojskowy na Powązkach, nagrobek
Consolidación de la oferta tecnológica disponible para el cultivo de aguacate Hass
Authors: Correa Moreno Diana Lucía , Narvaéz Toro Elizabeth , Flórez Martínez Diego Hernando , Garavito Morales Lina Vanessa
Published: December 2023

Esta cartilla, dirigida a productores y asistentes técnicos en zonas productoras del departamento del Cauca, es una contribución al proyecto “Desarrollo y validación de tecnologías para incrementar la productividad del cultivo de aguacate Hass en el departamento del Cauca”, ejecutado por AGROSAVIA y financiado por el Sistema General de Regalías y la Gobernación del Cauca. Uno de sus objetivos es consolidar la oferta tecnológica disponible para cultivos de aguacate Hass, identificar la tecnología que puede responder a las limitantes específicas que tiene el sistema de producción y establecer los dominios de recomendación en nichos productivos del departamento del Cauca (Colombia). Mediante un análisis de tendencias en investigación mundial a julio de 2023, este documento provee insumos para visualizar y entender las áreas de conocimiento que pueden hacer aportes importantes al desarrollo tecnológico mundial y regional, así como los temas emergentes que proyectan nuevas oportunidades de mejoramiento, no solo del sistema de producción, sino también de valor agregado a la producción del cultivo. Asimismo, se describen los recursos bibliográficos disponibles y la oferta tecnológica generada por AGROSAVIA que contribuyen al desarrollo del cultivo de aguacate Hass.
An Online Psychological Program for Adolescents and Young Adults With Headaches: Iterative Design and Rapid Usability Testing
Authors: Huguet Anna , Rozario Sharlene , Wozney Lori , McGrath Patrick J
Published: December 2023

Background

Headache disorders are common, debilitating health problems. Cognitive-behavioral therapy (CBT) is recommended but rarely easily available. With the use of the internet and communication technologies among youth and young adults, these individuals could be self-trained in CBT skills. There is an increasing number of internet-based interventions for headaches, but there has been little research into the usability of these interventions because evaluating usability across the intervention development life cycle is costly. We developed an internet-based CBT program, the Specialized Program for Headache Reduction (SPHERE). While developing it, we aimed to improve SPHERE through rapid usability testing cycles.

Objective

This study aims to presents a rapid and affordable usability testing approach that can be performed throughout the intervention development life cycle. This paper also provides evidence of the usability of SPHERE.

Methods

We used the “think aloud” usability testing method based on Krug’s approach to test user interaction within a lab setting. This was followed by a short posttest interview. We planned to test SPHERE with 3-5 participants testing the same part of the program each cycle. Both the design and development team and the research team actively participated in the usability testing process. Observers independently identified the top 3 usability issues, rated their severity, and conducted debriefing sessions to come to consensus on major issues and generate potential solutions.

Results

The testing process allowed major usability issues to be identified and rectified rapidly before piloting SPHERE in a real-world context. A total of 2 cycles of testing were conducted. Of the usability issues encountered in cycles 1 and 2, a total of 68% (17/25) and 32% (12/38), respectively, were rated as major, discussed, and fixed.

Conclusions

This study shows that rapid usability testing is an essential part of the design process that improves program functionality and can be easy and inexpensive to undertake.
Thoughts and Experiences of Behçet Disease From Participants on a Reddit Subforum: Qualitative Online Community Analysis
Authors: Li Jenny Xiaoyu , Yacyshyn Elaine
Published: December 2023

Background

Behçet disease (BD) is a type of vasculitis with relapsing episodes and multisystemic clinical features, associated with significant morbidity and impact on patients’ lives. People affected by BD often participate in discussions of their illness experiences. In-person support groups have limited physical accessibility and a relative lack of anonymity; however, online communities have become increasingly popular.

Objective

This study investigates the perspectives and experiences of people affected by BD by examining the content shared and discussed on a subforum of the website Reddit—a popular online space for anonymous discussions.

Methods

All discussion threads posted between March 9, 2021, and March 12, 2022, including posts and comments, were examined from the subforum “r/Behcets,” an anonymous online community of 1100 members as of March 2022. A Grounded Theory analysis was completed to identify themes and subthemes, and notable quotes were extracted from the threads. Parameters extracted from each post included the number of comments, net upvotes, category, and subcategories. Two research team members read the posts separately to identify initial codes and themes to ensure data saturation was achieved.

Results

Six recurring themes were identified: (1) finding connectedness and perspectives through shared experiences, (2) struggles of the diagnostic odyssey, (3) sharing or inquiring about symptoms, (4) expressing strong emotions relating to the experience of BD, (5) the impact of BD on quality of life and personal relationships, as well as (6) COVID-19 and the COVID-19 vaccination in relation to BD. Subthemes within each theme were also identified and explored.

Conclusions

This novel study provides a qualitative exploration of the perspectives and experiences of people affected by BD, shared in the anonymous and accessible online community of Reddit. The study found that people impacted by an illness seek to connect and receive validation through shared conditions and experiences. By examining the content shared in r/Behcets, this study highlights the needs of people affected by BD, identifying gaps and areas for improvement in the in-person support they receive.
Designing and Developing Online Training for Diabetes Prevention Program Coaches Using an Integrated Knowledge Translation Approach: Development and Usability Study
Authors: Cranston Kaela D , Grieve Natalie J , Dineen Tineke E , Jung Mary E
Published: December 2023

Background

e-Learning has rapidly become a popular alternative to in-person learning due to its flexibility, convenience, and wide reach. Using a systematic and partnered process to transfer in-person training to an e-learning platform helps to ensure the training will be effective and acceptable to learners.

Objective

This study aimed to develop an e-learning platform for Small Steps for Big Changes (SSBC) type 2 diabetes prevention program coaches to improve the viability of coach training.

Methods

An integrated knowledge translation approach was used in the first 3 stages of the technology-enhanced learning (TEL) evaluation framework to address the study objective. This included three steps: (1) conducting a needs analysis based on focus groups with previously trained SSBC coaches, meetings with the SSBC research team, and a review of research results on the effectiveness of the previous in-person version of the training; (2) documenting processes and decisions in the design and development of the e-learning training platform; and (3) performing usability testing. Previously trained SSBC coaches and the SSBC research team were included in all stages of this study.

Results

Step 1 identified components from the in-person training that should be maintained in the e-learning training (ie, a focus on motivational interviewing), additional components to be added to the e-learning training (ie, how to deliver culturally safe and inclusive care), and mode of delivery (videos and opportunities to synchronously practice skills). Step 2 documented the processes and decisions made in the design and development of the e-learning training, including the resources (ie, time and finances) used, the content of the training modules, and how coaches would flow through the training process. The design and development process consisted of creating a blueprint of the training. The training included 7 e-learning modules, the learning modalities of which included narrated demonstration videos and user-engaging activities, a mock session with feedback from the research team, and a final knowledge test. Step 3, usability testing, demonstrated high levels of learnability, efficiency, memorability, and satisfaction, with minor bugs documented and resolved.

Conclusions

Using an integrated knowledge translation approach to the technology-enhanced learning evaluation framework was successful in developing an e-learning training platform for SSBC coaches. Incorporating end users in this process can increase the chances that the e-learning training platform is usable, engaging, and acceptable. Future research will include examining the satisfaction of coaches using the SSBC coach e-learning training platform, assessing coach learning outcomes (ie, knowledge and behavior), and estimating the cost and viability of implementing this training.
Investigating Racial Disparities in Cancer Crowdfunding: A Comprehensive Study of Medical GoFundMe Campaigns
Authors: Zhang Xupin , Wang Jingjing , Lane Jamil M , Xu Xin , Sörensen Silvia
Published: December 2023

Background

In recent years, there has been growing concern about prejudice in crowdfunding; however, empirical research remains limited, particularly in the context of medical crowdfunding. This study addresses the pressing issue of racial disparities in medical crowdfunding, with a specific focus on cancer crowdfunding on the GoFundMe platform.

Objective

This study aims to investigate racial disparities in cancer crowdfunding using average donation amount, number of donations, and success of the fundraising campaign as outcomes.

Methods

Drawing from a substantial data set of 104,809 campaigns in the United States, we used DeepFace facial recognition technology to determine racial identities and used regression models to examine racial factors in crowdfunding performance. We also examined the moderating effect of the proportion of White residents on crowdfunding bias and used 2-tailed t tests to measure the influence of racial anonymity on crowdfunding success. Owing to the large sample size, we set the cutoff for significance at P<.001.

Results

In the regression and supplementary analyses, the racial identity of the fundraiser significantly predicted average donations (P<.001), indicating that implicit bias may play a role in donor behavior. Gender (P=.04) and campaign description length (P=.62) did not significantly predict the average donation amounts. The race of the fundraiser was not significantly associated with the number of donations (P=.42). The success rate of cancer crowdfunding campaigns, although generally low (11.77%), showed a significant association with the race of the fundraiser (P<.001). After controlling for the covariates of the fundraiser gender, fundraiser age, local White proportion, length of campaign description, and fundraising goal, the average donation amount to White individuals was 17.68% higher than for Black individuals. Moreover, campaigns that did not disclose racial information demonstrated a marginally higher average donation amount (3.92%) than those identified as persons of color. Furthermore, the racial composition of the fundraiser’s county of residence was found to exert influence (P<.001); counties with a higher proportion of White residents exhibited reduced racial disparities in crowdfunding outcomes.

Conclusions

This study contributes to a deeper understanding of racial disparities in cancer crowdfunding. It highlights the impact of racial identity, geographic context, and the potential for implicit bias in donor behavior. As web-based platforms evolve, addressing racial inequality and promoting fairness in health care financing remain critical goals. Insights from this research suggest strategies such as maintaining racial anonymity and ensuring that campaigns provide strong evidence of deservingness. Moreover, broader societal changes are necessary to eliminate the financial distress that drives individuals to seek crowdfunding support.
The Fundraising Effectiveness and Its Influencing Factors of Online Medical Crowdfunding Campaigns: evidence
from a cross-sectional study in China (Preprint)
Authors: Huang Xiaorui , Zhang Ying , Zhang Ying , Zhang Ying , Zhang Ying , Zhang Ying , Zhang Ying , Huang Rihan
Published: December 2023

BACKGROUND

Medical crowdfunding is a growing phenomenon in China, driven by limited medical resources and disparities between urban and rural public health systems. However, research on the situation and determinants of medical crowdfunding campaigns is scarce. This study aims to explore the fundraising effectiveness and influencing factors of online medical crowdfunding campaigns in China, using data from the Sina Micro-Charities platform.

OBJECTIVE

This study aims to explore the fundraising effectiveness and influencing factors of online medical crowdfunding campaigns in China, using data from the Sina Micro-Charities platform.

METHODS

This study adopts a quantitative analysis approach and examines the relationship between recipients’ characteristics, organizational quality, textual content of the crowdfunding project, and fundraising effectiveness, measured by per capita donation amount and fundraising success rate.

RESULTS

The results show that age, location, disease type of recipients, picture proofs, third-party references, and follow-up actions significantly affect fundraising effectiveness. The findings suggest that medical crowdfunding campaigns are influenced by both rational and emotional factors and have implications for governments in managing charitable crowdfunding that transparency and accountability are essential for building trust and credibility.

CONCLUSIONS

This study is one of the first to examine the fundraising effectiveness of online medical crowdfunding campaigns in China, using data from the Sina Micro-charities platform, which provides novel insights into factors influencing medical online crowdfunding campaign fundraising effectiveness in China, which have important implications for both theory and practice.
THE EFFECTIVENESS OF CASE-BASED LEARNING FOR PHYSIOLOGY PRACTICUM SESSION
Authors: Wijaya Diani Puspa , Nurmasitoh Titis , Pramaningtyas Miranti Dewi
Published: December 2023

Background: Basic science laboratory practicum is intended to help improve theachievement of block material. The practical implementation that was applied previously seemed very theoretical. Students find it challenging to associate laboratory practicum's topics with processes that occur in the human body, clinical process, and associate with other material in blocks. The problem has an impact on the score of the pretest and the interest of students in following the laboratory practicum. Physiology laboratory practicum with the method of case-based learning (CBL) is expected to increase the graduation of the pretest and interest of students in following the practicum so that it is expected to improve mastery of the material and link the subject to the real conditions in everyday life. This study aims to determine whether there is an increase in pretest score and student interest in physiology practicum using the CBL method.Methods: The method used in this study is the application of case-based learning inphysiology practicum. After that, the pretest results were analyzed by comparing the control and treatment groups. After completion of the laboratory practicum, the students' perceptions of laboratory practicum with CBL through questionnaires and focus group discussion (FGD) to laboratory practicum participants were completed.Results: The results of the analysis show that the physiological pretest scores ofstudents using the case-based learning method and the addition of local genius material are higher than those who do not use this method (p = 0.00 for blocks 1.4 and 1.6, and p = 0, 03 for block 1.5). Practicum physiology with CBL is attractive for students. In addition, making students better prepared and better understand the material being practiced, and can apply physiological material to the context of everyday life.Conclusion: CBL can be used to increase the effectiveness of physiology learning,especially by increasing student activeness in the learning process, both during preparation before laboratory practicum and also on laboratory practicum process.
MIDWAY TO DIGITAL TRANSFORMATION OF MEDICAL EDUCATION: CURRENT PERCEPTION AND ADAPTATION OF MEDICAL STUDENTS TOWARDS SYNCHRONOUS ONLINE LECTURES
Authors: Tan Giovanna Renee , Utomo Prattama Santoso , Suhoyo Yoyo , Hidayah Rachmadya Nur
Published: December 2023

Background: The Covid-19 pandemic had forced majority of medical institutions to cease face-to-face learning and implement online synchronous technology. Thus, the improvement of online synchronous learning had become a priority for the continuity of medical education. This study explored students’ self-regulated online learning behavior and perception towards synchronous online learning during the Covid-19 pandemic.Methods: This study used a cross-sectional mixed-method design. Stratified random sampling was applied for participant recruitment that included 101 participants, whom are medical students from academic year 1 to 3 (2018-2020) . A total of 12 interview participants were recruited purposively to allow adequate representation of each batch. Data were collected using a modified Self-regulated Online Learning Questionnaire-Revised and a semi-structured interview. Descriptive statistics and thematic analysis were used for data analysis.Results: Approximately 72.28% of participants (N = 101) were of the higher self-regulated online learning behavior group. Batch 2019 had the highest percentage of higher-self regulated learning participants (27.72%, n = 35, p = 0.899). The environmental structuring average score was the highest (x̄ = 5.77), while persistence domain was the lowest (x̄ = 5.03). The participants appreciated the use of technology to provide quality lectures and flexibility of attending lectures. However, classroom interaction and accountability was a major challenge.Conclusion: Synchronous online lectures have the potential to allow students find their effective study time and method during the Covid-19 pandemic.
CHALLENGES IN PUBLIC HEALTH PROGRAM PLANNING EXERCISE WITH A TEAM-BASED LEARNING APPROACH DURING COVID-19 CONFINEMENT
Authors: Putri Nuzulul Kusuma
Published: December 2023

Background: Bachelor's Public Health program in Universitas Airlangga conducts the public health program planning course using a case-based that involves an interdisciplinary health workforce and community. Teams of students exercise the program planning cycle to design a health program.Aims: This paper describes the course structure based on the lesson study framework and analyzes any challenges to applying this approach during COVID-19 confinement in Indonesia.Case Discussion: Public Health Program Planning and Evaluation Course are compulsory for public health bachelor students in Indonesia. The learning outcome is the same for all public health institutions, but the course design depends on the school. In Universitas Airlangga, this course is conducted through three phases of team-based learning for fourteen weeks a semester. Due to the shifting from offline to fully online learning during the Pandemic, significant changes have been made in the team forming and type for student assignments. This adaptation covered not only the learning media but also the subject matter.Conclusion: The lecturers realized the significant limitation is sharing an authentic experience in conducting primary data collection during situational analysis. Otherwise, a more COVID-19 contextual setting also urges to be delivered since it greatly disrupts how a public health program is conducted in Indonesia.
THE INFLUENCE OF PSYCHOLOGICAL ASPECTS ON STUDENT SUCCESS IN THE INDONESIAN MEDICAL DOCTOR NATIONAL COMPETENCY EXAMINATION (UKMPPD) AT A MEDICAL FACULTY
Authors: Meida Nur Shani , Puspitosari Warih Andan , Majdawati Ana , Rizqi Muhammad Arif
Published: December 2023

Background: The success of medical professional education can be measured by The Indonesian Medical Profession Program Student Competency Test (in Indonesia known as UKMPPD). UKMPPD can also be used as an indicator of clinical year students’ success in achieving competence based on the Indonesian Doctor Competency Standards (known as SKDI). The UKMPPD exam involve the cognitive domain, measured by the computer-Based Academic Test (CBT) and the psychomotor domain, measure by the Objective Structured Clinical Examination (OSCE). There are several factors that can affect students’ success in UKMPPD, one of which is psychological factors namely optimism, motivation, anxiety, depression and fighting spirit.Aims: This study aimed to measure the influence of psychological aspects on students’ success in UKMPPD at the Doctor Professional Education Program (PSPD), Universitas Muhammadiyah Yogyakarta (UMY).Case Discussion: This was an analytic observational with a cross-sectional design. It was conducted at PSPD UMY in 2018. There were 192 students of Universitas Muhammadiyah Yogyakarta (UMY) who underwent the UKMPPD exam in the August 2018 period, became the samples, aged 20-26 years. Students filled out standardized instruments (assessed optimism, motivation, depression, anxiety, fighting spirit).Conclusion: It can be concluded that there is an influence of psychological aspects (optimism, motivation, depression, and anxiety scores) on UKMPPD pass.
FACTORS AFFECTING MEDICAL STUDENTS’ STRESS DURING COVID-19 PANDEMIC: A CROSS-SECTIONAL STUDY
Authors: Limanda Claudia Felicia , Purnawati Susy , Adiputra Luh Made Indah Sri Handari , Tirtayasa Ketut
Published: December 2023

Background: Since the emergence of COVID-19 in 2019, Indonesia’s COVID-19 Task Force has implemented distance or online learning in educational sectors, especially in Java and Bali. In its implementation, a certain number of medical students developed a tendency to prefer online learning compared to face-to-face learning without completely understanding its risks. Other factors such as financial barriers, social isolation, limitation of physical activity, change of diet, and anxiety-prone tendencies in COVID-19 pandemic, not much further research has been carried out. This study aims to determine whether medical students’ stress can be aggravated by several factors, namely online learning, financial barriers, social isolation, limitation of physical activity, change of diet, and anxiety-prone tendencies in order to obtain information whether online learning can be applied, even when the pandemic is over.Methods: Research design used a quantitative approach. Data collection was performed through online questionnaires distributed to 238 medical students selected using simplified random sampling. Data was analysed descriptively and inferentially. Inferential analysis used T-Test and ANOVA Test.Results: Online learning, financial barriers, social isolation, limitation of physical activity, change of diet, and anxiety-prone tendencies independently and cumulatively elevate medical students’ stress. Cumulatively, independent factors mentioned above have 85% effect in aggravating of medical students’ stress.Conclusion: Online learning application has to be reconsidered due to additional stress implicated to medical students. In addition, financial barriers, social isolation, limitation of physical activity, change of diet, and anxiety-prone tendencies are important factors in aggravating medical students’ stress.
PEER-MENTORING ROLE IN MENTORSHIP PROGRAM IMPLEMENTATION FOR MEDICAL STUDENT
Authors: Harahap Iqbal Alaudilah , Noija Stazia , Tentua Vebiyanti
Published: December 2023

Background: The first year as a medical student is a transition phase and adapts from senior high school to medical student that focuses on student center learning. Many students can't adapt in first year as a medical student to affect academic performance. It can make self-esteem and motivation decrease, frustration, stress, avoid talking to others, avoid faculty support, and potential fail in the future. Several medical faculty implement peer-mentoring to assist students to solve this problem with increasing motivation, self-esteem and personal development. This study aims to identify mentorship program implementation at Medical Faculty of Pattimura University.Methods: This study was a type of descriptive observational study used primary data with a cross-sectional approach. The sample of this study was first year students at Medical Faculty of Pattimura University used total sampling.Results: The result of this study was taken 202 respondents from 205 first year students who joined the peer-mentoring program “MENISCUS” showed frequency of the program is 2–4 meetings on duration > 60 minutes with 3 mentoring method combination and be held online (virtual meeting). In addition, based on mentees feedback showed that overall this program helps in personal, skills and professional development.Conclusion: Mentorship program implementation at Medical Faculty of Pattimura University showed effectiveness and provided benefits in personal, skills, and professional development.
East/ West Political Allegories: Franz Kafka’s “A Hunger Artist” and Ye Si’s “Transcendence and the Fax Machine”
Authors: Heep Prof. Hartmut , Miller Everett James
Published: December 2023

The world is witnessing the devastating consequences of historical injustices, misinformation, and the erosion of democratic institutions. As we navigate through a complex sociopolitical landscape, it becomes essential to recognize the power of allegory in reflecting upon and critiquing our society. One such allegory is Franz Kafka's short story "A Hunger Artist." This story is the perfect shidduch between themes of alienation, modernism, psychology, philosophy, and politics. The authoritarian and repressive nature of the Chinese communist government is the focus of the allegory “Transcendence and the Fax Machine,” by Leung Ping-Kwon, who writes under the pen name Ye Si. In this essay, we will delve into the multidimensional aspects of Kafka's and Si’s work. By placing the stories into a contemporary context of Florida and Hong Kong, we will uncover the inherent societal critique embedded within Kafka's and Si’s narratives.
Webpage Metadata Extration Using Machine Learning Techiniques
Authors: Sai Ch. Pranay
Published: December 2023

Abstract: This Python script defines a Flask web application enabling users to input a URL. The application fetches the webpage content and utilizes TF-IDF (Term Frequency-Inverse Document Frequency) analysis to extract information like the title, description, and top keywords. The / route renders an HTML template (index.html) for user input, while the /extract route handles a POST request, fetching the webpage content, extracting relevant information using TF-IDF analysis, and rendering the results in another HTML template (result.html). The TF-IDF process involves tokenizing the text, eliminating stopwords, and calculating TF-IDF scores for each term. The top 10 keywords are then extracted based on their TF-IDF scores. The script also incorporates error handling for cases where the webpage cannot be fetched or an exception occurs during the process.