bluuebunny/crossref_metadata_2025 huggingface dataset:
Master’s Degree Programme in Russia: a Conscious Choice for International Students?
Authors: Rogova E. M. , Kochetkova D. V.
Published: December 2022

In recent decades, there has been a significant increase in the numberof students worldwide choosing to study abroad. In 2014, according tothe Organization for Economic Cooperation and Development, aboutfive million students studied abroad. The development of distancelearning technologies contributes to the growth of mobility.Russia is an attractive destination for students’ mobility, both shortterm and long-term, and Russian universities compete for students inglobal markets. The internationalization of education, the increasein the number of international students at degree programs set newrequirements for host universities, which should be taken into accountin their strategies. This is the presence of a developed infrastructureat the university (laboratory equipment, well-equipped classrooms,modern dormitories, a library with access to a large number ofelectronic resources, etc.), high quality of teaching, accessible andfriendly living environment at the university. In addition, variousexternal factors that characterize the accessibility and attractivenessof the city and the country are important.The goal of our research is to identify the factors that are importantfor foreign students to choose Russian universities for master’s studies.The master’s level assumes that students themselves make an informeddecision about studying abroad, as well as about the choice of countryand direction of study, and also better understand what advantagesforeign learning experience gives.The study was conducted by interviewing foreign students enrolled in Master’s programs at the National Research UniversityHigher School of Economics in St. Petersburg. The choice of thisparticular educational institution is due to the high proportion offoreign students enrolled in Master’s programs (on English-language programs their share reaches 40%, and on average is about13%); the presence of several programs of prestigious internationalaccreditations, network programs (double diplomas, consortiums)and, in general, high positions of the university in internationalrankings; as well as the wide range of master programs for different areas of study. The survey involved foreign students enrolledin master’s programs (excluding short-term mobility programs).As a result, it was revealed that the reputation of the university,the availability of scholarship programs and grants, employmentprospects in Russia or abroad after graduation, simplicity and transparency of the enrollment procedure are crucial for master’sstudents intending to study in Russia.The results obtained on the basis of a survey of students make itpossible to clarify the set of factors identified from the analysis of theliterature that affect students’ decision-making about their trainingin the Master’s programs in Russia. Their practical significance liesin the fact that they can be taken into account when developinguniversity strategies and programs, as well as marketing campaignsaimed at attracting foreign graduate students.
Analysis of the Water Footprint of Central and Eastern Europe Countries
Authors: Panasiuk Damian , Skrypchuk Petro , Kucharska Barbara , Suduk Olena
Published: December 2022

The article presents an analysis of the water footprint of five Central and Eastern European countries, i.e. Poland, Slovakia, Lithuania, Ukraine and Belarus. The first three are members of the European Union, the other two are not. These countries also differ in terms of climate. The green, blue and grey water footprints of crop production, grazing, animal water supply, industrial production and domestic water supply are analysed. The per capita water footprint is also calculated. It is the highest for the countries of the former Soviet Union, that is Ukraine, Belarus and Lithuania, and half as low for Poland and Slovakia. In the case of virtual water, Poland dominates in the area of import, and Ukraine in export. The index of the net import of virtual water is unfavourable for Ukraine and Lithuania and is much more positive for Poland and Belarus. When calculated per capita, the net import of green virtual water is the highest for Belarus (340 m3/person/year) and Poland (148 m3/person/year). A positive value of this index was also recorded for Slovakia and negative for Lithuania and Ukraine (-282 m3/person/year). Taking into account the exposure of the southern Ukraine steppe to water stress, this is not a favourable situation for greater export of virtual water than its import.
Study of the effect of lanthanum and cerium doping combination on magnetic properties of M-type hexaferrite oxide permanent magnets
Authors: Adnyana I Gusti Agung Putra , Suarbawa Komang Ngurah
Published: December 2022

A study has been carried out on the effect of combination of Lanthanum and Cerium doping on the magnetic properties of M-Type hexaferrite permanent magnet oxide. The research was conducted using the wet mechanical milling method. The research materials used were Fe2O3, BaCO3, La2O3, and CeO2, all of which were of high purity 99.9%. This research also uses technical materials such as Ethanol and Nitrogen. Stoichiometric calculations were carried out to calculate the composition of the mixture of each ingredient. The combination of Lanthanum and Cerium substitution was varied with the composition of the doping ion concentration (x = 0 – 0.5 and y = 0 – 0.1). Permagraph characterization was carried out to determine the magnetic properties of each test sample. Results based on the permagraph characterization, the properties of M-type hexaferrite permanent magnets increased with the increase in the doping ion concentration in the sample. The presence of doping ions that have a magnetic moment is strongly suspected to contribute to the interaction of the type and the total moment in the M- type hexaferrite structure.
Challenging social standards
Authors: Alanazi Meshari S.
Published: December 2022

Prior to the evolution of the Black Arts Movement, the concept of “beauty” in the United States relied on specific standards, among which were being white and having blue eyes. However, this narrow definition changed over time as sociopolitical factors affected such concepts. Therefore, it is not surprising that the Black Arts Movement affected and changed the concept of beauty among Black Americans. African Americans stood not against white individuals but against everything that was unjust toward them in white American society. As a result, the literary works created by Black writers had to be built on either a political or an aesthetic framework. This paper examines the standards of beauty in The Bluest Eye and discusses the novel’s ideological tone and its references to the Blues, Black aesthetics and Black feminism. The novel was published in the middle of the Black Arts Movement era, and it satisfies the Black Art Movement’s major concern, which is how the work of art can help African Americans live a better life. Morrison’s novel highlights the concept of beauty at the time and how to change it among Black Americans.
THE MANAGEMENT OF SOLID MEDICAL WASTE AT HOSPITAL X IN PASURUAN REGENCY DURING THE COVID-19 PANDEMIC
Authors:   Postgraduate Program in Hospital Management Faculty of Medicine Universitas Brawijaya Malang, Kaiya Frits Hendrik , Apriantono Ifit Bagus ,   Postgraduate Program in Hospital Management Faculty of Medicine Universitas Brawijaya Malang, Dermawan Candra Novi ,   Postgraduate Program in Hospital Management Faculty of Medicine Universitas Brawijaya Malang, Ulfinah Cicin ,   Postgraduate Program in Hospital Management Faculty of Medicine Universitas Brawijaya Malang, Yunus Ahmad ,   Postgraduate Program in Hospital Management Faculty of Medicine Universitas Brawijaya Malang, Zuhriyah Lilik ,   Department of Public Health Faculty of Medicine Universitas Brawijaya Malang Indonesia
Published: December 2022

ackground – The COVID-19 pandemic has increased the rate of medical waste generation in hospitals. The amount of medical waste generated during the COVID-19 pandemic must be followed by the handling of solid medical waste by standard operating procedures. Improper handling of solid medical waste will harm the environment and human health. This study aimed to determine the solid medical waste management strategy during the COVID-19 pandemic. Methods – This descriptive observational study was conducted at X Hospital, Pasuruan Regency. Data was collected using observation, interviews and secondary data collection during 2020 and 2021. Interview respondents were the Head of the Medical Support Division, the K3RS and B3 Admin sections and the PPI team leader. Results – There was an increase in the amount of solid medical waste during the COVID-19 pandemic, from an average of 2,495.87 kg in 2020 and 2509.41 kg in 2021. This problem was overcome by a strategy in solid waste management during the COVID-19 pandemic. The strategy was carried out at the sorting and storage stage, namely by involving the PPI team directly in waste management and regular and scheduled training for all Hospital X staff which had not been carried out before the pandemic; at the collection stage, namely by adding garbage collection to 3 (three) times a day according to the guard shift by using PPE level 2; and the waste transportation stage, the strategy adopted is to add a third party medical waste from 1 (one) to 3 (three). Conclusion – There was a change in strategy in the management of solid medical waste at Hospital X, Pasuruan Regency during the Covid-19 pandemic, namely at the stages of sorting and storing, storing and transporting waste. However, at the temporary collection stage, there was no change.
Determinants of Transmigrant Households’ Income in Settlement Unit 3 Pagar Banyu, Ulu Talo District, Seluma Regency
Authors: Karima Miftahul , Istiqomah Istiqomah , Wibowo Arif Andri
Published: December 2022

In Indonesia, which consists of thousands of islands, it is very likely that there will be population inequality between islands. The government initiated the transmigration program to collectively encourage a more even distribution of the population, especially outside Java. The condition of the transmigration location with agricultural potential has encouraged most of the transmigrants to have their main livelihood as farmers. One of the transmigration destinations in Indonesia is Bengkulu Province, which is spread over eight regencies, but Seluma Regency is the only district that is included in the 3T (Frontier, Isolated, Underdeveloped) in Bengkulu Province which is allocated for the settlement of transmigrants, and the Settlement Unit 3 Pagar Banyu is one of the transmigration destinations since 2007. This study aims to analyze the effect of farm diversification, land size, family labor, and non-farm income on transmigrant household income. The population in this study consists of 50 transmigrant households in the settlement unit 03 Pagar Banyu, Ulu Talo District, Seluma Regency, all selected as respondents. Data were collected through interviews based on questionnaires, which were then analyzed with multiple linear regression. The results of this study indicate that farm diversification, land size, family labor, and non-farm income have a positive and significant effect on the income of transmigrant households. The results imply that transmigrant households should optimize farming in terms of diversification, land size, use of family labor, and engagement in non-farm income opportunities to increase income. Furthermore, the government should provide policies that focus on developing transmigrant farming.
Resistant vulnerability: Voices of feminist dissent from the Panjabi minority in Italy
Authors: Bonfanti Sara Ahimsa
Published: December 2022

Set in Brescia, an Italian city with a sizeable Indo-Pakistani minority, this article considers the media panic that honor killings raised and echoed nationwide since 2006. Based on extensive ethnographic work, the article draws from participant observation and personal narratives shared with Panjabi locals to investigate such ‘cultural crimes’, pondering which status of victim is (self-)ascribed to ‘Brown immigrant’ women. While the remnants of a Mediterranean culture of ‘honor-and-shame’ is almost forgotten today in the country, the repressive control that South Asian women seem to endure within their domestic environments saw the simultaneous condemnation from different social actors. As racialized Islamophobia escalates, the protection of migrant/ethnic women from honour-related violence (HRV) becomes more complex: who is entitled to ‘defend’ them? When and where can these women raise their own voices? The intersectional resistance that Panjabi women in Italy oppose against the objectification inflicted on them by family, community and public discourses (liberal feminist, multicultural or chauvinist) can barely be heard. Concurring with critical literature on HRV, this article argues to critically interrogate the idea of culture as a motivation for violence against minority women but also recognizes the pervasiveness of such narrative in the strenuous efforts waged by the same subjects in voicing their distress.
A Scoping Review: Issues in Agriculture Land Use
Authors: Ahmad aka Mohamed Nurulanis , Rashid Kushairi , Chuweni Nor Nazihah , Blake Andrea
Published: December 2022

The population expansion with resulting land use competition could result in land scarcity and the need for development. In addition, most world cities are starting to lose agricultural land. As a result, the sustainability of the environment in agricultural land use is crucial for sustaining quality of life. Therefore, this study aimed to identify literature issues by scoping review. This study guides land authorities and urban planners in providing knowledge to facilitate informed decisions to achieve the highest and best use of land.
eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
DOI: https://doi.org/10.21834/ebpj.v7i22.4149
Exploring End-of-Life Issues and Determination of the Surrogacy Ladder in Malaysia
Authors: Katiman Diana , Shaikh Mohd Salleh Shaikh Mohd Saifuddeen , Ismail Hirman , Abu Shamsieh Kamal
Published: December 2022

Clinicians face challenges managing patients at the end-of-life (EOL). A focus group discussion (FGD) of nine clinicians was conducted to explore their experiences. Verbatim was transcribed and thematically analysed based on grounded theory. 18 issues affecting EOL care decisions emerged and can be categorised into three categories: family-related issues, doctor-related issues and system-related issues. The findings suggest that the surrogacy ladder commonly used in decision-making for incapacitated patients in Malaysia is as follows: spouses followed by children, parents, and siblings. The results of this FGD can help policymakers develop guidelines on EOL decision-making suitable for use in the local context.
Keywords: surrogacy ladder, surrogate decision-maker, end-of-life decisions, advance care planning
eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
DOI: https://doi.org/10.21834/ebpj.v7i22.4150
Housing Supply Model for Affordable Homes in Malaysia
Authors: Saleh Ahmad Fawwaz , Ab Majid Rohayu Ab Majid , Rahim Norbaya Ab Rahim , Omar Mohd Don Omar
Published: December 2022

p>The provision of affordable housing for the low and middle-income class may enhance the quality of life of this social group. In addition, cooperation from stakeholders must be greater in promoting affordable houses in the market. However, the low-profit margin and other constraints reduced the supply of affordable homes by housing developers. Therefore, this research examines the factors and attributes that may affect housing developers in supplying affordable houses. Total 120 responses from housing developers were gathered via questionnaires and analysed by using Partial Least Square Modelling (PLS-SEM) for the development of an affordable housing supply model. The result displays three factors with 11 attributes that affect housing suppliers. 
Keywords: housing supply; affordable houses; housing mismatch;
eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
DOI: https://doi.org/10.21834/ebpj.v7i22.4159
Integration of Ethics into Radiation Protection Practice Through Islamic Personality Approach
Authors: Hairenanorashikin Sharip  , Siti Noorsuriani Ma’on  , Mohd Zulkifli Abdullah  , Asih Puji Utami
Published: December 2022

Established guidelines in radiation protection practice still could not guarantee compliance from radiographers' part. Since non-compliance is unethical, radiographers should be better versed in biomedical ethics principles. The objective of this paper is to review the integration of ethics into radiation protection practice through an integrated Islamic personality approach. The review involves literature related to the topic studied. Content analysis of reading materials is performed. Results found that integrating ethics in the radiation protection framework could be accomplished by combining the essence of culture and belief. Personalizing Islamic Personality in radiation protection practice could help uphold ethics in practice.
Keywords: Ethics; Radiation Protection Culture; Islamic Personality; Muslim radiographers
eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
DOI: https://doi.org/10.21834/ebpj.v7i22.4163
Enhancing conceptual and practical understandings of small-scale farming resilience in the metropolitan countryside of Rio de Janeiro, Brazil
Authors:   Federal University of Rio de Janeiro, Geography Department, Rio de Janeiro, Brazil, da Silva Machado Felipe
Published: December 2022

Rural-urban complexity can be seen across the Rio de Janeiro Metropolitan Region where land use, and economic and environmental policies have generated conflicts. In this context, agriculture has become juxtaposed with other functions and interests, which has resulted in a mosaic of diversified land use. These rural-urban interactions also provide opportunities to develop different types of knowledge that allow communities to develop resilience in an environment of spatial changes. The aim of this article is to analyse rural change and farming resilience in the Eastern Rio Metropolis, based on primary research undertaken in 2017 and 2018. The results provide useful insights for understanding the nature of rural-urban interactions in a metropolitan countryside that could, in turn, inform policies for promoting local and regional quality food systems and small-scale farming strategies.
Transportation accessibility as a factor of negative demographic processes: a case study of the Podgorje region (an Adriatic region of Croatia)
Authors:   Institute of Social Sciences Ivo Pilar, Zagreb, Croatia, Turk Ivo , Šimunić Nikola ,   Department for Spatial Planning of Lika-Senj County, Gospić, Hrvatska, Živić Dražen ,   Institute of Social Sciences Ivo Pilar, Regional Center Vukovar, Zagreb, Croatia
Published: December 2022

Podgorje is in the zone of the overlapping nodal-functional regions of Rijeka and Zadar. Despite its central position in the geographical context of Adriatic Croatia, the Podgorje region is suffering very negative demographic processes and trends because it is an area of poor transportation accessibility. The aim of this research paper is to analyze the interdependency of transport accessibility of Podgorje and the neighboring leading regional centers, as well as the negative demographic processes and trends that have destabilized this region and converted it into a rural periphery of Adriatic Croatia. The processes of littoralization and industrialization of the coast of Podgorje failed, when they should have created the prerequisites for the development of a functional network of settlements, which would have in turn created and kept necessary functions and retained the population. The absence of these processes has led to the demographic decline of the area.
Mapping, Meeting and Modulating Stress and Emotion: Combining Mindfulness and the Workable Ranges Model
Authors: Rose Sally , Sheffield David
Published: December 2022

This article examines the practice of combining explorations of regulated and dysregulated states through the Workable Ranges Model (WRM) with the skills and qualities taught in Mindfulness-Based Stress Reduction (MBSR). MBSR was designed to help participants to self-regulate stress. Didactic teaching about stress reactivity is part of the curriculum and may contribute to positive outcomes. A practice-based embodied methodology utilised mindful inquiry in research methods. Seven graduates of MBSR courses that included the WRM became conceptual encounter research partners. Following a re-presentation of the WRM, data were gathered through a diagrammatic diary exercise, post-meditation inquiry and a group discussion. Reflexive thematic analysis identified an overarching theme that the WRM was a dynamic map for exploring stability and stress. Two non-hierarchical themes articulated interrelated self-reflective activities associated with using the WRM as a map. Mapping involved charting regulated and dysregulated embodied experience. Meeting was the embodied application to mindfulness practice. Modulating states through intentional orienting to and resourcing mindful self-regulation and self-care grew out of the mapping and meeting practices. The WRM provided a form and set of words to name mind-body states, and to develop and apply insights about them. The WRM was used to shape new meanings about the relationship between mindfulness and regulated and dysregulated experience. This is theorised through its connection with embodied metaphors. The combination of the WRM and mindfulness worked to frame and progress mindful self-regulation. The WRM may be a valuable resource for mindfulness teachers to support self-regulation and mental health.
Conversational Agents and Avatars for Cardiometabolic Risk Factors and Lifestyle-Related Behaviors: Scoping Review
Authors: Lyzwinski Lynnette Nathalie , Elgendi Mohamed , Menon Carlo
Published: December 2022

Background

In recent years, there has been a rise in the use of conversational agents for lifestyle medicine, in particular for weight-related behaviors and cardiometabolic risk factors. Little is known about the effectiveness and acceptability of and engagement with conversational and virtual agents as well as the applicability of these agents for metabolic syndrome risk factors such as an unhealthy dietary intake, physical inactivity, diabetes, and hypertension.

Objective

This review aimed to get a greater understanding of the virtual agents that have been developed for cardiometabolic risk factors and to review their effectiveness.

Methods

A systematic review of PubMed and MEDLINE was conducted to review conversational agents for cardiometabolic risk factors, including chatbots and embodied avatars.

Results

A total of 50 studies were identified. Overall, chatbots and avatars appear to have the potential to improve weight-related behaviors such as dietary intake and physical activity. There were limited studies on hypertension and diabetes. Patients seemed interested in using chatbots and avatars for modifying cardiometabolic risk factors, and adherence was acceptable across the studies, except for studies of virtual agents for diabetes. However, there is a need for randomized controlled trials to confirm this finding. As there were only a few clinical trials, more research is needed to confirm whether conversational coaches may assist with cardiovascular disease and diabetes, and physical activity.

Conclusions

Conversational coaches may regulate cardiometabolic risk factors; however, quality trials are needed to expand the evidence base. A future chatbot could be tailored to metabolic syndrome specifically, targeting all the areas covered in the literature, which would be novel.
Assessing Barriers to Implementation of Machine Learning and Artificial Intelligence–Based Tools in Critical Care: Web-Based Survey Study
Authors: Mlodzinski Eric , Wardi Gabriel , Viglione Clare , Nemati Shamim , Crotty Alexander Laura , Malhotra Atul
Published: December 2022

Background

Although there is considerable interest in machine learning (ML) and artificial intelligence (AI) in critical care, the implementation of effective algorithms into practice has been limited.

Objective

We sought to understand physician perspectives of a novel intubation prediction tool. Further, we sought to understand health care provider and nonprovider perspectives on the use of ML in health care. We aim to use the data gathered to elucidate implementation barriers and determinants of this intubation prediction tool, as well as ML/AI-based algorithms in critical care and health care in general.

Methods

We developed 2 anonymous surveys in Qualtrics, 1 single-center survey distributed to 99 critical care physicians via email, and 1 social media survey distributed via Facebook and Twitter with branching logic to tailor questions for providers and nonproviders. The surveys included a mixture of categorical, Likert scale, and free-text items. Likert scale means with SD were reported from 1 to 5. We used student t tests to examine the differences between groups. In addition, Likert scale responses were converted into 3 categories, and percentage values were reported in order to demonstrate the distribution of responses. Qualitative free-text responses were reviewed by a member of the study team to determine validity, and content analysis was performed to determine common themes in responses.

Results

Out of 99 critical care physicians, 47 (48%) completed the single-center survey. Perceived knowledge of ML was low with a mean Likert score of 2.4 out of 5 (SD 0.96), with 7.5% of respondents rating their knowledge as a 4 or 5. The willingness to use the ML-based algorithm was 3.32 out of 5 (SD 0.95), with 75% of respondents answering 3 out of 5. The social media survey had 770 total responses with 605 (79%) providers and 165 (21%) nonproviders. We found no difference in providers’ perceived knowledge based on level of experience in either survey. We found that nonproviders had significantly less perceived knowledge of ML (mean 3.04 out of 5, SD 1.53 vs mean 3.43, SD 0.941; P<.001) and comfort with ML (mean 3.28 out of 5, SD 1.02 vs mean 3.53, SD 0.935; P=.004) than providers. Free-text responses revealed multiple shared concerns, including accuracy/reliability, data bias, patient safety, and privacy/security risks.

Conclusions

These data suggest that providers and nonproviders have positive perceptions of ML-based tools, and that a tool to predict the need for intubation would be of interest to critical care providers. There were many shared concerns about ML/AI in health care elucidated by the surveys. These results provide a baseline evaluation of implementation barriers and determinants of ML/AI-based tools that will be important in their optimal implementation and adoption in the critical care setting and health care in general.
Effectiveness of a Patient-Centered Assessment With a Solution-Focused Approach (DIALOG-A) in the Routine Care of Colombian Adolescents With Depression and Anxiety: Protocol for a Multicenter Cluster Randomized Controlled Trial
Authors: Gómez-Restrepo Carlos , Romero Jose Alejandro Rumbo , Rodriguez Martha , Ospina-Pinillos Laura , Stanislaus Sureshkumar Diliniya , Priebe Stefan , Bird Victoria
Published: December 2022

Background

Colombia is a middle-income country in South America, which has historically had high rates of mental health problems, coupled with a scarcity of mental health care. There is growing concern for the mental health of the adolescent population within this region. There is a significant treatment gap for young people, especially those living in the most vulnerable areas. DIALOG+ is a low-cost patient-centered intervention that can potentially improve the delivery of care and quality of life for adolescents with mental health problems.

Objective

This exploratory randomized controlled trial aims to evaluate the effectiveness, acceptability, and feasibility of an adapted version of the DIALOG+ intervention (DIALOG-A) in the community treatment of Colombian adolescents with depression and anxiety.

Methods

In total, 18 clinicians and 108 adolescents will be recruited from primary health care services in Bogota and Duitama, Colombia. Clinicians will be randomized 2:1 to either the intervention (12 clinicians:72 adolescents) or control group (6 clinicians:36 adolescents). In the intervention arm, clinicians will use DIALOG-A with adolescents once per month over 6 months. The control arm will continue to receive routine care. Outcomes will be measured at baseline, 6 months, and 9 months following randomization. Semistructured interviews with all clinicians and a subset of adolescents in the intervention arm will be conducted at the end of the intervention period. Quantitative and qualitative analysis of the data will be conducted.

Results

Trial recruitment was completed toward the end of October 2022, and follow-up is anticipated to last through to October 2023.

Conclusions

This is the first study to test an adapted resource-orientated intervention (DIALOG-A) in the treatment of adolescents with depression and anxiety attending primary care services. If the results are positive, DIALOG-A can be implemented in the routine care of adolescents with these mental health problems and provide valuable insight to other middle-income countries.

Trial Registration

ISRCTN Registry ISRCTN13980767; https://www.isrctn.com/ISRCTN13980767?q=ISRCTN13980767

International Registered Report Identifier (IRRID)

DERR1-10.2196/43401
Validation of a digital algorithm for clinical staging to support stratification in youth mental health services: Proof-of-concept study (Preprint)
Authors: Chong Min Kyung , Hickie Ian B , Cross Shane P , McKenna Sarah , Varidel Mathew , Capon William , Davenport Tracey A , LaMonica Haley M , Sawrikar Vilas , Guastella Adam John , Naismith Sharon , Scott Elizabeth M , Iorfino Frank
Published: December 2022

BACKGROUND

As the demand for youth mental health care continues to rise, managing wait times and reducing treatment delays are key challenges to delivering timely and quality care. Clinical staging is a heuristic model for youth mental health that can stratify care allocation according to an individual’s risk of illness progression. The application of staging has been traditionally limited to trained clinicians, yet if digital technologies could be leveraged to apply clinical staging, then this could increase the scalability and utility of this model in services.

OBJECTIVE

The aim of this proof-of-concept study is to validate a digital algorithm to accurately differentiate young people at lower and higher risk of developing mental disorders.

METHODS

The cohort comprised 131 young people, aged between 16 to 25 years, who presented to youth mental health services in Australia for the first time between November 2018 to March 2021. Clinical stages (either stage 1a or stage 1b+) were allocated independently by expert psychiatrists and compared to the digital algorithm based on a multidimensional self-report questionnaire.

RESULTS

Of the 131 participants, the mean (SD) age was 20.3 (2.4) years and 94 (71.8%) were female. Ninety-one percent of clinical stage ratings were concordant between the digital algorithm and the expert ratings with a substantial interrater agreement (κ=0.67, P<.001). The algorithm demonstrated 90.8% (95% CI 85.6 – 95.2%, P=0.03) accuracy, 80.0% sensitivity, 92.8% specificity, and F1-score of 72.7%. Of the agreement, 16 young people were allocated to stage 1a, while 103 were assigned to stage 1b+. Among the 12 discordant cases, eight participants with lower levels of depressive mood (P<.001) and anxiety (P<.001) were rated lower (stage 1a) by the algorithm compared to the experts.

CONCLUSIONS

This novel digital algorithm is sufficiently robust to be used as an adjunctive decision support tool to stratify care and assist with demand management in youth mental health services. This work could transform care pathways and expedite care allocation for those in early stages of common anxiety and depressive disorders. Between 11% and 27% of young people presenting for care may be suitable for low intensity online or brief interventions, creating additional clinical capacity to be directed towards those who are stage 1b+ for further assessment and intervention.
The Use of Telehealth Among People Living With Dementia-Caregiver Dyads During the COVID-19 Pandemic: Scoping Review (Preprint)
Authors: Liang Jiaming , Aranda Maria P
Published: December 2022

BACKGROUND

Telehealth has gained substantial attention during the COVID-19 pandemic, and reimbursement policies in health care settings have increased access to remote modes of care delivery. Telehealth has the potential to mitigate care concerns for people living with dementia and their family caregivers. There is a paucity of knowledge on the performance of telehealth services and user experiences, especially among caregiving dyads during the pandemic.

OBJECTIVE

This study aims to describe the implementation, effectiveness, user experience, and barriers to accessing and using telehealth services for people living with dementia and their caregivers during the COVID-19 pandemic.

METHODS

Following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist, we searched 7 databases (PubMed, PsycINFO, AgeLine, CINAHL, Social Services Abstracts, Web of Science, and Scopus) and a web-based search engine (Google Scholar). The inclusion criteria for peer-reviewed English publications from March 2020 to August 2022 consisted of studies related to telehealth services for people living with dementia and their family caregivers and studies conducted during the COVID-19 pandemic.

RESULTS

A total of 24 articles (10 quantitative and 14 qualitative studies) from 10 different countries were included. The major findings of the reviewed articles were extracted and organized into the following 4 themes: study design characteristics—strategies were adopted to improve the accessibility and experience of people living with dementia-caregiver dyads; efficacy outcomes of telehealth services—robust evidence is lacking on the comparative effectiveness of in-person services; perceived experiences of people living with dementia and caregivers—most reviewed studies reported positive experiences of using telehealth services and perceived personal and social benefits from their participants; and barriers to accessing and using telehealth services—several barriers related to individuals, infrastructure, and telehealth environments were identified.

CONCLUSIONS

Although evidence of its effectiveness is still limited, telehealth is widely accepted as a viable alternative to in-person care for high-risk groups, such as people living with dementia and their caregivers. Future research should include expanding digital access for those with limited resources and low technology literacy, adopting randomized controlled trial designs to establish the comparative effectiveness of different modes of service delivery, and increasing the sample diversity.
Efektifitas Functional Family Therapy Pada Perilaku Bermasalah dan Tingkat Residivis Remaja: A Scoping Review
Authors: Firdasannah Astri , Borualogo Ihsana Sabriani , Kusdiyati Sulisworo
Published: December 2022

Perilaku bermasalah pada remaja masih menjadi fokus serius di seluruh dunia. Sampai saat ini masih diupayakan berbagai intervensi untuk dapat menanganinya. Salah satunya, pengembangan intervensi Functional Family Therapy (FFT) oleh Sexton dan Alexander sejak tahun 2002. Sampai saat ini pengujian efektivitas FFT masih terus dilakukan. Namun belum ada ulasan terbaru mengenai efektifitas FFT terhadap penurunan perilaku bermasalah dan kemungkinan keterlibatan lebih lanjut (tingkat residivisnya) pada remaja. Maka itu, artikel ini bertujuan untuk meninjau bagaimana hasil uji efektifitas FFT terhadap perilaku bermasalah dan tingkat residivis remaja di berbagai negara dalam kurun waktu sepuluh tahun kebelakang. Metode scoping review digunakan untuk mendapatkan bukti secara sistematis mengenai efektifitas FFT terhadap perilaku bermasalah remaja. Kesimpulan dari tinjauan literatur ini adalah FFT terbukti efektif untuk menurunkan perilaku bermasalah dan tingkat residivis pada remaja di berbagai konteks negara dan budaya. Oleh karenanya, melihat kondisi dan hasil penelitian ini FFT dapat direkomendasikan untuk diterapkan juga di Indonesia guna mengatasi masalah remaja. Adaptasi FFT dalam konteks budaya Indonesia dapat juga menambah data empirik tentang efektifitas FFT dalam konteks budaya timur, dimana saat ini baru terdapat satu implementasi yaitu di Singapura.
Anti-feminist Movement, Hegemonic Patriarchy, and Gender Equality Challenges: The Case of the Sexual Violence Elimination Bill
Authors: Alfirdaus Laila Kholid , Divina Lupyta Agra , Fitriyah Fitriyah
Published: December 2022

Challenges to gender equality in Indonesia are not only related to men and male patriarchy. Using the case of the Sexual Violence Elimination Bill, women, specifically those supported by the party affiliated with political Islam, can also hamper the promotion of women’s rights and equality. Hegemonic patriarchy explains the phenomenon through relating the rejection against the Bill to the patriarchal tendencies planted through religious institutions and teaching. The teaching that places women as a secondary creature after men and as the object of men’s authority (Imamah), is taken for granted, believed to be transcendental, turned into an ideology, and concretized through a movement against feminism. All points that try to assert women’s fundamental rights in the Bill are coined as Western values and are rejected as seen as anti-Islam. Reflecting from the case, it becomes clear that challenges towards gender equality are currently getting harder, as they come not only from patriarchal men, but also women who are hegemonized by patriarchal values and take an anti-feminist stance as part of preserving Islam. Tracing through secondary and primary sources, applying desk reviews and interviews with male and female activists, both for and against the Bill, this paper identifies that the rise of anti-feminist sentiment is rooted alongside contemporary Islamization, which has mushroomed in the post-Reformasi era, and poses new challenges to promoting gender equality.
Media Framing of Disasters and Its Implications for Tourism Industry Policy: Case of Surabaya terrorist attack 2018 and Mt. Agung eruption 2017, Indonesia
Authors: Rindrasih Erda
Published: December 2022

Tourist destinations worldwide are periodically jeopardised by natural disaster events that threaten tourists’ safety; consequently, the tourism industry is impacted. Mass media has a role to communicate and warn the public about disaster. Media portrayal on disaster events is likely to contribute to the tourism industry recovery and resilience. However, media has played a role in sending a negative message to tourists, making them hesitate to visit the destination. Limited researches have focused on how the media frames disaster events, and how policy makers could intervene. Based on analysis of media coverage of the Surabaya terrorist attack in 2018 and Mt. Agung eruption in 2017, this paper looked at how media framed disaster events and its consequences to the tourism industry policy. A content analysis of mass media from both national and international newspapers of Australia, Malaysia, and Singapore were conducted. The research identified five different framings on the two disasters, including source of problems, impact, solution, responsibility, and adaptive versus maladaptive. Findings also highlights the limited policy response towards these potentially negative media portrayal. Based on these findings, partnership between media and the government should be fostered to encourage post-disaster recovery.
Leadership Training for Student Cadres Majoring in Economics and Management
Authors: Jian Shi
Published: December 2022

The leadership of college students is an important aspect of their comprehensive quality. In order to adapt to the development trend of globalization, informatization and economic integration in modern society, the leadership education of college student cadres in colleges and universities is not only in line with the quality education advocated by the state, but also in line with the development requirements of college students themselves. In the future, most college students majoring in economic management will pay more attention to the cultivation of leadership from the economic management industry. This paper analyzes the path of leadership training for students majoring in economics and management, and makes clear what aspects of leadership quality the students majoring in economics and management should improve themselves in order to consciously improve themselves in these aspects, so as to better adapt to the needs of society.
The Economic and Social Impacts of Repaving BR 319 and their Respective Environmental Developments
Authors: Souza Luiz Henrique Castelo de , Silva Simone da
Published: December 2022

BR 319 is a highway of great importance for the state of Amazonas and for other states in the northern region, since the existence of this road directly influences social, economic and environmental aspects of the region. It is noteworthy that many people depend on this highway to move between Manaus and Porto Velho and, consequently, to connect to the rest of the country. This study presents an analysis of the economic and social benefits of the repaving of BR 319 and its respective environmental consequences. On a preliminary basis, it can be said that the reconstruction of the road will contribute to the increase in the generation of jobs and will facilitate the flow of production, favoring regional development. This study also suggests that the reconstruction of the road will result in a reduction in the cost per kilometer travelled, resulting in a decrease in road freight and a reduction in the value of bus tickets between Manaus and Porto Velho. The loss, degradation of natural habitats, fauna trampling, chemical pollution, anthropic invasion and the increase in violence were some of the negative impacts raised in this work.
Association between maximal aerobic capacity and heart rate variability
Authors: Saini Ravi , Kacker Sudhanshu , Gupta Reshu , Rao Aayushee
Published: December 2022

Relevance. Сardiovascular status could be assessed by maximal aerobic capacity (VO2max) through direct analysis of the gases involved in pulmonary ventilation and monitoring fluctuations in intervals between beats over time as heart rate variability. The aim of the study was to investigate the relationship between VO2max and heart rate variability in young adults. Materials and Methods. A total of 100 young adults between the ages of 18 and 25 were included in observational study, who did not engage in any strenuous physical activity, 50 of whom were male and 50 of whom were female.There were measured Heart rate variability in the frequency domain; LF, HF, LF/HF, and time domain; SDNN, RMSSD, pNN 50, and VO2max were assessed using a treadmill test according to Graded Exercise Protocol. Results and Discussion. There was weak positive correlation of VO2max with LF ( r = 0.177) and weak negative correlation with HF ( r = -0.141). Male participants had a weak negative relationship between VO2 max and LF ( r = -0.075), whereas female respondents had a weak positive relationship(r = 0.286). There was weak negative correlation of VO2max with LF/HF ratio for male subjects but weak positive correlation ( r = -0.101) for female subjects. For male and female participants, there was a weak negative association of VO2max with SDNN ( r = -0.170) and ( r = -0.301), respectively. Male and female participants had a weak negative association of VO2max with RMSSD, with ( r = -0.154) and ( r = -0.284) respectively. Male and female participants had a slight negative association of VO2max with pNN 50, with ( r = -0.062) and ( r = -0.441) respectively. Conclusion. Significant variations were found in the time domain and frequency domain indices including HF and LF/HF ratio which represents the balance between sympathetic and parasympathetic responses.
Bacteriología de la miel de abeja sin aguijón en Loreto, Perú
Authors: Vela-Santana Stefany Paola , Tresierra-Ayala Álvaro , Delgado Vásquez César
Published: December 2022

La manipulación inadecuada de la miel puede atribuirle características bacteriológicas perjudiciales para nuestra salud que se agudizan con la presencia de Escherichia coli. Por lo cual, el objetivo fue evaluar las características bacteriológicas de la miel de abeja sin aguijón en Loreto, Perú. En cuanto a las unidades formadoras de colonias, la miel madura fue la muestra que menos colonias presentó, con 800 UFC. Se empleó cepas de E. coli drogorresistente frente a cuatro muestras de miel madura, inmadura, colectada por el productor y envasada por el productor. E. coli logra sobrevivir hasta 32 h en las muestras de miel, mostrando una mayor capacidad antibacteriana en la miel envasada por el productor de 11,74 mm de halo inhibitorio, respecto a la concentración inhibitoria mínima y bactericida mínima, se obtuvo a 125 mg/ml siendo similares en muestras de miel madura, colectada por el productor y envasado por el productor, por lo que se necesita cuatro veces más de miel inmadura para lograr un efecto similar. La miel de meliponidos en nuestro estudio muestra efecto inhibitorio sobre el crecimiento de E. coli drogorresistente, por lo que su potencial uso medicinal es muy prometedor.