bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of Ginger (Zingiber officinale) Extract Ointment on Pain and Episiotomy Wound Healing in Nulliparous Women: A Randomized Controlled Clinical Trial
Authors:   1-	Fatemeh Cheshfar, Bani Soheila , Mirghafourvand Mojgan. , Hasanpour Shirin , Javadzadeh Yousef
Published: April 2022

Background: An episiotomy is a common midwifery surgery that may cause severe pain and discomfort for mothers. Iran is a country with an abundant source of medicinal plants. This study hence aimed to investigate the effects of ginger (Zingiber officinale) extract ointment on the inflammation, pain, and recovery of an episiotomy incision in order to improve the quality of midwifery care in nulliparous women.Method: This triple-blind randomized clinical trial was conducted in a public hospital of Marand, Iran, on 70 nulliparous women with a mediolateral episiotomy incision. Those who met the inclusion criteria were randomly assigned to two groups of ginger extract ointment and placebo ointment at a 1:1 allocation ratio. The REEDA (redness, edema, ecchymosis, discharge, and approximation) scale and a Visual Analogue Scale (VAS) were employed to measure the episiotomy healing rate and the mean severity of pain, respectively, before discharge and 5±1 and 10±1 days after the intervention. The collected data were statistically analyzed by the chi-square test, the independent t-test, and the Mann-Whitney U test (in the case of non-normal distribution of data) in SPSS-18. The confidence level and the significance level in all statistical tests were determined to be 90% and p≤0.05, respectively.Results: There was no significant difference between participants treated with ginger extract ointment and those treated with placebo ointment in the wound healing score before the intervention (p=0.894), 5±1 days after the intervention (p=0.695), and 10±1 days after the intervention (p=0.986). There was also no significant difference between the two groups in the mean severity of pain before the intervention (p=0.924), 5±1 days after the intervention (p=0.576), and 10±1 days after the intervention (p=0.400). Conclusion: The study findings revealed that the 200 mg dose of ginger ointment could not significantly improve the pain and increase the healing rate of episiotomy wounds 5 and 10 days after the intervention. It seems that more and longer studies with different doses of this ointment are needed before coming to a definitive conclusion about its effects.Trial Registration: IRCT Registration Number: IRCT20110922007618N9, registered on August 14, 2020 (IR.TBZMED.REC.1399.333)
Multifractal Spin-Glass Chaos Projection and Interrelation of
Multicultural Music and Brain Signals
Authors: Berker Ahmet
Published: April 2022

A complexity classification scheme is developed from the fractal spectra of spin-glass chaos and demonstrated with multigeographic multicultural music and brain electroencephalogram signals. Systematic patterns are found to emerge. Chaos under scale change is the essence of spin-glass
ordering and can be obtained, continuously tailor-made, from the exact renormalization-group solution of Ising models on frustrated hierarchical lattices. The music pieces are from Turkish music, namely Arabesque, Rap, Pop, Classical, and Western music, namely Blues, Jazz, Pop, Classical. A
surprising group defection occurs.
Application of an adaptable multimodal machine learning approach to predict COVID-19 outcomes for hospital resource management
Authors: Gómez-Zorrilla Silvia , López-Montesinos Inmaculada , Pérez Eva , Pomés Pau , Sorli Maria Luisa , Güerri-Fernández Robert , Grau Santiago , Márquez Albert , Martínez-Roldán Jordi , Principe Alessandro , Horcajada Juan P.
Published: April 2022

Beyond the health consequences, coronavirus disease 2019 (COVID-19) has shown the inadequacies and limitations of healthcare systems all over the world. Predictions of good and bad outcomes could improve lockdown and curfew policies and reduce the COVID-19 health impact. We describe a multimodal machine learning (ML) approach for predicting early hospital discharge and other key clinical outcomes, such as respiratory worsening, intensive care unit admission or the need for rescue therapy. Using this model, our hospital occupancy could have decreased by about 50% during the first wave of the pandemic. Our model used both raw laboratory results (LR) and electronic health records (EHR), which allow better anticipation of worsening through selective reporting of LRs. Our approach could be a useful, customizable, and adaptable hospital resource management tool, especially to assist in interventions targeted at reducing COVID-19 infection rates.
AWARENESS AND IMPLEMENTATION OF THE ANTI-BULLYING LAW AMONG SECONDARY SCHOOLS IN NORTHEASTERN CAGAYAN
Authors:   Cagayan State University-Gonzaga CampusCagayan Province, Philippines., B. Pinera Jomel , Theda M. Mercado Ma. ,   Cagayan State University-Gonzaga CampusCagayan Province, Philippines., Chriscelle L. Seguritan Louraine ,   Cagayan State University-Gonzaga CampusCagayan Province, Philippines., E. Malazzab Ohlie ,   Cagayan State University-Gonzaga CampusCagayan Province, Philippines.
Published: April 2022

Bullying in schools is a worldwide problem that can have negative consequences for the general school climate and for the rights of students to learn in a safe environment without fear. This study was conducted to determine the level of awareness and level of implementation on the Anti-Bullying Law and determine whether there is a significant difference on the awareness and implementation level as perceived by the respondents to provide recommendations to effectively deal with bullying incidence. The study uses a descriptive and correlation research design. There were 408 respondents of the study composed of teachers and students from secondary schools in Northeastern Cagayan.The findings indicates that the respondents are very much aware on the different forms of bullying like physical, written and cyber forms of bullying including the legal implications, prohibited acts and the prevention and intervention measures on bullying as well as the duties and responsibilities of the stakeholders in the implementation of the law except for the verbal form of bullying.The respondents perceived that physical and cyber form of bullying together with the prohibited acts, prevention and intervention programs and the duties and responsibilities of the stakeholders of the law are very much implemented while verbal, written form and the legal implications is perceived to be much implemented.Finally, the finding indicates that there is no significant difference on the level of awareness but there is a significant difference between respondents assessments on the implementation of the law.Based from the findings, it is recommended that there shall be a continuous education drive to students about the Anti-Bullying Law with emphasis on the verbal and written form of bullying including its legal implications and school principal and teacher should intensify the implementation of the Anti-Bullying Law particularly on the verbal and written forms of bullying.
CONFLICT MANAGEMENT STRATEGY AT MTS SATU ATAP IN LAMPUNG PROVINCE
Authors:   Post-Graduate Program of Islamic Education Management Study Program, Raden Intan State Islamic University of Lampung, Indonesia., Ratna Mustika Fawziana , Patimah Siti ,   Post-Graduate Program of Islamic Education Management Study Program, Raden Intan State Islamic University of Lampung, Indonesia., Isnaini Ahmad ,   Post-Graduate Program of Islamic Education Management Study Program, Raden Intan State Islamic University of Lampung, Indonesia., a Yuberti ,   Post-Graduate Program of Islamic Education Management Study Program, Raden Intan State Islamic University of Lampung, Indonesia.
Published: April 2022

The main objective of this research is to analyze the conflict management strategy of MTs Satu Atap in Lampung Province. This research is descriptive research with a qualitative approach. The analysis found that, in general, the conflict management strategy has been implemented well at MTs Satu Atap in Lampung Province, namely 1) stimulating conflict, 2) reducing or suppressing conflict, and 3) resolving conflict. Stimulating conflict is the most frequently used conflict management strategy at MTs Satu Atap in Lampung Province. Conflicts might emerge due to boredom, decreased performance, no increase in competence, decreased creativity, lack of innovation, and setbacks in finding new ideas. Therefore, it is necessary to present new challenges that stimulate conflict, which will lead to increased morale, creativity, innovation, insight, and abilities of the MTs Satu Ataps members in Lampung Province.
URBAN EXTENSION AND RECONVERSION OF URBAN MARKETS IN ANGREEXTENSION
Authors:   Teacher-Researcher, System Space and Prospective Research Team (ERESP), Institute of Tropical Geography (IGT), University Felix Houphouet-Boigny Abidjan-Cocody (Cote dIvoire)., Gnangoran Alida Therese Adou , Thomas Goze ,   Teacher-Researcher, System Space and Prospective Research Team (ERESP), Institute of Tropical Geography (IGT), University Felix Houphouet-Boigny Abidjan-Cocody (Cote dIvoire).
Published: April 2022

The urban dynamics have been very important over the last two decades in the town of Abidjan.The front pioneers of these spatial extension phenomena are the peripheries which areexpanding to meet the high demand for housing of the Abidjanese and which are often underequipped with commercial infrastructures. Angre extension, a residential area located to the north of the municipality of Cocody, is part of this dynamic of demographic pressure and arecomposition of urban markets to adapt to the consumption needs of resident populations. This research therefore focuses on the impact of the spatial expansion of the town of Abidjan through commercial activity in the quarter of Angre extension. To achieve this, the methodology was based on documentary research and a field survey involving observation and a questionnaire survey of 80 shopkeepers and 70 local customers who are heads of households in the study area. The results of our analysis revealed that under the effect of the urban expansion of the city of Abidjan, the urban markets in Angre extension are undergoing a reconfiguration whose dynamics are based on multiple attractive independent commercial centers. The promoters are private individuals of diverse cultural origins. Beyond the permanent supply of foodstuffs and other consumer goods, these urban markets strongly influence the structure of this residential neighborhood and considerably modify the lifestyle of its residents.
BRADYKININ MEDIATED ANGIOEDEMA DURING PREGNANCY CASE REPORT
Authors: Safae Badsi , Fatima Zohra Louzali , Nisrine Benaouicha , Najia Zeraidi , Amina Lakhdar , Aicha Kharbache , Aziz Baidada
Published: April 2022

Angioedemaisdefined as a non-inflammatory, localized, transientedema of the subcutaneous and/or submucosal tissues, thatappearswithin a few hours and disappearscompletelyafter the attack. Bradykinin-mediatedangioedemais rare, accounts for 1% of angioedemas and canbe life-threateningwhenit affects the upperairways. It must bedifferentiatedfromallergic histamine-mediatedangioedema, which carries a risk of anaphylaxis, and the more common non-allergic histamine-mediatedangiÃ…Â“dema, whichisonlyexceptionally life-threatening. Lack of knowledge of thispathologycan lead to the administration of treatmentsusuallyused to treatupperairway oedema but ineffective in the case of bradykininmediatedangioedema (corticosteroids, antihistaminic, adrenaline). Thus, anyangiÃ…Â“demaoccurringabove the shoulders and not or incompletelyresponding to anaphylaxistreatment should lead to the suspicion and the treatment of bradykinin-mediatedangiÃ…Â“dema and to the administration of a specifictreatment. Evenminorsurgery, any invasive diagnostic procedure, pregnancy, and physical or emotional stress can trigger an angioedemaattack.We report the case of a patient from the ObstetricGynecologyDepartmentatCHU IBN SINA in RABAT.
Patient-reported Outcome Measures in Perianal Fistulizing Crohn’s
Disease
Authors: Queiroz Natália Sousa Freitas , Garcia Karoline Soares , Miranda Eron Fabio , Kotze Paulo Gustavo
Published: April 2022

Perianal fistulizing Crohn’s disease (PFCD) is a disabling complication of Crohn’s dis-ease (CD) that can significantly impact the patients’ quality of life (QoL) and often requires multi-disciplinary care. Clinical trials assessing the efficacy of medical and surgical interventions for fis-tulas usually evaluate outcomes such as the closure of fistula tracts or radiologic healing. However, these traditional outcome assessments fail to capture the impact of the disease from patients’ per-spectives. In this context, regulatory authorities have increasingly encouraged the inclusion of vali-dated patient-reported outcomes (PRO) that assess disease activity and reveal how a patient func-tions and feels. This recent trend toward patient-centered care aims to ensure that improvements in efficacy outcomes are accompanied by meaningful benefits to patients. The aim of this review is to discuss currently available PRO measures (PROMS) for the assessment of PFCD to provide physi-cians with appropriate tools aiming to optimize patient care and disseminate the use of these in-struments in clinical practice.
Monitoring and Evaluation of Antibiotic Resistance Pattern of Escherichia coli Isolated from Drinking Water Sources in Ardabil Province of Iran
Authors: Ghabalo Ali Panjalizadeh , Safarkar Roya
Published: April 2022

Background and Objective:

Antibiotic resistance is rapidly spreading among bacteria, such as Escherichia coli, which have been discharged into water sources by humans and animals, in part due to genes carried by integrons. The goal of this study was to track and assess the pattern of antibiotic resistance among Escherichia coli strains isolated from drinking water sources in Iran’s Ardabil province.

Methods:

Escherichia coli strains were isolated and identified using standard biochemical and microbiological techniques from Ardabil province’s water supply sources in 2019 and 2020. The class 1 integron gene was detected using the polymerase chain reaction (PCR). The disk diffusion method was used to determine antibiotic resistance and sensitivity.

Results:

The Int I gene was found in 47 out of 200 isolates (23.5%). The antibiotic streptomycin had the highest resistance (100%), whereas gentamycin, ciprofloxacin, tobramycin, tetracycline, cefipime, imipenem, meropenem, chloramphenicol, and trimethoprim-sulfamethoxamide had the lowest resistance. Gentamycin, ciprofloxacin, tobramycin, tetracycline, cefipime, imipenem, meropenem, and trimethoprim-sulfamethoxazole, on the other hand, had the highest sensitivity of 100%, while streptomycin had the lowest (0%). Also, the highest level of pollution of Escherichia coli in drinking water supply sources in the province is in Parsabad city (42.86%), and the lowest level of pollution is in Kosar city (6.67%).

Conclusion:

According to the findings of this study, the high prevalence of Escherichia coli strains resistant to the antibiotic streptomycin circulating in water sources should be considered a major problem in terms of antibiotic resistance spreading among bacteria in water.
A Detailed Review of Various Herbal Treatment Options for Potentially Curing or Ameliorating Pain in Diabetic Neuropathy
Authors: Wal Pranay , Singh Priya , Sinha Aparna
Published: April 2022

Diabetes mellitus (DM) is a group of metabolic disorders associated with hyperglycemia due to deficient insulin secretion, insulin action, or both. During 2008 out of 36 million deaths due to non-communicable diseases, 1.3 million deaths alone were causative of DM, suggesting it to be a significant public health problem, reaching epidemic proportions globally. Diabetic Neuropathy is na common complication of DM. Pathophysiology of DN involves the interplay of metabolic and vascular factors, with the principal factor being hyperglycemia. Since DN is a prevalent, disabling condition associated with nerve injury, efficient treatments include glycaemic control and pain management. The ancient scriptures like Charak Samhita and contemporary pharmacology have corroborated the vast medicinal potential of herbal plants for achieving a more holistic treatment for several ailments. One of the primary objectives of the current review was to provide collective data on the available pharmacological evidence of selective herbal plants for future clinical translation. Besides, the herbal extracts used for the studies need to be standardized as per the standard protocols essential for understanding the intricate effect of specific phytoconstituent on the biomolecular level and for the clinical dose fixation for promoting the reproducibility of results
Venomous Peptides as Cardiac Ion Channel’s Modulators
Authors: Yerramsetty Sree Vandana , Chopra Hitesh , Pangi Viajaya Nirmala , Pallaval Veera Bramhachari , Jaganathan Anitha , Mohanta Yugal Kishore , Kamal Mohammad Amjad , Junapudi Sunil
Published: April 2022

Venoms from the deadliest animals, including spiders, scorpians, bees, and centipedes, are
composed of a complex mixture of various peptides developed to catch prey and defend other animals.
Venoms are composed of several bioactive molecules such as proteins and peptides that modify physiological
conditions in other organisms. These bioactive peptides penetrate tissues and blood vessels to
encounter numerous receptors and modulate ion channel their activities. Venoms are used to treat various
medical issues, including cardiovascular diseases. Venom peptides regulate several ion channel
behaviors, such as voltage-gated sodium (Nav), calcium (Cav) and potassium (Kv) channels, and are set
as a therapeutic approach. In this perspective, we emphasize the effect of isolated lethal venomous peptides
on cardiac ionic channels and their mechanisms of action for the cure. We also summarize the
highlights and molecular details of their toxin-receptor interactions and prospects to develop peptide
therapeutics for respective cardiac electrophysiological diseases.
Dos malefícios da bondade
Authors: Silva Sofia de Sousa
Published: April 2022

This article aims to analyze the conflict between beauty and goodness, which unfolds in an opposition between uselessness and utility, in the work of the Portuguese poet Adília Lopes. The risks of valuing goodness with regard to politics and the idea of salvation of the world are then discussed
A “terrível beleza” de algumas imagens ou uma possibilidade frágil de salvação
Authors: Ferreira Vítor
Published: April 2022

: Based on the reflections of Susan Sontag, Byung-Chul Han, and Pedro Eiras, this essay examines the photographic projects Gastropoda (2009-16) and Kintsugi (2021), developed by Joan Fontcuberta, intending to reflect on concepts such as beauty, time, and salvation.
Water Quality Assessment at Tanggulangin Cultural Park
Authors:   Tomsk Polytechnic University, Adiyaksa Ilham Putra
Published: April 2022

Tanggulangin Cultural Park is a new facility provided by the local government as a recreational facility for residents. Along the way, many people use the area to boost the economy, by selling food, drinks, and so on. So it can be ascertained that water is a material that is used every day. Many residents use water from the Tanggulangin Cultural Park area for the production process of food, beverages, and other purposes, so it is necessary to know the water quality in the park, physically, chemically, and microbiologically. This research was conducted in October-November 2021 by testing the parameters of temperature, turbidity, pH, water hardness, and total coliform. The results obtained are water temperatures of 34.6 and 31.6oC, turbidity of 2.87 NTU and 3.08 NTU, pH of 7.08 and 6.92, water hardness of 1.28 mg.L-1 and 1.32 mg.L-1, and total coliforms of 7.8 CFU/100 ml and 6.8 CFU/100 ml. In general, all these parameters are still below the standard of the Regulation of the Minister of Health of the Republic of Indonesia. No. 32 of 2017. However, attention must be paid to the presence of total coliform content in water.
Analysis of body type, dietary intake, and cardiorespiratory function in college soccer players
Authors: Puspaningtyas Desty Ervira , Afriani Yuni , Mahfida Silvi Lailatul , Farmawati Arta , Kushartanti Wara
Published: April 2022

This study aims to analyze body type, dietary intake, and cardiorespiratory function of college soccer players. A total of 32 players (20 players from Yogyakarta State University and 12 players from Gadjah Mada University) were involved in this study. The study was carried out in April - June 2014. Body type, or somatotype, was calculated based on anthropometric measurements (weight, height, epicondylar humerus and epicondylar femur width, arm and calf circumference, and subcutaneous fat thickness). 24-hour food recall was used to measure the athlete's dietary intake. VO2max was used to describe the athlete's cardiorespiratory function, and it was measured by yo-yo intermittent recovery test level 2. The data were analyzed descriptively using statistical software. More than three-quarter of the players had normal nutritional status with body mass index=21.54±1.84. The majority player's body type was balanced mesomorph (2.6-4.4-2.7). Balanced mesomorph players and ectomorphic mesomorph players had adequate energy and protein intake (2,623.83 kcal energy and 75.82 g protein for balanced mesomorph players; 2.724.68 kcal energy and 84.83 g protein for ectomorphic mesomorph players). Ectomorphic mesomorph players had the highest VO2max level (52.37±2.61 ml/kg/min). Soccer players with a mesomorph component supported by good energy and protein intake have the most optimal VO2max level.
The effect of exercise model and limb length on the accuracy of kuda service in sepak takraw
Authors: Marpaung Hakim Irwandi , Suryansah Suryansah , Siregar Abdul Hakim
Published: April 2022

This study aims: (1) the differences in the effect of static and dynamic targets on the accuracy of kuda service; (2) the effect long and short limb on the accuracy of kuda service; and (3) the interaction between of static, dynamic targets and limb lengths (long and short) on the accuracy of kuda service by sepak takraw male players. This study method was an experimental research factorial design. The population was 32 athletes from PSTI Club Sleman and Bantul. 24 samples were chosen based on Slovin formula using the simple random sampling method. Data were collected through pretest and posttest by measurement leg length and service accuracy ability tast. Analyzed using analysis of variance (two-way AN0VA) at the significant level of α = 0.05. Results showed that: (1) there was a significant difference in effect of static dynamic targets on accuracy of kuda service; (2) there was significant differenceein effect long short limbs on accuracy of kuda service; (3) there was a significant interaction between of static, dynamic targets and limb length (long and short) to the accuracy of kuda service in sepak takraw male players.
The experience and substance of aquatic activities learning in elementary schools from the perspective of physical education teachers
Authors: Hermawan Hedi Ardiyanto , Subagyo Subagyo , Utami Nur Sita
Published: April 2022

The objective of this phenomenological research is to describe the substance of aquatic activities learning based on the experience of elementary school physical education teachers in Yogyakarta City in carrying out aquatic activities learning. Ten elementary school physical education teachers in Yogyakarta City agreed to participate in this study. The research subjects were selected with the snowball sampling technique. A qualitative approach was used in data collection and data analysis. Open interviews were conducted based on the interview guide instrument. Data analysis techniques based on the Miles and Huberman model include data reduction, data display, and conclusion drawing/verification. The data obtained are the experience of physical education teachers in carrying out aquatic activities learning and the substance of aquatic activities learning for physical education teachers. Every word during the interview was recorded and rewritten for further analysis. The grouping process used Atlas.ti 22 software. The themes that emerge from the analysis consist of: (1) the learning process of aquatic activities; (2) parental support; (3) obstacles to learning aquatic activities; and (4) the substance of aquatic activities learning. The researchers see this phenomenon based on the Theory of Planned Behavior. The teachers’ decision to conduct aquatic activities learning does not depend on its substantiality only. However, aquatic activities learning needs the support of parents and schools.
The effect of online-based assignment responses and student creativity in PJOK during pandemic in rural and urban area
Authors: Padli Padli , Kiram Yanuar , Arifianto Irfan , Setiawan Yogi , Haryanto Jeki , Lesmana Heru Syarli
Published: April 2022

Creativity is an ability that must not be lost during a pandemic. The purpose of this study is to find out whether there is an influence of online-based task responses to students' creativity during the pandemic period and the difference is based on students living in rural and urban area. This type of research is a mixed method collected through an online-based assignment response questionnaire instrument, student creativity questionnaire instrument, and interview instruments. The sample of this study was a student of the 2017 physical education, health and recreational education program at Padang State University with a number of 68 students. The data analysis technique in this study uses descriptive statistical testing and simple linear regression testing. The results of this study indicate that there is an influence between online-based task response to 51.5% creativity. Furthermore, online task-based response category is either dominated by students living in urban areas with a percentage of 72.2%. Then review based on student creativity during a pandemic period for students living in urban areas categorized both with a percentage of 84.2% while students who live in ranked are considered less good with a percentage of 54.5%. This research is expected to contribute to the world of education today and can change the perspective of the community or an individual regarding the positive impact of the online assignment given to students in the pandemic period.
Influence of walking football on decreasing cholesterol and blood glycemic level
Authors: Siswantoyo Siswantoyo , Putro Kukuh Hardopo , Ndayisenga Japhet , Kumar Rajesh , Latif Rozita Abdul
Published: April 2022

The aims of this research to determine the impact of walking football on cholesterol and glycemic management in order to allow people to live healthily. This research is an experimental study with quantitative approach. The research sampling was 12 subjects from different category: (1) International students, (2) Local students, and employed persons. Technique collecting data using playground of futsal to assess variables like glycemic and cholesterol. Data analysis using independent test sample. To evaluate the subjects’ health condition, the research proceeded by pre-test first, for the second step a walking football was given during 12 weeks within 3 times per week. After the training a posttest has been provided to check the improvement of the subject’s health. The result showed that there is a strong different between pre-test and posttest on glycemic level with P (0.000) inferior to 0.05. Second there was a significant different from pre-test and posttest cholesterol data within P (0.000) inferior to 0.05. The walking football is a strong tool to help people at the different age to maintain their good condition but also to allow good performance for athletes. Walking football is very easy to apply and provide happiness
Construyendo un plan de trabajo para fortalecer la resiliencia socioecológica del cono sur del Atlántico: Fase I. Metodología Tisere
Authors: Forero Larrañaga Oscar Alfredo , Villota Caicedo Claudia Patricia , Buendía Grigoriu Corina , Yepes Vargas Luz Andrea , Silva Acosta Gabriel Ernesto , Del Toro Aparicio Jorge Mario del Toro Aparicio , Berrocal Atilano José Hilario , Hernández Villamizar Anais Cristina , Henriquez Crespo Ricardo José
Published: April 2022

La metodología Tisere para desarrollo o fortalecimiento de sistemas territoriales de innovación (STI) comprende tres fases. Durante la primera, los actores territoriales evalúan sus capacidades y competencias respecto de la resiliencia socioecológica. Durante la segunda, acuerdan un plan de acción de acuerdo con el resultado de la evaluación. Y, durante la tercera, gestionarán la financiación de programas y proyectos específicos de acuerdo con el plan acordado. No obstante ser de universal aplicación y fácilmente adaptable, la metodología Tisere fue diseñada para facilitar la implementación del Sistema Nacional Agropecuario en Colombia que ordena la creación de STI (Ley 1876de 2017). La metodología Tisere está diseñada para facilitar la gestión integral y adaptativa de los territorios. Es mediante la evaluación y los acuerdos resultantes que se asegura que los programas y proyectos de mediano y largo plazo sean acordes con la vocación ambiental del territorio, los objetivos de desarrollo territorial y que reflejen los deseos y aspiraciones de los actores territoriales. Este manuscrito tiene una utilidad formativa y una práctica. Formativa, pues demuestra cómo se analizan y se presentan los resultados de la evaluación resiliencia. Práctica, como instrumento de seguimiento al plan de trabajo acordado por los actores territoriales de este magnífico territorio.
Pasto Agrosavia Caporal (Urochloa brizantha CIAT 26124): Gramínea forrajera de buena calidad nutritiva para los sistemas ganaderos de la Orinoquia colombiana
Authors: Rincón Castillo Álvaro , Peters Michael , Pérez López Otoniel , Pardo Barbosa Óscar , Cerinza Murcia Óscar Javier , Villalobos Bermúdez Mayra Alejandra , Sotelo Cabrera Mauricio Efrén , Burkart Stefan , Enciso Valencia Karen Johanna
Published: April 2022

Con el propósito de ofrecer nuevas opciones forrajeras a los ganaderos de las zonas bien drenadas de la Orinoquia, se presenta al pasto Agrosavia Caporal, una gramínea que pasó por un proceso intensivo de selección y que cumplió con las normas establecidas por el Instituto Colombiano Agropecuario (ICA). Mediante La Alianza de Bioversity International y el Centro Internacional de Agricultura Tropical (CIAT) y la Corporación Colombiana de Investigación Agropecuaria (AGROSAVIA), se hicieron las pruebas agronómicas en varias localidades, durante las actividades llevadas a cabo en la Red de Brachiaria. Dentro de los atributos de esta gramínea se encuentran su buena adaptación a las condiciones de suelos ácidos, tolerancia a plagas y enfermedades, y buena producción de forraje de buena calidad nutritiva. Al realizar las evaluaciones de esta gramínea bajo pastoreo, se destacó su buena recuperación al pisoteo y al consumo por parte de los bovinos, así como su persistencia con un buen manejo de carga animal y con periodos de pastoreo y producción de carne bovina durante las épocas lluviosa y seca. Este pasto pertenece a la especie Urochloa brizantha (syn. Brachiaria brizantha), que se caracteriza por su adaptación a los suelos ácidos y bien drenados de los Llanos Orientales, y su respuesta en producción y calidad de forraje está relacionada con la fertilidad del suelo. Por estas razones, se presenta como una alternativa forrajera para sistemas de producción intensivos que necesitan optimizar la productividad ganadera en suelos mejorados con cultivos o con la aplicación de fertilización de establecimiento y mantenimiento, y que asegure la disponibilidad de abundante forraje con buena concentración de minerales, para reducir de esta manera los riesgos de degradación de praderas.
Effectiveness of an Online Peer Gatekeeper Training Program for Postsecondary Students on Suicide Prevention in Japan: Protocol for a Randomized Controlled Trial
Authors: Nozawa Kyosuke , Ishii Ayaka , Asaoka Hiroki , Iwanaga Mai , Kumakura Yousuke , Oyabu Yuri , Shinozaki Tomohiro , Imamura Kotaro , Kawakami Norito , Miyamoto Yuki
Published: April 2022

Background

Postsecondary student suicide is one of Japan’s most severe public health problems. Gatekeeper training (GKT) programs are a generally recommended suicide prevention intervention in Japan. For suicide countermeasures, an online program tailored to students may enhance self-efficacy as a gatekeeper.

Objective

This study aims to describe a research protocol to investigate the effect of a newly developed internet-delivered online peer GKT program to improve postsecondary student self-efficacy as gatekeepers for suicide countermeasures in Japan.

Methods

This study is a 2-arm, parallel, randomized controlled trial with a 1:1 (intervention: waiting list) allocation. Participants (n=320) will be recruited, and those who meet the inclusion criteria will be randomly allocated to the intervention or waiting list control group. An approximately 85-minute, 6-section, internet-based gatekeeper program for postsecondary students has been developed that includes videos to help participants acquire skills as gatekeepers. The intervention group will complete the program within 10 days. The primary outcome, self-efficacy as a gatekeeper, is measured using the Gatekeeper Self-Efficacy Scale at baseline, immediately after taking the program, and 2 months after the survey after completing the program follow-up. To compare the primary outcomes, a t test, where the significance level is 5% (2-sided), will be used to test the intervention effect on an intention-to-treat basis.

Results

The study was at the stage of data collection at the time of submission. We recruited participants for this study during August and September 2021, and data collection will continue until December 2021. The data analysis related to the primary outcome will start in December 2021, and we hope to publish the results in 2022 or 2023.

Conclusions

This is the first study to investigate the effectiveness of an online GKT program for postsecondary students to improve self-efficacy as a gatekeeper using a randomized controlled trial design. The study will explore the potential of an online peer gatekeeper program for postsecondary students that can be disseminated online to a large number of students with minimal cost.

Trial Registration

University Hospital Medical Information Network Clinical Trials Registry UMIN000045325; https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000051685

International Registered Report Identifier (IRRID)

DERR1-10.2196/34832
The Mutual Influence of the World Health Organization (WHO) and Twitter Users During COVID-19: Network Agenda-Setting Analysis (Preprint)
Authors: Tahamtan Iman , Potnis Devendra , Mohammadi Ehsan , Singh Vandana , Miller Laura E
Published: April 2022

BACKGROUND

Little is known about the role of the World Health Organization (WHO) in communicating with the public on social media during a global health emergency. More specifically, there is no study about the relationship between the agendas of the WHO and Twitter users during the COVID-19 pandemic.

OBJECTIVE

This study utilizes the network agenda-setting model to investigate the mutual relationship between the agenda of the WHO’s official Twitter account and the agenda of 7.5 million of its Twitter followers regarding COVID-19.

METHODS

Content analysis was applied to 7090 tweets posted by the WHO on Twitter from January 1, 2020, to July 31, 2020, to identify the topics of tweets. The quadratic assignment procedure (QAP) was used to investigate the relationship between the WHO agenda network and the agenda network of the 6 Twitter user categories, including “health care professionals,” “academics,” “politicians,” “print and electronic media,” “legal professionals,” and the “private sector.” Additionally, 98 Granger causality statistical tests were performed to determine which topic in the WHO agenda had an effect on the corresponding topic in each Twitter user category and vice versa.

RESULTS

Content analysis revealed 7 topics that reflect the WHO agenda related to the COVID-19 pandemic, including “prevention,” “solidarity,” “charity,” “teamwork,” “ill-effect,” “surveillance,” and “credibility.” Results of the QAP showed significant and strong correlations between the WHO agenda network and the agenda network of each Twitter user category. These results provide evidence that WHO had an overall effect on different types of Twitter users on the identified topics. For instance, the Granger causality tests indicated that the WHO tweets influenced politicians and print and electronic media about “surveillance.” The WHO tweets also influenced academics and the private sector about “credibility” and print and electronic media about “ill-effect.” Additionally, Twitter users affected some topics in the WHO. For instance, WHO followers affected “charity” and “prevention” in the WHO.

CONCLUSIONS

This paper extends theorizing on agenda setting by providing empirical evidence that agenda-setting effects vary by topic and types of Twitter users. Although prior studies showed that network agenda setting is a “one-way” model, the novel findings of this research confirm a “2-way” or “multiway” effect of agenda setting on social media due to the interactions between the content creators and audiences. The WHO can determine which topics should be promoted on social media during different phases of a pandemic and collaborate with other public health gatekeepers to collectively make them salient in the public.
Content recommendation systems in mental healthcare: Practical application and formative evaluation (Preprint)
Authors: Chaturvedi Akhil , Aylward Brandon , Shah Setu , Graziani Grant , Zhang Joan , Manuel Bobby , Telawa Emmanuel , Froelich Stefan , Baruwa Olalekan , Kulkarni Prathamesh (Param) , Ξ Watson , Kunkle Sarah
Published: April 2022

BACKGROUND

Recommender systems have great potential in mental health care to provide self-guided content to supplement the mental health journey for patients scalably; however, traditional filtering approaches often have skewed input data distributions, are static or may not account for changes in symptoms and clinical presentation. In this study, we describe and evaluate two knowledge-based content recommendation system models as part of Ginger, an on-demand mental health platform that seek to address the issues above.

OBJECTIVE

In this study, we describe and evaluate two knowledge-based content recommendation system models as part of Ginger, an on-demand mental health platform that seek to address the issues above.

METHODS

We developed two models to provide content recommendations for the Ginger mental health app content. First, a method that uses members' responses to onboarding questions to recommend content cards from the content library of the mental health platform. Second, a dynamic conversation-based recommendation method that matches the semantic similarity between the content of a conversation and the text description of content cards to make recommendations suitable for a conversational snippet. As a measure of success for these recommendation models, we examined the relevance of content cards to members’ conversations with their coach and completion rates of selected content within the app measured over 14018 users.

RESULTS

Conversation-based recommendation models performed better than random recommendations for all lengths of conversational sessions considering fractions of relevant cards as well as very relevant cards. In an offline analysis, conversation-based recommendations had a 16.1% higher relevance rate (for the top 5 recommended cards) averaged across sessions of varying lengths as compared to a random control algorithm. Comparing completion rates of content delivered in the app to over 14018 users, conversation-based content recommendations that had 11.4% higher completion rates per card than onboarding response based recommendations (P=.003) and 26.1% higher than random recommendations (P=.005)).

CONCLUSIONS

Recommender systems can help scale and supplement digital mental health care with relevant content and self-care recommendations. Conversation-based recommendation models allow for dynamic recommendations based on information gathered during the course of text-based coaching sessions, which is a critical capability given the changing nature of mental health over the course of treatment.
Using Clinical Data Visualizations in Electronic Health Record User Interfaces to Enhance Medical Student Diagnostic Reasoning: Randomized Experiment (Preprint)
Authors: Cheng Lucille , Senathirajah Yalini
Published: April 2022

BACKGROUND

In medicine, the clinical decision-making process can be described using the dual-process theory consisting of the fast, intuitive “System 1,” commonly seen in seasoned physicians, and the slow, deliberative “System 2,” associated with medical students. System-1—type diagnostic reasoning is thought to be less cognitively burdensome, thereby reducing physician error. To date, limited literature exists on inducing System-1–type diagnosis in medical students through cognitive heuristics, particularly while using modern electronic health record (EHR) interfaces.

OBJECTIVE

In this experimental pilot study, we aimed to (1) attempt to induce System-1—type diagnostic reasoning in inexperienced medical students through the acquisition of cognitive user interface heuristics and (2) understand the impact of clinical patient data visualizations on students' cognitive load and medical education.

METHODS

The participants were third- and fourth-year medical students recruited from the University of Pittsburgh School of Medicine who had completed 1+ clinical rotations. The students were presented 8 patient cases on a novel EHR, featuring a prominent data visualization designed to foster at-a-glance rapid case assessment, and asked to diagnose the patient. Half of the participants were shown 4 of the 8 cases repeatedly, up to 4 times with 30 seconds per case (Group A), and the other half of the participants were shown cases twice with 2 minutes per case (Group B). All participants were then asked to provide full diagnoses of all 8 cases. Finally, the participants were asked to evaluate and elaborate on their experience with the system; content analysis was subsequently performed on these user experience interviews.

RESULTS

A total of 15 students participated. The participants in Group A scored slightly higher on average than those in Group B, with a mean percentage correct of 76% (95% CI 0.68-0.84) versus 69% (95% CI 0.58-0.80), and spent on average 50% less time per question than Group B diagnosing patients (13.98 seconds vs 19.13 seconds, P=.03, respectively). When comparing the novel EHR design to previously used EHRs, 73% (n=11) of participants rated the new version on par or higher (3+/5). Ease of use and intuitiveness of this new system rated similarly high (mean score 3.73/5 and 4.2/5, respectively). In qualitative thematic analysis of poststudy interviews, most participants (n=11, 73%) spoke to “pattern-recognition” cognitive heuristic strategies consistent with System 1 decision-making.

CONCLUSIONS

These results support the possibility of inducing type-1 diagnostics in learners and the potential for data visualization and user design heuristics to reduce cognitive burden in clinical settings. Clinical data presentation in the diagnostic reasoning process is ripe for innovation, and further research is needed to explore the benefit of using such visualizations in medical education.
Efficacy of Virtual Care for Depressive Disorders: A Systematic Review and Meta-Analysis (Preprint)
Authors: Schiller Crystal Edler , Prim Julianna , Bauer Anna E. , Lux Linda , Lundegard Laura Claire , Kang Michelle , Hellberg Samantha , Thompson Katherine , Webber Theresa , Teklezghi Adonay , Pettee Noah , Gaffney Katherine , Hodgins Gabrielle , Rahman Fariha , Steinsiek J. Nikki , Modi Anita , Gaynes Bradley N.
Published: April 2022

BACKGROUND

The COVID-19 pandemic has created an epidemic of depression while simultaneously necessitating a shift to virtual mental health care, yet the evidence to support the use of virtual interventions is unclear.

OBJECTIVE

The purpose of this study is to evaluate the efficacy of virtual interventions for depressive disorders by addressing three key questions: Does virtual intervention provide better outcomes than no-treatment or attention control conditions (i.e., waitlist, treatment as usual [TAU], or virtual sham)? Does in-person intervention provide better outcomes than virtual intervention? Does one type of virtual intervention provide better outcomes than another?

METHODS

We searched PubMed, EMBASE, and PsycINFO for trials published from 01/01/2010-10/30/2021. We included randomized controlled trials of adults with depressive disorders that tested a virtual intervention and used a validated depression measure. Primary outcomes were remission, response, and depression severity at post-treatment. Two researchers independently selected studies and extracted data using PRISMA guidelines. Risk of bias was evaluated based on AHRQ guidelines. We calculated odds ratios for binary outcomes and standardized mean differences for continuous outcomes.

RESULTS

We identified 3797 references, 24 of which were eligible. Compared with waitlist, virtual intervention had higher odds of remission (OR=10.30, CI=5.70-18.60, N=619 patients) and lower post-treatment symptom severity (SMD=0.81, CI=0.52-1.10, N=1071). Compared with TAU and virtual sham conditions, virtual intervention had higher odds of remission and lower post-treatment symptom severity. In-person interventions did not provide better outcomes than virtual interventions (e.g., remission OR=0.84, CI=0.51-1.37, N=789). No eligible studies directly compared one active virtual intervention to another.

CONCLUSIONS

Virtual interventions were efficacious and no different from in-person interventions for depressive disorders.

CLINICALTRIAL

Open Science Framework doi.org/10.17605/OSF.IO/8A976