bluuebunny/crossref_metadata_2025 huggingface dataset:
Recommendations for Better Adoption of Medical Photography as a Clinical Tool (Preprint)
Authors: Wongvibulsin Shannon , Feterik Kristian
Published: January 2022

UNSTRUCTURED

The use of photography in routine clinical practice has the potential to increase the efficiency of overall patient care as well as improve clinical documentation and provider-to-provider communication. This is particularly important in the setting of provider burnout in the electronic health record era and during the COVID-19 pandemic. Despite the potential of photographs to enhance workflows and patient care, challenges remain that hinder the successful incorporation of medical photography into clinical practice, often because of inconsistent structure and implementation. Our proposed consolidated framework for clinical photography consists of five key aspects: appropriate informed consent; proper preparation and positioning; image acquisition with consideration of the field of view, orientation, focus, resolution, scale, and color calibration; streamlined and secure image storage and documentation; and interoperable file exchange. Overall, this viewpoint is a forward-looking paper on leveraging medical photography as an electronic health record tool for clinical care, research, and education.
Unbalanced Risk of Pulmonary Tuberculosis in China at the Subnational Scale: Spatiotemporal Analysis (Preprint)
Authors: Hu Maogui , Feng Yuqing , Li Tao , Zhao Yanlin , Wang Jinfeng , Xu Chengdong , Chen Wei
Published: January 2022

BACKGROUND

China has one of the highest tuberculosis (TB) burdens in the world. However, the unbalanced spatial and temporal trends of TB risk at a fine level remain unclear.

OBJECTIVE

We aimed to investigate the unbalanced risks of pulmonary tuberculosis (PTB) at different levels and how they evolved from both temporal and spatial aspects using PTB notification data from 2851 counties over a decade in China.

METHODS

County-level notified PTB case data were collected from 2009 to 2018 in mainland China. A Bayesian hierarchical model was constructed to analyze the unbalanced spatiotemporal patterns of PTB notification rates during this period at subnational scales. The Gini coefficient was calculated to assess the inequality of the relative risk (RR) of PTB across counties.

RESULTS

From 2009 to 2018, the number of notified PTB cases in mainland China decreased from 946,086 to 747,700. The average number of PTB cases in counties was 301 (SD 26) and the overall average notification rate was 60 (SD 6) per 100,000 people. There were obvious regional differences in the RRs for PTB (Gini coefficient 0.32, 95% CI 0.31-0.33). Xinjiang had the highest PTB notification rate, with a multiyear average of 155/100,000 (RR 2.3, 95% CI 1.6-2.8; P<.001), followed by Guizhou (117/100,000; RR 1.8, 95% CI 1.3-1.9; P<.001) and Tibet (108/100,000; RR 1.7, 95% CI 1.3-2.1; P<.001). The RR for PTB showed a steady downward trend. Gansu (local trend [LT] 0.95, 95% CI 0.93-0.96; P<.001) and Shanxi (LT 0.94, 95% CI 0.92-0.96; P<.001) experienced the fastest declines. However, the RRs for PTB in the western region (such as counties in Xinjiang, Guizhou, and Tibet) were significantly higher than those in the eastern and central regions (P<.001), and the decline rate of the RR for PTB was lower than the overall level (P<.001).

CONCLUSIONS

PTB risk showed significant regional inequality among counties in China, and western China presented a high plateau of disease burden. Improvements in economic and medical service levels are required to boost PTB case detection and eventually reduce PTB risk in the whole country.
Sociotechnical Factors Affecting Patients’ Adoption of Mobile Health Tools: Systematic Literature Review and Narrative Synthesis (Preprint)
Authors: Jacob Christine , Sezgin Emre , Sanchez-Vazquez Antonio , Ivory Chris
Published: January 2022

BACKGROUND

Mobile health (mHealth) tools have emerged as a promising health care technology that may contribute to cost savings, better access to care, and enhanced clinical outcomes; however, it is important to ensure their acceptance and adoption to harness this potential. Patient adoption has been recognized as a key challenge that requires further exploration.

OBJECTIVE

The aim of this review was to systematically investigate the literature to understand the factors affecting patients’ adoption of mHealth tools by considering sociotechnical factors (from technical, social, and health perspectives).

METHODS

A structured search was completed following the participants, intervention, comparators, and outcomes framework. We searched the MEDLINE, PubMed, Cochrane Library, and SAGE databases for studies published between January 2011 and July 2021 in the English language, yielding 5873 results, of which 147 studies met the inclusion criteria. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and the Cochrane Handbook were followed to ensure a systematic process. Extracted data were analyzed using NVivo (QSR International), with thematic analysis and narrative synthesis of emergent themes.

RESULTS

The technical factors affecting patients’ adoption of mHealth tools were categorized into six key themes, which in turn were divided into 20 subthemes: usefulness, ease of use, data-related, monetary factors, technical issues, and user experience. Health-related factors were categorized into six key themes: the disease or health condition, the care team’s role, health consciousness and literacy, health behavior, relation to other therapies, integration into patient journey, and the patients’ insurance status. Social and personal factors were divided into three key clusters: demographic factors, personal characteristics, and social and cultural aspects; these were divided into 19 subthemes, highlighting the importance of considering these factors when addressing potential barriers to mHealth adoption and how to overcome them.

CONCLUSIONS

This review builds on the growing body of research that investigates patients’ adoption of mHealth services and highlights the complexity of the factors affecting adoption, including personal, social, technical, organizational, and health care aspects. We recommend a more patient-centered approach by ensuring the tools’ fit into the overall patient journey and treatment plan, emphasizing inclusive design, and warranting comprehensive patient education and support. Moreover, empowering and mobilizing clinicians and care teams, addressing ethical data management issues, and focusing on health care policies may facilitate adoption.

CLINICALTRIAL
Reversal of Graves’ Disease with a Whole Foods Plant Based Diet: A Case Report
Authors: Kalia Rishi , Kalia Ravi , El-Naji Abdullah , Musih Joshua , Patel Soham
Published: January 2022

The benefits of a whole-food, plant-based diet (WFPBD) include, but are not limited to, improvement of cardiovascular health, decreased inflammation, as well as enhanced endocrine system function. We present the case of a 51-year-old pre-diabetic female with a 22-year history of Graves’ disease who reversed her conditions following the ini- tial 28-week WFPBD period. In this time, she was able to reduce her thyroid stimu- lating immunoglobulin (TSI) and hemoglobin A1c (HbA1c) levels and discontinue methimazole and cetirizine intake. It was also found that maintaining vitamin D levels are beneficial for promoting a more balanced immune response to help lower thyroid antibodies.
Primer estudio sistemático de la colonia reproductiva de albatros de ceja negra Thalassarche melanophris (Temminck, 1828) en el Seno Almirantazgo, Tierra del Fuego (Chile)
Authors: Droguet Daniela , Vila Alejandro , Kusch Alejandro , Matus Ricardo , Cáceres Benjamín , 0000-0001-7320-0511 Javier Arata
Published: January 2022

Las colonias reproductivas de albatros de ceja negra (Thalassarche melanophris) se reconocen por su gran tamaño y presencia en islas oceánicas. Sin embargo, en el año 2003 se describe por primera vez la existencia de la única, y numéricamente pequeña, colonia reproductiva en aguas interiores de la Patagonia chilena ubicada en el islote Albatros (54°27’20’’S; 69°01’12’’W). A partir del año 2009, se inicia un estudio sistemático de esta colonia, visitando el área durante la temporada reproductiva para monitorear y evaluar su población. Se realizaron once expediciones entre los meses de octubre y febrero, durante los años 2009 y 2016, contabilizando la presencia de huevos y polluelos para determinar el éxito reproductivo de la colonia. Adicionalmente se anilló un total de 188 individuos a lo largo de 7 temporadas para determinar la tasa de recaptura durante estos años. A partir de estos monitoreos, se espera aportar nuevos antecedentes al conocimiento general sobre la pequeña colonia de albatros de ceja negra, única en el mundo ubicada en aguas interiores de la Región de Magallanes y de la Antártica Chilena
Genealogía de la categoría de colono: imágenes y representaciones en las zonas de frontera y su devenir en campesino colono y campesino cocalero
Authors: Ramírez María Clemencia
Published: January 2022

Este es un artículo de revisión de literatura en el que exploro el uso de la categoría de colono por parte del Gobierno colombiano y de algunos académicos, así como las imágenes asociadas a esta, contrastando la frontera interna con los territorios nacionales. Argumento que el pesohistórico de la colonización del oriente del país como una solución alterna a la reforma agraria en su interior ha llevado a que la categoría de colono sea excluyente para aquellos a quienes se les adscribe, al despojarlos de su condición de campesinos. Más específicamente, esta exclusiónse profundiza cuando se trata de cultivadores de coca y cuando la categoría de colono se sustituye por la de colono cocalero, lo cual criminaliza y estigmatiza, además de que niega la identidad como campesino y, así, previene su constitución como tal.
Aparecer, desaparecer y reaparecer ante el estado como "campesinos"
Authors: Yie Maite
Published: January 2022

El artículo aporta a la comprensión de la reemergencia del término campesino como categoría de acción política en Colombia, mediante el rastreo de sus usos históricos en políticas dirigidas a la población rural y en procesos de movilización rural y agraria desde los años veinte. Argumento que esta categoría asume dos roles que permiten comprender su resonancia actual: mediar entre el estado y amplios sectores de la población rural, y participar tanto en la unificación como en la diferenciación de estos últimos. El trabajo muestra la pluralidad de sentidos que arrastra la categoría de campesino en Colombia como efecto de su papel en el último siglo y su potencial para evocar las memorias de lucha heterogéneas de la población rural en el país.
A visita domiciliar sob olhar do usuário da atenção primária
Authors: Paudarco Leandro da Silva , De Souza Cinoélia Leal , Da Silva Elaine Santos , Magalhães Denise Lima , Paudarco Kaliane da Silva
Published: January 2022

Analisar a visita domiciliar, integrada ao contexto teórico e prático da atenção primária à saúde das pessoas, tendo como área de estudo o município de Guanambi, no sudoeste da Bahia. Foi realizada uma investigação qualitativa e exploratória, na qual foram entrevistados 30 usuários das Unidades Básicas de Saúde da Família, entre os meses de fevereiro e março de 2019, através do uso de questionários estruturados e flexíveis, para a coleta de dados. Reconhecer a existência de uma dissociação entre aquilo que é preconizado pelo contexto teórico, de um lado, e a experiência vivenciada pelos usuários da atenção primária, do outro, foi a constatação central deste estudo, já que a abordagem da visita domiciliar é centrada na doença, essencialmente restritiva e limitadora de um diálogo mutualístico, o que contribui negativamente na formação perceptiva da sua importância para os usuários finais. Estes resultados mostram que as ações de visita domiciliar clamam por um redimensionamento em seu método de abordagem, centrado na promoção de um atendimento multiprofissional e com vistas a considerar o contexto social, cultural, educacional, econômico e ambiental em que se está inserido o paciente, bem como na construção de uma melhor visão teórico/prática dos profissionais das unidades de saúde.
Percepção dos profissionais de saúde da atenção básica do município de Senhor do Bonfim Bahia: suporte básico de vida
Authors: Nascimento Agnete Troelsen Pereira , Silva Monalisa Batatinha de Castro , Gama da Cunha Nataly Viviane Maia , Da Silva Júlia Lima , De Souza Paulo Sergio Pereira
Published: January 2022

O objetivo do presente artigo foi de analisar o nível de conhecimento que os profissionais de saúde da Atenção Básica de um município no interior da Bahia têm acerca do Suporte Básico de Vida, antes e após a execução da capacitação. Trata-se de um estudo quantitativo, de caráter descritivo e exploratório, realizado com 112 profissionais de saúde. A técnica utilizada para a coleta de dados foi a entrevista, norteada por um questionário semiestruturado, denominado pré e pós-teste com questões objetivas. Os resultados demonstraram que o conhecimento dos profissionais acerca do Suporte Básico de Vida, não são suficientes para atuação na linha de frente das unidades de urgências/emergências. Conclui-se, pois, que por meio dos resultados obtidos nessa pesquisa foi possível verificar a importância de treinamentos contínuos e da atualização periódica no que se refere ao suporte básico de vida, sendo essencial para a abordagem aos pacientes em parada cardiovascular. Diante disso o foco principal no tratamento da parada cardíaca em adultos inclui o reconhecimento rápido e o fornecimento imediato de RCP de qualidade.
Parto normal: barreiras sob a óptica das parturientes
Authors: Frank Ana Gabriela Fernandes , Marcomini Emilli Karine , Smaniotto Elisangela da Cunha , De Moraes Débora Gomes , Gerbasi Adalberto Ramon Valderrama , De Paula Nanci Verginia Kuster
Published: January 2022

Este trabalho vem para elucidar os receios e dificuldades que as gestantes apresentam durante o parto normal, bem como o conhecimento que as mesmas apresentam por esta opção de parto. É reconhecido que a visão da maioria da população é de um momento de sofrimento e dor, esquecendo-se que o nascimento natural é algo próprio da mulher. Uma pesquisa de campo, de natureza quali-quantitativa, que por intermédio de entrevistas semiestruturadas, realizadas com puérperas que realizaram o parto via vaginal buscaram. Objetivando conhecer as dificuldades que se apresentaram no momento do parto normal e verificar o conhecimento prévio das puérperas sobre o parto normal. Apresentando um resultado significativo para o medo da dor a ser sentida, bem como a adesão pelo parto normal é de maioria multíparas que já haviam passado pelo processo natural. Concluindo-se que as barreiras criadas pelo parto normal, é quebrada quando a paciente tem conhecimento e segurança, dando-se destaque ao papel dos profissionais de saúde que repassam as informações essenciais para a escolha da via em que a mulher irá ter seu filho.
Comportamentos de risco à saúde e formação acadêmica: estudo com alunos de uma universidade comunitária
Authors: Bottan Elisabete Rabaldo , Gislon Luciane Campos , Paes Simone Souza Pereira , Nunes Yohana Larissa
Published: January 2022

Este estudo teve por objetivo analisar se a formação acadêmica exerce influência nos comportamentos relacionados à saúde. O grupo investigado constou de 629 alunos de graduação em uma universidade comunitária de Santa Catarina (Brasil), sendo 309 de cursos da área da Saúde (201 ingressantes e 108 concluintes) e 320 do curso de Direito (182 ingressantes e 138 concluintes). A coleta de dados foi através de um questionário adaptado do instrumento denominado Youth Risk Behavior Surveillance. A análise estatística constou do cálculo da frequência absoluta e relativa e do teste qui-quadrado, para um p≤ 0,05. A maioria dos participantes pertencia ao gênero feminino. A idade média do grupo foi de 23,36 anos. Os comportamentos de risco que apresentaram maior frequência foram:  consumo de álcool (62%), não uso de preservativo (61%) e não uso de cinto de segurança quando no banco traseiro de um veículo (64%). Para a maioria dos quesitos avaliados não se encontrou diferenças significativas em relação à área de formação e período de matrícula. Apresentaram associação significativa: uso do cinto de segurança no banco traseiro do carro; ter experiência/atividade sexual; realizar testes HIV; e autoavaliação do peso. Houve uma baixa frequência para os comportamentos de risco e os comportamentos entre os grupos foram similares.
Utilização de ferramentas audiovisuais para educação em saúde na atenção primária.
Authors: Silva Antonio Rafael da , Mota Hyllary Silva , Linhares Kallyny Marques , Menezes Raquel Lino de , Sá Taisa Freire Mororó de , Nascimento Carla Jordana de Oliveira
Published: January 2022

A educação em saúde é indispensável para o SUS, no cuidado e nas ações de prevenção e promoção à saúde. A estratégia saúde da família é importante para a prática de ações educativas, dado a proximidade com a comunidade. A utilização de tecnologias de informação e comunicação em saúde tem sido ampliado nos últimos anos, com a inserção de ferramentas que dinamizam o fluxo das informações, como as mídias sociais. O objetivo é evidenciar o uso das ferramentas tecnológicas como suporte para os processos de trabalho na atenção primária à saúde. Descritivo e relato de experiência, parte das percepções e vivências em educação em saúde na atenção primária por meio de ferramentas audiovisuais. Os projetos denominados: “Conexão Saúde” e “Hora da Saúde”, foram usados para levar informações a comunidade sobre saúde através de áudio e vídeos. Com a pandemia da Covid-19, a atençãoprimária à saúde teve que adotar medidas estratégicas para continuar ofertando ações de saúde, pois rodas de conversas, palestras e eventos nas unidades básicas de saúde não estavam sendo realizadas. Observou-se que os recursos tecnológicos são de grande importância para educação em saúde, permite aprendizagem coletiva e maior interação da equipe de saúde com a comunidade.
Parto humanizado o papel da doula e a visão do enfermeiro
Authors: Souza Jayne Lins de , Castro Rafaella Barreto Borges de , Quintilio Maria Salete Vaceli
Published: January 2022

A humanização da Assistência ao Parto garante à mulher respeito emocional, cultural, educacional e físico, onde uma ‘doula’ pode ser escolhida como acompanhante antes e durante e após o parto, oferecendo a assistência necessária para o bem-estar da gestante e induzindo um parto mais rápido e diminuindo intervenções obstétricas. Este estudo trata-se de uma revisão de literatura que tem o intuito de identificar o conhecimento dos profissionais de enfermagem sobre a doula no parto humanizado. A pesquisa utilizou-se de bases de dados científicas gratuitas, onde foram selecionadas obras publicadas em português entre 2015 a 2020. Este estudo aponta que as doulas podem proporcionar um apoio emocional, conforto físico e mental, onde são utilizados métodos não-farmacológicos para alívio da dor e estabelece um vínculo entre a equipe de saúde e a mulher. No entanto, para alguns profissionais da saúde, o trabalho da doula é dispensável, pois reconhecem que as práticas utilizadas são de competência da enfermagem.
Manejo clínico da covid-19 pela equipe multidisciplinar na atenção primária à saúde
Authors: Pereira Cícera Cryslany Soares Sales , Cruz Rachel de Sá Barreto Luna Callou , De Albuquerque Thaís Rodrigues , Holanda Rose Lídice , Vieira Diane Sales
Published: January 2022

Objetivou-se descrever o manejo clínico da COVID-19 na APS, com o intuito de reunir e sintetizar as recomendações acerca da atuação multidisciplinar. Trata-se de um estudo qualitativo, o qual utilizou a técnica de revisão narrativa como aporte metodológico, realizado nas bases de dados Medical Literature Analyses and Retrieval System Oline (MEDLINE), Literatura Latino Americana em Ciências da Saúde (LILACS) e Base de Dados de Enfermagem (BDENF), no Banco de dados National Library of Medicine National Institutes of Health (PubMed) e nos boletins epidemiológicos do Ministério da Saúde. Utilizou-se como critério de inclusão artigos publicados no ano de 2020 e como critério de exclusão estudos incompletos que não respondia a questão norteadora, os descritores usados foram infecções por coronavírus, atenção primária à saúde e saúde pública. Dentre os 19 estudos que atenderam aos critérios, sete são internacionais, todos foram publicados no ano de 2020. O manejo clínico da COVID-19 pela Atenção Primária em Saúde se dá por meio da identificação do caso suspeito, aplicação dos serviços de telessaúde, medidas para evitar o contágio, estratificação da gravidade da síndrome gripal, tratamento dos casos leves, isolamento domiciliar e notificação de casos suspeitos. A atuação da equipe multidisciplinar na Atenção Primária à Saúde é fundamental para redução das desigualdades em saúde, por isso é uma ferramenta vital no combate a pandemia.
Psicotrópicos: erros de prescrição e dispensação em farmácia de unidade básica de saúde
Authors: Souza Bianca Oliveira , Soares Vyvian Dias Miranda , Miranda Danilo Bomfim , Macêdo Cleriane Santos , Lemos Gisele da Silveira
Published: January 2022

A prescrição médica é um documento padronizado de ordem legal, importante na comunicação entre prescritores e dispensadores. A incompletude de informações na prescrição e dispensação leva aos erros de medicação e risco na terapia medicamentosa. O objetivo desse estudo foi avaliar o cumprimento das normas técnicas impostas pela Portaria n° 344/98 para prescrição e dispensação de psicotrópicos nas notificações de receitas B1 dispensadas em uma Unidade Básica de Saúde do município de Jequié- BA. Realizou-se um estudo transversal com análise documental, avaliando 249 notificações de receitas B1, do período de agosto a outubro de 2019. Os dados foram tabulados no programa Excel e suas análises realizadas no SPSS. As notificações apresentaram ausência em 96,0% no endereço do paciente, 99,2 % da quantidade do medicamento não estava escrita por extenso e em 100% estavam ausentes a assinatura do responsável pela dispensação. Em contrapartida, foram encontrados todos os dados de padronização para impressão nas notificações. Os resultados mostram a negligência dos profissionais envolvidos, quanto ao seu papel no cumprimento da lei, abrindo margem para falhas no tratamento farmacoterapêutico.
Fire and forage quality: post-fire regrowth quality and pyric herbivory in subtropical grasslands of Nepal.
Authors: Thapa Shyam Kumar , Jong Joost de , Hof Anouschka , Subedi Naresh , Joshi Laxmi , Prins Herbert
Published: January 2022

Indiscriminate fire is rampant throughout subtropical South and
Southeast Asian grasslands. However, very little is known about the role
of fire and pyric herbivory on the functioning of highly productive
subtropical monsoon grasslands lying within Cwa-climatic region. We
collected grass samples from 60 m x 60 m plots and determined vegetation
physical and chemical properties at regular 30-day intervals from April
to July 2020, starting from 30 days after fire to assess post-fire
regrowth forage quality. We counted pellet groups for the same four
months from 2 m x 2 m quadrats that were permanently marked with pegs
along the diagonal of each 60 m x 60 m plot to estimate grazing
intensity to the progression of post-fire regrowth. We observed strong
and significant reductions in crude protein (mean value 9.1 to 4.1
[55% decrease]) and phosphorus (mean value 0.2 to 0.11 [45%
decrease]) in forage collected during different time intervals i.e.,
from 30 days to 120 days after fire. Mesofaunal deer utilised the burned
areas extensively for a short period, i.e., up to two months after fire
when the burned areas contained short grasses with a higher level of
crude protein and phosphorus. Grazing intensity of chital (Axis axis) to
post-fire regrowth differed significantly over time since fire, with
higher intensity of use at 30 days after fire. Grazing intensity of
swamp deer (Rucervus duvaucelii) did not differ significantly until 90
days after fire, however, decreased significantly after 90 days since
fire. Large-scale indiscriminate single event fires thus may not fulfil
nutritional requirements of all species in mesofaunal deer community in
these subtropical monsoon grasslands. We recommend for a spatio-temporal
manipulation of fire to reinforce grazing feedback and to yield for the
longest possible period a reasonably good food supply for the
conservation of mesofaunal deer.
Guidelines for model adaptation: a study of the transferability of a general seagrass ecosystem DBN model
Authors: Hatum Paula , McMahon Kathryn , Mengersen Kerrie , Wu Paul
Published: January 2022

Ecological models are extensively and increasingly used in support of
environmental policy and decision making. Dynamic Bayesian Networks
(DBN) as a tool for conservation have been demonstrated to be a valuable
tool for providing a systematic and intuitive approach to integrating
data and other critical information to help guide the decision-making
process. However, data for a new ecosystem are often sparse. In this
case, a general DBN developed for similar ecosystems could be
applicable, but this may require the adaptation of key elements of the
network. The research presented in this paper focused on a case study to
identify and implement guidelines for model adaptation. We adapted a
general DBN of a seagrass ecosystem to a new location where nodes were
similar, but the conditional probability tables varied. We focused on
two species of seagrass (Zostera noltei and Z. marina)
located in Arcachon Bay, France. Expert knowledge was used to complement
peer-reviewed literature to identify which components needed adjustment
including parameterisation and quantification of the model and desired
outcomes. We adopted both linguistic labels and scenario-based
elicitation to elicit from experts the conditional probabilities used to
quantify the DBN. Following the proposed guidelines, the model structure
of the DBN was retained, but the conditional probability tables were
adapted for nodes that characterised the growth dynamics in
Zostera spp. population located in Arcachon Bay, as well as the
seasonal variation on their reproduction. Particular attention was paid
to the light variable as it is a crucial driver of growth and physiology
for seagrasses. Our guidelines provide a way to adapt a general DBN to
specific ecosystems to maximise model reuse and minimise re-development
effort. Especially important from a transferability perspective are
guidelines for ecosystems with limited data, and how simulation and
prior predictive approaches can be used in these contexts.
Physical properties of oleogels fabricated by the combination of diacylglycerols and monoacylglycerols
Authors: Wang Xiaochen , Ma Da , Liu Yingwei , Wang Ying , Qiu Chaoying , Wang Yong
Published: January 2022

Oleogelation is an efficient way to structure oil and reduce saturated
fatty acids of lipid products. Multi-component gels are of particularly
interest attributed to the ability to tune gel properties by alteration
of the component proportions. In this study, monoacylglycerol (MAG) and
diacylglycerol (DAG) are used as gelator mixture and the influence of
the ratio of these two crystalline particles on the characteristics of
oleogels was investigated. The crystallization and melting behavior,
solid fat content (SFC), crystal morphology, polymorphism and mechanical
properties of the oleogels were characterized. The oleogels with higher
gelator level displayed higher oil binding ability and shorter crystal
formation time. The oleogels with higher MAG ratio exhibited more
blade-like crystals, and the mixed oleogels with MAG: DAG of 3:7 and 5:5
showed altered crystal morphology with finer crystal size and reduced
crystallization enthalpies possibly due to the increased nucleation
seeds promoted by MAG. The oleogels with high MAG level showed lower
equilibrium SFC during isothermal crystallization but faster
crystallization rate, higher hardness and elasticity. Therefore, by
changing the ratio of DAG with MAG, the crystallization profile and
rheological properties of oleogels can be tailored and used as
traditional solid fat substitutes in lipid-based products.
Voicing Rivers
Authors: Wooltorton Sandra , Guimond Laurie , Reason Peter , Poelina Anne , Horwitz Pierre
Published: January 2022

Welcome to this Special Issue of River Research and Applications,
entitled Voicing Rivers. As an editorial group, it has been a great
privilege to read and consider responses to our call for contributions
and share with readers, authors and reviewers involved in this journey.
We invited proposals for articles and creative work to focus on stories
of, by, from and for rivers, from a variety of perspectives. This
Special Issue has been a collaborative project involving nearly 20
rivers and over 50 people. We thank contributors, reviewers and the
River Research and Applications journal editorial and production team.
Mapowanie produktów polskiego eksportu produktów rolno spożywczych kierowanego do wybranych krajów Unii Europejskiej w 2020 roku
Authors: Cieślik Ewa
Published: January 2022

W artykule skupiono się na poszukiwaniu perspektyw wzrostu polskiego eksportu produktami rolno-spożywczymi z gospodarkami należącymi do Unii Europejskiej i będącymi najważniejszymi rynkami eksportowymi dla Polski w zakresie dóbr rolno-spożywczych. Zidentyfikowano grupy tych towarów, które charakteryzują się dodatnimi i ujemnymi wskaźnikami ujawnionych przewag komparatywnych oraz wskaźnikami bilansu handlowego. W badaniu zastosowano metodę opartą o macierz mapowania produktów.
Contemporary meets old in rehabilitating historic buildings
Authors: Cvetanovic Aleksandra , Momcilovic-Petronijevic Ana
Published: January 2022

Protection of architectural heritage is a very delicate mission that needs to
be supported by a big set of knowledge and experience. Adding a new,
dissimilar element to a historic building of big importance in a
rehabilitation process is particularly disputed and needs to be addressed
with even more research and justification. Contrasting architectural styles
in one building can be even a controversial matter. In some cases, modern
additions successfully preserve the originals while bringing something fresh
and creative, while others fail to do so. The main question is: does a
current trend of adding a new, modern extension to the architecture monument
distinctly mean that it is obliterated, or can a mixture of contemporary and
historic in old buildings produce good architecture?
Cohousing and coliving - comparative analysis of two alternative housing typologies by reviewing contemporary trends
Authors: Medar Katarina , Curcic Aleksandra
Published: January 2022

Throughout history, human interdependence has been manifested through various
forms of housing typologies that imply some form of coexistence of unrelated
persons. The two alternative housing typologies that are quite common in
more developed countries today, cohousing and coliving, attract a lot of
attention of both architects and scientists. Scholars are still actively
dealing with determining the motives and the clear typological definition of
these two typologies. Following a review of the basic characteristics
through a historical overview and contemporary works of the two mentioned
residential typologies, this paper presents a comparative analysis of their
basic spatial and functional characteristics. The presented examples and
characteristics can serve as a basis for further research, understanding and
defining cohousing and coliving housing typologies.
Advocating for green building minimum compliance system in Rwanda: Using bricks to achieve sustainability
Authors: Gubic Ilija , Arrabothu Dheeraj , Bugirimfura John , Hasabamagara Laurel , Isingizwe Irenee , Kagina Azza , Karigirwa Afsana , Mugema Julie , Mukiza Alleluia , Nishimwe Robert , Nshimiyimana Willy , Yuhi Armel
Published: January 2022

Development countries in Africa will see 75% increase of its current building
stock until 2060 due to the economic development, rapid urbanization and
population growth. Rwanda?s Third National Communication under the United
Nations Framework Convention on Climate Change estimates that the carbon
dioxide emissions from buildings will increase by 574% by 2050 in the
business as usual scenario. The aim of this paper puts sustainable
architecture and green buildings in a context of rapidly urbanizing Rwanda,
showing five recently constructed brick buildings that exploit the culture
while meeting the sustainability demands of the 21st century. Global
sustainability agendas are advocating for the use of brick for its
durability, quality, with environmental, economic, and social benefits for
construction sector. This paper provides insights on the policies, such as
the Green Building Minimum Compliance System, advocating for the use of
brick as a sustainable construction material. Despite the rapid urbanization
in Rwanda, the existing sustainable construction practices help in reducing
carbon dioxide emissions, while this paper also documents results on social
and economic perspectives for the community from construction sector.
Continuous Glucose Monitoring Initiation Within First Year of Type 1 Diabetes Diagnosis Is Associated With Improved Glycemic Outcomes: 7-Year Follow-Up Study
Authors: Champakanath Anagha , Akturk Halis Kaan , Alonso G. Todd , Snell-Bergeon Janet K. , Shah Viral N.
Published: January 2022

OBJECTIVE

To evaluate long-term glycemic outcomes of continuous glucose monitoring (CGM) initiation within the first year of type 1 diabetes diagnosis.

RESEARCH DESIGN AND METHODS

Patients with type 1 diabetes (N = 396) were divided into three groups: 1) CGM (CGM use within 1 year of diabetes diagnosis and continued through the study), 2) no-CGM (no CGM use throughout the study), and 3) new-CGM (CGM use after 3 years since diabetes diagnosis). Patients were followed up to 7 years.

RESULTS

A1c was significantly lower in the CGM compared with the no-CGM group throughout 7 years of follow-up (least squares mean A1c values: 6 months, 7.3% vs. 8.1%; 1 year, 7.4% vs. 8.6%; 2 years, 7.7% vs. 9.1%; 3 years, 7.6% vs. 9.3%; 4 years, 7.4% vs. 9.6%; 5 years, 7.6% vs. 9.7%; 6 years, 7.5% vs. 10.0%; and 7 years, 7.6% vs. 9.8%; for all, P < 0.001) adjusting for age at diagnosis, sex, and insulin delivery method.

CONCLUSIONS

CGM initiation within first year of type 1 diabetes diagnosis results in long-term improvement in A1c.
PENGEMBANGAN E-LKPD MATEMATIKA BERBASIS PROBLEM SOLVING POKOK BAHASAN POLA BILANGAN
Authors: Darmawan Muhammad Alfian , Yuwaningsih Dian Ariesta
Published: January 2022

The type of this research is Research and Development. The research purpose was to develop and determine the feasibility of e-LKPD mathematics based on Problem Solving number pattern material for class VIII Junior High School. The development model used in this research is ADDIE. The subject in this research is all student of class VIII B and VIII C SMP Muhammadiyah Piyungan. The data obtained were analyzed using descriptive qualitative analysis and descriptive quantitative analysis. The results showed that e-LKPD mathematics based on Problem Solving number pattern material was feasible to use after the validation test was carried out with the material expert giving a score of 115.5 and material expert giving a score of 85.5 in the very good category. In addition, the trial of product obtained a score of 82.15 with a good category. This shows that e-LKPD mathematics based on Problem Solving number pattern material is fesiable to use in the learning.
Perkembangan Musik Keroncong Langgam di Solo (1950-1991)
Authors: Noryuliyanti Noryuliyanti , Isawati Isawati , Abidin Nur Fatah
Published: January 2022

Keroncong Langgam adalah genre musik yang lahir dan berkembang di Kota Solo. Tujuan penelitian ini adalah menganalisis perkembangan, kejayaan, dan kemunduran Keroncong Langgam di Solo. Metode sejarah digunakan sebagai metode penelitian dengan menggunakan sumber primer yaitu rekaman album Keroncong Langgam di Lokananta (1957-1985) dan wawancara pelaku keroncong Langgam yaitu Waldjinah. Hasil penelitian menunjukkan bahwa kemunculan Keroncong Langgam berawal dari kolaborasi antara gamelan dan musik keroncong yang mulai terjadi antara tahun 1940 sampai 1960an ditandai lagu Bengawan Solo yang dinyanyikan Gesang. Masa Kejayaan Keroncong Langgam di Solo terjadi pada tahun 1960-1970 yang ditandai dengan peningkatan jumlah orkes keroncong dan rekaman album di Lokananta. Pada tahun 1970an, tercatat 17 album diproduksi oleh Lokananta. Pada tahun 1980an sampai 1991, keroncong Langgam mengalami kemunduran yang disebabkan oleh perkembangan musik alternatif lain. Meskipun demikian Keroncong Langgam tetap hidup sampai saat ini berkat upaya pelaku musik dengan mengadakan festival musik.
Sejarah Perjuangan Mempertahankan Kemerdekaan Indonesia di Lubuklinggau Tahun 1947-1949
Authors: Susilo Agus , Sarkowi Sarkowi
Published: January 2022

Tujuan dari penelitian ini adalah untuk mengetahui tentang Sejarah Perjuangan Indonesia: Kajian Historis Subkoss di Lubuklinggau Tahun 1947-1949. Metode penelitian ini adalah metode penelitian Sejarah. Dalam metode penelitian Sejarah ini peneliti menggunakan beberapa langkah seperti Heuristik, Verifikasi Sumber (Kritik Intern dan Ekstern), Interpretasi, dan Historiogfari Sejarah. Sumber-sumber penelitian yang didapatkan melalui studi pustaka di Museum Subkoss Garuda Sriwijaya berupa arsip-arsip Sejarah dan di Perpustakaan STKIP PGRI Lubuklinggau. Hasil dari penelitian ini, yaitu a) Perjuangan Indonesia Dalam Mempertahankan Kemerdekaan Tahun 1947-1949, yaitu setelah berusaha memerdekakan diri pasca Jepang menyerah kepada Sekutu, bangsa Indonesia berusaha untuk menjadi negara merdeka pada tanggal 17 Agustus 1945. Namun langkah tersebut dicampuri dengan kedatangan Belanda yang berkeinginan berkuasa kembali di Indonesia. Sehingga terjadi perang kemerdekaan antara tahun 1947-1949. Peran Subkoss di Lubuklinggau Tahun 1947-1949 Sebagai Basis Pertahanan Indonesia di Sumatera Selatan, yaitu setelah sabotase pasukan Belanda terhadap pejuang kemerdekaan di Palembang maka pecahlah perang 5 hari 5 malam. Oleh akibat peperangan tersebut pasukan Indonesia di Palembang berusaha menyusun kekuatan dibeberapa daerah termasuk di Lubuklinggau. Di Lubuklinggau tahun 1947-1949 dijadikan pusat Subkoss Garuda Sriwijaya Sumatera Selatan dalam menghalau serangan Belanda yang berusaha mengejar pasukan TNI dan laskar. Perjuangan Indonesia akhirnya berhasil dengan diakuinya kemerdekaan Indonesia tahun 1949 secara de facto dan de jure oleh Belanda dan dunia. Kesimpulannya adalah perjuangan Indonesia di Sumatera Selatan dalam mempertahankan kemerdekaan Indonesia berkobar dimana-mana. Belanda berusaha menguasai Sumatera Selatan secara keseluruhan dan membasmi para pejuang. Perjuangan Indonesia berhasil dengan kekalahan Belanda dan penandatanganan kemerdekaan Indonesia secara de facto dan de jure.
The Role Motivation to Overcome Fossilization in Pandemic Era
Authors: Hayati Asmul
Published: January 2022

Fossilization became a hot topic following Selinker's (1984) prediction that 95% of second language students would never gain native-like control of the chosen language. Although the exact causes are unknown, numerous experts have suggested that a lack of drive could be one of them. This study aims to know the role of motivation to overcome fossilization at SMAN 2 Tapung. The researcher believes that motivation has a big role to overcome fossilization in learning English as a foreign language. This study used descriptive qualitative research. The data were collected by using an open-ended questionnaire. Meanwhile, there are two participants in this research. The result showed that, students still have some difficulties in learning English and motivation also has a big role to overcome fossilization.
Accessing Multimedia Technology and Listening Skill: Are they correlated?
Authors: Yana Dewi , Putri Aulia
Published: January 2022

People's lives are affected by several aspects of Information, Communication, and Technology, and multimedia technology is one of them. Then, Junior-senior-higher students today are identified as generation Z; they are characterized by the first digital generation who love to access the internet. This paper presents the correlation between students' intensity of accessing multimedia technology products via the internet toward their listening skills.  This study applies a quantitative method with a correlational design. The population is the first year's students of the English Education Study Program of UNRIKA which applies the total sampling technique. The research data were gathered from an online questionnaire and listening test. The data were analyzed with descriptive statistics- Pearson correlation employing SPSS to determine the correlation between; students' intensity of accessing multimedia technology (MT) products through the internet and listening skill. The result found that there is a moderate and negative correlation between the two variables (the Pearson correlation value is -0.252 > 0.05). There are some possible factors considered to the finding; it implies seeking further truth of the factors considered.
Non-Standard Vocabulary of Indonesian Language in Students' Reviews Texts of Vocational School Giri Taruna Bogor
Authors: Septiani Dwi
Published: January 2022

One of the things that students lack mastery of, both at the secondary and tertiary levels, is when writing, namely the lack of accuracy in writing standard vocabulary that is in accordance with standard Indonesian spelling. This study aims to describe the writing of non-standard Indonesian vocabulary in a review text by students of SMK Giri Taruna Bogor. The subjects of this study were students of class XI SMK Giri Taruna Bogor FY 2020/2021 totaling 30. The method used in this study was a qualitative descriptive method. Based on the data obtained, there are 30 simple text reviews for class XI students of SMK Giri Taruna Bogor FY 2020/2021. The result of this research is the finding of writing 125 non-standard vocabularies in all of the students' review texts. Only 1 student review text work with data number 04 has 1 standard vocabulary writing error, namely the word analysis which should be written as analysis. On the other hand, the most non-standard vocabulary writing was done by students with data number 15, namely there were 10 writings of non-standard vocabulary.
Innovating English Syllabus Design for Twenty-First Century Skills of 4Cs
Authors: Elfi Elfi , Syarif Hermawati
Published: January 2022

English syllabus design plays as an essential role in the language curriculum. It helps the teachers to make a plan for their teaching performance. The syllabus should describe many skills to be taught. In designing an English syllabus, the teachers not only describe English skills in the syllabus but also other skills. The skills to be accomplished in English teaching and learning nowadays is 4Cs 21st-century skills such as communication, collaboration, critical thinking, and creativity. English teachers are suggested to do some innovations in designing the English syllabus based on 4Cs skills in order to prepare the students to face 4.0 society and globalization era. Considering the importance of these skills, the purpose of this article is to describe some innovations of English syllabus design for 4Cs skills. A library research method is used to provide an overview of the integrating of these skills into the syllabus design, including challenges faced by teachers in designing the syllabus based on 4Cs skills as well as a set recommendation for English teachers in designing English syllabus for 21st century of 4Cs. The article concludes with a discussion around the innovation of designing an English syllabus of 4Cs skills.
Technology-Based Learning Innovation In the Pandemic Covid-19
Authors: Azkiya Hidayati , Syarif Hermawati
Published: January 2022

This article aims to analyze and describe technology-based learning innovations during the pandemic Covid-19. Learning innovations are expected to provide solutions and prevention of Covid-19. The research method used is qualitative research with a literature review method. Data collection was carried out by tracing various sources in the form of government documents, mass media, and relevant research results previously analyzed using policy research and supported by the results of interviews with several elementary school students. Data analysis using Content Analysis. The results of this study indicate that government policies in tackling the spread of the corona virus (Covid-19) have an impact on the emergence of new concepts related to technology-based learning innovations that can be applied. These learning innovations include Learning from Home: Collaboration between schools and parents, learning as an opportunity as well as a challenge, and the innovation of the Blended Learning learning model. It is hoped that these innovations can provide optimal results and can increase collaboration between parents, teachers, and the government in order to realize quality education and be able to compete globally. Technology-based learning innovation is expected not only to take place during the pandemic Covid-19, but can be applied after Covid-19 ends for more advanced and quality education.
Using Hangman Game Application For The EFL Classroom: It Efficacy for Learners to Master Vocabulary
Authors: Nabilah Nada
Published: January 2022

In this era, technology has taken apart in every platforms, including in educational settings, especially Language Teaching and Learning (LTL). This study purposed to determine that the using Mobile-Assisted Language Learning (MALL) through Hangman Game as one of the games could significantly gave the effect for English Foreign Language (EFL) learners in Indonesia context to master the vocabulary. The participants of this study were the 10th grades students of SMA Negeri 1 Tebing Tinggi Kab. Serdang Bedagai in academic year 2018/2019 that consist of 20 students.  The technique of analysis of that was used at this study were the analysis of qualitative data and the quantitative data. The qualitative data was taken from interview, observation of students’ learning process, researcher’s note. While, the quantitative data was collected from the mean score of test that given to the learners in Pre-Cycle, Cycle I and Cycle II. The findings of this study found that Hangman Game gave the new achievement for the EFL learners when they were doing the activities of learning process in the class. So this situation made the learners had good motivation during the language teaching and learning process and they also actively and enthusiastically in the class. These things indicated that the application Hangman Game could improve the EFL learners’ vocabulary mastery.
Development of Indonesian Language Teaching materials in Universities
Authors: Febriana Noni , Afrianti Desi
Published: January 2022

This study aims to develop a valid and relevant teaching materials with Indonesian language course material. This study uses a Research and Development (R&D) approach. The research subjects are lecturers and students. Data collection techniques in this study used observation, literature study, documentation, interviews, and assessment questionnaires. The stages in this research start from assessing potential and problems, collecting data, making product designs, validating product designs, revising products, and testing products. As a result, the textbooks developed were to support lectures and become a handbook for lecturers and students for academic purposes. The results and conclusions in this study, Indonesian language textbooks are good for college students to use. This teaching materials can also be used as a guide for lecturers in carrying out teaching and learning activities in universities.