bluuebunny/crossref_metadata_2025 huggingface dataset:
Desprendimiento seroso de retina agudo inducido por cirugía en posición prono
Authors: Sardi Correa María Carolina , Cardona Bernal Susana , Ortiz Vásquez Juan José
Published: April 2021

La posición en decúbito prono es utilizada en cirugía para acceder a diferentes estructuras anatómicas del paciente. Esta posición puede asociarse a pérdida visual postoperatoria en el 0,05 a 1 % de las complicaciones reportadas. El desprendimiento seroso de retina es la separación de la retina neurosensorial del epitelio pigmentario de la retina por acumulación de líquido, sin daño estructural, como resultado de cambios en la permeabilidad y perfusión de la coroides. Se presenta el caso de una mujer con indicación de extracción de prótesis glútea bilateral mediante cirugía en decúbito prono. Se identificó un desplazamiento del cojín posicionado en la cara y la cabecera no correspondía con la estructura ósea de la paciente. En sala de recuperación la paciente refirió pérdida visual en ojo izquierdo, por lo cual fue evaluada inmediatamente por Oftalmología encontrando una presión intraocular bilateral normal; un examen de fondo de ojo izquierdo evidenció múltiples áreas de desprendimiento de la retina. La tomografía con coherencia óptica confirmó la presencia de fluido  subretiniano. Fue tratada con nepafenaco y prednisolona tópicas y evaluada a las 72 horas y a la semana, con resolución total del cuadro y agudeza visual corregida de 20/20. No existen reportes en la literatura de desprendimiento seroso de retina posterior a cirugía en prono. Al evaluar el caso se asumió que la incorrecta posición del cojín y el tamaño inadecuado de la cabecera fueron factores que podrían haber contribuido a estasis venoso del flujo coroideo aumentando súbitamente la presión hidrostática en la coroides, lo que provocó el desprendimiento seroso de retina.
Síndrome de dificultad respiratoria aguda en el contexto de la pandemia por COVID-19
Authors: Moreno-Bedoya Sara , Yepes-Gómez David , Arias-Botero José Hugo
Published: April 2021

Introducción: el síndrome de dificultad respiratoria aguda es una enfermedad frecuente con una elevada morbimortalidad. Recientemente, ha ganado relevancia por la pandemia generada por la infección por SARS-CoV2, en la que un gran número de pacientes han necesitado ventilación mecánica y manejo del síndrome secundario. Previendo la necesidad de una redistribución emergente del talento humano en salud, realizamos una revisión narrativa sobre el síndrome de dificultad respiratoria aguda con los principales artículos relacionados con su tratamiento. Métodos: se revisaron bases de datos (PubMed, MEDLINE, Lilacs) incluyendo textos multidisciplinarios, guías de práctica y estudios clínicos escritos en inglés y español hasta abril 2020. Resultados: las principales medidas relacionadas con la disminución de la mortalidad son la ventilación protectora y la ventilación en prono. Algunas estrategias terapéuticas como el uso restrictivo hídrico no demostraron impactar en mortalidad, pero sí en eventos secundarios. El uso de membrana de oxigenación extracorpórea no ha demostrado disminuir la mortalidad. Conclusiones: el síndrome de dificultad respiratoria aguda es la manifestación severa más frecuente de la infección por SARS-CoV2. Las estrategias terapéuticas son de obligatorio conocimiento para los profesionales que enfrentan un paciente con CoVID-19. Pocas estrategias impactan la mortalidad y los eventos secundarios, entre ellas la ventilación mecánica protectora y la ventilación en prono. El uso de membrana de oxigenación extracorpórea (ECMO) continúa siendo considerada una medida compasiva.
Enfermedad por coronavirus (COVID-19) en embarazo, parto y lactancia
Authors: Sanín-Blair José Enrique , Muñoz-Velasquez Nataly , Mesa-Ramirez Viviana Marcela , Campo-Campo Maria Nazareth , Gutierrez-Marín Jorge Hernán , Rojas-Suárez José Antonio , Tolosa- Ardila Jorge
Published: April 2021

La pandemia de COVID-19 ha generado múltiples interrogantes respecto a su comportamiento en la población gestante y en los resultados perinatales. Los datos disponibles sobre la infección por SARS-CoV-2 en el embarazo son limitados. Se realizó una búsqueda de artículos publicados en las bases de datos PubMed, Scopus y Embase utilizando los términos asociados a COVID-19 y embarazo, hasta el 4 de abril de 2020. En la revisión de 43 artículos se tuvieron en cuenta 25, que corresponden a reportes y series de caso, revisiones y guías de manejo. No se encontró evidencia concluyente respecto a transmisión vertical o a mal resultado perinatal en enfermedad leve o moderada. Los síntomas clínicos de COVID-19 en el embarazo, no varían de los de la población general. Existe controversia en cuanto a lactancia materna. En conclusión, existe escasa evidencia de calidad sobre el efecto de COVID-19 en el embarazo. Dada la ausencia de evidencia concluyente se plantea la realización de un registro nacional de COVID-19 y embarazo para Colombia y la región.
Ultrasonografía de tórax en pacientes con sospecha de COVID-19
Authors: García-Pareja Manuel Alejandro , Cardozo-Ocampo Alejandro
Published: April 2021

Actualmente vivimos una pandemia por SRAS-CoV-2, virus que afecta inicialmente el tracto respiratorio y que puede progresar a falla orgánica múltiple y muerte. Si en un paciente se sospechan síntomas del tracto respiratorio inferior es recomendado una radiografía portátil de tórax, para comprobar hallazgos sugestivos de la enfermedad y valorar su severidad, si existen dudas se recomienda una tomografía simple de tórax.
¿Cómo impacta la pandemia del COVID-19 a los servicios de urgencias?
Authors: Serrano Rojas Camilo Andrés , Cardozo Ocampo Alejandro
Published: April 2021

Si bien todo evento de importancia para la salud pública genera diferentes grados de impacto sobre el funcionamiento de los servicios de urgencias, esto se visibiliza aún más cuando una población enfrenta el brote de una enfermedad infecciosa, pues se ve obligada a considerar la necesidad de recibir atención médica por el riesgo de contagio. Además, porque en estos servicios se presume la atención de pacientes críticos y en los cuales, debido a la saturación de su potencial de atención, en ocasiones no es posible cumplir con las medidas ideales de protección.
Manifestaciones dermatológicas de COVID-19: ¿casualidad o causalidad?
Authors: Arredondo María Isabel , Gómez Lina Vanesa , Del Río C Delsy Yurledy
Published: April 2021

En esta revisión narrativa de la literatura se describen las manifestaciones en piel del SARS-CoV-2 reportadas hasta hoy en todas las edades. El objetivo es entender la presentación clínica y el tiempo de aparición en el curso de la enfermedad, para aumentar el rendimiento de las pruebas diagnósticas y mejorar la identificación de pacientes asintomáticos. Para la descripción se clasifican en cinco grupos: relacionadas directa o indirectamente con el virus, toxicodermias, dermatitis de contacto y trauma por presión. Hasta ahora no se ha comprobado si estas lesiones son por una manifestación directa del virus, por una reacción inmunitaria inespecífica o secundarias a los tratamientos usados.
POR UMA TEORIA ANTROPOLÓGICA DA ARTE
Authors: Spindola Marina de Jesus
Published: April 2021

O presente estudo tem como função resenhar o livro Arte e Agência de Alfred Antony Francis Gell. Publicado no ano de 1998, o livro foi traduzido para o português em 2018.
A SAÚDE PARAIBANA NOS ANOS 1930
Authors: Querino Barboza Freire dos Santos Leonardo
Published: April 2021

Analisamos a reorganização da Diretoria Geral de Saúde Pública da Paraíba, realizada em 1935, buscando compreender como ela dialoga com o projeto de centralização política e com a ideologia de valorização do trabalho implementados ao longo do governo de Getúlio Vargas. Na saúde pública paraibana, estes processos foram traduzidos em uma maior capilarização socioespacial da ação estatal e no incremento de ações voltadas à saúde do trabalhador, suscitando novas práticas de cuidados com o corpo e produção dos espaços. Para a construção da narrativa, recorremos a notícias publicadas por jornais locais, as quais foram analisadas a partir de uma perspectiva teórica foucaultiana, com ênfase no conceito de “disciplinarização”.
FRIA E SECA
Authors: Alves Rocha Thayná , Maia Blois Moucherek Carolina , Franco de Lira Siqueira Lucciano
Published: April 2021

Este artigo enfatiza a melancolia na cidade de São Paulo entre as décadas de 1920 a 1940, como possibilidade de análise da história da doença na fabricação dos espaços, no caso, recuperados a partir de diagnósticos médicos presentes no manual Psiquiatria Clínica e Forense organizado por Antonio Carlos Pacheco e Silva. Por intermédio da História dos Sentimentos a partir de Sônia A. Siqueira, onde os sentimentos são tratados como indícios históricos e sociais, destacam-se subjetividades compartilhadas nos casos clínicos descritos nos diagnósticos de melancolia. A análise demonstra a influência das transformações urbanas no discurso médico sobre a melancolia, vinculando a doença e modernização da cidade, a doença como decorrente da vida moderna.
A PARAÍBA SIFILIZADA
Authors: Nóbrega Araújo Rafael
Published: April 2021

O artigo analisa os discursos médicos e a constituição de políticas públicas no enfretamento da endemia da sífilis no estado da Paraíba ao longo da década de 1920. Nesse recorte, médicos, políticos e jornalistas construíram em seus discursos a representação de um espaço doente, de uma Paraíba marcada pela sífilis do litoral ao sertão, chamando a atenção para o combate dessa doença. Como consequência de um contexto de reforma sanitária em âmbito nacional, o governo da Paraíba firmou acordo com o Departamento Nacional de Saúde Pública (DNSP) para, dentre outras coisas, promover a profilaxia da sífilis e das doenças venéreas. As políticas de saúde pública gestadas nesse momento, revelam a construção de dispensários especializados como espaços de profilaxia e educação sanitária.
MEDICINA E POLÍTICA EM TEMPOS DE PANDEMIA
Authors: Olombrada Nunes de Santos Mayler
Published: April 2021

A Grande Gripe narra a pandemia de gripe espanhola ocorrida em 1918, descrevendo como um pequeno vírus emergiu no interior do Estados Unidos para causar a morte de milhões de pessoas em todo o mundo. O autor apresenta a transformação vivida pela ciência e medicina, oferece relatos sobre a primeira guerra mundial e os bastidores do poder e da política que influenciam na limitação do homem diante da força a natureza.
DOENÇA E ESPACIALIDADE NO ÉDIPO TIRANO DE SÓFOCLES
Authors: Dagios Mateus
Published: April 2021

O artigo proposto procura desenvolver uma reflexão sobre a doença e o espaço na tragédia grega. O artigo insere-se na temática da doença (nósos) e de suas representações para problematizar a tragédia Édipo Tirano (427 a.C.) de Sófocles em relação à peste ocorrida entre 430 e 426 a.C em Atenas. Parte-se da hipótese de que a peste ressignificou a maneira como Atenas percebia suas instituições sociais. O texto realiza uma análise do vocabulário trágico e das relações entre doença e espaço desenvolvidas na peça.
DA CARIDADE À CIÊNCIA
Authors: Ferreira Rodrigues Silvio
Published: April 2021

O presente artigo busca analisar o processo de institucionalização da assistência à saúde pública no Estado do Pará na virada do século XIX para o século XX. Para isso, foi usada uma ampla documentação oficial como mensagens e relatórios de governo, ofícios de autoridades, correspondências do serviço sanitário e outros. Essas fontes, quando lidas contra as intenções de quem as produziu, como sugeria Walter Benjamin, são capazes de revelar as negociações e conflitos no interior das instituições nas quais a medicina científica tomou os espaços antes dedicados à caridade.
ENTRE A PESTE E O REI
Authors: Franco da Costa Rodrigo
Published: April 2021

Este artigo tem como objetivo apresentar as relações de colaboração e de conflito entre os reis de Portugal Filipe I e Filipe II (respectivamente, Filipe II e Filipe III da Monarquia Católica) e o poder local de Lisboa, em especial, a sua Câmara Municipal nos tempos de peste. São analisadas as estratégias de ambos os poderes para lidar com a peste da cidade, ao mesmo tempo, são observadas as motivações dos conflitos entre a Câmara lisboeta e a monarquia. Os conteúdos analisados à confecção deste trabalho estão nas cartas do período dos reis Filipe II e Filipe III, presentes nos Elementos para a história do município de Lisboa, e no Memorial de autoria de Pero Roiz Soares. A “Economia Moral da Multidão” de Thompson é recuperada para compreender o posicionamento político das populações de Lisboa.
Transseptal puncture through the atrial septal occluder in patient with atrial fibrillation for guided radiofrequency ablation procedure using remote magnetic navigation: A clinical case
Authors: Ponomarenko A.V. , Yelemessov N.A. , Peregudov I.S. , Zhizhov R.E. , Baranova V.V. , Fisher E.V. , Shabanov V.V. , Chernyavskiy A.M. , Romanov A.B.
Published: April 2021

Access to the left atrium during transseptal puncture for radiofrequency ablation in patients with atrial fibrillation (AF) and implanted atrial septal occluder can be challenging. This is particularly true when the occluder covers the entire septum and there is no ideal puncture site. This might lead to potential difficulties in arrhythmia treatment.A 59-year-old patient with drug refractory AF, a dilated left atrium, and an implanted atrial septal occluder underwent double transseptal puncture through atrial septal occluder with subsequent pulmonary vein isolation using remote magnetic navigation. The effectiveness of the manipulation was confirmed by intraoperative stimulation from the Lasso catheter and by Holter monitoring data post-operation. It was revealed that the patient had sinus rhythm and no complications occurred. There were no shunts at the occluder level on transthoracic echocardiography, and there were no atrial tachyarrhythmias during the nine-month follow up period without antiarrhythmic drugs. The presented clinical case demonstrates the safety and efficacy of transseptal puncture through an implanted occluder in the interatrial septum to perform re-ablation using robotic magnetic navigation in a patient with AF.Received 21 October 2020. Revised 20 November 2020. Accepted 25 November 2020.Funding: The work is supported by a grant of the President of the Russian Federation No. МД-1997.2020.7.Conflict of interest: Authors declare no conflict of interest.Author contributions Drafting the article: А.V. Ponomarenko, R.E. Zhizhov, V.V. Baranova, E.V. Fisher, A.B. RomanovLiterature review: А.V. Ponomarenko, R.E. Zhizhov, V.V. Baranova, E.V. FisherIllustrations: А.V. Ponomarenko, A.B. RomanovCritical revision of the article: А.V. Ponomarenko, R.E. Zhizhov, V.V. Baranova, A.M. Chernyavskiy, A.B. RomanovSurgical treatment: N.А. Yelemessov, I.S. Peregudov, V.V. Shabanov, A.B. RomanovFinal approval of the version to be published: А.V. Ponomarenko, N.А. Yelemessov, I.S. Peregudov, R.E. Zhizhov, V.V. Baranova, E.V. Fisher, V.V. Shabanov, A.M. Chernyavskiy, A.B. Romanov
To 75th anniversary of R.S. Akchurin
Authors: Article Editorial
Published: April 2021

In Russ.
Lymphoplasmacytic hemorrhagic cystitis in dog: case report
Authors: Março Karen Santos , Costa Neto João José da , Tsuruta Suzana Akemi , Costa Alisson de Souza , Borin-Crivellenti Sofia , Medeiros-Ronchi Alessandra Aparecida , João Carolina Franchi
Published: April 2021

Hematuria is a relatively common manifestation in dogs and cats secondary to disorders of the urinary tract, such as bacterial cystitis and urolithiasis, with its treatment being limited to the elimination of the primary cause. However, when hematuria is persistent or capable of causing significant hematological disorders, other less common causes should be investigated. A dog, pit bull, male, 12 years old, was admitted in the Hospital Veterinário da Universidade de Uberlândia (Veterinary Hospital of the Federal University of Uberlândia) with a major complaint of severe urinary bleeding 10 days ago. Laboratory tests showed normocytic and normochromic anemia, associated to intense hematuria. Ultrasound images revealed alterations compatible with chronic cystitis. Based on the results of the laboratory and imaging tests, treatments with antibiotic therapy associated to blood transfusions were started and the animal was referred for bladder biopsy. The histopathologic examination revealed lymphoplasmacytic hemorrhagic cystitis, a rare and very aggressive disease, which presents similar descriptions in human beings, but not yet described in dogs.
Occurrence and antimicrobial resistance profile of Salmonella spp. in calves from the Mesoregion Sertão of Alagoas, Brazil
Authors: Vasconcelos Artur Bibiano de , Andrade Vitoria de , Moraes Ana Carolina Izidoro de , Ramos Elísia Maria Oliveira de Almeida , Silva Andrezza Caroline Aragão da , França Danilo Alves de , Vasconcelos Catarina Bibiano de , Okamoto Adriano Sakai , Silva Karla Patrícia Chaves da
Published: April 2021

The diarrhea in calves, caused by Salmonella spp., provocates serious economic damage to cattle farming. This study aimed was to verify the occurrence of diarrhea and the isolation of strains of Salmonella spp. in diarrheal feces of calves from farms located in the Sertão from the state of Alagoas municipalities, and to characterize the in vitro resistance profile of Salmonella spp. isolated against conventional antimicrobials. The study was carried out with 431 calves from 10 to 90 days old. Of the total number of animals evaluated, 111 presented a diarrhea table, being analysed 111 samples of diarrhoeal faeces. The samples were sown in enrichment broths and selective culture media and the phenotypic and molecular characterization were performed. Among the animals evaluated, 25.75% (111/431) had diarrhea. The presence of Salmonella spp. was evidenced in 13.33% (2/15) of the studied establishments. Have been isolated 2.71% (3/111) strains of Salmonella spp. and have all been shown to be resistant to Cefotaxime and sensitive to Ciprofloxacin, Gentamicin, Amoxicillin, Ampicillin and Norfloxacin. Salmonella spp. and other infectious agents associated with diarrhea were confirmed in calves in the Sertão Alagoas mesoregion. The antimicrobial potential of the tested drugs reinforces the importance of their responsible and judicious use in the treatment of Salmonellosis, not being indicated the antibiotic therapy with Cefotaxima. The treatment based on Gentamicin, Amoxicillin, Ampicillin, Ciprofloxacin and Norfloxacin in the treatment of these animals, is recommended.
Gaining body temperature in horses: mercury, digital and infrared thermometer in different locations
Authors: Rodrigues Ana Paula da Costa , Severo Eduarda Sacardi , Góss Geórgia Camargo , Döwich Gabriela , Nunes Junior Onildo Gonçalves , Icart Renato Duarte , Azevedo Marcos da Silva
Published: April 2021

The physical examination has several stages, one of which is the measurement of body temperature, when it exceeds the physiological values is indicative of some disease or hyperthermia, for this in veterinary medicine the mercury or digital thermometer is commonly used. The objective of this work is to compare if there is a difference between the mercury thermometer and the infrared thermometer or digital thermometer, as well as to identify if there is a difference between the measurement locations with the infrared thermometer and the mercury column thermometer and digital thermometer. Infrared temperature was evaluated in three places: oral mucosa, pinna and anal or vaginal mucosa (females), then a digital thermometer, followed by mercury, which was used as a reference standard. There was a statistical difference between the mercury thermometer and the infrared thermometer, when measured on the anal or vaginal mucosa and on the oral mucosa. The infrared thermometer, in the ear, and the digital thermometer did not differ from the mercury thermometer, demonstrating that these present similar values during the temperature measurement. The infrared thermometer proved to be little invasive and fast when compared to the others. However, some limitations were observed in the measurement of body temperature with the infrared thermometer measured in the ear. It is concluded that the infrared thermometer, used in the ear, and the digital thermometer are equivalent to the mercury thermometer and can be used in horses, however, more studies on this topic are still needed.
Ergenlerin Duygusal Zekaları ile Mizah Tarzları Arasındaki İlişkinin İncelenmesi
Authors: Çelebi Öncü Elif , Uğurlular Şerife
Published: April 2021

Araştırmanın amacı, lise dönemindeki öğrencilerin yaşadıkları aile sorunlarının duygusal zeka ve mizah tarzına etkisini incelemektir. Araştırma nicel araştırma yöntemlerinden ilişkisel tarama modeline uygun bir şekilde hazırlanmıştır. Çalışmanın örneklemini 2018-2019 Eğitim-Öğretim yılında İstanbul’da farklı program türlerinde eğitim veren liselerden, 9.,10.,11. ve 12. sınıflara devam eden 205 kız, 189 erkek olmak üzere, toplam 394 öğrenci oluşturmaktadır. Bu öğrencilere “Mizah Tarzları Ölçeği” ve “Schutte Duygusal Zeka Ölçeği” ile ‘Gençlik Dönemindeki Aile Sorunlarını Değerlendirme Ölçeği’ uygulanmıştır. Araştırmadan elde edilen bulgulara göre; duygusal zekânın kız öğrenciler lehine anlamlı çıktığı görülmüştür. Duygusal zeka puanları arttıkça olumlu mizah tarzlarından ‘kendini geliştiren mizah’ tarzı puanları da artış göstermektedir. Ayrıca, yıkıcı mizah tarzı ile duygusal zeka arasında pozitif bir ilişki bulunmuştur. Öğrencilerin verdiği yanıtlara göre yaşadıkları aile sorunlarından en yüksek ortalama ‘Otoriter anne baba tutumu’, onun hemen ardından ise ‘ilişkilerde duyarsızlık ve tutarsızlık’ olarak bulunmuştur. Duygusal zeka toplam puanları ile aile sorunlarını belirleme ölçeği puanları arasında istatistiksel olarak anlamlı doğrusal bir ilişki bulunmazken; öğrencilerin aile sorunlarının azaldıkça katılımcı ve kendini geliştiren mizah tarzı puanlarının arttığı görülmüştür. Araştırmanın, ergenlerin etkili sosyal ilişkiler kurmalarında rol oynayan duygusal zeka ile mizah faktörünü bir arada ele alarak aile tutumlarının bu iki faktörle ilişkisini ortaya koyarak bu konuda çalışanlara yol gösterici olması beklenmektedir.
adaptation strategy of central Kalimantan’s Dayak Ngaju religious system to the state official religions in Palangka Raya
Authors: Eka Nali , Yasa I Wayan Suka , Utama I Wayan Budi
Published: April 2021

The findings show that the integration and adaptation of Dayak Ngaju religious system adherents to Hinduism was done because of both internal and external factors. The internal factor includes the needs for recognition of their basic rights in religion as well as desire for changes, pioneered by intellectuals and leaders of Dayak Ngaju religious system. The external factor includes religious politics, economy, education, religious conversion, as well as the existence of Great Council of Kaharingan Hinduism and the role of State Hindu College of Tampung Penyang Palangka Raya. The adaptation strategies are indicated through accommodative behaviours, revitalization and revivalization, as well as resistance. The implication of the adaptation strategies is that the adherents of Dayak Ngaju religious system are able to maintain Kaharingan identity by calling the religion “Hindu Kaharingan”, even though in state administration, the religion is still written as Hinduism. In daily practice, the teachings of Dayak Ngaju religious system can be delivered in its entirety, and the adherents may still have their rights in religious practices, education, economy, and politics just like the adherents of Indonesian official religions.
Narasi Budaya Arek Suroboyo dan Pandemi Covid-19: Sebuah Perspektif Agile Governance di Kota Surabaya
Authors:   Magister Ketahanan Nasional, Universitas Gadjah Mada, Apriliyanti Kiki , Latif M. Daud Irsya ,   Magister Ketahanan Nasional, Universitas Gadjah Mada, Mutiarin Dyah ,   Magister Ilmu Pemerintahan, Universitas Muhammadiyah Yogyakarta
Published: April 2021

Covid-19 Pandemic has become a worldwide issue that also impacts Indonesia. An adaptive and agile governance system is needed to overcome the pandemic issue in both central and regional. One area that is considered successful is Surabaya City. Even so, there is a phenomenon of the high number of Covid-19 positives rates in Surabaya. It indicated that this is a form of policy hampered by local culture. Arek Suroboyo and their cangkrukan were contradicting due to the government's policy regarding large-scale social restrictions. Therefore, the purpose of this study is to analyze agile governance form in the implementation of Surabaya City Government policies in handling Covid-19. Then, identify the impacts that occur on policies due to the culture and custom of Arek Suroboyo. The method used is qualitative descriptive with the questioner and related documents-based analysis. Its results showed that with the existence of decentralization, regional policies were influenced by the central government strategy. Regarding the Central Government's Instruction, the public policies taken handling Covid-19 in the City of Surabaya includes promotional, preventive, curative, and rehabilitative efforts. The dominant concept of agile governance in this policy is "based on quick wins policy" in which one public policy stimulates another. With this effort, the City of Surabaya has passed the first wave of Covid-19 in its region. Nevertheless, the implementation of the policy was hampered by the culture of Arek Suroboyo, namely cangkrukan. Even the worst impact is that this culture potentially conducts the second wave of Covid-19 in Surabaya City.
Implementasi Open Government Data oleh Pemerintah Kota Bandung
Authors:   Departemen Ilmu Pemerintahan, Universitas Padjadjaran, Yudan Fhikri Fhutera , Arief Virgy Muhammad ,   Departemen Ilmu Pemerintahan, Universitas Padjadjaran
Published: April 2021

This article aims to describe and analyze how the implementation of Open Government Data by the Government of Bandung City is viewed from the theory of implementation of Open Government Data from research by Azmi Omar, Julian M. Bass, and Peter Lowit. The research method used is a descriptive method with a qualitative approach. Data collection techniques are carried out through literature study, observation, interviews, and documentation. The technique of determining informants was carried out purposively. The results showed that based on the four dimensions of the implementation of Open Government Data proposed by Azmi Omar et al, there are several things that need to be improved, such as community involvement in making datasets which is still minimal, public awareness of the importance of open data, the capacity of all Bandung City Government agencies to utilize manufacturing technology. data, as well as collaboration from parties in charge of observing the journey of Open Data Bandung. Researchers suggest that in order for the implementation of Open Government Data to run better, it is necessary to form a formal cooperation agreement with external parties as data producers and also to build special facilities for Open Data Bandung City so that the running of open government data in Bandung City can run effectively.
El populismo como mecanismo de legitimación empresarial: el caso venezolano de PDVSA
Authors: Contreras-Pacheco Orlando Enrique
Published: April 2021

Este artículo ilustra el papel del populismo en la defensa de empresas estatales transgresoras, a partir del estudio del caso de la empresa Petróleos de Venezuela (PDVSA) y su relación con el Estado venezolano durante la era del autodenominado “socialismo del siglo XXI”. Para ello se hace una investigación descriptiva y de sistematización de datos sobre algunos eventos de transgresión socioambiental en los que incurrió la compañía entre 2010 y 2020. Los resultados apuntan al uso continuo de una retórica incendiaria, constituida por el antielitismo, la defensa de la soberanía popular y la consideración de una ciudadanía homogénea y virtuosa. Esto sugiere que el populismo también puede ser utilizado como un estilo discursivo particular para defender la legitimidad de empresas transgresoras subordinadas al poder.
Clanes familiares en España en el contexto del crimen organizado
Authors: Cano-Paños Miguel Ángel
Published: April 2021

Desde hace unos años han proliferado en España grupos y organizaciones dedicadas sobre todo a la producción, custodia y tráfico de drogas ilegales. Su peculiaridad es que son estructuras opacas y endogámicas unidas por lazos familiares o étnicos, por lo cual se conocen con el término de “clanes familiares”. A pesar del aumento de la presión policial, dichas estructuras siguen actuando con unos destacados márgenes de impunidad y un considerable beneficio económico. Así, este artículo, que constituye la primera parte de un extenso trabajo de investigación, se dedica a analizar las características de estos clanes familiares en el Campo de Gibraltar y en Granada, sus actividades delictivas, así como los distintos factores que han dado lugar a su nacimiento y consolidación en territorio español.
La realidad virtual como herramienta para la educación básica y profesional
Authors: Sousa-Ferreira Regivaldo , Campanari-Xavier Rogério Aparecido , Rodrigues-Ancioto Alex Sandro
Published: April 2021

Este artículo es una contribución al estudio de la implementación de la realidad virtual como herramienta para los procesos de enseñanza y aprendizaje, en especial en el ámbito de la educación básica y profesional. Para ello, se analiza la realidad virtual como una alternativa para asegurar la calidad del proceso educativo, especialmente urgente ante la situación actual de distanciamiento físico debido a la pandemia. Esta investigación indaga los trabajos ya publicados cuyas contribuciones pueden considerarse adaptativas, que se han desarrollado y aplicado en entornos de educación básica y profesional, y que han logrado demostrar resultados efectivos en el proceso educativo. Como conclusión, se evidencia el potencial de la realidad virtual como herramienta educativa, si bien no siempre es la más adecuada, por lo que su uso se debe evaluar cuidadosamente.
Propuesta para el planeamiento estratégico de la seguridad nacional desde una perspectiva multidimensional
Authors: Cabrera-Ortiz Fabricio
Published: April 2021

Este artículo analiza el planteamiento de la seguridad y la defensa nacional en Colombia desde la segunda mitad del siglo XX, con el fin de proponer las fases para un planeamiento de la seguridad nacional ante los complejos desafíos actuales, en el que participen todos los sectores civiles e institucionales. A partir de una metodología cualitativa, inicialmente se aborda la evolución teórica del concepto de seguridad y defensa, y su implementación en el aparato jurídico. Luego se estudian las principales características del planeamiento estratégico nacional contenidas en el Manual de seguridad y defensa nacional de 1996. Finalmente, se proponen las fases para planear la Estrategia de Seguridad Nacional con el enfoque de la seguridad multidimensional y se plantean conclusiones sobre la seguridad y la construcción de su estrategia en Colombia.
Role of entrepreneurial orientation in firm performance through project success; Moderating role of absorptive capacity in SMEs of KSA
Authors:   Department of Business Administration, Arab East College, Riyadh, Saudi Arabia, Alzahrani Sami Salem
Published: April 2021

This study aimed to examine the impact of entrepreneurial orientation on firm performance through project success and moderating role of absorptive capacity. A deductive approach was used to test the model empirically. Primary data were collected at one point in time from employees of small and medium enterprises in the Kingdom of Saudi Arabia. 354 responses were used for final data analysis. The structure Equation Modeling (SEM) technique was used to analyze the hypothesized relationships by using the Smart PLS3. The findings indicate that entrepreneurial orientation has a significant impact on firm performance and project success also significantly mediates this relationship. Moreover, absorptive capacity moderates the entrepreneurial orientation impact on project success this relation becomes stronger in the presence of absorptive capacity. This study adds value to the literature and proves the mediating role of project success and moderating role of absorptive capacity. Practically, it highlights the importance of entrepreneurial activities for firm performance and project success.
Unintentional Vandalism: Unskilled tree pruning practices in tree management
Authors: Hamzah Helmi , Othman Noriah , Badrulhisham Norainiratna , Karlinasari Lina
Published: April 2021

Urban trees are exposed to "unintentional vandalism" during poorly skilled pruning practices that can lead to tree structure damage. This causes harmful consequences that affect tree performance in terms of the ecosystem services they contribute. This study aims to explore the relationship between unintentional tree vandalism and poorly skilled pruning practices in tree maintenance by analysing qualitative and quantitative data from tree workers contracted by selected Malaysian local authorities and tree care experts. The results showed that insufficient tree pruning knowledge leads to unintentional vandalism in tree pruning practices.
Keywords: Tree management; unskilled tree pruning; unintentional tree vandalism; urban tree
eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
DOI: https://doi.org/10.21834/ebpj.v6i16.2633
Malaysian Medical Device Regulation for Artificial Intelligence in Healthcare: Have all the pieces fallen into position?
Authors: Mohd Shith Putera Nurus Sakinatul Fikriah , Abdullah Sarah Munirah , Abdul Rahman Noraiza , Abu Hassan Rafizah , Saripan Hartini , Haryanto Imam
Published: April 2021

Artificial Intelligence (AI) ability of self-learning and adaptation has challenged the medical device regulation in overseeing the safety and effectiveness of medical devices. Thus, this research aims to evaluate the adequacy of the pre-market requirements under the Medical Device Act 2012 in governing AI modification. Employing the doctrinal research methodology, systematic means of legal reasoning pertinent to AI for healthcare applications are produced. An effective medical device regulation is pivotal to foster trustworthiness in the governance and adoption of AI. However, the research findings indicate the deficiency of the current conformity assessment for medical devices in addressing AI modifications.
Keywords: Artificial Intelligence and Law, Artificial Intelligence and Medical Device Regulation, Malaysian Medical Device Regulation
eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
DOI: https://doi.org/10.21834/ebpj.v6i16.2635
Thermal Comfort in Living Room of Houses with Different Frontage
Authors: Othman Ahmad Ridzwan , Mohammad Faisal Mohammad Ezzat Fakhrawi , Zahrah Wahyuni
Published: April 2021

House frontage is an essential aspect of terraced house design to ensure the occupant's comfort and healthy living. Four samples selected to evaluate the influence of the window to wall ratio (WWR) towards the internal thermal comfort of the house. The indoor thermal parameters were recorded using HOBOware Data Logger and evaluated using CBE Thermal Comfort Calculator. The study shows that the living room with a bigger WWR had the lowest thermal comfort levels. Besides the WWR, window placements and the shading devices also help in reducing the sun exposure of the frontage wall and increase the indoor thermal comfort.
Keywords: Frontage; Thermal Comfort; Window to Wall Ratio; Sun Exposure
eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
DOI: https://doi.org/10.21834/ebpj.v6i16.2636
Barriers to the Use of Clinical Decision Support for the Evaluation of Pulmonary Embolism: Qualitative Interview Study
Authors: Richardson Safiya , Dauber-Decker Katherine L , McGinn Thomas , Barnaby Douglas P , Cattamanchi Adithya , Pekmezaris Renee
Published: April 2021

Background

Clinicians often disregard potentially beneficial clinical decision support (CDS).

Objective

In this study, we sought to explore the psychological and behavioral barriers to the use of a CDS tool.

Methods

We conducted a qualitative study involving emergency medicine physicians and physician assistants. A semistructured interview guide was created based on the Capability, Opportunity, and Motivation-Behavior model. Interviews focused on the barriers to the use of a CDS tool built based on Wells’ criteria for pulmonary embolism to assist clinicians in establishing pretest probability of pulmonary embolism before imaging.

Results

Interviews were conducted with 12 clinicians. Six barriers were identified, including (1) Bayesian reasoning, (2) fear of missing a pulmonary embolism, (3) time pressure or cognitive load, (4) gestalt includes Wells’ criteria, (5) missed risk factors, and (6) social pressure.

Conclusions

Clinicians highlighted several important psychological and behavioral barriers to CDS use. Addressing these barriers will be paramount in developing CDS that can meet its potential to transform clinical care.
Development of a Mobile App for Ecological Momentary Assessment of Circadian Data: Design Considerations and Usability Testing
Authors: Woolf Thomas B , Goheer Attia , Holzhauer Katherine , Martinez Jonathan , Coughlin Janelle W , Martin Lindsay , Zhao Di , Song Shanshan , Ahmad Yanif , Sokolinskyi Kostiantyn , Remayeva Tetyana , Clark Jeanne M , Bennett Wendy , Lehmann Harold
Published: April 2021

Background

Collecting data on daily habits across a population of individuals is challenging. Mobile-based circadian ecological momentary assessment (cEMA) is a powerful frame for observing the impact of daily living on long-term health.

Objective

In this paper, we (1) describe the design, testing, and rationale for specifications of a mobile-based cEMA app to collect timing of eating and sleeping data and (2) compare cEMA and survey data collected as part of a 6-month observational cohort study. The ultimate goal of this paper is to summarize our experience and lessons learned with the Daily24 mobile app and to highlight the pros and cons of this data collection modality.

Methods

Design specifications for the Daily24 app were drafted by the study team based on the research questions and target audience for the cohort study. The associated backend was optimized to provide real-time data to the study team for participant monitoring and engagement. An external 8-member advisory board was consulted throughout the development process, and additional test users recruited as part of a qualitative study provided feedback through in-depth interviews.

Results

After ≥4 days of at-home use, 37 qualitative study participants provided feedback on the app. The app generally received positive feedback from test users for being fast and easy to use. Test users identified several bugs and areas where modifications were necessary to in-app text and instructions and also provided feedback on the engagement strategy. Data collected through the mobile app captured more variability in eating windows than data collected through a one-time survey, though at a significant cost.

Conclusions

Researchers should consider the potential uses of a mobile app beyond the initial data collection when deciding whether the time and monetary expenditure are advisable for their situation and goals.
Social Media and Health Care, Part I: Literature Review of Social Media Use by Health Care Providers (Preprint)
Authors: Farsi Deema
Published: April 2021

BACKGROUND

As the world continues to advance technologically, social media (SM) is becoming an essential part of billions of people’s lives worldwide and is affecting almost every industry imaginable. As the world is becoming more digitally oriented, the health care industry is increasingly visualizing SM as an important channel for health care promotion, employment, recruiting new patients, marketing for health care providers (HCPs), building a better brand name, etc. HCPs are bound to ethical principles toward their colleagues, patients, and the public in the digital world as much as in the real world.

OBJECTIVE

This review aims to shed light on SM use worldwide and to discuss how it has been used as an essential tool in the health care industry from the perspective of HCPs.

METHODS

A literature review was conducted between March and April 2020 using MEDLINE, PubMed, Google Scholar, and Web of Science for all English-language medical studies that were published since 2007 and discussed SM use in any form for health care. Studies that were not in English, whose full text was not accessible, or that investigated patients’ perspectives were excluded from this part, as were reviews pertaining to ethical and legal considerations in SM use.

RESULTS

The initial search yielded 83 studies. More studies were included from article references, and a total of 158 studies were reviewed. SM uses were best categorized as health promotion, career development or practice promotion, recruitment, professional networking or destressing, medical education, telemedicine, scientific research, influencing health behavior, and public health care issues.

CONCLUSIONS

Multidimensional health care, including the pairing of health care with SM and other forms of communication, has been shown to be very successful. Striking the right balance between digital and traditional health care is important.
Gaps and Future Challenges of Italian Apps for Pregnancy and Postnatal Care: Systematic Search on App Stores (Preprint)
Authors: Brunelli Laura , De Vita Chiara , Cenedese Fabrizio , Cinello Michela , Paris Marta , Samogizio Francesca , Starec Anja , Bava Michele , Dal Cin Margherita , Zanchiello Sara , Stampalija Tamara
Published: April 2021

BACKGROUND

Despite the availability of thousands of health apps worldwide, when considering those addressing children’s first 1000 days of life, most apps fail to consider the continuity between the prenatal and postnatal stages, and their joint impact on maternal and child health. The reliability, quality, and effectiveness of these apps are largely unknown, and the provided content seems questionable in terms of completeness, updating, and trustworthiness.

OBJECTIVE

This study evaluates available Italian pregnancy and postnatal care apps to highlight the main gaps to be overcome and the resulting future challenges to be met in this mobile health–related field.

METHODS

A systematic search was conducted on the Apple App Store and Google Play Store, and basic information was collected for all identified apps. After deduplication and further selection based on the exclusion criteria, an in-depth analysis of each app was performed by two researchers independently. A 71-item six-domain questionnaire about the desirable features of apps was used to assess information, functionalities, and technical features, while the Mobile Application Rating Scale (MARS) was employed for app quality evaluation.

RESULTS

From an initial sample of 684 apps, 22 were deeply analyzed. Most apps did not fulfill the expectations, as just one achieved 50% of all desirable aspects. Postnatal care and counselling for both the mother and child was the least accomplished domain. Moreover, the quality of app information was generally rated more negatively than the quality of their functionality and esthetic features. The lacking aspects were information about methods for postpartum family planning and birth spacing (1/22, 5%) and immunization (2/22, 9%).

CONCLUSIONS

The identified gaps could serve as a basis for designing and implementing increasingly high-quality, targeted, and effective apps for pregnancy and postnatal health care, which provide comprehensive, reliable, and evidence-based information, as well as appropriate esthetic and functional characteristics, with relevant implications in terms of maternal and newborn health prevention and promotion.
Leveraging National Claims and Hospital Big Data: Cohort Study on a Statin-Drug Interaction Use Case (Preprint)
Authors: Bannay Aurélie , Bories Mathilde , Le Corre Pascal , Riou Christine , Lemordant Pierre , Van Hille Pascal , Chazard Emmanuel , Dode Xavier , Cuggia Marc , Bouzillé Guillaume
Published: April 2021

BACKGROUND

Linking different sources of medical data is a promising approach to analyze care trajectories. The aim of the INSHARE (Integrating and Sharing Health Big Data for Research) project was to provide the blueprint for a technological platform that facilitates integration, sharing, and reuse of data from 2 sources: the clinical data warehouse (CDW) of the Rennes academic hospital, called eHOP (entrepôt Hôpital), and a data set extracted from the French national claim data warehouse (Système National des Données de Santé [SNDS]).

OBJECTIVE

This study aims to demonstrate how the INSHARE platform can support big data analytic tasks in the health field using a pharmacovigilance use case based on statin consumption and statin-drug interactions.

METHODS

A Spark distributed cluster-computing framework was used for the record linkage procedure and all analyses. A semideterministic record linkage method based on the common variables between the chosen data sources was developed to identify all patients discharged after at least one hospital stay at the Rennes academic hospital between 2015 and 2017. The use-case study focused on a cohort of patients treated with statins prescribed by their general practitioner or during their hospital stay.

RESULTS

The whole process (record linkage procedure and use-case analyses) required 88 minutes. Of the 161,532 and 164,316 patients from the SNDS and eHOP CDW data sets, respectively, 159,495 patients were successfully linked (98.74% and 97.07% of patients from SNDS and eHOP CDW, respectively). Of the 16,806 patients with at least one statin delivery, 8293 patients started the consumption before and continued during the hospital stay, 6382 patients stopped statin consumption at hospital admission, and 2131 patients initiated statins in hospital. Statin-drug interactions occurred more frequently during hospitalization than in the community (3800/10,424, 36.45% and 3253/14,675, 22.17%, respectively; P<.001). Only 121 patients had the most severe level of statin-drug interaction. Hospital stay burden (length of stay and in-hospital mortality) was more severe in patients with statin-drug interactions during hospitalization.

CONCLUSIONS

This study demonstrates the added value of combining and reusing clinical and claim data to provide large-scale measures of drug-drug interaction prevalence and care pathways outside hospitals. It builds a path to move the current health care system toward a Learning Health System using knowledge generated from research on real-world health data.