bluuebunny/crossref_metadata_2025 huggingface dataset:
CONTRIBUIÇÃO DE ROBERT OWEN AO PENSAMENTO ECONÔMICO DE PAUL SINGER
Authors: Lisboa Flávio
Published: June 2023

Neste artigo buscamos contribuir com uma revisão abrangente da crítica ao arcabouço teórico da Economia Solidária e particularmente das concepções de Singer sobre o tema, de modo a obter uma síntese de seu pensamento isenta de tendências favoráveis ao movimento. A partir de uma revisão da literatura, investigamos a presença efetiva do pensamento de Robert Owen na obra de Paul Singer e tentamos identificar exatamente quais são contribuições de Owen que Singer observa no movimento da Economia Solidária. Procuramos publicações indexadas no Oasisbr de autoria de Singer e que continham os termos “Paul Singer” e “Robert Owen”, sem limitar a data de publicação. Encontramos quinze trabalhos de autoria de Singer e quinze trabalhos sobre Singer. Incluímos no corpus de análise cinco livros de Singer, que não são obras de acesso aberto. Após verificar quais trabalhos traziam referências sobre Owen, recuperamos as análises sobre as relações entre Singer e Owen feitas por ele mesmo e pelos autores encontrados na pesquisa bibliográfica. Confrontamos as afirmações com a própria obra de Owen, compilada por Gregory Claeys em Selected Works of Robert Owen. Verificamos que Singer baseia sua concepção de Economia Solidária em quatro pontos principais do pensamento de Owen. Além disso, pudemos constatar que Singer idealiza Owen como o principal contribuidor da Economia Solidária, a qual para Singer é uma continuidade do movimento cooperativista do século XIX.
VALORAÇÃO DE ATIVOS INTANGÍVEIS DA PROPRIEDADE INTELECTUAL
Authors: Silva Souza Diego , Mario Jorge Campos dos Santos
Published: June 2023

Valorar ativos nem sempre é uma atividade das mais fáceis, sobretudo quando se trata de ativos intangíveis relacionados à propriedade intelectual, dada a sua subjetividade de avaliação e os segredos contratuais que geralmente o protegem. Neste sentido, diante das várias metodologias e abordagens para tal finalidade, pode-se verificar que não existe um consenso da literatura sobre qual método é mais adequado. Assim sendo, o presente artigo teve o objetivo de sintetizar e quantificar as produções científicas publicadas em periódicos internacionais, versando sobre a valoração da propriedade intelectual em patentes através de uma análise bibliométrica das publicações. Ao fim identificou-se o perfil das principais publicações, assim como seus indicadores, tais como: ano de publicação; obras mais citadas ao longo da série histórica; países e idiomas de publicação; palavras-chave mais recorrentes; áreas do conhecimento das publicações, etc. Dessa maneira, verificou-se que o maior número de publicações ao longo da série se deu no ano de 2021, e que caso seja confirmada a tendência da série histórica para o ano de 2023 espera-se um número de publicações relacionadas ao tema menor que em 2022. No tocante ao idioma de publicação destaca-se que grande parte destas foram feitas no idioma inglês, representando 91,42% da amostra. Por fim, verificou-se, com esta pesquisa, que o tema valoração de patentes está mais relacionado à área de Negócios, Gestão e Contabilidade, o que constitui um ponto fundamental para o delineamento de estudos futuros.
CONTRATOS E BLACK BOXING
Authors: Sampaio Giovanna , Belmino dos Santos João Antonio
Published: June 2023

This article briefly aims to address complementary notes about the contemporary contractual issues in the scenario between artificial intelligence and patents law; Therefore, the paper discusses insurance prerogatives in a comparative law perspective, investigating the work of the European commission on this matter; Further, the present work presents technical problems inherent to the AI and how this affects the conformation of legal structures such as civil liability, demonstrating the relevance of studying the interplay between intellectual property law and innovation as well as technology and contracts in emerging markets, concluding finally with the highlighting of the limitations of this article.
INTRODUÇÃO À OBSERVATÓRIOS DE INFORMAÇÃO
Authors: Enders de Albuquerque Júlio Augusto , Peixoto Santa Rita Luciana , Bittencourt Santana Pinto Ibsen Mateus
Published: June 2023

O presente artigo tem o intento de compreender os elementos conceituais comuns aos observatórios e propor um entendimento mais efetivo sobre suas missões, funções, objetivos e possíveis classificações. Para alcançar esse objetivo, foram analisados 35 estudos de diferentes setores e contextos sociais, econômicos e políticos, produzidos por cerca de 80 autores. Assim, pode-se apreender que os observatórios são infraestruturas que têm como objetivo produzir e disseminar informações e conhecimentos sobre temas específicos, a fim de subsidiar a tomada de decisão em diferentes áreas. Esses podem ser classificadas de diferentes formas, de acordo com seus objetivos, públicos-alvo, áreas de atuação, entre outros aspectos. Os resultados do estudo realizada indicam que os observatórios são importantes instrumentos para a produção e disseminação de informações e conhecimentos em diferentes áreas, como saúde, educação, meio ambiente, economia, entre outras. Além disso, foi possível identificar a existência de diferentes modelos de observatórios, que variam de acordo com seus objetivos e público-alvo. O estudo apresenta uma contribuição significativa para a consolidação da temática dos observatórios de informação e conhecimento no meio científico, ao agregar literatura inicial e ampla sobre o tema. Espera-se que essa análise possa subsidiar pesquisas futuras sobre o assunto e contribuir para o desenvolvimento de políticas públicas e estratégias empresariais que utilizem os observatórios como instrumentos para a tomada de decisão.  Além disso, o estudo aponta para a necessidade de maior integração e articulação entre os observatórios existentes, de forma a evitar duplicação de esforços e a potencializar o impacto de suas ações. Também é destacada a importância de investimentos em capacitação e formação de recursos humanos, bem como em tecnologias da informação e comunicação, para garantir a qualidade e a efetividade das atividades realizadas pelos observatórios.
Primary Ciliary Dyskinesia - An Update on the Genetics of Underlying
Pathological Mechanisms
Authors: Karikalan Barani , Chakravarthi Srikumar
Published: June 2023

One of the rapidly growing groups of diseases known as ciliopathies is primary ciliary dyskinesia (PCD), a rare hereditary illness of the motile cilia. Different clinical symptoms of prima-ry ciliary dyskinesia include infertility, left-right lateralization abnormalities, and chronic upper and lower respiratory tract disorders. Our knowledge of the genetics underlying primary ciliary dyskine-sia has significantly increased in recent years. Involved in the formation, shape, and operation of motile cilia are axonemal, cytoplasmic, and regulatory proteins that are encoded by a rising number of disease-associated genes and pathogenic mutations. We now have a better grasp of the clinical signs and symptoms of motile ciliopathies because of advances in our understanding of cilia genet-ics and the function of the proteins expressed. These developments have altered how we approach primary ciliary dyskinesia diagnostic testing. The clinical characteristics of primary ciliary dyskine-sia, the evolution of diagnostics, and the discovery of previously unknown genotype-phenotype connections in primary ciliary dyskinesia will all be covered in this review paper.
A New Optimized Hybridization Approach for in silico High Throughput
Molecular Docking on FPGA Platform
Authors: Jarrah Amin , Lababneh Jawad
Published: June 2023

Background:

The development process of a new drug should be a subject of continuous
evolution and rapid improvement as drugs are essential to treat a wide range of diseases of
which many are life-threatening. The advances in technology resulted in a novel track in drug discovery
and development known as in silico drug design. The molecular docking phase plays a vital
role in in silico drug development process. In this phase, thousands of 3D conformations of
both the ligand and receptor are generated and the best conformations that create the most stable
drug-receptor complex are determined. The speed in finding accurate and high-quality complexes
depends on the efficiency of the search function in the molecular docking procedure.

Objective:

The objective of this research is to propose and implement a novel hybrid approach
called hABCDE to replace the EMC searching part inside the BUDE docking algorithm. This
helps in reaching the best solution in a much accelerated time and higher solution quality compared
to using the ABC and DE algorithms separately.

Methods:

In this work, we have employed a new approach of hybridization between the Artificial
Bee Colony (ABC) algorithm and the Differential Evolution (DE) algorithm as an alternative searching
part of the Bristol University Docking Engine (BUDE) in order to accelerate the search for higher
quality solutions. Moreover, the proposed docking approach was implemented on Field Programmable
Gate Array (FPGA) parallel platform using Vivado High-Level Synthesis Tool (HLST) in order
to optimize and enhance the execution time and overall efficiency. The NDM-1 protein was used as a
model receptor in our experiments to demonstrate the efficiency of our approach.

Results:

The NDM-1 protein was used as a model receptor in our experiments to demonstrate the
efficiency of our approach. The results showed that the execution time for the BUDE with the new
proposed hybridization approach was improved by 9,236 times.

Conclusion:

Our novel approach was significantly effective to improve the functionality of docking
algorithms (Bristol University Docking Engine (BUDE)).
Quinazoline Analogues as Antiviral Agents
Authors: Krishnarth A Neha
Published: June 2023

The current COVID-19 outbreak has created an urgent need for innovative and effective antiviral drugs. Quinazoline analogues are an effective antiviral agents. They have shown potent antiviral activity against various preclinical virus types. To date, various quinazoline analogues have been incorporated and tested for their antiviral activity. This review aims to bring together clinical knowledge of the numerous antiviral drug analogues that have been introduced based on their structural recital.
Data Mining in Material Science
Authors: Chinnasamy M.
Published: June 2023

The invention of novel materials is the most propelling factor promoting the growth of contemporary civilization and technological innovation; nevertheless, previous materials research relied mostly on random techniques, which is arduous and labor-intensive. With the introduction of big data, which brings a deep upheaval in human society and considerably advances science, artificial intelligence, machine learning, and deep learning methods have recently made remarkable progress in materials science research. However, there are few comprehensive generalizations and descriptions of its applications in materials research. In this chapter, a brief summary of the evolution of materials science research is presented, followed by an emphasis on the key principles and basic processes of AI technique.
Overview of Nanotechnology in Food Sciences
Authors: Arora R.
Published: June 2023

Innovations in materials science at nanoscale has produced the wide range for pristine and hybrid materials with high chemical reactivity, surface area and tunable physical properties to use as food preservatives, packaging materials, monitoring of adulterant and contaminants as well as reuse of waste foods. The present chapter presents the overview of advances in nanotechnology and its application for preparation of different types of nano materials with controlled composition, morphology, crystallinity and structural alignment. Further, the applications of these nanomaterials in different food industries, consumers and service providers are discussed with suitable scheme and illustrations as preservatives, nutraceuticals, packaging and degradation of food wastes.
Fabrication of Nanomaterials via Ionic Liquids for Optoelectronics
Authors: Faisal M.A.
Published: June 2023

Nanomaterials can be fabricated with fascinating morphologies to develop smart optoelectronic devices based on nanotechnology. One of the best ways to fabricate materials of this kind is to follow the template-based strategy where the ionic liquids (ILs) offer great potential as the shape-controlling agent. Due to their unique physicochemical characteristics, ILs can act as a better template overpowering the conventional templates to synthesize nanomaterials with desirable morphology and characteristics. The exquisite morphologies of metals or metal oxides can be achieved using ILs, which may further advance the performance of optoelectronics. In this chapter, we have discussed optoelectronics, ILs and their classifications, controlled morphology of smart materials for optoelectronics, and fabrication of nanomaterials via ILs.
Application of Nanoparticles in Soil and Water Treatment
Authors: Hakim A.
Published: June 2023

Nanoparticles (NPs) exhibit size- and shape-dependent properties and may have distinctive colors that can be used in agriculture and biological applications as well as for physical and chemical studies. NPs have received significant attention in place of conventional bulk materials, and there has been an upsurge of interest in the exploitation of the unique features of NPs for soil and water treatment. In particular, nanoremediation is one of the most environmentally friendly techniques to use in soil, surface, and wastewater systems, especially with the expanding environmental pollution issues. The high surface-to-volume ratio of NPs results in a high absorption capacity for the remediation of contaminated soil and wastewater. This chapter focuses on the role of NPs in remediating polluted soil and water and the process of nanoremediation.
Lima la sublime. Apuntes para una ciudad caníbal
Authors: Gallardo del Castillo Magaly
Published: June 2023

Lima la sublime, intitulada bajo la lupa y desde la piel de la autora, ciertamente vierte diez años del trajinar profesional incesante desde su arribo a la ciudad, que la acoge por elección, allá en el 2011. Su formación y ejercicio le han permitido conocer desde el tejido de la historia los entretelones de la nación, pasando por el Congreso y la Inquisición; son en parte la razón de su narración entrañable, realista, crítica y, por qué no decirlo, crudamente autocrítica; la recién llegada, le permite ver y leer a la Ciudad de los Reyes desde la vereda del frente pasando por el mar del Atlántico.
La conservación del patrimonio arquitectónico del siglo XX. Criterios y experiencias en España y America Latina
Authors: Ciriani Espejo Patricia
Published: June 2023

¿Se puede conservar la esencia de un inmueble cuando la sociedad que lo vio nacer, el régimen político y económico que lo financió, han cambiado por completo? ¿Se puede renovar una arquitectura de hace 50 o 100 años bajo las exigencias técnicas actuales sin tergiversar su espacialidad interior y los propósitos de sus proyectistas y usuarios originales? Cambiar la función de un edificio para adaptarlo a usos actuales, ¿lo protege del olvido o traiciona su razón de ser?
Leonardo Mattos-Cardenas
Authors: Hayakawa Casas José
Published: June 2023

Es para mi un gran placer y una fuente de genuino intéres, mi estimado colega y amigo, el poder responder a las preguntas que me serán formuladas sobre mi peculiar experiencia personal y sobre el problema, hoy tan importante y aparentemente simple, de la conservación del patrimonio edificado. Solo espero poder ser lo más conciso, directo y útil posible, pensando en especial, en las jóvenes generaciones interesadas en este fascinante tema.

La Conservación es una disciplina que une sofisticadas técnicas en continua evolución con una sólida y profunda formación cultural.
Patrimonio Religioso de Iberoamérica: Expresiones tangibles e intangibles (Siglos XVI-XXI)
Authors: Urdanigue Aaron
Published: June 2023

Después de atravesar una pandemia que afectó a todo el mundo durante dos años, especialmente en el campo de la salud y el económico, el ámbito académico no se vio inmune ante estos acontecimientos, y se vio forzado a adaptarse a una nueva normalidad que el mundo y la coyuntura exigían.
Environmental factors determine the occurrence of pulmonary tuberculosis
Authors: Setiyowati Eppy , Khamida Khamida , Kamariyah Nurul , Setianto Budhi , Hatmanti Netty Mawardah , Bistara Difran Nobel , Wardani Erika Martining
Published: June 2023

Background: Environment consisting of  residential density, house ventilation, room humidity, and lighting, is regarded as one of the factors causing the transmission of pulmonary tuberculosis (TB). The current research aimed to figure out the environmental factors determining the occurrence of pulmonary TB in Surabaya City.

Objectives: the purpose of the current study was to figure out the environmental factor determining the incidents of pulmonary tuberculosis (TB) in Surabaya City

Methods : This was observational research carried out by a cross-sectional approach. People with pulmonary TB registered for treatment at the Perak Timur Community Health Center and Jagir Community Health Center in Surabaya City were recruited as the research population. Meanwhile, the research samples were patients with pulmonary TB in both Community Health Centers. Simple random sampling was utilized to collect 130 patients as respondents. The data obtained were then analyzed using univariate and bivariate logistic regression.

Results: The bivariate statistical test on the four research variables showed that residential density had OR=0.671, house ventilation had OR=2.874, room humidity had OR=1.231, and house lighting had OR=1.170. Fourth, environmental factors are not the cause of TB disease, because the results of statistical tests show that the OR value is above 0.5
Conclusions: It can be concluded that residential density, lighting, and house ventilation did not influence the occurrence of pulmonary tuberculosis. It was more likely that it was caused by factors which do not come from the living environment. Suggestions for future research need to be an air swab examination around the residence of TB patients
The relationship of exclusive breastfeeding with the return of menstrual time in mothers who have babies aged 6 -12 months in the work area of Pekik Nyaring Puskesmas, Bengkulu Central District
Authors: Yanniarti Sri , Putri Omi Veby Yunita , Efriani Rolita
Published: June 2023

Background: Exclusive breastfeeding means giving only breast milk to babies from 30 minutes after birth (after birth) until the age of 6 months, without additional fluids, such as formula milk, fruit juices, water, honey, tea water and solid complementary foods such as fruit, biscuits, milk porridge. , rice porridge and team rice. Mothers who breastfeed exclusively, in principle, will get menstruation longer than those who do not exclusively breastfeed their babies.

Objectives: The purpose of this study was to determine the relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies aged 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency.

Methods: This research was conducted in December 2021 in the working area of the Pekik Nyaring Health Center, Central Bengkulu Regency using a kohort retrospektif.design. Determination of the number of samples using the slovin formula. The sample in this study were mothers who had babies aged 6-12 months in the Pekik Nyaring Health Center Work Area, Central Bengkulu Regency as many as 54 people spread over 7 villages with proportional random sampling technique.

Results: The results showed that most of the respondents were under 35 years old with the most education level graduating from high school and most of them working as housewives. Most mothers who have babies aged 6-12 months give exclusive breastfeeding and get menstruation back more than six months. There is a significant relationship between exclusive breastfeeding and the length of return of menstruation for mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency.
Conclusions: There is a significant relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency
Literature Review: Factors affecting the implementation of Early Initiation of Breastfeeding (EIBF) in maternity and breastfeeding mothers
Authors: Wahdaliya Nur Aziza , Baroya Ni'mal , Kusumawardani Devi Arine
Published: June 2023

Background: Early initiation of breastfeeding (EIBF) is the process of direct skin contact between the mother and the baby within the first hour after delivery. EIBF affects the welfare and survival of newborns. Implementation of early breastfeeding initiation globally according to WHO is 42% and the low implementation of EIBF is influenced by several factors.

Objectives: To identify factors that influence the implementation of Early Breastfeeding Initiation (EIBF) in mothers who give birth and breastfeed based on empirical studies in the last five years.

Methods: The research method in this study was a literature review with the type of narrative literature review by using flowcharts to determine screening studies that were adjusted to the research objectives. A search for literature reference sources was carried out from August 2021 to March 2022 with secondary data. Research reference sources are 31 international articles using 3 databases, namely PubMed, Sciencedirect, and Springer.

Results: The results of the study show that the mother's knowledge can be influenced by the availability of EIBF information, and the level of education of the mother. Parity has an influence on EIBF, because it is related to the mother's experience of breastfeeding. In caesarean delivery, it is influenced by post-delivery factors such as caesarean incision pain, the effect of anesthesia, and the mother's perception of milk production, whereas in normal delivery there are conditions of the mother's health that can affect the implementation of EIBF. Social support (husband, family and health workers) can encourage mother's confidence in the implementation of EIBF.
Conclusions: There are several factors that influence and relate to the mother's knowledge, parity, type of delivery, social support, and health services on the success of EIBF in the implementation of EIBF in labor and breastfeeding mothers.
The Influence of Greenspace Exposure on Affect in People With and Those Without Schizophrenia: Exploratory Study
Authors: Kangarloo Tairmae , Mote Jasmine , Abplanalp Samuel , Gold Alisa , James Peter , Gard David , Fulford Daniel
Published: June 2023

Background

Exposure to natural vegetation (ie, “greenspace”) is related to beneficial outcomes, including higher positive and lower negative affect, in individuals with and those without mental health concerns. Researchers have yet to examine dynamic associations between greenspace exposure and affect within individuals over time. Smartphone-based ecological momentary assessment (EMA) and passive sensors (eg, GPS, microphone) allow for frequent sampling of data that may reveal potential moment-to-moment mechanisms through which greenspace exposure impacts mental health.

Objective

In this study, we examined associations between greenspace exposure and affect (both self-reported and inferred through speech) in people with and those without schizophrenia spectrum disorder (SSD) at the daily level using smartphones.

Methods

Twenty people with SSD and 14 healthy controls reported on their current affect 3 times per day over 7 days using smartphone-based EMA. Affect expressed through speech was labeled from ambient audio data collected via the phone’s microphone using Linguistic Inquiry and Word Count (LIWC). Greenspace exposure, defined as the normalized difference vegetation index (NDVI), was quantified based on continuous geo-location data collected from the phone’s GPS.

Results

Overall, people with SSD used significantly more positive affect words (P=.04) and fewer anger words (P=.04) than controls. Groups did not significantly differ in mean EMA-reported positive or negative affect, LIWC total word count, or NDVI exposure. Greater greenspace exposure showed small to moderate associations with lower EMA-reported negative affect across groups. In controls, greenspace exposure on a given day was associated with significantly lower EMA-reported anxiety on that day (b=–0.40, P=.03, 95% CI –0.76 to –0.04) but significantly higher use of negative affect words (b=0.66, P<.001, 95% CI 0.29-1.04). There were no significant associations between greenspace exposure and affect at the daily level among participants with SSD.

Conclusions

Our findings speak to the utility of passive and active smartphone assessments for identifying potential mechanisms through which greenspace exposure influences mental health. We identified preliminary evidence that greenspace exposure could be associated with improved mental health by reducing experiences of negative affect. Future directions will focus on furthering our understanding of the relationship between greenspace exposure and affect on individuals with and those without SSD.
The Impact of Counseling on the Dignity of Older People: Protocol for a Mixed Methods Study
Authors: Hung Ho Yeow , Azman Azlinda , Jamir Singh Paramjit Singh
Published: June 2023

Background

Psychological counseling is perceived as a treatment that could significantly improve older individuals’ psychological and behavioral functioning. There is a dearth of information on the impact of psychological counseling on preserving dignity and facilitating good aging among older people in Singapore.

Objective

The objectives of this study are as follows: (1) to assess advance care planning among older people and their perception of life and health, end of life, and end-of-life care; (2) to explore older people’s accessibility and receptiveness toward counseling; (3) elucidate older people’s perspectives on counseling and its impact on emotional management and decision-making; (4) to assess older people’s competencies in emotional management; and (5) to propose an intervention model for enhancing older people’s well-being and dignity through psychological counseling in Singapore.

Methods

A mixed method study design involving quantitative and qualitative methods will be used. Older individuals receiving some form of preventive, primary, or long-term care in the community through voluntary welfare organizations from the senior activity centers located in eastern Singapore participated in the qualitative phase. Six older individuals from each senior activity center have been enrolled for the interview phase to explore 6 components: the Advanced Care Planning (ACP) booklet, Trait Meta Mood Scale (TMMS), accessibility and receptiveness toward counseling, and emotional management and decision-making. The ACP, an instrument designed to assess advanced care planning among older individuals, and the TMMS, an instrument developed to measure meta-mood experience and emotional management, were used in the quantitative phase among 100 participants. The data will be analyzed thematically using NVivo version 12, whereas descriptive statistics and a 2-tailed, 1-sample t test will be conducted in SPSS (version 25; IBM Corp) for empirical data analyses.

Results

The qualitative phase, which involves a semistructured interview, has been completed among 20 older individuals aged 66-86 years. Thematic analysis of the data is still ongoing. Meanwhile, the quantitative phase commenced on March 22, 2022, with 100 participants providing signed informed consent to participate in the study. The study is expected to be completed by March 2023.

Conclusions

The mixed methods study will document the current awareness of ACP, accessibility and receptiveness toward counseling, and the potential use of psychological counseling in enhancing well-being and dignity among older people in Singapore. The research findings will benefit policy makers in their decision-making when attempting to mitigate the potential barriers to seeking counseling assistance among older people.

International Registered Report Identifier (IRRID)

DERR1-10.2196/45557
Leveraging Electronic Health Record Technology and Team Care to Address Medication Adherence: Protocol for a Cluster Randomized Controlled Trial
Authors: Blecker Saul , Schoenthaler Antoinette , Martinez Tiffany Rose , Belli Hayley M , Zhao Yunan , Wong Christina , Fitchett Cassidy , Bearnot Harris R , Mann Devin
Published: June 2023

Background

Low medication adherence is a common cause of high blood pressure but is often unrecognized in clinical practice. Electronic data linkages between electronic health records (EHRs) and pharmacies offer the opportunity to identify low medication adherence, which can be used for interventions at the point of care. We developed a multicomponent intervention that uses linked EHR and pharmacy data to automatically identify patients with elevated blood pressure and low medication adherence. The intervention then combines team-based care with EHR-based workflows to address medication nonadherence.

Objective

This study aims to describe the design of the Leveraging EHR Technology and Team Care to Address Medication Adherence (TEAMLET) trial, which tests the effectiveness of a multicomponent intervention that leverages EHR-based data and team-based care on medication adherence among patients with hypertension.

Methods

TEAMLET is a pragmatic, cluster randomized controlled trial in which 10 primary care practices will be randomized 1:1 to the multicomponent intervention or usual care. We will include all patients with hypertension and low medication adherence who are seen at enrolled practices. The primary outcome is medication adherence, as measured by the proportion of days covered, and the secondary outcome is clinic systolic blood pressure. We will also assess intervention implementation, including adoption, acceptability, fidelity, cost, and sustainability.

Results

As of May 2023, we have randomized 10 primary care practices into the study, with 5 practices assigned to each arm of the trial. The enrollment for the study commenced on October 5, 2022, and the trial is currently ongoing. We anticipate patient recruitment to go through the fall of 2023 and the primary outcomes to be assessed in the fall of 2024.

Conclusions

The TEAMLET trial will evaluate the effectiveness of a multicomponent intervention that leverages EHR-based data and team-based care on medication adherence. If successful, the intervention could offer a scalable approach to address inadequate blood pressure control among millions of patients with hypertension.

Trial Registration

ClinicalTrials.gov NCT05349422; https://clinicaltrials.gov/ct2/show/NCT05349422

International Registered Report Identifier (IRRID)

DERR1-10.2196/47930
From the Cochrane Library: Interventions for Pityriasis Rosea (Preprint)
Authors: Méndez Alejandra , Stevens Carly , Murina Andrea
Published: June 2023

UNSTRUCTURED

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Public Health Risks, Dermatological Manifestations, and Environmental Justice Associated With Vinyl Chloride Exposure: Narrative Review (Preprint)
Authors: Goodman Rachel S , Mittal Lavanya , Parker Eva Rawlings
Published: June 2023

BACKGROUND

Environmental vinyl chloride (VC) exposure may result in serious acute and chronic dermatological conditions. Because existing literature largely focuses on exposures in occupational settings, a gap persists in our understanding of the medical consequences of large-scale chemical spills.

OBJECTIVE

This study aims to examine the potential dermatological manifestations of VC exposure in the context of industrial spills and other environmental disasters and to highlight the public health and justice implications of such releases.

METHODS

In this narrative review, relevant evidence-based, peer-reviewed scientific sources, gray literature, and media reports were identified via searches of search PubMed and Google using predetermined keyword search terms related to VC, VC spills and releases, train derailment, cutaneous disease, public health, and vulnerable and marginalized populations.

RESULTS

Contact dermatitis and frostbite may arise acutely, highlighting the importance of swift decontamination. Long-term manifestations from chronic VC exposure due to persistence in environmental reservoirs include Raynaud disease, sclerodermatous skin changes, acro-osteolysis, and cutaneous malignancies. The clinical severity of cutaneous manifestations is influenced by individual susceptibility as well as duration, intensity, and route of exposure. Additionally, chemical releases of VC more frequently impact Communities of Color and those of lower socioeconomic status, resulting in greater rates of exposure-related disease.

CONCLUSIONS

With environmental release events of hazardous chemicals becoming increasingly common and because the skin has increased contact with environmental toxins relative to other organs, an urgent need exists for a greater understanding of the overall short- and long-term health impacts of large-scale, toxic exposures, underscoring the need for ongoing clinical vigilance. Dermatologists and public health officials should also aim to better understand the ways in which the disproportionate impacts of hazardous chemical exposures on lower-income and minority populations may exacerbate existing health disparities. Herein, we describe the health implications of toxic releases with particular consideration paid to marginalized and vulnerable populations. In addition to legal and regulatory frameworks, we advocate for improved public health measures, to not only mitigate the risk of environmental catastrophes in the future, but also ensure timely and effective responses to them.
Exposure to Major Air Pollutants and Predictive Value of Pollutant Levels on Increased Completed Suicide rate in OECD Countries (Preprint)
Authors: Uludag Kadir
Published: June 2023

BACKGROUND

Many studies have investigated the link between exposure to several air pollutants such as carbon dioxide (CO2), carbon monoxide (CO), and ozone (O3) and how they impact the overall completed suicide rate. However, It is unclear how air pollution may affect the increased suicide rate. Furthermore, it is unclear which pollutants may lead to an increased completed suicide rate.

OBJECTIVE

Therefore, our study aimed to predict the rise in suicide rates using publicly available open air pollution data.

METHODS

Public Organization for Economic Co-operation and Development （OECD）data was used to extract relevant air pollutants data. Our study included countries of Turkey (2019), Greece (2019), Slovak Republic (2019), United Kingdom (2019), Canada (2019), Luxembourg (2019), Poland (2019), Japan (2019), Hungary (2019), Lithuania (2020), Italy (2017) Spain (2020) Portugal (2018), Ireland (2018)，Denmark (2018), Germany (2020), Chile (2018), Netherlands (2020), Canada (2019), Austria (2020) Czech Republic (2020), Switzerland (2018), Australia (2020), Sweden (2018), Iceland (2020), United States (2020), Finland (2018), Latvia (2020) Belgium (2018), Estonia (2020), Slovenia (2020), and Korea (2019).
Air pollutants of CO2, CO, greenhouse gas (GHG), Nitrogen oxides (NOX), Sulfur dioxide (SOX), and Volatile organic compounds (VOC) were used to assess the air quality of the countries mentioned above. We have divided countries into high and low-suicide-risk countries according to the mean completed suicide rate of the measured countries.

RESULTS

According to our main study results, the mean suicide rate among countries was 11.36 per 100.000 people. A significant correlation was not found between the suicide rates and levels of measured air pollution parameters. The correlation was negative only between SOX and the suicide rate.
Random Forest (RF) Machine Learning (ML) model showed that we predicted a low or high suicide rate status with an accuracy of 90% (area under curve (AUC): 94%). The level of CO2 was the most predictive factor according to the RF model.
Furthermore, the Neural Networks (NN) ML model predicted a low or high suicide rate with an accuracy of 90% (AUC: 75%). The level of CO was the most predictive factor according to the NN model.

CONCLUSIONS

In conclusion, certain levels of air pollutants may be used to predict the completed high or low suicide rate status.

CLINICALTRIAL

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Analisis kepuasan pemustaka terhadap kualitas layanan website perpustakaan di masa pandemi COVID-19
Authors: Restanti Anisa Sri , Munjiati Munjiati , Wijayanti Utik Nur , Auliyani Uswatun , Saefudin Saefudin
Published: June 2023

Introduction: Government policies in suppressing the spread of the COVID-19 pandemic creates a bigger challenge to provide better library services. Library websites become one important service in social distance. This study aims to find out the level of user satisfaction in the utilization of library websites during the COVID-19 pandemic.

Data Collecttion Methods: The paper used a quantitative approach with surveys. Questionnaires are managed  based on webqual variables.

Data analysis: The survey data analysis used descriptive statistics with mean value. The mean value is based on the interpretation guidelines.

Results and discussion: Library web statements showed the highest score while library web appearance showed the lowest. The average score of user satisfaction on the utilization of library websites is at a satisfactory level. The highest score is 28,04 on the information quality variable. The lowest score of 18,76 on the usability quality variable and interaction quality showed a score of 23,74.

Conclusions: Based on the results of data analysis on the webqual variable, the level of user satisfaction in the utilization of library website during the COVID-19 pandemic is found in the satisfactory level.
ANALISIS SPASIAL KETERJANGKAUAN RETAILER ROKOK TERHADAP PERILAKU MEROKOK PADA SISWA SEKOLAH MENENGAH ATAS (SMA) DI KEC. WANGI-WANGI DAN WANGIWANGI SELATAN KABUPATEN WAKATOBI
Authors: Muhammad Ihsan Awaluddin  , Supriyati  , Anis Fuad
Published: June 2023

Background: Indonesia is still the third country with the most active smokers in the world (61.4 million smokers), after China and India. Data on cases of smoking violations at school in 2017 were 64 cases of smoking violations in all high schools in Wangi-Wangi District and 45 cases in high schools in Wangi-Wangi Selatan District and until August 2018 there were 68 reported cases of smoking violations in high school in these 2 subdistricts and is predicted to continue to increase.

Objective: To analyze the spatial relationship between the afford ability of cigarette retailers by high school students on smoking behavior spatially in Wangi-wangi District and South Wangi-wangi District, Wakatobi Regency.

Methods: Type of research is an analytic survey, using a cross sectional study design with consecutive sampling technique. Where the sample is high school students with a sample of 94 people.

Results: The results showed that there was a significant correlation between the affordability of retailers (p-Value = 0.048) with the smoking behavior of high school students PR 2.09 (95% CI 0.015-4.123), and the smoking behavior of friends (p-Value = 0.010) with the smoking behavior of high school students PR 1.82 (95% CI 1,096-13,662), GeoDa spatial regression test shows that retailer’s affordability (p = 0.00922), friend’s smoking behavior (p = 0.00204) and parental smoking behavior (p = 0.03181) shows spatial relation ship with smoking behavior, where the parental smoking behavior variable has weak spatial autocorrelation because its Morran’s index is close to zero.

Conclusion: There is a spatial relationship between the affordability of retailers, friend smoking behavior and smoking behavior of parents with smoking habits of high school students in Wangi-Wangi District and WangiWangi South District, Wakatobi Regency
PENERAPAN CUCI TANGAN PESERTA DIDIK DI RUMAH SAKIT GIGI DAN MULUT UNIVERSITAS GADJAH MADA PROF. SOEDOMO
Authors: Fitrina Rachmadanty Siregar  , Andreasta Meliala
Published: June 2023

Background: Dental health professionals have potential infection risks during treatment for the patients. Performing good hand hygiene is very important to prevent the transmission of infections including in dental practice. However, various studies have shown that health workers have low compliance to hand hygiene. Some

factors influence the compliance of health workers in hand hygiene practice are knowledge, perceptions, attitudes, workload, and the availability of hand hygiene facilities.

Objective: The aim of the study was to improve the compliance of the dental clerkship students’ hand hygiene practice at UGM Prof. Soedomo Dental Hospital.

Methods: The research design was action research. Quantitative data was collected during the diagnosing action through a questionnaire on knowledge and perceptions of hand hygiene and observation of hand hygiene compliance among 35 students, focus group discussion (FGD) on four students, and evaluating the hand hygiene

facilities for students. The data collected in initial stage was used to determine the planning action, taking action, and evaluation stage.

Results: The hand hygiene compliance of the students increased by 60% after dissemination of hand hygiene standard procedures, hand hygiene training, improving hand hygiene facilities, and increasing the commitment using consent forms before treating patients. The result of the Wilcoxon Signed Rank Test showed a Z value of -4.583 with a p-value of 0.000 (p<0.05).

Conclusion: It can be concluded that the hand hygiene compliance of clerical students in UGM Prof. Soedomo Dental Hospital increase significantly by the policy and management interventions.
EVALUASI PERENCANAAN DAN PENGANGGARAN PROGRAM PROMOTIF DAN PREVENTIF DINAS KESEHATAN KABUPATEN TANA TIDUNG, KALIMANTAN UTARA
Authors: Ranik Diastuti  , Julita Hendrartini
Published: June 2023

Background: Planning and budgeting are important components of community health efforts. Budget allocation for health in Tana Tidung was small. Budget absorption in health office was also low.

Achievement of some Minimum Service Standard (SPM) indicators still below 60%. This indicates the possibility of problems regarding the quality of planning, budgeting, or implementation of promotive

and preventive programs. Research needs to be done to evaluate the process of planning and budgeting of promotive and preventive program in Tana Tidung district health office.

Objective: To evaluate the process of planning and budgeting of promotive and preventive program in Tana Tidung district health office to be known the obstacles of SPM indicators achievement.

Methods: The type of research is case study research with single case design. Data collected by documentation document review, observation and in-depth interview with 17 employees in health of

fice and primary healthcare centers during the period of March-April Data were analyzed with qualitative method.

Results: Achievement of promotive and preventive program indicators in Tana Tidung district health office influenced by planning, either from human resources, data and information also guidelines

for planning. Budgedting of promotive and preventive programs was ineffective and inefficient to improve achievement of SPM indicators.

Constraints encountered are human resources have not been sufficient in quantity and quality, less communication, lack monitoring and evaluation functions, weak commitment of the programs holders in targets achievement, as well as the commitment of local authorities to promotive and preventive programs that are also weak.

Conclusion: Planning and budgeting of promotive and preventive program had not been able to increase achievement of SPM indicators. Improvement is needed, especially on human resources, data management, policy components and also need a strong commitment to improve the achievement of promotive and preventive program indicators.
PERAN STAKEHOLDER TERHADAP PROGRAM KESEHATAN JIWA DALAM PENANGGULANGAN PASUNG PADA ORANG DENGAN GANGGUAN JIWA (ODGJ) DI KECAMATAN MOYUDAN KABUPATEN SLEMAN
Authors: Syifa Atun Nisa  , Mubasysyir Hasanbasri  , Nunung Priyatni
Published: June 2023

Background: Mental health problems or mental health disorders are closely related to the physical restraint. Physical restraint on people with mental disorders is due to lack of information about mental health, financial barriers, inadequate access of mental health services especially in rural areas. The participation or role of stakeholder in mental health programs is one of the determinants to prevent the physical restraint on people with mental health disorders (ODGJ).

Objective: This study aimed to find out and explore the role of stakeholders on mental health programs in prevention of physical restraint on people with mental health disorders in Moyudan, Sleman regency.

Methods: This research was a descriptive study with qualitative methods. The research design used was a case study to identify and explore the role of each stakeholder in overcoming shackles in ODGJ in Moyudan District, Sleman Regency. The study used purposive sampling with research subjects totaling 19 people. Data collection is done by in-depth interviews, observation and document review.

Results: All stakeholders have a role in mental health programs to prevent physical restraint on people with mental health disorders. Puskesmas as a key stakeholders have to advocate for other stakeholders. The results of advocacy are political commitment from local government, policy support from Health District Office, Social Welfare District Office, Ghrasia Mental Hospital, Moyudan district and village government. However, the implementation of the advocacy

was not always successful. In this case, family as the main stake holder refused the advocacy. The negative stigma about mental health is one of the problem that is still difficult to deal within the community.

Conclusion: All stakeholders have a role in mental health programs to prevent physical restraint on people with mental health disorders, although not yet optimal.
Fear and Anxiety, as Reflected in Israeli Children’s Books
Authors: Baratz Lea
Published: June 2023

This article aims to show elements of fear and anxiety in children’s books written about children living in the Gaza Strip region of Israel. Since the 1950s, this area has been a source of active terrorism against Israel, although it should be noted that there have also been periods of relative calm alongside the waves of terrorism. The research methodology is based on a text analysis of 20 children’s books on this subject that reflect social processes during wartime and their effects on residents, who are mostly children. The vocabulary related to fear and anxiety highlights certain sociocultural contexts—in this case, a period of war—and the lexicon use expresses the unique atmosphere that was created in the Gaza Strip
Schizophrenia, Hearing Voices and Personal Growth
Authors: Mous Anony
Published: June 2023

This article looks at the various challenges for personal growth posed by schizophrenia and Hearing voices, as they are experienced together. It uses Maslows Hierarchy of needs as a model for personal growth and details techniques and strategies for climbing the pyramid whilst experiencing these problems of mental illness. It contends there are therapeutic advantages for people with these symptoms which will improve their quality of life.