bluuebunny/crossref_metadata_2025 huggingface dataset:
Using the Patient Portal Sexual Health Instrument in Surveys and Patient Questionnaires Among Sexual Minority Men in the United States: Cross-sectional Psychometric Validation Study (Preprint)
Authors: Jackman Kevon-Mark P , Kane Jeremy , Kharrazi Hadi , Johnson Renee M , Latkin Carl
Published: March 2020

BACKGROUND

Patient portal modules, including electronic personal health records, health education, and prescription refill ordering, may be leveraged to address the sexually transmitted infection (STI) burden, including HIV, among gay, bisexual, and other sexual minority men (SMM). Theoretical frameworks in the implementation sciences highlight examining constructs of innovation attributes and performance expectations as key determinants of behavioral intentions and the use of new web-based health technologies. However, behavioral intentions to use patient portals for HIV and other STI prevention and care among SMM is understudied.

OBJECTIVE

The aim of this study is to develop a brief instrument for measuring attitudes focused on using patient portals for STI prevention and care among a nationwide sample of SMM.

METHODS

A total of 12 items of the American Men’s Internet Survey-Patient Portal Sexual Health Instrument (AMIS-PPSHI) were adapted from a previous study. Psychometric analyses of the AMIS-PPSHI items were conducted among a randomized subset of 2018 AMIS participants reporting web-based access to their health records (N=1375). Parallel analysis and inspection of eigenvalues in a principal component analysis (PCA) informed factor retention in exploratory factor analysis (EFA). After EFA, Cronbach α was used to examine the internal consistency of the scale and its subscales. Confirmatory factor analysis (CFA) was used to assess the goodness of fit of the final factor structure. We calculated the total AMIS-PPSHI scale scores for comparisons within group categories, including age, STI diagnosis history, recency of testing, serious mental illness, and anticipated health care stigma.

RESULTS

The AMIS-PPSHI scale resulting from EFA consisted of 12 items and had good internal consistency (α=.84). The EFA suggested 3 subscales: sexual health engagement and awareness (α=.87), enhancing dyadic communication (α=.87), and managing sexual health care (α=.79). CFA demonstrated good fit in the 3-factor PPSHI structure: root mean square error of approximation=0.061, comparative fit index=0.964, Tucker-Lewis index=0.953, and standardized root mean square residual=0.041. The most notable differences were lower scores on the enhanced dyadic communication subscale among people living with HIV.

CONCLUSIONS

PPSHI is a brief instrument with strong psychometric properties that may be adapted for use in large surveys and patient questionnaires in other settings. Scores demonstrate that patient portals are favorable web-based solutions to deliver health services focused on STI prevention and care among SMM in the United States. More attention is needed to address the privacy implications of interpersonal use of patient portals outside of traditional health settings among persons with HIV.
Do doctors care? Validating a tool for the assessment of health information security in Spanish-speaking countries (Preprint)
Authors: Delgado-Ron Jorge Andres , Simancas-Racines Daniel
Published: March 2020

BACKGROUND

Healthcare has increased its use of information technology over the last few years. A trend followed higher usage of Electronic Health Record in low-and-middle-income countries where doctors use non-medical applications and websites for healthcare-related tasks. Information security awareness and practices are essential to reduce the risk of breaches.

OBJECTIVE

To assess the internal reliability of the Spanish translation of three areas of the Human Aspects of Information Security Questionnaire (HAIS-Q), and to assess the knowledge, attitudes, and practices of medical doctors around information security.

METHODS

This is a cross-sectional descriptive study designed as a questionnaire-based. We used focus areas (Password management, social media use, and mobile devices use) from the Human Aspects of Information Security Questionnaire (HAIS-Q). Medical doctors in Ecuador answered an online survey between December 2017 and January 2018.

RESULTS

A total of 434 health professionals (response rate: 0.65) completed all the questions in our study. Scores were 37.4 (SD 5.9) for Password Management, 35.4 (SD 5.0) for Social Media Use and 35.9 (SD 5.7) for Mobile Devices. Cronbach’s alpha coefficient (α) was 0.78 (95% CI: 0.75, 0.81) for password management, 0.73 (95%CI: 0.69, 0.77) for mobile devices and 0.77 (95% CI: 0.73, 0.78) for Social Media Use.

CONCLUSIONS

Our study shows that three components of the Spanish translation of the HAIS-Q questionnaire were internally reliable when applied in medical doctors. Medical doctors with eagerness to receive infosec training scored higher in social media use and mobile device use categories.
A Case for Participatory Disease Surveillance of the COVID-19 Pandemic in India (Preprint)
Authors: Garg Suneela , Bhatnagar Nidhi , Gangadharan Navya
Published: March 2020

UNSTRUCTURED

The coronavirus disease pandemic requires the deployment of novel surveillance strategies to curtail further spread of the disease in the community. Participatory disease surveillance mechanisms have already been adopted in countries for the current pandemic. India, with scarce resources, good telecom support, and a not-so-robust heath care system, makes a strong case for introducing participatory disease surveillance for the prevention and control of the pandemic. India has just launched Aarogya Setu, which is a first-of-its-kind participatory disease surveillance initiative in India. This will supplement the existing Integrated Disease Surveillance Programme in India by finding missing cases and having faster aggregation, analysis of data, and prompt response measures. This newly created platform empowers communities with the right information and guidance, enabling protection from infection and reducing unnecessary contact with the overburdened health care system. However, caution needs to be exercised to address participation from digitally isolated populations, ensure the reliability of data, and consider ethical concerns such as maintaining individual privacy.
The Use of Genomics to Drive Kidney Disease Drug Discovery and Development
Authors: Reilly Dermot F. , Breyer Matthew D.
Published: March 2020

As opposed to diseases such as cancer, autoimmune disease, and diabetes, identifying drugs to treat CKD has proven significantly more challenging. Over the past 2 decades, new potential therapeutic targets have been identified as genetically altered proteins involved in rare monogenetic kidney diseases. Other possible target genes have been implicated through common genetic polymorphisms associated with CKD in the general population. Significant challenges remain before translating these genetic insights into clinical therapies for CKD. This paper will discuss how genetic variants may be leveraged to develop drugs and will especially focus on those genes associated with CKD to exemplify the value and challenges in including genetic information in the drug development pipeline.
Deriva (fragmentos)
Authors: Lorenzano Sandra
Published: March 2020

Deriva (fragmentos)
Acta de nacimiento de EPIKEIA
Authors: Ortega Adriana , Rodríguez Verónica , Vericat Isabel , Campbell Federico , Mansour Mónica , Poniatowska Elena
Published: March 2020

Acta de nacimiento de EPIKEIA
De Ia autoexclusión al radicalismo participativo escenas de un proceso feminista
Authors: Lamas Marta
Published: March 2020

De Ia autoexclusión al radicalismo participativo escenas de un proceso feminista
EI ejercicio de la ciudadanía de las mujeres y su contribución a la democracia
Authors: Gutiérrez Castañeda Griselda
Published: March 2020

EI ejercicio de la ciudadanía de las mujeres y su contribución a la democracia
Los monólogos de la vagina
Authors: Priego María Teresa
Published: March 2020

Los monólogos de la vagina
Virginidad e iniciación sexual: experiencias y significados
Authors: Castro Roberto
Published: March 2020

Virginidad e iniciación sexual: experiencias y significados
Ahora es nuestra hora, la hora de las mujeres indígenas
Authors: Rovira Sancho Guioma
Published: March 2020

Ahora es nuestra hora, la hora de las mujeres indígenas
Conjuros y ebriedades
Authors: Mansour Mónica
Published: March 2020

Conjuros y ebriedades
Los iguales, los semejantes, los (hasta hace un minuto) perfectos desconocidos (a cien años de la Redada de los 41)
Authors: Monsiváis Carlos
Published: March 2020

Los iguales, los semejantes, los (hasta hace un minuto) perfectos desconocidos (a cien años de la Redada de los 41)
Las torres fantasma: reflexiones feministas sobre la batalla entre el capitalismo global y el terrorismo fundamentalista
Authors: P. Petchesky Rosalind , Constantino Julia , Moreno Hortensia
Published: March 2020

Las torres fantasma: reflexiones feministas sobre la batalla entre el capitalismo global y el terrorismo fundamentalista
Feminicidio sexual serial en Ciudad Juárez 1993-2001
Authors: Monárrez Fragoso Julia
Published: March 2020

Feminicidio sexual serial en Ciudad Juárez 1993-2001
El sueño del metate: la negociación de poderes entre suegras y nueras
Authors: D'Aubeterre Buznego María Eugenia
Published: March 2020

El sueño del metate: la negociación de poderes entre suegras y nueras
Cuerpos en lucha, palabras en lucha: una teoría y una política para la prevención de la violación
Authors: Marcus Sharon , Olivares Cecilia
Published: March 2020

Cuerpos en lucha, palabras en lucha: una teoría y una política para la prevención de la violación
¿Quién quiere género cuando puede tener sexo?
Authors: Garrido Lucy
Published: March 2020

¿Quién quiere género cuando puede tener sexo?
Historia de Ana
Authors: Oberti Alejandra , Cháneton July
Published: March 2020

Historia de Ana
Eugenesia y aborto en México (1920-1940)
Authors: Urías Horcasitas Beatriz
Published: March 2020

Eugenesia y aborto en México (1920-1940)
La cresta de Ilión
Authors: González Mateos Adriana
Published: March 2020

La cresta de Ilión
Historia de una dualidad inevitable: feminismo vs. conservadurismo
Authors: García Peña Ana Lidia
Published: March 2020

Historia de una dualidad inevitable: feminismo vs. conservadurismo
Memoria, parentesco y política
Authors: Amado Ana María
Published: March 2020

Memoria, parentesco y política
Entendernos
Authors: Cano Gabriela
Published: March 2020

Entendernos
Comentarios sobre Debates en torno a una metodología feminista
Authors: Rodríguez-Shadow María J. , García Amero Martha , D'Aubeterre Ma. Eugenia , Fagetti Antonella , Bartra Eli
Published: March 2020

Comentarios sobre Debates en torno a una metodología feminista
Desarmar el modelo mujer = madre
Authors: Ávila Yanina
Published: March 2020

Desarmar el modelo mujer = madre
Verano con lluvia
Authors: Gargallo Francesca
Published: March 2020

Verano con lluvia
Mesa redonda: conciliación de responsabilidades laborales y familiares
Authors: Cordera Rolando , Gall Olivia , Incháustegui Teresa , Lamas Marta , Mirando Guillermo , Ortiz Rosario , Reyes Córdova María , Suárez Estela
Published: March 2020

Mesa redonda: conciliación de responsabilidades laborales y familiares
La invisibilidad de la violencia en la dominación de género en el trabajo
Authors: Zuñiga Elizalde Mercedes
Published: March 2020

La invisibilidad de la violencia en la dominación de género en el trabajo
Mesa redonda: El trabajo, el cuidado, las mujeres y los hombres
Authors: Grynspan Rebeca , Izquierdo María Jesús , Sojo Ana , Suárez Estela
Published: March 2020

Mesa redonda: El trabajo, el cuidado, las mujeres y los hombres
La política familiar feminista
Authors: Scott Joan W. , Olivares Mansuy Cecilia
Published: March 2020

La política familiar feminista
Ramona: el derecho a descansar
Authors: Belausteguigoitia Marisa
Published: March 2020

Ramona: el derecho a descansar
México a principios del siglo XXI: Ia globalización, el determinismo, la ampliación del laicismo
Authors: Monsiváis Carlos
Published: March 2020

México a principios del siglo XXI: Ia globalización, el determinismo, la ampliación del laicismo
La cuestión del embrión: entre el derecho y la moral
Authors: Ferrajoli Luigi , Ibáñez Perfecto Andrés
Published: March 2020

La cuestión del embrión: entre el derecho y la moral
¿Qué significa una presidenta mujer socialista en Chile?
Authors: Richard Nelly
Published: March 2020

¿Qué significa una presidenta mujer socialista en Chile?
Pensar el poder. Pensar la diferencia.
Authors: Olea Raquel
Published: March 2020

Pensar en el poder. Pensar en la diferencia.
Mi última pelea
Authors: Moreno Hortensia
Published: March 2020

Mi última pelea
La escritura en el cuerpo de las mujeres asesinadas en Cd. Juárez: territorio, soberanía y crímenes de segundo estado
Authors: Segato Rita Laura
Published: March 2020

La escritura en el cuerpo de las mujeres asesinadas en Cd. Juárez
Narrativa africana contemporánea
Authors: Broad Charlotte
Published: March 2020

Introducción a la literatura africana
La literatura y la vida
Authors: Sandoval Adriana
Published: March 2020

La literatura y la vida
Como piel de castor
Authors: Cárdenas Martínez Araceli
Published: March 2020

Como piel de castor
Al paso de los días
Authors: Gargallo Francesca
Published: March 2020

Al paso de los días
Despenalización del aborto: lecciones
Authors: Woldenberg José
Published: March 2020

Despenalización del aborto: lecciones
El fenómeno trans
Authors: Lamas Marta
Published: March 2020

El fenómeno trans
Las capacidades de las mujeres y la justicia social
Authors: Nussbaum Martha
Published: March 2020

Las capacidades de las mujeres y la justicia social
Borderlands/La Frontera: el feminismo chicano de Gloria Anzaldúa desde las fronteras geoculturales, disciplinarias y pedagógicas
Authors: Belausteguigoitia Marisa
Published: March 2020

Borderlands/La Frontera: el feminismo chicano de Gloria Anzaldúa desde las fronteras geoculturales, disciplinarias y pedagógicas
La relación lenguaje-cuerpo-performatividad en la obra de Judith Butler: una cartografía
Authors: Torricella Andrea
Published: March 2020

La relación lenguaje-cuerpo-performatividad en la obra de Judith Butler: una cartografía
¿Cuál vejez?
Authors: Maldonado Berta "Chaneca"
Published: March 2020

¿Cuál vejez?
Currículum privado / Currículum público
Authors: Acevedo Marta
Published: March 2020

Currículum privado / Currículum público
Sobre cómo envejecemos las mujeres
Authors: Holstein Martha B. , Golubov Nattie
Published: March 2020

Sobre cómo envejecemos las mujeres
El maltrato a personas adultas mayores: una mirada desde la perspectiva de género
Authors: Giraldo Rodríguez Liliana
Published: March 2020

El maltrato a personas adultas mayores: una mirada desde la perspectiva de género
Biografías sexuales en varones con prácticas homoeróticas, el caso de la ciudad de México
Authors: Gallego Montes Gabriel
Published: March 2020

Biografías sexuales en varones con prácticas homoeróticas, el caso de la ciudad de México
El derecho al matrimonio entre personas del mismo sexo
Authors: Ortíz Millán Gustavo
Published: March 2020

El derecho al matrimonio entre personas del mismo sexo
El 15-M y mi amiga Emília
Authors: Martínez Castells Ángeles
Published: March 2020

El 15-M y mi amiga Emília
Henadología y ontología, o los dioses y las formas: la metafísica binaria y erótica de Proclo
Authors: Redondo Ornelas José Manuel
Published: March 2020

Este artículo se propone mostrar el complejo proyecto metafísico de Proclo: tanto una metafísica de la unidad como una metafísica del ser, lo que implica una distinción entre henadología y ontología, respectivamente. Dicha distinción pone seriamente en entredicho la reductiva caracterización moderna acerca de la metafísica occidental como exclusivamente una metafísica del ser. La henadología de Proclo ofrece otra manera de pensar actualmente la necesidad de la metafísica más allá de las postulaciones modernas de una superación de la misma. Se trata de una metafísica cuya orientación es un radical monismo no-dual, resultante en una apreciación asimismo radicalmente positiva respecto al mundo y el cuerpo, a la imaginación y a las emociones. Asimismo, este artículo pretende presentar la actual revaloración del pensamiento de Proclo, uno de los filósofos (neo)platónicos más notables y reconocidos de la antigüedad e influyente en la posteridad bizantina, medieval, renacentista, hasta la filosofía idealista alemana.
Escrituras de familia: hacia una tradición no patriarcal
Authors: Cortés Nadia
Published: March 2020

La escritura filosófica es un tema de hospitalidad y de familia. Su estilo hegemónico en la filosofía occidental ha sido la tesis y, como afirma Francisco Vidarte, toda tesis implica una prótesis —es decir, un poner por delante a la familia y posicionarse frente a ella—. La escritura implicó todo un reto para el paradigma presencial en la forma de concebir la filosofía. La aceptación de una escritura filosófica ha sido posible mediante su sometimiento a un esquema patriarcal, en el que la condición para portar el apellido de “filosófica” implica una sujeción al mandato de perpetuar la voz del padre. Así, la escritura ha sido una especie de progenie bastarda que sólo funciona como copia y repetición. Es en la filosofía platónica en donde podemos encontrar uno de los primeros montajes de esta escena que une escritura, familia, hospitalidad y amor. Sin embargo, la instauración de un padre vigilante que permitirá una filosofía escrita requerirá de los hijos y de una figura femenina para instaurarse. Es precisamente bajo la aparición de khôra en el propio texto platónico que nos será posible pensar en otras formas de hospitalidad de la escritura —es decir, la posibilidad de que otras voces sean tejidas ahí: escrituras de las mujeres, de las hijas, de aquellos sin familia, de los aún no nacidos o de los nacidos sin padre que están fuera de este esquema filosófico—.
Alteridad de género y crítica
Authors: Martínez de la Escalera Ana María
Published: March 2020

Este artículo es el resultado de la contribución del Seminario Interdisciplinario de Investigación “Alteridad y exclusiones” al pensamiento de lo contemporáneo en crisis. Se plantea como un recorrido por la terminología crítico-teórica a través de la cual el Seminario sostuvo y sostiene un prolífico debate con los movimientos y organizaciones de activistas sociales del feminismo. Se argumenta que el vocabulario crítico enunciado, producto de innumerables discusiones, es el vehículo de las descripciones o enunciados con carácter teórico, además de la base para las proposiciones que desde las humanidades críticas se dirigen a resolver o disolver las cuestiones que la actualidad nos demanda como pensadores y pensadoras.
Espacio interior y exterior: Raimon Panikkar y Nishida Kitarō
Authors: Yusa Michiko , Bouso Raquel
Published: March 2020

A través de las reflexiones de Raimon Panikkar acerca de la arquitectura y las de Nishida Kitarō acerca del lugar, este texto pone en cuestión la pretendida separación de lo interno y lo externo en relación con el espacio. Panikkar y Nishida comparten una comprensión similar de la espacialidad del ser, aun cuando sus estilos filosóficos más bien parecen diferir. Mientras que Panikkar sostiene que el espacio interior y el exterior son complementarios, parte de un pleno integrado, Nishida sostiene que las nociones de espacio interior y exterior surgen de la función divisoria de la conciencia egoica. Pese a ello, sus posturas coinciden en cuanto a los efectos que puede desencadenar un adecuado y positivo vínculo entre conciencia y acción, en cuanto a las acciones que impactan directamente la forma del mundo que habitamos.
The Specific Role of Verb “To Carry” in Balinese
Authors: Pidada Ida Ayu Pristina , Umiyati Mirsa , Kasni Ni Wayan
Published: March 2020

A number of studies on verbs as one of the linguistic grammatical categories, serving to desccribe events, have been to explore in depth their more distinct types according to their semantic primitives under the natural semantic metalanguage theory approach. This research aims is to features the semantic types and specific roles of the verb ‘to carry’ in Balinese from the natural semantic metalanguage theory perspective. This study is a qualitative study. The semantic types of the verb in question was first classified in order to ease the identification of their specific semantic roles. The results of research show type of semantic roles were restricted to agent for the arguments serving as an actor of the activity described with the each of semantic type of the verb ‘to carry’ and patient for those serving as target of the said activity. This research discloses a 21 type of Balinese verbs which semantically have an intimate relation to the verb ‘to carry’; they are nèngtèng, ningting, nyangkol, nyangkil, nyuun, negen, ngandong, nenggolong, nyelet, nyelepit, ngabin, nampa, ngundit, nangal, nandan, nyekel, nikul, ngenyang, mundut, nyunggi, dan ngayot.
Alcott, Little Women, and the Popular Sublime
Authors: Fjelkestam Kristina
Published: March 2020

In my reading of Alcott’s Little Women tetralogy (1868-1886) I argue that the aesthetics it proclaim —mainly in the representation of the development of Jo’s literary endeavours—can be conceived in terms of what I here define as a ”popular sublime.” In short, it consists of a depiction of everyday existence that transcends into political dimensions and in the case of Jo runs from a sharply cut and exaggerated melodramatic style over sensationalist thrills before it finally lands in sentimentalism with a political aim. I thus claim the popular sublime to be a conceptual move away from the eighteenth-century elitism in which the sublime experience caused magnificent existential angst in male solitude instead of the empathic tears and communal smiles as effected in for instance Alcott’s and Beecher Stowe’s sentimental realism of the nineteenth century. In the end, the popular sublime is all about recognizing the nobleness of others and the sublimity in all mankind which is the democratic message it can be said to convey.
“To work industriously and steadily”: Frederick Law Olmsted and the Southern Work Ethic Revisited
Authors: Brown David
Published: March 2020

Frederick Law Olmsted is widely admired by historians of the nineteenthcentury United States and generally regarded as the single most important commentator upon slavery and the South. He toured the southern states in the early 1850s and published a series of reports in the New York Daily Times and the New York Daily Tribune. These articles were subsequently revised and compiled into three books, but it was their publication as a single, edited volume, The Cotton Kingdom (1861), which had the greatest impact. This article revisits perhaps the central insight provided by Olmsted: his criticism of the southern work ethic and the South’s reluctance “to work industriously and steadily.” It does so within the context of current scholarly interpretations of capitalism in the late antebellum South, where most scholars have taken issue with Olmsted’s view, presenting instead a dynamic and hard-working southern workforce. Why did Olmsted take such an overly critical view of the southern work ethic?
Burthened Bodies: the image and cultural work of “White Negroes” in the eighteenth century Atlantic world
Authors: Odumosu Temi
Published: March 2020

Under the shadow of slavery, skin color played a vital role in determining social relations within cities, ports and colonies around the Atlantic world. Eighteenth century literature propagated the idea that visual differences between the major known human populations were not simply a matter of climate, but also of discreet characteristics and biological composition. When focused on comparisons between Africans and Europeans, these discussions were often speculative and subjective, drawing heavily on traditional symbolic meanings of whiteness and blackness in a positive/negative dichotomy, and using them to explain contemporary inequalities encapsulated in the relationship between master and slave. Thus varying representations of race (in image and text) distinguished the bodies of Africans as inherently ‘other’ and as property used in labor for manufacture. But what happened to these meanings and social dynamics when Africans could be born or become white? How were the people referred to as “White Negroes”, negotiating rare skin diseases such as Vitiligo and albinism, understood? This essay explores the stories and representation of individuals with skin pigmentation disease whose bodies were used as public performers in America and Europe to prove the normative position of whiteness and forewarn the potential outcomes of race mixing. These people, who were no longer considered fit for plantation labor, were appropriated and enslaved into another form of cultural work that included the medical and philosophical examination of their bodies, public exhibitions for profitable popular entertainment, and the reproduction and sale of their physical likeness.
Intimate Exchanges: Work, Affect, and Exploitation in Edith Wharton’s The House of Mirth
Authors: Dorson James
Published: March 2020

The opposition between the world of work and the exchanges that constitute it, on the one hand, and that of intimacy and affect, on the other, has been a rich source of criticism on Edith Wharton’s The House of Mirth ever since its publication in 1905. Through a close rereading of the novel in terms of emotional labor, this essay argues that the novel is less concerned with questioning the confluence of work and intimacy in the late nineteenth century than with the problems arising from attempts to separate them. By thematizing the problem of compensation for work that is meant to resemble leisure, The House of Mirth is read here as a story of the exploitation that results from refusing to recognize emotional labor as work. While calculation and intimacy are inextricably joined by economic necessity in the figure of Lily Bart, it is ultimately not the commodification of intimacy that destroys her, but the compulsive search for “the real Lily Bart” that her circle of friends engage in.
Underweight Increases the Risk of End-Stage Renal Diseases for Type 2 Diabetes in Korean Population: Data From the National Health Insurance Service Health Checkups 2009–2017
Authors: Kim Yang-Hyun , Kang Jun Goo , Lee Seong Jin , Han Kyung-do , Ihm Sung-Hee , Cho Kyung-Hwan , Park Yong-Gyu
Published: March 2020

OBJECTIVE

There is a controversy over the association between obesity and end-stage renal disease (ESRD) in people with or without type 2 diabetes; therefore, we examined the effect of BMI on the risk of ESRD according to glycemic status in the Korean population.

RESEARCH DESIGN AND METHODS

The study monitored 9,969,848 participants who underwent a National Health Insurance Service health checkup in 2009 from baseline to the date of diagnosis of ESRD during a follow-up period of ∼8.2 years. Obesity was categorized by World Health Organization recommendations for Asian populations, and glycemic status was categorized into the following five groups: normal, impaired fasting glucose (IFG), newly diagnosed diabetes, diabetes <5 years, and diabetes ≥5 years.

RESULTS

Underweight was associated with a higher risk of ESRD in all participants after adjustment for all covariates. In the groups with IFG, newly diagnosed type 2 diabetes, diabetes duration <5 years, and diabetes ≥5 years, the hazard ratio (HR) of the underweight group increased with worsening glycemic status (HR 1.431 for IFG, 2.114 for newly diagnosed diabetes, 4.351 for diabetes <5 years, and 6.397 for diabetes ≥5 years), using normal weight with normal fasting glucose as a reference. The adjusted HRs for ESRD were also the highest in the sustained underweight group regardless of the presence of type 2 diabetes (HR 1.606 for nondiabetes and 2.14 for diabetes).

CONCLUSIONS

Underweight showed more increased HR of ESRD according to glycemic status and diabetes duration in the Korean population. These associations also persisted in the group with sustained BMI during the study period.
Culture, Social Support, and Diabetes Empowerment Among American Indian Adults Living With Type 2 Diabetes
Authors: Gonzalez Miigis B. , Herman Kaley A. , Walls Melissa L.
Published: March 2020

OBJECTIVE | Type 2 diabetes represents a major health disparity for many American Indian/Alaska Native (AIAN) communities, in which prevalence rates are more than double that of the general U.S. population. Diabetes is a major indicator for other comorbidities, including the leading cause of death for AIANs (i.e., cardiovascular disease). This study investigated associations between protective factors (social support and cultural factors) and self-reported empowerment to manage illness.

DESIGN AND METHODS | Participants were drawn from a random sample of tribal clinic records. Data included results from computer-assisted personal interviews with 192 American Indian adults with a diagnosis of type 2 diabetes living on or near a reservation. Community Research Councils, developed at each of the five partnering Anishinaabe reservations, oversaw protocols and procedures in this community-based participatory research collaboration.

RESULTS | Multiple ordinary least squares regression models determined that general social support and diabetes-specific social support are positively related to diabetes empowerment. These associations persisted when both social support measures were added to the model, indicating independent effects of different types of social support. Cultural identity and cultural practices were positively related to diabetes empowerment in bivariate analyses; however, both measures dropped from statistical significance after accounting for all other covariates. An interaction term revealed a moderation effect through which cultural identity amplified the positive relationship between social support and diabetes empowerment.

CONCLUSION | Results moderately support policy and risk-reduction efforts aiming at expanding social support networks into multiple domains and reinforcing cultural identity and cultural practices.
Anesthetic Management of a Patient With Systemic Sclerosis and Microstomia
Authors: Shionoya Yoshiki , Kamiga Hatsuko , Tsujimoto Gentarou , Nakamura Eishi , Nakamura Kiminari , Sunada Katsuhisa
Published: March 2020

Systemic sclerosis (SSc) is an autoimmune disease that can cause fibrosis in vital organs, often resulting in damage to the skin, blood vessels, gastrointestinal system, lungs, heart, and/or kidneys. Patients with SSc are also likely to develop microstomia, which can render dental treatment difficult and painful, thereby necessitating advanced anesthetic management. This is a case report of a 61-year-old woman with a history of SSc with microstomia, interstitial pneumonia, and gastroesophageal reflux disease in whom intravenous moderate sedation was performed using a combination of dexmedetomidine and ketamine for dental extractions. Both anesthetic agents are known to have analgesic effects while minimizing respiratory depression. Consequently, the increased discomfort caused by opening the patient's mouth and stretching the buccal mucosa was sufficiently managed, permitting an increase in maximum interincisal opening and completion of treatment without complications. Patients with SSc present with serious comorbidities that can negatively impact anesthetic management, so the implementation of an anesthetic plan that takes such risks into account is required. Furthermore, emergency airway management is likely to be difficult in patients with microstomia. For intravenous moderate sedation, combined use of dexmedetomidine and ketamine, which have analgesic effects while minimizing respiratory depression, may be particularly effective in patients with SSc and microstomia.
Effects of photobiomodulation therapy for androgenic alopecia: A meta-analysis of randomized controlled trials
Authors: Meng Xianfu , Xie Fang , Wang Wenjuan , Wang Rui , Lin Biwen , Zhao Zigang , Hao Tian , Zhang Xiaoning , Li Chengxin
Published: March 2020

The authors conducted this meta-analysis of randomized controlled trials (RCTs) to assess the effects of photobiomodulation therapy (PBMT) in the treatment of androgenic alopecia (AA). RCTs published in Pubmed, Web of Science, and Embase were systematically reviewed to identify the effects of PBMT in AA patients. The outcome measures included hair density and hair growth. Results were expressed as weighted mean difference (WMD) with 95% confidence interval (95%CI) and a risk ratio (RR) of 95%CI. A fixed-effects model or a randomized-effects model was performed according to the heterogeneity among the included studies. Nine RCTs met the inclusion criteria and were included in this meta-analysis. The mean change from baseline in hair density was 36.78 ± 23.84/cm2 in the PBMT group as compared with 8.88 ± 19.56/cm2 in the control group. Patients who received PBMT had a greater increase in hair density than those treated with a sham device (WMD = 18.56/cm2, 95%CI: 13.22, 23.89; P < 0.001). Moreover, PBMT was associated with a 42.43% increase in hair growth as compared with the sham device treatment (WMD = 42.43, 95%CI: 28.58, 56.28; P < 0.001). A greater rate of patients who were treated with PBMT achieved an improvement in hair regrowth than those with the sham device (RR = 1.32, 95%CI: 1.09, 1.58; P = 0.003). This study indicated that PBMT seemed to be a promising noninvasive treatment for patients with AA since it could improve hair density and stimulate hair growth. However, considering the potential limitations in this study, more large-scale RCTs are needed to verify our findings.
SPECTROPHOTOMETRIC DETERMINATION OF IZONIAZID AND ITS DERIVATIVES BY REACTION OF FORMATION THE POLYMETHINE DYE WITH 4-OXOURACIL
Authors: Gromova Z. F. , Chekulaeva G. Yu.
Published: March 2020

The process of tuberculosis treatment requires monitoring of the concentration of antituberculosis drugs in the blood, as well as their distribution and elimination from the body to prevent overdose of antituberculosis drugs. Individualizing the dose of drugs possibly including individual activity of the enzyme N-acetyltransferase, may be determined indirectly by biotransformation product of antituberculosis drugs.

Currently existing methods for detecting the content of the test drug acetylation of isoniazid - mass spectrometry, high performance liquid chromatography have several major limitations such as the high cost, complexity of tests methods in experimentation.

This article demonstrates the results of development of unified methods of quantitative determination of antituberculosis drug isoniazid and its conjugate - acetylizoniazid. The basis of spectrophotometric method is the cleavage reaction of isoniazid pyridine ring to form glutaconic aldehyde and its subsequent combination with the 4-oxouracil with the formation of a polymethine dye.

The developed method allows to carry out quantitative determination of isoniazid in the pharmaceuticals forms as well as isoniazid and its derivatives in body fluids (urine), which indirectly makes it possible to evaluate the activity of N-acetyltransferase during pharmacokinetic studies.
АВТОРСКИЙ ПОДХОД К ТОПОЛОГИЧЕСКОМУ МОДЕЛИРОВАНИЮ ПАРАЛЛЕЛЬНЫХ ВЫЧИСЛИТЕЛЬНЫХ СИСТЕМ
Authors: Мелентьев Виктор
Published: March 2020

Работа обобщает исследования Автора в части топологий параллельных вычислительных систем и решаемых на них задач, включая соответствующие инструменты их моделирования. Представлена оригинальная топологическая модель таких систем, основанная на модифицированном в работе законе Амдала – это позволило формализовать зависимость необходимого числа процессоров и предельного расстояния между информационно смежными вершинами в графе системы от директивных значений ускорения или эффективности. Зависимости этих величин от топологии интерконнекта системы и от информационного графа параллельной задачи также формализованы. Инструментарий сопоставительной оценки этих зависимостей, топологические критерии и функции масштабирования и отказоустойчивого функционирования параллельных систем основаны на авторском методе проективного описания графов и на использующих его алгоритмах.
A comparative Analysis of apology Speech acts between American English and Iraqi Kurdish
Authors: Tahir Rawshan Ibrahim , Pandian Ambigapathy
Published: March 2020

The present study is a comparative analysis of apology speech acts in both native speakers of Kurdish and native speakers of American English. It aims at finding out the similarities and differences in the strategies used to apologize in both languages. Therefore, a Discourse completion Task (DCT) questionnaire consisted of 15 situations was used to collect the data from 50 native speakers of English and 50 native speakers of Kurdish language. The findings revealed that both languages used similar five main strategies to apologize which confirm the universality of speech acts. However, the differences came out in the use of sub-strategies of an explicit expression of apology; native speakers of English used more an expression of regret strategy to perform an apology while native speakers of Kurdish used offer of an apology strategy more to apologize. Furthermore, the differences occurred in the frequency of strategies used to apologize in both languages. The study also revealed the occurrence of other new strategies in Kurdish Language that did not exist in English languag
Eliot’s ‘Journey of the Magi’: An Exploration of Man in Search of Go
Authors: M. Marak Endy Smera
Published: March 2020

Human beings are born with the thirst in the soul to connect with their Source. The thirst is there so that man will remain restless in this world till he finds his rest in God. T.S. Eliot, an American-born British poet, also has this same kind of thirst for the divine. Eliot being raised in a prominent Unitarian household was surrounded by religious ideology. But he had struggled with religion and belief throughout his life. His search was for one true religion that can lead him to one true God, who can satisfy his longings and can fill the void and groove in his heart. In Eliot’s poetry one can find struggles of a suffering soul and his yearnings for the union with the divine. With this perspective in mind, in this paper man’s spiritual quest, his struggles and sufferings to find the one true God in Eliot’s Journey of the Magi is undertaken to be examine.
PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN MASYARAKAT AWAM DI RSUP DR. HASAN SADIKIN TENTANG KANKER BULI
Authors: Suryanti Sri , Agustina Hasrayati , Mulyati Sri
Published: March 2020

Kanker buli adalah masalah kesehatan masyarakat internasional dan peringkat ke lima keganaan terbanyak dan penyebab kematian tertinggi kedua karena keganasan di saluran kemih di negara-negara maju. Keterlambatan dalam diagnosis kasus kanker buli sering terjadi. Salah satu penyebab keterlambatan dalam diagnosis kanker buli adalah interval waktu ketika pasien pertama kali mengetahui gejala penyakit yang terjadi dengan saat pertama berkonsultasi tentang keluhannya kepada tenaga medis. Salah satu upaya untuk meningkatkan kesadaran individu terhadap kondisi tertentu adalah melalui upaya meningkatkan pengetahuan dalam bentuk penyuluhan kesehatan tentang kanker buli. Tujuan dari penelitian ini adalah untuk menentukan perubahan tingkat pengetahuan masyarakat awam tentang kanker buli melalui penyuluhan kesehatan. Penelitian ini menggunakan metode penelitian kuasi-eksperimental dengan desain "satu kelompok pretest-postest". Sebelum penyuluhan, mayoritas responden, 56,7%, memiliki pengetahuan kurang sementara setelah penyuluhan, pengetahuan meningkat secara signifikan.
Real-world cohort study of adult and pediatric patients treated for hereditary angioedema in the United States
Authors: Tachdjian Raffi , Johnson Karin , Casso Deborah , Oliveria Susan , Devercelli Giovanna , Jain Gagan
Published: March 2020

Background: There is limited real-world evidence on hereditary angioedema (HAE) patient characteristics and health-careresource utilization (HCRU); in addition, pediatric patients have been described in small cohorts.Objective: To describe patient characteristics, treatment patterns, and HCRU among adult and pediatric patients treatedfor HAE in a large U.S. cohort.Methods: This retrospective cohort study used an administrative claims data base (January 2006 to September 2015).Eligible patients with either greater than or equal to one pharmacy claim for HAE-indicated therapies (C1 inhibitors, ecallantide, icatibant) or gtaer than or equal to two medical claims with codes associated with HAE (per medical billing codes), and greater than or equal to one claim for androgens, fresh frozen plasma, tranexamic acid, or « -aminocaproic acid formed a “treated cohort.” Three nonexclusive treated cohorts were assessed: overall, pediatric, and HCRU (greater than or equal to 2 years of continuous enrollment during 2010–2015).Results: Overall, 1429 patients received treatment (mean =/- 6 standard deviation [SD] age, 38.8 +/- 15.7 years; 62.4% femalepatients; mean +/- SD Charlson Comorbidity Index of 1.4 +/- 2.4). Common comorbidities were allergy or anaphylaxis (51.4%)and anxiety or depression (35.8%). Diagnoses indicative of HAE attacks included swelling and/or angioedema (78.5%), abdominalpain (55.6%), and asphyxiation (27.2%). Use of HAE-indicated medication rose between 2006 and 2015 to 81.8%, whereas androgen use declined (from 91.5% to 24.9%). Similar trends were observed in the pediatric treated cohort (n = 143). In the HCRU treated cohort (n = 538), HAE-related claims for emergency department and inpatient admissions were observed for 36.6% and 22.3% of patients, respectively.Conclusion: In a large U.S. cohort of adult and pediatric patients who received treatments indicated or used for HAE,common comorbidities and trends in resource use denoted the substantial burden of attacks, which reflected a continued needthat recently approved long-term prophylactic treatments may help to address
Mức độ thủy hóa và sự phát triển cường độ trong bê tông cường độ cao
Authors: Đỗ Anh Tú , Vũ Xuân Thành , Hoàng Việt Hải , Hoàng Thị Tuyết , Nguyễn Hoài Nam
Published: March 2020

Bài báo trình bày mối quan hệ giữa sự phát triển cường độ của bê tông cường độ cao (BTCĐC) và mức độ thủy hóa xác định từ thí nghiệm nhiệt độ đoạn nhiệt. Trong đó, các dữ liệu cần thiết được lấy từ kết quả thực nghiệm cường độ chịu nén, ép chẻ và nhiệt độ đoạn nhiệt của 1 hỗn hợp BTCĐC. Các tham số nhiệt thủy hóa bao gồm tham số thời gian và tham số hình dạng được tính toán dựa vào đường cong đoạn nhiệt, từ đó xác định được mức độ thủy hóa. Đối với hỗn hợp BTCĐC thí nghiệm, cường độ chịu nén cũng có quan hệ tuyến tính với mức độ thủy hóa, tương tự như bê tông thường. Tuy nhiên cường độ ép chẻ của BTCĐC có tốc độ phát triển nhanh hơn so với bê tông thường, gần như tỷ lệ thuận với cường độ chịu nén.
Nghiên cứu thực nghiệm ứng xử dưới tải trọng nén của kết cấu tường bê tông đất
Authors: Bùi Thị Loan , Nguyễn Xuân Huy , Nguyễn Tiến Dũng , Lê Minh Cường , Bùi Tấn Trung
Published: March 2020

Việc nghiên cứu ứng xử của các kết cấu xây dựng sử dụng vật liệu mới, thân thiện với môi trường là phù hợp với xu thế phát triển bền vững. Bài báo này tập trung nghiên cứu ứng xử dưới tác dụng của tải trọng nén trong mặt phẳng của kết cấu tường “bê tông đất” – loại vật liệu mới có ưu điểm thân thiện với môi trường. “Bê tông đất” này là một loại là loại bê tông mới có thành phần chính gồm cốt liệu “đất thô”, nước, phụ gia và một lượng nhỏ xi măng Porland (khoảng 4-5%) để “ổn định” đất. Nghiên cứu này được thực hiện bằng phương pháp thực nghiệm từ cấp độ vật liệu đã xác định được một số đặc trưng cơ học của loại vật liệu mới này (cường độ chịu kéo, nén, mô đun đàn hồi); sau đó trên cấp độ kết cấu đã nghiên cứu ứng xử của kết cấu tường bê tông đất dưới tác dụng của tải trọng nén tập trung. Kết quả cho thấy rằng, dưới tác dụng của tải trọng này, ứng xử tổng thể của kết cấu tường bê tông đất được đặc trưng bởi đường cong phi tuyến ba pha trong đó pha đàn hồi đầu tiên kéo dài tới cấp tải trọng tương đối lớn (ứng với 80% tải trọng lớn nhất). Dạng phá hủy của tường được đặc trưng bởi các vết nứt dọc ở tâm tường trong vùng chịu nén và sự phá hủy cuối cùng của tường được ghi nhận ở thời điểm xuất hiện các vết nứt do sự nở hông dưới tải trọng nén.
Self-Governance in Bolivia’s First Indigenous Autonomy: Charagua
Authors: Postero Nancy , Tockman Jason
Published: March 2020

The UN Declaration on the Rights of Indigenous Peoples recognizes Indigenous peoples’ rights to self-determination and to maintain their distinct institutions. This article investigates how those rights are being exercised in Charagua, which became Bolivia’s first “Indigenous autonomous government” when the municipality’s Guaraní majority approved conversion in 2015. We explore the construction of novel institutions of self-government to assess how local Guaraní leaders are negotiating autonomy, both externally and internally. The result of those negotiations is a hybrid political system in which power is balanced between an executive organ (as required by Bolivian law) and a deliberative assembly (the Ñemboati Guasu, which operates according to Indigenous custom). The prominence of the assembly expresses a significant form of autonomy that promotes intercultural political participation and enacts Indigenous self-government in ways that are important to Guaraní people. Yet, because the new political unit does not control subsoil rights and thus cannot determine the sorts of development that take place in its territory, we cannot yet say the Guaranís are exercising full and robust autonomy as expressed by the UN Declaration’s provisions for self-determination.
Mães de crianças com cardiopatia congênita: dúvidas e estratégia de intervenção
Authors: Cesario Maryllia Suellem Almeida , Carneiro Alexandre Mansuê Ferreira , Dolabela Maria Fâni
Published: March 2020

Objetivo: Descrever os conflitos enfrentados pelas mães de crianças com cardiopatia congênita, bem como apresentar material que pode ser utilizado para o acolhimento destas. Métodos: Trata-se de estudo prospectivo, qualitativo, transversal descritivo, realizado com as mães de recém-nascido cardiopata internado na Unidade de Terapia Intensiva de um Hospital referência no tratamento de crianças com cardiopatia congênita, no período de dezembro de 2018 a julho de 2019. Durante o acolhimento farmacêutico, as mães foram convidadas a participar do trabalho, as que aceitaram foram entrevistadas, em seguida foram retiradas as dúvidas, e sempre que não compreendessem o tratamento medicamentoso, podiam contactar o farmacêutico para esclarecer suas dúvidas. Resultados: A maioria das mães possuíam nível de escolaridade médio completo ou incompleto (64,3%) residiam no interior do estado (79,6%), fizeram pré-natal (100%), o diagnóstico foi antes do nascimento (64,2%) e somente (14,3%) tiveram o parto prematuro. As mães, em geral, tinham dificuldades em compreender o tratamento, e mostravam-se preocupada quando havia a inclusão de antibióticos ou faltava medicamentos. Visando esclarecer as dúvidas, foi elaborado uma cartilha onde há respostas para as principais questões levantadas pelas mães. Conclusão: Em síntese, é muito importante a preparação das mães de crianças com cardiopatia congênita sobre a doenças, tratamento e dificuldades a serem vencidas.