bluuebunny/crossref_metadata_2025 huggingface dataset:
App-Based Hearing Screenings in Preschool Children With Different Types of Headphones: Diagnostic Study
Authors: Tananuchittikul Pornsek , Yimtae Kwanchanok , Chayaopas Nichtima , Thanawirattananit Panida , Kasemsiri Pornthep , Piromchai Patorn
Published: November 2023

Background

Hearing disability in preschool children can delay or impact oral communication and social skills. Provision of hearing screening tests by standard audiometry in low- to middle-income countries is problematic due to a lack of pediatric audiologists, standard hearing equipment, and standard soundproof rooms. Therefore, an innovative hearing screening tool that is easily accessible and inexpensive such as a mobile app should be considered. Headphones have been a crucial part of hearing screenings. Audiometric headphones, which serve as the reference standard, have been used in most studies. However, since audiometric headphones are not accessible in rural areas, we hypothesized that generic headphones can also be used in hearing screenings.

Objective

This study aimed to determine the sensitivity, specificity, κ coefficiency, and time consumption of the PASS-Pro (Preschool Audiometry Screening System–Pro) app when using TDH39 headphones, Beyerdynamic DT 770 PRO headphones, and generic earmuff headphones compared to standard conditioned play audiometry.

Methods

We recruited preschool children aged 4 to 5 years to participate in this study. The children received 3 PASS-Pro screening tests using different types of headphones in a quiet room and 1 standard conditioned play audiometry in a soundproof room. All tests were administered in random order. The agreement coefficient, sensitivity, specificity, and mean test duration were determined.

Results

A total of 44 children participated in this study. For mild hearing loss screening, the κ coefficients between standard conditioned play audiometry and the PASS-Pro app using TDH39 headphones, Beyerdynamic DT 770 PRO headphones, and generic earmuff headphones were 0.195, 0.290, and 0.261 (P=.02, P=.002, and P=.004), respectively. The sensitivity for all headphones was 50% and the specificity was more than 88%. For moderate hearing loss screening, the κ coefficients were 0.206, 0.272, and 0.235 (all Ps=.001), respectively. The sensitivity for all headphones was 100% and the specificity was more than 92%. There were no statistical differences in sensitivity and specificity between the reference headphone (TDH39), Beyerdynamic DT 770 PRO headphone, and generic earmuff headphones (all Ps >.05). The PASS-Pro app used significantly less time to carry out hearing tests than conditioned play audiometry (P<.001).

Conclusions

The PASS-Pro app, used with generic headphones, is effective for conducting hearing screening tests in preschool children with high sensitivity and specificity.
How People With a Bipolar Disorder Diagnosis Talk About Personal Recovery in Peer Online Support Forums: Corpus Framework Analysis Using the POETIC Framework
Authors: Jagfeld Glorianna , Lobban Fiona , Humphreys Chloe , Rayson Paul , Jones Steven Huntley
Published: November 2023

Background

Personal recovery is of particular value in bipolar disorder, where symptoms often persist despite treatment. We previously defined the POETIC (Purpose and Meaning, Optimism and Hope, Empowerment, Tensions, Identity, Connectedness) framework for personal recovery in bipolar disorder. So far, personal recovery has only been studied in researcher-constructed environments (eg, interviews and focus groups). Support forum posts can serve as a complementary naturalistic data resource to understand the lived experience of personal recovery.

Objective

This study aimed to answer the question “What can online support forum posts reveal about the experience of personal recovery in bipolar disorder in relation to the POETIC framework?”

Methods

By integrating natural language processing, corpus linguistics, and health research methods, this study analyzed public, bipolar disorder support forum posts relevant to the lived experience of personal recovery. By comparing 4462 personal recovery–relevant posts by 1982 users to 25,197 posts not relevant to personal recovery, we identified 130 significantly overused key lemmas. Key lemmas were coded according to the POETIC framework.

Results

Personal recovery–related discussions primarily focused on 3 domains: “Purpose and meaning” (particularly reproductive decisions and work), “Connectedness” (romantic relationships and social support), and “Empowerment” (self-management and personal responsibility). This study confirmed the validity of the POETIC framework to capture personal recovery experiences shared on the web and highlighted new aspects beyond previous studies using interviews and focus groups.

Conclusions

This study is the first to analyze naturalistic data on personal recovery in bipolar disorder. By indicating the key areas that people focus on in personal recovery when posting freely and the language they use, this study provides helpful starting points for formal and informal carers to understand the concerns of people diagnosed with a bipolar disorder and to consider how to best offer support.
Efficacy of mHealth Interventions for Improving the Pain and Disability of Individuals With Chronic Low Back Pain: Systematic Review and Meta-Analysis
Authors: de Melo Santana Bruna , Raffin Moura Julia , Martins de Toledo Aline , Burke Thomaz Nogueira , Fernandes Probst Livia , Pasinato Fernanda , Luiz Carregaro Rodrigo
Published: November 2023

Background

Low back pain is one of the main causes of disability worldwide. Individuals with chronic conditions have been widely affected by the COVID-19 pandemic. In this context, mobile health (mHealth) has become popular, mostly due to the widespread use of smartphones. Despite the considerable number of apps for low back pain available in app stores, the effectiveness of these technologies is not established, and there is a lack of evidence regarding the effectiveness of the isolated use of mobile apps in the self-management of low back pain.

Objective

We summarized the evidence on the effectiveness of mHealth interventions on pain and disability for individuals with chronic low back pain.

Methods

We conducted a systematic review and meta-analysis comparing mHealth to usual care or no intervention. The search terms used were related to low back pain and mHealth. Only randomized controlled trials were included. The primary outcomes were pain intensity and disability, and the secondary outcome was quality of life. Searches were carried out in the following databases, without date or language restriction: PubMed, Scopus, Embase, Physiotherapy Evidence Database (PEDro), the Cochrane Library, and OpenGrey, in addition to article references. The risk of bias was analyzed using the PEDro scale. Data were summarized descriptively and through meta-analysis (pain intensity and disability). In the meta-analysis, eligible studies were combined while considering clinical and methodological homogeneity. The certainty of evidence was assessed using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) criteria.

Results

A total of 5 randomized controlled trials were included, totaling 894 participants (447 allocated to the mHealth group and 445 to the usual care group), and they had similar methodological structure and interventions. Follow-up ranged from 6 weeks to 12 months. The studies did not demonstrate significant differences for pain intensity (mean difference −0.86, 95% CI −2.29 to 0.58; P=.15) and disability (standardized mean difference −0.24, 95% CI −0.69 to 0.20; P=.14) when comparing mHealth and usual care. All studies showed biases, with emphasis on nonconcealed allocation and nonblinding of the outcome evaluator. The certainty of evidence was rated as low for the analyzed outcomes.

Conclusions

mHealth alone was no more effective than usual care or no treatment in improving pain intensity and disability in individuals with low back pain. Due to the biases found and the low certainty of evidence, the evidence remains inconclusive, and future quality clinical trials are needed.
Analyzing User Reviews of the First Digital Contraceptive: Mixed Methods Study (Preprint)
Authors: Ciolfi Felice Marianela , Søndergaard Marie Louise Juul , Balaam Madeline
Published: November 2023

BACKGROUND

People in Western countries are increasingly rejecting hormone-based birth control and expressing a preference for hormone-free methods. Digital contraceptives have emerged as nonhormonal medical devices that make use of self-tracked data and algorithms to find a user’s fertile window. However, there is little knowledge about how people experience this seemingly new form of contraception, whose failure may result in unwanted pregnancies, high health risks, and life-changing consequences. As digital contraception becomes more widely adopted, examining its user experience is crucial to inform the design of technologies that not only are medically effective but also meet users’ preferences and needs.

OBJECTIVE

We examined the user experience offered by Natural Cycles—the first digital contraceptive—through an analysis of app reviews written by its users worldwide.

METHODS

We conducted a mixed methods analysis of 3265 publicly available reviews written in English by users of Natural Cycles on the Google Play Store. We combined computational and human techniques, namely, topic modeling and reflexive thematic analysis.

RESULTS

For some users of digital contraception, the hormone-free aspect of the experience can be more salient than its digital aspect. Cultivating self-knowledge through the use of the technology can, in turn, feel empowering. Users also pointed to an algorithmic component that allows for increased accuracy over time as long as user diligence is applied. The interactivity of the digital contraceptive supports mutual learning and is experienced as agential and rewarding. Finally, a digital contraceptive can facilitate sharing the burden of contraceptive practices or highlight single-sided responsibilities while creating points of friction in the required daily routines.

CONCLUSIONS

Digital contraception is experienced by users as a tamed natural approach—a natural method contained and regulated by science and technology. This means that users can experience a method based on a digital product as “natural,” which positions digital contraceptives as a suitable option for people looking for evidence-based nonhormonal contraceptive methods. We point to interactivity as core to the user experience and highlight that a digital contraceptive might allow for collaboration between partners around contraceptive practices and responsibilities. We note that the user diligence required for the digital contraceptive to provide accurate and frequent data is sometimes not enough. Future research could look at designing (and redesigning) digital contraceptives with primary users and intimate partners, enhancing the experience of tamed naturalness; exploring how trust fluctuates among involved actors and in interactions with the technology; and, ultimately, designing more inclusive approaches to digital contraception.
Use of Social Media for Health Advocacy for Digital Communities: Descriptive Study (Preprint)
Authors: Ezeilo Chidimma Ogechukwu , Leon Nicholas , Jajodia Anushka , Han Hae-Ra
Published: November 2023

BACKGROUND

There has been a growth surge in the use of social media among individuals today. The widespread adoption of these platforms, coupled with their engaging features, presents a unique opportunity for the dissemination of health advocacy information. Social media is known as a powerful tool used to share health policy and advocacy efforts and disseminate health information to digital community members and networks. Yet, there is still a gap in the full exploitation of this powerful instrument, among health care professionals, for health advocacy campaigns.

OBJECTIVE

This paper aims to describe the process of mobilizing social media platforms such as Twitter (rebranded to X Corp in 2023) for health advocacy of the digital community. Additionally, it aims to share the lessons and insights gained during this digital health advocacy engagement process.

METHODS

We performed a comprehensive review of Twitter analytical data to examine the impact of our social media posts. We then consolidated these analytic reports with our meeting logs to describe our systematic, iterative, and collaborative design process to implement social media efforts and generate key lessons learned.

RESULTS

Our review of monthly Twitter analytical reports and regular team meeting logs revealed several themes for successful and less successful practices in relation to our social media–based health advocacy efforts. The successful practices noted by the team included using personable, picture-based tweets; using a series of posts on a particular topic rather than an isolated post; leveraging team members’ and partners’ collaborations in shared posts; incorporating hashtags in tweets; using a balanced mix of texts and graphics in posts; using inclusive (nondestigmatizing) languages in tweeted posts; and use of polls to share tweets. Among the many lessons learned, we also experienced limitations including a lack of comprehensive statistics on Twitter usage for health care–related purposes such as health advocacy and limits in collating the estimates of the actual impact made on the intended digital community members by our posts.

CONCLUSIONS

Twitter has been successfully used in promoting health advocacy content, and the social media team aims to explore other social media platforms that have a wider reach than Twitter. We will continue making necessary adjustments in strategies, techniques, and styles to engage the audience as we expand onto new platforms like Instagram and TikTok for health advocacy promotions.
Building a Client Resource and Communication Platform for Community-Based Organizations: Co-Design to Address Health and Social Needs (Preprint)
Authors: Lyles Courtney , Berrean Beth , Buenaventura Ana , Milter Svetlana , Hernandez Dayana Daniel , Sarkar Urmimala , Gutierrez Christian , Palmer Nynikka , Brown William
Published: November 2023

BACKGROUND

Connecting individuals to existing community resources is critical to addressing social needs and improving population health. While there is much ongoing informatics work embedding social needs screening and referrals into healthcare systems and their electronic health records (EHRs), there has been less focus on the digital ecosystem and needs of community-based organizations providing or connecting individuals to these resources.

OBJECTIVE

We used human-centered design to develop a digital platform for community-based organizations, focused on identification of health and social resources and communication with their clients.

METHODS

Centered in the Develop phase of the design process, we conducted in-depth interviews in two phases with community-based organizational leadership and staff to create and iterate on the platform. We mapped participant feedback to theory-informed domains from the Technology Acceptance Model, such as Usefulness and Ease of Use, to build the final product, and summarized all major design decisions as the platform development proceeded.

RESULTS

Overall, we completed 22 interviews with 18 community-based organizational leadership and staff in two consecutive Develop phases. After coding of the interview transcripts, there were 4 major themes related to usability, relevance, and external factors impacting use. Specifically, CBOs expressed an interest in a customer relationship management software to manage their client interactions and communications, and they needed specific additional features to address the scope of their everyday work. In addition, community-based organizations prioritized digital and text messaging communication with clients and needed easier ways to identify relevant community resources based on diverse client needs and various program eligibility criteria. Finally, clear implementation needs emerged, such as digital training and support for staff using new platforms. The ultimate platform, entitled Mapping to Enhance the Vitality of Engaged Neighborhoods (MAVEN), outlined feature changes and additions in line with these qualitative findings, including core implementation strategies for improving rollout and use.

CONCLUSIONS

Community organizations hold deep expertise in serving local communities and neighborhoods with resources that promote health and wellbeing. Human-centered design was well-matched for the creation of a digital platform that supports community-based organizations in connecting clients to relevant health and social resources. However, much more work will be necessary to support the implementation of platforms specific to community-based organizations’ needs, especially given the training and customization needed in these settings.
Community-Dwelling Older Adults’ Readiness for Adopting Digital Health Technologies: Cross-Sectional Survey Study (Preprint)
Authors: Ausserhofer Dietmar , Piccoliori Giuliano , Engl Adolf , Mahlknecht Angelika , Plagg Barbara , Barbieri Verena , Colletti Nicoletta , Lombardo Stefano , Gärtner Timon , Tappeiner Waltraud , Wieser Heike , Wiedermann Christian Josef
Published: November 2023

BACKGROUND

Digital health technologies offer the potential to improve the daily lives of older adults, maintain their health efficiently, and allow aging in place. Despite increasing evidence of benefits and advantages, readiness for adopting digital interventions among older people remains underexplored.

OBJECTIVE

This study aims to explore the relationships between sociodemographic-, health-, and lifestyle-related factors and technology use in everyday life and community-dwelling older adults’ readiness to adopt telemedicine, smartphones with texting apps, wearables, and robotics.

METHODS

This was a cross-sectional, population-based survey study with a stratified probabilistic sample of adults aged 75 years or older living in South Tyrol (autonomous province of Bolzano/Bozen, Italy). A random sample of 3600 community-dwelling older adults living at home was invited to complete a questionnaire including single items (older adults’ readiness to use health technology) and scales (PRISMA-7; Program of Research on Integration of Services for the Maintenance of Autonomy). Descriptive and logistic regression analyses were performed to analyze the data.

RESULTS

In total, 1695 community-dwelling older adults completed the survey (for a response rate of 47%). In terms of potential digital health technology adoption, wearable devices were favored by 33.7% (n=571), telemedicine by 30.1% (n=510), smartphones and texting apps by 24.5% (n=416), and assistant robots by 13.7% (n=232). Sociodemographic-, health- and lifestyle-related factors, as well as the use of technology in everyday life, played a significant role in explaining readiness to adopt digital health technologies. For telemedicine, age ≥85 years (odds ratio [OR] 0.74, 95% CI 0.56-0.96), financial constraints (OR 0.68, 95% CI 0.49-0.95), and less than 2 hours of physical activity per week (OR 0.75, 95% CI 0.58-0.98) were associated with nonreadiness, while Italian-speaking participants (OR 1.54, 95% CI 1.16-2.05) and those regularly using computers (OR 1.74, 95% CI 1.16-2.60), smartphones (OR 1.69, 95% CI 1.22-2.35), and the internet (OR 2.26, 95% CI 1.47-3.49) reported readiness for adoption.

CONCLUSIONS

Community-dwelling older adults display varied readiness toward the adoption of digital health technologies, influenced by age, mother tongue, living situation, financial resources, physical activity, and current use of technology. The findings underscore the need for tailored interventions and educational programs to boost digital health technology adoption among community-dwelling older adults.
Embedding the Use of Patient Multimedia Educational Resources Into Cardiac Acute Care: Prospective Observational Study (Preprint)
Authors: Hutchinson Anastasia , Khaw Damien , Malmstrom-Zinkel Annika , Winter Natalie , Dowling Chantelle , Botti Mari , McDonall Joanne
Published: November 2023

BACKGROUND

Multimedia interventions may play an important role in improving patient care and reducing the time constraints of patient-clinician encounters. The “MyStay Cardiac” multimedia resource is an innovative program designed to be accessed by adult patients undergoing cardiac surgery.

OBJECTIVE

The purpose of this study was to evaluate the uptake of the MyStay Cardiac both during and following the COVID-19 pandemic.

METHODS

A prospective observational study design was used that involved the evaluation of program usage data available from the digital interface of the multimedia program. Data on usage patterns were analyzed for a 30-month period between August 2020 and January 2023. Usage patterns were compared during and following the lifting of COVID-19 pandemic restrictions. Uptake of the MyStay Cardiac was measured via the type and extent of user activity data captured by the web-based information system.

RESULTS

Intensive care unit recovery information was the most accessed information, being viewed in approximately 7 of 10 usage sessions. Ward recovery (n=124/343, 36.2%), goal (n=114/343, 33.2%), and exercise (n=102/343, 29.7%) information were routinely accessed. Most sessions involved users exclusively viewing text-based information (n=210/343, 61.2%). However, in over one-third of sessions (n=132/342, 38.5%), users accessed video information. Most usage sessions occurred during the COVID-19 restriction phase of the study (August 2020-December 2021). Sessions in which video (P=.02, phi=0.124) and audio (P=.006, phi=0.161) media were accessed were significantly more likely to occur in the restriction phase compared to the postrestriction phase.

CONCLUSIONS

This study found that the use of digital multimedia resources to support patient education was well received and integrated into their practice by cardiac nurses working in acute care during the COVID-19 pandemic. There was a pattern for greater usage of the MyStay Cardiac during the COVID-19 pandemic when access to the health service for nonfrontline, essential workers was limited.
Correction: Effects of Aerobic Exercise on Cardiorespiratory Fitness, Cardiovascular Risk Factors, and Patient-Reported Outcomes in Long-Term Breast Cancer Survivors: Protocol for a Randomized Controlled Trial (Preprint)
Authors: Nilsen Tormod Skogstad , Sæter Mali , Sarvari Sebastian Imre , Reinertsen Kristin Valborg , Johansen Sara Hassing , Edvardsen Elisabeth Rustad , Hallén Jostein , Edvardsen Elisabeth , Grydeland May , Kiserud Cecilie Essholt , Lie Hanne Cathrine , Solberg Paul André , Wisløff Torbjørn , Sharples Adam Philip , Raastad Truls , Haugaa Kristina Hermann , Thorsen Lene
Published: November 2023

UNSTRUCTURED
Treating Spontaneous Pneumothorax Using an Innovative Surgical Technique Called Capnodissection Pleurectomy: Case Report (Preprint)
Authors: Qsous Ghaith , Ramaraj Prashanth , Avtaar Singh Sanjeet Singh , Herd Philip , Sooraj Nayandra Runveer , Will Malcolm Brodie
Published: November 2023

UNSTRUCTURED

Spontaneous pneumothorax is one of the most common conditions encountered in thoracic surgery. This condition can be treated conservatively or surgically based on indications and guidelines. Traditional surgical management includes pleurodesis (mechanical or chemical) in addition to bullectomy if the bullae can be identified. Mechanical pleurodesis is usually performed by surgical pleurectomy or pleural abrasion. In this case report, we present a case of a young patient with spontaneous pneumothorax who needed a surgical intervention. We performed a new, innovative surgical technique for surgical pleurectomy where we used carbon dioxide for dissection of the parietal pleura (capnodissection). This technique may provide similar efficiency to the traditional procedure but with less risk of bleeding and complications.
Development of a Behavioral Satisfaction Questionnaire for CBT Psychoanalysis (Preprint)
Authors: Pachankis Yang
Published: November 2023

BACKGROUND

The research reports the development of a behavioral satisfaction questionnaire (BSQ) for the use in cognitive-behavioral therapies (CBTs).

OBJECTIVE

It is purposed for semi-structured psychoanalytic interviews, but can also be used for self-report. The design of BSQ seeks to organize a referential scale with a psychodynamic perspective, in order to bridge the gaps among neurological / psychiatric therapies, psychological therapy, and patient / visitor autonomy.

METHODS

The psychometric evaluations are dissected into different dimensions in the questionnaire design, with a paradigmatic conceptual framework.

RESULTS

The test trial has demonstrated high affinity with other major psychometric methods.

CONCLUSIONS

The BSQ design is valid in overall assessments on complicated psychological case.

CLINICALTRIAL

The test trial is registered on ClinicalTrials.gov with the identifier NCT05930912.
Neo-Exoticism Discourses in Indonesian Online Media: Normalizing Cultural Tourism Regime amid Market Economy
Authors: Setiawan Ikwan , Tallapessy Albert , Subaharianto Andang
Published: November 2023

This article explores the construction of neo-exoticism discourses in Indonesian online news media. Drawing on online news media research, we show how the transformation of ethnic cultures in Banyuwangi, East Java, Indonesia were positioned as the basis of various tourism events using the representation theory with the discursive constructionist approach. We focus on how some Indonesian online news media reported and positioned Banyuwangi Festival through quotations of government’s official’s statements and descriptions of cultural events that emphasize the transformation of ethnic cultures to meet national and global tourism markets. In doing so, Indonesian online news media actively produced, promoted, and distributed discourses of neo exoticism by emphasizing the beauty of certain of traditional rites, fashions, and arts in various carnivals and festivals. In addition, the media constructed neo-exoticism discourses as a formulas to popularize cultural and touristic events which proved to be beneficial, economically, for local people. However, we argue that broadcasting neo-exotic narratives also created online news media discursive subjects that normalize tourism regimes as managed by the cooperation of government and investors.
On the C-E Translation of Chinese Internet Buzzwords from the Perspective of Domestication and Foreignization
Authors: Fu Li
Published: November 2023

With the development and popularization of internet, there are a large number of foreigners coming to China so as to learn Chinese language as well as understand Chinese culture. The English translation of Chinese internet buzzwords can not only help them learn more about Chinese culture but also strengthen its soft power. Scholars in recent years have made a great progress on the study of the translation of Chinese internet buzzwords. Though they have written papers related to domestication and foreignization and take some examples to interpret their thoughts but they did not have a detailed interpretation to them. This paper mainly studies English translation of Chinese internet buzzwords from the perspective of domestication and foreignization and choose proper translation skills according to their features. Domestication is the translation strategy of making text closely conform to the culture of the language being translated to whereas foreignization is the translation strategy that preserves the feature of the source text so that the meaning of the source text can be fully expressed. But neither of them is perfect. Therefore, we should choose proper translation strategies during translation in order to express the original intention of the source text.
ukunft Hochschule „Kooperationen.Räume.Perspektiven“. Ergebnisse des ersten Dialogforums im Rahmen der Studie „Erhebung und Analyse vorhandener sowie Empfehlungen zu weiterführenden Kooperationen an öffentlichen Universitäten und Fachhochschulen“
Authors:   Zentrum für Soziale Innovation, Lang Martina
Published: November 2023

Im April 2023 fanden sich 101 Teilnehmende aus den Hochschulsektoren Universität und Fachhochschule, der Österreichischen Universitätenkonferenz (uniko) sowie der Fachhochschulkonferenz (FHK) zum ersten, vom Bundesministerium für Bildung, Wissenschaft und Forschung (BMBWF) organisierten, Dialogforum Zukunft Hochschule – Kooperationen.Räume.Perspektiven ein. Das Dialogforum reiht sich mit zeitlichem Abstand in vorangegangene Open Space Veranstaltungen des BMBWF ein, darunter die Vorgängerinitiativen Dialog Hochschulpartnerschaft als Reaktion auf unibrennt und die Studierendenproteste 2009 sowie Zukunft Hochschule im Jahr 2016.5 Diese Initiativen sind vom BMBWF mit dem Anliegen initiiert worden, auf aktuelle und zukünftige Herausforderungen im Hochschulsektor zu reagieren sowie bedarfsgeleitete Anreize im österreichischen Hochschulraum zu setzen und zielgerichtet zu begleiten. Mit dem Dialogforum Zukunft Hochschule – Kooperationen.Räume.Perspektiven stand nunmehr die Kenntlichmachung von Herausforderungen und das gemeinsame Kennenlernen und Lernen von good practices in nationalen Hochschulkooperationen im Fokus. Getragen wurde der im Workshop-Format konzipierte dialogische Austausch durch das Ziel, Herausforderungen mit denen sich Hochschulangehörige in ihren Bemühungen um Kooperationen konfrontiert sehen sichtbar zu machen, um wissenschaftlich fundierte Antworten auf die Frage erarbeiten zu können, „was Hochschulen daran [hindert], intensivere und umfassendere Kooperationen einzugehen?“
Jefas de familia, cuidadoras y trabajadoras agrícolas en Villa Juárez, Navolato, Sinaloa
Authors: Tereso Ramírez Leonor , Ortíz Marín Celso
Published: November 2023

Objetivo: conocer las convergencias entre el trabajo de cuidados, el trabajo remunerado y el de colectividad mediante las experiencias de las jefas de familia trabajadoras agrícolas de Villa Juárez, Navolato, Sinaloa. Metodología: se usa el enfoque cualitativo y el posicionamiento teórico-metodológico feminista interseccional en seis sesiones de grupo focal con nueve mujeres. Resultados: el género, la etnia, la lengua y la edad son categorías imbricadas en las cotidianidades de las mujeres trabajadoras agrícolas y muestran diferentes situaciones de opresión, lo que a su vez complejiza y obstaculiza las formas de respuesta a las necesidades de su entorno. Valor: la investigación aporta información al estado del arte de las investigaciones sobre la jefatura familiar en la población agrícola. Limitaciones: solo se consideraron las narrativas de las mujeres que asistieron a las seis sesiones. Conclusiones: no hay una línea que divida los espacios de trabajo, sino que se amplían continuamente, reduciendo las horas de descanso de las mujeres.
Anális espacial aplicada da atenção primária à saúde da dengue em maurício mattos dourado uaps: um estudo de caso no contexto socioambiental da pandemia de Covid-19
Authors: Soares Débora Gaspar , Biano da Silva Ivan Paulo
Published: November 2023

Na condição dessa conjuntura nefasta pandêmica que não apresentou nada de novo, trouxe à luz a precariedade de saneamento ambiental do país, e que vis a vis para a vigilância e atenção à saúde é uma necessidade se conhecer as realidades desses lugares, que se constituem condicionantes para a exposição dos sujeitos, famílias e coletividades dessas localidades a situações de risco e vulnerabilidade. Assim, o objetivo desse estudo foi investigar as condições epidemiológicas associadas a uma maior incidência de casos de dengue, durante a epidemia de dengue de 2017, para se analisar vários indicadores importantes para o planejamento de ações de apoio ao enfrentamento da pandemia, na área de atuação da Unidade de Atenção Primária a Saúde (UAPS) Maurício Mattos Dourado na escala local do bairro Edson de Queiroz em Fortaleza (Município) no Ceará (Estado) do Brasil, e revistar esses resultados à luz da literatura de territorialização em saúde e desigualdade social em saúde desse município impactado pela pandemia da COVID-19. Foi realizada uma pesquisa quantitativa utilizando os procedimentos dos seguintes Testes Estatísticos Espaciais: Densidade de Superfície: Simples e Kernel, e Interpoladores Locais: Interpolador Inverso de Distância (IDW), analisando a área epidêmica de dengue de atuação da UAPS Maurício Mattos Dourado no bairro Edson de Queiroz em Fortaleza no Ceará. Por fim, o resultado com esse trabalho foi que devido à necessidade de acompanhamento das variantes atuais, e da incidência do coronavírus por faixa etária, como também da intensificação da vacinação no Brasil, nos domicílios da área de atuação da uaps Maurício Mattos Dourado no bairro Edson de Queiroz em Fortaleza no Ceará, protocolos de prevenção e atendimento primário à saúde são indispensáveis para o diagnóstico diferencial clínico de pacientes da COVID-19 com sinais e sintomas semelhantes, correlacionando-se um monitoramento da dengue positivo.
Predicción del rendimiento académico universitario
Authors: Moral de la Rubia José
Published: November 2023

El objetivo del artículo es estudiar la relación del rendimiento académico con capacidad intelectual, alexitimia como indicador de inteligencia emocional, salud mental y variables sociodemográficas. La muestra constó de 362 estudiantes universitarios. La inteligencia se midió mediante el DAT y el Dominó, la alexitimia por la TAS-20, la salud mental por el MMPI y el rendimiento académico por la calificación promedio del semestre y número de materias de segunda oportunidad. El análisis estadístico de datos se realizó con técnicas de correlación, regresión y análisis factorial. El rendimiento académico se asoció con las capacidades intelectuales. Respecto a la alexitimia, mostró una relación significativa con el Pensamiento Externamente Orientado y el número de materias de segunda oportunidad se asoció con Dificultad para Expresar Sentimientos. Las escalas de inteligencia fueron los predictores significativos de rendimiento académico. Por el contrario, las escalas de alexitimia, el desequilibrio psíquico y las variables sociodemográficas, resultaron predictores inadecuados.
Formación académica continua para el análisis médico forense de recursos de amparo en Costa Rica
Authors: Flores-Sandí Grettchen
Published: November 2023

Introducción: La judicialización del derecho a la salud involucra a distintos actores y puede propiciar cambios en programas de educación continua; pues la tendencia actual es recurrir a esta vía para acceder a medicamentos de baja frecuencia y alto costo. Adicionalmente, en Costa Rica la Sala Constitucional solicita el criterio técnico a médicos forenses. Objetivo: Plantear la necesidad de actualización continua en conocimientos académicos teóricos-prácticos específicos que requiere el médico forense para garantizar el derecho a los servicios de salud. Reflexión: El médico forense cuenta con formación basada en evidencias y se incentiva su formación continua, sin embargo, es necesario un compromiso con los programas de educación médica continua: en estrategias de búsqueda de literatura, valoración crítica de la evidencia encontrada y práctica académica que incorpore las circunstancias particulares, comparándolo con los resultados de estudios científicos; tomando en cuenta medicamentos y patologías prevalentes y los factores técnico-científicos de divergencia entre los prestadores de servicios. Conclusión: Un programa de formación continua sobre interpretación y valoración de la evidencia científica para la toma de decisiones en salud, permitiría a estos especialistas responder con mejor criterio si un medicamento es el tratamiento más beneficioso para un paciente debido a sus problemas de salud.
Diseño de un sistema alterno de limpieza para las rejas de succión de las bombas tornillo para las centrales termoeléctricas colombianas
Authors: Marcucci-Pino David Fernando , Moreno-Uribe Andrés Mauricio , Sánchez-Lobo Eduardo José , Herrera-Castillo Samuel
Published: November 2023

La temporada de lluvias en Colombia es el principal motivo de aumento del caudal de los ríos, llevando consigo materiales como ramas, troncos y basuras en general. Este tipo de residuos al llegar a las rejillas de las bocatomas de las centrales termoeléctricas, obstruyen el paso del agua para la refrigeración. Como respuesta a esta problemática se diseñó y se simuló un sistema alterno de limpieza, sirviendo como apoyo a los rastrillos ya existentes en las rejas de las termoeléctricas. Mediante la caracterización de diferentes plantas termoeléctricas a nivel mundial, se diseñó el sistema de limpieza con el método de pugsley para lograr determinar un factor de seguridad de referencia, además de calcular las cargas máximas permisibles. Con la ayuda de herramientas de diseño asistido por computadora (CAD) e ingeniería asistida por computadora (CAE), como SolidWorks y ANSYS, se diseñó y simuló el sistema alterno de limpieza en base a las restricciones geométricas encontradas en la caracterización, disminuyendo de esta manera el tiempo en el proceso de diseño.
Developing an Explainable Variational Autoencoder (VAE) Framework for Accurate Representation of Local Circulation in Taiwan
Authors: Hsieh Min-Ken , Wu Chien-Ming
Published: November 2023

This study develops an explainable variational autoencoder (VAE)
framework to efficiently generate high-fidelity local circulation
patterns in Taiwan, ensuring an accurate representation of the physical
relationship between generated local circulation and upstream synoptic
flow regimes. Large ensemble semi-realistic simulations were conducted
using a high-resolution (2 km) model, TaiwanVVM, where critical
characteristics of various synoptic flow regimes were carefully selected
to focus on the effects of local circulation variations. The VAE was
constructed to capture essential representations of local circulation
scenarios associated with the lee vortices by training on the ensemble
dataset. The VAE’s latent space effectively captures the synoptic flow
regimes as controlling factors, aligning with the physical understanding
of Taiwan’s local circulation dynamics. The critical transition of flow
regimes under the influence of southeasterly synoptic flow regimes is
also well represented in the VAE’s latent space.This indicates that the
VAE can learn the nonlinear characteristics of the multiscale
interactions involving the lee vortex. The latent space within VAE can
serve as a reduced-order model for predicting local circulation using
synoptic wind speed and direction. This explainable VAE ensures the
accurate predictions of the nonlinear characteristics of multiscale
interactions between synoptic flows and the local circulation induced by
topography, thereby accelerating the assessments under various climate
change scenarios.
Adipocyte Glucocorticoid Receptor Activation With High Glucocorticoid Doses Impairs Healthy Adipose Tissue Expansion by Repressing Angiogenesis
Authors: Vali Anna , Dalle Héloïse , Loubaresse Alya , Gilleron Jérôme , Havis Emmanuelle , Garcia Marie , Beaupère Carine , Denis Clémentine , Roblot Natacha , Poussin Karine , Ledent Tatiana , Bouillet Benjamin , Cormont Mireille , Tanti Jean-François , Capeau Jacqueline , Vatier Camille , Fève Bruno , Grosfeld Alexandra , Moldes Marthe
Published: November 2023

In humans, glucocorticoids (GCs) are commonly prescribed because of their anti-inflammatory and immunosuppressive properties. However, high doses of GCs often lead to side effects, including diabetes and lipodystrophy. We recently reported that adipocyte glucocorticoid receptor (GR)–deficient (AdipoGR-KO) mice under corticosterone (CORT) treatment exhibited a massive adipose tissue (AT) expansion associated with a paradoxical improvement of metabolic health compared with control mice. However, whether GR may control adipose development remains unclear. Here, we show a specific induction of hypoxia-inducible factor 1α (HIF-1α) and proangiogenic vascular endothelial growth factor A (VEGFA) expression in GR-deficient adipocytes of AdipoGR-KO mice compared with control mice, together with an increased adipose vascular network, as assessed by three-dimensional imaging. GR activation reduced HIF-1α recruitment to the Vegfa promoter resulting from Hif-1α downregulation at the transcriptional and posttranslational levels. Importantly, in CORT-treated AdipoGR-KO mice, the blockade of VEGFA by a soluble decoy receptor prevented AT expansion and the healthy metabolic phenotype. Finally, in subcutaneous AT from patients with Cushing syndrome, higher VEGFA expression was associated with a better metabolic profile. Collectively, these results highlight that adipocyte GR negatively controls AT expansion and metabolic health through the downregulation of the major angiogenic effector VEGFA and inhibition of vascular network development.

Article Highlights
Negotiating traditional music in educational spaces: An ethnographic case study of the Norwegian Academy of Music
Authors: Eriksson Karin
Published: November 2023

This article engages with issues of musical belongings in institutional spaces in higher music education. It makes an ethnographic case study of the Norwegian Academy of Music and explores how traditional music was established and negotiated as education at the institution, with special attention on the period from 1995 onwards. The study focuses on processes of change and the ideas of traditional music at the Academy, as well as its proximity and relationality towards art music idioms. It draws mainly on newly conducted interviews with central actors involved in education and partly on archival material, such as study plans and interviews. By using assemblage as a theoretical approach, the article illuminates how the actors translate and negotiate traditional music through discourse, material, and practice in forming their relationship with the Academy as place and social context. The study demonstrates shifts in focus from transcriptions, arrangement and harmony to performance practices, functional aspects of playing to dance, fieldwork and the social features of ‘being a musician’. It also reveals how the actors tend to place themselves in the position of a musical Other. This musical otherness is multileveled; simultaneously creating senses of belonging and dis-belongings within the Academy, as well as within the field of higher music education in Norway.
«Studenten i front»: Strategisk forhandling av rasjonaliserte myter i høyere musikkutdanning?
Authors: Ski-Berg Veronica
Published: November 2023

The Norwegian Academy of Music is rooted in the European conservatoire tradition where apprenticeship has served as a foundation for the education of the music performer. In recent decades, however, the institutionalised master-apprentice relationship between music performance student and instrumental teacher has been debated in the literature on higher music education (HME). Scholars argue that music graduates need to develop creatively during their studies in ways that sometimes challenge the inherent power imbalance between teacher and student within this teaching model. In this article, I posit that the traditional master-apprentice model serves as a ‘rationalised myth’ within HME. By turning to organisational institutionalism (in which apprenticeship may be conceived of as a formal structure), the article investigates how the notion of student-centredness has affected the ‘myth’ of apprenticeship. Specifically, a document analysis of the Academy’s strategic plans from 1998 to 2025 is presented, and through a selection of citations the article illustrates how the roles of the music student, the instrumental teacher and the Academy itself have transformed over the past 25 years. Consequently, the article questions whether this transformation is the result of strategic work for institutional change or, rather, of institutional pressures put on HME organisations to change. The discussion centres on this organisational landscape, and it is argued that the need for legitimacy is intertwined with strategic work for change in HME. Finally, the article offers some concluding remarks on how strategic plans shape the future of HME, even if members are not aware of this strategic negotiation.
The birth of the Oslo Conservatoire out of the spirit of the master-apprentice model
Authors: Gies Stefan
Published: November 2023

The chapter sheds light on the history and background of the European landscape of higher music education institutions. This is done by investigating the historical reasons for the distinction between practice-based and theory-based knowledge, the social history of the musician’s profession and the origins and characteristic features of the master-apprentice model and its adaptation in various historical contexts. It is shown how four formative models including the Neapolitan conservatoires of the late Middle Ages, the academies of the early modern period, as well as the prototype conservatoires in Paris and Leipzig, which were shaped by the ideals of the French Revolution on the one hand and those of the bourgeois 19th century on the other, left their mark also on the Nordic countries. The history of the Oslo Conservatoire – from Peter Lindeman’s vision of a modern conservatoire to the founding of the Norwegian Academy of Music – can be seen as a good and typical example of how to tackle the tension between meeting the needs of modern times and staying committed to its roots and centuries-old European traditions. Special attention is paid to the particular role of the master-apprentice model in passing on music performance-related knowledge and skills, which is a common thread throughout the history of higher music education. Considered to be antiquated and outdated by many, it has over the centuries also proven to be very flexible and adaptable.
In the beginning was the organ: On the institutionalisation of professional music education in Norway
Authors: Siems Christoph
Published: November 2023

This article examines the early years of the institutionalisation of professional music education in Norway. Against the background of a social and political debate on the need for a national conservatoire, the central question is why the first Norwegian music conservatoire did not develop out of a nationally motivated initiative but rather from a private organist school. By comparing the Organistskole of Ludvig Mathias and Peter Lindeman with the Musik-Akademi of Otto Winter-Hjelm and Edvard Grieg, different approaches to the realisation of a national conservatoire are outlined.

One of the decisive points for the lasting success of the Organistskole was the underlying family pedagogical tradition within the Lindeman family, which had been established over several generations and adapted to local conditions. This tradition was based on a functioning work process, a proven method and public recognition. Winter-Hjelm and Grieg, on the other hand, first had to build these structures by adapting a foreign model (in this case, the Leipzig model) and then attempting to establish a similar network through the founding of the Musik-Akademi itself.

If one traces the teaching tradition of the Lindeman family back to the Bach reception of the Berlin School around C. P. E. Bach and J. P. Kirnberger – the so-called ‘golden chain’ – one can speak of an international education transfer in the case of both the Organistskole and the Musik-Akademi, the time frame of which, however, differs considerably. As the example of the present article shows, the longer time frame of cultural transfer in the Lindeman family had a decisive influence on the success of the exchange process.