bluuebunny/crossref_metadata_2025 huggingface dataset:
Call the Midwife: Privatization and Health Care Reform in an Era of Constrained Public Spending
Authors: Spring Cynthia
Published: November 2020

En 2018, le Tribunal des droits de la personne de l’Ontario a conclu que le gouvernement provincial avait agi de façon discriminatoire à l’endroit des sages-femmes en omettant de prévenir et de corriger l’iniquité du système de rémunération et de financement. La décision Association of Ontario Midwives c Ontario (Health and Long-Term Care) offre une nouvelle perspective sur le fonctionnement genré de la règlementation et de la privatisation du réseau de santé de l’Ontario. Le présent article analyse ainsi deux formes perceptibles de privatisation, justifiées par le gouvernement comme des mesures nécessaires pour limiter les dépenses publiques tout en répondant aux besoins en termes de soins de santé adéquats et de qualité, qui contribuent ensemble à augmenter l’ampleur des tâches non rémunérées exécutées par des praticiennes de la santé relativement sous-payées. En contextualisant la règlementation de la profession de sage-femme et l’exploitation concomitante au processus continu de réforme des soins de santé, l’autrice soutient qu’à la lumière des résultats négatifs de la privatisation partielle des services publics de soins intrapartum et de santé maternelle, il est socialement insoutenable de subordonner ces aspects vitaux de la reproduction sociale à des préoccupations de nature fiscale.
The Eating with Ease Program Improved Veterinary Medical Students’ Perceived Ability to Buy, Cook, and Eat Healthy Foods
Authors: Rhea Kwadernica C. , Mayeux Morgan C. , Cater Melissa W. , Carr Imani J. , Tuuri Georgianna
Published: November 2020

College students are challenged to consume healthy diets, and veterinary medical students may also have difficulty achieving optimal dietary intake, yet improved well-being is associated with following healthy dietary patterns. Individuals with food literacy—the inter-related knowledge, skills, and behaviors to plan and manage, select, prepare, and eat healthy foods—are better able to meet dietary recommendations. The Eating with Ease program developed and tested a nutrition education/culinary skill-building program to build first- and second-year veterinary medicine students’ food literacy and healthy behaviors toward food. The curriculum emphasized health and nutrition, taste, food preparation skills, planning/decision making, and convenience. Students engaged in four 30-minute sessions and communicated through a mobile group messaging application. Pre- and post-program scores on the Eating and Food Literacy Behaviors Questionnaire (EFLBQ) were compared between those who finished the intervention and a control group of graduate students who completed a money management program. The intervention group ( n = 23) had a mean age of 24.2 years ( SD = 2.6), and the control group ( n = 14) had a mean age of 27.1 years ( SD = 2.3). Most participants were female (87%, n = 20 and 79%, n = 11 in the intervention and control groups, respectively). After completing the program, the veterinary medical students’ mean EFLBQ factor change score for health and nutrition was significantly higher ( p = .03) when compared to the control group. These findings suggest that a short, evidence-based nutrition education/culinary skill-building program may improve veterinary medical students’ behaviors to choose, prepare and consume healthy foods.
Using Play-Doh to Enhance the Perceived Learning of Veterinary Medicine
Authors: Stead Rachel , Lygo-Baker Simon , Coppi Antonio Augusto , Pereira De Melo Mariana
Published: November 2020

Teaching anatomy to veterinary students is challenging, and using two-dimensional (2D) representations may limit the opportunity for learners to make the connections required to fully appreciate the complex structures involved and the relationships between them. This research considered the implementation of three-dimensional (3D) modeling using Play-Doh with learners to consider whether they were able to make effective representations that may then support further learning. The evidence from teacher observations and student feedback suggests that, despite some initial hesitation surrounding the use of what some might perceive as a toy in the higher education classroom, the learners believed that the approach allowed improvement in terms of their understanding, knowledge retention and recall. They reported that the approach enabled greater visualization of the structures they were representing. For teachers, the approach has the advantage that the material is cheap, readily available, easily manipulated, can be reused, and needs no sophisticated technology.
Impact of a Frame Reflection Assignment on Veterinary Student Perspectives toward Animal Welfare and Differing Viewpoints
Authors: Proudfoot Kathryn L. , Ventura Beth A.
Published: November 2020

Veterinarians are considered leaders in animal welfare, but veterinary curricula often lack training in welfare. Our aims were to describe veterinary student values, assess whether a frame reflection assignment can encourage student willingness to engage with others with differing values surrounding animal welfare, and determine if sex and career area of emphasis related to responses. Two cohorts of second-year veterinary students at the Ohio State University ( n = 314) articulated their values (including those of biological functioning, affective states or natural living they value most), interviewed someone with differing values, reported their interviewee’s views as if they were their own (frame reflection), then reflected on the process (post-interview reflection). Qualitative and quantitative analyses were used. Students identified as 83% female and 17% male,awith small animal (56%), large animal (11%), mixed animal (15%), or other (19%) career areas of emphasis. Students valued affective states (45%) and biological functioning (42%) more than natural living (11%). Food animal students were more likely to value biological functioning. In their post-interview reflections, students articulated both productive and unproductive views (e.g., likely or unlikely to improve future conversations, respectively), though productive views were more common. Students reported that the assignment would benefit their careers by improving their communication strategies with clients. Female students were more likely to use themes related to unproductive and career-related views. We conclude that a frame reflection assignment is a novel and effective method for improving veterinary student communication skills when discussing controversial animal welfare topics.
Multimodal Integration of Active Learning in the Veterinary Classroom
Authors: Berrian Amanda M. , Feyes Emily , Hsiao Chih-Yu (Jay) , Wittum Thomas E.
Published: November 2020

Historically, pre-clinical professional veterinary instruction has relied heavily on didactic methods. With the shift toward competency-based education in health professions teaching, instructors at The Ohio State University College of Veterinary Medicine are exploring alternative engagement strategies to focus on learner outcomes. In this article, we report on the integration of competency-based active learning techniques in a large-lecture setting, along with preliminary outcomes from the student perspective. A total of 110 students from Zoonotic Diseases, a two-credit core course offered in the second year of the 4-year professional curriculum, participated in the learning techniques and retrospective pre-/post-questionnaire. Results of the questionnaire indicated improvement in learners’ perceived competency. For practical skills (e.g., donning and doffing of personal protective equipment), students also reported improved self-efficacy. Students enjoyed the interactive and self-directed learning techniques and described an improvement in their ability to evaluate their own understanding of relevant course concepts. The active learning techniques described herein may be used to supplement, and even transform, primarily lecture-based courses to better achieve professional competency and develop practice-ready veterinarians.
Curación de contenidos en hilos de Twitter. Taxonomía y ejemplos
Authors: Guallar Javier , Traver Paula
Published: November 2020

Se presenta una propuesta de categorías para el análisis de la curación de contenidos en hilos de Twitter. Se consideran dos grandes dimensiones, Contenido y Curación, con las siguientes categorías: Cantidad de contenidos curados (uno o varios); rango temporal del contenido (información atemporal o retrospectiva, reciente, actual y en tiempo real), procedencia (contenido propio o externo); técnicas de sense making (resumir, comentar, citar, storyboarding y paralelizar) e integración del contenido curado (hiperenlace a web, a Twitter, incrustado desde plataforma social media e imagen). Se muestran ejemplos de cada categoría.
Was Israel a Western Project in Palestine?
Authors: KARATAŞ İbrahim
Published: November 2020

This study aims to ascertain the extent to which it was Western powers or Zionists that founded Israel. The study argues that Israel was established by Western powers, while not ignoring the partial but significant role of Zionists that sought for a Jewish homeland. The West needed a Jewish homeland in order to utilise Jewish wealth, while also keeping Jews away since they were disturbed by the presence of the Jewish community. On the other hand, the World Zionist Organisation, motivated by anti-Semitism and nationalism, pioneered the idea of a Jewish national home and tried to persuade Western leaders as to the viability of a homeland in Palestine. While Zionist lobbying was influential, it can hardly be argued that they would have founded Israel without the help and permission of Western states, and in particular, the British Empire. The study aims to reveal external roles in nation-building by analysing the case of Israel. Methodologically, both quantitative and qualitative researches were used.
Cervical Adenocarcinoma in Pregnancy with a Concomitant Papillary Adenocarcinoma of the Thyroid Gland: A Case Report
Authors: René Hornung , Bolla Nicole , Putora Katharina , Noemi Kolb Livia , René Hornung
Published: November 2020

Introduction: Cervical cancer in pregnancy is a rare disease, with an incidence of 0.01-0.1%, of which
most are squamous epithelial cancers. We here present the first case of a uterine cervical adenocarcinoma
during pregnancy with a concomitant papillary adenocarcinoma of the thyroid gland.
Materials and Methods: Data were extracted from the patient’s records. Literature review was performed
using the databases PubMed, Web of science and Embase.
Case Report: A 36-year-old Gravida IV, Para III was admitted to the Cantonal Hospital St. Gallen,
Switzerland with an invasive adenocarcinoma of the uterine cervix cT1B2 cNx Mx G1 ER neg PR neg Ki67
80% at 31 weeks of gestation. She was treated with 2 cycles of neoadjuvant chemotherapy (carboplatin and
paclitaxel). Following caesarean section at 36 2/7 weeks of gestation, treatment was switched to
chemoradiation therapy. The patient delivered a healthy girl. A concomitant papillary thyroid cancer pT1a,
pN1a (1/6) was successfully treated by surgery. The patient is free of recurrence and metastasis at 4.5 years
of follow-up for either of the tumors.
Conclusion: Management of cervical cancers in pregnancy has to be individualized based on factors like
gestational age, stage and histology of the cancer, and the wish for pregnancy continuation or termination.
Neoadjuvant chemotherapy seems to be a reasonable option to postpone radical surgery or chemoradiotherapy to prevent preterm delivery. To the best of our knowledge, this is the first report of a cervical
adenocarcinoma in pregnancy with a concomitant papillary thyroid cancer.
Manifestation of trust in adolescents in connection with family deprivation and perception of relationships with significant adults
Authors: Danilova Yulia Yu.
Published: November 2020

Features of trust manifestation in adolescents with family deprivation are described in this article, also correlations of interpersonal trust with indicators of social situation of development and perception of relationships with significant adults were investigated. 286 adolescents took part in the research: 144 from full families, 65 from incomplete (single-mothered) and 77 from orphanage. “Interpersonal trust Scale” by J. Rotter was used for the level of trust investigation. Child-parent relationships were investigated by “Child-parent relationships in adolescents” by O. Karabanova and P. Troyanovskaya. We have received the following results: interpersonal trust level does not differ depending on social situation of development in elder adolescents. At the same time the perception of relationships with parents and with caregiver in orphanages differs. Those adolescents, who suffer from family deprivation, note just controlling part of relationships with their significant adult, whereas adolescents living in the family setting percept their relationships with parents as accepting, supporting and collaborating.
Education quality at regional university in students assessments
Authors: Boguslavsky Mikhal V. , Ladyzhets Natalia S. , Neborsky Egor V. , Sannikova Olga V.
Published: November 2020

The article presents the results of an empirical study whose purpose was to identify students’ assessment of the quality of education at a regional university. The study was conducted on the basis of Udmurt State University as part of the research project “Transitive University in the face of global, national and regional challenges” in February-March, 2019. In total, 611 full-time students were interviewed. Despite the fact that the university is on the 228th place out of 2060 organizations engaged in research activities and is of high potential, the quality of education as a whole is estimated by students at a low level and the main complaints are reduced to the poor state of the facilities of the educational environment and the practice organization.
On selected didactic aspects of teaching literary translation
Authors: Zahorák Andrej
Published: November 2020

The paper reflects theoretical background of basic translation studies disciplines focusing on selected aspects of methodology and didactics of literary translation as well as on the characteristics of translation metacompetence in accordance with the EMT (European Master’s in Translation) competence network. The specifi cities of literary translation are demonstrated through specifi c translation assignments used in the process of teaching translation seminars at a university in Slovakia.
Safety philosophy as a methodological basis of pedagogical problem-solving of life safety
Authors: Kostenok Pavel I. , Konyahina Galina P.
Published: November 2020

The article deals with theses of safety philosophy in terms of its significance for the pedagogical problem-solving of life safety. It reveals the content of security and development paradigms, makes a comparative analysis of experience and possibilities of their implementation as a methodological basis of safety education, identifies and proves the specificity of this implementation. The authors also state the need of methodological conversion from the security paradigm to the development paradigm.
Theoretical thinking development in conditions of student working process with the special computer methodology
Authors: Lubovsky Dmitriy V. , Titov Andrey A.
Published: November 2020

This article describes a pilot study of the theoretical thinking of primary school students in conditions of educational cases solving. The cases are based on the math concept of the multiplicity of numbers. The study hypothesizes that students can transfer the solving principle of a mathematic case to a game case in specially organized conditions of educational activity. The experiment is based on our special developmental method “The Train”. The study involved 10 children aged from 8 to 10 years from Moscow city School No. 1505 “Preobrazhenskaya”. The main characteristics of the behavior and strategies of students in the framework of the gameplay are revealed. The article describes the phenomena that testify to the development of the foundations of the theoretical thinking of primary school students in the context of educational activities using special computer methodology, and it also outlines the prospect of the further research.
The connection between communicative activity and self-evaluation of generation Z adolescents
Authors: Vasyura Svetlana A. , Iogolevich Natalia I.
Published: November 2020

The article presents the results of an empirical study of relation between the communicative activity and self-evaluation of teenagers (n = 85), whose personality development takes place in the information society and allows us to characterize modern adolescents as generation Z («digital» generation). Communicative activity is considered as the willingness and ability of a person to interpersonal interaction, the outgoing desire to implement the functions of the subject of communication. The authors have analyzed theoretical information about the self-evaluation and communicative activity of adolescents. The communicative activity of adolescents of generation Z is characterized by a wide range: from self-centeredness and minimal involvement in communication, to the desire to maximize the range of social contacts as in real communication, so in communication mediated by technical means. The identified gaps in the scientific knowledge about communicative activity, in terms of its connection with the self-esteem of modern teeagers, became the prerequisite for this study. The principle of consistency and theoretical provisions on self-esteem by L. V. Borozdina, ideas about the activity of personality by A. I. Krupnov, A. A. Volochkov and S. A. Vasyura formed the theoretical and methodological basis of the work. The relations of communicative activity and self-evaluation of adolescents are established. The basic components of the system of these relations are ease of contact and self-evaluation of appearance. The ease of coming into contact is associated with self-evaluation on the scales of “authority among peers”, “appearance (beauty)”, “self-confidence”, as well as the level of claims on the scales “mind” and “self-confidence”. The self-evaluation of appearance (beauty) is associated with the need for communication, initiative in communication, ease of contact, expressiveness in communication. The obtained results contribute to the development of scientific ideas about communicative activity, its potential for the development of the personality of adolescents of generation Z.
Reporte de un caso: Eritema discrómico perstans en paciente con diagnóstico de virus de inmunodeficiencia humana
Authors: Zuluaga Ana María , Arciniegas Valeria , Espinosa Diego , Ruiz Ana Cristina
Published: November 2020

El eritema discrómico perstans o dermatitis cenicienta, es un trastorno pigmentario de la piel poco común, de etiología desconocida. Se describe el caso de un adulto de 35 años con antecedente de VIH, quien consulta por aparición de lesiones irregulares, bien definidas café-grises localizadas en cuello, área mandibular inferior, espalda y brazos, de borde levemente eritematoso. El diagnóstico de eritema discrómico perstans se realizó con base en los hallazgos clínicos e histopatológicos.
Neurofibromatosis tipo 2, entidad a tener presente durante la práctica clínica
Authors: Mena-Vergara Luis , Hernández-San Martín María Jesús , Aranibar-Durán Ligia
Published: November 2020

La neurofibromatosis tipo 2 es un trastorno poco frecuente, que pertenece al grupo de las neurofibromatosis, que se caracterizan por la mayor propensión al desarrollo de tumores.  Se presenta con múltiples tumores no malignos del sistema nervioso, incluidos schwannomas, meningiomas, ependimomas y gliomas, siendo los schwannomas vestibulares bilaterales una característica clásica. La mayoría de los casos se diagnostican en la adultez, sin embargo, las características clínicas habitualmente están presentes durante muchos años antes del diagnóstico. Es importante un alto índice de sospecha y un adecuado examen cutáneo y neurológico, ya que es crítico para hacer un diagnóstico correcto y precoz, y así, realizar un tratamiento interdisciplinario adecuado, evitando posibles complicaciones como son la pérdida auditiva y el uso de ayudas técnicas.
Da afonia à voz das crianças nas pesquisas: uma compreensão crítica do conceito de voz
Authors: Fernandes Natalia , Souza Luciana
Published: November 2020

A investigação com crianças é um campo em desenvolvimento que tem contribuído para enfrentar a invisibilidade das crianças quer como objetos quer como sujeitos de pesquisa, trazendo-as para o centro, a partir do argumento de que o seu estatuto de sujeitos ati-vos de direitos e de atores sociais exige um comprometimento me-todológico e ético que respeite essa sua condição. A consolidação da ideia de que as crianças são consideradas como sujeitos legíti-mos nos processos de construção de conhecimento requer da parte dos adultos investigadores um comprometimento ético apurado que convoque de forma respeitosa as vozes das crianças, sem as dei-xar invisibilizadas na voz do adulto que as interpreta. Neste texto, mobilizaremos questionamentos sobre o conceito de voz e reflexões acerca dos contextos nos quais essas vozes são produzidas. De que modo são consideradas as relações de poder que as influenciam? De que modo são consideradas as alteridades de adultos e crianças na produção dessas vozes? A resposta a essas questões tentará situar o conceito de voz no campo das complexidades que atravessam a pesquisa com crianças, trazendo para o centro do debate a relação adulto-criança como uma dimensão estruturante das opções meto-dológicas e análises interpretativas decorrentes dessas escolhas.
Arqueologia pessoal: descobrir a sua diversidade interior através de artefactos da infância
Authors: Pinto Luis , O'Toole Linda
Published: November 2020

Este artigo descreve uma autoexploração do principal autor através de artefactos da sua própria infância, na tentativa de “dar voz” às características estruturantes na criança que foi, e se mantiveram no adulto que hoje é. Esse relato pessoal e íntimo surge da colaboração dos autores no desenvolvimento da “Arqueologia Pessoal”, um exer-cício para pais e profissionais da infância baseado no trabalho da Fundação Learning for Well-being, que vê os indivíduos como siste-mas inteiros. No centro dessa abordagem, destacam-se os princípios dos sistemas vivos e o reconhecimento da “diversidade interior” – formas fundamentais de capturar e integrar experiências que orga-nizamos individualmente para criar uma representação do mundo externo que nos é idiossincrática. O artigo inclui diretrizes para que o leitor possa explorar sua própria Arqueologia Pessoal através de artefactos – fotografias, objetos, desenhos, textos – e histórias que indiquem narrativas pessoais, atitudes e padrões de funcionamento que perduram ao longo do tempo. Concluímos com uma reflexão so-bre o valor de exercícios de autoexploração biográfica e a importân-cia da questão da diversidade interior no bem-estar e participação de crianças e adultos.
Impact of Total Asset Turnover Ratios on Equity Returns: Dynamic Panel Data Analyses
Authors: Patin Jeanne-Claire , Rahman Matiur , Mustafa Muhammad
Published: November 2020

This paper is an empirical exploration of the impact of total asset turnover ratios on stock returns of 1961 US public firms in different types of industries from 2001 to 2015. Stock prices are significantly influenced by operating performance of a company in efficiently utilizing its assets. For that matter, operating efficiency (as measured by total asset turnover ratio) plays a role in portfolio investment decisions. Pedroni’s heterogeneous panel co-integration procedures, associated bivariate error-correction model (ECM), dynamic ordinary least squares (DOLS) and generalized method of moments (GMM) are applied. Both stock returns and total asset turnover ratios in levels are nonstationary with I (1) behavior. Subsequently, both variables are found cointegrated. The panel ECM estimates suggest convergence of variables toward long-run equilibrium at moderate pace with short-run interactive positive feedback effects. Again, both DOLS and GMM estimates reveal short-run contemporaneous positive effects of total asset turnover ratios on stock returns in levels. In view of the findings of this study, firms should strive to improve operating efficiency, among others, to enhance competitiveness and thereby to boost their stock prices for rewarding shareholders.
The Impact of Audit Committees on US Nonprofit Organizations’ Governance
Authors: Abu-Khadra Husam
Published: November 2020

All public companies in the United States are required by the securities and exchange commission (SEC) to have an audit committee. Such enforcement can be attributed to high-profile corporate failures and their connections to nonexistence, ineffective or weak audit committees and governance. Despite the efforts to establish a similar argument and enforcement structure for the nonprofit sector, the internal revenue service (IRS) has not pursued legislation, and no empirical evidence has been established to support any public policy changes. This paper contributes to the literature in this field by being the first study to examine 124,980 nonprofit organizations during the period of 2010 to 2015 to test the association between governance in nonprofit organizations and audit committees. We included fifteen measures from these organizations’ IRS Form 990 filings to formulate the study variables. We found significant evidence that the existence of audit committees improves the governance scores of nonprofit organizations. Our study findings have significant implications for nonprofit executives, policy makers and any other interested parties; these findings act as preliminary evidence to support more proactive policies regarding mandatory audit committees for nonprofit organizations
The Impact of E-Procurement Systems in the Biomedical Industry
Authors: Seetharaman A. , Patwa Nitin , Wai Simon Lai Koek , Shamir Ahammed
Published: November 2020

The evolution of the Internet has revolutionised the sourcing and procurement processes in organisations in every industry. The focus of this paper is to analyse the perception of business users on the factors which impact the usage of eprocurement systems in the biomedical industry. There are four factors identified in this research: i.e. control and compliance, cost savings, process automation, and improvements and transparency. The benefit of achieving process automation is the first biggest factor, followed by the need for control and compliance, and transparency, being the second and third factors respectively. The fourth factor, cost savings, is ignored because the users perceived that cost savings will not be realised in the short term, and the returns from the investment could be a couple of years after the eprocurement system has been fully operational. The research also concludes that the ability to perform business analytics and to strengthen the supply chain are the most important factors in measuring the success in the adoption of e-procurement systems
Integrating Patient-Generated Health Data in an Electronic Medical Record: Stakeholders’ Perspectives
Authors: Blondon Katherine , Ehrler Frederic
Published: November 2020

Patient-generated health data (PGHD), when shared with the provider, provides potential as an approach to improve quality of care. Based on interviews and a focus group with stakeholders involved in PGHD integration in the electronic medical record (EMR), we explore the benefits, barriers and possible risks. We propose solutions to address liability concerns, such as clarifying patient and provider expectations for the analyses of PGHD and emphasize considerations for future steps, which include the need to screen PGHD for patient safety.
Personalization Dimensions for MHealth to Improve Behavior Change: A Scoping Review
Authors: Gosetto Laëtitia , Ehrler Frédéric , Falquet Gilles
Published: November 2020

Due to the large number of smartphone users, mHealth has become a popular support to foster users’ health behavior change Personalization is an important factor to increase the effectiveness of mHealth interventions. Based on a literature review, we have listed and categorized personalization concepts associated with behavior change in mHealth into 4 dimensions, users, system functionalities, information, and app properties. The users dimension refers to user-related characteristics such as personality, player profile, need for cognition and perception of social norms. The system functionalities contain the functionalities that can be found in applications such as reminders as well as gamification functionalities such as collectibles. The information dimension concerns the way information is transmitted, such as the source of the message must be expert or the type of feedback to be provided. Finally, there are app properties such as the aesthetics of the application. For the next part, it would be interesting to discover the links we can make between the dimensions.
A Secure Protocol for Managing and Sharing Personal Healthcare Data
Authors: Kiourtis Athanasios , Mavrogiorgou Argyro , Menesidou Sofia-Anna , Gouvas Panagiotis , Kyriazis Dimosthenis
Published: November 2020

Current technologies provide the ability to healthcare practitioners and citizens, to share and analyse healthcare information, thus improving the patient care quality. Nevertheless, European Union (EU) citizens have very limited control over their own health data, despite that several countries are using national or regional Electronic Health Records (EHRs) for realizing virtual or centralized national repositories of citizens’ health records. Health Information Exchange (HIE) can greatly improve the completeness of patients’ records. However, most of the current researches deal with exchanging health information among healthcare organizations, without giving the ability to the citizens on accessing, managing or exchanging healthcare data with healthcare organizations and thus being able to handle their own data, mainly due to lack of standardization and security protocols. Towards this challenge, in this paper a secure Device-to-Device (D2D) protocol is specified that can be used by software applications, aiming on facilitating the exchange of health data among citizens and healthcare professionals, on top of Bluetooth technologies.
Automatic Exploitation of YouTube Data: A Study of Videos Published by a French YouTuber During COVID-19 Quarantine in France
Authors: Laurent Gery , Guinhouya Benjamin , Whatelet Marielle , Lamer Antoine
Published: November 2020

The objective of this study was to test the feasibility of automatically extracting and exploiting data from the YouTube platform, with a focus on the videos produced by the French YouTuber HugoDécrypte during COVID-19 quarantine in France. For this, we used the YouTube API, which allows the automatic collection of data and meta-data of videos. We have identified the main topics addressed in the comments of the videos and assessed their polarity. Our results provide insights on topics trends over the course of the quarantine and highlight users sentiment towards on-going events. The method can be expanded to large video sets to automatically analyse high amount of user-produced data.
Multicriteria Decision Support Would Avoid Overdiagnosis and Overtreatment
Authors: Rajput Vije Kumar , Dowie Jack , Kaltoft Mette Kjer
Published: November 2020

Population-level studies confirm the existence of significant rates of overdiagnosis and overtreatment in a number of conditions, particularly those for which the screening of asymptomatic individuals is routine. The implication is that the possibility of being overdiagnosed and/or overtreated must be mentioned as a possible harm in generating informed consent and participation from the individual invited to be screened. But how should the rates of such preference-insensitive population-level phenomena be introduced into preference-sensitive individual decision making? Three possible strategies are rejected, including the currently dominant one that involves presenting the rates relevant to overdiagnosis and overtreatment as discrete pieces of information about a single criterion (typically condition-specific mortality). Extensive quotation from a review of cancer decision aids confirms that processing this complex and isolated information is not a practical approach. However, the task is unnecessary, since an outcome-focused multicriteria decision support tool will incorporate the effects of overdiagnosis and overtreatment – along with the effects of any underdiagnosis and undertreatment.
Creating Synthetic Patients to Address Interoperability Issues: A Case Study with the Management of Breast Cancer Patients
Authors: Redjdal Akram , Bouaud Jacques , Guézennec Gilles , Gligorov Joseph , Seroussi Brigitte
Published: November 2020

Interoperability issues are common in biomedical informatics. Reusing data generated from a system in another system, or integrating an existing clinical decision support system (CDSS) in a new organization is a complex task due to recurrent problems of concept mapping and alignment. The GL-DSS of the DESIREE project is a guideline-based CDSS to support the management of breast cancer patients. The knowledge base is formalized as an ontology and decision rules. OncoDoc is another CDSS applied to breast cancer management. The knowledge base is structured as a decision tree. OncoDoc has been routinely used by the multidisciplinary tumor board physicians of the Tenon Hospital (Paris, France) for three years leading to the resolution of 1,861 exploitable decisions. Because we were lacking patient data to assess the DESIREE GL-DSS, we investigated the option of reusing OncoDoc patient data. Taking into account that we have two CDSSs with two formalisms to represent clinical practice guidelines and two knowledge representation models, we had to face semantic and structural interoperability issues. This paper reports how we created 10,681 synthetic patients to solve these issues and make OncoDoc data re-usable by the GL-DSS of DESIREE.
The New Smart-Meds: Redesign of a Gamified App to Improve Medication Adherence Using a Mixed Methods Design
Authors: Ricci Arnaud , Gosetto Laetitia , Blondon Katherine , Ehrler Frédéric
Published: November 2020

SMART-MEDS is a gamification-based mobile application to improve medication adherence. In its first version, it relied on storytelling to bolster user engagement. The feedback collected from users after one month testing revealed that although they appreciated the proposed story, they did not find it compelling enough. On the positive side they really appreciated to learn about their medications and disease through a dedicated quiz. In this paper, we present a new version of the app redesigned based on the collected feedback. We have based ourselves on the theories of gamification and self-efficiency to propose new mechanics such as mini-games, and interactive dialogues with a chatbot. Everything is wrapped up inside a new story that takes us on a journey through Switzerland. We also tried to reinforce the app educational aspects by integrating documentation directly inside the new mechanics. This new app seems to address all the issues raised during the first user tests, and will be tested in the near future.
Analysis of ISO/TS 21526 Towards the Extension of a Standardized Query API
Authors: Ulrich Hannes , Kock-Schoppenhauer Ann-Kristin , Drenkhahn Cora , Löbe Matthias , Ingenerf Josef
Published: November 2020

Metadata is often used for different tasks in the field of medical informatics: semantic description of data, quality validation, data integration, or information retrieval. Metadata definitions are captured and curated in time-consuming tasks and stored in metadata repositories that manage and preserve the metadata. Due to technical and legal restrictions, metadata is rarely as easily accessible and interoperable as it is necessary for modern information systems. In a previous study, a uniform interface based on the widely used ISO/IEC 11179 and the Facebook data retrieval language GraphQL was introduced as a solution to these technical obstacles. In the meantime, the ISO standard 21526 has been published, a recent version designed with a strong focus on health informatics. While it is conceptually oriented on the metamodel in ISO 11179, a number of extensions but also restructurings have been introduced. In this study, the authors investigated the difference between ISO 11179 and ISO 21526 and extended the unified metadata query interface to be future-proof and in particular, to support the semantic extensions of ISO 21526.
Typology-Based Analysis of Covid-19 Mobile Applications: Implications for Patient Empowerment
Authors: Vuokko Riikka , Saranto Kaija , Palojoki Sari
Published: November 2020

During COVID-19 pandemic, mobile technology is seen as potential tool for epidemic control and citizens’ empowerment. Based on literature, we explore, which are the currently known types of the mobile apps and what implications do the apps have for patient empowerment. There is a need for evidence and an assessment framework to ensure that COVID-19 apps deliver on their promises.
Digital Allergy Card: Design and Users’ Perceptions
Authors: Nguewo Ngassam Rhode Ghislaine , Ung Linnea , Ologeanu-Taddei Roxana , Demoly Pascal , Lartigau Jorick , Chiriac Anca M.
Published: November 2020

This paper presents the design and the users’ perceptions of a Digital Allergy Card for recording, sharing and tracing information on drug allergies.
Potentialities of modern glucose monitoring devices during pregnancy
Authors:   Pirogov Russian National Research Medical University, Moscow, Russian Federation, Ushanova F.O. , Demidova T.Yu. ,   Pirogov Russian National Research Medical University, Moscow, Russian Federation
Published: November 2020

Currently, the management of pregnant women with carbohydrate metabolism disorders is challenging due to the high risk of unfavorable events both for the mother and the child even in insignificant deviations from the target value. In addition to the conventional methods of self-monitoring, continuous glucose monitoring (CGM) is an important tool to control diabetes. CGM in pregnant women provides the detailed information on the type and trends of the changes in blood glucose levels and the fluctuations of glucose levels and also identifies the episodes of latent nocturnal hypoglycemia and postprandial hyperglycemia. The analysis of CGM data allows for correcting insulin therapy, taking a decision on its initiation, and modifying diet and exercise plan. Multiple studies demonstrate the efficacy of CGM in terms of compensating manifest diabetes. As to gestational diabetes, the eligibility of modern glucose monitoring technologies for the prevention of various complications is still controversial. Further studies on the potential use of these devices in gestational diabetes could provide a basis for increasing their application in routine clinical practice. This will improve the management of pregnant women with carbohydrate metabolism disorders.KEYWORDS: diabetes, gestational diabetes, continuous glucose monitoring, flash monitoring, pregnancy, macrosomia, self-monitoring.FOR CITATION: Ushanova F.O., Demidova T.Yu. Potentialities of modern glucose monitoring devices during pregnancy. Russian Medical Inquiry. 2020;4(6):352–357. DOI: 10.32364/2587-6821-2020-4-6-352-357.
Course of pregnancy and delivery in women with the disorders of carbohydrate metabolism
Authors:   Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russian Federation, Shaposhnikova E.V. , Bazina M.I. ,   Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russian Federation, Mentsik M.M. ,   I.S. Berzon Krasnoyarsk Interregional City Hospital No. 20, Krasnoyarsk, Russian Federation, Shageeva E.V. ,   I.S. Berzon Krasnoyarsk Interregional City Hospital No. 20, Krasnoyarsk, Russian Federation, Shageev T.A. ,   Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk,  Russian Federation
Published: November 2020

Background: disorders of carbohydrate metabolism are one of the common complications of pregnancy associated with the increasing rate of adverse maternal and neonatal outcomes. The introduction of the guidelines-based approaches to the diagnosis of these conditions and the management of pregnancy and childbirth aims to reduce the risks of these complications.Aim: to assess the prevalence of the disorders of carbohydrate metabolism and to analyze the course of pregnancy and childbirth, and perinatal outcomes in 2017–2019.Patients and Methods: case records of 1,188 women with the disorders of carbohydrate metabolism who were admitted to a maternity hospital and gave birth were analyzed.Results: over the last 3 years, gestational diabetes ranks 1st among the disorders of carbohydrate metabolism. Its percentage increased by 1.7 times, i.e., from 11.4% to 19.8% (OR=0.6, 95% CI 0.51–0.67; p<0.001). The most common extragenital comorbidity was obesity (46.8%). During the analyzed period, a 1.8-fold reduction (from 11.6% to 6.3%) in the rate of moderate preeclampsia (OR=1.8, 95% CI 1.19–2.88, p=0.01) and a 2-fold reduction (from 21,9% to 10,8%) in the rate of diabetic fetopathy (OR=0.5, 95% CI 0.36–0.68, p<0.001) were observed. Careful examinations and follow-up allowed for the reduction in the rate of С-section by 11.5%, i.e., from 54.1% in 2017 to 42.6% in 2019 (OR=1.3, 95% CI 1.11–1.46, p=0.002). Meanwhile, the major indication to C-section in these women is diabetic fetopathy.Conclusions: early diagnosis of the disorders of carbohydrate metabolism and adequate management provide the reduction in the rate of complications and the conditions for vaginal delivery in full-term pregnancy.KEYWORDS: pregnancy, gestational diabetes, disorders of carbohydrate metabolism, glucose tolerance test, delivery, perinatal outcomes.FOR CITATION: Shaposhnikova E.V., Bazina M.I., Mentsik M.M. et al. Course of pregnancy and delivery in women with the disorders of carbohydrate metabolism. Russian Journal of Woman and Child Health. 2020;3(3):163–168. DOI: 10.32364/2618-8430-2020-3-3-163-168.
Stromal cell-derived factor: pathological and clinical potentialities
Authors:   Ural State Medical University, Yekaterinburg, Russian Federation, Prokhorova O.V. , Olina A.A. ,   D.O. Ott Research Institute of Obstetrics, Gynecology & Reproduction, St. Petersburg,  Russian Federation, Tolibova G.Kh. ,   D.O. Ott Research Institute of Obstetrics, Gynecology & Reproduction, St. Petersburg,  Russian Federation, Tral’ T.G. ,   D.O. Ott Research Institute of Obstetrics, Gynecology & Reproduction, St. Petersburg,  Russian Federation
Published: November 2020

Chemotactic cytokines are a family of signaling proteins secreted by various human tissues. Their functioning is based on the ability to induce directed chemotaxis in nearby susceptible cells. This paper reviews recent published data on one of the most important homeostatic cytokines, stromal cell-derived factor-1 (SDF-1). The leading role of this factor in the pathogenesis of various conditions, i.e., toxic, ischemic, and necrotic tissue damage, carcinogenesis (including the mechanisms of invasion and metastasis) is demonstrated. SDF-1 acts as a powerful inductor of angiogenesis and stimulates the proliferation of endothelial cells in reproductive organs. This chemokine is one of the candidate factors involved in the regulation of proliferation and differentiation of human endometrium, i.e., the implementation of epithelial-stromal interaction of tissue elements in uterine mucosa. Clear understanding of the regulatory mechanisms of SDF-1-mediated signaling during trophoblast functioning and placental angiogenesis may help develop novel therapeutic approaches to pregnancy-related disorders.KEYWORDS: stromal cell-derived factor, chemokines, cytokines, pathogenesis, pregnancy, homeostasis.FOR CITATION: Prokhorova O.V., Olina A.A., Tolibova G.Kh., Tral’ T.G. Stromal cell-derived factor: pathological and clinical potentialities. Russian Journal of Woman and Child Health. 2020;3(3):198–204. DOI: 10.32364/2618-8430-2020-3-3-198-204.
Minor Oral Surgery and Dental Extraction Procedures Management of Patients with Antithrombotic Drugs Administration
Authors: Dwi Riski Saputra
Published: November 2020

Patients who are undergoing antithrombotic drugs therapy whether it was alone or in combination can increase the bleeding complications after performed minor oral surgery or tooth extraction. If the termination of using antithrombotic drugs to prevent bleeding isn’t right, it’ll trigger thrombosis. Therefore appropriate consideration is needed in the management of patients undergoing antithrombotic drug therapy that requires minor oral surgery or dental extraction. The purpose of this literature review is to examine management of minor oral surgery and dental extraction procedure in patients with antithrombotic drugs. Management of minor oral surgical procedures and tooth extraction in patients using antithrombotic drugs must be adjusted to the type of antithrombotic drugs used by the patient. Patients who use antithrombotic drugs are advised to undergo minor oral surgery or tooth extraction treatment in the morning or on weekends. Local hemostatic agent has been shown to be effective to stop bleeding locally on minor oral surgical procedure or tooth extraction in patients undergoing antithrombotic drug therapy alone or in combination.
A gestão do conhecimento e a tecnologia da informação no melhoramento da performance da organização
Authors: Araújo Filho Gilberto Carlos De
Published: November 2020

Este estudo teve o objetivo de compreender o que se assimila por dados, informações, conhecimentos e a gestão do conhecimento e da informação, estudar o papel e a importância das tecnologias de informação na performance da instituição e entender a relação existente entre tais institutos. A metodologia utilizada foi a pesquisa explicativa, tendo como coleta de dados o levantamento bibliográfico. As conclusões mais relevantes são que a gestão do conhecimento deve ser verificada dentro da empresa para otimizar e potencializar a produção e a qualidade dos serviços praticados por sua equipe profissional, e as tecnologias da informação podem facilitar este processo, mediante a captação, relacionamento, organização e armazenamento das informações pertencentes à sua área de atuação e também do domínio da organização.
Development trends of lubricants in Russia
Authors:   Topchievs Institute of Petrochemical Synthesis RA, Tsvetkov O. N. , Maksimov A. L. ,   Topchievs Institute of Petrochemical Synthesis RAS
Published: November 2020

A brief overview of the state of Russian base oils, additives and lubricants production against the background of the world shows a noticeable progress during the passing decade in the development of new technologies of base oils and lubricants and connects it with the global trend of improving the environmental and economic characteristics of lubricated machines and equipment. During the decade, two oil units with the I-th group of petroleum base oils were decommissioned, at the same time two plants established the production of hydrocracking oils of II and III groups, organized the production of synthetic esters of pentaerythritol and perfluoropolyesters. New motor, transmission, hydraulic, gas turbine, industrial and energy oils have been developed, most of which are marketized. The main trends in the further development of lubricants in Russia are the continuation of the creation of basic oil production units of groups II and III, the commissioning of PAOM production, the expansion of the range and raw material infrastructure of synthetic oils and additives, the rise of the quality of finished lubricants to the international level. Development trends of lubricants in Russia.