bluuebunny/crossref_metadata_2025 huggingface dataset:
Transversalidade de gênero: uma análise sobre os significados mobilizados na estruturação da política para mulheres no Brasil
Authors: Marcondes Mariana Mazzini , Diniz Ana Paula Rodrigues , Farah Marta Ferreira Santos
Published: December 2019

A criação da Secretaria de Políticas para as Mulheres representou um marco na estruturação da política para mulheres e igualdade de gênero no Brasil. A transversalidade de gênero foi adotada como estratégia de atuação nesse processo, envolvendo um conjunto de instrumentos, organismos, instâncias e mecanismos de gestão e participação social. Neste artigo, investigamos os significados atribuídos à transversalidade, focalizando a estruturação da política para mulheres e igualdade de gênero no Executivo Federal. A partir da análise de documentos, fundamentada no arcabouço teórico proposto por Walby (2005), concluímos que esses significados são indissociáveis das principais questões do feminismo, transbordando a dimensão da gestão governamental. Nesse contexto, os contornos da transversalidade são redefinidos, tanto diante dos desafios de institucionalização da política, quanto pelas disputas e negociações travadas no campo feminista.
Captação de recursos via transferências voluntárias: um olhar para os municípios do Consórcio Intermunicipal da Região Oeste Metropolitana de São Paulo (Cioeste)
Authors: Alvares Merlyn Alvares Ambrosio , Branco Marcello Simão
Published: December 2019

Este estudo tem o objetivo de analisar a captação de recursos federais, via transferências voluntárias, realizada por municípios que compõem o Consórcio Público Intermunicipal da Região Oeste Metropolitana de São Paulo (CIOESTE). Optou-se por contextualizar o federalismo no Brasil e as atribuições municipais a partir da Constituição Federal de 1988, após identificar o perfil socioeconômico dos municípios que compõem o CIOESTE, para então aprofundar a análise da captação de recursos, utilizando o método de estatística descritiva e análise de cluster. De maneira geral, observa-se que a escolha pelo consorciamento é justificada, uma vez que é uma alternativa cada vez mais buscada por municípios brasileiros para estimular sistemas cooperativos e o desenvolvimento regional. No entanto, alguns municípios do CIOESTE apresentam perfil socioeconômico e comportamento de captação de recursos distintos, o que requer maior atenção da instituição, a fim de melhorar a eficiência e desempenho dos projetos em âmbito municipal e regional.
Desafios no direcionamento e na priorização das intervenções das políticas de combate à pobreza nos municípios cearenses
Authors: Nogueira Cláudio André Gondim , Forte Sérgio Henrique Arruda Cavalcante
Published: December 2019

Apesar dos avanços recentes, a pobreza ainda persiste no Ceará. Então, com base no “Triângulo Pobreza-Crescimento-Desigualdade” descrito por Bourguignon (2003, 2004), foram estimadas as elasticidades da pobreza em relação ao crescimento econômico e à desigualdade para identificar desafios na priorização das intervenções de combate à pobreza nos municípios cearenses. Os resultados mostram que os valores de ambas as sensibilidades estimadas são relativamente pequenos, indicando que as políticas têm potencialmente baixa capacidade de reduzir a pobreza. Argumenta-se, no entanto, que elas podem ser mais efetivas se forem consideradas as características particulares de cada município. Uma questão importante decorre da identificação de um grupo de municípios em que a sensibilidade das políticas é muito baixa, sendo que estes são os que, em geral, apresentam as piores situações relativas em termos da proporção de pobres e da desigualdade. Assim, se for privilegiada a efetividade potencial, as disparidades entre os municípios poderão aumentar.
Desafios da implementação de uma política intersetorial e federativa: as burocracias de médio escalão do Programa Bolsa Família
Authors: Oliveira Vanessa Elias de , Lotta Gabriela Spanghero , Freitas Matheus Nunes
Published: December 2019

O artigo discute o processo de implementação de uma política pública intersetorial e que demanda coordenação federativa, o Programa Bolsa Família (PBF). Políticas com tais características enfrentam um grande desafio para sua gestão, que é a conexão das distintas burocracias públicas, tanto de diferentes setores quanto de diferentes níveis de governo. Para compreender como estas burocracias percebem os desafios da implementação de uma política com tais características,a pesquisa analisou, por meio de pesquisa qualitativa (entrevistas), a burocracia de médio escalão dos diferentes níveis de governo (municípios, estados e União) envolvida com a implementação do PBF. Demonstramos que, para além das desigualdades locais e das distintas capacidades burocráticas dos níveis de governo, os gestores federais e municipais percebem como um exercício constante a construção da intersetorialidade na operação do programa, e, ainda, entendem que o governo federal deveria desenvolver mecanismos para compreensão do que acontece “na ponta”, nos processos municipais de implementação, incorporando esses aprendizados ao (re)desenho da política, adequando-a às distintas realidades locais.
Inovasi Pembelajaran Tematik, Kendala dan Upaya Perbaikan Dalam Proses Pembelajaran
Authors: Badriah Laelatul , Abibudin Saiful , . Zunita , . Juliyanto
Published: December 2019

Proses pembelajaran merupakan serangkaian kegaiatan interaksi antara pendidik, peserta didik dan materi ajara yang diorganisasikan sedemikian rupa untuk mencapai tujuan pembelajaran secara maksimal. Dalam kajian ini merupakan potret pembelajaran tematik yang terjadi di salah satu madrasah ibtidaiyah yang berada di wilayah kabupaten Bantul yaitu MIN 1 Bantul, proses pembelajaran tematik terpotret dengan baik dan sangat inovatif, serta  sesuai dengan acuan pembelajaran tematik, dalam hal ini tentunya tidak lepas dengan kendala-kendala yang dihadapi oleh setiap guru kelas, akan tetapi kendala tersebut dapat diatasi dengan berbagai upaya diantaranya menggunakan keterampilan dasar mengajar yang inovatif dan fleksibel, metode dan media yang bervariasi dan inoivatif,dan menyusun perencanaan pembelajaran yang lebih flesibel, serta instrumen evaluasi yang sesuai dengan karakteristik materi dan karakteristik peserta didik.

Kata Kunci: pembelajaran tematik, inovatif
Hidden Communities of Practice in Social Media Groups: Mixed Methods Study
Authors: Skelton Kara , Evans Retta , LaChenaye Jenna
Published: December 2019

Background

Although most US mothers initiate breastfeeding, suboptimal breastfeeding rates still exist. Although breastfeeding is a complex process, social support has been linked with increases in positive breastfeeding outcomes. Recent technological advances, including the development of social networking sites, provide mothers with convenient access to a unique array of audiences from which to seek advice about parenting, including breastfeeding. However, little is known about how the use of the sites—specifically groups centered around breastfeeding—influences breastfeeding knowledge, attitudes, or behaviors.

Objective

This mixed methods study aimed to explore utilization of an existing probreastfeeding Facebook group and how utilization influences breastfeeding-related knowledge, attitudes, and behaviors.

Methods

Participants were recruited online through Facebook wall posts from within the existing group. Mothers aged between 18 and 50 years who were pregnant and intended to breastfeed, were currently breastfeeding, or had recently weaned their infant in the past 3 years were eligible to participate. Participants engaged in online focus group discussions (n=21) and individual interviews (n=12). Inductive content analysis of qualitative data led to the conceptualization and contextualization of a breastfeeding community of practice (COP). Using qualitative results, a quantitative survey was then developed to assess the prevalence of qualities of a COP as well as how COP usage influenced breastfeeding-related attitudes and knowledge. A total of 314 mothers completed the online survey.

Results

Qualitative findings showed an overall sense of community, with subthemes of group trust, interaction, and the promotion of breastfeeding. A majority (287/314, 91.5%) of mothers initiated breastfeeding, with 69.0% (216/314) of mothers reporting exclusive breastfeeding their infant at 6 months. Approximately 98.5% (309/314) of mothers reported that the Facebook group captured and stored knowledge; therefore, information could be easily accessed and applied. In addition, 96.2% (302/317) of mothers reported that the Facebook group motivated them to share breastfeeding-related knowledge.

Conclusions

The results suggest that this existing probreastfeeding Facebook group exhibits characteristics of an online COP, which was organically formed. Utilization of the Facebook group, in the context of an online COP, could be beneficial in impacting breastfeeding-related knowledge, attitudes, and behaviors. However, further examination and exploration of breastfeeding COPs, including using this type of model as a method of lactation support or as a telemedicine framework, is a clear need.
QardioArm Upper Arm Blood Pressure Monitor Against Omron M3 Upper Arm Blood Pressure Monitor in Patients With Chronic Kidney Disease: A Validation Study According to the European Society of Hypertension International Protocol Revision 2010
Authors: Mazoteras-Pardo Victoria , Becerro-De-Bengoa-Vallejo Ricardo , Losa-Iglesias Marta Elena , López-López Daniel , Rodríguez-Sanz David , Casado-Hernández Israel , Calvo-Lobo Cesar , Palomo-López Patricia
Published: December 2019

Background

Hypertension is considered as a main risk factor for chronic kidney disease development and progression. Thus, the control and evaluation of this disease with new software and devices are especially important in patients who suffer from chronic kidney disease.

Objective

This study aimed to validate the QardioArm mobile device, which is used for blood pressure (BP) self-measurement in patients who suffer from chronic kidney disease, by following the European Society of Hypertension International Protocol 2 (ESH-IP2) guidelines.

Methods

A validation study was carried out by following the ESH-IP2 guidelines. A sample of 33 patients with chronic kidney disease self-measured their BP by using the QardioArm and Omron M3 Intellisense devices. Heart rate (HR), diastolic BP, and systolic BP were measured.

Results

The QardioArm fulfilled the ESH-IP2 validation criteria in patients who suffered from chronic kidney disease.

Conclusions

Thus, this study is considered as the first validation using a wireless upper arm oscillometric device connected to an app to measure BP and HR meeting the ESH-IP2 requirements in patients who suffer from chronic kidney disease. New validation studies following the ESH-IP2 guidelines should be carried out using different BP devices in patients with specific diseases.
Use of a Smart Watch for Early Detection of Paroxysmal Atrial Fibrillation: Validation Study
Authors: Inui Tomohiko , Kohno Hiroki , Kawasaki Yohei , Matsuura Kaoru , Ueda Hideki , Tamura Yusaku , Watanabe Michiko , Inage Yuichi , Yakita Yasunori , Wakabayashi Yutaka , Matsumiya Goro
Published: December 2019

Background

Wearable devices with photoplethysmography (PPG) technology can be useful for detecting paroxysmal atrial fibrillation (AF), which often goes uncaptured despite being a leading cause of stroke.

Objective

This study is the first part of a 2-phase study that aimed at developing a method for immediate detection of paroxysmal AF using PPG-integrated wearable devices. In this study, the diagnostic performance of 2 major smart watches, Apple Watch Series 3 and Fitbit (FBT) Charge HR Wireless Activity Wristband, each equipped with a PPG sensor, was compared, and the pulse rate data outputted from those devices were analyzed for precision and accuracy in reference to the heart rate data from electrocardiography (ECG) during AF.

Methods

A total of 40 subjects from patients who underwent cardiac surgery at a single center between September 2017 and March 2018 were monitored for postoperative AF using telemetric ECG and PPG devices. AF was diagnosed using a 12-lead ECG by qualified physicians. Each subject was given a pair of smart watches, Apple Watch and FBT, for simultaneous pulse rate monitoring. The heart rate of all subjects was also recorded on the telemetry system. Time series pulse rate trends and heart rate trends were created and analyzed for trend pattern similarities. Those trend data were then used to determine the accuracy of PPG-based pulse rate measurements in reference to ECG-based heart rate measurements during AF.

Results

Of the 20 AF events in group FBT, 6 (30%) showed a moderate or higher correlation (cross-correlation function>0.40) between pulse rate trend patterns and heart rate trend patterns. Of the 16 AF events in group Apple Watch (workout [W] mode), 12 (75%) showed a moderate or higher correlation between the 2 trend patterns. Linear regression analyses also showed a significant correlation between the pulse rates and the heart rates during AF in the subjects with Apple Watch. This correlation was not observed with FBT. The regression formula for Apple Watch W mode and FBT was X=14.203 + 0.841Y and X=58.225 + 0.228Y, respectively (where X denotes the mean of all average pulse rates during AF and Y denotes the mean of all corresponding average heart rates during AF), and the coefficient of determination (R2) was 0.685 and 0.057, respectively (P<.001 and .29, respectively).

Conclusions

In this validation study, the detection precision of AF and measurement accuracy during AF were both better with Apple Watch W mode than with FBT.
Nonprofessional Peer Support to Improve Mental Health: Randomized Trial of a Scalable Web-Based Peer Counseling Course (Preprint)
Authors: Bernecker Samantha L , Williams Joseph Jay , Caporale-Berkowitz Norian A , Wasil Akash R , Constantino Michael J
Published: December 2019

BACKGROUND

Millions of people worldwide are underserved by the mental health care system. Indeed, most mental health problems go untreated, often because of resource constraints (eg, limited provider availability and cost) or lack of interest or faith in professional help. Furthermore, subclinical symptoms and chronic stress in the absence of a mental illness diagnosis often go unaddressed, despite their substantial health impact. Innovative and scalable treatment delivery methods are needed to supplement traditional therapies to fill these gaps in the mental health care system.

OBJECTIVE

This study aims to investigate whether a self-guided web-based course can teach pairs of nonprofessional peers to deliver psychological support to each other.

METHODS

In this experimental study, a community sample of 30 dyads (60 participants, mostly friends), many of whom presented with mild to moderate psychological distress, were recruited to complete a web-based counseling skills course. Dyads were randomized to either immediate or delayed access to training. Before and after training, dyads were recorded taking turns discussing stressors. Participants’ skills in the helper role were assessed before and after taking the course: the first author and a team of trained research assistants coded recordings for the presence of specific counseling behaviors. When in the client role, participants rated the session on helpfulness in resolving their stressors and supportiveness of their peers. We hypothesized that participants would increase the use of skills taught by the course and decrease the use of skills discouraged by the course, would increase their overall adherence to the guidelines taught in the course, and would perceive posttraining counseling sessions as more helpful and their peers as more supportive.

RESULTS

The course had large effects on most helper-role speech behaviors: helpers decreased total speaking time, used more restatements, made fewer efforts to influence the speaker, and decreased self-focused and off-topic utterances (ds=0.8-1.6). When rating the portion of the session in which they served as clients, participants indicated that they made more progress in addressing their stressors during posttraining counseling sessions compared with pretraining sessions (d=1.1), but they did not report substantive changes in feelings of closeness and supportiveness of their peers (d=0.3).

CONCLUSIONS

The results provide proof of concept that nonprofessionals can learn basic counseling skills from a scalable web-based course. The course serves as a promising model for the development of web-based counseling skills training, which could provide accessible mental health support to some of those underserved by traditional psychotherapy.
Hemostatis Analyzer-Supported Hemotherapy Algorithm in Cardiac Surgery: Protocol for a Randomized Controlled Monocentric Trial (Preprint)
Authors: Michel Sophie , Piekarski Florian , Fischer Jan-Hendrik , Hettler Vanessa , Adam Elisabeth Hannah , Holzer Lars , Lotz Gösta , Walther Thomas , Zacharowski Kai , Raimann Florian Jürgen
Published: December 2019

BACKGROUND

Point of care devices for performing targeted coagulation substitution in patients who are bleeding have become increasingly important in recent years. New on the market is the Quantra. It is a device that uses sonorheometry, a sonic estimation of elasticity via resonance, which is a novel ultrasound-based technology that measures viscoelastic properties of whole blood. Several studies have already shown the comparability of the Quantra with devices already established on the market, such as the rotational thromboelastometry (ROTEM) device.

OBJECTIVE

In contrast to existing studies, this study is the first prospective interventional study using this new system in a cardiac surgical patient cohort. We will investigate the noninferiority between an already existing coagulation algorithm based on the ROTEM/Multiplate system and a new algorithm based on the Quantra system for the treatment of coagulopathic cardiac surgical patients.

METHODS

The study is divided into two phases. In an initial observation phase, whole blood samples of 20 patients obtained at three defined time points (prior to surgery, after completion of cardiopulmonary bypass, and on arrival in the intensive care unit) will be analyzed using both the ROTEM/Multiplate and Quantra systems.
The obtained threshold values will be used to develop a novel algorithm for hemotherapy. In a second intervention phase, the new algorithm will be tested for noninferiority against an algorithm used routinely for years in our department.

RESULTS

The main objective of the examination is the cumulative loss of blood within 24 hours after surgery. Statistical calculations based on the literature and in-house data suggest that the new algorithm is not inferior if the difference in cumulative blood loss is <150 mL/24 hours.

CONCLUSIONS

Because of the comparability of the Quantra sonorheometry system with the ROTEM measurement methods, the existing hemotherapy treatment algorithm can be adapted to the Quantra device with proof of noninferiority.

CLINICALTRIAL

ClinicalTrials.gov NCT03902275; https://clinicaltrials.gov/ct2/show/NCT03902275

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/17206
The Safety, Efficacy, and Tolerability of Microbial Ecosystem Therapeutic-2 in People With Major Depression and/or Generalized Anxiety Disorder: Protocol for a Phase 1, Open-Label Study (Preprint)
Authors: Chinna Meyyappan Arthi , Milev Roumen
Published: December 2019

BACKGROUND

The bidirectional signaling between the gut microbiota and the brain, known as the gut-brain axis, is being heavily explored in current neuropsychiatric research. Analyses of the human gut microbiota have shown considerable individual variability in bacterial content, which is hypothesized to influence brain function, and potentially mood and anxiety symptoms, through gut-brain axis communication. Preclinical and clinical research examining these effects suggests that fecal microbiota transplant (FMT) may aid in improving the severity of depression and anxiety symptoms by recolonizing the gastrointestinal (GI) tract with healthy bacteria. The microbial ecosystem therapeutic (ie, microbial ecosystem therapeutic-2 [MET-2]) used in this study is an alternative treatment to FMT, which comprises 40 different strains of gut bacteria from a healthy donor.

OBJECTIVE

The primary objective of this study is to assess subjective changes in mood and anxiety symptoms before, during, and after administration of MET-2. The secondary objectives of this study are to assess the changes in metabolic functioning and the level of repopulation of healthy gut bacteria, the safety and tolerability of MET-2, and the effects of early stress on biomarkers of depression/anxiety and the response to treatment.

METHODS

Adults experiencing depressive or anxiety symptoms will be recruited from the Kingston area. These participants will orally consume an encapsulated MET-2 once daily—containing 40 strains of purified and laboratory-grown bacteria from a single healthy donor—for 8 weeks, followed by a 2-week treatment-free follow-up period. Participants will undergo a series of clinical assessments measuring mood, anxiety, and GI symptoms using validated clinical scales and questionnaires. Molecular data will be collected from blood and fecal samples to assess metabolic changes, neurotransmitter levels, inflammatory markers, and the level of engraftment of the fecal samples that may predict outcomes in depression or anxiety.

RESULTS

Given the association between the gut bacteria and the risk factors of depression, we expect to observe an improvement in the severity of depressive and anxiety symptoms following treatment, and we expect that this improvement is mediated by the recolonization of the GI tract with healthy bacteria. The recruitment for this study has been completed, and the data obtained are currently being analyzed.

CONCLUSIONS

This is the first time MET-2 is being tested in psychiatric indications, specifically depression and anxiety. As such, this may be the first study to show the potential effects of microbial therapy in alleviating psychiatric symptoms as well as its safety and tolerability.

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/17223
Digital Support for Patients Undergoing Bariatric Surgery: Narrative Review of the Roles and Challenges of Online Forums (Preprint)
Authors: Robinson Anna , Husband Andrew K , Slight Robert D , Slight Sarah P
Published: December 2019

BACKGROUND

The internet has become an important medium within health care, giving patients the opportunity to search for information, guidance, and support to manage their health and well-being needs. Online forums and internet-based platforms appear to have changed the way many patients undergoing bariatric surgery view and engage with their health, before and after weight loss surgery. Given that significant health improvements result from sustained weight loss, ensuring patient adherence to recommended preoperative and postoperative guidance is critical for bariatric surgery success. In a patient cohort with high information needs preoperatively, and notoriously high attrition rates postoperatively, online forums may present an underutilized method of support.

OBJECTIVE

The aim of this study was to conduct a narrative review focusing on the developing roles that online forums can play for patients with bariatric conditions preoperatively and postoperatively.

METHODS

A literature search was conducted in October-November 2019 across 5 electronic databases: Scopus, EMBASE, PsycINFO, CINAHL, and MEDLINE. Qualitative or mixed methods studies were included if they evaluated patients undergoing bariatric surgery (or bariatric surgery health care professionals) engaging with, using, or analyzing online discussion forums or social media platforms. Using thematic analysis, themes were developed from coding patterns within the data to identify the roles and challenges of online forums for patients undergoing bariatric surgery.

RESULTS

A total of 8 studies were included in this review, with 5 themes emerging around (1) managing expectations of a new life; (2) decision making and signposting; (3) supporting information seeking; (4) facilitating connectedness: peer-to-peer social and emotional support; and (5) enabling accessibility and connectivity with health care professionals.

CONCLUSIONS

Online forums could offer one solution to improving postoperative success by supporting and motivating patients. Future research should consider how best to design and moderate online forums for maximal effectiveness and the sharing of accurate information. The surgical multidisciplinary team may consider recommendations of online peer-support networks to complement care for patients throughout their surgical journey.
Mapping and Modeling of Discussions Related to Gastrointestinal Discomfort in French-Speaking Online Forums: Results of a 15-Year Retrospective Infodemiology Study (Preprint)
Authors: Schäfer Florent , Faviez Carole , Voillot Paméla , Foulquié Pierre , Najm Matthieu , Jeanne Jean-François , Fagherazzi Guy , Schück Stéphane , Le Nevé Boris
Published: December 2019

BACKGROUND

Gastrointestinal (GI) discomfort is prevalent and known to be associated with impaired quality of life. Real-world information on factors of GI discomfort and solutions used by people is, however, limited. Social media, including online forums, have been considered a new source of information to examine the health of populations in real-life settings.

OBJECTIVE

The aims of this retrospective infodemiology study are to identify discussion topics, characterize users, and identify perceived determinants of GI discomfort in web-based messages posted by users of French social media.

METHODS

Messages related to GI discomfort posted between January 2003 and August 2018 were extracted from 14 French-speaking general and specialized publicly available online forums. Extracted messages were cleaned and deidentified. Relevant medical concepts were determined on the basis of the Medical Dictionary for Regulatory Activities and vernacular terms. The identification of discussion topics was carried out by using a correlated topic model on the basis of the latent Dirichlet allocation. A nonsupervised clustering algorithm was applied to cluster forum users according to the reported symptoms of GI discomfort, discussion topics, and activity on online forums. Users’ age and gender were determined by linear regression and application of a support vector machine, respectively, to characterize the identified clusters according to demographic parameters. Perceived factors of GI discomfort were classified by a combined method on the basis of syntactic analysis to identify messages with causality terms and a second topic modeling in a relevant segment of phrases.

RESULTS

A total of 198,866 messages associated with GI discomfort were included in the analysis corpus after extraction and cleaning. These messages were posted by 36,989 separate web users, most of them being women younger than 40 years. Everyday life, diet, digestion, abdominal pain, impact on the quality of life, and tips to manage stress were among the most discussed topics. Segmentation of users identified 5 clusters corresponding to chronic and acute GI concerns. Diet topic was associated with each cluster, and stress was strongly associated with abdominal pain. Psychological factors, food, and allergens were perceived as the main causes of GI discomfort by web users.

CONCLUSIONS

GI discomfort is actively discussed by web users. This study reveals a complex relationship between food, stress, and GI discomfort. Our approach has shown that identifying web-based discussion topics associated with GI discomfort and its perceived factors is feasible and can serve as a complementary source of real-world evidence for caregivers.
Design of a Digital Comic Creator (It’s Me) to Facilitate Social Skills Training for Children With Autism Spectrum Disorder: Design Research Approach (Preprint)
Authors: Terlouw Gijs , van 't Veer Job TB , Prins Jelle T , Kuipers Derek A , Pierie Jean-Pierre E N
Published: December 2019

BACKGROUND

Children with autism spectrum disorder (ASD) often face difficulties in social situations and are often lagging in terms of social skills. Many interventions designed for children with ASD emphasize improving social skills. Although many interventions demonstrate that targeted social skills can be improved in clinical settings, developed social skills are not necessarily applied in children's daily lives at school, sometimes because classmates continue to show negative bias toward children with ASD. Children with ASD do not blame the difficult social situations they encounter on their lack of social skills; their main goal is to be accepted by peers.

OBJECTIVE

This study aims to design a comic creator—It's me—that would create comics to serve as transformational boundary objects to facilitate and enact a horizontal interaction structure between high-functioning children with ASD and their peers, aiming to increase mutual understanding between children at school.

METHODS

This research project and this study are structured around the Design Research Framework in order to develop the comic through an iterative-incremental process. Three test sessions, which included 13, 6, and 47 children, respectively, were initiated where the focus shifted in time from usability during the first two tests to the initial assessment of acceptance and feasibility in the third session. A stakeholder review, which included six experts, took place after the second test session.

RESULTS

A digital comic creator, It's me, was produced within this study. Children can create their own personal comic by filling in a digital questionnaire. Based on concepts of peer support, psychoeducation, and horizontal interaction, It's me has a rigorous base of underlying concepts that have been translated into design. Based on the first test sessions, the comic has shown its potential to initiate personal conversations between children. Teachers are convinced that It's me can be of added value in their classrooms.

CONCLUSIONS

It's me aims to initiate more in-depth conversations between peers, which should lead to more mutual understanding and better relationships between children with ASD and their peers. The first test sessions showed that It's me has the potential to enact horizontal interaction and greater understanding among peers. It's me was designed as a boundary object, aiming to connect the objectives of different stakeholders, and to trigger reflection and transformation learning mechanisms. The applied design research approach might be of added value in the acceptance and adoption of the intervention because children, professionals, and teachers see added value in the tool, each from their own perspectives.
The Technical Feasibility of Integrating Primary Eye Care Into Primary Health Care Systems in Nigeria: Protocol for a Mixed Methods Cross-Sectional Study (Preprint)
Authors: Aghaji Ada , Burchett Helen , Hameed Shaffa , Webster Jayne , Gilbert Clare
Published: December 2019

BACKGROUND

Approximately 90% of the 253 million blind or visually impaired people worldwide live in low- and middle-income countries. Lack of access to eye care is why most people remain or become blind. The World Health Organization Regional Office for Africa (WHO-AFRO) recently launched a primary eye care (PEC) package for sub-Saharan Africa—the WHO-AFRO PEC package—for integration into the health system at the primary health care (PHC) level. This has the potential to increase access to eye care, but feasibility studies are needed to determine the extent to which the health system has the capacity to deliver the package in PHC facilities.

OBJECTIVE

Our objective is to assess the technical feasibility of integrating the WHO-AFRO PEC package in PHC facilities in Nigeria.

METHODS

This study has several components, which include (1) a literature review of PEC in sub-Saharan Africa, (2) a Delphi exercise to reach consensus among experts regarding the technical complexity of the WHO-AFRO PEC package and the capacities needed to deliver it in PHC facilities, (3) development of PEC technical capacity assessment tools, and (4) data collection, including facility surveys and semistructured interviews with PHC staff and their supervisors and village health workers to determine the capacities available to deliver PEC in PHC facilities. Analysis will identify opportunities and the capacity gaps that need to be addressed to deliver PEC.

RESULTS

Consensus was reached among experts regarding the technical complexity of the WHO-AFRO PEC package and the capacities needed to deliver it as part of PHC. Quantitative tools (ie, structured questionnaires, in-depth interviews, and observation checklists) and topic guides based on agreed-upon technical capacities have been developed and relevant stakeholders have been identified. Surveys in 48 PHC facilities and interviews with health professionals and supervisors have been undertaken. Capacity gaps are being analyzed.

CONCLUSIONS

This study will determine the capacity of PHC centers to deliver the WHO-AFRO PEC package as an integral part of the health system in Nigeria, with identification of capacity gaps. Although capacity assessments have to be context specific, the tools and findings will assist policy makers and health planners in Nigeria and similar settings, who are considering implementing the package, in making informed choices.

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/17263
La Psicología Evolucionista y la idea de unidad en las ciencias
Authors: García Campos Jonatan
Published: December 2019

Objetivo: evaluar críticamente una de las ideas de la Psicología Evolucionista (PE), a saber, que con la arquitectura de la mente y la metodología de este tipo de psicología puede construirse un puente teórico que una a las ciencias naturales con las ciencias sociales.

Método: se sigue el método propio de la filosofía.

Resultados: es problemática la idea de la unidad de las ciencias a partir de la PE.

Limitaciones: en futuros trabajos se deben evaluar, por un lado, aspectos muy concretos de la PE para conocer su viabilidad, y, por otro lado, será necesario examinar otros proyectos teóricos que intenten la unidad en las ciencias.

Principales hallazgos: el intento de la PE de unir a las ciencias naturales y sociales es puesto en duda debido a que 1) su visión de la evolución resulta discutible, y 2) difícilmente los actuales estudios sociales acerca de la cognición son compatibles con la PE.
El branding interno como antecedente de la autoestima basada en la organización: Un estudio en una cadena de restaurantes
Authors: Murillo Othón Enrique Martín
Published: December 2019

Objetivo: analizar si los procesos de branding interno de una empresa de servicios fortalecen la autoestima basada en la organización de los colaboradores, y si ésta a su vez influye positivamente en su motivación y desempeño de marca.

Método: se estimó un modelo de ecuaciones estructurales con la técnica de Mínimos Cuadrados Parciales y se utilizó una muestra de 248 cuestionarios recolectados en una cadena de restaurantes de comida casual en la Ciudad de México.

Resultados: el ajuste con los valores de la marca y la participación de los empleados tuvieron impactos positivos y significativos en la autoestima, que a su vez impactó positiva y significativamente la motivación a favor de la marca y el desempeño de marca.

Limitaciones: la muestra proviene de una sola organización que contrata solamente personal femenino, lo que limita la generalidad de los resultados.

Principales hallazgos: la autoestima basada en la organización contribuye al cumplimiento de la promesa de marca por los empleados de servicios, revelándose, así como una variable que merece la atención de la gerencia. Sorprendentemente, este importante constructo no ha sido utilizado antes en investigaciones publicadas en Latinoamérica.
La ciudad, sus guardianes y la justicia. Un estudio de su relación durante la vida republicana de la ciudad de México (1824-1846)
Authors: Flores Flores Graciela
Published: December 2019

En 1782 se mandó dividir la ciudad de México en ocho cuarteles mayores y 32 menores con ánimo de facilitar el camino de la justicia. A la par, se crearon distintos personajes para cuidar del orden. El presente artículo tiene por principal finalidad conocer a los agentes de seguridad y vigilancia (auxiliares de cuartel, “guardafaroleros”, cabos y vigilantes nocturnos, etcétera) de la ciudad de México, sus funciones y la organización que asumieron para desempeñarlas, además de señalar la estrecha relación que mantuvieron con la justicia durante las dos primeras repúblicas (1824-1846). A través de la cartografía, podremos conocer cómo distribuyeron sus rondas y patrullas para poder dimensionar qué tan efectiva fue su labor al perseguir, aprehender y consignar a los alteradores del orden público ante el juez.
The Dynamics Beyond Counter Terrorism Measures in the Indo-Pacific [Dinamika di Luar Upaya Melawan Terorisme di Indo Pasifik]
Authors: Wibawati Samti Wira , Sari Marina Ika , Sulistyani Yuli Ari
Published: December 2019

The Indo-Pacific is a conceptual idea aimed at enhancing economic connectivity and security among states in the Indo-Pacific region. In line with the high interest from many Indo-Pacific states, security problems like terrorism are of common concerns that need to be addressed. Various existing security cooperation mechanisms have been established to solve this latent problem. However, these mechanisms have not been able to decrease the number of terrorist acts in the region. This study discusses the urgency of terrorism issues in the Indo-Pacific region with the current security cooperation mechanisms. This research uses qualitative method which allows the researchers to describe and explore the observed phenomenon. Using the theory of international cooperation, this research found that it is necessary to recalibrate the existing security cooperation or to focus on making a new and integrated mechanism in the Indo-Pacific region.AbstrakIndo-Pasifik adalah ide konseptual yang bertujuan untuk meningkatkan konektivitas ekonomi dan keamanan di antara negara-negara yang berada di kawasan Indo-Pasifik. Sejalan dengan banyaknya kepentingan berbagai negara di Indo Pasifik, masalah keamanan seperti terorisme perlu menjadi perhatian bersama. Berbagai mekanisme kerjasama keamanan telah dibentuk untuk menangani masalah laten ini. Namun, mekanisme kerjasama keamanan yang ada belum mampu mengurangi angka tindak terorisme di kawasan. Studi ini membahas tentang urgensi masalah terorisme di kawasan Indo-Pasifik dengan mekanisme kerjasama keamanan yang sudah ada. Penelitian ini menggunakan metode kualitatif dimana para peneliti dapat menggambarkan dan mengeksplorasi fenomena yang diteliti. Dengan menggunakan teori kerjasama internasional, penelitian ini menemukan bahwa perlu untuk mengkalibrasi ulang kerjasama keamanan yang sudah ada atau fokus pada pembuatan mekanisme baru dan terintegrasi di kawasan Indo-Pasifik.
Students’ perceptions concerning the learning environment based on biology teachers’ TPACK
Authors: Nurina Cut Intan Evtia , Riandi R. , Widodo Ari , Yulisman Hendra
Published: December 2019

Research about students’ perceptions concerning the learning environment based on biology teachers’ TPACK still limited. The purpose of this study was to obtain information about the impact of biology teachers’ TPACK on students’ perceptions concerning their learning environment. TPACK scores were obtained from instrument in the form of multiple-choice test questions. Furthermore, students’ perceptions of their learning environment were obtained using a Likert scale questionnaire. Two biology teachers were used as research samples determined by purposive sampling, which is referring to their TPACK score. Furthermore, students who became the research sample were students from those two teachers that consists of 64 students. The analysis results show that teachers have different TPACK ability at the level of TPACK forming components. Furthermore, there are differences in students' perceptions based on their teachers' TPACK ability. The results were indicated teacher professionalism, in this case, TPACK has the impact on learning environment. Therefore, teachers, schools, government, and education providers are expected to give special attention to teacher professionalism.
RQA integrated with ADI: Empowering biology students’ ability in posing higher-order thinking skills questions
Authors: Amin Astuti Muh , Aloysius Duran Corebima , Zubaidah Siti , Mahanal Susriyati
Published: December 2019

Questions serve as an element that can be used to access and stimulate students’ thinking ability. This research aimed at analyzing the students’ ability to pose Higher-Order Thinking Skills (HOTS) questions during the learning process. This research was a survey research using a descriptive quantitative approach. The samples used in the research were biology education students of UIN Alauddin Makassar and Universitas Muslim Maros, South Sulawesi with the total of 92 students. The instrument used in this research was an observation sheet of questioning skills for the biology pre-service teachers. The results of this research showed that the implementations of RQA, ADI, and RQA integrated with ADI learning strategies were dominated with HOTS questions, while the learning using the conventional learning strategy was dominated with the Lower-Order Thinking Skills (LOTS) questions. The percentages of the HOTS questions in the learning using RQA, ADI, RQA integrated with ADI, and the conventional learning strategy were 60.53%, 55.71%, 64.91%, and 19.35% respectively.  This finding indicates that the RQA integrated with ADI strategy contributes the significant impact in stimulating students’ ability in posing HOTS questions in the classroom.
Developing digital multimedia of human anatomy and physiology material based on STEM education
Authors: Hidayati Nuril , Irmawati Farizha
Published: December 2019

The development of multimedia based on science, technology, engineering, and mathematics (STEM) to empower students critical thinking skills has not been optimally carried out. The purpose of this research was to develop multimedia of human anatomy and physiology material based on STEM which improve students’ critical thinking skills. This research and development (R&D) used 4D Thiagarajan development model which consisted of define, design, develop, and disseminate. The instruments used were interview guidelines, observation sheets, questionnaires, and test. The data obtained consisted of quantitative and qualitative data. The quantitative data was obtained from the test results and the assessments of respondents using a Likert scale, while the qualitative data in the form of experts recommendations. The results showed that the media developed were classified as valid with the scores were 96.89% (media aspects), 97.53% (usefulness), and 85.22% (readability). Furthermore, the prerequisite test results showed that the data are spread normally (p>0.05) and homogeneously (p>0.05) so that the ANACOVA test is continued. The ANACOVA test results showed that students' critical thinking skills taught with multimedia were significantly difference (sig <0.05).This study recommends the use of multimedia in learning human anatomy and physiology.
The effect of problem-based learning and naturalist intelligence on students' understanding of environmental conservation
Authors: Suhirman S. , Yusuf Y.
Published: December 2019

Environmental conservation understanding is one of the crucial factors which determines student attitudes and behavior towards the environment. This study aimed to investigate the effects of problem-based learning and naturalist intelligence on the students' understanding of environmental conservation. This experimental research was conducted at Madrasah Aliyah Negeri (MAN) 1 Praya which employed factorial design. The first factor was the levels of naturalist intelligence (high and low) and the second factor was learning forms (problem-based and expository learning). Two groups were randomly selected from X-MIPA graders of MAN 1 Praya. The data were collected through tests which then were analyzed using ANOVA at 0.05 significance level. The results of the study indicated that problem-based learning affected the students’ understanding of environmental conservation, while naturalist intelligence did not affect it. Furthermore, there were no interaction between these two factors.
Developing audio-visual learning media based on video documentary on tissue culture explant of Dendrobium bigibbum
Authors: Mellisa M. , Yanda Yola Dwi
Published: December 2019

The development of science and technology challenge teachers to pay a great effort in creating an effective media. The aim of this study was to produce audio-visual learning media based on video documentary explanation of orchid plants (Dendrobium bigibbum) on tissue culture material. This research was conducted on July 2019. This R&D used the ADDIE model without implementation phase. The data collection instruments used were validation sheets and student questionnaire responses. The data obtained were analyzed using percentage.  The evaluation results of the audiovisual learning media based on video documentary tissue culture showed that it was considered as very feasible to be used with an average percentage score of 87.50% by tissue culture expert, 91,87% by learning media expert, 91.66% by the teachers, and 94.37% by the students. The effectiveness of the learning media developed need to be ensured by conducting the implementation phase.
Compartilhamento de veículos no contexto de sistema produto-serviço: análise de uma iniciativa de implementação no Brasil e comparação com sistemas na Europa
Authors: Melo Yasmin Oumura , Moro Suzana R , Cauchick-Miguel Paulo Augusto
Published: December 2019

Com a crescente urbanização e consequente aumento do congestionamento, falta de estacionamentos e problemas relacionados com a poluição, os serviços de compartilhamento de carros (ou car-sharing services - CSS) emergem como alternativas potenciais. Contudo, apesar da difusão e dos potenciais benefícios, os CSS apresentam inúmeras restrições e desafios para implantação. Nesse sentido, este trabalho objetiva analisar um CSS no estado de Santa Catarina e compará-lo com os principais sistemas na Europa. Para a coleta de dados, foi conduzida uma entrevista com um dos fundadores do CSS e uso de dados secundários acerca dos principais sistemas de compartilhamento. Constatou-se que os principais fatores críticos identificados no CSS implantado foram: baixa densidade da rede, capacidade de operação limitada, e falta de interligação com outros modais de transporte. Apesar de o insucesso do sistema de car-sharing analisado, acredita-se que este tipo de iniciativa possa ter favorecida com divulgação mais ampla deste tipo de serviço, destacando ainda a necessidade de melhorias em aspectos relacionados a mobilidade urbana.
Efficiency evaluation of a new approach for cargo routing with empty containers repositioning
Authors: Teixeira Rafael Buback , Anzanello Michel , Cunha Cláudio Barbieri da
Published: December 2019

The cargo routing and empty repositioning problems are important to growth of world market and competitive differentials of the container transporting. This paper aims to evaluate the efficiency of a new approach for an integrated model to cargo routing and empty containers repositioning. We formulated the proposed optimization model as binary-mixed linear programming based on a network multi-commodity model additionally with capacity constraints. Considering the complexity of this problem compared to models available in the literature, the results proved the model efficiency in computational time and main measures of demand and capacity. We understand the model as efficient to solve problems of large instances, assisting real decisions with robustness. The solving time increases significantly with increasing demand, occurring more containers repositioned in order to more profitable cargos can viability a repositioning decision. The main complexity of the model is related to integer variables of cargo routing decisions.