bluuebunny/crossref_metadata_2025 huggingface dataset:
Transforming public finance under the impact of COVID-19
Authors: Bogdan Tetiana , Lomakovych Vitalii
Published: August 2021

Devastating effects of the COVID-19 pandemic throughout the world enhance the societal requests for effective healthcare and social protection systems, modern education, and high-quality infrastructure. In Ukraine, education, healthcare, and social services have been chronically deteriorating, and the corona-crisis has further exacerbated their state and increased poverty in the country. The aim of this study is to reveal the main weaknesses of fiscal policy in Ukraine and to outline the prospects of public finance transformations under the impact of the COVID-19. To achieve this aim, the indicators of fiscal policy response to the pandemic in Ukraine are calculated and a comparative analysis of Ukraine’s public finance structure with the international patterns is undertaken. A moderate fiscal impulse and insufficient fiscal rescue package in Ukraine are shown. Moreover, the inconsistencies of anti-crisis fiscal policy instruments with the international best practice are revealed. Summarizing the available theoretical sources and recent applied research allows identifying the prospects of public finances transformations under the impact of the COVID-19 in a global context. Along with the obtained results of Ukraine’s fiscal sector analysis, these form the basis for shaping the fiscal policy response in Ukraine over the medium term. Proposals for public financing of Ukraine’s health care and educational sectors, of the social safety nets and infrastructures under the impact of the pandemic are developed. Offsetting measures from the expenditure and revenue sides of the budget are drawn up for closing the arising fiscal gaps.
PROCESSAMENTO DE CATALISADORES GASTOS DE UNIDADE DE HIDRODESSULFURIZAÇÃO PROFUNDA (ULTRA-DEEP HDS)
Authors: Quintanilha Carolina , Afonso Júlio , da Silva Rubens , Vianna Cláudio , Mantovano José
Published: August 2021

PROCESSING OF SPENT ULTRA-DEEP HYDRODESULFURIZATION CATALYSTS. This work discusses the recycling of spent NiMo/Al2O3 catalysts from ultra-deep hydrodesulfurization (HDS) units. They contain a refractory coke and fouling elements from the processed feedstocks. Samples were preoxidized (600 ºC) for 12 h using a very slow heating rate to eliminate coke and volatiles. Experiments were performed in the presence of HF + H2O2 mixtures under stirring at 25-60 oC for 1-4 h. The amount of insoluble matter was the lowest (< 1 wt.% of the initial mass) after leaching for 2 h at 60 oC using an excess of 50 vol.% HF and 20 vol.% H2O2. Leached molybdenum and vanadium were extracted together with Alamine 304 (tri-dodecylamine) in n-heptane at pH below 2. Aluminum and iron were precipitated from the raffinate as Na3AℓF6 (+ Na3FeF6) by adjusting pH at ~4 using 6 mol L-1 NaOH. Nickel was either recovered by solvent extraction using D2EHPA (bis-(2-ethylhexyl)phosphoric acid) in n-heptane at pH 6 or precipitated at pH 8 using 6 mol L-1 NaOH. The first method proved better as less contaminants were present. After slow evaporation of the final aqueous solution, a mixture of Na2SiF6 and NaF was recovered. Fluoride losses were very low (~0.10 wt.%).
Synthesis of Novel Cinnamides and a Bis Cinnamate Bearing 1,2,3-Triazole Functionalities with Antiproliferative and Antimetastatic Activities on Melanoma Cells
Authors: Santos Fabíola , do Vale Juliana , Santos Lucas , Gontijo Talita , Lima Graziela , de Oliveira Leandro , Machado-Neves Mariana , Teixeira Róbson , de Freitas Rossimiriam
Published: August 2021

The present investigation describes the synthesis of novel cinnamides and a bis cinnamate bearing 1,2,3-triazole functionalities and investigation of their antiproliferative and antimetastatic effects on melanoma cells. The necessity for the development of new chemotherapeutic agents for melanoma treatment motivated this work. Sixteen derivatives were obtained with yields ranging from 23-81% and fully characterized by spectroscopic (1H and 13C nuclear magnetic resonance, infrared) and spectrometric high resolution mass spectrometry (HRMS) techniques. The derivatives were in vitro evaluated against B16-F10 murine melanoma cell line. The most effective compound (a bis cinnamate) (6b) reduced the melanoma cell viability, generated cell cycle arrest, and influenced the metastatic behavior of melanoma cells by decreasing migration, invasion, and colony formation. Based on these findings, it is believed that compound 6b may represent an interesting scaffold to be explored toward the development of new antimelanoma agents.
Doenças ocupacionais que mais acometem enfermeiros no pré-hospitalar
Authors: Carvalho Rejane de Fátima Ferreira de , Tavares Marilei de Melo , Rodrigues Lilia Marques Simões , Gonçalves Sebastião Jorge da Cunha , Santos Margarida Maria Donato dos , Silva Eliara Adelino da
Published: August 2021

O pré-hospitalar é um ambiente inconstante, inesperado e com muitas responsabilidades, que estabelece uma reação acelerada e competente, sendo imprescindível uma equipe bem-conceituada e qualificada para as tarefas, a qual carece de determinação estar disposta para várias intercorrências tanto de baixa, média e alta complexidade. O estudo tem por objetivo refletir acerca dos problemas predominantes que justificam o exercício da função dos profissionais da enfermagem, de caráter de urgência e emergência, atentando para a identificação de doenças ocupacionais, mais incidentes nestes trabalhadores. Busca-se caracterizar fatores desencadeantes que leva ao adoecimento, que pode acarretar queda na qualidade de vida. Trata-se de um estudo reflexivo a partir de uma revisão da literatura sobre o tema em questão, a fim de cooperar para reflexão da saúde de profissionais de enfermagem que exercem cuidados cotidianamente aos seus clientes. Imprescindível que o gestor invista em uma visão ergonômica para aperfeiçoar as condições ambientais e a qualidade da saúde ocupacional do trabalhador. O valor do autocuidado e os agravos que doenças ocupacionais podem causar aos profissionais de enfermagem. Em síntese, encontrar formas adaptativas de aperfeiçoar o ambiente, beneficiando positivamente a saúde do trabalhador é passo fundamental para extinguir risco do surgimento das doenças do trabalho. Atentando para implementação da educação continuada, com o objetivo de prevenção das doenças ocupacionais. Por fim, a equipe de enfermagem exercendo atividade primordial como o cuidado, necessita de melhores condições de trabalho.
Palavras-chave: Cuidados na Enfermagem; Saúde do Trabalhador; Esgotamento Mental.
Importância dos cuidados de Enfermagem ao paciente com dislexia: abordagem desses usuários na Atenção Básica
Authors: Garcia Mariene Maria Maciel Cirilo , Godinho Jannaína Sther Leite , Silva Eliara Adelino , Nascimento José Carlos do , Souza Alessandra da Silva , Tavares Marilei de Melo
Published: August 2021

A dislexia é um distúrbio que se diagnosticado precocemente, pode favorecer o portador desse transtorno já que se constitui em um problema complexo e contraditório. O objetivo dessa pesquisa foi buscar referenciais teóricos que permitissem abordar a importância das linhas de cuidado e detecção precoce a pacientes disléxicos e como o atendimento deve ser efetuado de maneira eficaz pela Atenção Básica de Saúde, e por enfermeiros a fim de se dar o seguimento desses pacientes. Trata-se de uma revisão integrativa de literatura com natureza qualitativa exploratória descritiva e adotou-se a seguinte questão norteadora: Como a enfermagem pode atuar na abordagem ao paciente disléxico na Atenção Primária à Saúde? Para possibilitar uma maior compreensão sobre o tema, foi realizada uma busca na Biblioteca Virtual em Saúde (Bireme) nos meses de novembro e dezembro de 2020. Foram utilizados e permutados os seguintes descritores: “cuidados de enfermagem”; “dislexia”; “atenção primária à saúde” utilizando o operador booleano “AND” nas bases de dados: Scielo e MEDLINE. Ao todo foram encontrados 35 artigos e selecionados 2 artigos que se enquadraram nos critérios de inclusão e exclusão, nestas bases de dados e comportaram ao todo nessa revisão 8 artigos. O papel do enfermeiro capacitado na detecção precoce da dislexia torna-se de extrema importância no cuidado e qualidade de vida empregados às crianças e famílias que recebem tal diagnóstico, uma vez que, medidas específicas às suas necessidades serão estabelecidas.
Palavras-Chave: Atenção Primária à Saúde; Cuidados de Enfermagem; Dislexia.
Self-Healing Polymers and Composites: Extrinsic Routes
Authors: Agrawal Nidhi , Arora Bharti
Published: August 2021

:

Polymers have the property to convert the physical stress to covalent bond shuffling,
thereby acting as the healing agents. Polymeric coatings, paints, electronic devices, drug delivery,
and many other applications find self-healing materials as a smart technique to prolong the life cycle
of the end products. The idea behind these artificial materials is to make them behave like the human
body. It should sense the failure and repair it before it becomes worse or irreparable. Researchers
have explored several polymeric materials which can self-heal through intrinsic or extrinsic mechanisms.
This review specifically focuses on extrinsic routes governed by mechanical stress, temperature
change in a covalent bond, humidity, variation in pH, optical sensitivity, and electrochemical effects.
Each possible mechanism is further supported by the molecules or bonds which can undergo
the transformations under given conditions. On a broader scale, bonds that can self-repair by mechanical
force, thermal treatment, chemical modifications, UV irradiation, or electromagnetic phenomenon
are covered under this review. It brings into the notice the shortcomings or challenges in
adopting the technology to the commercial scale. The possible molecules or bonds which can undergo
self-healing under certain conditions have been distinctly presented in a well-segregated manner.
This review is envisaged to act as a guide for researchers working in this area.
A Developing Anterior Mediastinal Mass in a Breast Cancer Patient: Thymic Hyperplasia
Authors: Güldoğan Nilgün , Soyder Aykut , Yılmaz Ebru , Arslan Aydan
Published: August 2021

Introduction:

True thymic hyperplasia following chemotherapy has been described
mostly in children. There are a few cases of thymus hyperplasia that have been reported in breast
cancer patients. Diagnosis of this unusual entity is very crucial to pretend unnecessary surgery or interventional
diagnostic procedures.

Case Presentation:

We report a case of thymus hyperplasia in a patient who was operated and treated
with adjuvant chemotherapy for stage 2 breast cancer two years ago. In the follow-up CT scans,
an anterior mediastinal mass was noted. Radiologic evaluation and follow-up revealed thymus enlargement.

Discussion:

Thymic hyperplasia following chemotherapy has been described in both children and
adults, but occurs mostly in children and adolescents treated for lymphoma and several other types
of tumors. Few cases are reported in literature describing thymus hyperplasia following chemotherapy
in a breast cancer patient. The imaging findings of thymic hyperplasia on CT, MRI and PET
CT are discussed.

Conclusion:

Radiologists must be aware of this unusual finding in breast cancer patients treated
with chemotherapy to guide the clinicians appropriately in order to avoid unnecessary surgical intervention,
additional invasive diagnostic procedures, or chemotherapy.
Do verso ao vão: aspectos da negação em “O rei menos o reino” e “Não”, de Augusto de Campos
Authors: Mattar Marina Ribeiro
Published: August 2021

Augusto de Campos is one of the most long-lived voices in Brazilian literature. In more than seventy years of poetic activity he produced books, objects, mobiles, holograms and sculptures. Since the early 1950s, Augusto has pursued a kind of negacion of the poetic, which we understand as propositional. The “no” in Campos can be seen as the backbone that brings together his work. Thus, we propose the reading of two poems by the author, “O rei menos o reino” and the photocopy book “Não” in order to understand how the negativity unfolds from the verse to its material reality.
"Bordar é um verbo destinatário": o gesto e o avesso do poema
Authors: Mattos Marina Baltazar , Ribeiro Gustavo Silveira
Published: August 2021

Based on reflections that have emerged in contemporary criticism, elaborating transformations and questioning the meanings and limits of the traditional notion of literature, it is intended to act, mapping, in the Brazilian production of the present, other spaces for the creation and insertion of literature, new textualities emergencies, poetry in particular, and its unfolding as poetry outside itself. Attention to the gesture, and to its reverse, also lead us to think how the circuits of poetry, today, are crossed by other manual forms, as is the case of embroidery and installations, which, in an increasingly latent way , have been incorporating the written word: from the mantle of Arthur Bispo do Rosário, through the voiles of José Leonilson, to the pennants of Julia Panadés. The trajectory, here, is not linear and much less finished: the constellation starts from what they read, from the way they incorporated their readings into their works, and how they are read, in Penelope’s endless gesture, when performing, by day, the sewing the shroud, to undo it at night, leaving us with the arduous and continuous task of writing and reading, successively and infinitely.
"Vida Toda Linguagem" de Mário Faustino: um soneto (quase) soneto
Authors: Capilé André , Maciel Sergio
Published: August 2021

This article discusses the formal elements (meter, a rhyme scheme, line breaks) of two different poems published, posthumously, in 1966 by the Brazilian poet Mário Faustino. The first, “Soneto”, presents a quite different design from the conventional graphic disposition of verses on the printed page. However, once visually rearranged according to the line breaks of a traditional sonnet, “Soneto” follows exactly its predetermined metric system. The second poem also expands this idea. Despite of seeming to be composed in free verse, “Vida toda linguagem” puts into practice several long-established metric variations.
Rancang Bangun Alat Pengangkut Telur Ayam Skala UKM dengan Menggunakan Sistem Peredam dan Pendekatan Aspek Ergonomika
Authors:   Institut Teknologi Sumatera, Mufidah Zunanik , Wiradinata Risky ,   Pusat Penelitian Kopi dan Kakao Indonesia, Sabar Sabar ,   Institut Teknologi Sumatera, Hariyanto Duwi ,   Institut Teknologi Sumatera, Pertiwi Kisna ,   Institut Teknologi Sumatera, Madi Madi ,   Institut Teknologi Sumatera, Naimah Khoirun ,   Institut Teknologi Sumatera, Setiawan Rudi ,   Institut Teknologi Sumatera, Priyonggo Budi ,   Institut Teknologi Sumatera
Published: August 2021

Telur mempunyai sifat mudah rusak (perishable) yang disebabkan karena penurunan kualitas telur ayam. Pecahnya kulit telur juga dapat disebabkan karena kesalahan proses pengambilan, pengangkutan dan penyimpanan telur. Proses pengangkutan telur ayam pada skala UKM (Usaha Kecil Menengah) dilakukan secara manual yaitu diangkut oleh manusia dari kandang menuju tempat penyimpanan. Permasalahan lain yang timbul pada proses pengangkutan secara manual adalah tenaga yang besar dan waktu yang lama, sehingga membutuhkan tenaga kerja khusus. Efek lain dari pengangkutan manual adalah dapat menimbulkan kelelahan dan penurunan fungsi fisik. Sehingga dibutuhkan alternatif alat pengangkut telur. Kondisi lingkungan kandang ayam yang sempit dan bergelomang perlu diperhatikan dalam proses perancangan alat. Rancang bangun alat menggunakan sistem peredam getaran dan memperhatikan aspek ergonomi dengan analisis Rapid Upper Limb Assessment (RULA) menjadi solusi yang ditawarkan agar tetap nyaman digunakan. Pengujian pada lahan yang berbeda yaitu beton dan tanah yang memiliki permukaan yang bergelombang. Hasil rancangan desain alat pengangkut telur memiliki kemampuan meredam hingga 2742.43 Ns/m, kapasitas rata-rata angkut 49.74 kg/menit atau setara mengalami peningkatan 22.44%, jumlah pekerja dapat ditekan 50%, biaya pengangkutan dapat ditekan sebesar 28% jika dibandingkan dengan cara manual. Analisis RULA menunjukkan pengangkutan secara manual memiliki skor 6 artinya resiko aktivitas tinggi dan perlu dilakukan perbaikan, sedangkan pengangkutan menggunakan alat memiliki skor 4 artinya desain alat dapat diterima.
Pengujian Cone Index pada Tanah Kering dengan Menggunakan Digital Penetrometer
Authors:   Institut Teknologi Sumatera, Priyonggo Budi , Mufidah Zunanik ,   Institut Teknologi Sumatera
Published: August 2021

Persiapan lahan pada budidaya pertanian merupakan salah satu faktor penting pendukung produktivitas pertanian. Tahanan penetrasi tanah dapat digunakan untuk menggambarkan kondisi ketahanan tanah terhadap penetrasi akar. Penelitian ini bertujuan untuk mengetahui hubungan antara kadar air tanah dengan CI menggunakan penetrometer digital. Pengujian penetrasi tanah yang dilakukan pada lahan kering tanpa pengolahan tanah dengan kedalaman 0 – 60 cm. Tekstur tanah yang diuji berdasarkan standar Japanese Soil Physics adalah Loam. Penetrometer yang digunakan termasuk kedalam penetrometer kerucut tipe laju konstan. Terdapat keeratan yang kuat antara CI dan KA, z pada pengujian penetrasi tanah di lahan kering tanpa pengolahan dengan nilai Multiple R sebesar 0.9688. Berdasarkan hasil pengujian ANOVA didapatkan pengaruh KA terhadap CI secara signifikan dan positif.
Pengaruh Suhu dan Waktu Pre-Heating pada Kualitas Fisik, Total Mikroba dan Organoleptik Susu Kolagen Sapi yang Dipasteurisasi Menggunakan Pulsed Electric Field
Authors:   Universitas Pembangunan Nasional “Veteran” Jawa Timur, Priyanto Anugerah Dany , Wicaksono Luqman Agung ,   Universitas Pembangunan Nasional “Veteran” Jawa Timur, Putranto Angky Wahyu ,   Universitas Brawijaya
Published: August 2021

Susu merupakan bahan pangan yang mudah rusak pada kualitas nutrisi dan mikrobiologi disebabkan karena penanganan yang kurang tepat. Saat ini minuman berkolagen menjadi produk komersial yang sedang berkembang. Oleh karena itu, tujuan dari penelitian ini yaitu untuk mengetahui pengaruh suhu dan waktu pre-heating terhadap kualitas fisik, mikrobiologi dan organoleptik susu yang diperkaya dengan hidrolisat kolagen sapi serta menentukan perlakuan terbaiknya. Rancangan Acak Lengkap (RAL) digunakan sebagai desain percobaan dengan variabel suhu (35, 45, 55 dan 65oC) dan waktu pre-heating (10, 20, 30 dan 40 menit). Penelitian menunjukkan terjadi interaksi (P<0.05) antara kedua variabel terhadap parameter total plate count (TPC) dan organoleptik, akan tetapi tidak berpengaruh pada parameter viskositas dan stabilitas emulsi. Perlakuan terbaik diperoleh pada kondisi pre-heating dengan suhu 55oC dan waktu 30 menit. Beberapa karakteristik tersebut diantaranya viskotas 4.48 ± 0.08 cP, stabilitas emulsi 12.33 ± 1.73%, TPC 3.299 ± 0.003 log cfu/ml dan nilai sensorinya meliputi rasa 4.33 ± 0.25, aroma 4.15 ± 0.35, mouthfeel 3.85 ± 0.63 serta warna 4.56 ± 0.05. Harapannya dengan adanya penelitian ini menjadi sebuah inovasi dalam mengolah susu secara non-thermal yang diperkaya dengan hidrolisat kolagen sapi yang aman dan terjaga nutrisinya serta dapat diterima sensorinya.
A Therapeutic Game for Sexually Abused Children and Adolescents (Vil Du?!): Exploratory Mixed Methods Evaluation
Authors: Endendijk Joyce Johanna , Tichelaar Henny , Deen Menno , Deković Maja
Published: August 2021

Background

Talking about experiences of sexual abuse in therapy is difficult for children and adolescents. Possible reasons for this difficulty are a lack of vocabulary to describe the situation or feelings of shame, fear, and self-blame associated with sexual abuse. The serious game Vil Du?! was developed to help children open up about their sexual abuse experiences. Vil Du?! is a nonverbal communication game that resembles a dress-up game in which children can show the therapist what happened to them.

Objective

This exploratory evaluation study examines which working elements of the game could be identified in therapy with victims of sexual abuse (aim 1). In addition, this study examines how therapists evaluate the acceptability of the game (aim 2).

Methods

The therapists completed 23 web-based surveys on the use of Vil Du?! In addition, semistructured interviews were conducted with 10 therapists. The data were analyzed in NVivo following previously reported stepwise guidelines.

Results

Regarding aim 1, therapists mentioned various working elements of Vil Du?!; for instance, Vil Du?! puts the child in control of the situation. In addition, Vil Du?! reduces barriers to disclosure because there is no need to talk or have eye contact with the therapist. Regarding aim 2, Vil Du?! was generally evaluated more positively than negatively by the therapists. For instance, therapists indicated that using Vil Du?! is time efficient and might make the treatment process less confronting and difficult for the client. According to therapists, most clients indeed experienced less tension and more positive (or neutral) emotions than negative emotions when using Vil Du?!

Conclusions

The most important working elements of Vil Du?!, according to therapists, are that it enables children to regain control over their sexual abuse experiences and reduces barriers to disclosing sexual abuse experiences. The more positive evaluation of Vil Du?! indicates the acceptability of the game for therapists as well as their clients.
A Therapeutic Game for Sexually Abused Children and Adolescents (Vil Du?!): Exploratory Mixed Methods Evaluation (Preprint)
Authors: Endendijk Joyce Johanna , Tichelaar Henny , Deen Menno , Deković Maja
Published: August 2021

BACKGROUND

Talking about experiences of sexual abuse in therapy is difficult for children and adolescents. Possible reasons for this difficulty are a lack of vocabulary to describe the situation or feelings of shame, fear, and self-blame associated with sexual abuse. The serious game Vil Du?! was developed to help children open up about their sexual abuse experiences. Vil Du?! is a nonverbal communication game that resembles a dress-up game in which children can show the therapist what happened to them.

OBJECTIVE

This exploratory evaluation study examines which working elements of the game could be identified in therapy with victims of sexual abuse (aim 1). In addition, this study examines how therapists evaluate the acceptability of the game (aim 2).

METHODS

The therapists completed 23 web-based surveys on the use of Vil Du?! In addition, semistructured interviews were conducted with 10 therapists. The data were analyzed in NVivo following previously reported stepwise guidelines.

RESULTS

Regarding aim 1, therapists mentioned various working elements of Vil Du?!; for instance, Vil Du?! puts the child in control of the situation. In addition, Vil Du?! reduces barriers to disclosure because there is no need to talk or have eye contact with the therapist. Regarding aim 2, Vil Du?! was generally evaluated more positively than negatively by the therapists. For instance, therapists indicated that using Vil Du?! is time efficient and might make the treatment process less confronting and difficult for the client. According to therapists, most clients indeed experienced less tension and more positive (or neutral) emotions than negative emotions when using Vil Du?!

CONCLUSIONS

The most important working elements of Vil Du?!, according to therapists, are that it enables children to regain control over their sexual abuse experiences and reduces barriers to disclosing sexual abuse experiences. The more positive evaluation of Vil Du?! indicates the acceptability of the game for therapists as well as their clients.
Challenges and Lessons Learned From a Telehealth Community Paramedicine Program for the Prevention of Hypoglycemia: Pre-Post Pilot Feasibility Study (Preprint)
Authors: Thirumalai Mohanraj , Zengul Ayse G , Evans Eric
Published: August 2021

BACKGROUND

Prevention through Intervention is a community paramedicine program developed by Birmingham Fire and Rescue Services in Alabama. This program aims to reduce dependency on emergency medical services (EMS) for nonemergency-related events through education and to lower the frequency of emergency calls in underserved populations. A telehealth intervention with an emphasis on hypoglycemia was implemented to (1) tailor the intervention to meet the educational needs of participants and (2) facilitate follow-ups. A pre-post pilot feasibility evaluation of the telehealth intervention was conducted.

OBJECTIVE

This paper describes the results of the feasibility evaluation, implementation challenges, and the lessons learned about the deployment of a hypoglycemia prevention program in an underserved area and its evaluation.

METHODS

This single-arm pretest-posttest intervention included (1) an initial in-person visit (week 1), (2) 3 weekly telecoaching calls (weeks 2-4), (3) 1 biweekly call (week 6), and (4) a final in-person visit (week 8) for collecting posttest data from individuals who called EMS due to hypoglycemic events. In-person visits included educational sessions conducted by EMS personnel. Participants’ education included tailored content related to hypoglycemia. Weekly telecoaching calls focused on hypoglycemia symptom monitoring and education reinforcement via a telehealth dashboard. The primary measures focused on feasibility measures, and exploratory measures focused on the fear of hypoglycemia, self-efficacy, and a knowledge of diabetes.

RESULTS

A total of 40 participants participated in the intervention. However, the study was marred with high attrition. The various factors behind the low retention rate were discussed. There was a decreasing trend in all three subdomains of the fear of hypoglycemia from pretest to posttest. There was also a significant increase in participants’ self-efficacy in hypoglycemia self-management (P=.03).

CONCLUSIONS

This study shows preliminary and promising results for a community-based intervention specifically for hypoglycemia. However, the socioeconomic setting in which the intervention was delivered may have resulted in high dropout rates and low attendance during the intervention, which are considerations for future telehealth studies.

CLINICALTRIAL

ClinicalTrials.gov NCT03665870; https://clinicaltrials.gov/ct2/show/NCT03665870
Factors Associated With Protective Mask-Wearing Behavior to Avoid COVID-19 Infection in China: Internet-Based Cross-sectional Study (Preprint)
Authors: Xu Yue , Wu Qingqing , Xu Shuiyang , Zhao Yusui , Zhang Xuehai
Published: August 2021

BACKGROUND

The novel coronavirus disease COVID-19 is likely to spread from person to person in close-contact settings. The Chinese Center for Disease Control and Prevention released a handbook on COVID-19, which introduced health information to the public, specifically related to wearing masks correctly and adopting preventive measures to avoid COVID-19 infection.

OBJECTIVE

The aim of this study was to assess the level of mask knowledge, behavior related to mask usage, and major information channels used for obtaining mask- and COVID-19–related information in China.

METHODS

An internet-based survey was conducted primarily using DingXiang Doctor WeChat public accounts. The data about mask knowledge and behavior were collected and analyzed. In addition to descriptive statistics, logistic regression was used to analyze significant risk factors contributing to protective mask behavior.

RESULTS

Data were collected from a total of 10,304 respondents to the survey. More than half of the respondents were under 30 years old and nearly three-quarters were women. Over 80% of participants had a bachelor’s degree or higher, and the largest proportion of respondents (n=4204, 40.80%) were employed as business/service workers. Over half of the study participants were married (n=5302, 51.46%). The findings revealed that 67.49% (6954/10,304) of the participants practiced protective mask behavior; 97.93% (10,091/10,304) believed that wearing masks is an effective protective measure against COVID-19; 96.85% (9979/10,304) chose a mask that has two or more layers of washable, breathable fabric; and 70.57% (7272/10,304) wore the masks correctly. Gender, age, occupation, and education level had significant effects on behavior, whereas marital status and the infection status of family members were not significantly related to mask-wearing behavior. In addition, WeChat public accounts (9227/10,304, 89.55%) were the most prominent source of obtaining health information for Chinese netizens after the outbreak of COVID-19.

CONCLUSIONS

This study elucidated that Chinese netizens’ protective mask behavior is far lower than their mask-related knowledge. Improved information channels and adequate information on wearing masks are necessary to improve the public’s protective mask behavior, particularly among men, the elderly, and people with less education.
Patient portal mobile app adoption and use: A pooled cross-sectional study from a national survey of US adults. (Preprint)
Authors: Nguyen Oliver T. , Renfro Chelsea P. , Hughes Jonathan , Kumar Sajeesh , Alishahi Tabriz Amir , Hong Young-Rock , Hanna Karim , Feldman Sue S. , Schlossman David M. , Turner Kea
Published: August 2021

BACKGROUND

Background: While overall portal adoption has steadily increased over time, a digital divide has persisted, suggesting new implementation strategies may be needed. The 21st Century Cures Act has expanded patients’ access to portals through mobile applications (apps). To date, there have been limited studies examining adoption and use of patient portal mobile apps, especially on a national scale.

OBJECTIVE

Objectives: This study has two objectives: 1) to assess which patients were most likely to use patient portal mobile apps, and 2) to assess whether patient portal mobile app use are associated with patient portal feature use (i.e., secure messaging, downloading medical records, viewing test results) in a national survey of U.S. adults.

METHODS

Methods: Using the 2019 and 2020 Health Information National Trends Survey, we examined whether patient portal adopters accessed their portal through a mobile app compared to website-only access. Multivariable logistic regression models were conducted to assess factors associated with mobile app adoption and whether mobile app adoption was associated with patient portal feature use, controlling for digital access (e.g., device ownership), demographic factors, health status, and social determinants of health.

RESULTS

Results: The final sample consisted of 2,771 respondents, who had reported patient portal use in the last year, where 962 (34.7%) were classified as mobile portal app users and 1,809 (65.3%) were classified as non-users. In multivariable analyses, factors significantly associated with greater odds of mobile portal app use included owning a wearable activity monitor (OR: 1.49; 95% CI: 1.08 - 2.06). In contrast, age over 65 was associated with significantly lower odds of mobile portal app use. Controlling for other factors, mobile portal use was associated with significantly higher odds of secure messaging (OR: 1.58, 95% CI 1.13 - 2.22), using the portal to download medical records (OR: 2.33, 95% CI: 1.59 - 3.43), and viewing test results in the portal (OR: 1.95, 95% CI: 1.11 - 3.43). Other factors, such as lower educational attainment and lack of a usual source of care, were negatively associated with patient portal feature use.

CONCLUSIONS

Conclusions: Patient portal mobile app access may improve overall portal adoption and use. Optimizing the implementation and delivery of patient portal content via mobile apps may be one modifiable area that health care organizations can use to improve their reach to patients, including those who previously were not able to access the portal due to home internet constraints.

CLINICALTRIAL

Not applicable
SYSTEMIC IMMUNOLOGICAL DISEASES WITH ORAL &MUCOCUTANEOUS MANIFESTATIONS – A FOCUS ON PEMPHIGUS -- AN INSTITUITIONAL STUDY (Preprint)
Authors: SHUNMUGAVELU Karthik
Published: August 2021

BACKGROUND

Oral mucosal lesions manifest as a first sign of immune mediated disorders. Lichen planus, pemphigus &pemphigoid are the most frequent immunologically mediated mucocutaneous diseases with oral involvement

OBJECTIVE

A dental surgeon is the first person to come across these lesions that have similar clinical characteristics, therefore their identification based solely on oral lesions is a challenging issue for dentists, leading to a delay in the establishment of a correct diagnosis and suitable management of the patient.

METHODS

Clinical information was retrieved from records and histopathologic features were reviewed from archives dated 1997 – 2018. ( n = 6300 ).

RESULTS

Out of 6300 specimens, these immunologically mediated diseases accounted for 105 (1.66%) cases, of which 86 (1.36%) were lichen planus, 4 (0.06%) were pemphigus and 15 (0.23%) were pemphigoid.

CONCLUSIONS

From the results of this study, it can be inferred that immune-mediated diseases with oral manifestations are comparatively scarce among oral lesions. The present study comprises the retrospective assessment of oral immunologically mediated diseases, in which data regarding the 3 diseases were extracted and analyzed altogether
Implementation of a Brief Dialectical Behavioral Therapy Skills Group in High Schools for At-Risk Youth: Protocol for a Mixed Methods Study (Preprint)
Authors: Zapolski Tamika , Whitener MacKenzie , Khazvand Shirin , Crichlow Queenisha , Revilla Rebecca , Salgado Eduardo F , Aalsma Matthew , Cyders Melissa , Salyers Michelle , Wu Wei
Published: August 2021

BACKGROUND

Adolescence is a developmental period marked by engagement in risk-taking behaviors, especially among impulsive or emotionally dysregulated youth. Thus, interventions that teach skills to reduce the risk of negative outcomes associated with emotional dysregulation are required. Social and emotional learning (SEL) programs have been developed to address both adolescent emotional dysregulation and risk-taking behaviors; however, current programs have mostly been implemented among younger youth and are used as a tier 1 universal intervention rather than a targeted tier 2 intervention for youth identified with emotional regulation difficulties.

OBJECTIVE

This study aimed to address the need for SEL programming that can be delivered in schools, particularly for older youth who have difficulties with emotional or behavioral dysregulation, to reduce the risk of health-risk behaviors among this population.

METHODS

Here, we outline the implementation of an SEL intervention titled Going 4 Goals, a 9-session adaptation of the Dialectical Behavioral Therapy for Adolescents (DBT-A) program delivered to at-risk high school students in a school setting. The primary objectives of the study are to test whether participating in the skills group intervention produces significant increases in the core DBT-A skills of mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness, while also producing significant decreases in substance use and risky behaviors. These primary outcomes are based on changes in participant scores between baseline and after the intervention and follow-ups at 1, 3, and 6 months compared with a control group of youth participating in the school’s health curriculum at the same time points. Qualitative interviews will also be conducted with intervention participants and school staff to examine acceptability and facilitators of and barriers to the intervention.

RESULTS

A total of 171 participants across 13 groups had been enrolled in the intervention, with data collection ending December 2021. Data analysis will begin in the spring of 2022, with expected results to be published in the spring of 2023.

CONCLUSIONS

This paper describes the protocol of the 9-session school-based adaptation of the DBT-A intervention and discusses the strengths and limitations of the study and future directions.

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/32490
The electronic identification protects privacy and has consistent HIV incidence with the traditional real-name follow-up among Chinese MSM: A 24-month prospective cohort study (Preprint)
Authors: Wei Jie , Zhang Xiangjun , Zhang Jing , Chu Zhenxing , Geng Wenqing , Jiang Yongjun , Shang Hong , Xu Junjie
Published: August 2021

BACKGROUND

Men who have sex with men (MSM) usually face stigma and discrimination in relation to their sexual orientation and have the fear of identification disclosure, which may prevent them from taking HIV tests and participating in research studies. The traditionally used real-name identification methods might lead to biased estimates in HIV incidence.

OBJECTIVE

This study evaluated an electronic identification (eID) method in estimating HIV incidence among MSM using a social media application that allowed good protection of privacy than the real-name identification.

METHODS

From January 2018 to January 2020, a WeChat OpenID identifier was used to generate and assign eID for MSM who attended the First Affiliated Hospital of China Medical University for voluntary counselling and testing (VCT) services. The inclusion criteria were men aged 18 years and older who had consensual anal or oral sex with men in the previous 12 months and agreed to WeChat authorization. The eID group was compared with the real-name identification group (PID) that we acquired through HIV testing information regarding participants’ demographic and behavioral characteristics and HIV incidence. Sensitivity, specificity, positive and negative predictive values, and Kappa statistics were used to compare the consistency of the two groups. Cox regression was used to assess factors that were associated with HIV infection during the follow-up period.

RESULTS

Of 1499 WeChat OpenID users, 1133 participants were identified and linked to their traditional PID and some participants used multiple OpenIDs. The Kappa consistency between eID and traditional PID method were 0.753. At baseline, 4.2% participants in eID group received an HIV positive testing result, which was comparable to PID group (5.4%, Kappa=0.992). Thirty-five participants infected HIV during the follow-up period. The incidence of HIV infection was 7.3/100 person-years for eID group (95% CI, 5.4-10.1) and 5.8/100 person-years for PID group (95% CI, 4.2-8.0), and the consistency was high (Kappa=0.712, P>.05). The retention rates between eID and PID group were also accordant (Kappa=0.722). Number of sexual partners, recent unprotected anal sex, and recent party drug use were associated with HIV seroconversion.

CONCLUSIONS

The eID method that allowed anonymous tests and multiple visits had consistent results compared to the traditional real-name PID method. This method can be scaled up in future prevention and testing programs in HIV high risk populations with high privacy and confidentiality demands.
Morphological characterization of six Lombok upland rice cultivars
Authors: Hartina Baiq Sri , Wulandari Rani Agustina , Basunanda Panjisakti
Published: August 2021

Lombok upland rice is one of the cultivars that have the potential as a genetic source. However, Lombok upland rice is almost rarely found. Therefore, conservation was carried out through morphological characterization to provide genetic information. This study aimed to describe the characteristics of six Lombok upland rice cultivars, namely, Reket Putek Bulu, Reket Putek Buntung, Reket Bireng Bulu, Reket Bireng Buntung, Pare Beaq Sapit, and Beaq Ganggas. A completely randomized design was used, consisting of these six Lombok upland rice cultivars as treatments. Two superior cultivars were also used for comparison. The study revealed sufficient divergence for various qualitative and quantitative traits. Pare Beaq Sapit and Beaq Ganggas shared common morphological characters, and both were tall plants. The auricle and ligule colors of Reket Bireng Bulu were different from those of the other cultivars. Reket Putek Buntung had the latest flowering and harvesting age. Reket Putek Bulu and Reket Bireng Buntung had a high number of productive tillers. Six cultivars of Lombok upland rice were characterized to have morphological diversity, so that they are expected to be used as genetic material in rice plant breeding, thereby developed to avoid extinction.
Dimakan Sayang: Turning the Common into the Exclusive, Cassava Bread (Embal) in The Kei Islands, Southeast Maluku, Indonesia
Authors: Laksono P.M.
Published: August 2021

This article traces changes in everyday narratives considering cassava bread (embal) in the Kei Islands. Various methods of data collection (participant observation, focused group discussion, and survey) were used, and applied purposively to produce critical narratives on the transformation of local food patterns. These data were collected over a short fieldwork period in 2016 from the villages of Wain, Rumaat, and Langgur in the Kei Islands, Southeast Maluku. As this traditional staple food is being replaced by rice, Kei people are creatively adjusting both their attitudes and appetites towards embal. Both conceptual (noetic)shifts and sensory (taste) shifts are apparent. The typical taste or flavor of embal is increasingly celebrated and regarded as a special blessing. Yet, at the same time, many young Kei are now preferring to eat imported rice more than embal. They are losing their appetite for consuming embal as a daily common food, even as they increasingly adore and celebrate it as a luxurious meal. This suggests that the villagers have become bigger consumers of imported food (rice and noodles) than their city-based counterparts. As such, embal consumers (the local food’s contributors to sovereignty) in the market will continuously be under pressure, diminishing in numbers, in accordance with the rise of its exclusive image. Such is the irony for cassava as food sovereignty in the Kei Islands.
POWER RELATIONS ON FEMALE BODY IN SENO GUMIRA AJIDARMA’S SHORT STORY
Authors: Ningtyas Sulistya
Published: August 2021

This study explored the practice of power relations and the panopticon as a disciplinary mechanism in Seno Gumira Ajidarma’s Istana Tembok Bolong short story. ‘Istana tembok bolong’ in this literary work refers to a place near a train station that is separated from the outside area by a perforated wall, which turns to be a palace for the lower class of society occupying the space. By using Foucauldian analysis, this study examined the case of ‘selling matches’ as the central issue of the story being discussed. This phenomenon that occurred in Yogyakarta in the 1970s became the media of the manifestation of power over street prostitutes. The results showed that power relations operate as a means to control the body, particularly female bodies. This is because female bodies become commodities as a result of capitalism. However, in a certain situation, these street prostitutes can also hold power in a way how their bodies are enjoyed. Besides, social norms outside the palace function as a panopticon that makes the inhabitants have self-awareness as they feel constantly monitored. Penelitian ini mengeksplorasi praktik relasi kuasa dan panoptikon sebagai mekanisme pendisiplinan dalam cerita pendek Istana Tembok Bolong karya Seno Gumira Ajidarma. ‘Istana tembok bolong’ dalam karya sastra ini merujuk pada sebuah tempat di dekat stasiun kereta api yang terpisahkan dari area luarnya oleh dinding yang berlubang, yang dianggap sebagai istana oleh masyarakat kelas bawah yang menempati ruang tersebut. Dengan menggunakan analisis Foucauldian, penelitian ini melihat fenomena ‘jual korek api’, yang merupakan isu utama dari cerita yang dibahas di sini. Fenomena yang terjadi di Yogyakarta pada tahun 1970-an tersebut menjadi media perwujudan kuasa terhadap pekerja seks jalanan. Hasil penelitian menunjukkan bahwa relasi kuasa beroperasi sebagai alat untuk mengendalikan tubuh, terutama tubuh perempuan. Hal ini karena tubuh perempuan menjadi komoditas sebagai akibat dari kapitalisme. Namun, dalam situasi tertentu, pekerja seks jalanan tersebut juga dapat memegang kekuasaan terkait bagaimana tubuh mereka dinikmati. Selain itu, norma-norma sosial di luar istana berfungsi sebagai panoptikon yang membuat penghuninya memiliki kesadaran diri karena mereka merasa terus-menerus diawasi.
BUILDING IDENTITY IN GLOBAL REALITY: A POSTCOLONIAL STUDY ON RAJAA ALSANEA'S BANAT AR-RIYADH
Authors: Ichsan Hindun
Published: August 2021

This study aims to examine the novel Banaat ar-Riyadh (Girls of Riyadh) from the perspective of globalization using a postcolonial approach. This novel was written by Rajaa Alsanea, a Riyadhi girl who moved to the United States of America and then published her novel in Lebanon. The novel was written in the form of a series of electronic mails sent by four young Riyadhi girls who discuss the contestation between traditional Saudi Arabian norms and American norms.  Fittingly, this study uses postcolonial theory, with the theoretical framework of globalization as a basis for investigating the aspects identified in the theory, such as mimicry, inferiority, and hybridity, and applies deductive qualitative method from a globalization perspective. The results of this study indicate the influence of American culture on the lives of Saudi Arabians. The influence of American culture is obtained through Saudi people, both men and women, who study and work in the United States. It is the relationship between Arab culture and American culture that influences the Arab way of thinking, which leads to certain behavioral changes. Some Arabs, previously compliant to their traditional values, display behavorial changes that are inspired by Americans, especially American women. Arab women who are supposed to constantly obey state rules, want changes which they adopt from American culture. Penelitian ini bertujuan meneliti novel Banaat ar-Riyadh dari perspektif globalisasi dengan mengambil pendekatan poskolonial. Novel ini ditulis oleh Rajaa Alsanea, seorang gadis Riyadh yang pindah ke Amerika Serikat lalu menerbitkan novelnya di Lebanon. Novel ini berbentuk rangkaian surat elektronik yang dikirimkan oleh empat sekawan gadis-gadis Riyadh yang membicarakan kontestasi antara norma-norma tradisional Arab Saudi dengan norma-norma Amerika Serikat. Oleh karena itu, penelitian ini menggunakan teori poskolonial, serta globalisasi  sebagai landasan untuk melihat aspek-aspek yang dikemukakan dalam teori tersebut, yaitu mimikri, inferioritas, dan hibriditas, dengan metode deduktif kualitatif yang ditempatkan dalam perspektif globalisasi. Hasil dari penelitian ini menunjukkan adanya pengaruh budaya Amerika pada tata kehidupan sebagian orang Arab Saudi. Pengaruh budaya Amerika itu diperoleh melalui orang-orang Arab Saudi, baik laki-laki maupun perempuan, yang menempuh studi dan bekerja di Amerika. Keterhubungan antara budaya Arab dengan budaya Amerika inilah yang memengaruhi pemikiran orang Arab, yang kemudian berdampak pada perubahan perilaku. Orang Arab yang semula berpegang teguh pada aturan-aturan tradisi kemudian menginginkan perubahan-perubahan yang mengarah pada pada perilaku orang Amerika yang mereka lihat, terutama pada perempuan. Perempuan Arab, yang diharuskan patuh pada aturan-aturan yang dibuat oleh negara, menginginkan perubahan-perubahan dengan mengadopsi budaya Amerika.