bluuebunny/crossref_metadata_2025 huggingface dataset:
Investigation of a Mobile Health Texting Tool for Embedding Patient-Reported Data Into Diabetes Management (i-Matter): Development and Usability Study (Preprint)
Authors: Schoenthaler Antoinette , Cruz Jocelyn , Payano Leydi , Rosado Marina , Labbe Kristen , Johnson Chrystal , Gonzalez Javier , Patxot Melissa , Patel Smit , Leven Eric , Mann Devin
Published: March 2020

BACKGROUND

Patient-reported outcomes (PROs) are increasingly being used in the management of type 2 diabetes (T2D) to integrate data from patients’ perspective into clinical care. To date, the majority of PRO tools have lacked patient and provider involvement in their development, thus failing to meet the unique needs of end users, and lack the technical infrastructure to be integrated into the clinic workflow.

OBJECTIVE

This study aims to apply a systematic, user-centered design approach to develop i-Matter (investigating a mobile health [mHealth] texting tool for embedding patient-reported data into diabetes management), a theory-driven, mobile PRO system for patients with T2D and their primary care providers.

METHODS

i-Matter combines text messaging with dynamic data visualizations that can be integrated into electronic health records (EHRs) and personalized patient reports. To build i-Matter, we conducted semistructured group and individual interviews with patients with T2D and providers, a design thinking workshop to refine initial ideas and design the prototype, and user testing sessions of prototypes using a rapid-cycle design (ie, design-test-modify-retest).

RESULTS

Using an iterative user-centered process resulted in the identification of 6 PRO messages that were relevant to patients and providers: medication adherence, dietary behaviors, physical activity, sleep quality, quality of life, and healthy living goals. In user testing, patients recommended improvements to the wording and timing of the PRO text messages to increase clarity and response rates. Patients also recommended including motivational text messages to help sustain engagement with the program. The personalized report was regarded as a key tool for diabetes self-management by patients and providers because it aided in the identification of longitudinal patterns in the PRO data, which increased patient awareness of their need to adopt healthier behaviors. Patients recommended adding individualized tips to the journal on how they can improve their behaviors. Providers preferred having a separate tab built into the EHR that included the personalized report and highlighted key trends in patients’ PRO data over the past 3 months.

CONCLUSIONS

PRO tools that capture patients’ well-being and the behavioral aspects of T2D management are important to patients and providers. A clinical trial will test the efficacy of i-Matter in 282 patients with uncontrolled T2D.

CLINICALTRIAL

ClinicalTrials.gov NCT03652389; https://clinicaltrials.gov/ct2/show/NCT03652389
Rhythmic Haptic Cueing Using Wearable Devices as Physiotherapy for Huntington Disease: Case Study (Preprint)
Authors: Georgiou Theodoros , Islam Riasat , Holland Simon , van der Linden Janet , Price Blaine , Mulholland Paul , Perry Allan
Published: March 2020

BACKGROUND

Huntington disease (HD) is an inherited genetic disorder that results in the death of brain cells. HD symptoms generally start with subtle changes in mood and mental abilities; they then degenerate progressively, ensuing a general lack of coordination and an unsteady gait, ultimately resulting in death. There is currently no cure for HD. Walking cued by an external, usually auditory, rhythm has been shown to steady gait and help with movement coordination in other neurological conditions. More recently, work with other neurological conditions has demonstrated that haptic (ie, tactile) rhythmic cues, as opposed to audio cues, offer similar improvements when walking. An added benefit is that less intrusive, more private cues are delivered by a wearable device that leaves the ears free for conversation, situation awareness, and safety. This paper presents a case study where rhythmic haptic cueing (RHC) was applied to one person with HD. The case study has two elements: the gait data we collected from our wearable devices and the comments we received from a group of highly trained expert physiotherapists and specialists in HD.

OBJECTIVE

The objective of this case study was to investigate whether RHC can be applied to improve gait coordination and limb control in people living with HD. While not offering a cure, therapeutic outcomes may delay the onset or severity of symptoms, with the potential to improve and prolong quality of life.

METHODS

The approach adopted for this study includes two elements, one quantitative and one qualitative. The first is a repeated-measures design with three conditions: before haptic rhythm (ie, baseline), with haptic rhythm, and after exposure to haptic rhythm. The second element is an in-depth interview with physiotherapists observing the session.

RESULTS

In comparison to the baseline, the physiotherapists noted a number of improvements to the participant’s kinematics during her walk with the haptic cues. These improvements continued in the after-cue condition, indicating some lasting effects. The quantitative data obtained support the physiotherapists’ observations.

CONCLUSIONS

The findings from this small case study, with a single participant, suggest that a haptic metronomic rhythm may have immediate, potentially therapeutic benefits for the walking kinematics of people living with HD and warrants further investigation.
Smartphone Application-supported validation of three automatic devices for the self-measurement of blood pressure according to the European Society of Hypertension International Protocol revision 2010: the Omron HEM-7120, Yuwell YE680A, and Cofoe KF-65B (Preprint)
Authors: Zhang Puhong , Li 2nd Xi , Fang 3rd Zhe , Lu 4th Yanling , Cui 5th Jingchen , Du Xin , Hu Rong
Published: March 2020

BACKGROUND

Electronic sphygmomanometer is widely used in the households, medical institutions, and can be applied to the measurement of blood pressure and pulse at the same time. Currently, there are few studies on accuracy comparison among different sphygmomanometers, and strict standardized verification is needed to ensure the comparability of blood pressure data.

OBJECTIVE

The aim of the present study was to validate the Omron HEM-7120, Yuwell YE680A, and Cofoe KF-65B for monitoring upper arm blood pressure (BP) according to the European Society of Hypertension International Protocol revision 2010 (ESH-IP revision 2010).

METHODS

Three trained medical doctors validated the performance of these devices by comparing the data obtained from the devices with those of a standard mercury sphygmomanometer.

RESULTS

We included 33 participants for each experiment; and the mean age of the participants was 50.0±11.2(Omron HEM-7120 experiment), 49.5±13.7(Yuwell YE680A experiment), and 48.8±15.0 years (Cofoe KF-65B experiment) in the respective studies. The absolute differences between the devices and the mercury readings within 5, 10, and 15 mmHg were as follows: HEM-7120, 73/99, 94/99 and 96/99, respectively, for systolic BP and 73/99, 91/99, 96/99, respectively, for diastolic BP; Yuwell YE680A, 50/99, 79/99 and 91/99, respectively, for systolic BP and 67/99, 87/99, 95/99, respectively, for diastolic BP; and Cofoe KF-65B, 53/99, 79/99 and 91/99, respectively, for systolic BP and 65/99, 89/99, 96/99, respectively, for diastolic BP. The findings also indicated that the devices’ systolic blood pressure readings were higher than mercury (1.3 mmHg, 1.0 mmHg and 4.1 mmHg higher for the Omron, Yuwell and Cofoe devices, respectively), while diastolic readings were lower than mercury (2.0 mmHg, 1.1 mmHg and 3.3 mmHg lower, respectively).

CONCLUSIONS

The Omron HEM-7120 passed the requirements of the ESH-IP 2010 revision, while the Yuwell YE680A and Cofoe KF-65B failed.
Determinants of Medical Practice Variation Among Primary Care Physicians: Protocol for a Three Phase Study (Preprint)
Authors: Shashar Sagi , Codish Shlomi , Ellen Moriah , Davidson Ehud , Novack Victor
Published: March 2020

BACKGROUND

One of the greatest challenges of modern health systems is the choice and use of resources needed to diagnose and treat patients. Medical practice variation (MPV) is a broad term which entails the differences between health care providers inclusive of both the overuse and underuse. In this paper, we describe a 3-phase research protocol examining MPV in primary care.

OBJECTIVE

We aim to identify the potential targets for behavioral modification interventions to reduce the variation in practice patterns and thus improve health care, decrease costs, and prevent disparities in care.

METHODS

The first phase will delineate the variation in primary care practice over a wide range of services and long follow-up period (2003-2017), the second will examine the 3 determinants of variation (ie, patient, physician, and clinic characteristics), and attempt to derive the unexplained variance. In the third phase, we will assess a novel component that might contribute to the previously unexplained variance - the physicians’ personal behavioral characteristics (such as risk aversion, fear of malpractice, stress from uncertainty, empathy, and burnout).

RESULTS

This work was supported by the research grant from Israel National Institute for Health Policy Research (Grant No. 2014/134). Soroka University Medical Center Institutional Ethics Committee has approved the updated version of the study protocol (SOR-14-0063) in February 2019. All relevant data for phases 1 and 2, including patient, physician, and clinic, were collected from the Clalit Health Services data set in 2019 and are currently being analyzed. The evaluation of the individual physician characteristics (eg, risk aversion) by the face-to-face questionnaires was started on 2018 and remains in progress. We intend to publish the results during 2020-2021.

CONCLUSIONS

Based on the results of our study, we aim to propose a list of potential targets for focused behavioral intervention. Identifying new targets for such an intervention can potentially lead to a decrease in the unwarranted variation in the medical practice. We suggest that such an intervention will result in optimization of the health system, improvement of health outcomes, reduction of disparities in care and savings in cost.

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/18673
Depression Personal Account Videos on YouTube: A Content Analysis (Preprint)
Authors: Gaus Quintin M , Jolliff Anna F , Moreno Megan A
Published: March 2020

BACKGROUND

Depression affects up to 11% of youth throughout their lifetime. Around 20% of teens, especially younger teens, seeking health information about depression online use YouTube as a source of health information. However, the content of depression-related YouTube videos remains understudied.

OBJECTIVE

To explore the content and the comments of depression personal account videos (DPAVs), defined for this study as a user-generated video that features a creator who discusses their experiences with depression in front of a camera.

METHODS

This content analysis evaluated DPAVs on YouTube. Videos were identified using 4 search phrases and were included if they were longer than two minutes and had more than 5,000 views. The videos were evaluated based on a codebook that included inductive and deductive measures, including presence of youth references (for example, the creator/commenter referencing they were a youth themselves), suicidality references, and references to and advocacy for clinical treatments for depression. The first twenty comments, sorted by “Top Comments,” on each video were also content coded (1,540 total comments) based on the above variables as well as the commenter’s reaction to the video/creator (e.g. whether the video was helpful or inspiring). Inter-rater agreement was assessed and found to be 88% for the video codebook and 97.96% for the comment codebook. Descriptive statistics were used to analyze frequencies, and 2-proportion z-tests were utilized for comparisons.

RESULTS

Of the 77 DPAVs evaluated, youth and suicidality references were referenced in 50 videos (64.94%) each. Youth references were mentioned in 89 comments (5.78%) and suicidality in 113 comments (7.34%). Many videos (66.23%) referenced at least one clinical treatment. However, fewer videos (36.36%) advocated for a clinical treatment or for diagnostic testing. The number of videos with a reference to youth that also advocated for a clinical treatment (37/50, 74%) was significantly less than videos without a youth reference (19/27. 70.37%, P=.0067). Among comments, 435 (28.25%) referenced being given hope, inspiration, or being thankful for the video.

CONCLUSIONS

Results suggest that DPAVs may appeal to youth and address challenging topics, such as suicide, but they may also miss the opportunity to advocate for clinical treatments. The results indicate few creators advocate for depression treatment, raising concerns about the messages conveyed in DPAVs. Thus, there is a need for research on how DPAVs affect youth behaviors. Intervention efforts could include educating creators to be more knowledgeable about the treatment options available for depression as a way to benefit youth looking for this information.
Cross-countries comparison of Case Fatality Rates of COVID-19/SARS-COV-2 (Preprint)
Authors: Rahim Fakher
Published: March 2020

OBJECTIVE

Given the importance of case fertility rate (CFR) and recovery rate (RR), we observed different countries during a COVID-19 ongoing epidemic using recent country-level data.

METHODS

data were revived from most accurate databases, including Worldometer, WHO, and Center of Disease Control and Prevention (CDC), and the Morbidity and Mortality Weekly Report (MMWR) series provided from CDC, according to the user’s guide of data sources for patient registries. Then we calculated CFR and RR from various countries.

RESULTS

The comparison of CFR between different countries with total cases equal or more than 1000 were observed. In addition, all countries with less than 1000 cases were given in details. Current data shows Iraq with only 71 cases has the highest CFR as 9.86%, which strikingly are higher than overall CFR of 3.61%. Overall RR was 55.83%.

CONCLUSIONS

Taking detailed and accurate medical history, and scoring case fatality alongside recovery rate, may show the highest risk areas, to direct the efficient medical care ; thus, this will lead to develop point-of-care tools to help clinicians in stratifying patients based on possible r

CLINICALTRIAL

None
Trend Analysis of Red Chili Price-Formation Models
Authors: Khasanah Siti Mir'atul , Maksum Mochammad , Suwondo Endy
Published: March 2020

Red chili’s characteristic flavor has been a popular element in Indonesian cuisine. A large and continuous demand for red chili is inconsistent with production volumes, causing frequent and extreme price fluctuations throughout the year. This study explores the changing trends in red chili prices to identify the influencing factors. The study was conducted in the Sleman district of Yogyakarta, Indonesia. Time-series datasets of monthly production rates and prices of chili for 3 years were subject to multiple linear regression analysis. The study found a rising trend in prices in the Sleman Regency from January 2014 to December 2016. The factors significantly influencing the red chili prices was the price of cayenne pepper. The production cost of chili, the price of tomatoes, and the price of chili for the previous 2 months had only partial and nonsignificant effects. The timing of great Muslim celebrations, such as Eid Al-Fitr and Eid Al-Adha had no significant effect on the price of red chili. However, Christmas and New Year events were associated with higher prices.
La costumbre cuestionada por sus fieles celadoras: reivindicaciones de las mujeres indígenas zapatistas
Authors: Falquet Jules
Published: March 2020

La costumbre cuestionada por sus fieles celadoras: reivindicaciones de las mujeres indígenas zapatistas
Entre el etnocentrismo feminista y el esencialismo étnico: las mujeres indígenas y sus demandas de género
Authors: Hernández Castillo R. Aída
Published: March 2020

Entre el etnocentrismo feminista y el esencialismo étnico: las mujeres indígenas y sus demandas de género
Cuando los demás entran en escena, empieza Ia ética
Authors: Ubaldi Garcete Norma
Published: March 2020

Cuando los demás entran en escena, empieza Ia ética
Informe desde Greenwich Village
Authors: Gordon Linda , Olivares Cecilia
Published: March 2020

Informe desde Greenwich Village
Pobre gente (301)
Authors: Rodríguez Jesusa , Felipe Liliana
Published: March 2020

Pobre gente (301)
Aborto, derecha y religión en el siglo XXI
Authors: Lamas Marta
Published: March 2020

Aborto, derecha y religión en el siglo XXI
El lugar herido
Authors: Aguilar Luis Miguel
Published: March 2020

El lugar herido
Necesitar y encontrar el valor
Authors: Morell Carolyn , Moreno Hortensia
Published: March 2020

Necesitar y encontrar el valor
¿Ha estado usted alguna vez en el Mar del Norte?
Authors: Rivera-Garza Cristina
Published: March 2020

¿Ha estado usted alguna vez en el Mar del Norte?
La memoria política es personal
Authors: Ramos Escandón Carmen
Published: March 2020

La memoria política es personal
Duelo, maternidad, fecundidad
Authors: Colin Araceli
Published: March 2020

Duelo, maternidad, fecundidad
Las madres que matan
Authors: David Hélène
Published: March 2020

Las madres que matan
¿Qué país es éste? Preguntas a DEBATE FEMINISTA
Authors: Melgar Palacios Lucía
Published: March 2020

¿Qué país es éste? Preguntas a debate
Propuesta de reforma laboral con perspectiva de género
Authors: Laboral con perspectiva de género Grupo de trabajo sobre la normatividad
Published: March 2020

Propuesta de reforma laboral con perspectiva de género
De la literatura de mujeres, hombres y homosexuales, y de las críticas inconformes y curiosas que los están leyendo
Authors: González Mateos Adriana
Published: March 2020

De la literatura de mujeres, hombres y homosexuales, y de las críticas inconformes y curiosas que los están leyendo
El feminismo, la diferencia sexual y la ciencia
Authors: Moreno Hortensia
Published: March 2020

El feminismo, la diferencia sexual y la ciencia
Fronteras Borderlands
Authors: Melgar Lucía
Published: March 2020

Fronteras Borderlands
Las mujeres y su participación en la vida pública: tendencias recientes
Authors: Latapí Alejandra
Published: March 2020

Las mujeres y su participación en la vida pública: tendencias recientes
La maternidad ejercida por varones
Authors: Palomar Verea Cristina
Published: March 2020

La maternidad ejercida por varones
¿Te aburre el sexo?
Authors: Phillips Adam , Asse Jacobo , Golubov Nattie
Published: March 2020

¿Te aburre el sexo?
Retos y riesgos, pautas y promesas de la teoría queer
Authors: Epps Brad
Published: March 2020

Retos y riesgos, pautas y promesas de la teoría queer
Historias en tránsito. Bajo el Tacaná de Isabel Vericat
Authors: Melgar Lucía
Published: March 2020

Historias en tránsito. Bajo el Tacaná de Isabel Vericat
Frida Kahlo: de las etapas de su reconocimiento
Authors: Monsiváis Carlos
Published: March 2020

Frida Kahlo: de las etapas de su reconocimiento
Nunca he dejado de tener terror: violencia sexual en las vidas de las mujeres mexicanas inmigrantes
Authors: González-López Gloria
Published: March 2020

Nunca he dejado de tener terror: violencia sexual en las vidas de las mujeres mexicanas inmigrantes
Cuando no hay palabras para decirlo, hay un cuerpo para expresarlo
Authors: Bayo-Borrás Regina
Published: March 2020

Cuando no hay palabras para decirlo, hay un cuerpo para expresarlo
Mirar desde los márgenes o los márgenes de la mirada. Fotografía de dos mujeres indígenas de Chiapas
Authors: Dorotinsky Alperstein Deborah
Published: March 2020

Mirar desde los márgenes o los márgenes de la mirada
El feminismo y el liberalismo nuevamente: ¿tiene razón Martha Nussbaum?
Authors: Phillips Anne
Published: March 2020

El feminismo y el liberalismo nuevamente: ¿tiene razón Martha Nussbaum?
El libro de sexo gratuito
Authors: Rodríguez Jesusa
Published: March 2020

El libro de sexo gratuito
Un breve testimonio sobre los ires y venires del arte feminsita en México durante la última década del siglo XX y la primera del XXI
Authors: Mayer Mónica
Published: March 2020

Un breve testimonio sobre los ires y venires del arte feminsita en México durante la última década del siglo XX y la primera del XXI
Manual para mujeres en ciernes
Authors: Parrini Rodrigo
Published: March 2020

Manual para mujeres en ciernes
Envejecimiento: algo de teoría y un caso práctico
Authors: Fernández Christlieb Fátima
Published: March 2020

Envejecimiento: algo de teoría y un caso práctico
Abrazarla y dejarla
Authors: García Peralta Nieto Beatriz
Published: March 2020

Abrazarla y dejarla
El cuerpo (viejo) en la calle: fragmento para una crónica
Authors: Melgar Lucía
Published: March 2020

El cuerpo (viejo) en la calle: fragmento para una crónica
Permanecer en casta viudez, ¿dogma, doctrina... necesidad comunitaria?
Authors: Piña Castro Beatriz Alejandra
Published: March 2020

Permanecer en casta viudez, ¿dogma, doctrina...necesidad comunitaria?
Palabras dirigidas con motivo del Día de la Mujer. 8 de marzo de 2011
Authors: Vulpe Manuela
Published: March 2020

Palabras dirigidas con motivo del Día de la Mujer. 8 de marzo de 2011
Curas célibes, homosexuales continentes. Lo que la exclusión del sacerdocio de los hombres gay (y de los que apoyan a los gays) revela acerca de la naturaleza política de la iglesia católica romana
Authors: Fassin Éric , Golubov Nattie
Published: March 2020

Curas célibes, homosexuales continentes. Lo que la exclusión del sacerdocio de los hombres gay (y de los que apoyan a los gays) revela acerca de la naturaleza política de la iglesia católica romana
Democracia y elecciones en América Latina
Authors: De Riz Liliana
Published: March 2020

Democracia y elecciones en América Latina
Transformación y modificaciones de conceptos emancipativos
Authors: Lara María Pía
Published: March 2020

Transformaciones y modificaciones de conceptos emancipativos
Desacuerdo sin reconciliación: democracia, igualdad y la esfera pública
Authors: Arditi Benjamín , Muñíz Rafael
Published: March 2020

Desacuerdo sin reconciliación: democracia, igualdad y la esfera pública
Optimismo cruel
Authors: Berlant Lauren , Golubov Nattie
Published: March 2020

Optimismo cruel
Inocular el virus de la equidad. Un programa jurídico para la equidad de género
Authors: Cossío D José Ramón
Published: March 2020

Inocular el virus de la equidad. Un programa jurídico para la equidad de género
Amelia Valcárcel: una filósofa y feminista ilustrada en la era mundial
Authors: García Oramas María José
Published: March 2020

Amelia Valcárcel: una filósofa y feminista ilustrada en la era mundial
Patrón de consumo de verduras en una población infantil de Pamplona: Estudio Cualitativo
Authors: Botía-Rodríguez Irene , Cardona-Arguello Gabriel Antonio , Carvajal-Suárez Lennys
Published: March 2020

Introducción: La alimentación adecuada es fundamental para el desarrollo físico e intelectual pleno de los niños. Objetivo: Analizar el patrón de consumo de verduras en una población infantil de Pamplona, Colombia. Materiales y métodos: Se realizó una investigación cualitativa mediante la metodología de discusión grupo focal con la participación de madres de familia de un hogar infantil. La información fue analizada a través de la propuesta de Attride-Stirling. Resultados: Las participantes consideraron que el consumo de verduras es importante e influye positivamente en el estado de salud. El consumo es afectado por la baja cantidad y poca frecuencia de suministro, preferencias limitadas por algunas preparaciones, ejemplo inadecuado en padres de familia. La frecuencia de compra, el lugar, precio y características organolépticas, son factores que condicionan la compra de verduras en el hogar. Se mencionaron estrategias positivas y negativas para incentivar la ingesta en los niños. Conclusiones: Las madres tienen conocimientos asertivos sobre el consumo de verduras y su relación con la salud en los niños. La cantidad consumida es inadecuada puesto que difiere de las recomendaciones establecidas. Los elogios, animación y compañía de padres para incentivar su consumo son estrategias positivas, aunque utilizan el castigo y el premio
Investigation of relation between mortality of geriatric patients with sepsis and C-Reactive Protein, Procalcitonin and Neutrophil/Lymphocyte ratio in admission to intensive care unit
Authors: DEMİR İsmail , YÜCEL Muammer
Published: March 2020

Introduction: Sepsis is defined as life-threatening organ dysfunction caused by the body's irregular response to infection. Sepsis is the most common cause of death in intensive care units in elderly patients. The effect of CRP, procalcitonin levels and neutrophil/lymphocyte ratio at the time of admission on mortality of internal diseases patients in ICU over 65 years of age are investigated in this study.Methods: The medical records of 207 patients with sepsis hospitalized between June 2018 and May 2019 in the Internal Medicine ICU of Bozyaka Training and Research Hospital were evaluated retrospectively in this cross-sectional study. Demographic data, APACHE II score, SOFA score, presence of systemic disease, CRP, procalcitonin, complete blood count, ICU stay and mortality status were recorded.Results: The mean age of the geriatric patients with 207 sepsis hospitalized in the ICU over a 12-month period was 77.6±8.4 years. The study group consisted of 100 (48.3%) males and 107 (51.7%) females. In the study, 73(35.3%) of the patients died due to sepsis, 134(64.7%) were the surviving group. There was no difference between surviving and deceased patient groups in terms of length of stay (p=0.880). APACHE-II and SOFA scores were found to be statistically different between surviving and deceased patients (p<0.001). The mean procalcitonin level was 3.54±4.77µg/L among the surviving group and 20.83±12.18µg/L among the deceased patient group (p<0.001). The mean CRP was 97.7±77.4mg/L by the surviving group and 136.9±100.8 mg/L by the deceased patient group (p=0.002). The neutrophil/lymphocyte ratio was 7.49±6.83 in the surviving group and 12.73±15.09 in the deceased patient group (p=0.006).Conclusion: Mortality rates of inpatients in ICU were higher than inpatients in other wards. Systematic evaluation of neutrophil/lymphocyte ratio, CRP and procalcitonin results, as well as complete blood count parameters during hospitalization, may be valuable in predicting intensive care outcomes of patients.
Teachers’ Perspectives on Children With Type 1 Diabetes in German Kindergartens and Schools
Authors: Gutzweiler Raphael Florian , Neese Marlies , In-Albon Tina
Published: March 2020

The number of children with type 1 diabetes is rising, and these children must manage their diabetes during the day while in kindergarten or school. A total of 678 German kindergarten and school teachers (89% female) attended a structured training program for supporting children with type 1 diabetes in their diabetes management. The teachers completed questionnaires on their overall self-perception of their ability to handle diabetes and institutional factors supporting children with type 1 diabetes. Of these teachers, 251 who were currently working with a child with type 1 diabetes provided further insight into the experiences of children with diabetes in school and kindergarten. Teachers reported deficits in three areas: knowledge about diabetes and diabetes management, institutional support, and communication with parents and health professionals. On average, they gave themselves only fair ratings on both their knowledge about diabetes (3.60 ± 1.10 on a 5-point scale) and their ability to assist children with their diabetes management (3.67 ± 1.09). Whereas general information about supporting children with type 1 diabetes seemed to have been provided by almost half of the institutions (43%), specific school policies for sports (30%), extracurricular activities such as field trips (20%), or activities including sleepovers (16%) were rare. Poor communication between teachers, parents, and health professionals was reported. These deficits indicated by kindergarten and school teachers underline the importance of structured trainings and written policies on type 1 diabetes to improve the status of children with type 1 diabetes in school and kindergarten.
El Humor Verbal en la comedia: A propósito de «El Burgués gentilhombre» de Molière
Authors: Gallor Guarín Jorge Orlando
Published: March 2020

El presente trabajo es un estudio de lo risible en El burgués gentilhombre, haciendo un decidido uso de la teoría poética y retórica clásica que se enseñaba en la época; prestando especial atención a los recursos procedentes del grupo de los llamados apò tês léxeõs —hoy denominado ‘Humor Verbal’—, usados por el artifex para suscitar la risa en el espectador con el propósito de corregir, divirtiendo, la extravagancia presuntuosa en la manera de ser, de hablar, de actuar e, incluso, de escribir de algunas personas que, abandonando a propósito la sencillez y naturalidad que le son propias por naturaleza, asumen otras conductas y estilos de vida con el único propósito de aparentar lo que no son.
PENGUATAN PENGETAHUAN TENTANG PERANAN KOLOSTRUM DALAM MANAJEMEN PERBIBITAN SAPI POTONG DI KELOMPOK PETERNAK SAPI POTONG PUTRA NUSA, DESA KONDANGDJAJA, KAB. PANGANDARAN
Authors: Mayasari Novi , Widyastuti Rini , Kamil Kurnia A , Yulianti An An , Latipudin Diding , Permana Ronnie , Ismiraj Muhammad Rifqi
Published: March 2020

Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan peternak mengenai pentingnya peran kolostrum bagi anak sapi yang baru lahir, khususnya dalam manajemen perbibitan sapi potong. Kolostrum berperan sebagai penyedia utama antibodi dari induk yang sangat dibutuhkan oleh anak sapi yang baru lahir untuk menjaga kesehatan dan produktivitasnya. Kelompok Peternak Putra Nusa (KPPN) yang bertempat di Desa Kondangdjaja, Kecamatan Cijulang, Kabupaten Pangandaran adalah salah satu kelompok peternak yang kegiatan utamanya adalah produksi bibit sapi potong. Kegiatan pengabdian kepada masyarakat ini dilakukan dengan bentuk penyuluhan, berupa pemaparan mengenai definisi kolostrum, peran kolostrum dalam manajemen perbibitan, karakteristik dan komposisi kolostrum, serta manajemen pemberian kolostrum kepada anak sapi yang baru lahir. Kegiatan penyuluhan berhasil dilaksanakan dengan mencapai target luaran yaitu peternak dapat menjelaskan peran kolostrum dan mempraktikkan manajemen pemberian kolostrum dalam perbibitan sapi potong.
PENYULUHAN PEMAHAMAN TOPONIMI SEBAGAI SUMBER PENGUATAN BUDAYA DALAM UPAYA PENINGKATAN POTENSI PARIWISATA DI KECAMATAN CIBALONG, KABUPATEN GARUT
Authors: Sobarna Cece , Gunardi Gugun , Afsari Asri Soraya
Published: March 2020

Artikel ini merupakan hasil kegiatan pengabdian kepada masyarakat yang dilakukan oleh tim pelaksana bersama mahasiswa, dan masyarakat sasaran. Tujuan pengabdian kepada masyarakat ini untuk mencari solusi dalam upaya peningkatan potensi pariwisata melalui penelusuran toponimi. Kegiatan dilakukan melalui metode penyuluhan dan pelatihan menulis folklor di media sosial. Manfaat penyuluhan ini dapat memperkuat nilai-nilai budaya yang terkandung pada cerita asal-usul nama tempat di Kecamatan Cibalong. Pemilihan lokasi kegiatan pengabdian kepada masyarakat ini berdasarkan pertimbangan bahwa Kecamatan Cibalong merupakan wilayah yang mengandung banyak potensi wisata budaya dan wisata pantai, seperti pantai Karang Paranje, Pantai Cijeruk Indah dan Pantai Cibako. Penamaan lokasi-lokasi tersebut tentu didasari oleh cerita rakyat yang melatarbelakanginya. Cerita rakyat tersebut pun sampai saat ini masih dipercaya oleh masyarakat. Namun demikian, unsur aparat desa dan pemuda penggerak budaya, pariwisata, dan pendidikan setempat belum mengoptimalkan pentingnya toponimi sebagai sumber penguatan budaya dalam upaya peningkatan potensi pariwisata. Tahapan kegiatan yang telah dilaksanakan adalah survey lokasi, pengurusan perizinan, penyusunan materi penyuluhan, pelaksanaan penyuluhan pemahaman toponimi, pelatihan menulis deskripsi asal-usul nama tempat (toponimi) di media sosial, dan evaluasi untuk mengukur tingkat keberhasilan kegiatan ini. Melalui kegiatan ini diharapkan pengetahuan budaya dan keterampilan menulis folklor masyarakat sasaran dapat meningkat sehingga dapat mendukung pada peningkatan potensi pariwisata.
PENYULUHAN PENGELOLAAN SISTEM PEMELIHARAAN DAN KESEHATAN PADA SAPI PERAH DI KELOMPOK TERNAK WIBAWA MEKAR, DESA GUNUNG MANIK, SUMEDANG, JAWA BARAT
Authors: Windira Sarasati
Published: March 2020

Kesehatan ambing merupakan faktor penting dalam usaha peternakan sapi perah. Kerugian yang ditimbulkan ketika kesehatan ambing tidak terjaga adalah munculnya kasus mastitis atau sering disebut dengan mastitis. Ternak yang terinfeksi mastitis akan mengalami penurunan kualitas dan kuantitas susu sehingga berdampak pula terhadap pendapatan ekonomi peternak. Kasus mastitis yang sering terjadi pada ternak adalah mastitis subklinis. Mastitis subklinis merupakan radang pada ambing yang terjadi tanpa disertai kemunculan gejala klinis namun kualitas dan kuantitas susu yang dihasilkan menurun secara drastis. Tingginya angka kejadian mastitis subklinis mendorong untuk dilakukan penyuluhan mengenai pengelolaan sistim pemeliharaan dan kesehatan pada sapi perah sebagai upaaya pencegahan kasus mastitis.Metode pengukuran keberhasilan penyuluhan melalui penghitungan statistik persentase hasil quisioner yang dilakukan sebelum dan sesudah penyuluhan. Topik quisioner yang diambil adalah pemahaman masyarakat terhadap kasus mastitis serta faktor – faktor yang mempengaruhi kesehatan ambing. Rangkaian kegiatan penyuluhan ini sebagai upaya untuk menekan angka kejadian mastitis melalui peningkatan pemahaman masyarakat. Hasil dari penyuluhan ini adalah peningkatan pengetahuan peternak sebesar 20,8% mengenai definisi, gejala klinis serta faktor-faktor resiko yang dapat menimbukan mastitis
Methods and Rule-of-Thumbs in The Determination of Minimum Sample Size When Appling Structural Equation Modelling: A Review
Authors: Priyanath Hunuwala Malawarage Suranjan , RVSPK Ranatunga , RGN Megama
Published: March 2020

Basic methods and techniques involved in the determination of minimum sample size at the use of Structural Equation Modeling (SEM) in a research project, is one of the crucial problems faced by researchers since there were some controversy among scholars regarding methods and rule-of-thumbs involved in the determination of minimum sample size when applying Structural Equation Modeling (SEM). Therefore, this paper attempts to make a review of the methods and rule-of-thumbs involved in the determination of sample size at the use of SEM in order to identify more suitable methods. The paper collected research articles related to the sample size determination for SEM and review the methods and rules-of-thumb employed by different scholars. The study found that a large number of methods and rules-of-thumb have been employed by different scholars. The paper evaluated the surface mechanism and rules-of-thumb of more than twelve previous methods that contained their own advantages and limitations. Finally, the study identified two methods that are more suitable in methodologically and technically which have identified by non-robust scholars who deeply addressed all the aspects of the techniques in the determination of minimum sample size for SEM analysis and thus, the prepare recommends these two methods to rectify the issue of the determination of minimum sample size when using SEM in a research project.
ВЛИЯНИЕ ЛЕСНЫХ ПОЖАРОВ НА ФОРМИРОВАНИЕ ПРОФИЛЯ ПОДЗОЛОВ
Authors: Надпорожская М.А. , Павлов Б.А. , Мирин Д.М. , Якконен К.Л. , Седова А.М.
Published: March 2020

В последние годы увеличиваются количество и интенсивность лесных пожаров, поэтому все больше внимания уделяется исследованию пирогенных почв. Наряду с другими характеристиками оценивается послепожарный возврат в почву из сгоревших растений и лесных подстилок фосфора, щелочных и щелочноземельных металлов и др., но динамика соединений железа и алюминия изучена мало. Между тем, именно эти элементы определяют ведущие почвообразовательные процессы и продуктивность многих почв, а в особенности подзолов под наиболее пожароопасными сосновыми лесами сухих местообитаний. По литературным и полученным авторами данным проведен сравнительно-географический анализ подзолов на кварцевых песках, в которых одним из важных диагностических признаков является элювиально- иллювиальное распределение соединений полуторных оксидов по профилю. Увеличение частоты лесных пожаров нарушает био-педогенную аккумуляцию полуторных оксидов в профиле подзолов. Высказано предположение, что сорбция на древесных углях и детрите не компенсирует выноса соединений железа и алюминия из профиля подзолов. Обсуждаются проблемы таксономии постпирогенных почв.
TREATMENT OF PATIENTS WITH MEDIASTINAL TUMORS
Authors: Chikinev Yu. V. , Drobyazgin E. A.
Published: March 2020

OBJECTIVEwas to evaluate the immediate results of treatment of patients with mediastinal tumors.

METHODS AND MATERIALS. We treated 240 patients (123 man, 117 woman) with mediastinal tumors. Age range were from 13 to 73 year old. The anterior mediastinum tumors were located in 201 cases, the posterior mediastinal tumors were located in 38 cases. All patients were operated. Video endoscopic technologies were used in 128 cases.

RESULTS. Tumor removal was supplemented other operations in 20 cases. Using video thoracoscopic operations, we had six cases of conversion. One patient died during the initial anesthesia due to the increase in tumor compression of the mediastinal structures. There were post operation complications with 21 (8.75 %) patients. Fatal outcome in the early postoperative period was in 6 (2.5 %) patients.

CONCLUSION. The tactics of treating patients with mediastinal tumors should be individual and depend on the results of the examination, the localization of the tumor and its connection with the surrounding structures.
TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION IN THE TREATMENT OF PATIENTS WITH HEPATOCELLULAR CARCINOMA ON ADVANCED LIVER CIRRHOSIS
Authors: Polekhin A. S. , Tarazov P. G. , Polikarpov A. A. , Granov D. A.
Published: March 2020

OBJECTIVE was to evaluate the results of transcatheter arterial chemoembolization (TACE) in the treatment of patients with hepatocellular carcinoma (HCC) on advanced liver cirrhosis (LC) and intermediate stage (B) according to BCLC classification (Barcelona Clinic Liver Cancer classification).

METHODS AND MATERIALS. We evaluated results of TACE in 54 patients. Of them, 12 (22 %) had stage A of cirrhosis and 42 (78 %) – stage B of cirrhosis according to the Child-Pugh score. Nine (17 %) patients matched stage A4 and 45 (83 %) – stage В according to BCLC classification. The TACEs was performed according to the conventional practice with using Lipiodol + gelfoam (n=40) and with a drug-eluting beads (n=14) from 1 to 16 (average 6) times. The Doxorubicin was used as a first-line therapy in all cases.

RESULTS. After TACE, two patients died of liver failure (3.7 %). According to the m-RECIST, complete response to treatment was observed in 9 (16.5 %), partial response – in 13 (24 %), stabilization – in 19 (35.5 %) and progression – in 13 (24 %) patients. At present, 22 (41 %) patients are alive for 1 to 51 (average 16.2) months. 32 patients (59 %) died between 2 to 62 months: 13 (24 %) – from HCC progression, 19 (35 %) – from liver failure. The 1– 2–3-year survival rate was 75–44–15 %; only one patient survived > 5 years. The median survival rate was (22.0±3.0) months, overall survival rate according to Kaplan – Meier was 26 months.

CONCLUSION. TACE is a relatively safe and effective treatment in patients with HCC on advanced LC and intermediate stage (B).
ENDOVASCULAR TREATMENT OF PATIENTS WITH ACUTE THROMBOEMBOLIC OCCLUSION OF THE SUPERIOR MESENTERIC ARTERY
Authors: Khripun A. I. , Mironkov A. B. , Pryamikov A. D. , Tyurin I. N. , Alimov A. N. , Agasyan G. A.
Published: March 2020

THE OBJECTIVEwas to report our experience of endovascular treatment in patients with acute thromboembolic occlusion of the superior mesenteric artery (SMA).

METHODS AND MATERIALS. 13 patients with acute thromboembolic occlusion of the SMA underwent endovascular intervention. There were 4 (31 %) men and 9 (69 %) women. The average age was 76±9 years. The time from the beginning of the disorder to intervention and mechanical reperfusion of the SMA ranged from 4 to 65 hours, averaging (22±17) hours. Initial leukocytosis was (16.5±5.8)·10/9 l (from 9.2 to 28.8·10/9 l). Various endovascular manipulations were applied to achieve artery reperfusion: mechanical recanalization, balloon angioplasty, aspiration thrombectomy and stenting.

RESULTS. Complete recovery of antegrade blood flow through the SMA and its main branches was achieved at all 13 (100 %) patients. Laparotomy was executed at 4 (31 %) patients, thus the intestinal necrosis after endovascular intervention developed in 3 (23 %) cases. The lethal outcome was 46 %. The main reason for a lethal outcome was reperfusion syndrome (4 patients, 31 %).

CONCLUSION. Endovascular methods of treatment of patients with acute thromboembolic occlusion of the SMA can be considered as the first step in medical algorithm. They allow to save intestinal viability in most patients. Reperfusion syndrome was the main reason for a lethal outcome. The development of methods for the prevention and treatment of reperfusion syndrome in acute thromboembolic occlusion of the SMA has to become the basis for successful treatment of these patients.
BLEEDING FROM CORONARY ARTERY AND MAMMARY CORONARY GRAFTS INAPATIENTWITH ­STERNOMEDIASTINITIS AFTER CORONARY ARTERY BYPASS SURGERY
Authors: Vachev A. N. , Koryttsev V. K. , Adyshirin-Zade E. E. , Gladyshev V. V.
Published: March 2020

One of the most serious complications of sternomediastinitis after coronary artery bypass surgery is bleeding from coronary artery grafts. The result of successful treatment of the patient with purulent sternomediastinitis complicated by bleeding from the graft is presented. The choice of the method of stopping such bleeding is grounded.
PROFESSOR PETR KAZIMIROVICH YABLONSKIY (to the 60th anniversary of the birth)
Authors: Sokolovich E. G. , Guseva G. G.
Published: March 2020

The article is dedicated to the 60th anniversary of the birth of the outstanding representative of the St. Petersburg medical school and thoracic surgery of the country, the talented scientist and teacher, doctor of medical sciences, professor Petr Kazimirovich Yablonskiy. P. K. Yablonskiy is the founder of many progressive endeavors in medicine: the study of the fundamental principles of respiratory transplantation implemented in the world’s first successful simultaneous allotransplantation of the trachea (1991) and the first successful bilateral lung transplantation in the Russian Federation; the creation of the Russian school of interventional pulmonology and the St. Petersburg school of breast endovascular surgery; the development and implementation for the first time in world practice of the concept of using robot-assisted operations in the treatment of patients with pulmonary tuberculosis. Significant scientific potential and high organizational capabilities allowed P. K. Yablonskiy to lead and actively develop the Center for Intensive Pulmonology and Thoracic Surgery on the basis of the multidisciplinary city hospital; the Department of Hospital Surgery, and then the Faculty of Medicine of St. Petersburg University; St. Petersburg Research Institute of Phthisiopulmonology. The great experience in clinical medicine and the organization of public health contributed to his appointment as the chief freelance specialist – the thoracic surgeon of the Ministry of Health of the country, and also allowed him to head the Association of Thoracic Surgeons and the National Association of TB specialists, created by him.
Floristic Patterns and Qualities of Forage Species from Mountainous Rangeland in the Middle Black Sea Region of Turkey
Authors: Aydın İbrahim , Pak Betül , Algan Duygu , Ocak Nuh
Published: March 2020

This study was carried out to investigate the floristic features (family, preference by grazers, growth form and response to grazing) and qualities of forage species collected from mountainous rangeland (Akdağ Mountain, Ladik) in the middle Black Sea region of Turkey. Forage samples were collected five times by 15-day intervals from the before-flowering stage to the after-flowering stage in 2015 and 2016. The total number of species was 105 species belonging to 73 genera and related to 26 families. Of the total species, 20 were from Poaceae (19.0%), 30 were from Poaceae (28.6%). Rests of the species belonged to other families (52.4%) dominated by families such as Asteraceae (13/55) and Lamiaceae (6/55), of which 26 species were weeds harmful to animals. While the percentages of decreaser, increaser and invader species were 16.2, 12.4 and 71.4, those of annual, biennial and perennial species were 31.9, 2.9 and 65.2, respectively. The number of species preferred by grazing was 74 (70.5%), while the number of non-preferable species was 31 (29.5%). The ME (MJ kg-1), RFQ and quality category of legumes, grass, and other botanical families were found as 8.88±0.07, 130.9±3.05 and very good, 8.00±0.07, 83.2±1.62 and good, and 8.98±0.07, 141.0±3.62 and premium, respectively. These results can be used as a management tool to improve rangeland quality and sustainability. The evidence from this study is that floristic pattern is not merely a result of invader forage species, but also might be a beneficial result that deserves further study for mountainous rangelands.
Hospital Management: Solution Implemented from Tangible Factor – Resarch at the Outpatient Department of some Public Hospital in Hanoi
Authors: Thanh Nguyen Tien , Minh Nguyen Dang
Published: March 2020

This paper present empirical research result on factors affecting the quality of medical service at the Outpatient Department of some public hospitals in Hanoi. This reserch based on the SERVQUAL model and conduct with 140 patients and 140 patient’s family members who came to these hospitals. The result show that Assurance and Tangible have the most impact to the quality of medical service. We analyze the mean value of the result and see that the Tangible factor has the lowest value and it is the patients and their family members most perceptive factor. Therefore, we focus on analyzing, interpreting and proposing a number of micro and macro solutions to manage the Tangible factor to help improving the quality of healthcare service throughly but sequentially through each step, each zone.
Higiene e saúde bucal em idosos na atenção primária: uma revisão sistemática
Authors: Araujo Ana dos Santos , Andrade Marilda , Pinto Fabiana de Melo Amaral Gonçalves
Published: March 2020

Objetivo: Identificar a relação entre higiene e saúde bucal em idosos saudáveis e com síndromes demenciais na atenção primária, destacando o efeito de ações educativas sobre o comportamento de idosos, cuidadores e profissionais. Métodos: Trata-se de uma revisão sistemática de literatura, utilizando-se as bases de dados BBO, Medline e Lilacs, com corte temporal de cinco anos (2015-2019). A estruturação da pesquisa deu-se através do acrônimo PICO, utilizando-se os descritores (P) Aged and Primary Health Care and (I) Oral Hygiene and (C) não se aplica (O) Oral Health. Utilizaram-se estudos referentes à população idosa, com foco em higiene bucal, e excluíram-se os que abordavam percepções profissionais sem foco na higiene bucal. Resultados: Incluíram-se seis artigos, sendo quatro em inglês e dois em português. Os artigos abordaram a relação entre higiene e saúde bucal em idosos saudáveis e naqueles com alguma debilidade, como Doença de Parkinson e Doença de Alzheimer, discutindo, também, a importância de ações educativas para profissionais e cuidadores, assim como a falta de orientações em alguns casos. Conclusão: Vislumbram-se novas amostras para que sejam elaboradas políticas e programas eficientes e direcionados à promoção da saúde bucal em idosos.