bluuebunny/crossref_metadata_2025 huggingface dataset:
EVALUASI PASCA HUNI (EPH) PADA RUANG BENGKEL TEKNIK FURNITURE DI SMK NEGERI 1 PURWOREJO DITINJAU DARI ASPEK TEKNIS (PENCAHYAAN)
Authors: Martana Ignasius Bonaventura Markevin , Hasbi Hasbi , Raharjo Nuryadin Eko
Published: July 2021

Penelitian Evaluasi Pasca Huni (EPH) ini meninjau aspek teknis pada ruang bengkel teknik furniture di SMK Negeri 1 Purworejo. Peninjauan ini bertujuan untuk mencari tahu apakah pencahayaan pada ruang bengkel kayu Program Keahlian Konstruksi Kayu di SMK Negeri 1 Purworejo sudah memenuhi standar minimal ditinjau dari SNI 03-6197-2000. Penelitian ini menjadikan ruang bengkel teknik furniture SMK Negeri 1 Purworejo sebagai objek penelitian dan analisis datanya di bagi menjadi 4 bagian, 2 pengukuran cahaya pada kondisi terang tanpa menggunakan bantuan lampu dan menggunakan lampu serta 2 pengukuran cahaya dalam kondisi mendung-hujan tanpa menggunakan bantuan lampu dan menggunakan lampu. Penelitian ini menggunakan metode kuantitatif pada tingkatan investigative. Teknik pengumpulan data yang digunakan ada dua yaitu pengukuran, dokumentasi. Pengukuran dilakukan pada bulan maret 2020 sampai dengan april 2020. Alat atau instrument yang digunakan yaitu pocket meter, pita ukur (50m), bolpoint warna, kamera, lux meter. Pengambilan data dilakukan sesuai SNI, kemudian data yang didapat lalu di bandingkan dengan standar yang ada. Hasil rata-rata pengukuran pada kondisi cuaca terang pencahayaan alami yaitu sebesar 121,4444 Lux. Pada saat kondisi cuaca terang pencahayaan alami di bantu dengan bantuan lampu yaitu sebesar 172,6110 Lux. Pada saat kondisi cuaca mendung-hujan pencahayaan alami sebesar 65,6666 Lux. Pada saat kondisi cuaca mendung-hujan di bantu dengan bantuan lampu pencahayaan alami sebesar 105,6666 Lux. Hasil pengukuran menunjukkan pencahayaan alami dan campuran di ruang bengkel praktik furniture belum memenuhi standar 250 lux. Penelitian ini menyimpulkan bahwa kualitas ruang bengkel teknik furniture di SMK Negeri 1 Purworejo untuk proses KBM belum memenuhi standar kenyamanan, maka perlu ada usaha perbaikan kuratif maupun preventif untuk kelancaran proses KBM dimasa mendatang.
TINGKAT KESIAPAN PESERTA DIDIK KOMPETENSI KEAHLIAN DESAIN PEMODELAN DAN INFORMASI BANGUNAN DALAM MENGHADAPI DUNIA KERJA (Studi di SMK Negeri 2 Garut)
Authors: Anisa Hanna Siti , Supriatna Nandan , Purwanto Dedi
Published: July 2021

Peserta didik SMK diprogram oleh pemerintah untuk bisa terjun ke dunia kerja/ dunia industri setelah lulus dan selesai dari masa studinya. Kerja merupakan pencapaian yang dilakukan untuk menerapkan antara pengetahuan teori dan praktek yang diperoleh di sekolah dan dunia industri. Pengalaman bekerja merupakan salah satu aspek tingkat kesiapan dari peserta didik yang didapat dari dunia industri ketika melaksanakan praktek kerja lapangan. Tingkat kesiapan peserta didik yang beragam merupakan salah satu hal yang bisa menjadi tolak ukur ketika para peserta didik lulus dari sekolah. Maka dari itu tujuan dari penelitian ini yaitu untuk mengetahui tingkat kesiapan kerja dari peserta didik kompetensi keahlian desain pemodelan dan informasi bangunan. Instrumen yang digunakan pada penelitian ini yaitu kuisioner/angket dengan metode analisis data yang digunakan yaitu metode deskriptif dan pendekatan kuantitatif dengan presentase. Responden pada penelitian difokuskan kepada para peserta didik kompetensi keahlian desain pemodelan dan informasi bangunan SMK Negeri 2 Garut yang telah melaksanakan praktek kerja lapangan dengan pengumpulan data menggunakan metode angket tertutup. Hasil penelitian yang didapat berdasarkan aspek-aspek tingkat kesiapan kerja yang digunakan pada penelitian ini menunjukkan 8% peserta didik sangat siap, 55% peserta didik siap, 27% peserta didik menyatakan tidak siap dan 10% peserta didik sangat tidak siap. Berdasarkan hasil tersebut tingkat kesiapan kerja peserta didik ada di kategori baik dan cukup siap untuk menghadapi dunia kerja.
TANGGAPAN DUNIA INDUSTRI TERHADAP SOFT SKILLS DAN HARD SKILLS DALAM PELAKSANAAN PRAKTIK KERJA INDUSTRI SISWA DPIB SMKN 2 GARUT
Authors: Darmayanti Winda , Supriatna Nandan , Nurasiyah Siti
Published: July 2021

Berkualitas atau tidaknya mutu pendidikan SMK yang ada di Indonesia sangat dipengaruhi oleh sistem pendidikan yang diterapkan oleh pemerintahan Indonesia saat ini. Pendidikan Sistem Ganda merupakan sistem pendidikan yang menerapkan teknik pendidikan di sekolah dan di dunia industri. Salah satu program dari pendidikan sistem ganda yaitu Praktik Kerja Industri. Dengan melihat penilaian dunia usaha dan dunia industri terhadap kinerja siswa praktikan selama masa praktik kerja industri (prakerin) itu salah satu upaya dalam mengembangkan kualitas sumber daya manusia. Oleh sebab itu penelitian ini bertujuan untuk (1) untuk mengetahui tanggapan dunia industri dalam pelaksanaan praktik kerja industri siswa DPIB SMKN 2 Garut ditinjau dari aspek soft skills dan (2) untuk mengetahui tanggapan dunia industri dalam pelaksanaan praktik kerja industri siswa DPIB SMKN 2 Garut ditinjau dari aspek hard skills. Metode yang digunakan dalam penelitian ini adalah deskriptif kuantitatif dengan teknik pengambilan data melalui kuesioner. Penyebaran kuesioner dilakukan kepada pembimbing atau pendamping siswa prakerin di tiap perusahaan yang telah bekerja sama dengan Program Keahlian Desain Pemodelan dan Informasi Bangunan (DPIB) sebanyak 28 perusahaan, maka teknik pengambilan sampel dalam penelitian ini menggunakan teknik sampling jenuh. Berdasarkan hasil temuan dan pembahasan secara keseluruhan dunia industri menanggapi kemampuan siswa DPIB pada soft skills yaitu baik sedangkan hard skills kurang baik dalam pelaksanaan prakerin, karena ada hal-hal yang belum tercapai dengan maksimal pada tiap indikatornya. Pihak sekolah dapat meningkatkan semua aspek pengembangan pembelajaran siswa SMK, dengan begitu tentu akan meningkatkan kualitas kompetensi siswa sehingga dapat memenuhi kriteria sumber daya manusia yang dibutuhkan oleh dunia industri.
A CrossFit Games 2018 verseny elemzése
Authors: Pálinkás Gergely , Petridis Leonidas , Tróznai Zsófia , Utczás Katinka , Béres Bettina , Szabó Tamás
Published: July 2021

A CrossFit egy új, rohamosan fejlődő sportág. Eredeti célja, hogy a legfőbb kondicionális képességeket minél változatosabban és magasabb szinten fejlessze. Vizsgálatunk célja a 2018-as CrossFit Games, a sportág legnagyobb világversenyének elemzése a feladatok időtartama, a meghatározó kondicionális képességek, valamint az eredmények mögötti teljesítmények szempontjából. A verseny 14 feladatát időtartam alapján öt csoportba soroltuk: <1, 1-2, 2-9, 9-30, <30 perc. A versenyzők teljesítményét a nemek között, valamint nemeken belül a végleges helyezések alapján harmadokba bontva vizsgáltuk. Időtartam szerint legnagyobb arányban (43%) a 2-9 perc közötti feladatok voltak jellemzőek, ezt követően a 9-30 perc (29%), az egy perc alatti és a 30 percnél hosszabb feladatok egyaránt 14-14%-ban fordultak elő. A férfi és női mezőny teljesítménye között legtöbb esetben szignifikáns különbséget találtunk, némelyik gyakorlatban a nők teljesítménye magasabb volt a férfiakéhoz képest. A nemeken belüli csoportosítás szerint, a harmadok között csak kevés esetben voltak szignifikáns különbségek. Néhány feladatban az alsó harmadban végzettek teljesítménye elmaradt a felső harmadban végzettekétől. Eredményeink arra utalnak, hogy a CrossFit Games 2018 feladatai tükrözik a sportág eredeti célját, változatos módon mérik a sportolók képességeit. Versenyeken a pontozást az egyes feladatokban elért helyezések alapján határozzák meg (és nem az abszolút teljesítmény alapján), ez egyben azt is jelenti, hogy a végső eredmény sok esetben minimális teljesítménybeli különbségeken múlik.
Súlypont stabilizálás meghatározása 16-18 éves korú lányoknál és fiúknál - előtanulmány a normál tartományok meghatározásához
Authors: Földvári-Nagy László , Dörnyei Gabriella , Mayer Ágnes Andrea , Takács Johanna , Horváth Mónika , Szénási Annamária , Balogh Ildikó , Lenti Katalin
Published: July 2021

Az egyensúlyozás az ember legtermészetesebb mozgástevékenysége, melyben a súlypont stabilitás meghatározó. Az egyensúlyozó képesség jellemzésére a klinikumban gyakran alkalmazott, megfigyelésen alapuló szubjektív vizsgálati módszer a statikus Romberg és a dinamikus Fukuda (Unterberger) teszt, melyek a test elmozdulását és kilengését vizsgálják. Ultrahang alapú, számítógép vezérlésű, kraniokorpográfiás (UH-COM-CCG) mérőrendszer segítségével meghatároztuk az egyensúlyozást igénylő mozgás és állás közben kivitelezett testtartás, fejhelyzet, mozgáskoordináció és az egyensúlyi állapot egymással szorosan összefüggő paramétereinek normál tartományát 16-18 éves egészséges fiatalok körében. Előtanulmányunk a normál tartományok meghatározásának alkalmazott eljárásával hozzájárulhat ahhoz, hogy a további kutatások során reprezentatív mintán határozzuk meg a normál tartományokat. Ezen tartományok meghatározása hiátuspótló, mivel a klinikumban használt statikus és dinamikus súlypontvizsgálati tesztekhez normálnak tekinthető tartományok korosztály-specifikusan a szakirodalomban nem lelhetők fel. A diagnosztika objektivizálásával egyszerű vizsgálati lehetőség nyílik nemcsak enyhébb és súlyosabb eltérések kimutatására, a részfunkció zavarok véleményezésére, diagnózisok alátámasztására, a terápia megtervezésére és eredményességének vizsgálatára, hanem a sport és az egészségmegőrzés területén állapotfelmérésre, az egyes sportágak tulajdonságaiból adódó egyoldalú terhelések miatt kialakuló eltérések kimutatására is. Ismételt vizsgálatokkal nyomon követhető a törzs dinamikus stabilitásának változása, és így az egyes edzésmódok hatékonyságának elemzésére is lehetőség nyílik. Az egyéni eredmények értékelésével nő a személyre szabott fejlesztési tervek kidolgozásának esélye.
Önkormányzati sportügyek : A helyi önkormányzatok sporttal kapcsolatos feladatainak önkormányzati tulajdonban lévő gazdasági társaságok útján történő ellátása az Állami Számvevőszék ellenőrzései tükrében
Authors: Boros Anita , Zimányi Róbert G. , Géczi Gábor
Published: July 2021

Magyarországon az állampolgárok sportolása nagymértékben kötődik a helyi önkormányzatok tevékenységéhez, hiszen a 3178 önkormányzat (Központi Statisztikai Hivatal, KSH, 2019) saját erejéhez mérten helyi rendeletekkel, jelentős támogatásokkal és nem utolsó sorban a létesítmények fenntartásával biztosítja az Alaptörvény XX. cikkében is nevesített testi és lelki egészséghez való jogot a sportolás és a rendszeres testedzés támogatása érdekében. A sportügyek ellátását az önkormányzatok általában háttérintézményekben, saját tulajdonú gazdasági társaságok útján oldják meg, amelyek szabályszerű működése az állam és az önkormányzatok, és leginkább az állampolgárok érdeke. Tanulmányunk – az Állami Számvevőszék vizsgálati jelentései alapján – az egyes hazai önkormányzatok sportügyeivel foglalkozó társaságainak működését elemzi.
Food Allergy Management Has Been Negatively Impacted During the COVID-19 Pandemic
Authors: Soyak Aytekin Emine , Tüten Dal Sevda , Ünsal Hilal , Akarsu Ayşegül , Ocak Melike , Şahiner Ümit Murat , Soyer Özge , Şekerel Bülent Enis
Published: July 2021

ABSTRACT Objective: The coronavirus disease 2019 (COVID-19) pandemic creates secondary problems for the health care system, and understanding specific issues can guide the management of the pandemic and its future consequences. We aimed to characterize the problems and related risk factors experienced with outpatient compliance and dietary compliance of children with food allergies during the COVID-19 pandemic. Materials and Methods: A cross-sectional survey was conducted on the mothers of children with ongoing food allergies, eight months after Turkey’s first confirmed case of COVID 19. Results: Of the 288 patients, 76.3% and 40.2% were non-adherent to their scheduled appointments and oral food challenge, respectively, during the pandemic. The group non-adherent to their scheduled visit was significantly older (p=0.005), had more frequent home food trials without the consent of their physicians (p<0.001), and had less usable epinephrine auto-injectors (EAI) available compared with the adherent group (p<0.001). Eighty-nine patients (30.9%) with home food trial experience had more essential food allergies (p<0.001) and experienced more allergic reactions (p=0.002), compared with patients who adhered to dietary elimination. Thirty parents (10.4%) eliminated some foods from their children’s diet because of the suspected reactions. Conclusion: The COVID-19 pandemic, significantly reduces adherence with scheduled appointments and OFC, and increases home food trials and food eliminations without physician approval. Keywords: The COVID-19 pandemic, food allergy, compliance, telemedicine, oral food challenge
Prediction of Asthma Hospitalizations for the Common Cold Using Google Trends: Infodemiology Study
Authors: Sousa-Pinto Bernardo , Halonen Jaana I , Antó Aram , Jormanainen Vesa , Czarlewski Wienczyslawa , Bedbrook Anna , Papadopoulos Nikolaos G , Freitas Alberto , Haahtela Tari , Antó Josep M , Fonseca João Almeida , Bousquet Jean
Published: July 2021

Background

In contrast to air pollution and pollen exposure, data on the occurrence of the common cold are difficult to incorporate in models predicting asthma hospitalizations.

Objective

This study aims to assess whether web-based searches on common cold would correlate with and help to predict asthma hospitalizations.

Methods

We analyzed all hospitalizations with a main diagnosis of asthma occurring in 5 different countries (Portugal, Spain, Finland, Norway, and Brazil) for a period of approximately 5 years (January 1, 2012-December 17, 2016). Data on web-based searches on common cold were retrieved from Google Trends (GT) using the pseudo-influenza syndrome topic and local language search terms for common cold for the same countries and periods. We applied time series analysis methods to estimate the correlation between GT and hospitalization data. In addition, we built autoregressive models to forecast the weekly number of asthma hospitalizations for a period of 1 year (June 2015-June 2016) based on admissions and GT data from the 3 previous years.

Results

In time series analyses, GT data on common cold displayed strong correlations with asthma hospitalizations occurring in Portugal (correlation coefficients ranging from 0.63 to 0.73), Spain (ρ=0.82-0.84), and Brazil (ρ=0.77-0.83) and moderate correlations with those occurring in Norway (ρ=0.32-0.35) and Finland (ρ=0.44-0.47). Similar patterns were observed in the correlation between forecasted and observed asthma hospitalizations from June 2015 to June 2016, with the number of forecasted hospitalizations differing on average between 12% (Spain) and 33% (Norway) from observed hospitalizations.

Conclusions

Common cold–related web-based searches display moderate-to-strong correlations with asthma hospitalizations and may be useful in forecasting them.
Feasibility of Indirect Secondary Distribution of HIV Self-test Kits via WeChat Among Men Who Have Sex With Men: National Cross-sectional Study in China
Authors: Li Shangcao , Zhang Jing , Mao Xiang , Lu Tianyi , Gao Yangyang , Zhang Wenran , Wang Hongyi , Chu Zhenxing , Hu Qinghai , Jiang Yongjun , Geng Wenqing , Shang Hong , Xu Junjie
Published: July 2021

Background

HIV self-testing (HIVST) kits are common in key sexually active populations. Direct secondary distribution of HIVST kits (DSDHK) is effective in improving the uptake of HIVST. However, there are concerns about the various limitations of DSDHK, including limited geographic reach, payment problems, and need for face-to-face interactions.

Objective

In this study, we aim to evaluate the feasibility and characteristics of indirect secondary distribution of HIVST kits (ISDHK) via WeChat (distributing HIVST application links and follow-up HIVST kits to partners) among men who have sex with men (MSM).

Methods

From October 2017 to September 2019, an HIVST recruitment advertisement was disseminated on the WeChat social media platform to invite MSM to apply for the HIVST kits (referred to as index participants [IPs]). All MSM participants were encouraged to distribute the HIVST application link to their friends and sexual partners (referred to as alters) through their social networks. All the alters were further encouraged to continue distributing the HIVST application link. All participants paid a deposit (US $7), which was refundable upon completion of the questionnaire, and uploaded the test results via a web-based survey system.

Results

A total of 2263 MSM met the criteria and successfully applied for HIVST. Of these, 1816 participants returned their HIVST results, including 1422 (88.3%) IPs and 394 (21.7%) alters. More alters had condomless anal intercourse, a higher proportion of them had never previously tested for HIV, and they showed a greater willingness to distribute HIVST kits to their sexual partners (P=.002) than the IPs. After controlling for age, education, and income, the alters had a greater proportion of MSM who had never tested for HIV before (adjusted odds ratio [aOR] 1.29, 95% CI 1.00-1.68), were more willing to distribute the HIVST application link (aOR 1.71, 95% CI 1.21-2.40), had a lower number of sexual partners (aOR 0.71, 95% CI 0.57-0.90), and were less likely to search for sexual partners on the web (aOR 0.78, 95% CI 0.60-1.02) than IPs. In comparison, the rates of reactive HIVST results, conducting HIV confirmatory tests, HIV seropositivity, and initiation of HIV antiretroviral therapy were similar for IPs and alters.

Conclusions

The ISDHK model of distributing HIVST application links among the MSM population via social media is feasible. The ISDHK model should be used to supplement the DSDHK model to enable a greater proportion of the MSM population to know their HIV infection status.
Online Public Attention Toward Premature Ejaculation in Mainland China: Infodemiology Study Using the Baidu Index
Authors: Wei Shanzun , Ma Ming , Wen Xi , Wu Changjing , Zhu Guonian , Zhou Xiangfu
Published: July 2021

Background

Premature ejaculation (PE) is one of the most described psychosocial stress and sexual complaints worldwide. Previous investigations have focused predominantly on the prospective identification of cases that meet researchers’ specific criteria. The genuine demand from patients with regard to information on PE and related issues may thus be neglected.

Objective

This study aims to examine the online search trend and user demand related to PE on a national and regional scale using the dominant major search engine in mainland China.

Methods

The Baidu Index was queried using the PE-related terms for the period of January 2011 to December 2020. The search volume for each term was recorded to analyze the search trend and demographic distributions. For user interest, the demand and trend data were collected and analyzed.

Results

Of the 36 available PE search keywords, 4 PE searching topics were identified. The Baidu Search Index for each PE topic varied from 46.30% (86,840,487/187,558,154) to 6.40% (12,009,307/187,558,154). The annual percent change (APC) for the complaint topic was 48.80% (P<.001) for 2011 to 2014 and –16.82% (P<.001) for 2014 to 2020. The APC for the inquiry topic was 16.21% (P=.41) for 2011 to 2014 and –11.00% (P<.001) for 2014 to 2020. For the prognosis topic, the annual APC was 11.18% (P<.001) for 2011 to 2017 and –19.86% (P<.001) for 2017 to 2020. For the treatment topic, the annual APC was 14.04% (P<.001) for 2011 to 2016 and –38.83% (P<.001) for 2016 to 2020. The age distribution of those searching for topics related to PE showed that the population aged 20 to 40 years comprised nearly 70% of the total search inquiries (second was 17.95% in the age group younger than 19 years). People from East China made over 50% of the total search queries.

Conclusions

The fluctuating online popularity of PE searches reflects the real-time population demands. It may help medical professionals better understand population interest, population concerns, regional variations, and gender differences on a nationwide scale and make disease-specific health care policies. The internet search data could be more reliable when the insufficient and lagging registry data are completed.
Empowering Patients Living With Chronic Conditions Using Video as an Educational Tool: Scoping Review (Preprint)
Authors: Navarro Olga , Escrivá Marta , Faubel Raquel , Traver Vicente
Published: July 2021

BACKGROUND

Video is used daily for various purposes, such as leisure, culture, and even learning. Currently, video is a tool that is available to a large part of the population and is simple to use. This audio-visual format has many advantages such as its low cost, speed of dissemination, and possible interaction between users. For these reasons, it is a tool with high dissemination and educational potential, which could be used in the field of health for learning about and management of chronic diseases by adult patients.

OBJECTIVE

The following review determines whether the use of health educational videos by adult patients with chronic diseases is effective for their self-management according to the literature.

METHODS

An electronic literature search of the PubMed, CINAHL, and MEDLINE (via the EBSCOhost platform) databases up to April 2020 was conducted. The systematic scoping review followed the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) methodology.

RESULTS

After reviewing 1427 articles, 12 were selected as the most consistent with the proposed inclusion criteria. After their review, it was found that the studies showed that video is effective as a tool for improving care related to chronic diseases.

CONCLUSIONS

Video is effective in improving the care and quality of life for patients with chronic diseases, whether the initiative for using video came from their health care professionals or themselves.
Frustration With Technology and its Relation to Emotional Exhaustion Among Health Care Workers: Cross-sectional Observational Study (Preprint)
Authors: Tawfik Daniel S , Sinha Amrita , Bayati Mohsen , Adair Kathryn C , Shanafelt Tait D , Sexton J Bryan , Profit Jochen
Published: July 2021

BACKGROUND

New technology adoption is common in health care, but it may elicit frustration if end users are not sufficiently considered in their design or trained in their use. These frustrations may contribute to burnout.

OBJECTIVE

This study aimed to evaluate and quantify health care workers’ frustration with technology and its relationship with emotional exhaustion, after controlling for measures of work-life integration that may indicate excessive job demands.

METHODS

This was a cross-sectional, observational study of health care workers across 31 Michigan hospitals. We used the Safety, Communication, Operational Reliability, and Engagement (SCORE) survey to measure work-life integration and emotional exhaustion among the survey respondents. We used mixed-effects hierarchical linear regression to evaluate the relationship among frustration with technology, other components of work-life integration, and emotional exhaustion, with adjustment for unit and health care worker characteristics.

RESULTS

Of 15,505 respondents, 5065 (32.7%) reported that they experienced frustration with technology on at least 3-5 days per week. Frustration with technology was associated with higher scores for the composite Emotional Exhaustion scale (r=0.35, P<.001) and each individual item on the Emotional Exhaustion scale (r=0.29-0.36, P<.001 for all). Each 10-point increase in the frustration with technology score was associated with a 1.2-point increase (95% CI 1.1-1.4) in emotional exhaustion (both measured on 100-point scales), after adjustment for other work-life integration items and unit and health care worker characteristics.

CONCLUSIONS

This study found that frustration with technology and several other markers of work-life integration are independently associated with emotional exhaustion among health care workers. Frustration with technology is common but not ubiquitous among health care workers, and it is one of several work-life integration factors associated with emotional exhaustion. Minimizing frustration with health care technology may be an effective approach in reducing burnout among health care workers.
Prediction of Asthma Hospitalizations for the Common Cold Using Google Trends: Infodemiology Study (Preprint)
Authors: Sousa-Pinto Bernardo , Halonen Jaana I , Antó Aram , Jormanainen Vesa , Czarlewski Wienczyslawa , Bedbrook Anna , Papadopoulos Nikolaos G , Freitas Alberto , Haahtela Tari , Antó Josep M , Fonseca João Almeida , Bousquet Jean
Published: July 2021

BACKGROUND

In contrast to air pollution and pollen exposure, data on the occurrence of the common cold are difficult to incorporate in models predicting asthma hospitalizations.

OBJECTIVE

This study aims to assess whether web-based searches on common cold would correlate with and help to predict asthma hospitalizations.

METHODS

We analyzed all hospitalizations with a main diagnosis of asthma occurring in 5 different countries (Portugal, Spain, Finland, Norway, and Brazil) for a period of approximately 5 years (January 1, 2012-December 17, 2016). Data on web-based searches on common cold were retrieved from Google Trends (GT) using the pseudo-influenza syndrome topic and local language search terms for common cold for the same countries and periods. We applied time series analysis methods to estimate the correlation between GT and hospitalization data. In addition, we built autoregressive models to forecast the weekly number of asthma hospitalizations for a period of 1 year (June 2015-June 2016) based on admissions and GT data from the 3 previous years.

RESULTS

In time series analyses, GT data on common cold displayed strong correlations with asthma hospitalizations occurring in Portugal (correlation coefficients ranging from 0.63 to 0.73), Spain (ρ=0.82-0.84), and Brazil (ρ=0.77-0.83) and moderate correlations with those occurring in Norway (ρ=0.32-0.35) and Finland (ρ=0.44-0.47). Similar patterns were observed in the correlation between forecasted and observed asthma hospitalizations from June 2015 to June 2016, with the number of forecasted hospitalizations differing on average between 12% (Spain) and 33% (Norway) from observed hospitalizations.

CONCLUSIONS

Common cold–related web-based searches display moderate-to-strong correlations with asthma hospitalizations and may be useful in forecasting them.

CLINICALTRIAL
Empowering Anxious Parents to Manage Child Avoidance Behaviors: Randomized Control Trial of a Single-Session Intervention for Parental Accommodation (Preprint)
Authors: Sung Jenna Y , Mumper Emma , Schleider Jessica Lee
Published: July 2021

BACKGROUND

A majority of youth who need anxiety treatment never access support. This disparity reflects a need for more accessible, scalable interventions—particularly those that may prevent anxiety in high-risk children, mitigating future need for higher-intensity care. Self-guided single-session interventions (SSIs) may offer a promising path toward this goal, given their demonstrated clinical utility, potential for disseminability, and low cost. However, existing self-guided SSIs have been designed for completion by adolescents already experiencing symptoms, and their potential for preventing anxiety in children—for instance, by mitigating known anxiety risk factors—remains unexplored.

OBJECTIVE

This trial evaluated the acceptability and proximal effects of project EMPOWER: a web-based, self-guided SSI designed to reduce parental accommodation, a parenting behavior known to increase the risk of anxiety in offspring.

METHODS

In total, 301 parents who reported elevated anxiety symptoms with children aged 4-10 years received either project EMPOWER or an informational control (containing psychoeducational materials and resources); parents self-reported their accommodation of child anxiety and overall distress tolerance at baseline and 2-week follow-up.

RESULTS

Relative to control-group parents, those who received the intervention outlined in project EMPOWER reported significant reductions in their accommodation of child anxiety (ds=0.61; P<.001) and significant increases in their distress tolerance (ds=0.43; P<.001) from baseline to 2-week follow-up. Additionally, parents rated project EMPOWER as highly acceptable (ie, easy to use, helpful, and engaging) in accordance with preregistered benchmarks.

CONCLUSIONS

Project EMPOWER is an acceptable self-guided SSI for parents of children at-risk for anxiety, which yields proximal reductions in clinically relevant targets.

CLINICALTRIAL

ClinicalTrials.gov NCT04453865; https://tinyurl.com/4h84j8t9
Use of an Online Ultrasound Simulator to Teach Basic Psychomotor Skills to Medical Students During the Initial COVID-19 Lockdown: Quality Control Study (Preprint)
Authors: Meuwly Jean-Yves , Mandralis Katerina , Tenisch Estelle , Gullo Giuseppe , Frossard Pierre , Morend Laura
Published: July 2021

BACKGROUND

Teaching medical ultrasound has increased in popularity in medical schools with hands-on workshops as an essential part of teaching. However, the lockdown due to COVID-19 kept medical schools from conducting these workshops.

OBJECTIVE

The aim of this paper is to describe an alternative method used by our medical school to allow our students to acquire the essential psychomotor skills to produce ultrasound images.

METHODS

Our students took online ultrasound courses. Consequently, they had to practice ultrasound exercises on a virtual simulator, using the mouse of their computer to control a simulated transducer. Our team measured the precision reached at the completion of simulation exercises. Before and after completion of the courses and simulator’s exercises, students had to complete a questionnaire dedicated to psychomotor skills. A general evaluation questionnaire was also submitted.

RESULTS

A total of 193 students returned the precourse questionnaire. A total of 184 performed all the simulator exercises and 181 answered the postcourse questionnaire. Of the 180 general evaluation questionnaires that were sent out, 136 (76%) were returned. The average precourse score was 4.23 (SD 2.14). After exercising, the average postcourse score was 6.36 (SD 1.82), with a significant improvement (P<.001). The postcourse score was related to the accuracy with which the simulator exercises were performed (Spearman rho 0.2664; P<.001). Nearly two-thirds (n=84, 62.6%) of the students said they enjoyed working on the simulator. A total of 79 (58.0%) students felt that they had achieved the course’s objective of reproducing ultrasound images. Inadequate connection speed had been a problem for 40.2% (n=54) of students.

CONCLUSIONS

The integration of an online simulator for the practical learning of ultrasound in remote learning situations has allowed for substantial acquisitions in the psychomotor field of ultrasound diagnosis. Despite the absence of workshops, the students were able to learn and practice how to handle an ultrasound probe to reproduce standard images. This study enhances the value of online programs in medical education, even for practical skills.
Development and Pilot-test of Blockchain based MyHealthData Platform (Preprint)
Authors: Yoon Hyung-Jin , Bae Ye Seul , Park Yujin , Kim Taekhoon , Ko Taehoon , Kim Min-Soo , Lee Eunsol , Kim Hee Chan
Published: July 2021

BACKGROUND

The concept of MyData emerged as a paradigm shift in personal data management and the process of seeking to transform the current organization-centered system. MyData enables the utilization of one’s own personal information that is scattered among various institutions as a system for data subjects to exercise rights of self-determination.

OBJECTIVE

We aimed to develop and demonstrate a MyData platform (MyHealthData) that allows data subjects to download and manage health-related personal data stored in various medical institutions.

METHODS

The platform consists of a mobile app for users, API (application program interface) for data conversion and exchange installed in the hospital information system (HIS), and a relay server connected to the blockchain to prove data integrity. User surveys were conducted to explore perceived usefulness, perceived ease of use, and satisfaction.

RESULTS

We provided four services to users through the platform developed in this study: inquiring about medical and health checkup records, health coaching, checking conditions of participation in clinical research, and claims, by using an app. A total of 1,228 participants signed for the service and the overall user satisfaction was high, especially with ‘inquire about medical and health checkup records.’

CONCLUSIONS

MyData brings a user-centered paradigm in which data subjects can directly participate in the use of their own data. MyData will improve healthcare data interoperability, allowing it to be used not only in research areas but also in other areas by sharing and integrating various healthcare data.
An Integrated Model to Improve Medication Reconciliation in Oncology: Prospective Interventional Study (Preprint)
Authors: Passardi Alessandro , Serra Patrizia , Donati Caterina , Fiori Federica , Prati Sabrina , Vespignani Roberto , Taglioni Gabriele , Farfaneti Ghetti Patrizia , Martinelli Giovanni , Nanni Oriana , Altini Mattia , Frassineti Giovanni Luca , Minguzzi Martina Vittoria
Published: July 2021

BACKGROUND

Accurate medication reconciliation reduces the risk of drug incompatibilities and adverse events that can occur during transitions in care. Community pharmacies (CPs) are a crucial part of the health care system and could be involved in collecting essential information on conventional and supplementary drugs used at home.

OBJECTIVE

The aim of this paper was to establish an alliance between our cancer institute, Istituto Romagnolo per lo Studio dei Tumori (IRST), and CPs, the latter entrusted with the completion of a pharmacological recognition survey. We also aimed to integrate the national information technology (IT) platform of CPs with the electronic medical records of IRST.

METHODS

Cancer patients undergoing antiblastic treatments were invited to select a CP taking part in the study and to complete the pharmacological recognition step. The information collected by the pharmacist was sent to the electronic medical records of IRST through the new IT platform, after which the oncologist performed the reconciliation process.

RESULTS

A total of 66 CPs completed surveys for 134 patients. An average of 5.9 drugs per patient was used at home, with 12 or more used in the most advanced age groups. Moreover, 60% (80/134) of the patients used nonconventional products or critical foods. Some potential interactions between nonconventional medications and cancer treatments were reported.

CONCLUSIONS

In the PROF-1 (Progetto di Rete in Oncologia con le Farmacie di comunità della Romagna) study, an alliance was created between our cancer center and CPs to improve medication reconciliation, and a new integrated IT platform was validated.

CLINICALTRIAL

ClinicalTrials.gov NCT04796142; https://clinicaltrials.gov/ct2/show/NCT04796142
Digital Instruments for Reporting of Gastrointestinal Symptoms in Clinical Trials: Comparison of End-of-Day Diaries Versus the Experience Sampling Method (Preprint)
Authors: Beckers Abraham B , Snijkers Johanna T W , Weerts Zsa Zsa R M , Vork Lisa , Klaassen Tim , Smeets Fabienne G M , Masclee Ad A M , Keszthelyi Daniel
Published: July 2021

BACKGROUND

Questionnaires are necessary tools for assessing symptoms of disorders of the brain-gut interaction in clinical trials. We previously reported on the excellent adherence to a smartphone app used as symptom diary in a randomized clinical trial on irritable bowel syndrome (IBS). Other sampling methods, such as the experience sampling method (ESM), are better equipped to measure symptom variability over time and provide useful information regarding possible symptom triggers, and they are free of ecological and recall bias. The high frequency of measurements, however, could limit the feasibility of ESM in clinical trials.

OBJECTIVE

This study aimed to compare the adherence rates of a smartphone-based end-of-day diary and ESM for symptom assessment in IBS and functional dyspepsia (FD).

METHODS

Data from 4 separate studies were included. Patients with IBS participated in a randomized controlled trial, which involved a smartphone end-of-day diary for a 2+8-week (pretreatment + treatment) period, and an observational study in which patients completed ESM assessments using a smartphone app for 1 week. Patients with FD participated in a randomized controlled trial, which involved a smartphone end-of-day diary for a 2+12-week (pretreatment + treatment) period, and an observational study in which patients completed ESM assessments using a smartphone app for 1 week. Adherence rates were compared between these 2 symptom sampling methods.

RESULTS

In total, 25 patients with IBS and 15 patients with FD were included. Overall adherence rates for the end-of-day diaries were significantly higher than those for ESM (IBS: 92.7% vs 69.8%, FD: 90.1% vs 61.4%, respectively).

CONCLUSIONS

This study demonstrates excellent adherence rates for smartphone app–based end-of-day diaries as used in 2 separate clinical trials. Overall adherence rates for ESM were significantly lower, rendering it more suitable for intermittent sampling periods rather than continuous sampling during longer clinical trials.
Investigation of Prenatal Pesticide Exposure and Neurodevelopmental Deficits in Northern Thailand: Protocol for a Longitudinal Birth Cohort Study (Preprint)
Authors: Baumert Brittney O , Fiedler Nancy , Prapamontol Tippawan , Suttiwan Panrapee , Naksen Warangkana , Panuwet Parinya , Sittiwang Supattra , Dokjunyam Chayada , Smarr Melissa M , Marsit Carmen J , Ryan P Barry , Siriwong Wattasit , Robson Mark G , Barr Dana Boyd
Published: July 2021

BACKGROUND

Prenatal exposure to pesticides has been linked to adverse neurodevelopmental outcomes. Gaps exist in the current literature about the timing and magnitude of exposures that result in these adverse outcomes.

OBJECTIVE

The Study of Asian Women and their Offspring’s Development and Environmental Exposures (SAWASDEE) cohort was established to investigate the impact of prenatal exposure to pesticides on early indicators of cognitive and motor skills, inhibitory control, emotion regulation, and memory that have been found to be important in the development of subsequent neurobehavioral and neurodevelopmental diseases. The overarching goal is to find earlier predictors of potential adverse neurologic outcomes in order to enable earlier interventions that could result in better outcome prognoses.

METHODS

Recruitment of this prospective, longitudinal birth cohort began in July 2017 and was completed in June 2019 in Chom Thong and Fang, 2 farming districts in Chiang Mai Province in northern Thailand. Follow-up of the study participants is ongoing. During pregnancy, 7 questionnaires were administered. Time-resolved biospecimen samples were collected monthly (for urine) and during each trimester (for blood) during antenatal care visits. Medical records were abstracted. Infants were administered the NICU Network Neurobehavioral Scale (NNNS) test at 1 month of age. A total of 322 mother-child pairs completed the NNNS test. All children will be followed until 3 years of age and undergo a series of neurodevelopmental tests. We will complete several additional exposure related analyses.

RESULTS

A total of 1298 women were screened, and of those, 394 (30.35%) women were enrolled. The mean gestational age at enrollment was 9.9 weeks (SD 2.6). Differences in literacy were observed between Chom Thong and Fang participants. In Fang, about 54 of 105 (51.4%) participants reported being able to read in Thai compared to about 206 of 217 (94.9%) participants in Chom Thong. The percentages were comparable for reporting to be able to write in Thai.

CONCLUSIONS

This longitudinal birth cohort study will inform risk assessment standards for pregnant women in Thailand and other countries. Building awareness of how insecticide exposure during specific windows of pregnancy affects the neurodevelopmental trajectories of children in developing countries is a specific need recognized by the World Health Organization.

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/31696
Humanizing Health and Social Care Support for People With Intellectual and Developmental Disabilities: Protocol for a Scoping Review (Preprint)
Authors: Milne-Ives Madison , Shankar Rohit , Goodley Dan , Lamb Kirsten , Laugharne Richard , Harding Tracey , Meinert Edward
Published: July 2021

BACKGROUND

Health care is shifting toward a more person-centered model; however, people with intellectual and developmental disabilities can still experience difficulties in accessing equitable health care. Given these difficulties, it is important to consider how humanizing principles, such as empathy and respect, can be best incorporated into health and social care practices for people with intellectual and developmental disabilities to ensure that they are receiving equitable treatment and support.

OBJECTIVE

The purpose of our scoping review is to provide an overview of the current research landscape and knowledge gaps regarding the development and implementation of interventions based on humanizing principles that aim to improve health and social care practices for people with intellectual and developmental disabilities.

METHODS

The PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) and PICOS (Population, Intervention, Comparator, Outcome, and Study) frameworks will be used to structure the review. A total of 6 databases (PubMed, MEDLINE, Embase, CINAHL, PsycINFO, and Web of Science) will be searched for English articles published in the previous 10 years that describe or evaluate health and social care practice interventions underpinned by the humanizing principles of empathy, compassion, dignity, and respect. Two reviewers will screen and select references based on the eligibility criteria and extract the data into a predetermined form. A descriptive analysis will be conducted to summarize the results and provide an overview of interventions in the following three main care areas: health care, social care, and informal social support.

RESULTS

The results will be included in the scoping review, which is expected to begin in October 2022 and be completed and submitted for publication by January 2023.

CONCLUSIONS

Our scoping review will summarize the state of the field of interventions that are using humanizing principles to improve health and social care for adults with intellectual and developmental disabilities.

INTERNATIONAL REGISTERED REPORT

PRR1-10.2196/31720
"Wenn ich das vielleicht einem Pfarrer erzählt hätte..."
Authors: Augstburger Salome
Published: July 2021

«Die Rollen reformierter Pfarrer im Verdingkinderwesen aus der Perspektive Betroffener» lautete der Titel der Masterarbeit, die Salome Augstburger im Fach Diakoniewissenschaft schrieb. In ihrem Beitrag, der ein Exzerpt aus ihrer Masterarbeit darstellt, nimmt sie den Sachverhalt auf, dass bei sämtlichen bisherigen Forschungen zum Heim- und Verdingkinderwesen bislang meist unklar blieb, in welcher Art und Weise reformierte Akteurinnen und Akteure an der Fremdplatzierungspraxis beteiligt waren. Anhand eines Oral-History-Datensatzes aus den 2000er Jahren gelingt es ihr, detailreich die Ambivalenzen darzulegen, von denen die Mitwirkungen reformierter Pfarrer in Verdingkindersituationen geprägt waren. Die Rollen der involverten Pfarrer «reichen von aktivem Missbrauch über passive Untätigkeit bis zu aktivem Einsatz für verdingte Kinder» und verweisen insgesamt auf ein gesellschaftliches Klima, in dem dem Kindswohl, insbesonderem dem Wohl fremdplatzierter Kinder, lediglich untergeordnete Bedeutung zukam.
Von der anspruchsvollen Kunst der Abhängigkeit
Authors: Rüegger Heinz
Published: July 2021

Heinz Rüegger beleuchtet in seinem Beitrag «Von der anspruchsvollen Kunst der Abhängigkeit» in kritischer Hinsicht den Umstand, dass Abhängigkeit in westlichen Gesellschaften «weithin als ein Zeichen von Schwäche und Inkompetenz» gelte, wobei es in einem entsprechenden Kontext anspruchsvoll sei, Hilfe von anderen annehmen zu müssen. Die dahintersteckende Vorstellung von menschlicher Selbständigkeit und Unabhängigkeit kritisiert er mit Harry M. Moody als «narzisstische Illusion», zumal gegenseitige Abhängigkeit als Grundzug menschlichen Lebens zu betrachten sei. Auf der Basis eines gegenseitigen Aufeinander-bezogen-Seins unter Mitmenschen postuliert Rüegger mit Gernot Böhme, das Ideal der Autonomie durch dasjenige der Souveränität zu ersetzen, wonach der Mensch derjenige sei, «der gerade nicht alles in seinem Lebensvollzug meint selber bestimmen, meistern und kontrollieren zu müssen, sondern der sich etwas widerfahren lassen kann, über das er nicht selber verfügt, und der gelassen mit seinen Abhängigkeiten umgehen kann».
Bestattungspraxis – Figurationen im Wandel
Authors: Caduff Corina
Published: July 2021

Corina Caduff stellt in ihrem Beitrag dar, inwiefern die allgemeingesellschaftliche Abkehr von der Kirche den gegenwärtigen Wandel im Bestattungswesen vorantreibt, und bespricht aktuelle Neuerungen und Experimente der Abschiedsrituale als Symptome der kirchlichen Ablösung.

Im Weiteren zeigt der Beitrag auf, wie die digitalen Medien zu Veränderungen in der virtuellen und analogen Bestattungskultur beitragen, in- dem sie neue Gedenkkulturen und Trauerpraktiken ermöglichen. Aufgrund der zahlreichen Differenzen zwischen analogen und virtuellen Friedhöfen liegt es nahe, diese nicht als konkurrierende, sondern als einander ergänzende Orte zu sehen. Abschliessend werden branchen-spezifische Gründe für Innovationshemmung im Bestattungswesen diskutiert.
Was können wir noch sagen?
Authors: Zeindler Matthias
Published: July 2021

In einer pluralistischen Gesellschaft ist es für die Kirchen dringlicher als in früheren Zeiten, das Eigene ihrer Bestattungsrede klar zu machen. Das Proprium kirchlicher Bestattungsrede ist auch in einem zunehmend säkularen Umfeld die Eschatologie des christlichen Glaubens, hält Matthias Zeindler in seinem Beitrag fest. Wo heute noch auf ein Leben nach dem Tod gehofft wird, geschieht dies meist in stark individualisierter Form – was Kurt Marti als «heillos egozentriert» kritisiert hat. Christlicher Glaube orientiert sich mit seiner Hoffnung über den Tod hinaus an Jesus Christus, dem ersten von Gott Auferweckten. Dessen Auferstehung ist der «Anfang der allgemeinen Totenauferstehung» und «der Beginn der Neuschöpfung aller Dinge» (Moltmann). Die eschatologische Hoffnung des christlichen Glaubens ist deshalb weit mehr als Hoffnung auf ein Weiterleben nach dem Tod; sie hofft auf ein neues, versöhntes Leben für alles Geschaffene und protestiert deshalb schon hier gegen die lebensfeindlichen Kräfte der Entfremdung, der Lieblosigkeit und der Angst.