bluuebunny/crossref_metadata_2025_split huggingface dataset:
Systematic Review of Economic Impact Studies of Artificial Intelligence in Health Care
Authors: Wolff Justus , Pauling Josch , Keck Andreas , Baumbach Jan 
Published: December 2019

Background
Positive economic impact is a key decision factor in making the case for or against investing in an artificial intelligence (AI) solution in the health care industry. It is most relevant for the care provider and insurer as well as for the pharmaceutical and medical technology sector. Although the broad economic impact of digital health solutions in general has been assessed many times in literature and the benefit for patients and society has also been analyzed, the specific economic impact of AI in health care has been addressed only sporadically.

Objective
This study aimed to systematically review and summarize the cost-effectiveness studies dedicated to AI in health care and to assess whether they meet the established quality criteria.

Methods
In a first step, the quality criteria for economic impact studies were defined based on the established and adapted criteria schemes for cost impact assessments. In a second step, a systematic literature review based on qualitative and quantitative inclusion and exclusion criteria was conducted to identify relevant publications for an in-depth analysis of the economic impact assessment. In a final step, the quality of the identified economic impact studies was evaluated based on the defined quality criteria for cost-effectiveness studies.

Results
Very few publications have thoroughly addressed the economic impact assessment, and the economic assessment quality of the reviewed publications on AI shows severe methodological deficits. Only 6 out of 66 publications could be included in the second step of the analysis based on the inclusion criteria. Out of these 6 studies, none comprised a methodologically complete cost impact analysis. There are two areas for improvement in future studies. First, the initial investment and operational costs for the AI infrastructure and service need to be included. Second, alternatives to achieve similar impact must be evaluated to provide a comprehensive comparison.

Conclusions
This systematic literature analysis proved that the existing impact assessments show methodological deficits and that upcoming evaluations require more comprehensive economic analyses to enable economic decisions for or against implementing AI technology in health care.

Trial Registration
A INTERNACIONALIZAÇÃO NA PÓS-GRADUAÇÃO STRICTO SENSU NO BRASIL: UM OLHAR A PARTIR DA POLÍTICA NACIONAL DE GARANTIA DA QUALIDADE
Authors: Indjaian Maria Lucia 
Published: December 2019

Este artigo tem como objetivo proporcionar uma visão sobre como está ocorrendo o processo de internacionalização na pós-graduação stricto sensu no Brasil, a partir do dos anos de 1990, quando a internacionalização passa a ser utilizada como indicador de qualidade dos programas que oferecem cursos de doutorado, pela política nacional de garantia da qualidade da pós-graduação, através da Avaliação Trienal dos Programas de Pós-Graduação, realizada pela CAPES. Para tanto, se fundamenta em uma pesquisa de natureza qualitativa e exploratória, que utilizou como procedimentos metodológicos a revisão bibliográfica, a análise documental , análise de conteúdo e priorizou três níveis de análise: o internacional no âmbito da globalização dos anos de 1980; o nacional através da política nacional de garantia da qualidade e o individual, através das ações em colaboração internacional realizadas pelos programas de pós-graduação de direito classificados com nível de excelência internacional na Avaliação Trienal CAPES de 2013. Os dados obtidos sinalizam no sentido de que a avaliação está contribuindo para induzir o processo de internacionalização desses programas mas não avalia a qualidade das atividades realizadas pelos mesmos e que estes realizaram diferentes atividades e ações em colaboração internacional voltadas para dois objetivos : o primeiro, em maior número, voltado para obter uma posição de destaque no mercado educacional internacional e o segundo, composto por um número menor de ações , visando o alcance de objetivos e benefícios comuns e para a criação de uma cultura de solidariedade entre os países.
Ensino de Língua Portuguesa escrita na educação bilíngue de surdos: questões de professores da Baixada Fluminense
Authors: Calixto Hector , Ribeiro Amelia , Ribeiro Alexandre 
Published: December 2019

A Lei nº 10.436/2002 e o Decreto nº 5.626/2005 determinam o ensino de língua portuguesa escrita para surdos, o que é corroborado pelo Plano Nacional de Educação (PNE) 2014-2024. Essas determinações impactam a formação docente e o fazer pedagógico nos anos iniciais, especialmente em contextos bilíngues e em espaços geograficamente identificados como periferias urbanas. Este artigo, de caráter original, discute como professores que atuam em salas de aula inclusivas e bilíngues percebem os desafios decorrentes do ensino de língua portuguesa escrita para surdos. Com base em princípios da pesquisa-ação, analisaram-se narrativas de professores dos anos iniciais da educação bilíngue de surdos da Baixada Fluminense. Buscou-se, nessas narrativas coletadas em um curso de extensão sobre ensino de português escrito como segunda língua, mapear concepções e expectativas dos professores em relação à aprendizagem de português escrito por surdos. Os resultados permitem, na concepção dos professores, apontar questões como: a essencialidade do entendimento da aprendizagem do português escrito por alunos surdos, na perspectiva da interculturalidade, como forma de ampliar horizontes culturais e de relacionamento com os outros; a necessidade de espaços de compartilhamento de saberes e fazeres docentes; o resgate de conhecimentos que permitam pensar pedagogicamente sobre saberes e fazeres; e o destaque do planejamento e de proposição de atividades que atendam às especificidades do ensino de português escrito como segunda língua para surdos (PL2S).
Inserção na docência da Academia Militar das Agulhas Negras: a perspectiva dos professores
Authors: De Almeida Anderson , Ambrosetti Neusa 
Published: December 2019

Este artigo teve como objetivo analisar os desafios de atuação docente, no contexto do ensino superior militar, na perspectiva dos professores da Academia Militar das Agulhas Negras (Aman). O referencial teórico apoia-se nas contribuições de autores que vêm discutindo o processo de inserção de profissionais e o seu desenvolvimento na carreira docente em instituições civis de ensino. Foi realizada pesquisa qualitativa, a partir da aplicação de um questionário (com questões discursivas e objetivas de múltipla escolha) e análise documental. A pesquisa contou com a participação de 47 docentes de um total de 95. O questionário foi respondido por meio eletrônico, sendo garantido o anonimato dos participantes. A análise dos dados demonstrou que 55% dos docentes que compunham a amostra foram graduados na própria instituição, portanto, vinham do ensino superior militar, enquanto 45% foram graduados em instituições civis. Os resultados demonstraram ainda que há diferentes percepções sobre o processo ensino-aprendizagem e sobre os desafios da carreira docente, no contexto do ensino superior militar, as quais podem estar associadas à trajetória acadêmica e aos vínculos institucionais anteriores.
Determinant Factors of Fertility in Reproductive Age Women
Authors: Ekawati Rindang , Rahayuwati Laili , Nurhidayah Ikeu , Agustina Habsyah Saparidah , Rahayu Endah 
Published: December 2019

The target of the 2015 Medium-Term National Development Plan is the fertility rate of 2.1 children. However, based on The Indonesian National Demographic and Health Survey 2017, the fertility rate of West Java Province is similar to the national, which is 2.4 children. West Java is a barometer of the national fertility rate since one-fifth of Indonesia's population is in West Java. This study aims to analyze the factors that influence fertility (number of children ever born). The design of this study was cross-sectional. Data derived from the 2018 Survey of Accountability Programs Performance covered 12,350 women aged 15-49 years. The sample was 9,814 woman who had been married. Data analysis used univariate, bivariate and multivariate analyses with a confidence level of 0.05. Bivariate results found that five variables that affected fertility were the age of first marriage, frequency of marriage, use of contraceptive, ideal family size, and wealth index, while the area of residence was not related to fertility. Indeed there are three most dominant factors that have been related to fertility were the age of first marriage, frequency of marriage, and the use of contraceptives. The conclusion was that women who marry at an older age and use contraception have lower fertility rates. This study can be considered in population control policies, especially to improve health promotion programs regarding the ideal marriage age for women and the use of contraception as an effort to control the population rate. This study can be considered in population policies.
Moderate Inclusivism and the Conversational Translation Proviso: Revising Habermas' Ethics of Citizenship
Authors: Jakobsen Jonas 
Published: December 2019

Habermas’ ‘ethics of citizenship’ raises a number of relevant concerns about the dangers of a secularistic exclusion of religious contributions to public deliberation, on the one hand, and the dangers of religious conflict and sectarianism in politics, on the other. Agreeing largely with these concerns, the paper identities four problems with Habermas’ approach, and attempts to overcome them: (a) the full exclusion of religious reasons from parliamentary debate; (b) the full inclusion of religious reasons in the informal public sphere; (c) the philosophical distinction between secular and religious reasons; and (d) the sociological distinction between ‘Western’ and ‘non-Western’ religions. The result is a revised version of the ethics of citizenship, which I call moderate inclusivism. Most notably, moderate inclusivism implies a replacement of Habermas’ ‘institutional translation proviso’ with a more flexible ‘conversational translation proviso’.
Pautas para la determinación de la responsabilidad penal del médico en comisión por omisión
Authors: Momblanc Liuver Camilo 
Published: December 2019

El médico ya no se considera como en el pasado una autoridad indiscutible y este fenómeno se aplica a todas las profesiones de responsabilidad pública o social. La complejidad de los procesos de responsabilidad médica en la actualidad requiere iniciativas de investigación que brinden propuestas de solución a los numerosos problemas que enfrentan los tribunales penales frente a estos casos. En este artículo, a partir de las bases teóricas que inspiran el diseño dogmático del comportamiento omisivo, se examina el ordenamiento jurídico penal cubano y proponen pautas para la determinación la responsabilidad penal del médico en comisión por omisión; fuente de inagotables controversias, incluso en sus cuestiones más particulares que se agudizan en el ámbito médico.
Is oral anticoagulation effective in preventing transcatheter aortic valve implantation failure? A propensity matched analysis of the Italian Transcatheter balloon-Expandable valve Registry study
Authors: Conrotto Federico , D’Ascenzo Fabrizio , Bianco Matteo , Salizzoni Stefano , D’Onofrio Augusto , Ribichini Flavio , Tarantini Giuseppe , D’Amico Maurizio , Moretti Claudio , Rinaldi Mauro 
Published: December 2019

Background
Early hypo-attenuated leaflet thickening after transcatheter aortic valve implantation (TAVI) has been recently described presumably reflecting thrombus apposition. Although its clinical relevance is still unknown, oral anticoagulant therapy (OAT) led to almost complete resolution.

Methods
The retrospecitve Italian Transcatheter balloon-Expandable valve registry that included all patients undergoing balloon-expandable TAVI in 33 Italian centers. Patients discharged after TAVI with aspirin alone were compared with those assuming aspirin and OAT before and after propensity score with matching. Prosthetic heart valve dysfunction at follow-up was the primary end point. All-cause death, cardiovascular death, bleeding, vascular complications and cerebrovascular accidents at 30 days and at follow-up were the secondary ones.

Results
Among the 1904 patients enrolled in the Italian Transcatheter balloon-Expandable valve registry, 716 patients on OAT and aspirin or aspirin alone were identified and analyzed: 555 were on aspirin alone and 161 on OAT and aspirin. The median follow-up was 44.0 ± 12 months. After matching, risk of prosthetic valve dysfunction at follow-up did not differ between the two groups: 3.1% in patients treated with aspirin alone vs. 1.9% in those treated with OAT and aspirin, (P = 0.72). Nevertheless patients treated with aspirin alone at follow-up had a significantly lower risk of death (21 vs. 33%, P = 0.03) and major bleeding (4 vs. 14%, P = 0.04) with a similar rate of stroke/transient ischemic attack (TIA) (1.2 vs. 3.1%, P = 0.45). At 30 days rates of Valve Academic Research Consortium death were similar in both groups (0.6 vs. 3.7%, P = 0.12) with higher risk of life threatening bleeding and minor vascular complications in patients on OAT and aspirin.

Conclusion
After TAVI with Edwards Sapien valve OAT did not reduce the incidence of valve dysfunction and stroke but was responsible for mortality and bleeding increases.
Final Programme - International Conference on Marine Engineering and Technology Oman (ICMET Oman)
Authors: MTC  , IMarEST  
Published: December 2019

INNOVATIVE SOLUTIONS FOR FUTURE NEEDS - 5 – 7 November 2019, Military Technological College Muscat, Oman - KEY THEMES: Marine Resources and Security, Shipbuilding Technology, Sustainability and Green Shipping, Safe Automation and Remote Manning, Support and Infrastructure, Ship Design and Propulsion, Naval Engineering. ICMET provides a unique opportunity for academic staff and marine engineers across all sectors and domains to meet in a professional, scientific forum and explore the latest innovative thoughts in the field. The theme for ICMET Oman 2019 is Innovative Solutions for Future Needs and reflects the challenge for marine academia and the industry worldwide to come up with efficient, cost-effective and environmentally friendly answers and products that will arm the marine community against these forthcoming challenges. Different areas such as marine security and resources; sustainability and green shipping; ship-design and propulsion; safe automation; support and infrastructure; professional development; safety and regulations and naval engineering (underwater technology and weapon systems) will be explored.
Effectiveness the pharmaceutical care in diabetic patients*
Authors: Machado -Alba Jorge E , Torres-Rodríguez Sandra , Vallejos-Narváez Alvaro 
Published: December 2019

Objective: To determine the effectiveness of pharmaceutical care to improve control of type-2 diabetes mellitus. Methods: We carried out pharmacotherapeutical intervention during 19 months on patients with type-2 diabetes mellitus who were affiliate members of the contributive regime of the General System for Healthcare and Social Security in Bogotá and Cartagena. Through an interview and evaluation of medical records, we obtained information about antidiabetic medications used, doses, other medications, along with Hemoglobin A1c level, arterial pressure, serum low-density lipoprotein cholesterol level, nephropathy screening, retinal screening, foot exams in the last year and problems associated with medication use by means of the DADER method Negative Outcomes Associated with Medication (NOM). Results: The study had a sample of 143 patients (64 intervened and 79 controls) with female predominance (67.1% and 53.1%, respectively), mean age of 63.9±11.2 years. The patients in both groups were taking an average of 6.0±2.7 medications. Initial HbA1c mean was 7.7% and 7.8%, without improvement by the end of the study (7.4% for those intervened and 7.8% for the control group). Hypertension (81.1%) and dyslipidemia (62.9%) were the most important comorbidities. About 50.4% of NOM were of effectiveness, follows 31.3% of necessity. The mean cost per patient in controls was 1.4 greater than for the intervened group. Conclusions: Increased effectiveness of the antidiabetic therapy was not demonstrated in patients intervened with pharmacotherapeutical monitoring, but we did obtain a reduction in healthcare costs.
Factors associated with stunted growth in children below 11 years of age in Antioquia, Colombia, 2004
Authors: Castro Bibiana Andrea , González Edwin Rolando , Álvarez Marta Cecilia , Segura Angela María 
Published: December 2019

Objective: To explore some factors associated to stunted growth in children below 11 years of age in the Department of Antioquia. Methodology: Cross-sectional study using the databases of alimentary and nutritional profiles in homes of Antioquia in 2004, based on a representative random sample of homes in the department (95% reliability and error margin of 3%). For this study, 100% of the records of children below 11 years of age were used. A model of generalized equations estimation was constructed for stunted growth classified by a Z score smaller than -2 standard deviation with respect to p 50 of the 1978 NCHS (Centro Nacional de Estadísticas de la Salud - National Center for Health Statistics). Data were analyzed using the GLIMMIX Procedure: SAS version 9.1. Results: We found 18.6% of the children with stunted growth, 75% of the homes with male head of household, 70% of heads of household with maximum 5 years of schooling; 47% of homes were nucleated bi-parental, and 40% extensive with a 5-member median per home; 56.4% poor per unsatisfied basic needs, and 80% in alimentary insecurity. The factors associated to stunted growth were: female gender, 1-5 years of age, head of household with less than 6 years of schooling, more than 5 people in the home, more than two household members under 7 years of age, coming from a poor home per unsatisfied basic needs, belonging to a sub-region different from Medellin, food availability of less than 30 different foods per week, no production of food, and head of household under 40 years of age. Conclusions: Herein, we show evidence of the magnitude of poverty and association of precarious socioeconomic conditions with stunted growth in Antioquia. The study shows the importance of considerin
O TAC como instrumento de regularização fundiária sustentável: aplicação da Reurb social nas APPs do Lago do Juá e Rio Tapajós em Santarém-PA
Authors: Leite Marcelo Messias , Gomes Magno Federicci 
Published: December 2019

O objetivo deste artigo é analisar a Lei de Regularização Fundiária Urbana, nº 13.465/2017, diploma legal sobre ocupações antrópicas em Áreas de Preservação Permanente (APPs), regulamentada pelo Decreto nº 9.310/2018, visando os direitos no art. 6º e 225 da Constituição da República de 1988 (CR/88). Apresentar a hipótese de regularização fundiária nas APPs do Juá e Tapajós, mediante o Termo de Ajustamento de Conduta (TAC). Será utilizada metodologia de pesquisa documental/bibliográfica, com raciocínio logico/dedutivo. Os resultados apontam que é possível efetivar o direito a moradia pelo TAC, desde que aplicado por instrumentos técnico-científicos que garantam a proteção ambiental em APPs.
EXAMPLE OF GOOD PRACTICE OF VICTIM RIGHTS: COMPARISON OF STUDIES IN CANADA AND TURKEY
Authors: POLAT Nil 
Published: December 2019

Victim rights is a concept that has been at the agenda in recent years. This issue, which first came as a sub-title of criminology, then came to life in many developed countries, including the United States and Canada, and important steps were taken about it. All cases of violence against children, including sexual abuse, especially against women and to support the needs of victims in cases of domestic violence, especially psychological, medical and legal aspects to be given to victims who have been assaulted in healing process is very important. Organizations in the developed countries are paying attention to this subject matter.
In this study, the practices in Canada that have done important work on Victim Rights will be described as examples of good practice and the situation in our country will be evaluated in terms of Victim Rights by comparing them with the studies in Turkey.
FIELD STUDY ON KNOWLEDGE, ATTITUDES AND BEHAVIORS REGARDING VIOLENCE IN TRAFFIC AND ROAD RAGE
Authors: REVA Zeynep 
Published: December 2019

Context and Aim: The road rage can be defined as the anger occurred while driving and its level can be associated with aggressive and risky driving, loss of concentration and vehicular control, and near accident misses on traffic. The aim of this study is to measure whether the attitudes and behaviors of people in the face of incidents in traffic are covered by road rage and also whether people are aware of their legal rights when they encounter violence in traffic.
Methodology: In this study, the factorability of the 14-item short form of Driver Anger Scale (DAS) was investigated among 421 drivers from Turkish population, and SPSS program has been used in the analyses.
Findings: Drivers had more difficulty in controlling their anger and showed aggressive behaviors when they felt they were at risk and could control their anger better in cases of impatience, such as waiting for a vehicle to park. The percentage of those who honk in traffic and of those who flash their lights when they get angry in traffic was 71% and 57%, respectively, which suggest that the acts of honking, flashing lights have become normal and are not considered as acts of violence. While 75% of the surveyed drivers, and 80% of the non-lawyers surveyed drivers stated that they did not know their legal rights when they encountered violence in traffic, 81% of the lawyers who participated in the research stated that they knew their legal rights.
Conclusion: Violence in traffic ranges from injury to killing, from insulting to sexual harassment, from endangering traffic safety to damage to property. Although there are some regulations proposed in the legal dimension to combat violence in traffic and suggestions to enable drivers to control their anger, the main solution is increasing the level of culture and education.
The council of Europe reference framework of competences for democratic culture: Ideological refractions, othering and obedient politics
Authors: Simpson Ashley , Dervin Fred 
Published: December 2019

The popularity of the idea of interculturality, in different parts of the world, means that there are many differing meanings and ways in which the notion is understood, represented, and expressed. In contrast to the polysemy of the intercultural, democracy often appears on the surface to be understood through universalist and/or absolutist conceptualisations. Combining the intercultural and democracy thus requires problematisation. In this article we use The Council of Europe Reference Framework On Competencies For Democratic Culture (2018) as an example showing how the notion of the intercultural is constructed. We use a form of intertextuality in order to show the performance of competing ideologies found in this document. Some of the ideologies found within the texts clearly mark Eurocentric discourses and a stigmatization of the other. Also, the way in which the political is sanitized can engender a language of depoliticization and obedience. As a result, we problematise Critical Interculturality as a way to move beyond culturalist self-centered notions of the intercultural arguing that the political and the social cannot be separated from the intercultural when discussing democracy.