bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intervention to Improve Preschool Children’s Fundamental Motor Skills: Protocol for a Parent-Focused, Mobile App–Based Comparative Effectiveness Trial
Authors: Webster E Kipling , Kracht Chelsea L , Newton Jr Robert L , Beyl Robbie A , Staiano Amanda E 
Published: October 2020

Background
Preschool age is an important time to master fundamental motor skills (FMS) through structured physical activity, yet many young children lag behind in motor skill development.

Objective
The Promoting Lifelong Activity in Youth (PLAY) study is a pilot comparative effectiveness trial to test the acceptability, feasibility, and preliminary effectiveness of a mobile app delivered to parents to promote FMS development in their preschool children (aged 3-5 years).

Methods
We conducted a 2-arm, parallel-design, randomized comparative effectiveness trial in 72 parent-child dyads from the southeastern United States. Experts in motor development and developmental psychology developed an app designed to deliver a 12-week program to parents of preschoolers using 1 of 2 curricula: an FMS program (intervention) that involved peer modeling, parent engagement, and structured skills-based activities and an unstructured physical activity (comparator) curriculum that provided suggestions for child-led physical activity (ie, free play). Primary outcomes are feasibility and acceptability of the app and child’s FMS measured at end of intervention (week 12). Exploratory outcomes are child’s objective physical activity, perceived movement competence, and parent report of self-regulation at the end of treatment (week 12) and sustained outcomes at follow-up (week 24).

Results
This project was funded in September 2018, with institutional review board approval in August 2018. Data collection took place from May 2019 through February 2020. To date, the project team has completed data collection on 69 preschool-age children, and results are expected to be published by 2021.

Conclusions
The PLAY study examines the feasibility and preliminary effectiveness of a mobile app, parent-led curricula to promote FMS proficiency for preschool children. If found to be effective, the app has the potential for wide-scale dissemination to parents of preschoolers and to provide a model for the utilization of mobile apps to promote young children’s motor skill development.

Trial Registration
ClinicalTrials.gov NCT03901300; https://clinicaltrials.gov/ct2/show/NCT03901300

International Registered Report Identifier (IRRID)
DERR1-10.2196/19943
Psychological Effects of the COVID-19 Imposed Lockdown on Adults with Attention Deficit/Hyperactivity Disorder: Cross-Sectional Survey Study
Authors: Adamou Marios , Fullen Tim , Galab Nazmeen , Mackintosh Isobel , Abbott Karl , Lowe Deborah , Smith Claire 
Published: October 2020

Background
The psychological effects of the COVID-19 government-imposed lockdown have been studied in several populations. These effects however have not been studied in adult populations with attention deficit/hyperactivity disorder (ADHD).

Objective
We wanted to investigate the psychological effects of the COVID-19 imposed lockdown on an adult population with ADHD.

Methods
We conducted a cross-sectional survey by administering the Patient Health Questionnaire-9, Generalized Anxiety Disorder Scale-7, Brief Adjustment Scale-6, Perceived Stress Scale, and Multidimensional Scale of Perceived Social Support to a pragmatic sample of adults with ADHD.

Results
In total, 24 individuals (male: n=18, 75%; female: n=6, 25%; age: mean 21.75 years, SD 1.85 years) were included in this study. The adults with ADHD we surveyed had significant levels of emotional distress during the COVID-19 pandemic period. However, there was no evidence of significant deterioration to the mental health of our sample during the COVID-19 pandemic.

Conclusions
When treatment for ADHD is maintained, the effects of the COVID-19 pandemic on the mental health of adults with ADHD are mild. Targeted psychological interventions may be useful in such circumstances.
Racial Disparities in the Arteriovenous Fistula Care Continuum in Hemodialysis Patients
Authors: Qian Joyce , Lee Timmy , Thamer Mae , Zhang Yi , Crews Deidra C. , Allon Michael 
Published: October 2020

Background and objectives
Arteriovenous fistulas are the optimal vascular access type for patients on hemodialysis. However, arteriovenous fistulas are used less frequently in Black than in White individuals. The arteriovenous fistula care continuum comprises a series of sequential steps. A better understanding is needed of where disparities exist along the continuum in order to mitigate racial differences in arteriovenous fistula use.

Design, setting, participants, & measurements
Using Medicare claims data from the United States Renal Data System, longitudinal analyses of patients ≥67 years initiating hemodialysis with a central venous catheter between July 1, 2010 and June 30, 2012 were performed. Three patient cohorts were identified: patients initiating hemodialysis with a catheter (n=41,814), patients with arteriovenous fistula placement within 6 months of dialysis initiation (n=14,077), and patients whose arteriovenous fistulas were successfully used within 6 months of placement (n=7068). Three arteriovenous fistula processes of care outcomes were compared between Blacks and Whites: (1) arteriovenous fistula creation, (2) successful arteriovenous fistula use, and (3) primary arteriovenous fistula patency after successful use.

Results
An arteriovenous fistula was placed within 6 months of dialysis initiation in 37% of patients initiating dialysis with a catheter. Among the patients with arteriovenous fistula placement, the arteriovenous fistula was successfully used for dialysis within 6 months in 48% of patients. Among patients with successful arteriovenous fistula use, 21% maintained primary arteriovenous fistula patency at 3 years. After adjusting for competing risks, Black patients on hemodialysis were 10% less likely to undergo arteriovenous fistula placement (adjusted subdistribution hazard ratio, 0.90; 95% confidence interval, 0.87 to 0.94); 12% less likely to have successful arteriovenous fistula use after placement (adjusted subdistribution hazard ratio, 0.88; 95% confidence interval, 0.83 to 0.93); and 22% less likely to maintain primary arteriovenous fistula patency after successful use (subdistribution hazard ratio, 0.78; 95% confidence interval, 0.74 to 0.84).

Conclusions
Lower arteriovenous fistula use among Blacks older than 67 years of age treated with hemodialysis was attributable to each step along the continuum of arteriovenous fistula processes of care.
Russia, China: Poverty Alleviation (Comparative Analysis)
Authors: Orlova I. S. , Tsinchenko G. M. 
Published: October 2020

Goal and objectives. The article analyzes the state policy of Russia and China on poverty alleviation, conducted a comparative analysis of the strategy of the two countries in solving the problem, basic areas, social programs, measures, measures of social support for poor categories of citizens. The general and specific approaches of each. The results achieved are considered, as well as the objectives set by each country in this direction for the near and far term.Methods. The study uses a set of general scientific methods, such as analysis, synthesis, generalization, comparison, system-functional and integrated approach. Within the framework of the stated theme, theoretical provisions and modern approaches were systematic on the basis of the study of the works of various authors, federal and regional regulatory documents, official statistics.Results. The theoretical and practical significance of the study is to specify and organize the modern strategic approaches of the state policy of Russia and China, both in the sphere of poverty alleviation and in the provision of state social assistance to poor categories of citizens. These areas of state social policy of each country are not sufficiently researched by national science. The analysis provides an opportunity to identify the state of poverty in Russia and China, actualizes the importance of state policy to reduce poverty in each country, justifies the need for its further improvement in this direction. The findings highlight the positive results achieved by countries to date and identify the ways that have led to them, which can further promote public social policies to overcome poverty in each country and the system of state social assistance to the poor.Scientific novelty. The scientific novelty lies in the study of the state policy of Russia and China to reduce the poverty level of the population, as one of the most acute problems of both countries. The article shows the characteristics of poverty in each country, the scale and concentration of poverty, the trend of changing poverty in recent years as a result of the efforts of states and new strategies in public social policy. Weaknesses and strengths in the state social policy to overcome poverty in Russia and China have been identified. The lack of effectiveness of the organization of state social assistance to poor categories of citizens is justified. The conclusions are drawn on the versatility of ways to overcome poverty, the need to unite the efforts of all countries in this direction, the fruitfulness of the exchange of experience accumulated by different countries.
Reducing Rural-Urban Social Inequality: Chinese and Russian Comparative Experience
Authors: Antoncheva O. A. , Apanasenko T. E. 
Published: October 2020

Rural-urban social inequality in Russia is evident. Russian public opinion proposes to reduce the rural-urban income gap, both within the framework of the self-regulating market paradigm, reflected in public programmes, and within the planned command economy framework. In the same ways it proposes to achieve an inter-regional socio-economic balance.The People’s Republic of China (PRC) also faces the problem of reducing rural-urban social inequality. It looks as if it is trying to solve the problem by applying direct measures that can even reverse the processes of urbanization.This article proposes to analyze and adopt the most effective ways of reducing rural-urban inequality, as practiced in China. It is also possible to incorporate in the Chinese state’s management of social processes the methods of reduction of inequality between rural and urban populations, created by the dirigiste trends of Russian public thought, since the socio-economic system of the PRC readily assimilates elements of the planned economy.
The Problem of Classification of Targets in Informational Conflicts
Authors: Korostelev S. V. 
Published: October 2020

As a result of changes in the technological tenor and congruous with it organization of the world economy, serious changes have occurred in the gradation of participants in armed conflicts. Firstly, the warring parties are not only states now. Secondly, the vast majority of the targets to be overpowered to ensure victory in the conflict are currently in the private sector and out of state control. Also, an essential feature of the information confrontation is that in the vast majority of situations, the direct perpetrator of an information attack cannot be identified immediately and to a large extent due to the fact that “military” conflicts in cyberspace in the context of international relations can be “embedded” in various forms of struggle for power: political, economic, informational, technological, media and ideological, etc. That is, a significant number of participants in ordinary everyday life implicit activities in all walks of life from all over the globe can be not only indirect but also direct participants of informational conflict.In the digital era, targets selected for destruction can have completely different and unexpected properties, which leads to the existence of a significant number of approaches to the classification of targets of informational impact. Force is used against physical and virtual objects in the physical, informational and cognitive dimensions.The complexity of assessing the physical damage inflicted on states, and their population in the cognitive sphere conformably, and relating it with the practice of assigning international responsibility for the use of traditional means of warfare makes it impossible to form any adequate universal international political and legal regime for countering information threats in the near future. The elimination of threats in cyberspace is a common interest in ensuring international stability, but at present it can be carried out by states only on their own.A statement of the specified list of unacceptable aggressive actions carried out through information influences in the federal legislation will be, in essence, a preventive measure, since it will establish a threshold restriction for other international actors to interfere in the internal affairs of the state from outside.
Evaluation of the Impact of the Bank of Russia Key Rate on the Commercial Banks’ Deposit Policy
Authors: Konyagina M. N. , Meurmishvili I. R. , Dochkina A. A. 
Published: October 2020

The monetary policy of the Central Bank is in the sphere of interests of economists of various specializations. Determining the value of money in the economy, the money supply, and ensuring the effective functioning of the national payment system, the regulator has a significant impact on the state of the economy and determines the prospects for its development. One of the most important monetary policy instruments is the key rate. However, the efficiency of its application in different economies at different historical periods is different.At the same time, commercial banks, being the core of the credit system, are extremely dependent on the volume and quality characteristics of accumulated deposits. Private clients’ deposits are an important resource for both short-term and long-term operations of credit organizations. In Russia, banks play a leading role in the financial market. In this regard, the evaluation of the impact of a key rate as an important monetary policy instrument on the banks’ deposit policy is of particular relevance in the current state of the Russian economy. Therefore, determining as an aim of the research the evaluation of the current impact of the Bank of Russia key rate on the Russian credit organizations’ deposit policy, the authors sorted out the necessary relevant data on interest rates and deposit volumes in Russian commercial banks in 2014–2018, assessed the strength of the relationship between the Bank of Russia key rate and banks’ deposit rates and the volume of deposits in the country, identified the problems of implementing monetary policy in Russia and evaluated the effectiveness of the key rate as the monetary policy tool.
Immediate and Long-Term Results of Original Methods of Longitudinal Pancreatojejunostomy With The Expansion of the Area of Pancreatojejunal Anastomosis
Authors: Propp A. R. , Degovtsov E. N. , Nikulina S. A. 
Published: October 2020

RELEVANCE. The dependency results of draining operations on the efficcacy of drainig of ductal system of the pancreas and adequate outflow of the pancreatic juce through anastomosis are undoubtful, therefore the development of new techniques of longitudinal pancreatojejunostomy (LPJ) extending area of anastomosis is an actual challenge.AIM OF STUDY. To compare the immediate and long-term results of longitudinal pancreatojejunostomy with the expansion of the area of anastomosis in patients with chronic pancreatitis.MATERIAL AND METHODS. We analysed immediate and long-term results of LPJ in 58 patients with chronic pancreatitis with impaired patency of the major pancreatic duct (MPD) without the head enlargement.RESULTS. All patients were divided into two groups: comparison group ( n=26, operated up to 2008 ) and main group (n=32, operated stumps during the MPD diastasis and posterior pancreatic surface (n=3) into anastomosis, with resection of the anterior pancreatic surface in the form of triangular fragments (n=11), with circulation of the small intestine loop during the recovery phase (n=19). The original LPJ in the study group of patients did not lengthened the surgery (160 [135, 185]) and intraoperative blood loss (265 [175, 340]). In the main group of patients there was no postoperative complications and fatal outcomes, but the average duration postoperative hospital treatment (18 [16; 20.5]) exceeded some data of foreign and domestic authors. Pain within 5 years after surgery in patients of the main group exceeded 26.6% and the appearance of diarrheal syndrome with dependance from reception of enzyme preparations was twice lower than in patients og the comparison group. According to questionnaire EORTC QLQ-C30, 5 years after surgery statistically significant differences between groups in terms of scales CF, NV, DY (p=0.03, 0.02, 0.006 respectively), indicating the advantage of intervention performed in the mail group.CONCLUSIONS. 1. An indication for longitudinal pancreatojejunostomy in chronic pancreatitis is impaired patency of the main pancreatic duct in the absence of an increase and inflammatory mass in the pancreatic head.2. The width of the main pancreatic duct is less than 5 mm and the presence of diastasis between its proximal and distal stumps with the posterior surface of the pancreas preserved, is not a reason for refusing longitudinal pancreatic jujunostomy in favor of the resection method.3. The expansion of pancreatojejunal anastomosis when performing longitudinal pancreatojejunostomy can improve the immediate and longterm results of surgical treatment for chronic pancreatitis.
Analisis Performansi Dan Efisiensi Cloud Computing Pada Sistem Perbankan
Authors: Kurniawan Ketut Adi , Putra Sastra N , Sudarma M 
Published: October 2020

Penggunaan server fisik untuk operasional kantor cabang Bank Mandiri memiliki beberapa kekurangan, yaitu biaya pengadaan server yang tinggi, keterbatasan melakukan upgrade part, biaya maintainance, kebutuhan lahan dan konsumsi listrik. Alternatif yang bisa digunakan adalah teknologi cloud computing yang berbasis virtualisasi dengan metoda adopsi ROCCA. Pada penelitian ini dilakukan implementasi cloud computing untuk menjalankan aplikasi operasional kantor cabang Bank Mandiri dengan mengunakan virtualisasi Microsoft Hyper-V. Selanjutnya dilakukan pengujian terhadap performansi dan efisiensi biaya dibandingkan dengan implementasi server fisik. Hasil pengujian menunjukkan metoda ROCCA dapat digunakan untuk adopsi cloud computing pada sektor perbankan. Pengukuran performansi server fisik mencapai skor 36% sedangkan server cloud 9%, memori server fisik mencapai skor 35% sedangkan server cloud 50%, serta harddisk server fisik mencapai skor 48% dan server cloud 52%. Persentase yang lebih tinggi menunjukkan performansi yang lebih baik. Pada aspek kecepatan akses, server fisik mencapai bandwidth 94,9 Mbits / detik, sedangkan server cloud 94,1 Mbits / detik. Dari sisi efisiensi investasi tidak terlalu signifikan, dimana dalam 5 tahun nilai efisiensi adalah 1,8% dan selama 10 tahun sebesar 2,81%.
A case of post-myocardial infarction ventricular septal rupture in an asymptomatic inferior STEMI
Authors: Conti Matilde , Bregani Enrico Rino , Benedusi Mariairene 
Published: October 2020

Background:
Post-ischemic ventricular rupture is a rare late complication of acute myocardial infarction and despite improvements in diagnosis, in medical and surgical treatment; it is still associated with a high mortality rate.

Case Presentation:
We present a case of septal rupture in a patient with an asymptomatic inferior STEMI, whose clinical examination was significant only for a systolic heart murmur. Diagnosis was made in the Emergency Department, about 6 hours from triage and about 1 hour from first medical evaluation. A multidisciplinary team managed the patient, who underwent an emercency PCI and reperfusion and then a late surgery at day 8 from diagnosis.

Conclusion:
Although it is a rare event, septal rupture is a life-threatening event and should be suspected in patients with myocardial infarction when a rapid hemodynamic deterioration, heart murmur, or right ventricle overload is observed. Bedside echocardiography allows early diagnosis and the management of the patient.
Avascular necrosis of head of femur mimicking skeletal metastasis on 99mTc MDP bone scintigraphy - a rare case report
Authors: Iqbal Muhammad , Naeem Muhammad , Ahmed Zahra , Najam Syeda Hadia , Afzal Muhammad Shahzad , Imran Muhammad Babar 
Published: October 2020

Background:

99mTc-Methylene diphosphonate (MDP) bone scan of a patient with known breast carcinoma showed a solitary osteoblastic lesion in the femoral head. Solitary bone metastatic lesion and a benign cause-like remodeling phase of avascular necrosis (AVN) were the top most differential diagnoses and therefore can easily be misinterpreted for each other. Magnetic resonance imaging (MRI) is considered as the gold standard for diagnosis of AVN and can help in differentiation between AVN and skeletal metastasis.

Case Presentation:
A 40-year-old female patient of right breast carcinoma, treated with mastectomy, chemotherapy, and radiotherapy underwent 99mTc-MDP bone scintigraphy for pain in left hip with restricted movements. The bone scan showed focal uptake in the head of left femur with suspicion of AVN, which turned out to be a metastatic lesion on MRI. Later on, longitudinal follow-up of bone scan after 1 year showed a lesion in the left femoral head extending up to the trochanteric region with additional new lesions confirming skeletal metastasis.

Conclusion:
Solitary skeletal metastatic lesion in the head of femur is a rare finding, although in the presence of local symptoms AVN always remains at the top of the list for differential diagnosis of solitary osteoblastic focus in the femoral head. Bone scan is a primary tool for skeletal metastatic survey due to high sensitivity but due to low pathognomonic specificity, additional imaging with MRI must be considered as a safe, non-invasive, and easily available option for further characterization of solitary lesions.
Application of Restorative Justice in Corruption Crime Cases as an Effort to Repay State Losses
Authors: Habib Ali 
Published: October 2020

The Handling of corruption now is indeed more oriented to how to put as many corruptors as possible into a Penitentiary, while corruption itself is still rampant. The deterrent effect which is currently no longer felt by corruption convicts while serving prison sentences and the overflow of prisoners who are no longer sufficient, makes the government move quickly and look for a legal breakthrough related to reducing the level of corruption in Indonesia. The Attorney General's Office of the Republic of Indonesia (RI) as one of the Law Enforcement Officers who have the authority to carry out Corruption Criminal Investigations has issued a Circular Letter for the Deputy Attorney General for Special Crimes (SE Jampidsus) Number: B-765/F/Fd.1/04/2018 dated April 20 2018 concerning the Technical Guidelines for Handling Corruption Case Investigation Stage, which in essence the Investigation must be strived to find the amount of State Financial Losses, which meant the cooperative attitude of the parties involved to recover the financial losses of the State, it can be taken into consideration as a non-continuation of the legal process which certainly takes into account certain limitations (restorative justice). The problem is how to apply the restorative justice model in an effort to recover state losses. The research results obtained are, the application of restorative justice methods conducted by the Republic of Indonesia's Attorney General's Office can be optimally used in handling corruption cases specifically for the recovery of state finances and future expectations related to handling cases of corruption in Indonesia.