bluuebunny/crossref_metadata_2025_split huggingface dataset:
Benefits of Teledermatology for Geriatric Patients: Population-Based Cross-Sectional Study
Authors: G Bianchi Mara , Santos Andre , Cordioli Eduardo 
Published: January 2020

Background
Teledermatology is a health care tool that has been increasingly used around the world, mostly because dermatology has an emphasis on visual diagnosis. Many studies have shown that access to specialized care improves using teledermatology, which provides accurate diagnosis and reduces the time taken for treatment, with high patient satisfaction. As the population around the world grows old, there will be even more demand for dermatologists in years to come. It is essential to know which are the most prevalent skin conditions in the primary care population and if they can be addressed through teledermatology.

Objective
Our main goal was to evaluate the proportion of lesions in individuals aged 60 years and older that could be managed using teledermatology in conjunction with primary care physicians. Second, we aimed to assess the most frequent skin lesions, the most common treatments provided to patients, and the distribution and causes of referrals made by the teledermatologists.

Methods
This was a retrospective cohort study from July 2017 to July 2018 in São Paulo, Brazil. We included 6633 individuals aged 60 years and older who presented with 12,770 skin lesions. Teledermatologists had three options to refer patients: (1) to undergo biopsy directly, (2) to an in-person dermatologist visit, and (3) back to the primary care physician with the most probable diagnosis and treatment.

Results
Teledermatology managed 66.66% (8408/12614) of dermatoses with the primary care physician without the need for an in-presence visit; 27.10% (3419/12614) were referred to dermatologists, and 6.24% (787/12614) directly to biopsy. The most frequent diseases were seborrheic keratosis, solar lentigo, onychomycosis, melanocytic nevus, benign neoplasms, actinic keratosis, epidermoid cyst, xerosis, leucoderma, and wart, with significant differences between sexes. Malignant tumors increased with age and were the leading cause for biopsies, while infectious skin conditions and pigmentary disorders decreased. Emollient was the most frequent treatment prescribed, in 31.88% (909/2856) of the cases.

Conclusions
Teledermatology helped to treat 67% of the dermatoses of older individuals, addressing cases of minor complexity quickly and conveniently together with the primary care physician, thus optimizing dermatological appointments for the most severe, surgical, or complex diseases. Teledermatology does not aim to replace a face-to-face visit with the dermatologist; however, it might help to democratize dermatological treatment access for patients and decrease health care expenses.
Nurse-Physician Communication Team Training in Virtual Reality Versus Live Simulations: Randomized Controlled Trial on Team Communication and Teamwork Attitudes
Authors: Liaw Sok Ying , Ooi Sim Win , Rusli Khairul Dzakirin Bin , Lau Tang Ching , Tam Wilson Wai San , Chua Wei Ling 
Published: January 2020

Background
Interprofessional team training is needed to improve nurse-physician communication skills that are lacking in clinical practice. Using simulations has proven to be an effective learning approach for team training. Yet, it has logistical constraints that call for the exploration of virtual environments in delivering team training.

Objective
This study aimed to evaluate a team training program using virtual reality vs conventional live simulations on medical and nursing students’ communication skill performances and teamwork attitudes.

Methods
In June 2018, the authors implemented nurse-physician communication team training using communication tools. A randomized controlled trial study was conducted with 120 undergraduate medical and nursing students who were randomly assigned to undertake team training using virtual reality or live simulations. The participants from both groups were tested on their communication performances through team-based simulation assessments. Their teamwork attitudes were evaluated using interprofessional attitude surveys that were administered before, immediately after, and 2 months after the study interventions.

Results
The team-based simulation assessment revealed no significant differences in the communication performance posttest scores (P=.29) between the virtual and simulation groups. Both groups reported significant increases in the interprofessional attitudes posttest scores from the baseline scores, with no significant differences found between the groups over the 3 time points.

Conclusions
Our study outcomes did not show an inferiority of team training using virtual reality when compared with live simulations, which supports the potential use of virtual reality to substitute conventional simulations for communication team training. Future studies can leverage the use of artificial intelligence technology in virtual reality to replace costly human-controlled facilitators to achieve better scalability and sustainability of team-based training in interprofessional education.

Trial Registration
ClinicalTrials.gov NCT04330924; https://clinicaltrials.gov/ct2/show/NCT04330924
A Real-Time Mobile Intervention to Reduce Sedentary Behavior Before and After Cancer Surgery: Usability and Feasibility Study
Authors: Low Carissa A , Danko Michaela , Durica Krina C , Kunta Abhineeth Reddy , Mulukutla Raghu , Ren Yiyi , Bartlett David L , Bovbjerg Dana H , Dey Anind K , Jakicic John M 
Published: January 2020

Background
Sedentary behavior (SB) is common after cancer surgery and may negatively affect recovery and quality of life, but postoperative symptoms such as pain can be a significant barrier to patients achieving recommended physical activity levels. We conducted a single-arm pilot trial evaluating the usability and acceptability of a real-time mobile intervention that detects prolonged SB in the perioperative period and delivers prompts to walk that are tailored to daily self-reported symptom burden.

Objective
The aim of this study is to develop and test a mobile technology-supported intervention to reduce SB before and after cancer surgery, and to evaluate the usability and feasibility of the intervention.

Methods
A total of 15 patients scheduled for abdominal cancer surgery consented to the study, which involved using a Fitbit smartwatch with a companion smartphone app across the perioperative period (from a minimum of 2 weeks before surgery to 30 days postdischarge). Participants received prompts to walk after any SB that exceeded a prespecified threshold, which varied from day to day based on patient-reported symptom severity. Participants also completed weekly semistructured interviews to collect information on usability, acceptability, and experience using the app and smartphone; in addition, smartwatch logs were examined to assess participant study compliance.

Results
Of eligible patients approached, 79% (15/19) agreed to participate. Attrition was low (1/15, 7%) and due to poor health and prolonged hospitalization. Participants rated (0-100) the smartphone and smartwatch apps as very easy (mean 92.3 and 93.2, respectively) and pleasant to use (mean 93.0 and 93.2, respectively). Overall satisfaction with the whole system was 89.9, and the mean System Usability Scale score was 83.8 out of 100. Overall compliance with symptom reporting was 51% (469/927 days), decreasing significantly from before surgery (264/364, 73%) to inpatient recovery (32/143, 22%) and postdischarge (173/420, 41%). Overall Fitbit compliance was 70% (653/927 days) but also declined from before surgery (330/364, 91%) to inpatient (51/143, 36%) and postdischarge (272/420, 65%).

Conclusions
Perioperative patients with cancer were willing to use a smartwatch- and smartphone-based real-time intervention to reduce SB, and they rated the apps as very easy and pleasant to use. Compliance with the intervention declined significantly after surgery. The effects of the intervention on postoperative activity patterns, recovery, and quality of life will be evaluated in an ongoing randomized trial.
Utilization of a Voice-Based Virtual Reality Advanced Cardiac Life Support Team Leader Refresher: Prospective Observational Study
Authors: Katz Daniel , Shah Ronak , Kim Elizabeth , Park Chang , Shah Anjan , Levine Adam , Burnett Garrett 
Published: January 2020

Background
The incidence of cardiac arrests per year in the United States continues to increase, yet in-hospital cardiac arrest survival rates significantly vary between hospitals. Current methods of training are expensive, time consuming, and difficult to scale, which necessitates improvements in advanced cardiac life support (ACLS) training. Virtual reality (VR) has been proposed as an alternative or adjunct to high-fidelity simulation (HFS) in several environments. No evaluations to date have explored the ability of a VR program to examine both technical and behavioral skills and demonstrate a cost comparison.

Objective
This study aimed to explore the utility of a voice-based VR ACLS team leader refresher as compared with HFS.

Methods
This prospective observational study performed at an academic institution consisted of 25 postgraduate year 2 residents. Participants were randomized to HFS or VR training and then crossed groups after a 2-week washout. Participants were graded on technical and nontechnical skills. Participants also completed self-assessments about the modules. Proctors were assessed for fatigue and task saturation, and cost analysis based on local economic data was performed.

Results
A total of 23 of 25 participants were included in the scoring analysis. Fewer participants were familiar with VR compared with HFS (9/25, 36% vs 25/25, 100%; P<.001). Self-reported satisfaction and utilization scores were similar; however, significantly more participants felt HFS provided better feedback: 99 (IQR 89-100) vs 79 (IQR 71-88); P<.001. Technical scores were higher in the HFS group; however, nontechnical scores for decision making and communication were not significantly different between modalities. VR sessions were 21 (IQR 19-24) min shorter than HFS sessions, the National Aeronautics and Space Administration task load index scores for proctors were lower in each category, and VR sessions were estimated to be US $103.68 less expensive in a single-learner, single-session model.

Conclusions
Utilization of a VR-based team leader refresher for ACLS skills is comparable with HFS in several areas, including learner satisfaction. The VR module was more cost-effective and was easier to proctor; however, HFS was better at delivering feedback to participants. Optimal education strategies likely contain elements of both modalities. Further studies are needed to examine the utility of VR-based environments at scale.
Cyclic Voltammetry Sel Superkapasitor Dengan Variasi Konsentrasi Aktivator Kalium Hidroksida
Authors: Farma Rakhmawati , Vivi Melinda , Sugiyanto Sugiyanto , Awitdrus Awitdrus , Taer Erman , Yanuar Hamzah 
Published: January 2020

Aktivasi kimia sangat berpengaruh terhadap kualitas elektroda sel superkapasitor. Pada penelitian ini elektroda karbon berasal dari serabut tandan kosong kelapa sawit melalui proses pra karbonisasi dan aktivasi kimia dengan menggunakan aktivator kalium hidroksida (KOH) dengan variasi konsentrasi 0.3 M, 0.6 M dan 0.9 M dengan lama waktu aktivasi 20 jam. Proses selanjutnya adalah proses karbonisasi menggunakan gas N2 dan proses aktivasi fisika menggunakan gas CO2. Nilai densitas elektroda karbon menunjukkan peningkatan setelah proses aktivasi fisika. Hasil analisa energi dispersif sinar-X menunjukkan bahwa elektroda karbon dengan konsentrasi 0.9 M mempunyai persentase atomik unsur karbon tertinggi sebesar 92,48%. Karakterisasi struktur mikro menunjukkan bahwa elektroda karbon bersifat semikristalin yang ditandai kehadiran puncak landai (002) dan (100) pada sudut 2θ sekitar 24° dan 45°. Elektroda karbon dengan konsentrasi 0,9 M mempunyai nilai dimensi mikrokristalin Lc tertinggi yaitu sebesar 7,27 Å dan nilai La terendah yaitu sebesar 6.97 Å dibandingkan dengan elektroda sel superkapasitor dengan konsentrasi 0.3 M dan 0.6 M. Karakterisasi sifat elektrokimia sel superkapasitor dengan menggunakan Cyclic Voltammetry (CV) menunjukkan bahwa sel superkapasitor pada konsentrasi KOH 0.9 M menunjukkan niai tertinggi yaitu sebesar 110, 724 F/g.
TOURISTS EXPECTATION AND PERCEPTION TOWARD SANGEH TOURISM VILLAGE
Authors: Wisnawa I Made Bayu , Wijayanti Anak Agung Ratih , Jokosaharjo Sulistyoadi 
Published: January 2020

Sangeh is a tourism village which has tourism potentials such as nature scenery, rice field, forest, and culinary. This research studies the expectation and perception of the tourists who visit Sangeh. A qualitative method using questionnaire and interview techniques was used in the research. There were 155 respondents in which the questionnaire was distributed offline and online. This research aims to find out the expectation, perception, and satisfaction of the tourists in enjoying their tourism visit in Sangeh, and also to find out the efforts which can be done by the management in increasing tourists’ satisfaction in enjoying the tourism visit. The results show that the tourists’ expectation is on the installation of road signs which enable them to reach Sangeh easily. The highest perception felt by the tourists is its beautiful natural scenery. The biggest gap felt by the tourists is the internet connection. The effort which should be done by the management is by providing additional supporting facilities.
Evaluation of Antioxidant Property in Secondary Metabolites Isolated from Sargassum wightii Collected From Kanyakumari Coastal Region, Tamilnadu.
Authors: Vellingiri Manon Mani  , Selvam Nivethitha  , Kathirvel Preethi  , A. Parimala Gnana Soundari  , V. Subha Priya  , P. Deepak  , M. P. Ayyappa Das  
Published: January 2020

The demands for increasing anticancer drugs produced by natural sources with potential antioxidant and antimicrobial properties had led the path to mass production in pharmaceutical fields. This current investigation is implied to extract the potential crude secondary metabolites extract from brown algae Sargassum wightii Greville ex J.Agardh with maximum antimicrobial and antioxidant properties. The brown seaweed was collected from Kanyakumari, Tamil Nadu, India and taken for extraction process using various polar and non-polar solvents. The solvents which extracted maximum crude metabolites were taken to determine the preliminary antimicrobial analysis using clinical pathogens on which the crude extracts explored the highest zone of inhibition at least concentration. Further, the five different crude extracts were subjected to antioxidant assessment and the extract in different solvents manifested maximum activity at minimum concentration. The results of antimicrobial and antioxidant analysis evinced that the ethyl acetate and methanolic extract exhibited maximum activity when compared to other crude extracts. The extract which explored the highest activity was taken for qualitative and quantitative phytochemical determination and both the extract showed the presence of most of the phytochemicals. Further, the investigation is carried out to purify and determine the anticancer property in cancer cell lines.
IODIUM LINGKUNGAN DAERAH REPLETE DAN NON-REPLETE GAKI, DI KABUPATEN MAGELANG
Authors: Managerxot Jek , Musoddaq Muhammad Arif , Kusrini Ina 
Published: January 2020

Salah satu faktor mendasar penyebab munculnya Gangguan Akibat Kekurangan Iodium (GAKI) adalahiodium lingkungan yang rendah. Penelitian-penelitian epidemiologi menunjukkan bahwa permasahanGAKI dijumpai di daerah yang dinyatakan sebagai daerah miskin iodium, tetapi tanpa data hasilpengukuran. Di Kabupaten Magelang, terdapat daerah replete, yaitu daerah yang mempunyai riwayatpermasalahan GAKI di masa lalu, dan telah dilakukan intervensi, sehingga diharapkan permasalahantersebut telah dapat diatasi. Tujuan penelitian ini adalah membandingkan kadar iodium lingkungan didaerah replete dan non-replete di Kabupaten Magelang.Disain penelitian adalah potong lintang denganvariabel kadar iodium dalam sampel air permukaan dan air tanah. Jumlah sampel adalah 71 berasal dari 71titik sampling, rincian 17 air permukaan dan 54 air. Analisis kandungan iodium dalam sampel air dilakukandengan metode Sandell-Kolthoff, yang dilakukan di Laboratorium Balai Litbang GAKI Magelang. Hasilmenunjukkan Kadar iodium pada air permukaan berada dalam rentang yang cukup lebar, yaitu 0 sampai22µg/Ldi daerah replete 0 sampai dengan 115µg/Ldi daerah non-replete. Kadar iodium dalam air tanah didaerah replete berkisar antara 0 sampai 77µg/L, di daerah non-replete antara 3 sampai 48µg/L. Terdapatperbedaan kadar iodium yang bermakna antara sampel air yang berasal dari daerah replete dengan nonreplete(P<0,05).
Perlu upaya menjaga keberlangsungan kecukupan asupan iodium terutama di daerahreplete.
ASPEK GIZI DAN MAKNA SIMBOLIS TABU MAKANAN IBU HAMIL DI INDONESIA
Authors: Chahyanto Bibi Ahmad , Wulansari Arnati 
Published: January 2020

ABSTRACT
The period of pregnancy is an important period early in the human life cycle, so the nutritional status and health must be optimized. The problem that many occur in pregnant women is the restriction of the type and amount of food consumed. One of them is due to food taboos. The purpose of this study was to describe the type of food taboos, symbolic meaning of food taboos on pregnant women in Indonesia, and its nutritional aspects. This study was a literature review, by collecting articles through the database online. Number of articles or libraries that have been collected to be reviewed were 38 reading materials, consist of 19 scientific articles, 10 research result in the form of thesis / dissertation, and 9 research result book with ethnographic approach. The results showed that the most abundant food taboos by pregnant women is the group of animal food dishes that are useful for fetal growth and development, such as squid and catfish. It is necessary to educate primarily on pregnant women to begin to avoid food taboos, and the importance of protein intake for fetal development early in human development cycle.
Keywords: Nutrition, pregnant woman, symbolic meaning, food taboos

ABSTRAK
Periode kehamilan merupakan periode penting di awal siklus kehidupan manusia, sehingga status gizi dan kesehatannya harus dioptimalkan. Masalah yang banyak terjadi pada ibu hamil adalah pembatasan jenis dan jumlah makanan yang dikonsumsi. Salah satunya dikarenakan tabu makanan. Tujuan penelitian ini adalah mendeskripsikan jenis makanan yang ditabukan, makna simbolis tabu makanan bagi ibu hamil di Indonesia, dan aspek gizinya. Penelitian ini merupakan literature review, dengan mengumpulkan artikel melalui database secara online. Jumlah artikel atau pustaka yang berhasil dikumpulkan untuk ditelaah sebanyak 38 pustaka, terdiri dari 19 artikel ilmiah, 10 hasil penelitian berupa skripsi/tesis/disertasi dan 9 buku hasil penelitian dengan pendekatan etnografi. Hasil penelitian menunjukkan bahwa makanan yang paling banyak ditabukan oleh ibu hamil adalah kelompok makanan lauk hewani yang berguna bagi pertumbuhan dan perkembangan janin, seperti cumi-cumi serta ikan lele. Perlu adanya edukasi terutama terhadap ibu hamil untuk mulai menghindari tabu makanan dan pentingnya asupan protein untuk perkembangan janin di awal siklus perkembangan manusia.
Kata kunci: Gizi, ibu hamil, makna simbolis, tabu makanan
PENGETAHUAN FILARIASIS DAN PENGGUNAAN OBAT GOSOK PENGUSIR NYAMUK DI WILAYAH ENDEMIS FILARIASIS
Authors: Widawati Mutiara , Riandi Muhammad Umar , Yuliasih Yuneu 
Published: January 2020

ABSTRACT
The uses of repellent are an effort to prevent mosquito bites in the community. Therefore, a study was conducted to find out the difference in the level of knowledge with the use of repellent/liniment on people in areas that received the Filariasis Mass Prevention Drug Program. This research is the result of secondary data analysis from multicenter research "Filariasis elimination evaluation study" in 2017 conducted in Subang district, West Java Province. Total respondents surveyed were 555 people. The respondents were the people who received mass drug administration. The data collected respondent’s knowledge about the cause and transmitter of filariasis diseases and the repellent use activity of respondents. This study used chi-square analysis to see the relationship between knowledge and the use of repellent in respondents. The results showed that a total of 307 (55.3%) respondents stated they were using liniment / repellent drugs; and 248 (44.7%) respondents did not use repellent. There is a difference in the level of knowledge of respondents with filariasis (p <0.05) between respondents who use repellent and those who do not. This study concludes that the higher respondents' knowledge, the greater their tendency to use repellent. Knowledge about the spread and causes of filariasis was related to the use of repellent in the community.
Keywords: Repellent; knowledge; filariasis; mosquitoes

ABSTRAK
Penggunaan Repelen adalah suatu usaha untuk mencegah gigitan nyamuk di masyarakat. Sehingga dilakukan studi yang bertujuan untuk mencari perbedaan tingkat pengetahuan antara masyarakat yang memakai dan tidak memakai repelen/obat gosok di daerah yang menerima program eliminasi filariasis. Artikel ini merupakan analisis data sekunder dari riset multisenter Studi evaluasi eliminasi filariasis tahun 2017 yang dilakukan di kabupaten Subang, provinsi Jawa barat. Responden adalah sampel masyarakat di daerah program Pemberian Obat Pencegahan Massal filarias yang berjumlah 555 orang. Data yang dikumpulkan meliputi pengetahuan responden terhadap penyakit filariasis (penyebab dan penenular) dan perilaku penggunaan repelen. Untuk mengetahui hubungan tingkat pengetahuan dengan pemakaian obat gosok repelen dilakukan dengan analisis bivariat chi-square. Hasil menunjukkan, dari 555 responden; sebanyak 307 (55,3%) responden menyatakan bahwa mereka memakai obat gosok /repelen; dan 248 (44,7%) responden tidak memakai repelen. Terdapat perbedaan tingkat pengetahuan responden penyakit filariasis (p< 0,05) antara responden yang memakai repelen dengan yang tidak memakai. Dapat disimpulkan bahwa semakin tinggi pengetahuan terhadap penyakit filariasis, maka semakin besar kecenderungan responden memakai repelen.
Kata kunci: Obat gosok; repelen; pengetahuan; filariasis; nyamuk