bluuebunny/crossref_metadata_2025_split huggingface dataset:
Do Populists Govern Differently? Insights from the Italian M5S-League Case in Comparative Perspective
Authors: Vercesi Michelangelo 
Published: June 2020

In West European context, the first fully-fledged populist government that entered office in Italy in 2018 (Conte I) has been presented as a peculiar case. After discussing party dilemmas within coalitions, the article analyses – in comparative perspective – how the two partners M5S and League managed inter-party relations despite their divergent policy preferences. The work focuses on both structural and dynamic mechanisms of coalition governance. Particular attention is paid to the coalition agreement, which is compared to the benchmark case of the German Merkel IV cabinet. Findings show that the Conte I cabinet diverged from the Italian tradition, but approached other European models, despite its rhetoric of exceptionality. Yet, poor definition of policy goals and ambiguous governance mechanisms are observed.
Resumo

No contexto da Europa Ocidental, o primeiro governo populista de pleno direito que entrou em funções na Itália em 2018 (Conte I) foi apresentado como um caso peculiar. Após discutir os dilemas partidários dentro das coligações, o artigo analisa - em perspectiva comparativa - como os dois parceiros M5S e Liga geriram as relações interpartidárias apesar das suas preferências políticas divergentes. O trabalho centra-se tanto nos mecanismos estruturais como dinâmicos de governação da coligação. É dada especial atenção ao acordo da coligação, que é comparado com o caso de referência do gabinete alemão Merkel IV. Os resultados mostram que o gabinete Conte I divergiu da tradição italiana, mas abordou outros modelos europeus, apesar da sua retórica de excepcionalidade. No entanto, observa-se uma má definição dos objetivos políticos e mecanismos ambíguos de governança.
Perfil epidemiológico dos casos de hanseníase em Porto Nacional - Tocantins de 2007 a 2018
Authors: De Aguiar Daniel Ximenes , Raiol Sanderson Rodrigo do Nascimento , Costa Cristiano Ribeiro , De Aquino Francisco Djailson Muniz , Costa Nelzir Martins 
Published: June 2020

Objetivo: Analisar o perfil epidemiológico da população diagnosticada com hanseníase no município de Porto Nacional, Tocantins. Métodos: Pesquisa epidemiológica transversal, descritiva, quantitativa, dos casos registrados de hanseníase no período de janeiro de 2007 a agosto de 2018. Os dados foram coletados no Sistema de Informação de Agravos de Notificação submetidos a estatística descritiva. Resultados: Foram identificadas 546 notificações de hanseníase no período estudado. Houve prevalência do sexo masculino (n = 296 casos; 54,2%), da cor parda (n = 389; 71,2%) e da faixa etária de 30 a 39 anos (n = 120; 22%). A forma dimorfa foi predominante, com 260 notificações (47,6%), e do tipo multibacilares, com 322 casos (59%). O estudo identificou que centros especializados de saúde realizaram um grande quantitativo de notificações da doença (44,7%) e as unidades básicas de saúde do município proporcionaram uma abrangência maior na detecção dessa patologia (55,3%). Conclusão: A hanseníase ainda é um problema de saúde pública no município de Porto Nacional -TO, embora curável e de baixa recidiva, encontra-se ativa na população. Medidas de prevenção, promoção de saúde, treinamento multiprofissional e diagnóstico precoce favorecem para melhorar prognóstico.
COVID-19, a pandemia que mudou a saúde e a economia
Authors: Bomfim Fernando 
Published: June 2020

Pandemias como a enfrentada atualmente frente ao Coronavírus (SARS-CoV-2; COVID-19) são caracterizadas como doenças infecciosas que se espalham por grandes regiões geográficas, praticamente ao mesmo tempo, em diversos países. A pandemia surgiu na cidade de Wuhan na China e acredita-se que haja uma relação com a ingestão de animais silvestres e seu comércio, contudo não há certeza sobre vários aspectos da história de origem do COVID-19, incluindo quais espécies a passaram para um ser humano. O SARS-CoV-2 é um vírus da família dos beta- coronavírus entre os quais se insere também o SARS-CoV, ambos responsáveis pela Síndrome Respiratória Aguda Grave e também o MERS-CoV, Síndrome Respiratória do Oriente Médio. Embora haja semelhança, a busca pelo entendimento da história natural da COVID-19 é importante para determinar as possibilidades de intervenção, prognóstico e curso da doença, contudo os dados são extremamente escassos e os que surgem são recentes e ainda controversos.
User Experience of Interactive Technologies for People With Dementia: Comparative Observational Study
Authors: Andrade  Ferreira Luis Duarte , Ferreira Henrique , Cavaco Sofia , Cameirão Mónica , i Badia Sergi Bermúdez 
Published: June 2020

Background
Serious games (SGs) are used as complementary approaches to stimulate patients with dementia. However, many of the SGs use out-of-the-shelf technologies that may not always be suitable for such populations, as they can lead to negative behaviors, such as anxiety, fatigue, and even cybersickness.

Objective
This study aims to evaluate how patients with dementia interact and accept 5 out-of-the-shelf technologies while completing 10 virtual reality tasks.

Methods
A total of 12 participants diagnosed with dementia (mean age 75.08 [SD 8.07] years, mean Mini-Mental State Examination score 17.33 [SD 5.79], and mean schooling 5.55 [SD 3.30]) at a health care center in Portugal were invited to participate in this study. A within-subject experimental design was used to allow all participants to interact with all technologies, such as HTC VIVE, head-mounted display (HMD), tablet, mouse, augmented reality (AR), leap motion (LM), and a combination of HMD with LM. Participants’ performance was quantified through behavioral and verbal responses, which were captured through video recordings and written notes.

Results
The findings of this study revealed that the user experience using technology was dependent on the patient profile; the patients had a better user experience when they use technologies with direct interaction configuration as opposed to indirect interaction configuration in terms of assistance required (P=.01) and comprehension (P=.01); the participants did not trigger any emotional responses when using any of the technologies; the participants’ performance was task-dependent; the most cost-effective technology was the mouse, whereas the least cost-effective was AR; and all the technologies, except for one (HMD with LM), were not exposed to external hazards.

Conclusions
Most participants were able to perform tasks using out-of-the-shelf technologies. However, there is no perfect technology, as they are not explicitly designed to address the needs and skills of people with dementia. Here, we propose a set of guidelines that aim to help health professionals and engineers maximize user experience when using such technologies for the population with dementia.
Evaluation of More Stamina, a Mobile App for Fatigue Management in Persons with Multiple Sclerosis: Protocol for a Feasibility, Acceptability, and Usability Study
Authors: Giunti Guido , Rivera-Romero Octavio , Kool Jan , Bansi Jens , Sevillano Jose Luis , Granja-Dominguez Anabel , Izquierdo-Ayuso Guillermo , Giunta Diego 
Published: June 2020

Background
Multiple sclerosis (MS) is one of the world’s most common neurologic disorders leading to severe disability in young adults. MS-related fatigue directly impacts on the quality of life and activity levels of people with MS. Self-management strategies are used to support them in the care of their health. Mobile health (mHealth) solutions can offer tools to help symptom management. Following a user-centered design and evidence-based process, an mHealth solution called More Stamina was created to help persons with MS manage their fatigue.

Objective
The overall study aims are to explore the feasibility, acceptability, and usability of More Stamina, a mobile app for fatigue self-management for persons with MS.

Methods
A mixed-methods, multicenter study will be used to assess the feasibility, acceptability, and usability of More Stamina. The study will take place during the third and fourth quarters of 2020 (Q3-Q4 2020) in 3 locations: Argentina, Spain, and Switzerland. A longitudinal cohort study will take place, and think-aloud protocols, open-ended interviews, and short answer questionnaires will be used. Persons with MS will be recruited from the different locations. This study seeks to enroll at least 20 patients that meet the criteria from each site for the longitudinal cohort study (total n=60).

Results
Ethical approval has been granted in Argentina and is pending in Spain and Switzerland. Outcomes will be published in peer-reviewed medical journals and presented at international conferences.

Conclusions
Findings from this study will be used to help understand the role that mHealth can play in fatigue management in MS.

Trial Registration
ClinicalTrials.gov NCT04244214; https://clinicaltrials.gov/ct2/show/NCT04244214

International Registered Report Identifier (IRRID)
PRR1-10.2196/18196
Pantai Taman-Pacitan ecotourism development: Conservation and community empowerment orientation
Authors: Prihanta Wahyu , Zainuri Ach. Muhib , Hartini Rahayu , Syarifuddin Amir , Patma Tundung Subali 
Published: June 2020

Ecotourism is a form of tourism that is closely linked to the principle of conservation. Thus, ecotourism is right and beneficial in maintaining the integrity and authenticity of ecosystems in natural areas, particularly turtle conservation areas. Ecotourism is synergized to turtle conservation as it has such features: (1) Conservation, the use of biodiversity does not damage the natural source, also it does not cause negative impact whereas it is very environmentally friendly, (2) Education, by improving community’s awareness and changing their behavior about the need for conservation of living natural resources and their conservation, (3) Economy, ecotourism provides economic benefits and spur regional development; and (4) Active role of community, this is done by building partnership with local communities for the development of ecotourism. Based on the issues, “IbW Conservation and Ecotourism Ngadirojo District Pacitan Region” was done by (1) Making a model of tourism activities that is environmentally, ecologically, socially, and economically beneficial to local communities and to the sustainability of natural resources, (2) Assessing the object of tourist attraction in flora and fauna conservation areas, in this case sea turtles and their ecosystems, so that can synergize with ecotourism activities, and (3) Making a model of local community-based tourist institution. The method implemented to achieve the objectives was “Community Empowerment through Ecotourism” which is described as follow: (1) Land Conservation, value and travel product, (2) Creation of an ecotourism atmosphere that all people who live in the area will gain the benefit, (3) The development of tourism activities that carry the excellence of the physical, economic, socio-cultural aspects of the local, (4) The solid image of ecotourism activities in the region that is supported by the readiness of all stakeholders, and (5) Integration of turtle theme conservation and ecotourism area with other supporting tourism products in the Regency. Pacitan Construction of facilities that have been carried out are: (1) developing the forest of eternity, (2) ecological restoration of coastal forests, (3) making sea water wells for turtle ponds, (4) nursery of coastal forest vegetation, (5) construction of marine biota ponds and sanitation facilities, (6) construction of shelters and gazebos, (7) construction of parking lot, and (8) widening of the ecotourism ring road. The next stage plans are: (1) ecotourism community empowerment, (2) strengthening the ecotourism area, and (3) revitalization of marine biota ponds.
Ikääntyvien naisten kokema yksinäisyys
Authors: Rahikka Anne , Annaniemi Virpi , Suutari Saini 
Published: June 2020

Tässä artikkelissa tarkastellaan ikääntyvien 60–76-vuotiaiden naisten kokemaa yksinäisyyttä sekä heidän yksinäisyydelle antamiaan merkityksiä. Lisäksi artikkelin keskeisenä kysymyksenä on niukan toimeentulon vaikutukset yksinäisyyden kokemuksiin. Tutkimusaineisto koostuu yhdeksästä ikääntyvän naisen teemahaastattelusta, jotka suoritettiin pääkaupunkiseudulla kevään 2018 aikana. Analyysimenetelmänä käytettiin teoriaohjaavaa sisällönanalyysiä.
Ikääntyvien naisten kokema yksinäisyys oli ajoittaista ja tilanteista, ja se nimettiin yksinäisyyden aaltomaiseksi vaihteluksi. Yksinäisyyden taustalla olivat elämäntilanteessa tapahtuneet muutokset. Nykyisistä sosiaalisista suhteista huolimatta naiset kaipasivat samanhenkistä seuraa. Olemassa oleva sosiaalinen verkosto ei pystynyt täyttämään heidän sosiaalisiin suhteisiin kohdistamiaan odotuksia. Niukka toimeentulo vahvisti naisten kokemaa yksinäisyyttä, koska se rajoitti vaihtoehtoisia keinoja ratkaista yksinäisyyttä. Niukkaan toimeentuloon yhdistyi lisäksi ulkopuolisuuden tunne, kun naiset joutuivat kieltäytymään heitä kiinnostavista harrastuksista ja tapahtumista. Yksinäisyyden kietoutuminen niukkaan toimeentuloon huolestutti suurinta osaa naisia ja elämänkulun janalla tulevaisuus näyttäytyi epävarmana. Yksinäisyys on yksilöllinen ja monimerkityksellinen ilmiö suhteessa aikaan ja elämäntilanteeseen. Yksinäisyyden ja taloudellisen toimeentulon välistä kytköstä tulisi selvittää lisää, jotta pystytään paremmin kehittämään toimivia interventioita yksinäisyyden ehkäisemiseksi.
Millaisilla palveluilla enintään keskivaikeasti oireilevat muistisairautta sairastavat henkilöt pärjäävät kotona?
Authors: Heikkilä Rauha , Mäkelä Matti , Noro Anja , Lammintakanen Johanna , Laulainen Sanna 
Published: June 2020

Tässä tutkimuksessa selvitettiin kotona asuvien enintään keskivaikeasti oireilevien muistisairautta sairastavien henkilöiden palveluprofiili. Lisäksi selvitettiin millaiset tilapäiset palvelut tukevat kotona asumista sekä millaisiin palveluihin henkilöt ohjautuivat seitsemän kuukauden kuluttua palvelutarpeen arvioinnista. Kotona asuvat henkilöt jaettiin säännöllisiä palveluja vasta hakeviin ja säännöllistä kotihoitoa saaviin. Säännöllisiä palveluja vasta hakevien palveluprofiili: melkein joka toinen muistisairas oli erittäin suuren palvelutarpeen tarvesegmentissä Kognitiovaje ja suuri ADL-avun tarve. Noin joka toisella muistisairaalla ei ollut säännöllisiä palveluja. Säännöllisen kotihoidon saajien palveluprofiili: noin joka kolmas muistisairas oli suuren palvelutarpeen tarvesegmentissä Rajattu kognitiovaje. Heidän pääpalveluna oli kotihoito ja hyvin vähän muiden palvelujen käyttöä. Puolen vuoden seuranta-aikana säännöllisiä palveluita vasta hakevista noin joka kolmannella tapahtui muutosta palveluissa, säännöllisen kotihoidon saajista noin joka viidennellä. Muistisairaiden kotona asumista tuki läheisapu sekä lyhyet sairaalahoidon ja ympärivuorokautisen hoivan jaksot.
Vartoomista, korpeentumista, rämpimistä - palvelutalossa asuvien kokemuksia yksinäisyydestä
Authors: Jansson Anu , Karisto Antti , Pitkälä Kaisu 
Published: June 2020

Tutkimuksen tarkoituksena oli ruotia palvelutalossa asuvien iäkkäiden ihmisten yksinäisyyttä: miten itse yksinäisyys koetaan ja ilmaistaan sekä miten se kontekstualisoituu ajallisesti ja paikallisesti. Aineisto kerättiin paljolti etnografisen tutkimuksen antaman mallin mukaisesti yksilö- ja ryhmähaastatteluin sekä havainnoimalla. Analysointi tapahtui abduktiivista päättelyä hyödyntäen sekä Grounded Theorylle tyypillistä kategorisointia soveltaen.
Asukkaat kuvasivat yksinäisyyden kokemuksiaan vaihtelevasti ja rikkaasti. Yksinäisyys osoittautui hyvin yksilölliseksi, mutta samalla aikaan ja paikkaan sidoksissa olevaksi kokemukseksi. Palvelutaloympäristölle tyypillinen elämänrytmi ja toimintakäytänteet heijastuivat kokemuksiin. Yksinäisten aika oli jokseenkin tapahtumaköyhää, jonkin odottamista. Yksinäisyys oli sidoksissa vuorokaudenaikaan, viikonpäiviin ja vuodenaikoihin. Yksinäisyys kumpusi siitä, että palvelutaloasuntoa ei pidetty omana kotina, ei välttämättä edes kodinomaisena. Siellä jouduttiin viettämään pitkiä aikoja yksin eikä ulos päästy niin usein kuin olisi haluttu. Vuorovaikutus talon toisten asukkaiden kanssa oli toivottua vähäisempää, ja osa asukkaista koki itsensäkin näkymättömäksi.
Aikaan ja paikkaan sidotut yksinäisyyskokemukset ovat tärkeitä signaaleja, jotka tulisi ottaa huomioon palvelutaloasumisen viihtyvyyttä ja toimintaa suunniteltaessa. Yksinäisyyden ennaltaehkäisy ja interventiot ovat olennaisia.
Can public intervention improve local public sector economic performance? The analysis of Special Economic Zones in Poland
Authors: Kopczewska Katarzyna 
Published: June 2020

Abstract
Boosting the local economic growth and cohesion policy may be supported by using the public intervention. The local governments may benefit directly and indirectly from the place-based policy implemented as Special Economic Zones (SEZ). SEZ directly increase the employment and the number of firms, while, indirectly, they can raise the local public sector financial performance in the long run by increasing revenues from personal and corporate income taxes. This article assesses the efficiency of this policy at the local level in the context of an institutional environment and inter-agent local diffusion. It also uses the statistical methodology based on the comparison of the empirical density distributions of the economic and financial indicators within the institutional groups to detect the global shift or divergence or convergence patterns. This article examines the Polish experience of public intervention in 1995–2016 with 14 SEZ located in more than 350 different locations. It proves that in general, the financial and economic situation of the municipalities with SEZ did not improve. An institutional analysis of the SEZ operating conditions indicates that the weak operating requirements for SEZ firms together with a poor location cannot constitute a catalyst for local development.
Factoring Size into the Equation: Media studies, politics, and small states
Authors: Ólafsson Jón Gunnar 
Published: June 2020

Abstract
In this article, I discuss how the world's smallest states, including Iceland, are routinely absent in research and comparative studies concerning media and politics. Size has up until now mostly been ignored as a possible factor in understanding media systems and the relationship between media and politics on the national level. Existing research from other academic fields, such as public administration and economics, has revealed an important finding: small states have unique characteristics that differentiate them from larger states. They can therefore not simply be viewed as smaller versions of large states that have been central in knowledge production. Arguably, a Nordic perspective in media research needs to incorporate the size variable into the research agenda. This article illustrates how this expanded agenda will enrich our understanding of media and politics in the Nordic countries and open up new areas of study on small and large states more generally.
Validação do índice prognóstico SAPS 3 em pacientes internados na UTI de um hospital terciário de Teresina (PI)
Authors: Leão Frankeline Gonçalves de Arêa , Marques Igor Denizarde Bacelar , Mello Patrícia Machado Veiga de Carvalho 
Published: June 2020

INTRODUÇÃO: A avaliação do nível de gravidade dos pacientes admitidos em UTI pode ser realizada através de sistemas de escore prognóstico,como o SAPS3,que prediz a mortalidade hospitalar, permitindo avaliar a qualidade do serviço prestado e comparar resultados com os de outros centros com pacientes de gravidade semelhante. OBJETIVOS:Avaliar o poder discriminatório do escore SAPS3 em pacientes internados em uma UTI geral de um hospital terciário de Teresina(PI) com relação à mortalidade hospitalar. METODOLOGIA:Estudo de coorte retrospectiva, observacional, de análise de prontuários dos pacientes internados no período de setembro a novembro de 2017. Os dados referentes à primeira hora de admissão na UTI foram utilizados para o cálculo do SAPS3.A validação foi calculada pelo método Hosmer-Lemeshow e a discriminação obtida através da curva ROC. Estudo aprovado pelo comitê de ética em pesquisa da instituição. RESULTADOS:Foram incluídos no estudo 107 pacientes, com idade média 60±17 anos. Admissões cirúrgicas foram responsáveis por 49% das internações. O grupo dos não-sobreviventes apresentou maiores tempos de internação hospitalar antes da admissão(p=0,017) e de internação na UTI (0,023). A calibração mostrou c2=20,34 (p=0,0024). O menor valor do SAPS3 foi 29 e o maior 121(mediana 58). O valor do SAPS3 com maior poder discriminatório foi 58 (S80%, E86%; AUROC 0,8936). A mortalidade observada foi 34%, menor que a estimada pelo SAPS3 (49±32%). A razão de mortalidade padronizada (SMR) foi 0,68 (IC95% 0,90-0,46). CONCLUSÃO:O índice prognóstico SAPS3 apresentou bom poder discriminatório, porém superestimou a mortalidade, quando utilizada a equação adaptada para a América do Sul.
Desain dan Implementasi Data Logger untuk Pengukuran Daya Keluaran Panel Surya dan Iradiasi Matahari
Authors: PUDIN APIP , MARDIYANTO IGNATIUS RIYADI 
Published: June 2020

ABSTRAKInformasi mengenai daya keluaran panel surya dan intensitas radiasi matahari diperlukan dalam sistem PLTS guna mengetahui karakteristik potensi daya yang dibangkitkan panel dan estimasi besarnya beban yang terpasang. Dalam penelitian ini, telah dirancang perangkat data logger berbasis Arduino Uno dengan media penyimpan data berupa kartu MicroSD dan format data MS Excel. Parameter daya diperoleh menggunakan modul sensor tegangan dengan prinsip pembagi tegangan dan sensor arus dengan resistor shunt. Intensitas radiasi diperoleh dari sensor Solar Power Meter menggunakan interface kabel RS232 to TTL. Hasil menunjukan nilai rata-rata error tegangan sebesar 36 mV atau inakurasi 0,41% untuk rentang pengukuran dari 0,7 V sampai 24 V, sedangkan rata-rata error arus sebesar 10 mA atau inakurasi 0,42% untuk pengukuran dari 0,3 A sampai 7,5 A. Nilai inakurasi ini masih dibawah nilai rata-rata alat ukur standar yang ada di pasaran sekitar 1%, sehingga hasil rancangan ini bisa digunakan untuk keperluan pengukuran.Kata kunci: tegangan, arus, daya, iradiasi matahari, Arduino ABSTRACTInformation about the output power of solar panels and the intensity of solar radiation are needed in the PV system to determine the characteristics of the power generated by the panel and the estimated amount of installed load. In this research, an Arduino-based data logger has been designed with a MicroSD card data storage media and a MS Excel data format. Power parameters are obtained using a voltage sensor module with the principle of a voltage divider and a current sensor with a shunt resistor. The radiation intensity is obtained from the Solar Power Meter sensor using a RS232 to TTL cable interface. The results show the average of voltage error is 36 mV or inaccuracy is 0.41% for the measurement range from 0.7 V to 24 V, while the average of current error is 10 mA or inaccuracy is 0.42% for the measurement from 0.3 A to 7.5 A. This inaccuracy value is still below the average value of standard measurement tools on the market about 1%, so the results of this design can be used for the purpose of measurements.Keywords: voltage, current, power, solar irradiation, Arduino