bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparing Classroom Instruction to Individual Instruction as an Approach to Teach Avatar-Based Patient Monitoring With Visual Patient: Simulation Study
Authors: Rössler Julian , Kaserer Alexander , Albiez Benjamin , Braun Julia , Breckwoldt Jan , Spahn Donat Rudolf , Nöthiger Christoph , Tscholl David Werner 
Published: March 2020

Background
Visual Patient is an avatar-based alternative to standard patient monitor displays that significantly improves the perception of vital signs. Implementation of this technology in larger organizations would require it to be teachable by brief class instruction to large groups of professionals. Therefore, our study aimed to investigate the efficacy of such a large-scale introduction to Visual Patient.

Objective
In this study, we aimed to compare 2 different educational methods, one-on-one instruction and class instruction, for training anesthesia providers in avatar-based patient monitoring.

Methods
We presented 42 anesthesia providers with 30 minutes of class instruction on Visual Patient (class instruction group). We further selected a historical sample of 16 participants from a previous study who each received individual instruction (individual instruction group). After the instruction, the participants were shown monitors with either conventional displays or Visual Patient displays and were asked to interpret vital signs. In the class instruction group, the participants were shown scenarios for either 3 or 10 seconds, and the numbers of correct perceptions with each technology were compared. Then, the teaching efficacy of the class instruction was compared with that of the individual instruction in the historical sample by 2-way mixed analysis of variance and mixed regression.

Results
In the class instruction group, when participants were presented with the 3-second scenario, there was a statistically significant median increase in the number of perceived vital signs when the participants were shown the Visual Patient compared to when they were shown the conventional display (3 vital signs, P<.001; effect size –0.55). No significant difference was found for the 10-second scenarios. There was a statistically significant interaction between the teaching intervention and display technology in the number of perceived vital signs (P=.04; partial η2=.076). The mixed logistic regression model for correct vital sign perception yielded an odds ratio (OR) of 1.88 (95% CI 1.41-2.52; P<.001) for individual instruction compared to class instruction as well as an OR of 3.03 (95% CI 2.50-3.70; P<.001) for the Visual Patient compared to conventional monitoring.

Conclusions
Although individual instruction on Visual Patient is slightly more effective, class instruction is a viable teaching method; thus, large-scale introduction of health care providers to this novel technology is feasible.
Deteksi Vibrio harveyi dengan Metode Amplifikasi DNA pada Gen toxR
Authors: Johan Calvin Wijaya , Dwi Putra Sulistyo Emantoko , Suryadjaja Ernest 
Published: March 2020

Abstrak -Infeksi hewan akuakultur oleh Vibrio harveyi dapat menyebabkan kematian serta kerugian ekonomi. Kemampuan untuk mendeteksi bakteri tersebut secara dini dapat mencegah penyebarannya dalam akuakultur. Penelitian ini bertujuan untuk mengembangkan metode untuk mendeteksi Vibrio harveyi melalui amplifikasi gen toxR. Amplifikasi DNA dilakukan dengan dua metode, yakni amplifikasi isotermal termediasi loop (loop-mediated isothermal amplification, LAMP) dan reaksi berantai polimerase (PCR). Amplifikasi menggunakan metode LAMP menunjukan perlu dilakukan optimasi protokol maupun desain primer untuk mencegah perolehan hasil false positive. Amplifikasi menggunakan metode PCR menghasilkan produk berukuran 229 pasang basa yang spesifik pada Vibrio harveyi dengan batas deteksi hingga 0,526 ng.µL-1 (setara 2,09 × 106 CFU.mL-1).
Kata kunci: Akuakultur, LAMP, PCR, toxR, Vibrio harveyi
Abstract -Vibrio harveyi infection in aquacultures may cause death and economical loss. Rapid detection of this bacteria may prevent its dispersal in aquacultures. The goal of this research was to develop method in detection of Vibrio harveyi via amplification of toxR gene. DNA amplification was carried out with two methods, loop-mediated isothermal amplification (LAMP) and polymerase chain reaction (PCR). Amplification with LAMP suggest optimization of either protocol or primer design was needed to prevents false positive results. Amplification with PCR yields 229 bp-length product specific to Vibrio harveyi with detection limit up to 0.526 ng.µL-1 (equals to 2.09 × 106 CFU.mL-1).
Keywords: Aquaculture, LAMP, PCR, toxR, Vibrio harveyi
Living with stable angina: patients’ pathway and needs in angina
Authors: Spoletini Ilaria , Ferrari Roberto , Rosano Giuseppe M.C. 
Published: March 2020

Aims
There is evidence that stable angina patients may suffer from emotional disorders that further impair their quality of life. However, the emotional experience of living with stable angina from the patient's perspective still has to be explored. Thus, the main aim of this study was to explore patients’ emotional experience of having stable angina and their reported needs during the pathway from the first symptoms, through the process of diagnosis, to management and related lifestyle changes.

Methods
A survey was conducted in 75 chronic ischemic heart disease patients with angina (Brazil, China, Romania, Russia, and Turkey) using a 75-min, face-to-face in-depth interview.

Results and Conclusion
Patients’ responses highlighted the need to increase individuals’ awareness on the first signs and symptoms of the disease. The survey also showed that chronic stable angina patients need constant emotional support to overcome stress, anxiety, and depression. Finally, this study suggests the need to offer greater space for dialogue with healthcare professionals to get more comprehensive and ‘patient-friendly’ information.
UJI KINERJA SISTEM KONTROL UNTUK PENGENDALIAN SUHU PADA ALAT PENGERING BIJI-BIJIAN BERBASIS FUZZY LOGIC
Authors: Santoso Dwi , Waris Abdul 
Published: March 2020

Mesin pengering hasil pertanian akan baik jika dirancang berbasiskan logika fuzzy untuk menunjukkan hasil pengembangan maka sistem kontrol fuzzy logic diterapkan pada mesin pengering hasil pertanian tipe batch. Penelitian ini bertujuan menghasilkan prototype alat pengering hasil pertanian menggunakan sistem kontrol fuzzy logic dan mengetahui cara penerapan fuzzy logic pada alat pengering tipe batch. Penelitian ini menerapkan metode hybrid (himpunan fuzzy dan crispntuk mendesain kaidah-kaidah logika fuzzy kemudian mengonversi sinyal kontrol menjadi sinyal yang dapat digunakan untuk menggerakkan aktuator mesin. Hasil penelitian menunjukkan bahwa penerapan sistem kontrol fuzzy logic pada alat pengering biji-bijian tipe batch menunjukkan kinerja lebih baik, tidak terjadi overshoot, dan mampu menghemat penggunaan energi gas LPG selama proses pengeringan. Jumlah daya yang digunakan sistem kontrol selama proses pengujian dilakukan yaitu 304.760 (Watt.jam).
Distance travelled to tertiary pediatric care impacts care-seeking behavior and hospital outcome in Vietnam
Authors: Rollins David A , Xu Timothy T , Hoang Viet , Hoang Khang Tuan , Kang Sarah S , Pham Toan Ngoc , Le Duy Ngoc , Ouellette Yves 
Published: March 2020

Background The absence of appropriate and timely critical care in resource-limited countries like Vietnam contributes to poor outcomes and excessive mortality in the acutely ill, pediatric population. Often, tertiary care is limited to major urban centers and patients from remote locations face lengthy travel. How these distances impact care-seeking behavior of the patients’ caregiver, patient acuity on admission, and hospitalization outcome in critically ill children remains unknown. Methods We assessed 471 pediatric patients admitted to intensive care units (ICUs) from the emergency department in a pediatric referral center in Hanoi that serves northern Vietnam. Demographic information from caregivers and medical information was collected by trained staff on site and from the medical record. Patient outcome was followed for sixty days in the ICUs. We analyzed associations between patient admission acuity and outcome to socio-geographic and-demographic data using bivariate logistic regression and log-rank analyses. Results The median child’s age in our study was 1.8 months, with the majority under 1 year (83.3%). On admission to the ICU, 40.5% of patients required life-saving treatment. Within sixty days of admission, 73.3% of patients were discharged, 21.8% experienced extended admission and 3.08% expired in the ICU. Patient and caretaker’s distance from home residence to Vietnam National Children’s Hospital (VNCH) greater than 60 kilometers was significantly associated with a more severe patient acuity on ICU admission (Odds Ratio, OR=2.01, 95% Confidence Limit, CL=1.33, 3.06), an extended admission or expiration in the ICU (OR=1.94, 95% CL=1.15, 3.20), a lower family income (OR=3.74, 95% CL=2.46, 5.64), lack of caregiver college education (OR=3.73, 95% CL=2.34, 6.05), and greater referrals and days delayed seeking care. Conclusions These findings highlight numerous barriers facing acutely ill children and their caretakers, who must travel long distances to reach appropriate critical care at a tertiary referral hospital. Research into current protocols, skills, and staffing at lower facilities and public health education in these regions is needed to determine the best avenues for improvement of critical care services beyond tertiary centers.
SME’s use of ICT and financial services on innovation performance: The mediating role of managers’ experience
Authors: Mabula Juma Buhimila , Dongping Han , Mwakapala Lusekelo Yonah 
Published: March 2020

BACKGROUND: The challenges of ever-changing technological and financial landscape call for experienced, open-minded and visionary SME managers to match the pace and be innovative to enhance firm competitive advantages. The challenges are even more rampant in Africa, characterized by noticeable technological and financial vulnerability demanding special attention. OBJECTIVE: This study focused on analyzing the impact of African SME use of ICT and the use of financial services on firm innovation performance. The study further, explore the mediating effect of firm manager’s experience on the firm use of ICT and financial services-innovation performance relationship. METHODS: Utilizing data from the enterprise survey portal, a total of 11504 SMEs from 27 countries are involved in the analysis. The analysis employed multiple regression models using SPSS 23, and the mediation effect analysis employed the Sobel test of mediation. RESULTS: The general results indicate a significant association of firm use of ICT and financial services on its innovation performance, with exception of the variable of firm website ownership, which had an insignificant association with its ability to introduce new products/services. Also, the results depict the SME manager’s experience to significantly mediate the firm use of ICT and use of financial services-innovation performance relationship, but out of ten, only two models had an insignificant mediation effect of the manager’s experience on the firm having its own website-innovation performance relationship. CONCLUSION: The study results provide a profound impact of the relevant SME managerial experience on the ability to well manage the cotemporally dynamic resources like technology and finances for enhancing firm innovation which results in increased competitive advantage.
Sensors in the care of persons with visual- or visual-and-intellectual disabilities: Use, needs, practical issues, and ethical concerns
Authors: Woensdregt Gerdien , D’Addabbo Graziana , Scholten Hans , van Alfen Claudia , Sterkenburg Paula 
Published: March 2020

BACKGROUND: Sensor technology may improve the quality of life of persons with visual and/or intellectual disabilities. However, there is no general consensus on its utility and implementation. OBJECTIVE: In this exploratory study the aim was to provide an overview of sensors for persons with disabilities to address priorities and ethical concerns for future research. METHODS: Using a qualitative (Delphi) method, 17 interviews were carried out with 20 representatives in the field of visual- or visual-and-intellectual disabilities (in general: six experts in sensor technology, domotics, and eHealth, specific for persons with a visual or visual-and-intellectual disability: three client representatives; three caregivers; four care team managers; two developmental psychologists; one physician; and one paramedic; age ranges 25–61 years). Atlas.ti software was used to code data and major themes were identified using qualitative analyses. RESULTS: The most used sensors were for surveillance and health and the most desired were for behavior. Different sensors were considered most important for future implementation by the groups of participants, such as sensors for lighting, posture, and entertainment by client experts. Furthermore, the majority of participants agreed that sensors should be easy to use and understand and ethical issues (e.g. privacy, informed consent) should be considered. CONCLUSION: The current applications of sensor technology in clinical practice and future research needs were determined by interviewing experts, caregivers, and client experts.
Factors affecting information technology use from the perspective of aging persons with cognitive disabilities: A scoping review of qualitative research
Authors: Rocheleau Jessica N. , Cobigo Virginie , Chalghoumi Hajer , Jahan Alhadi , Jutai Jeffrey , Lake Johanna , Farrell Susan , Lachapelle Yves 
Published: March 2020

BACKGROUND: Although aging persons with cognitive disabilities may benefit from information technologies (IT), researchers have identified barriers affecting their IT use. However, most studies do not emphasize the needs and experiences reported by these users themselves. OBJECTIVE: To identify factors affecting IT use from the perspective of aging persons with cognitive disabilities. METHODS: We conducted a scoping review of peer-reviewed studies published between January 2008 and December 2018 that investigated IT use by aging persons with cognitive disabilities as reported by these individuals. Factors affecting participants’ IT use were synthesized through a thematic analysis of relevant studies’ findings. RESULTS: Seven studies were included in our analysis. We found technology-related (accessibility, usefulness, cost), social (support, stigma and other social pressure), and personal (experience with IT, attitudes toward IT use, functional limitations, life situation) factors related to participants’ IT use. Stigma was identified as a key barrier to IT use that has been underestimated in previous quantitative research. CONCLUSIONS: Understanding the role that stigma plays in the use and adoption of technology among aging persons with cognitive disabilities is critical to developing successful strategies to promote this population’s IT use.
The process and outcomes of implementing a Functional Electrical Stimulation leg cycle ergometry (FES-LCE) program in an acute rehabilitation setting following spinal cord injury
Authors: Fazio Christina , Froehlich-Grobe Katherine , Sikka Seema , Swank Chad 
Published: March 2020

BACKGROUND: Evidence suggests Functional Electrical Stimulation leg cycle ergometry (FES-LCE) is beneficial for people living with chronic spinal cord injury (SCI). However, approaches to implement FES-LCE during acute rehabilitation are not established. OBJECTIVE: Describe the process of developing and implementing a FES-LCE program for SCI patients within acute rehabilitation. METHODS: Implementing an FES-LCE program required developing patient inclusion/exclusion criteria, training protocols for staff, patient, and family/caregivers, and procedures for scheduling patients with devices. RESULTS: Our FES-LCE program experienced a 263.6% increase in utilization from 2016 (354 FES-LCE sessions) to 2017 (1,404 sessions) including 390.3% increased weekend use (31 sessions to 152 sessions). From 2016 to 2018, our evening community fitness program participation significantly increased after incorporating FES-LCE as an exercise option. Implementation barriers included patient concerns (e.g., injury level, family/caregiver support), clinician considerations (e.g., staffing, scheduling), and institutional issues (e.g., internet connectivity). CONCLUSIONS: FES-LCE can be successfully implemented within inpatient rehabilitation among patients with SCI, yet hinges upon ease of access for clinicians and patients. Our program allowed SCI patients to achieve use following dosing parameters without interfering in the 3-hours of activity-based therapies potential benefits. Future research should examine short- and long-term effects of FES-LCE use on patient outcomes.
Mobile health support for motor disability individuals: A review focused on holistic assessment and interventions
Authors: Siebra Clauirton A. , Souto Elaine Cappellazo 
Published: March 2020

BACKGROUND: Health is a complex concept that involves diverse dimensions, such as physical condition, psychological state, and social relationships. Several mobile applications are being used to assess these dimensions and provide recommendations for behaviour changes. However, few studies consider the particularities of the motor disability (MD) population. OBJECTIVE: To identify (1) the current mobile support for MD individuals; (2) the health dimensions that are assessed; (3) if they consider specific interventions for the motor disability population; and (4) if health dimensions are holistically rather than individually considered to provide support for MD mobile users. METHOD: A systematic review was conducted to identify studies from the literature that could answer a pre-defined set of research questions. RESULTS: Fifteen from 111 initial studies were included in this review and they show that the mobile support presents several limitations, such as the lack of a multidimensional holist assessment and intervention process, when they intend to promote aspects of rehabilitation or prevention for the MD population. CONCLUSIONS: This study shows that mobile technology has a high potential to assist its users in managing overall dimensions that affect their health conditions. However, aspects of customization, holist reasoning and automated interventions still need to be considered.
Pneumococcal Carriage Recovered from Healthy Children and Their Possible Association with Some Risk Factors in Outpatient Department of a 1000 bedded Tertiary Care Hospital at Dhaka City
Authors: Shormin Moonmoon , Shamsuzzaman SM , Mondol Md Eunus Ali , Afroz Samira , Rashed Asif 
Published: March 2020

Background: Detection and monitoring of nasopharyngeal carriage of Streptococcus pneumoniae is important to assess the impact and effectiveness of pneumococcal vaccine programs.
Objective: The aims of this study were to assess the nasopharyngeal colonization rate, investigate some of the risk factors for nasopharyngeal colonization with S. pneumoniae from healthy children.
Methodology: The study was conducted in the department of microbiology of Dhaka Medical College Hospital (DMCH). Data were collected among 200 under five healthy children in different age group (13 months to 36 months), from different socioeconomic status with cramped housing condition from Pediatric OPD of Dhaka Medical College Hospital. S. pneumoniae were isolated and identified by culture, Gram staining, biochemical test and polymerase chain reaction (PCR).
Result: Out of 200 nasopharyngeal swabs, 67 (33.50%) were found to be carriers positive by culture and 92(46%) by PCR. The carrier rate was higher among 13 months to 36 months, low and middle socio-economic groups and among with cramped housing condition.
Conclusion: In conclusion various factors may affect the nasopharyngeal colonization with S. pneumoniae including early age of life, different socio-economic and living condition.
Bangladesh Journal of Infectious Diseases 2019;6(2):48-52
Management Of Thrips Infesting Mung Bean Using Pesticides
Authors: Yasmin S , Latif MA , Ali M , Rahman MM 
Published: March 2020

The study was conducted to evaluate the effect of bio-pesticides and chemical insecticides namely Novastar 56EC, Stargate 48SC, Confidor 70WG, Actara 25aWG, Tracer 45SC, Ecomec 1.8EC, Bioneem plus 1EC to control thrips infesting mung bean in the experimental field of Sher-e- Bangla Agricultural University during November 2017 to February 2018. An untreated control observation was also evaluated. Efficacy of the treatments differed significantly and showed effective results in reduction of thrips population and infestation on mung bean at vegetative and reproductive growth stages of the plant. Stargate 48SC (clothianidin) was the most effective insecticide against the thrips species Megalurothrips usitatus and Thrips palmi with the highest reduction of population on top trifoliate leaves and terminal shoots (100.00 and 89.40%, respectively) at vegetative stage and reduction on flower buds and flowers (86.04 and 85.95%, respectively) at reproductive stage of mung bean. The lowest flower bud and flower infestation (7.22 and 3.41%, respectively) and shedding (4.21 and 1.06%, respectively) by thrips with the highest number of pod (23.80 plant-1), seed (10.20 pod-1), 1000 seed weight (48.40 g) and yield (1026.91 kg ha-1) were also found in Stargate 48SC treated plots followed by Confidor 70WG and Actara 25WG treatments.
SAARC J. Agri., 17(2): 43-52 (2019)
Understanding how patients establish strategies for living with asthma: a qualitative study in UK primary care as part of IMP2ART
Authors: Daines Luke , Morrow Susan , Wiener-Ogilvie Sharon , Scott Caroline , Steed Liz , Taylor Stephanie JC , Pinnock Hilary 
Published: March 2020

BackgroundIn the context of a variable condition such as asthma, patient recognition of deteriorating control and knowing what prompt action to take is crucial. Yet, implementation of recommended self-management strategies remains poor.AimTo explore how patients with asthma and parents/carers of children with asthma develop and establish recommended self-management strategies for living with asthma, and how clinicians can best support the process.Design and settingA qualitative study in UK primary care.MethodPatients with asthma and parents/carers of children with asthma from 10 general practices were purposively sampled (using age, sex, and duration of asthma) to participate in focus groups or interviews between May 2016 and August 2016. Participants’ experiences of health care, management of asthma, and views on supported self-management were explored. Interviews and focus group sessions were audio-recorded and transcribed verbatim. Iterative thematic analysis was conducted, guided by the research questions and drawing on habit theory in discussion with a multidisciplinary research team.ResultsA total of 49 participants (45 patients; 4 parents/carers) took part in 32 interviews and five focus groups. Of these, 11 reported using an action plan. Patients learnt how to self-manage over time, building knowledge from personal experience and other sources, such as the internet. Some regular actions, for example, taking medication, became habitual. Dealing with new or unexpected scenarios required reflective abilities, which may be supported by a tailored action plan.ConclusionPatients reported learning intuitively how to self-manage. Some regular actions became habitual; dealing with the unexpected required more reflective cognitive skills. In order to support implementation of optimal asthma self- management, clinicians should consider both these aspects of self-management and support, and educate patients proactively.