bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mapping the Evidence on the Effectiveness of Telemedicine Interventions in Diabetes, Dyslipidemia, and Hypertension: An Umbrella Review of Systematic Reviews and Meta-Analyses
Authors: Timpel Patrick , Oswald Sarah , Schwarz Peter E H , Harst Lorenz 
Published: December 2019

Background
Telemedicine is defined by three characteristics: (1) using information and communication technologies, (2) covering a geographical distance, and (3) involving professionals who deliver care directly to a patient or a group of patients. It is said to improve chronic care management and self-management in patients with chronic diseases. However, currently available guidelines for the care of patients with diabetes, hypertension, or dyslipidemia do not include evidence-based guidance on which components of telemedicine are most effective for which patient populations.

Objective
The primary aim of this study was to identify, synthesize, and critically appraise evidence on the effectiveness of telemedicine solutions and their components on clinical outcomes in patients with diabetes, hypertension, or dyslipidemia.

Methods
We conducted an umbrella review of high-level evidence, including systematic reviews and meta-analyses of randomized controlled trials. On the basis of predefined eligibility criteria, extensive automated and manual searches of the databases PubMed, EMBASE, and Cochrane Library were conducted. Two authors independently screened the studies, extracted data, and carried out the quality assessments. Extracted data were presented according to intervention components and patient characteristics using defined thresholds of clinical relevance. Overall certainty of outcomes was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) tool.

Results
Overall, 3564 references were identified, of which 46 records were included after applying eligibility criteria. The majority of included studies were published after 2015. Significant and clinically relevant reduction rates for glycated hemoglobin (HbA1c; ≤−0.5%) were found in patients with diabetes. Higher reduction rates were found for recently diagnosed patients and those with higher baseline HbA1c (>8%). Telemedicine was not found to have a significant and clinically meaningful impact on blood pressure. Only reviews or meta-analyses reporting lipid outcomes in patients with diabetes were found. GRADE assessment revealed that the overall quality of the evidence was low to very low.

Conclusions
The results of this umbrella review indicate that telemedicine has the potential to improve clinical outcomes in patients with diabetes. Although subgroup-specific effectiveness rates favoring certain intervention and population characteristics were found, the low GRADE ratings indicate that evidence can be considered as limited. Future updates of clinical care and practice guidelines should carefully assess the methodological quality of studies and the overall certainty of subgroup-specific outcomes before recommending telemedicine interventions for certain patient populations.
Accuracy and Effects of Clinical Decision Support Systems Integrated With BMJ Best Practice–Aided Diagnosis: Interrupted Time Series Study
Authors: Tao Liyuan , Zhang Chen , Zeng Lin , Zhu Shengrong , Li Nan , Li Wei , Zhang Hua , Zhao Yiming , Zhan Siyan , Ji Hong 
Published: December 2019

Background
Clinical decision support systems (CDSS) are an integral component of health information technologies and can assist disease interpretation, diagnosis, treatment, and prognosis. However, the utility of CDSS in the clinic remains controversial.

Objective
The aim is to assess the effects of CDSS integrated with British Medical Journal (BMJ) Best Practice–aided diagnosis in real-world research.

Methods
This was a retrospective, longitudinal observational study using routinely collected clinical diagnosis data from electronic medical records. A total of 34,113 hospitalized patient records were successively selected from December 2016 to February 2019 in six clinical departments. The diagnostic accuracy of the CDSS was verified before its implementation. A self-controlled comparison was then applied to detect the effects of CDSS implementation. Multivariable logistic regression and single-group interrupted time series analysis were used to explore the effects of CDSS. The sensitivity analysis was conducted using the subgroup data from January 2018 to February 2019.

Results
The total accuracy rates of the recommended diagnosis from CDSS were 75.46% in the first-rank diagnosis, 83.94% in the top-2 diagnosis, and 87.53% in the top-3 diagnosis in the data before CDSS implementation. Higher consistency was observed between admission and discharge diagnoses, shorter confirmed diagnosis times, and shorter hospitalization days after the CDSS implementation (all P<.001). Multivariable logistic regression analysis showed that the consistency rates after CDSS implementation (OR 1.078, 95% CI 1.015-1.144) and the proportion of hospitalization time 7 days or less (OR 1.688, 95% CI 1.592-1.789) both increased. The interrupted time series analysis showed that the consistency rates significantly increased by 6.722% (95% CI 2.433%-11.012%, P=.002) after CDSS implementation. The proportion of hospitalization time 7 days or less significantly increased by 7.837% (95% CI 1.798%-13.876%, P=.01). Similar results were obtained in the subgroup analysis.

Conclusions
The CDSS integrated with BMJ Best Practice improved the accuracy of clinicians’ diagnoses. Shorter confirmed diagnosis times and hospitalization days were also found to be associated with CDSS implementation in retrospective real-world studies. These findings highlight the utility of artificial intelligence-based CDSS to improve diagnosis efficiency, but these results require confirmation in future randomized controlled trials.
The Arabic Version of the Mobile App Rating Scale: Development and Validation Study
Authors: Bardus Marco , Awada Nathalie , Ghandour Lilian A , Fares Elie-Jacques , Gherbal Tarek , Al-Zanati Tasnim , Stoyanov Stoyan R 
Published: December 2019

Background
With thousands of health apps in app stores globally, it is crucial to systemically and thoroughly evaluate the quality of these apps due to their potential influence on health decisions and outcomes. The Mobile App Rating Scale (MARS) is the only currently available tool that provides a comprehensive, multidimensional evaluation of app quality, which has been used to compare medical apps from American and European app stores in various areas, available in English, Italian, Spanish, and German. However, this tool is not available in Arabic.

Objective
This study aimed to translate and adapt MARS to Arabic and validate the tool with a sample of health apps aimed at managing or preventing obesity and associated disorders.

Methods
We followed a well-established and defined “universalist” process of cross-cultural adaptation using a mixed methods approach. Early translations of the tool, accompanied by confirmation of the contents by two rounds of separate discussions, were included and culminated in a final version, which was then back-translated into English. Two trained researchers piloted the MARS in Arabic (MARS-Ar) with a sample of 10 weight management apps obtained from Google Play and the App Store. Interrater reliability was established using intraclass correlation coefficients (ICCs). After reliability was ascertained, the two researchers independently evaluated a set of additional 56 apps.

Results
MARS-Ar was highly aligned with the original English version. The ICCs for MARS-Ar (0.836, 95% CI 0.817-0.853) and MARS English (0.838, 95% CI 0.819-0.855) were good. The MARS-Ar subscales were highly correlated with the original counterparts (P<.001). The lowest correlation was observed in the area of usability (r=0.685), followed by aesthetics (r=0.827), information quality (r=0.854), engagement (r=0.894), and total app quality (r=0.897). Subjective quality was also highly correlated (r=0.820).

Conclusions
MARS-Ar is a valid instrument to assess app quality among trained Arabic-speaking users of health and fitness apps. Researchers and public health professionals in the Arab world can use the overall MARS score and its subscales to reliably evaluate the quality of weight management apps. Further research is necessary to test the MARS-Ar on apps addressing various health issues, such as attention or anxiety prevention, or sexual and reproductive health.
ESTUDO DE CASOS: UMA REALIDADE OPERACIONAL APLICADA AO ENSINO DE QUÍMICA NUM CURSO DE FORMAÇÃO DE OFICIAIS BOMBEIROS
Authors: Pereira Wagner Schütter , Messeder Jorge Cardoso 
Published: December 2019

O objetivo desse trabalho foi produzir um manual prático-teórico a ser utilizado como instrumento de apoio para as aulas de Química da Academia de Bombeiros Militar Dom Pedro II (ABMDPII). Os objetivos específicos traçados foram: verificar as concepções que os cadetes têm sobre o emprego da química no cotidiano do bombeiro, levantar temas relevantes que contribuam para um ensino de química contextualizado, e, por fim, elaborar casos para compor o manual. O Método de Estudo de Caso e a Metodologia da Problematização, também conhecida como Metodologia do Arco de Maguerez, formaram a base teórica para a construção do manual, que possui a característica intrínseca de pontificar os conteúdos trabalhados em sala com a realidade vivenciada pelos bombeiros militares. Cada caso está correlacionado com um assunto abordado no PLANDIS (Plano de Disciplina) de Química I, documento norteador dos objetivos curriculares da Academia. A pesquisa foi aplicada aos cadetes do 1º ano do curso deformação de Oficiais (CFO), no segundo semestre de 2014. Os resultados indicaram que a criação de um manual prático-teórico baseado no estudo de casos possibilita que os cadetes desenvolvam um senso crítico apurado, e por meio de sua aplicação, possam estabelecer novos parâmetros através das experiências vivenciadas por outros indivíduos. Espera-se o material educacional produzido possibilite ao professor refletir sobre a necessidade de que conhecimentos ministrados nas disciplinas de Química do CFO estejam em concordância com a operacionalidade do CBMERJ, funcionando como um recurso facilitador da aprendizagem.
O ENEM NOS LIVROS DIDÁTICOS DE FÍSICA RECOMENDADOS PELO PNLD 2015
Authors: Da Silva Vailton Afonso , Martins Maria Inês , Máximo Edivaldo Lima 
Published: December 2019

O ENEM é, atualmente, o exame de larga escala mais relevante do país, particularmente, por seu valor estratégico como “moeda de troca” para o ingresso da Educação Superior, materializado, sobretudo através do Programa Universidade para Todos (PROUNI) para instituições privadas e do Sistema de Seleção Unificado (SISU) para instituições públicas, totalizando, de acordo com o MEC, 9.519.827 inscritos em 2014. Procura-se investigar como o ENEM tem sido explorado nas 14 (quatorze) Coleções de Física recomendadas na última edição do Programa Nacional do Livro Didático para o Ensino Médio (PNLD 2015). Além disso, nas obras coincidentes, faz-se uma comparação sobre o uso do ENEM com a edição anterior do Programa (PNLD 2012). As questões do ENEM foram mapeadas nas Coleções, verificando além de sua frequência, sua forma de apresentação, organização e exploração pedagógica nas obras didáticas. Verifica-se que os autores têm incorporado em suas coleções, pouco do universo de questões de Física aplicadas nas 17 edições do ENEM (desde 1998, contabilizadas duas provas em 2009). Observa-se que as coleções de Física recomendadas pelo PNLD 2015, de modo geral, repetindo o observado em coleções do PNLD 2012, pouco exploram o ENEM, excetuando-se três Obras com uma maior quantidade de itens, ainda que no final do volume, como atividade complementar. Não obstante a relevância do ENEM, não foram observados avanços significativos em sua utilização nas 10 (dez) obras recomendadas nas duas últimas edições do PNLD.
A MÁGICA COMO FERRAMENTA DE ESTIMULAÇÃO DA APRENDIZAGEM NO ENSINO DE FÍSICA
Authors: Rodrigues Denise Celeste Godoy de Andrade , Souza Alex Sandro Bôsco de 
Published: December 2019

Pretende-se com este trabalho apresentar a “Mágica” como recurso lúdico pedagógico na forma de oficina, relacionando-a com o estudo da Óptica, especialmente aos conceitos de refração e reflexão da luz. A oficina foi realizada com 31 alunos de uma escola em Volta Redonda RJ. Para a apresentação da mágica foi construída uma caixa mágica com espelhos. Ao final da atividade foi aplicado um questionário com perguntas mistas. Os resultados mostraram que nenhum aluno identificou o truque envolvido na mágica antes de sua revelação. Entretanto, foram capazes de perceber fenômenos físicos envolvidos na atividade. Conclui-se que a proposta de construção de uma caixa mágica e a utilização da mesma como ferramenta no ensino de conteúdos de óptica na disciplina de Física foi válida, pois permitiu que a oficina fosse realizada e relacionada com os conteúdos físicos propostos.
INTERNET PARA OS GANHOS DOS ESTUDANTES: LOCAL DE TRABALHO OU ESPAÇO DE COMUNICAÇÃO
Authors: Khusainova Liana R. , Tavstukha Olga G. , Bukharova Irina V. , Samsonova Olesya V. , Aliyev Hibi K. , Gerasimenko Sergey A. , Ovchinnikova Ludmila P. 
Published: December 2019

A sobrecarga de trabalho do professor pode causar desafios para os professores, levando a esgotamento a longo prazo, se não forem abordados. Consequentemente, o presente estudo tem como objetivo examinar as fontes de prevenção de burnout das perspectivas dos supervisores de EFL (inglês como língua estrangeira). Os participantes foram 85 supervisores iranianos de EFL, cujo trabalho era observar e dar feedback aos professores sobre seu desempenho no ensino em vários níveis de proficiência linguística, do nível básico ao avançado. Um método misto sequencial foi empregado neste estudo. Primeiro, a coleta de dados qualitativos foi realizada por meio de entrevistas com 30 participantes, a fim de determinar as fontes de prevenção de burnout na perspectiva dos supervisores. Em seguida, foi elaborado um questionário de prevenção de burnout, utilizando os resultados das entrevistas, após o qual foi aplicado aos demais participantes. Os dados coletados foram analisados por fatores para identificar os componentes do construto de prevenção de burnout. Os resultados da análise de conteúdo dos dados da entrevista indicaram que o apoio dos professores de seus colegas, a situação menos estressante e a satisfação no trabalho foram as principais fontes de prevenção de burnout. A análise fatorial mostrou as mesmas fontes de burnout que os principais componentes do construto de prevenção de burnout. As conclusões deste estudo enfatizam a contribuição do apoio educacional e emocional dos professores, proporcionando um local de trabalho construtivo e saudável, bem como a renda desejável como formas de prevenção do esgotamento nos professores de EFL.
STUDENT SOCIO-PSYCHOLOGICAL EXPECTATIONS FROM STUDYING IN HIGHER EDUCATION INSTITUTION: SATISFACTION DEGREE AND IMPLEMENTATION EVALUATION
Authors: Khanmurzina Rimma R. , Shelevoi Denis G. , Tararina Larisa I. , Mazhuga Elena Yu. , Fabrikov Maxim S. , Kosolapova Larisa A. , Skorobogatova Anna I. , Matveeva Maria A. 
Published: December 2019

The aim of the study is to analyze the implementation of students' expectations from studying at the University. The leading method for the study of this problem is the method of the questionnaire, which allows the most qualitative and in-depth study of the expectations of young people in relation to higher education.. It is revealed that the existing problems have a negative impact on the attitude of students to their educational institution and, consequently, reduce its image in the eyes of future students and the public as a whole. The data obtained in this work can be used in the psychology of education, age psychology, social psychology, pedagogy, sociology, as well as for further theoretical development of this issue.
Pengembangan Desa Mitra Kalitengah Banjarnegara Menuju Desa Wisata Pendidikan Bukit Sulsitiyo
Authors: . Mukhlis , Subekti Ervina Eka , Fajriyah Khusnul , Agung Muhammad 
Published: December 2019

Salah satu prioritas dalam Rencana Pembangunan Jangka Menengah Desa Kalitengah Kecamatan Purwanegara Kabupaten Banjarnegara tahun 2018-2024 adalah mengembangkan desa menjadi desa wisata. Desa Kalitengah memiliki sumber daya alam potensial yang melimpah berupa pasir felspar. Di Desa ini juga terdapat magnet wisata makam Bapak Dr.H. Sulistiyo, M.Pd yang merupakan tokoh Pendidikan. Setiap peringatan hari guru dan ulang tahun PGRI komplek makam ini menjadi tempat upacara oleh perwakilan guru-guru se-Jawa tengah. Mitra belum mampu memanfaatkan peluang banyaknya pengunjung tersebut. Tujuan dari kegiatan ini adalah pembinaan jiwa kewirasuhaan mitra dan fasilitiasi dalam penyiapan dan perijinan desa wisata,. Metode pelaksanaan yang digunakan adalah analisis situasi, perencanaan dan pelaksanaan melalui sosialisasi, pendampingan, dan fasilitasi. Hasil yang dicapai berupa: 1) SK Desa Wisata Pendidikan Bukit Sulistyo Desa Kalitengah Kecamatan Purwonegoro Kabupaten Banjarnegara; 2) terbentuknya kelompok pokdarwis Intan Putih; dan 3) meningkatnya pemahaman warga mengenai konsep wirasusahan dan desa wisata. Kata Kunci: Pendampingan, Desa Wisata, Bukit Sulistiyo
Reassembling Energy Policy
Authors: Aykut Stefan Cihan 
Published: December 2019

Ongoing debates about the need to deeply transform energy systems worldwide have spurred renewed scholarly interest in the role of future-visions and foreknowledge in energy policy. Forecasts and scenarios are in fact ubiquitous in energy debates: commonly calculated using energy models, they are employed by governments, administrations and civil society actors to identify problems, choose between potential solutions, and justify specific forms of political intervention. This article contributes to these debates through a historic study of foreknowledge-making – modelling, forecasting, and scenario-building – and its relationship to the structuring of ‘energy policy’ as an autonomous policy domain in France and Germany. It brings together two strands of literature: work in the anthropology of politics on ‘policy assemblages’, and STS research on the ‘performative’ effects of foreknowledge. The main argument is that new ways of assembling energy systems in energy modelling, and of bringing together policy networks in scenario-building and forecasting exercises, can contribute to policy change. To analyse the conditions under which such change occurs, the article focuses on two periods: the making of national energy policies as ‘energy supply policies’ in the post-war decades; and challenges to dominant approaches to energy policy and energy modelling in the 1970s and 1980s. It concludes by arguing that further research should not only focus on the effects of foreknowledge on expectations and beliefs (‘discursive performativity’), but also take into account how new models ‘equip’ political, administrative and market actors (‘material performativity’), and how forecasting practices recompose and shape wider policy worlds (‘social performativity’).
Penerapan Model Pembelajaran Berdasarkan Masalah untuk Meningkatkan Hasil Belajar Matematika Siswa
Authors: Suhadi Suhadi 
Published: December 2019

Tujuan pada permasalahan dalam penelitian ini adalah rendahnya hasil belajar matematika. Subjek dalam penelitian ini adalah siswa Kelas VI SDN 013 Lubuk Kembang Sari Kecamatan Ukui Kabupaten Pelalawan Tahun 2018 dengan jumlah siswa 20 orang. Jenis penelitian ini adalah PTK yang dilakukan dalam dua siklus, setiap siklus dilaksanakan dalam dua kali pertemuan dengan satu kali ulangan akhir siklus. Instrument pengumpulan data pada penelitian ini adalah lembar observasi guru, lembar observasi siswa dan tes ulangan akhir siklus. Hasil penelitian ini menunjukkan bahwa model Pembelajaran Berdasarkan Masalah dapat meningkatkan hasil belajar Matematika siswa, peningkatan hasil belajar dapat dilihat pada skor dasar yaitu rata-rata kelas 47,50 dengan ketuntasan klasikal 33,33%, kemudian meningkat pada siklus I yaitu rata-rata kelas 66,67 dengan ketuntasan klasikal 58,33% dan mengalami peningkatan 40,36% dan pada siklus II rata-rata kelas mengalami peningkatan lagi menjadi 76,67 dengan ketuntasan klasikal 83,33% dan mengalami peningkatan 61,41%. Peningkatan hasil belajar ini juga ditunjang oleh peningkatan aktifitas guru dan siswa. Peningkatan aktivitas guru dari siklus I pertemuan pertama ke siklus II pertemuan kedua adalah 40,63%. Sedangkan peningkatan aktivitas siswa dari siklus I pertemuan pertama ke siklus II pertemuan kedua adalah 40,63%. Dengan demikian dapat disimpulkan bahwa Ini artinya bahwa model Pembelajaran Berdasarkan Masalah dapat meningkatkan hasil belajar Matematika siswa Kelas VI SDN 013 Lubuk Kembang Sari Kecamatan Ukui Kabupaten Pelalawan Tahun 2018.
Pengaruh Penerapan Pendekatan Realistic Mathematics Education (RME) terhadap Kemampuan Koneksi Matematis berdasarkan Self Regulated Learning Siswa Sekolah Menengah Pertama
Authors: Setiawarni Ade , Rahmi Depriwana , Risnawati Risnawati 
Published: December 2019

Penelitian ini dilatarbelakangi oleh adanya fakta dilapangan yang menunjukkan masih terdapat siswa di SMP Negeri 1 Kampa yang belum optimal memiliki kemampuan koneksi matematis. Adapun hipotesis penelitian ini adalah untuk menyelidiki ada atau tidaknya terdapat perbedaan kemampuan koneksi matematis siswa antara siswa yang memperoleh pembelajaran dengan pendekatan RME dengan siswa yang memperoleh pembelajaran tanpa pendekatan RME, mengetahui ada atau tidaknya perbedaan kemampuan koneksi matematis antara siswa yang memiliki Self Regulated Learning belajar tinggi, sedang, dan rendah dan ada atau tidak terdapat interaksi antara pendekatan RME dan Self Regulated Learning belajar siswa terhadap kemampuan koneksi matematis siswa. Penelitian ini merupakan penelitian Quasi Eksperimental dengan desain The Nonequivalent Postest-Only Control Group Design. Populasi dalam penelitian ini adalah seluruh siswa kelas VIII semester genap SMP Negeri 1 Kampa tahun ajaran 2018/2019. Sampel dalam penelitian ini adalah kelas VIII.1 dan VIII.2. Teknik analisis data yang digunakan untuk hipotesis pertama adalah Uji-t sedangkan untuk hipotesis kedua dan ketiga menggunakan anova dua arah. Hasil analisis data dengan menggunakan uji t menunjukkan nilai thitung= 3,470 > ttabel=2,006 sehingga dapat disimpulkan terdapat perbedaan kemampuan koneksi matematis antara siswa yang mengikuti pembelajaran dengan pendekatan RME dengan siswa yang mengikuti pembelajaran tanpa pendekatan RME. Hasil analisis data dengan menggunakan uji anova dua arah untuk menunjukkan F(B)hitung=95,1 > F(B)tabel=3,19 sehingga dapat disimpulkan terdapat perbedaan kemampuan koneksi matematis antara siswa yang memiliki Self Regulated Learning belajar tinggi, sedang, dan rendah. Sedangkan F(A×B)hitung=-47,2 < F(A×B)tabel=3,19 sehingga dapat disimpulkan bahwa tidak terdapat interaksi antara pendekatan RME dan Self Regulated Learning belajar siswa terhadap kemampuan koneksi matematis siswa.