bluuebunny/crossref_metadata_2025_split huggingface dataset:
Digital Peer Support Mental Health Interventions for People With a Lived Experience of a Serious Mental Illness: Systematic Review
Authors: Fortuna Karen L , Naslund John A , LaCroix Jessica M , Bianco Cynthia L , Brooks Jessica M , Zisman-Ilani Yaara , Muralidharan Anjana , Deegan Patricia 
Published: April 2020

Background
Peer support is recognized globally as an essential recovery service for people with mental health conditions. With the influx of digital mental health services changing the way mental health care is delivered, peer supporters are increasingly using technology to deliver peer support. In light of these technological advances, there is a need to review and synthesize the emergent evidence for peer-supported digital health interventions for adults with mental health conditions.

Objective
The aim of this study was to identify and review the evidence of digital peer support interventions for people with a lived experience of a serious mental illness.

Methods
This systematic review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) procedures. The PubMed, Embase, Web of Science, Cochrane Central, CINAHL, and PsycINFO databases were searched for peer-reviewed articles published between 1946 and December 2018 that examined digital peer support interventions for people with a lived experience of a serious mental illness. Additional articles were found by searching the reference lists from the 27 articles that met the inclusion criteria and a Google Scholar search in June 2019. Participants, interventions, comparisons, outcomes, and study design (PICOS) criteria were used to assess study eligibility. Two authors independently screened titles and abstracts, and reviewed all full-text articles meeting the inclusion criteria. Discrepancies were discussed and resolved. All included studies were assessed for methodological quality using the Methodological Quality Rating Scale.

Results
Thirty studies (11 randomized controlled trials, 2 quasiexperimental, 15 pre-post designs, and 2 qualitative studies) were included that reported on 24 interventions. Most of the studies demonstrated feasibility, acceptability, and preliminary effectiveness of peer-to-peer networks, peer-delivered interventions supported with technology, and asynchronous and synchronous technologies.

Conclusions
Digital peer support interventions appear to be feasible and acceptable, with strong potential for clinical effectiveness. However, the field is in the early stages of development and requires well-powered efficacy and clinical effectiveness trials.

Trial Registration
PROSPERO CRD42020139037; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID= 139037
Toward a Taxonomy for Analyzing the Heart Rate as a Physiological Indicator of Posttraumatic Stress Disorder: Systematic Review and Development of a Framework
Authors: Sadeghi Mahnoosh , Sasangohar Farzan , McDonald Anthony D 
Published: April 2020

BackgroundPosttraumatic stress disorder (PTSD) is a prevalent psychiatric condition that is associated with symptoms such as hyperarousal and overreactions. Treatments for PTSD are limited to medications and in-session therapies. Assessing the way the heart responds to PTSD has shown promise in detecting and understanding the onset of symptoms.ObjectiveThis study aimed to extract statistical and mathematical approaches that researchers can use to analyze heart rate (HR) data to understand PTSD.MethodsA scoping literature review was conducted to extract HR models. A total of 5 databases including Medical Literature Analysis and Retrieval System Online (Medline) OVID, Medline EBSCO, Cumulative Index to Nursing and Allied Health Literature (CINAHL) EBSCO, Excerpta Medica Database (Embase) Ovid, and Google Scholar were searched. Non–English language studies, as well as studies that did not analyze human data, were excluded. A total of 54 studies that met the inclusion criteria were included in this review.ResultsWe identified 4 categories of models: descriptive time-independent output, descriptive and time-dependent output, predictive and time-independent output, and predictive and time-dependent output. Descriptive and time-independent output models include analysis of variance and first-order exponential; the descriptive time-dependent output model includes a classical time series analysis and mixed regression. Predictive time-independent output models include machine learning methods and analysis of the HR-based fluctuation-dissipation method. Finally, predictive time-dependent output models include the time-variant method and nonlinear dynamic modeling.ConclusionsAll of the identified modeling categories have relevance in PTSD, although the modeling selection is dependent on the specific goals of the study. Descriptive models are well-founded for the inference of PTSD. However, there is a need for additional studies in this area that explore a broader set of predictive models and other factors (eg, activity level) that have not been analyzed with descriptive models.
Engaging With a Web-Based Psychosocial Intervention for Psychosis: Qualitative Study of User Experiences
Authors: Arnold Chelsea , Williams Anne , Thomas Neil 
Published: April 2020

Background
Web-based interventions are increasingly being used for individuals with serious mental illness, including psychosis, and preliminary evidence suggests clinical benefits. To achieve such benefits, individuals must have some level of engagement with the intervention. Currently, little is known about what influences engagement with web-based interventions for individuals with psychotic disorders.

Objective
This study aimed to explore users' perspectives on what influenced engagement with a web-based intervention for psychosis.

Methods
A qualitative design was employed using semistructured telephone interviews. Participants were 17 adults with psychosis who had participated in a trial examining engagement with a self-guided, web-based intervention promoting personal recovery and self-management of mental health.

Results
We identified 2 overarching themes: challenges to using the website and factors supporting persistence. Both of the main themes included several subthemes related to both user-related factors (eg, mental health, personal circumstances, approach to using the website) and users’ experience of the intervention (eg, having experienced similar content previously or finding the material confronting).

Conclusions
Individuals with psychosis experienced several challenges to ongoing engagement with a web-based intervention. Adjunctive emails present an important design feature to maintain interest and motivation to engage with the intervention. However, fluctuations in mental health and psychosocial difficulties are a significant challenge. Design and implementation considerations include flexible interventions with tailoring opportunities to accommodate changeable circumstances and individual preferences.
Individualized Web-Based Attention Training With Evidence-Based Counseling to Address HIV Treatment Adherence and Psychological Distress: Exploratory Cohort Study
Authors: Houston Eric , Fadardi Javad Salehi , Harawa Nina T , Argueta Chris , Mukherjee Sukrit 
Published: April 2020

Background
The prevalence of mood, trauma, and stressor-related disorders is disproportionately higher among people living with HIV than among individuals without the virus. Poor adherence to HIV treatment and heightened psychological distress have been linked to symptoms associated with these disorders.

Objective
The objective of this exploratory pilot study was to develop and implement an intervention that combined individualized web-based attention training with evidence-based counseling to promote HIV treatment adherence and reduce psychological distress among people living with HIV. The study targeted African American and Latino young men who have sex with men, two population groups in the US that continue to experience disparities in HIV treatment outcomes.

Methods
Study participants with elevated symptoms of depression and suboptimal adherence to antiretroviral therapy were recruited primarily through referrals from Los Angeles health and social service providers as well as postings on social media. Participants enrolled in the 4-week intervention received weekly counseling for adherence and daily access to web-based attention training via their personal mobile devices or computers.

Results
Of the 14 participants who began the intervention, 12 (86%) completed all sessions and study procedures. Using a pretest-posttest design, findings indicate significant improvements in adherence, depressive symptoms, and attention processing. Overall, the proportion of participants reporting low adherence to antiretroviral therapy declined from 42% at baseline to 25% at intervention completion (P=.02, phi=0.68). Mean depressive symptoms measured by the 9 item Patient Health Questionnaire (PHQ-9) showed a substantial reduction of 36% (P=.002, Cohen d=1.2). In addition, participants’ attentional processing speeds for all types of stimuli pairings presented during attention training improved significantly (P=.01 and P=.02) and were accompanied by large effect sizes ranging from 0.78 to 1.0.

Conclusions
Our findings support the feasibility of web-based attention training combined with counseling to improve antiretroviral therapy adherence among patients with psychological distress. Future research should include a larger sample, a control group, and longer-term follow-up.
A Mobile Health Platform to Disseminate Validated Institutional Measurements During the COVID-19 Outbreak: Utilization-Focused Evaluation Study
Authors: Zamberg Ido , Manzano Sergio , Posfay-Barbe Klara , Windisch Olivier , Agoritsas Thomas , Schiffer Eduardo 
Published: April 2020

Background
As part of the response plans for the current outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), authorities are drafting and implementing containment measures across jurisdictions worldwide in the effort to slow down transmission and reduce the infection rate. A solid communication strategy is needed to increase the reach of valid information to health professionals, reduce misinformation, and efficiently implement recommended measures.

Objective
The aim of this paper is to describe the utilization of a dedicated mobile health (mHealth) platform to disseminate up-to-date and validated information about SARS-CoV-2 to all medical staff of the Children’s Hospital at the University Hospitals of Geneva.

Methods
Three documents containing institutional information concerning screening, local containment procedures, and frequently asked questions and answers for parents were made available to the staff through a mobile app developed in the University of Geneva, Switzerland. Using a third-party statistics tool, we anonymously monitored user activity as well as content utilization patterns since the diagnosis of the first case of SARS-CoV-2 in Switzerland on February 25, 2020.

Results
From February 25, 2020, to March 13, 2020 (18 days), information documents on SARS-CoV-2 were viewed 859 times, which accounted for 35.6% of the total content views (total views=332). User activity increased significantly with 50.8 (SD 14.4) users per day in this period as compared to the previous weeks (mean 26.4, SD 9.8; P<.001). In addition, session numbers per day more than doubled during the aforementioned period (P<.001). In a survey, medical staff found the information easy to find within the app. On a 10-point Likert scale, the ability of the app to reassure staff in clinical practice was rated as 7.6 (SD 2.1), time-saving ability was rated as 8.5 (SD 2.1), and the need to look for information from other sources was rated as 5.9 (SD 3.3).

Conclusions
The use of an mHealth solution to disseminate novel coronavirus–related information seemed to be an effective and time-saving communication channel within our institution during the SARS-CoV-2 outbreak. Medical staff felt reassured and informed in daily practice. More research should be done on the clinical impact and outcomes of the integration of mHealth solutions as a communication channel of validated information within health institutions.
El ingreso familiar como determinante de la asistencia escolar de los jóvenes en México
Authors: Mancha Torres Gloria Lucinda , Ayala Gaytán Edgardo Arturo 
Published: April 2020

El presente trabajo estima el impacto del ingreso familiar en la asistencia escolar de los jóvenes en México en un contexto longitudinal. Con base en los paneles rotativos de la Encuesta Nacional de Ocupación y Empleo (ENOE), se estima un modelo econométrico probit con efectos fijos para determinar la probabilidad de que un joven de 14 a 18 años que vive con sus padres y asiste a la escuela –continúe el siguiente año–, controlando por las características del joven, de su familia, del entorno y cambios temporales. Se encontró evidencia de que la probabilidad de que un joven continúe estudiando aumenta con el ingreso familiar, y este efecto positivo es relativamente más importante en los primeros deciles de ingreso.
Immediacy
Authors: Alvis Jason W. 
Published: April 2020

At least for Schleiermacher, religion is life in immediate feeling. Whether or not we agree with him, immediacy can be understood as one essential aspect of feeling that makes feeling congenial as the means by which we tend to express the source of religious experience. Yet in general, immediacy is difficult to define and qualify. Is there a hope for immediacy in seeking “to be delivered from contingency” (Merleau-Ponty)? Is immediacy expressed in the instantaneity of how qualities of things are given in a “total interpenetration” (Sartre)? Or are “immediacy and mediation” always inseparable, thus leaving any “opposition between them to be a nullity”? (Hegel)?[i] Might immediacy entail a threat to faith through the absolutizing of the relative (Kierkegaard)? And finally, would not the absolute insistence upon mediation morph it into a new form of immediacy?
It is against the backdrop of these questions that this paper investigates the constellation of roles immediacy might play in religious experience, and it does so through building upon the (seemingly diametrically opposed) claims of Jean-Yves Lacoste and Anthony Steinbock in regards to religion. For Lacoste, “feeling” is not an adequate means by which we should give expression to religion, in part because it leaves religion responsive to an all too volitional and intentional account. Lacoste also prefers to conceive relation with the Absolute/God (a relation he calls "liturgy") not as an experience, but as a non-experience. Whereas for Steinbock, even though emotions all to often are conceptualized according to sentimentality and solipsism, he undertakes to reveal that (especially regarding Religious Experience or "epiphanic" givenness) they in fact have an inherent inter-personal/Personal or Moral intelligibility. The paper builds up to the final claims that immediacy is a temporal expression of the unconditioned, yet that it is precisely this temporal element in relation to the Absolute that complicates the mediation/immediacy interaction.
Implementing Competency-Based Medical Education in Family Medicine: A Scoping Review on Residency Programs and Family Practices in Canada and the United States
Authors: Campbell Craig , Hendry Paul , Delva Dianne , Danilovich Natalia , Kitto Simon 
Published: April 2020

BACKGROUND AND OBJECTIVES: While family medicine has been one of the first specialties to implement competency-based medical education (CBME) in residency, the nature and level of its integration with continuing professional development (CPD) is neither well understood nor well studied. The purpose of this review was to examine the current state of CBME implementation in family medicine residency and CPD programs in the North American education literature, with the aim of identifying implementation concepts and strategies that are generalizable to other medical settings to inform the design and implementation of residency training and CPD.
METHODS: Using an Arksey and O’Malley six-step framework, we searched five online databases and the gray literature over the period between January 2000 through April 2017. We included full-text articles that focused on the key words CBME, residency, CPD, and family medicine.
RESULTS: Of the articles reviewed, 37 met the inclusion criteria and were selected for full review. Eighty six percent of included articles focused on foundation elements related to designing competency-based curriculum and assessment strategies rather than program evaluation or other outcome measures. Only 19% of the articles were related to CPD that focused only on the implementation at the program and/or institution/organization levels.
CONCLUSIONS: Given that the implementation of CBME is in its relative infancy, the pattern of implementation activities described in this scoping review reflected a limited focus on a broad range of issues related to fidelity of implementation of this complex intervention.
Occlusal and Esthetic Enhancement: A Noninvasive Approach to an Old Dilemma
Authors: Lima GS , Albino LGB , dos Santos CS , Cenci MS , Pereira-Cenci T 
Published: April 2020

SUMMARY
This article describes an indirect composite restoration technique for diastema closure and tooth lengthening with a noninvasive approach using regularly available materials such as silicone, composite resin, and an adhesive system. The procedure resulted in occlusal and functional improvement, with diastema closure, protrusive guide adjustment, and an increase in central incisor length. The procedure provided an adequate proportion of the central incisors with an esthetically natural appearance. It also resulted in simple, fast, and accurate manufacturing with a noninvasive esthetic indirect rehabilitation compared with more invasive preparation of ceramic veneers.
Pengaruh Modal Kerja Terhadap Penjualan Dan Laba Perusahaan (Studi Kasus pada Sektor Food and Beverage yang terdaftar di BEI 2011-2014)
Authors: Widyamukti Erlina Yunitasari , Wibowo Junianto 
Published: April 2020

Working capital is very useful for a firm, mainly when it will operate its business like to purchase raw material, to pay salary and wages, etc. With certain working capital, a firm will be able to stipulate sales and to gain profit. This research is conducted for evaluation of influencing working capital on sales and profit separately. Samples of this research consist of 13 firms go public on food and beverage sector from 2011 until 2014. Data used is secondary data of financial report from those firms from 2011 until 2014. The data is obtained with documentary method, conducted by recording data needed from financial report of www.icamel.id. Then, these data are analyzed with simple regression analysis tehnique. The results showed that with a significance level 5%, independent variables net working capital affect the dependent variable, both sales and corporate profits.
Diffuse Idiopathic Skeletal Hyperostosis in a Patient With Shoulder Pain
Authors: Feldman Kyle W. , Hartstein Aaron J. 
Published: April 2020

A 74-year-old man was referred to physical therapy by his primary care physician for insidious onset of right shoulder pain. Following examination, spinal radiographs and the human leukocyte antigen (HLA-B27) test, which is used to identify common autoimmune disorders, were completed. The radiographs revealed multilevel changes consistent with diffuse idiopathic skeletal hyperostosis, and the HLA-B27 test was positive. J Orthop Sports Phys Ther 2020;50(4):215. doi:10.2519/jospt.2020.9243
O Acesso à Ordem Jurídica Justa no Procedimento Administrativo Ambiental
Authors: Pereira Mariana Musse , Emerique Lilian Márcia Balmant 
Published: April 2020

O artigo trata da problemática do acesso à Justiça na esfera administrativa, partindo de concepção mais ampla de acesso à Justiça, compreendido como acesso à ordem jurídica justa no Estado Democrático de Direito e discute o tema no campo do procedimento administrativo das multas ambientais, tendo por referência a análise empírica das multas aplicadas pela Superintendência do Instituto Brasileiro do Meio Ambiente e dos Recursos Naturais Renováveis (IBAMA) no estado do Rio de Janeiro. Metodologia: análise bibliográfica e realização de entrevistas com agentes públicos de setores estratégicos do IBAMA/RJ, confrontando as informações recebidas com as concepções das ondas renovatórias do acesso à Justiça.
Peran Trait Kepribadian terhadap Social Support pada Penderita Kanker Leher Rahim
Authors: Dewi Dermawan Clara Assisiansi , Fun Fun Lie 
Published: April 2020

Based on Data Riset Kesehatan Dasar Indonesia (2013), 65% cases of diseases are caused by non-contagious diseases, one of them is cervical cancer. Individual response to the cancer varies depend on personality and their perception about social support. This study uses McCrae-Costa’s Big Five Personality Theory (2003) and Cohen’s Social Support (2002).
Sixty cervical cancer patients, selected by accidental sampling, were given personality and social support questionnaire. Each trait’s score tested its contribution to social support’s score with Multilinear Regression Test by SPPS 20.
Agreeableness contributes to perception about appraisal support (F=8.303) and belonging support (F=4.501). Extraversion contributes to perception about appraisal support (F=7.7). Openness to experience contributes to perception about belonging support (F=5.465) and tangible support (F=3.922). Neuroticism and Conscientiousness do not contribute to perception about any social support dimensions.
Hopefully this study can be used by the patient’s family, the hospital, and LSM in giving social support and also for the patient to understand about their personality and know what kind of help they do need from people around.
Keywords: cervical cancer, big five personality, social support, Multilinear Regression Test
Estimation of Out-of-Field Dose Variation using Markus Ionization Chamber Detector
Authors: Abdelaal Ahmed M. , Attalla Ehab M. , Elshemey Wael M. 
Published: April 2020

Objective: The aim of This work to provide evaluation for the out-of-field dose with different plan parameters as field size and depth using Markus ionization chamber detector in the measurement that are frequently used in electron and superficial dosimetery, in radiotherapy. Methods: This is carried out through the application of these detector in estimation of the out-of-field dose with important dosimetric parameters such as field size (from 5×5 to 30×30 cm2) and depth (from 1.5 to 30 cm) at energy 6 MV and collimator angle 0° at SSD 100 cm. Results: Results show that, the Markus detector reported an increase in out-of-field dose with field size, depth in almost all measurements. For 6 MV and 0° collimator angle, the out-of-field dose at field size of 5×5 cm2 (depth of 1.5 cm) is 1.1% and at field size of 30×30 cm2 (depth of 1.5 cm) is 4.4% . The out-of-field dose for a depth of 1.5 cm (field size of 10×10 cm2) is 2.3% and for a depth of 30 cm (field size of 10×10 cm) is 5.5%. the measured out-of-field dose by Markus detector overestimated in the calculated at different field sizes (2.7% instead of 2.3% at field size of 10×10 cm2 and 5.2% instead of 4.4% at field size of 30×30 cm2) and different depths (2.7% instead of 1.1% at depth of 1.5 cm and 4.1% instead of 3.4% at depth of 30 cm). Analysis: The result reported an increase in mean out-of-field dose with field size, depth, energy and SSD. Markus ionization chamber detector show overestimation of the measured out-of-field dose in the calculated values at all field sizes and depths, this may be attributed to the poor detection of out-of-field dose by TPS.