bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cognitive Impairment and Dementia in Primary Care: Current Knowledge and Future Directions Based on Findings From a Large Cross-Sectional Study in Crete, Greece
Authors: Bertsias Antonios , Symvoulakis Emmanouil , Tziraki Chariklia , Panagiotakis Symeon , Mathioudakis Lambros , Zaganas Ioannis , Basta Maria , Boumpas Dimitrios , Simos Panagiotis , Vgontzas Alexandros , Lionis Christos 
Published: November 2020

Introduction: Dementia severely affects the quality of life of patients and their caregivers; however, it is often not adequately addressed in the context of a primary care consultation, especially in patients with multi-morbidity.Study Population and Methods: A cross-sectional study was conducted between March-2013 and December-2014 among 3,140 consecutive patients aged &gt;60 years visiting 14 primary health care practices in Crete, Greece. The Mini-Mental-State-Examination [MMSE] was used to measure cognitive status using the conventional 24-point cut-off. Participants who scored low on MMSE were matched with a group of elders scoring &gt;24 points, according to age and education; both groups underwent comprehensive neuropsychiatric and neuropsychological assessment. For the diagnosis of dementia and Mild-Cognitive-Impairment (MCI), the Diagnostic and Statistical Manual-of-Mental-Disorders (DSM-IV) criteria and the International-Working-Group (IWG) criteria were used. Chronic conditions were categorized according to ICD-10 categories. Logistic regression was used to provide associations between chronic illnesses and cognitive impairment according to MMSE scores. Generalized Linear Model Lasso Regularization was used for feature selection in MMSE items. A two-layer artificial neural network model was used to classify participants as impaired (dementia/MCI) vs. non-impaired.Results: In the total sample of 3,140 participants (42.1% men; mean age 73.7 SD = 7.8 years), low MMSE scores were identified in 645 (20.5%) participants. Among participants with low MMSE scores 344 (54.1%) underwent comprehensive neuropsychiatric evaluation and 185 (53.8%) were diagnosed with Mild-Cognitive-Impairment (MCI) and 118 (34.3%) with dementia. Mental and behavioral disorders (F00-F99) and diseases of the nervous system (G00-G99) increased the odds of low MMSE scores in both genders. Generalized linear model lasso regularization indicated that 7/30 MMSE questions contributed the most to the classification of patients as impaired (dementia/MCI) vs. non-impaired with a combined accuracy of 82.0%. These MMSE items were questions 5, 13, 19, 20, 22, 23, and 26 of the Greek version of MMSE assessing orientation in time, repetition, calculation, registration, and visuo-constructive ability.Conclusions: Our study identified certain chronic illness-complexes that were associated with low MMSE scores within the context of primary care consultation. Also, our analysis indicated that seven MMSE items provide strong evidence for the presence of dementia or MCI.
Serum Levels of Vitamin A and Vitamin D and Their Association With Symptoms in Children With Attention Deficit Hyperactivity Disorder
Authors: Li Hong-Hua , Yue Xiao-Jing , Wang Cheng-Xin , Feng Jun-Yan , Wang Bing , Jia Fei-Yong 
Published: November 2020

Objective: To measure levels of vitamin A (VA) and vitamin D (VD) and the symptomatic association of their co-deficiencies on attention deficit hyperactivity disorder (ADHD) in Chinese children (6–9 years).Methods: Eighty-two children (69 boys and 13 girls; mean age = 7.1 ± 0.9 years at the time of the diagnosis) with ADHD were recruited as ADHD group. A total of 106 healthy children were recruited as the healthy control (HC) group. Serum levels of retinol and 25-hydroxyvitamin D (25(OH)D) of all children were evaluated using high-performance liquid chromatography (HPLC) and HPLC-tandem mass spectrometry. The Swanson, Nolan, and Pelham IV Rating Scale (SNAP-IV) was employed to assess the clinical symptoms of ADHD.Results: Children suffering from ADHD had significantly reduced serum levels of retinol and 25(OH)D compared with those of HCs, and the prevalence of VA deficiency and VD deficiency were higher in children suffering from ADHD. Serum concentrations of 25(OH)D and retinol were linked closely with the presence or absence of ADHD after adjustment for age, body mass index, season of blood sampling, and sun exposure. Serum concentrations of 25(OH)D and retinol showed a negative correlation with the total scores of SNAP-IV. Children with ADHD as well as VA and VD co-deficiency had increased SNAP-IV total scores and ADHD inattention subscale scores.Conclusion: VA deficiency and VD deficiency in children with ADHD were increased in comparison with that in HCs. VA and VD co-deficiency associated with ADHD symptom severity. Attention should be paid to regular testing of VA levels and VD levels. However, the mechanism of VA and VD in ADHD needs to be further studied. Interventional studies on VA and VD supplementation are recommended to further verify the relationship between VA and VD co-deficiency and ADHD.
TransOral Endoscopic Thyroidectomy via Submental and Vestibular Approach: A Preliminary Report
Authors: Fu Yilong , Wu Mengwei , Fu Jinbo , Lin Suqiong , Song Zhengfu , Chen Jiyu , Yan Wei , Kuang Penghao , Lin Fusheng , Luo Yezhe , Lin Ende , Hong Xiaoquan , Wu Guoyang 
Published: November 2020

Purpose: Transoral endoscopic thyroidectomy via vestibular approach (TOETVA), with its excellent cosmetic effect, has become increasingly popular worldwide. Nonetheless, anatomic obstacles have limited its development to a certain extent. Here, we present our preliminary outcomes of transoral endoscopic thyroidectomy via submental and vestibular approach (TOETSMVA), which can overcome those limitations.Methods: From November 2019 to March 2020, we performed TOETSMVA in 21 consecutive patients with thyroid carcinoma at Zhongshan Hospital, Xiamen University. A 1.5-cm lateral incision was made at two fingers below the mandible; two 5-mm incisions were made in the vestibule near the first molars; TOETSMVA was completed through these incisions. The demographic data and surgical outcomes of the patients were retrospectively reviewed.Results: Twenty-one patients with a mean age of 37.5 ± 10.4 years were incorporated into this study. Fourteen patients had papillary thyroid micro-carcinomas, two had papillary thyroid carcinomas, and five had benign nodules. Eight patients had lymph node metastases. All surgeries were performed successfully without conversion to open thyroidectomy. The mean operation time was 138.8 ± 33.2 min; the average hospital stay was 3.3 ± 0.8 days. No patients developed cutaneous paralysis in the midline chin region. Transient recurrent laryngeal nerve paralysis was observed in one patient. There was no evidence of postoperative bleeding, infection, tetany, or other complications.Conclusion: TOETSMVA was shown to be a safe and advisable alternative for selected patients. This approach can overcome the limitations of TOETVA without sacrificing cosmetic results.
Medication adherence and clinical outcomes in dispensing and non-dispensing practices: a cross-sectional analysis
Authors: Gomez-Cano Mayam , Wiering Bianca , Abel Gary , Campbell John L , Clark Christopher E 
Published: November 2020

BackgroundMost patients obtain medications from pharmacies by prescription, but rural general practices can dispense medications. The clinical implications of this difference in drug delivery are unknown. This study hypothesised that dispensing status may be associated with better medication adherence. This could impact intermediate clinical outcomes dependent on medication adherence in, for example, hypertension or diabetes.AimTo investigate whether dispensing status is associated with differences in achievement of Quality and Outcomes Framework (QOF) indicators that rely on medication adherence.Design and settingCross-sectional analysis of QOF data for 7392 general practices in England.MethodQOF data from 1 April 2016 to 31 March 2017 linked to dispensing status for general practices with list sizes ≥1000 in England were analysed. QOF indicators were categorised according to whether their achievement depended on a record of prescribing only, medication adherence, or neither. Differences were estimated between dispensing and non-dispensing practices using mixed-effects logistic regression, adjusting for practice population age, sex, deprivation, list size, single-handed status, and rurality.ResultsData existed for 7392 practices; 1014 (13.7%) could dispense. Achievement was better in dispensing practices than in non-dispensing practices for seven of nine QOF indicators dependent on adherence, including blood pressure targets. Only one of ten indicators dependent on prescribing but not adherence displayed better achievement; indicators unrelated to prescribing showed a trend towards higher achievement by dispensing practices.ConclusionDispensing practices may achieve better clinical outcomes than prescribing practices. Further work is required to explore underlying mechanisms for these observations and to directly study medication adherence rates.
Reducing missed appointments in general practice: evaluation of a quality improvement programme in East London
Authors: Margham Tom , Williams Crystal , Steadman Jack , Hull Sally 
Published: November 2020

BackgroundMissed appointments are common in primary care, contributing to reduced clinical capacity. NHS England has estimated that there are 7.2 million missed general practice appointments annually, at a cost of £216 million. Reducing these numbers is important for an efficient primary care sector.AimTo evaluate the impact of a system-wide quality improvement (QI) programme on the rates of missed GP appointments, and to identify effective practice interventions.Design and settingPractices within a clinical commissioning group (CCG) in East London, with an ethnically diverse and socially deprived population.MethodStudy practices engaged in a generic QI programme, which included sharing data on appointment systems and Did Not Attend (DNA) rates. Fourteen out of 25 practices implemented DNA reduction projects, supported by practice-based coaching. Appointment data were collected from practice electronic health records. Evaluation included comparisons of DNA rates pre- and post-intervention using interrupted times series analysis.ResultsIn total, 25 out of 32 practices engaged with the programme. The mean DNA rate at baseline was 7% (range 2–12%); 2 years later the generic intervention DNA rates were 5.2%. This equates to a reduction of 4030 missed appointments. The most effective practice intervention was to reduce the forward booking time to 1 day. The practice that made this change reduced its mean DNA rate from 7.8% to 3.9%.ConclusionForward booking time in days is the best predictor of practice DNA rates. Sharing appointment data produced a significant reduction in missed appointments, and behaviour change interventions with patients had a modest additional impact; in contrast, introducing structural change to the appointment system effectively reduced DNA rates. To reduce non-attendance, it appears that the appointment system needs to change, not the patient.
Medidas de prevenção e controle da tuberculose í s pessoas privadas de liberdade em presí­dios brasileiros
Authors: Rodrigues de Oliveira Cláudia , Da Silva Ribeiro Tayná , Pereira Ferreira Dellanhese Amanda 
Published: November 2020

OBJETIVO: Identificar medidas de prevenção e controle da tuberculose (TB) a Pessoas Privadas de Liberdade (PPL) e que vivem com TB nos presí­dios brasileiros. MÉTODO: Trata-se de uma revisão integrativa, março a dezembro de 2018. As bases de dados utilizadas foram: SciELO, LILACS e MEDLINE, a partir dos descritores Atenção í saúde; Tuberculose; Prisão. Foram incluí­dos estudos, publicados entre 2012 e 2018, em português, inglês e espanhol com o Brasil como paí­s de origem e artigos originais completos. RESULTADOS: Foram encontrados 181 estudos, após exclusões 2 estudos foram analisados. Os principais fatores abordados pelos artigos selecionados trazem as polí­ticas públicas voltadas í s PPL quanto í s formas de prevenção e controle da TB nos presí­dios brasileiros. CONCLUSíO: Detectou-se que a implementação das polí­ticas públicas voltadas ao controle da TB no sistema prisional é realizada de forma parcial. Foi identificado a carência de estudos relativos í s medidas de prevenção e controle da TB nas prisões brasileiras.
Dificuldades enfrentadas no acesso í saúde por usuários LGBT
Authors: Johnson Martinho Neudson , Martins Santos Victor Hugo , Amorim Costa Cristiane Maria , Bertolossi Marta Cristiano , Dos Santos Bacani Edneiva , Siqueira Viana Morae Rosaní­ , Ribeiro Ramos Karoline Cristine Aparecida 
Published: November 2020

Os problemas enfrentados quanto ao acesso aos serviços de saúde pelos usuários LGBT ainda são complexos, de modo especí­fico, nos casos das travestis e transexuais. Este é o recorte de um projeto de pesquisa com abordagem qualitativa, o qual objetiva desvelar as percepções dos LGBT quanto aos atendimentos que recebem nos serviços de saúde de Cuiabá – MT. Foi utilizada a metodologia da roda de conversas para coleta de dados. Os sujeitos referiram despreparo dos profissionais da saúde no acolhimento e atendimento í s suas demandas, demonstrando que a academia não os prepara para este tipo de atenção especí­fica e nem as polí­ticas de saúde integral í saúde LGBT estão efetivadas na prática. Espaços de fala e escuta possibilitam aos sujeitos expressarem seus sentimentos e vivências, permitindo-os expressar como deveria ser o atendimento í saúde com equidade e qualidade.
Promoção da saúde no Brasil na pandemia por COVID-19: concepções e práticas em atenção básica
Authors: Maia da Silva Naiara , Machado Bastos Raquel , Da Cruz Conceição Valdirene Rosa , de Souza Costa Bastos Andreia , Da Silva Sales Glauciane , Nogueira Silva Thiago 
Published: November 2020

Objetivo: O objetivo deste artigo é analisar, por meio de uma revisão da literatura, a promoção da saúde no brasil em tempos de pandemia por COVID-19, considerando o pensamento dos autores selecionados para dar embasamento ao tema abordado. Método: Tratando-se de um estudo de revisão bibliográfica. Resultados: A promoção da saúde envolve um conjunto de polí­ticas e medidas visando í melhoria das condições de vida e saúde da população e vem sendo discutida desde meados da década de 80, influenciando inúmeras estratégias. Muitos autores enfatizam a promoção da saúde como marco para a melhoria da qualidade de vida da população destacando os fatores condicionantes e determinantes da saúde. Conclusão: A efetivação da promoção da saúde no contexto da ESF em tempos de pandemia por COVID-19 apresenta-se como essencial para caracterizar tal estratégia.
A mulher com transtorno mental ví­tima de violência por parceiro í­ntimo: revisão integrativa
Authors: Calado da Silva Pedro Camilo , Ohanna do Nascimento Pereira Crisllayne , De Moura Pedroza Robervam , Cavalcanti dos Santos Silvana , Pereira da Silva Carvalho Valdirene , Farias Bezerra Barbosa Valquí­ria 
Published: November 2020

Objetivo: Analisar na literatura o atendimento í s mulheres portadoras de transtornos mentais ví­timas de violência por parceiro í­ntimo na Rede de Atenção Psicossocial. Metodologia: Revisão integrativa realizada nas bases MEDLINE, LILACS, SCiELO e BDENF através do cruzamento de 6 descritores em 3 idiomas. Resultados: Foram identificadas 10.579 produções primárias e incluí­dos 3 artigos segundo critérios de inclusão. Evidenciou-se a inexistência de protocolos e desqualificação técnica dos profissionais para essa demanda. Conclusão: O fomento a pesquisas sobre essa temática contribuirá para a qualificação profissional e para superação da invisibilidade das mulheres ví­timas de violência com transtorno mental.
Analisis Faktor-Faktor Kualitas Pelayanan Terhadap Kepuasan Pasien Rawat Inap Di Rumah Sakit Al-Islam Bandung
Authors: Rahmadianti  
Published: November 2020

Penelitian ini dilakukan di Rumah Sakit Al-Islam Bandung. Masalah yang dirumuskan dalam penelitian adalah bagaimana tingkat Tangible (keberwujudan), Empathy (empati), Responsiveness (ketanggapan), Reliability (keandalan), Assurance (jaminan) pelayanan dan kepuasan pasien rawat inap serta seberapa besar pengaruh Tangible (keberwujudan), Empathy (empati), Responsiveness (ketanggapan), Reliability (keandalan), Assurance (jaminan) pelayanan dan kepuasan pasien rawat inap.
Metode penelitian yang digunakan adalah metode penelitian survey, jumlah populasi sebanyak 107 pasien. Dengan menggunakan rumus dari Slovin dan menggunakan taraf kesalahan () sebesar 5%, maka jumlah sampel yang di ambil sebanyak 84 orang. Teknik analisis data yang digunakan adalah teknik analisis korelasi untuk mengetahui derajat keeratan hubungan antar variabel penelitian dan teknik analisis jalur untuk mengetahui pengaruh baik langsung maupun tidak langsung variabel bebas terhadap variabel terikat.
Hasil perhitungan menunjukkan Keberwujudan, Empati, Ketanggapan, Keandalan, Jaminan berpengaruh signifikan terhadap kepuasan pasien.
Hasil penelitian menunjukkan bahwa pengaruh masing-masing variabel kualitas pelayanan yang terbagi dalam variabel Keberwujudan, Empati, Ketanggapan, Keandalan, Jaminan terhadap kepuasan pasien berbeda-beda tingkat kontribusinya. Namun apabila variabel kualitas pelayanan dilaksanakan secara terpadu, pengaruhnya kuat terhadap kepuasan pelanggan.
Analisis SWOT Pada Layanan Jasa Mobile Banking Di PT Bank Panin Dubai Syariah
Authors: Wiryawan Muhammad Ryzki Wiryawan , Hidayati Sulaiman Cici Amalia 
Published: November 2020

Dalam beberapa tahun terakhir, Bank telah menyesuaikan layanan perbankannya, dari yang sebelumnya berbasis kertas menjadi berbasis seluler atau mobile. Adopsi Mobile-banking telah mendapat perhatian lebih dalam beberapa tahun terakhir, karena memang ada lebih banyak telepon daripada komputer di pasaran. Di Indonesia, satu per satu bank mulai mengadopsi teknologi tersebut untuk bisa bersaing, salah satunya Bank Panin Dubai Syariah yang memulainya pada 2019. Penelitian ini mencoba menganalisis layanan jasa mobile banking di PT Bank Panin Dubai Syariah menggunakan pendekatan SWOT. Penelitian ini menggunakan metode kualitatif deskriptif, Menggunakan teknik pengumpulan data berupa observasi, wawancara, dokumentasi, dan studi pustaka. Studi menunjukan bahwa berdasarkan diagram cartesius, layanan Mobile Banking Bank Panin Dubai Syariah berada pada kuadran I (satu) yaitu mendukung growth oriented strategy (strategi agresif).
Penerapan Penerapan Teknologi Augmented Reality Pada Pembelajaran Huruf Kaganga Sunda Dengan Metode Marker Tracking
Authors: Supriadi Irwin , Mauluddin Amras , Imam Arif Nur 
Published: November 2020

Pandemi Covid-19 ini semua kegiatan manusia telah mulai berubah, smartphone menjadi sebuah alat yang sangat berguna dalam kehidupan sehari-hari manusia terutama dalam kegiatan transaksi ekonomi. Tidak terlepas juga dalam dunia pendidikan, model pembelajaran tatap muka secara langsung tergantikan dengan model pembelajaran secara daring (dalam jaringan) memanfaatkan smartphone dan internet. Kendala yang dihadapi adalah beberapa mata pelajaran yang diberikan oleh guru kurang dipahami oleh siswa karena hanya berupa teks atau gambar. Selain itu, dengan cara belajar membaca teks kurang menarik bagi siswa dan menyebabkan siswa menjadi bosan atau jenuh.
Augmented reality adalah salah satu perkembangan teknologi dalam bidang perangkat lunak. Augmented Reality banyak digunakan dalam industri game, pendidikan, maupun kedokteran dikarenakan dapat memodelkan suatu objek dalam bentuk 3 Dimensi yang menyerupai objek sebenarnya. Penelitian ini dimaksudkan untuk mengkombinasikan teknologi augmented reality dalam bidang pendidikan untuk mengurangi kejenuhan siswa dalam pembelajaran.
Metodologi penelitian yang digunakan oleh peneliti untuk menyusun laporan ini adalah metode kualitatif dimana pada metode ini penelitian dilakukan secara sistematis, spesifik, terstruktur dan juga terencana dengan baik dari awal hingga mendapatkan sebuah kesimpulan. Metode pengembangan sistem yang digunakan adalah metode Rappid Application Develepoment (RAD). Rapid Application Development (RAD) merupakan metodologi yang lengkap, dengan 4 fase siklus hidup yang sejajar dengan fase SDLC tradisional
Pembelajaran huruf kaganga sunda dibuat dalam bentuk animasi 3 dimensi yang mengajarkan cara penulisan aksara sunda, sehingga dapat menarik bagi siswa SD. Aplikasi ini juga menggunakan teknologi augmented reality dalam aplikasi android, sehingga siswa SD dapat belajar sambil bermain.
Injeção de imidacloprido no controle do pulgão-preto-do-coqueiro
Authors: Moura José I. L. , Pereira Rosane R. da C. , Santos Filho Lindolfo P. , Santos Kátia C. B. , Valle Raul R. M. 
Published: November 2020

Trunk injection with Imidacloprid to control the palm aphid
The injuries caused by the palm aphid, Cerataphis lataniae, on coconut plants may provoke economic losses. Thus, insecticide injection into the tree can provide protection and control against this pest. Our goal was to evaluate the efficiency of injection of imidacloprid on coconut trees to control the palm aphid. The experiment was carried out at the Lemos Maia experimental station, Ceplac, Una, Bahia, Brazil. The treatments applied were: 1) injection of 10 mL of the commercial product Provado® 200 SC (2 g i.a imidacloprid) in the stipe; 2) injection of 20 ml of Provado® 200 SC diluted in water (1 g i.a imidacloprid) and; 3) control (without insecticide application). The experiment was installed in a completely randomized design, with 15 replications, using leaf number 4 as samples. The parameters analyzed were number of aphids at 3 and 9 months after insecticide application and the number of leaflets/leaves with aphids at 26 months after application. The means were compared by the F and Tukey test at 5% probability level. All data were transformed into a log (x + 1). The aphid number and the number of leaflets per leaf infested with the aphid was higher in the control treatment. Thus, the application of imidacloprid via injection provided protection to coconut plants to the palm aphid, C. lataniae, until 26 months.
«Cabayong tabla: estudi i traducció d’un romanç filipí del regne de València»
Authors: Donoso Isaac 
Published: November 2020

Resum: Introducció a la conformació del romacer de tradició hispànica a les illes Filipines i la presència del Regne de València com espai literari en una literatura asiàtica. Al treball acompanya la descripció i traducció directa des del bicolà al valencià d’un dels principals romanços filipins que tracten del Regne de Valencia: Cabayong Tabla. Buhay ni Principe don Juan Asin ni Princesa Dña. Maria Sa Cahadean nin Valencia asin Asturias –«Cavall de Taula»–, text per primera vegada traduït a qualsevol llengua. Així mateix, analitzem les fonts i descrivim la història argumental i la presència de València al Romancer filipí con a treball comparatista que puga donar llum a la formalització del classicisme en les Lletres Filipines des de la literatura medieval de tradició hispànica.Paraules clau: Romancer hispànic, awit i corrido, Filipines, Regne de València, literatura hispànica, bicolà.«Analysis and translati on of a Philippine Metrical Poem about the Kingdom of Valencia»Abstract: The paper introduces the development of the Philippine metrical romances from the Hispanic tradition and the presence of the Kingdom of Valencia as Asian literary topic. It is supplied with the first translation ever done from the original Bicolano into Catalan of one of the most relevant romances dealing with the Valencian topic: Cabayong Tabla. Buhay ni Principe don Juan Asin ni Princesa Dña. Maria Sa Cahadean nin Valencia asin Asturias –«Wooden Horse». We analyses the sources and the plot of the romance in order to compare and enlight the genesis of Philippine Classical Literature with the Medieval Hispanic Romancero.Keywords: Hispanic Romancero, Philippine Metrical Romances, awit and corridor, Philippines, Kingdom of Valencia, Bicolano.