bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessing a national policy on strengthening chronic care in primary care settings of a middle-income country using patients’ perspectives.
Authors: Aekplakorn Wichai , Suriyawongpaisal Paibul , Srithamrongsaw Samrit , kaewkamjonchai Phanuwich 
Published: December 2020

Abstract
Background To improve care for patients with chronic diseases, a recent policy initiative in Thailand focuses on strengthening primary care including training of the team to deliver healthcare based on the concept of Chronic Care Model (CCM). This study aimed to assess the perception of patients on the health care services after the implementation. Methods We conducted a cross-sectional survey of 4,071 patients with hypertension and/or diabetes registered to 27 primary care units and 11 hospital Non-communicable diseases (NCDs) clinics in 11 provinces.The patients were interviewed at home using a validated questionnaire of the Patient Assessment of Chronic Illness Care (PACIC+). It contains 20 items from the original PACIC, which measure different parts of the CCM, and an additional 6 items assess the 5A Model including assess, advise, agree, assist, and arrange subscales. Upgraded primary care unit (PCUs) were ordinary PCUs with the multi-professional team including a physician. Trained upgraded PCUs were upgraded PCUs with the training input. Structural equation modeling was used to create subscale scores for CCM and 5 A model characteristics. Mixed effect models were employed to compare subscale of patient perception of the care quality between trained upgraded PCUs, upgraded PCUs, ordinary PCUs and NCD clinics.Results There was an independent association between every PACIC subscale (as a measure of CCM) and facility type with the maximum likelihood for patients of ordinary PCU reporting high to highest scores (ORs: 1.46-1.85; p<0.05) compared to hospital NCD clinics. This is also the case for patients: seeing the same doctor on repeated visits (ORs: 1.82-2.17; p<0.05) or having phone contacts of the providers (ORs:1.53-1.99; p<0.05). Similarly, across all of the 5A model subscales, ORs for patients attending ordinary PCU responded with high to highest scores were 1.48-2.10 times compared to those for patients attending hospital NCD clinics (p<0.05). Conclusions The training and allocation of family physician approach in PCU may not satisfy the patients’ perception on quality of chronic care. Further studies might focus on other factors such as mismatch between health workforce and workload as a key factor influencing the success of the policy implementation.
Characteristics of chloride loading from urban and agricultural watersheds during storm and non-storm periods
Authors: Beom Jina , Jeung Minhyuk , Choi Woojung , Her Younggu , Yoon Kwangsik 
Published: December 2020

Abstract
The chloride ion (Cl−) can adversely affect an aquatic ecosystem, but it is not clear how Cl− moves with runoff and how its transport processes are related to land uses and land cover. This study investigated how the loading characteristics of Cl− vary depending on storm events and land cover in a temperate region. We monitored Cl− concentrations in three study watersheds that have different compositions of urban and agricultural land uses. In addition, a Mass First Flush ratio (MFFn) was determined to quantify the effect of first flush on Cl− loading. Overall, the observed concentrations and loadings in this study were found to be less than those reported in cold northern regions. The monitoring data showed that Cl− concentrations and loads observed in an urban watershed were significantly larger than those of a rural watershed. The results suggest water management plans should focus on urbanized areas and their storm water to efficiently reduce chloride loading to downstream waterbodies. However, a further study is recommended to identify the sources and pathways of Cl− loaded to waterbodies.
Social Network Analysis of Intensive Care Unit Health Care Professionals Measured by Wearable Sociometric Badges: Longitudinal Observational Study
Authors: Kawamoto Eiji , Ito-Masui Asami , Esumi Ryo , Ito Mami , Mizutani Noriko , Hayashi Tomoyo , Imai Hiroshi , Shimaoka Motomu 
Published: December 2020

Background
Use of wearable sensor technology for studying human teamwork behavior is expected to generate a better understanding of the interprofessional interactions between health care professionals.

Objective
We used wearable sociometric sensor badges to study how intensive care unit (ICU) health care professionals interact and are socially connected.

Methods
We studied the face-to-face interaction data of 76 healthcare professionals in the ICU at Mie University Hospital collected over 4 weeks via wearable sensors.

Results
We detail the spatiotemporal distributions of staff members’ inter- and intraprofessional active face-to-face interactions, thereby generating a comprehensive visualization of who met whom, when, where, and for how long in the ICU. Social network analysis of these active interactions, concomitant with centrality measurements, revealed that nurses constitute the core members of the network, while doctors remain in the periphery.

Conclusions
Our social network analysis using the comprehensive ICU interaction data obtained by wearable sensors has revealed the leading roles played by nurses within the professional communication network.
Examining a Digital Health Approach for Advancing Schizophrenia Illness Self-Management and Provider Engagement: Protocol for a Feasibility Trial
Authors: Kidd Sean , McKenzie Kwame , Wang Wei , Agrawal Sacha , Voineskos Aristotle 
Published: December 2020

Background
In schizophrenia spectrum populations, adherence to treatment is poor, community-based supports are limited, and efforts to foster illness self-management have had limited success. These challenges contribute to frequent, lengthy, and costly hospital readmissions and poor functional outcomes. Digital health strategies, in turn, hold considerable promise in the effort to address these problems.

Objective
This feasibility trial will examine a digital health platform called App4Independence (A4i), which was designed to enhance illness self-management and treatment engagement for individuals with schizophrenia.

Methods
Feasibility metrics in this single-blind, randomized trial include study recruitment and retention, rate of technology use, safety, and utility in clinical interactions. Other outcome metrics include symptomatology, treatment adherence, patient-provider alliance, and quality of life. In this trial, 160 study participants with schizophrenia spectrum diagnoses will be randomized to either treatment or control conditions, with pretest-posttest outcomes measured over a 6-month period.

Results
This study was funded by the Canadian Institutes of Health Research in January 2020 and received Institutional Review Board approval on August 13, 2020. This study plans to begin recruiting in January 2021 and will be completed within 3 years. Data collection is projected to begin in January 2021.

Conclusions
This research will provide critical information for the development of this new technology in the larger effort to address a key problem in the schizophrenia field—how to leverage technology to enhance illness self-management and care engagement in resource-limited service contexts.

International Registered Report Identifier (IRRID)
PRR1-10.2196/24736
Transportation and Change through an Anthropological Lens
Authors: Clarke Mari H. 
Published: December 2020

This paper provides a broad overview of anthropological research on roads and transport as a prelude and context for the other papers in this themed issue. The paper begins with a short historical overview of anthropological approaches to roads and transportation. Then it offers a case study on how roads both facilitated and reflected major socio-economic changes in Methana, Greece, reflecting change in the broader context of Greece society. Next, it describes applied social analysis approaches to the design of roads that emerged from the World Bank and related organizations. Finally, it explores the current flowering of anthropological research on roads, which encompasses technopolitical, political ecology, spatial, and semiotic analyses. A second case study describes efforts to build a “culture” of inclusive road stewardship through a World Bank financed rural roads project in Vietnam. The paper concludes by reflecting on possible future directions for transport anthropology, which offers strategic opportunities to influence large infrastructure investments, transport policy, and anthropological theory.
Propuesta de modelo de competencias docentes para el profesorado de la UNED de Costa Rica
Authors: Barboza Robles Yansin Rebeca 
Published: December 2020

Este ensayo propone el establecimiento de un modelo de competencias docentes para el profesorado de la Universidad Estatal a Distancia (UNED) de Costa Rica, con base en el modelo pedagógico de la universidad y el aumento de asignaturas con componente virtual dentro de la oferta académica; por lo tanto, las competencias propuestas versan sobre las habilidades, los procedimientos y los conocimientos que debe desarrollar el profesorado para desempeñarse adecuadamente en el contexto de la UNED, el cual contempla los entornos virtuales de aprendizaje.
Dicho modelo se estableció mediante la comparación de cinco propuestas de competencias docentes y está constituido por: competencia de planificación, competencia digital docente, competencia comunicativa y competencia de facilitación.
A partir de este modelo, se recomienda elaborar instrumentos de evaluación para cada competencia docente con indicadores específicos, a fin de identificar necesidades de capacitación y mejorar el desempeño del profesorado de la universidad.
Análisis de las propiedades psicométricas del inventario Reflexiones sobre el estudio universitario
Authors: Fernández-Da Lama Rocío Giselle 
Published: December 2020

El presente trabajo evalúa las propiedades psicométricas del inventario Reflexiones sobre el estudio universitario, el cual consta de 32 ítems. Este inventario se encuentra diseñado para medir el nivel de conciencia metacognitiva sobre los procesos de estudio del estudiantado. El diseño de este trabajo es no experimental, instrumental, y de corte transversal, con una muestra de 197 estudiantes de Psicología de la Universidad de Buenos Aires (80 % mujeres y 20 % varones), de entre 18 y 48 años (M=23.82, DE=6.14). El análisis de confiabilidad arroja un valor adecuado (α= .83) de consistencia interna. En cuanto a la validez de constructo, el Análisis Factorial Exploratorio muestra una estructura de 8 factores que explican el 67,72 % de la varianza. Se discuten las bondades del instrumento a la luz de los resultados hallados y los aspectos teórico-conceptuales vigentes.
Do Needleless Connector Manufacturer Claims on Bidirectional Flow and Reflux Equate to In Vitro Quantification of Fluid Movement?
Authors: Gibson S. Matthew , Primeaux Jonathan 
Published: December 2020

Highlights
NC labeling does not appear to correspond with manufacturer claims. Two of 13 NCs passed the test for bidirectional flow control. All NCs reflux either on connection or disconnection. Neutral displacement does not appear to be present in the NCs tested in this observational study. Accurate bidirectional flow control, reflux cycle, and volume of reflux beyond the manufacturer’s performance claims will assist in the proper use of NCs.
Training of Village Teachers in Vilna Educational District in the 1860s and 1870s
Authors: Komzolova Anna A. 
Published: December 2020

One of the results of the educational reform of the 1860s was the formation of the regular personnel of village teachers. In Vilna educational district the goal was not to invite teachers from central Russia, but to train them on the spot by establishing special seminaries. Trained teachers were supposed to perform the role of «cultural brokers» – the intermediaries between local peasants and the outside world, between the culture of Russian intelligentsia and the culture of the Belarusian people. The article examines how officials and teachers of Vilna educational district saw the role of rural teachers as «cultural brokers» in the context of the linguistic and cultural diversity of the North-Western Provinces. According to them, the graduates of the pedagogical seminaries had to remain within the peasant estate and to keep in touch with their folk «roots». The special «mission» of the village teachers was in promoting the ideas of «Russian elements» and historical proximity to Russia among Belarusian peasants.
Pinsk General Congregation of Orthodox Clergy in 1791 as the First Experience of Hostile Actions of the Phanar Against Russian Orthodox Church
Authors: Romanchuk Protopriest Alexander 
Published: December 2020

The article examines the little-known event in the Church history of the Western Russian region – the Pinsk General Congregation of 1791, which put on its agenda the issue of the subordination of the Orthodox population in Poland to the authority of the Patriarch of Constantinople. The author traces the premises, course and significance of this meeting of the Orthodox clergy of the Polish-Lithuanian Commonwealth, as well as the role of the Patriarch of Constantinople Neophytos VII in its holding and his guiding motives. It is concluded that: 1) the Pinsk Congregation was an unlawful assembly from the canonical point of view, and it served to intensify the actions of the Russian Empire against the Polish statehood; 2) the motives for the support of the Congregation on the part of the leadership of the Patriarchate of Constantinople were the idea of the universal power of Constantinople in the Orthodox world, and also the Greek nationalism; 3) the assistance to the separatist movement of the Orthodox clergy in the Polish-Lithuanian Commonwealths in 1791 became, chronologically, the first experience of Phanar’s hostile actions against Russian Orthodox Church.
Vigilância epidemiológica dos casos e da incidência da dengue no litoral paranaense durante pandemia de COVID-19
Authors: Silva Jéssica Fritz da , Mélo Tainá Ribas , Bueno Roberto Eduardo , Ribeiro Jr Evaldo 
Published: December 2020

Introdução. A Dengue é uma doença grave causada por arbovírus da família Flaviviridae, transmitidos por picadas de insetos, especialmente pelos mosquitos Aedes aegypti, que precisa de água parada para sua proliferação. Por isso a importância de manter a higiene e evitar água parada. Pessoas de todas as faixas etárias são igualmente suscetíveis a dengue, contudo os idosos possuem maior risco de desenvolver quadros graves e complicações que podem levar à óbito. No atual contexto da pandemia de COVID-19 torna-se ainda mais urgente a implementação de ações de monitoramento, prevenção e controle, visando que as ações ocorram precocemente à efetividade das estratégias de enfrentamento da disseminação da dengue. Objetivos. Os objetivos desta pesquisa de vigilância epidemiológica da incidência da dengue no litoral paranaense são o monitoramento, prevenção e a publicização de casos novos de dengue para o planejamento de estratégias de redução do número de casos e da ocorrência de surtos no litoral paranaense. Metodologia. Utilizou-se a técnica de monitoramento epidemiológico comparativo das informações sobre o total dos casos confirmados e a incidência de autóctones (por 100.000 habitantes por município) da dengue nos sete municípios do Paraná, publicadas no boletim da Secretaria da Saúde do Estado do Paraná (SESA/PR)[1] referentes à última Semana Epidemiológica disponível de cada mês, de janeiro a julho de 2019 e 2020. Resultados. Diante dos resultados obtidos, evidenciam-se no litoral paranaense um aumento progressivo dos casos de dengue em 2020, maior evidenciado a partir de final de abril, atingindo os totais de casos de dengue confirmados; e a incidência de autóctones, respectivamente: Paranaguá: 1.706;1.093,93; Guaratuba: 93; 248.67; Pontal do Paraná: 88; 304,10; Matinhos: 71; 143,25; Morretes: 35; 171,09; Antonina: 1; 5,26; Guaraqueçaba: 1; 0,00, valores muito superiores aos que foram encontrados nos mesmos períodos em 2019.Conclusão. É imprescindível ações de vigilância e promoção da saúde ambiental, principalmente nesta época em que estamos passando, onde há um aumento progressivo de casos de dengue no litoral paranaense ao qual gera um alerta considerando que se soma ao cenário da pandemia de COVID-19, a prevenção e controle da dengue nos municípios do litoral paranaense para a mitigação e possível erradicação do mosquito Aedes aegypti, vetor e transmissor dos vírus de doenças como a dengue, zika e chikungunya, em todo o território epidêmico investigado.
Palavras-chaves: Monitoramento Epidemiológico. Aedes aegypti. Vigilância em Saúde Pública.
PENGEMBANGAN LKS IPA SMP KELAS VII BERBASIS PENDEKATAN SAINTIFIK UNTUK MELATIHKAN KETERAMPILAN PROSES IPA SISWA
Authors: Syafi'ah Rohmatus , Laili Alik Mustafidal 
Published: December 2020

Pemerintah saat ini menetapkan suatu kurikulum baru yaitu kurikulum 2013 sebagai hasil dari perkembangan Kurikulum Tingkat Satuan Pendidikan (KTSP). Dari segi penilaian dan pendekatan yang digunakan terdapat perbedaan, yaitu penilaian pada kurikulum 2013 adalah penilaian autentik dan pendekatan saintifik atau pendekatan berbasis proses keilmuan. Pendekatan saintifik sangat cocok sekali dengan karakteristik pembelajaran IPA. Siswa diarahkan untuk membandingkan hasil prediksi siswa dengan teori melalui kegiatan eksperimen dengan menggunakan metode ilmiah dalam belajar IPA sesuai dengan maksud diterapkannya pendekatan saintifik dalam proses pembelajaran. Hal ini dapat berjalan dengan baik sesuai dengan harapan tentunya jika didukung dengan sumber belajar yang dapat menjadikan proses pembelajaran menjadi lebih terarah yaitu LKS. Penelitian ini bertujuan menghasilkan LKS IPA SMP Berbasis Pendekatan Saintifik untuk Melatihkan Keterampilan Proses Siswa yang disusun berdasarkan model pengembangan4-D. Proses pengembangan LKS meliputi empat tahapan yaitu: Define ,Design, Develop, and Disseminate. Hasil penelitian dari penelitian ini adalah LKS berbasis Pendekatan Saintifik yang telah dikembnagkan mampu melatihkan keterampilan proses IPA siswa. Hal ini didukung dari hasil penelitian yaitu rata-rata persentase dari kelima aspek keterampilan proses sains tersebut, berada dalam kategori baik dan sangat baik dengan perolehan persentase total antara 72% sampai 96%.
RCS measurements and radar imaging of marine objects
Authors: Andreev Alexander Y. , Shikhov Ilya A. , Zasukhin Sergey O. 
Published: December 2020

Object and purpose of research. This paper discusses the results of experimental studies in radar imaging of marine objects, as well as the measurements of radar cross-section (RCS) and 2D radar portraits in natural conditions as per integrated synthetic aperture radar (ISAR) approach.
Materials and methods. The measurements were carried out in full-scale conditions using an X-band instrumentation radar. RCS measurements were performed with radar pulse length exceeding the size of an object; the impulse with a length of about 1 m was used to obtain 2D portraits.
Main results. A qualitative and quantitative comparison of the measurement results with the use of "long" and "short" pulses, as well as the type assessment of statistical RCS distribution of marine object.
Conclusion. The studies made it possible to confirm the previously proposed theory that average RCS of a marine object may be derived through RCS summation of all its local sources. The closeness of the statistical RCS distribution for a marine object to the lognormal distribution was also experimentally confirmed.
The Acquisition of English Vocabulary for Children at Grade III in SD Islam Nurul Hidayah
Authors: Albiansyah Albiansyah , Fahriany Fahriany 
Published: December 2020

AbstractThis study is an effort to understand the acquisition of the English language by students at SD Islam Nurul Hidayah in Bojong Sari. The aim of this study is to identify and evaluate the acquisition of the English language by students at SD Islam Nurul Hidayah in Bojong Sari. The use of simple statistical analysis response research query, a qualitative approach was used. This study used the theory on telegraphic and formulaic speech from Tabors and Snow. In this study, there were 17 students as samples and the collection of data techniques was taken through interviews.The results of the interviews indicate that the development of English language vocabulary by children is in two stages (telegraphic/formulaic expression and constructive language): body part is 39% telegraphic and 61% productive, transportation is 62% telegraphic and 38% productive, color is 44% telegraphic and 56% productive, classroom is 40% telegraphic and 60% productive, job is 45% telegraphic dan 55% productive, nation is 43% telegraphic and 57% productive, universe is 81% telegraphic and 19% productive, self-introduction is 57% telegraphic and 43% productive, prayer before learning is 100% with 0% productive language, and prayer after learning is 100% and 0% productive language. This study then recommends that the teacher of SD Islam Nurul Hidayah in Bojong Sari increase the student's motivation to learn English and to practice English more frequently. It is recommended to do further research focusing on students in preschool or kindergarten to examine their acquisition of English. Keywords: Second Language Acquisition; Children; Elementary School
Upaya Peningkatan Hasil Belajar Siswa Dalam Membaca Peta Provinsi Sulawesi Selatan Melalui Metode Demonstrasi di Kelas IV SD Negeri PAI Kota Makassar
Authors: Budiman Muhammad Indra , Afni Nur 
Published: December 2020

Penelitian ini bertujuan untuk mengetahui peningkatan hasil belajar siswa pada materi Membaca Peta Provinsi melalui model Demonstrasi pada siswa kelas IV SD Negeri PAI Kota Makassar. Jenis penelitian ini merupakan penelitian tindakan kelas (classroom actiont research). Teknik pengumpulan data dalam penelitian ini menggunakan lembar observasi dan tes hasil belajar. Data yang diperoleh dianalisis dengan menggunakan analisis kualitatif dan kuantitatif. Data hasil observasi dianalisis secara kualitatif sedangkan data mengenai hasil belajar dianalisis secara kuantitatif. Hasil penelitian menunjukkan bahwa metode pembelajaran demontrasi meningkatkan hasil belajar siswa pada materi membaca peta provinsi mata pelajaran IPS yang pada siklus I berada pada kualifikasi kurang dan pada siklus II berada pada kualifikasi sangat baik siswa kelas IV SD Negeri PAI Kota Makassar.