bluuebunny/crossref_metadata_2025_split huggingface dataset:
Primary Care Physicians’ Experience Using Advanced Electronic Medical Record Features to Support Chronic Disease Prevention and Management: Qualitative Study
Authors: Rahal Rana Melissa , Mercer Jay , Kuziemsky Craig , Yaya Sanni 
Published: November 2019

Background
Chronic diseases are the leading cause of death worldwide. In Canada, more than half of all health care spending is used for managing chronic diseases. Although studies have shown that the use of advanced features of electronic medical record (EMR) systems improves the quality of chronic disease prevention and management (CDPM), a 2012 international survey found that Canadian physicians were the least likely to use 2 or more EMR system functions. Some studies show that maturity vis-à-vis clinicians’ EMR use is an important factor when evaluating the use of advanced features of health information systems. The Clinical Adoption Framework (CAF), a common evaluation framework used to assess the success of EMR adoption, does not incorporate the process of maturing. Nevertheless, the CAF and studies that discuss the barriers to and facilitators of the adoption of EMR systems can be the basis for exploring the use of advanced EMR features.

Objective
This study aimed to explore the factors that primary care physicians in Ontario identified as influencing their use of advanced EMR features to support CDPM and to extend the CAF to include primary care physicians’ perceptions of how their use of EMRs for performing clinical tasks has matured.

Methods
Guided by the CAF, directed content analysis was used to explore the barriers and facilitating factors encountered by primary care physicians when using EMR features. Participants were primary care physicians in Ontario, Canada, who use EMRs. Data were coded using categories from the CAF.

Results
A total of 9 face-to-face interviews were conducted from January 2017 to July 2017. Dimensions from the CAF emerged from the data, and one new dimension was derived: physicians’ perception of their maturity of EMR use. Primary care physicians identified the following key factors that impacted their use of advanced EMR features: performance of EMR features, information quality of EMR features, training and technical support, user satisfaction, provider’s productivity, personal characteristics and roles, cost benefits of EMR features, EMR systems infrastructure, funding, and government leadership.

Conclusions
The CAF was extended to include physicians’ perceptions of how their use of EMR systems had matured. Most participants agreed that their use of EMR systems for performing clinical tasks had evolved since their adoption of the system and that certain system features facilitated their care for patients with chronic diseases. However, several barriers were identified and should be addressed to further enhance primary care physicians’ use of advanced EMR features to support CDPM.
Usage and Acceptability of the iBobbly App: Pilot Trial for Suicide Prevention in Aboriginal and Torres Strait Islander Youth
Authors: Tighe Joseph , Shand Fiona , McKay Kathy , Mcalister Taylor-Jai , Mackinnon Andrew , Christensen Helen 
Published: November 2019

Background
The proliferation of mental health apps purporting to target and improve psychological wellbeing is ever-growing and also concerning: Few apps have been rigorously evaluated, and, indeed, the safety of the vast majority of them has not been determined. Over 10,000 self-help apps exist but most are not used much after being downloaded. Gathering and analyzing usage data and the acceptability of apps are critical to inform consumers, researchers, and app developers.

Objective
This paper presents pilot usage and acceptability data from the iBobbly suicide prevention app, an app distributed through a randomized controlled trial.

Methods
Aboriginal and Torres Strait Islander participants from the Kimberley region of Western Australia completed a survey measuring their technology use in general (n=13), and data on their experiences with and views of the iBobbly app were also collected in semistructured interviews (n=13) and thematically analyzed. Finally, engagement with the app, such as the number of sessions completed and time spent on various acceptance-based therapeutic activities, was analyzed (n=18). Both groups were participants in the iBobbly app pilot randomized controlled trial (n=61) completed in 2015.

Results
Regression analysis indicated that app use improved psychological outcomes, although only minimally, and effects were not significant. However, results of the thematic analysis indicated that the iBobbly app was deemed effective, acceptable, and culturally appropriate by those interviewed.

Conclusions
There is a scarcity of randomized controlled trials and eHealth interventions in Indigenous communities, while extremely high rates of psychological distress and suicide persist. In this environment, studies that can add evidence from mixed-methods approaches are important. While the regression analysis in this study did not indicate a significant effect of app use on psychological wellbeing, this was predictable considering the small sample size (n=18) and typically brief app use. The results on engagement with the iBobbly app were however positive. This study showed that Indigenous youth are early and frequent users of technology in general, and they regarded the iBobbly app to be culturally safe and of therapeutic value. Qualitative analyses demonstrated that iBobbly app use was associated with self-reported improvements in psychological wellbeing, mental health literacy, and reductions in shame. Importantly, participants reported that they would recommend other similar apps if available to their peers.
Using Mobile Health Tools to Assess Physical Activity Guideline Adherence and Smoking Urges: Secondary Analysis of mActive-Smoke
Authors: Shan Rongzi , Yanek Lisa R , Silverman-Lloyd Luke G , Kianoush Sina , Blaha Michael J , German Charles A , Graham Garth N , Martin Seth S 
Published: November 2019

Background
Rates of cigarette smoking are decreasing because of public health initiatives, pharmacological aids, and clinician focus on smoking cessation. However, a sedentary lifestyle increases cardiovascular risk, and therefore, inactive smokers have a particularly enhanced risk of cardiovascular disease.

Objective
In this secondary analysis of mActive-Smoke, a 12-week observational study, we investigated adherence to guideline-recommended moderate-to-vigorous physical activity (MVPA) in smokers and its association with the urge to smoke.

Methods
We enrolled 60 active smokers (≥3 cigarettes per day) and recorded continuous step counts with the Fitbit Charge HR. MVPA was defined as a cadence of greater than or equal to 100 steps per minute. Participants were prompted to report instantaneous smoking urges via text message 3 times a day on a Likert scale from 1 to 9. We used a mixed effects linear model for repeated measures, controlling for demographics and baseline activity level, to investigate the association between MVPA and urge.

Results
A total of 53 participants (mean age 40 [SD 12] years, 57% [30/53] women, 49% [26/53] nonwhite, and 38% [20/53] obese) recorded 6 to 12 weeks of data. Data from 3633 person-days were analyzed, with a mean of 69 days per participant. Among all participants, median daily MVPA was 6 min (IQR 2-13), which differed by sex (12 min [IQR 3-20] for men vs 3.5 min [IQR 1-9] for women; P=.004) and BMI (2.5 min [IQR 1-8.3] for obese vs 10 min [IQR 3-15] for nonobese; P=.04). The median total MVPA minutes per week was 80 (IQR 31-162). Only 10% (5/51; 95% CI 4% to 22%) of participants met national guidelines of 150 min per week of MVPA on at least 50% of weeks. Adjusted models showed no association between the number of MVPA minutes per day and mean daily smoking urge (P=.72).

Conclusions
The prevalence of MVPA was low in adult smokers who rarely met national guidelines for MVPA. Given the poor physical activity attainment in smokers, more work is required to enhance physical activity in this population.
Modeling Research Topics for Artificial Intelligence Applications in Medicine: Latent Dirichlet Allocation Application Study
Authors: Tran Bach Xuan , Nghiem Son , Sahin Oz , Vu Tuan Manh , Ha Giang Hai , Vu Giang Thu , Pham Hai Quang , Do Hoa Thi , Latkin Carl A , Tam Wilson , Ho Cyrus S H , Ho Roger C M 
Published: November 2019

Background
Artificial intelligence (AI)–based technologies develop rapidly and have myriad applications in medicine and health care. However, there is a lack of comprehensive reporting on the productivity, workflow, topics, and research landscape of AI in this field.

Objective
This study aimed to evaluate the global development of scientific publications and constructed interdisciplinary research topics on the theory and practice of AI in medicine from 1977 to 2018.

Methods
We obtained bibliographic data and abstract contents of publications published between 1977 and 2018 from the Web of Science database. A total of 27,451 eligible articles were analyzed. Research topics were classified by latent Dirichlet allocation, and principal component analysis was used to identify the construct of the research landscape.

Results
The applications of AI have mainly impacted clinical settings (enhanced prognosis and diagnosis, robot-assisted surgery, and rehabilitation), data science and precision medicine (collecting individual data for precision medicine), and policy making (raising ethical and legal issues, especially regarding privacy and confidentiality of data). However, AI applications have not been commonly used in resource-poor settings due to the limit in infrastructure and human resources.

Conclusions
The application of AI in medicine has grown rapidly and focuses on three leading platforms: clinical practices, clinical material, and policies. AI might be one of the methods to narrow down the inequality in health care and medicine between developing and developed countries. Technology transfer and support from developed countries are essential measures for the advancement of AI application in health care in developing countries.
SÍNDROME METABÓLICA E DOENÇAS PERIODONTAIS
Authors: Spezzia Sérgio 
Published: November 2019

Resumo Doenças periodontais (DPs) constituem uma doença multifatorial, infecto-inflamatória e crônica que caracteristicamente possui quadro imuno-inflamatório. Essa patologia decorre da ação de bactérias que acham-se aderidas à superfície dos dentes e que afligem os tecidos periodontais. Na síndrome metabólica (SM) convive-se com determinadas manifestações fisiopatológicas conjuntamente, são elas: dislipidemia; resistência à insulina; obesidade; hipertensão arterial; hiperinsulinemia e intolerância à glicose. O objetivo do presente artigo foi averiguar como as DPs podem influir no andamento da SM e verificar como a SM pode manifestar-se, afligindo o transcurso das DPs. SM e DP apresentam elevados níveis séricos de produtos oriundos do estresse oxidativo, nessa situação ocorre que, concomitantemente havendo inflamação pode ocorrer influência de uma doença sobre a outra. Relacionado a pacientes possuidores de ambas as doenças, DPs e SM conjuntamente, sabe-se que existe expressão de caráter inflamatório nas duas e que comumente convive-se com a presença do marcador de inflamação fator de necrose tumoral alfa. A terapia periodontal realizada em pacientes com SM e DPs pode agir, minimizando o desconforto ocasionado pelas manifestações inflamatórias das duas doenças, instaladas concomitantemente, melhorando a qualidade de vida dos pacientes doentes. Palavras-chave: Doenças Periodontais. Síndrome Metabólica. Obesidade. Resistência à Insulina. Inflamação. Keywords: Periodontal Diseases. Metabolic Syndrome. Obesity. Insulin Resistance. Inflammation.
Toksisitas Ekstrak Etanol dan Ekstrak Air dari Daun Jotang Kuda (Synedrella nodiflora (L.) Gaertn.), Daun Gandarusa (Justicia Gendarussa Burm.F.), dan Daun Pulutan (Urena lobata L.) dengan Brine Shrimp Lethality Test
Authors: Widodo Agustinus , Khumaidi Akhmad , A. Lasongke Putri Faradila 
Published: November 2019

Jotang kuda (Synedrella nodiflora (L.) Gaertn.), gandarusa (Justicia gendarussa Burm.f.) and pulutan (Urena lobata L.) leaves are used by several tribes in Central Sulawesi for the treatment of cancer. This study aims to determine the value of LC50 (Lethal Concentration 50) of ethanol and water extracts from the S. nodiflora, J. gendarussa and U. lobata leaves and identify the class of chemical compounds contained in extracts with the highest toxicity. The ethanol extract was obtained by the maceration method using ethanol 96% and the water extract was obtained by the infusionmethod. The extract toxicity test was carried out byBrine Shrimp Lethality Test (BSLT) and dentification test was carried out by Thin Layer Chromatography (TLC). The toxicity test results (LC50) of 96% ethanol extract and water extract of S. nodiflora leaves were 395.60 μg/ml and 109.25 μg/ml; J. gendarussa leaves 713.34 μg/ml and 18.02 μg/ml; and U.lobata leaves 188.38 μg/ml and 85.37 μg/ml, respectively. The results of identification showed that the water extract of the J. gendarussa leaves containing alkaloids, flavonoids, phenolics, saponins, and steroids-terpenoids. The results of this study indicated that the extracts of S. nodiflora leaves, J. gendarussa leaves, and U. lobata leaves are potential to be developed as anticancer.
SOX 404(b) Audits: Evidence from Auditing the Financial Close Process of the Accounting System
Authors: Janvrin Diane J. , Mascha Maureen Francis , Lamboy-Ruiz Melvin A. 
Published: November 2019

ABSTRACT
Auditing Standard No. 5 requires that auditors integrate their evaluation of large issuers' internal control over financial reporting (ICFR) into their financial statement audit process, but the PCAOB warns that auditors may not adequately test related manual and systems internal controls. We use a multiple method approach to examine how auditors evaluate one important component of ICFR, the financial close process, and whether they evaluate it differently when conducting a SOX 404(b) integrated versus a financial statement audit. Interviewees relied heavily on walkthroughs, and tended to perform only cursory reviews of entity-level controls related to the financial close process. In addition, they often failed to test the link between the general ledger and supporting systems, including evaluating related access controls. Financial statement-only auditors were more likely to re-perform key controls than rely on cursory walkthroughs. Auditors performing integrated audits appeared to over-rely on ICFR findings when conducting financial statement audits.
Data Availability: Interview data are available from the first author. PCAOB inspection reports are publicly available.
New genetic data on Genista anglica L. versus Genista ancistrocarpa Spach (Fabaceae, Fabales) in the Iberian Peninsula and Morocco. Phylogeographic clues. Novos dados genéticos sobre a Genista anglica L. versus Genista ancistrocarpa Spach (Fabaceae, Fabales) na Península Ibérica e Marrocos. Indícios filogeográficos
Authors: Geraldes Miguel , Fonseca João Paulo , Neto Carlos , Costa José Carlos 
Published: November 2019

English. The genetic analysis through the nuclear ribosomal DNA of some Iberian and NW Morocco populations of Genista ancistrocarpa Spach and G. anglica L. has validated the separation of these two sister taxa as two distinct genetic entities, strengthening the already described morphological differentiation. The studied populations neatly show the G. ancistrocarpa as a coastal taxon with occidental Iberian and NW Morocco distribution, contrary to the G. anglica. The distribution areas of the two species appear to be distinct and with an important biogeographical significance. The coastal clade is determined by populations of G. ancistrocarpa, and outlines a biogeographic region that seems to depart genetically from the remaining peninsular populations, also in several molecular analyses of other plants and animals by many authors, supporting the idea of a distinct evolution from the Miocene onwards, when the installation of dry and hot conditions has pushed the moisture-dependent populations of G. ancistracarpa toward the westernmost sectors of Iberia and Morocco with an atlantic influence.Portugués. A análise genética de ADN nuclear ribossomal, levada a cabo em algumas populações peninsulares e do NW de Marrocos de Genista ancistrocarpa e de G. anglica, permitiu validar estes dois taxa irmãos como entidades genéticas distintas, reforçando, desta forma, a sua diferenciação morfológica. As análises permitem definir a G. ancistrocarpa como um taxon litoral com distribuição oeste ibérica e NW de África, por oposição à G. anglica. As áreas de distribuição das duas espécies parecem ser distintas e com importante significado biogeográfico. O clado litoral definido pelas populações de G. ancistrocarpa define um território biogeográfico, que parece destacarse geneticamente das restantes populações peninsulares, em diversas plantas e animais analisados geneticamente por vários autores, reforçando a ideia de uma evolução distinta a partir do Mioceno médio, quando a instalação de um clima seco e quente empurrou e isolou uma parte da população da higrófila G. ancistrocarpa para ocidente, onde podiam receber uma influência atlântica.
Codium tomentosum var. mucronatum et son epiphyte Aglaothamnion pseudobyssoides, deux nouvelles espèces d’algues benthiques pour la phycoflore du Maroc. Codium tomentosum var. mucronatum and Aglaothamnion pseudobyssoides, two new records for Morocco
Authors: Hassoun Mustapha , Salhi Ghizlane , Bouksir Hajar , Moussa Hanaa , Riadi Hassane , Kazzaz Mohamed 
Published: November 2019

Français. Deux algues marines nouvelles pour la phycoflore benthique du Maroc sont décrites. Il s’agit d’une Ulvophyceae: Codium tomentosum var. mucronatum et une Rhodophyceae: Aglaothamnion pseudobyssoides. Les deux espèces sont étudiées en détail et des données écologiques sont ajoutées aux descriptions morphologiques et anatomiques.
Four Ways Technology Has Negatively Changed Education
Authors: Alhumaid Khadija 
Published: November 2019

Abstract
Our experience with technology is a bitter-sweet one. We relish its presence in our lives, but we dread the effect it may have on our manners, attitudes and social interactions. We open the gates of our schools to all types of technological tools, yet we fear it may badly impact our students’ performance. This article investigates the ways through which classroom technology such as iPad, Internet connection, laptops and social media, impacts negatively on education. Relevant research has proven that technology could change education negatively through four paths: deteriorating students’ competences of reading and writing, dehumanizing educational environments, distorting social interactions between teachers and students and isolating individuals when using technology.
Administrative Innovations as Necessary Condition of Competitiveness in Schools
Authors: Mullakhmetov Khanif Sharifzyanovich , Aminova Rosalia Mullamehametovna , Filimonchuk Ilnara Ilshatovna 
Published: November 2019

Abstract
In the present-day education environment, requiring managerial flexibility in assessing ongoing changes, innovation becomes a prerequisite for effective management, and professional and psychological readiness of managers to apply management innovation – an indicator of managerial potential. Management innovation is today the “bottleneck” of educational management theory and practice. There are no theoretical models that are directly related to managerial innovation; technological innovations take priority in the practice of educational management; incorrect interpretation of innovations blunts their effectiveness. The school's competitive advantage today is not determined primarily by capital accumulation, but by the ability of management to initiate, appreciate and use changes, to learn faster than the rest from the experience of the changes. New theories of growth emphasize that it is the development of innovations that is an engine of sustainable educational growth. These circumstances determine management innovations as the domain that is the most in-demand for the development of education under the conditions of today.
The Constitutional Right to Healthcare and Medical Care for Students in Schools: Chosen Aspects
Authors: Mustafina Lyaysan Renatovna , Khamitova Gulnara Mullanurovna 
Published: November 2019

Abstract
The problem of legislative entrancement and protection of students' rights in the sphere of healthcare is one of the most pressing. “Health is a state of complete physical, mental and social wellbeing; it is not a mere absence of ailments or physical defects”. The Russian Federation students often face declarative attitude in medical practice, he is often ignored, despite having rights (property or personal) and freedoms of accessing medical assistance. In order to introduce quality changes to the system of students' rights protection in Russia, this problem requires a complex solution. The right to healthcare and medical assistance is entrenched in the domestic legislation, foremost in the Russian Federation Constitution. The right to free medical care in compliance with the program of the state-guaranteed free medical assistance, as well as paid medical service and other services, is entrenched in Article 41. Along with it no less relevant and almost undeveloped is a problem of defining the legal status of the students. How do we define and protect the rights and freedoms of them as a part of the Russian Federation entrenched in the Russian Federation Constitution accurately? In developed countries approaches to forming a legal relationship of the medical organizations with the student's need for medical care changed significantly in the past years. Many world countries, starting from the XX 90th, carry out purposeful introducing the general principles of the students' rights, as well as other people's legal status entrenchment into their legislation, pay considerable attention to these rights’ implementation mechanisms. Thus, the problem of students' legal status, which complexity is predetermined by the law specifics, is one of the most difficultly resolved theoretical and practical issues in the sphere of medical-legal relationship. The present article is devoted to the analysis of specific aspects of this problem, authors offer a new approached to its resolution.
State-Minority Contestations in Post-colonial Sri Lanka
Authors: Fazil Mansoor Mohamed 
Published: November 2019

Abstract
This research focuses on the issue of state-minority contestations involving transforming and reconstituting each other in post-independent Sri Lanka. This study uses a qualitative research method that involves critical categories of analysis. Migdal’s theory of state-in-society was applied because it provides an effective conceptual framework to analyse and explain the data. The results indicate that the unitary state structure and discriminatory policies contributed to the formation of a minority militant social force (the Liberation Tigers of Tamil Eelam – The LTTE) which fought with the state to form a separate state. The several factors that backed to the defeat of the LTTE in 2009 by the military of the state. This defeat has appreciably weakened the Tamil minority. This study also reveals that contestations between different social forces within society, within the state, and between the state and society in Sri Lanka still prevail, hampering the promulgation of inclusive policies. This study concludes that inclusive policies are imperative to end state minority contestations in Sri Lanka.