bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pulmonary Screening Practices of Otolaryngology–Head and Neck Surgeons Across Saudi Arabia in the Posttreatment Surveillance of Squamous Cell Carcinoma: Cross-sectional Survey Study
Authors: Alnefaie Majed , Alamri Abdullah , Saeedi Asalh , Althobaiti Awwadh , Alosaimi Shahad , Alqurashi Yousuf , Marzouki Hani , Merdad Mazin 
Published: June 2021

Background
With respect to patients with head and neck squamous cell carcinoma (HNSCC), posttreatment surveillance for distant disease has mostly focused on the lungs, as HNSCC distant metastasis occurs in this organ in 90% of HNSCC cases. Additionally, the incidence rate of primary tumors in the lungs is high due to the field cancerization of the entire upper aerodigestive tract.

Objective
Our cross-sectional survey study aims to evaluate the current beliefs and pulmonary screening practices of otolaryngology–head and neck surgeons across Saudi Arabia with respect to the posttreatment surveillance of HNSCC.

Methods
This nationwide cross-sectional survey was conducted among head and neck surgeon members of the Saudi Society of Otolaryngology from June 1 to June 30, 2020. A predesigned questionnaire was used for data collection, and a descriptive analysis was carried out.

Results
This study included 22 participants and had a 78% (22/28) response rate. This study found that the majority of participants (9/22, 41%) used lung radiography for routine lung screening during posttreatment follow-ups, whereas 32% (7/22) used low-dose computed tomography (CT; 7/22, 32%). With regard to the number of years for which participants perform lung screening during follow-ups, the majority of participants (17/22, 77%) reported 5 years, and only 9% (2/22) have performed lifelong lung screening. With regard to the frequency of lung screening, 77% (17/22) of participants conduct screening annually, 18% (4/22) conduct screening half-yearly, and 5% (1/22) conduct screening biennially. With regard to beliefs about the effectiveness of screening procedures in reducing lung cancer mortality rates during follow-ups, 36% (8/22) of participants believed them to be very effective or somewhat effective, 18% (4/22) did not know, and only 9% (2/22) believed that they were not effective.

Conclusions
The participants mainly used lung radiography (9/22, 41%), low-dose CT (7/22, 32%), or positron emission tomography/CT (6/22, 27%) as a routine lung screening method during the posttreatment follow-up of patients with head and neck cancer for 5 years (17/22, 77%) or 10 years (3/22, 14%), and only a small percentage of participants have performed lifelong lung screening (2/22, 9%). Lung screening was mostly conducted annually or half-yearly. Such screening was believed to be very effective or somewhat effective.
Improving Diabetes Self-management by Providing Continuous Positive Airway Pressure Treatment to Patients With Obstructive Sleep Apnea and Type 2 Diabetes: Qualitative Exploratory Interview Study
Authors: Laursen Ditte Hjorth , Rom Gitte , Banghøj Anne Margareta , Tarnow Lise , Schou Lone 
Published: June 2021

Background
There is a high prevalence of unexplained and unexplored obstructive sleep apnea (OSA) among patients with type 2 diabetes. The daytime symptoms of OSA include severe fatigue, cognitive problems, a decreased quality of life, and the reduced motivation to perform self-care. These symptoms impair the management of both diabetes and daily life. OSA may therefore have negative implications for diabetes self-management. Continuous positive airway pressure (CPAP) therapy is used to treat OSA. This treatment improves sleep quality, insulin resistance, and glycemic control. Although the benefits of using CPAP as a treatment for OSA are clear, the noncompliance rate is high, and the evidence for the perceived effect that CPAP treatment has on patients with type 2 diabetes and OSA is poor.

Objective
The purpose of this study was to analyze the impacts that comorbid diabetes and OSA have on the daily lives of older adults and to investigate the perceived effect that CPAP treatment for OSA has on patients’ diabetes self-management.

Methods
A qualitative follow-up study that involved in-depth, semistructured dyad interviews with couples before and after CPAP treatment (N=22) was conducted. Patients were recruited from the Hilleroed Hospital in Denmark and were all diagnosed with type 2 diabetes, aged >18 years, and had an apnea-hypopnea index of ≥15. All interviews were coded and analyzed via thematic analysis.

Results
The results showed that patients and their partners did not consider OSA to be a serious disorder, as they believed that OSA symptoms were similar to those of the process of aging. Patients experienced poor nocturnal sleep, took frequent daytime naps, exhibited reduced cognitive function, and had low levels of physical activity and a high-calorie diet. These factors negatively influenced their diabetes self-management. Despite the immediate benefit of CPAP treatment, most patients (11/12, 92%) faced technical challenges when using the CPAP device. Only the patients with severe OSA symptoms that affected their daily lives overcame the challenges of using the CPAP device and thereby improved their diabetes self-management. Patients with less severe symptoms rated CPAP-related challenges as more burdensome than their symptoms.

Conclusions
If used correctly, CPAP has the potential to significantly improve OSA, resulting in better sleep quality; improved physical activity; improved diet; and, in the end, better diabetes self-management. However, there are many barriers to undergoing CPAP treatment, and only few patients manage to overcome these barriers and comply with correct treatment.
Health Care Professionals’ Experiences With the Use of Video Consultation: Qualitative Study
Authors: Primholdt Christensen Nina , Skou Karen Emilie , Boe Danbjørg Dorthe 
Published: June 2021

Background
The number of remote video consultations between doctors and patients has increased during the last few years and especially during the COVID-19 pandemic. The health care service is faced with rising rates of chronic illness and many patients who are more confident in self-management of their illnesses. In addition, there is an improved long-term outlook for serious conditions, such as cancer, that might require flexibility in everyday life.

Objective
This study aimed to investigate how medical doctors in the outpatient clinic use and experience the use of video consultations with hematological patients, with a focus on relational and organizational aspects.

Methods
The study was designed as an explorative and qualitative study. Data were collected via participant observations and focus group interviews with medical doctors.

Results
The study identified possibilities and barriers in relation to adapting to the alternative way of meeting patients in the clinical setting. One of the main findings in this study is that the medical doctors were afraid that they missed important observations, as they were not able to perform a physical examination, if needed. They also emphasized that handshake and eye contact were important in order to get an overall impression of the patient’s situation. It also became clear that the medical doctors used body language a lot more during video consultation compared with consultation in a physical setting. The medical doctors found the contact with the patients via the screen to be good, and the fact that the technology was working well made them feel comfortable with the video consultation.

Conclusions
In this study, we found that the medical doctors were able to maintain good contact with the patients despite the screen and were able to assess the patients in a satisfying manner. However, there were still uncertainties among some doctors about the fact that they could not examine the patients physically. New knowledge about how to use gestures and body language during video consultation was obtained.
Medication Adherence Reminder System for Virtual Home Assistants: Mixed Methods Evaluation Study
Authors: Corbett Cynthia F , Combs Elizabeth M , Chandarana Peyton S , Stringfellow Isabel , Worthy Karen , Nguyen Thien , Wright Pamela J , O'Kane Jason M 
Published: June 2021

Background
Medication nonadherence is a global public health challenge that results in suboptimal health outcomes and increases health care costs. Forgetting to take medicines is one of the most common reasons for unintentional medication nonadherence. Research findings indicate that voice-activated virtual home assistants, such as Amazon Echo and Google Home devices, may be useful in promoting medication adherence.

Objective
This study aims to create a medication adherence app (skill), MedBuddy, for Amazon Echo devices and measure the use, usability, and usefulness of this medication-taking reminder skill.

Methods
A single-group, mixed methods, cohort feasibility study was conducted with women who took oral contraceptives (N=25). Participants were undergraduate students (age: mean 21.8 years, SD 6.2) at an urban university in the Southeast United States. Participants were given an Amazon Echo Dot with MedBuddy—a new medication reminder skill for Echo devices created by our team—attached to their study account, which they used for 60 days. Participants self-reported their baseline and poststudy medication adherence. MedBuddy use was objectively evaluated by tracking participants’ interactions with MedBuddy through Amazon Alexa. The usability and usefulness of MedBuddy were evaluated through a poststudy interview in which participants responded to both quantitative and qualitative questions.

Results
Participants’ interactions with MedBuddy, as tracked through Amazon Alexa, only occurred on half of the study days (mean 50.97, SD 29.5). At study end, participants reported missing their medication less in the past 1 and 6 months compared with baseline (χ21=0.9 and χ21=0.4, respectively; McNemar test: P<.001 for both). However, there was no significant difference in participants’ reported adherence to consistently taking medication within the same 2-hour time frame every day in the past 1 or 6 months at the end of the study compared with baseline (χ21=3.5 and χ21=0.4, respectively; McNemar test: P=.63 and P=.07, respectively). Overall feedback about usability was positive, and participants provided constructive feedback about the skill’s features that could be improved. Participants’ evaluation of MedBuddy’s usefulness was overwhelmingly positive—most (15/23, 65%) said that they would continue using MedBuddy as a medication reminder if provided with the opportunity and that they would recommend it to others. MedBuddy features that participants enjoyed were an external prompt separate from their phone, the ability to hear the reminder prompt from a separate room, multiple reminders, and verbal responses to prompts.

Conclusions
The findings of this feasibility study indicate that the MedBuddy medication reminder skill may be useful in promoting medication adherence. However, the skill could benefit from further usability enhancements.
Early Identification of COVID-19 Infection Using Remote Cardiorespiratory Monitoring: Three Case Reports
Authors: Polsky Michael , Moraveji Neema 
Published: June 2021

Background
The adoption of remote patient monitoring (RPM) in routine medical care requires increased understanding of the physiologic changes accompanying disease development and the proactive interventions that will improve outcomes.

Objective
The aim of this study is to present three case reports that highlight the capability of RPM to enable early identification of viral infection with COVID-19 in patients with chronic respiratory disease.

Methods
Patients at a large pulmonary practice who were enrolled in a respiratory RPM program and who had contracted COVID-19 were identified. The RPM system (Spire Health) contains three components: (1) Health Tags (Spire Health), undergarment waistband-adhered physiologic monitors that include a respiratory rate sensor; (2) an app on a smartphone; and (3) a web dashboard for use by respiratory therapists. The physiologic data of 9 patients with COVID out of 1000 patients who were enrolled for monitoring were retrospectively reviewed, and 3 instances were identified where the RPM system had notified clinicians of physiologic deviation due to the viral infection.

Results
Physiologic deviations from respective patient baselines occurred during infection onset and, although the infection manifested differently in each case, were identified by the RPM system. In the first case, the patient was symptomatic; in the second case, the patient was presymptomatic; and in the third case, the patient varied from asymptomatic to mildly symptomatic.

Conclusions
RPM systems intended for long-term use and that use patient-specific baselines can highlight physiologic changes early in the course of acute disease, such as COVID-19 infection. These cases demonstrate opportunities for earlier diagnosis, treatment, and isolation. This study supports the need for further research into how RPM can be effectively integrated into clinical practice.
The Violation of Conversational Maxims in The Divergent Series
Authors: Pradani Adelia Fatmawati , Sembodo Thomas Joko Priyo 
Published: June 2021

This research focuses on identifying the types of conversational maxims violated by the characters in a feature film trilogy entitled The Divergent Series. This research also aims to explain the functions of the violation of conversational maxims in the series. The result shows that there are 100 violations of conversational maxim in Divergent series, and among those, there are 43 violations of maxim of relevance (43%), which is the most frequently occurred in the movie. The second violation identified is the violation of maxim of manner, which reaches 24 violations (24%), and the third frequently occurring violation is violations of maxim of quantity with 22 numbers of violation (22%)/. The least occurring violation found in the movie is violation of maxim of quality, which reaches 11 numbers of violation (11%). There are several functions of the violation of conversational maxim found in the movie: keeping a secret, concealing half of the information, avoiding certain topic/question, and confusing the hearer.
Effect of Environmental Factors on the Accuracy of a Quality Inspection System Based on Transfer Learning
Authors: Najah Ahmed , Mustafa Faiz F. , Hacham Wisam S. 
Published: June 2021

في هذا البحث، تم تقديم دراسة حول تأثير عدة عوامل بيئية على أداء نظام فحص الجودة الذي تم إنشاؤه مسبقا، والذي تم تصميمه باستخدام نهج التعلم بالنقل القائم على الشبكات العصبية التلافيفية. يتألف النظام من مجموعتين من الطبقات، مجموعة طبقات منقولة من نموذج مدرب مسبقا (DenseNet121) ومجموعة طبقات تصنيف خاصه. تم تصميمه للتمييز بين التروس الحلزونية التالفة وغير التالفة، وأظهر النموذج أداءً جيداً يميز بين المنتجين في ظروف مثالية لصور عالية الدقة.
ان الهدف الرئيسي من هذه الدراسة هو اختبار أداء نظام الفحص في الظروف السيئة من الأضاءة والخلفية والمسافة ودقة الكاميرا. أظهرت النتائج التجريبية بأن النظام كان قادرًا على إظهار دقة عالية أعلى من 90٪ في إعدادات سيئة للغاية وحوالي 99٪ في إعدادات جيدة، مما يضمن إمكانية إنشاء نظام فحص بأداء رائع بتكاليف منخفضة.
NAVEGANDO NUVENS: NOTAS SOBRE A PRÁTICA DRAMATÚRGICA E OS PROCEDIMENTOS DE PREPARAÇÃO PARA A ESCRITA
Authors: Silva Camila Damasceno 
Published: June 2021

Este texto apresenta-se como um apanhado de reflexões e questionamentos no campo da dramaturgia, com ênfase nos processos de criação coletivos nas artes da cena e nos procedimentos de preparação para escrita dramatúrgica – tema raramente abordado em textos que se debruçam sobre tal prática. Dividido em onze fragmentos, passa pelo diálogo com Antônio Gonçalves Júnior (Duran), André Lepecki, Eleonora Fabião e Hans Ulrich Gumbrecht, afim de traçar caminhos possíveis para a prática dramatúrgica que não se limita à criação textual. Considerando aspectos caros à performatividade, traça implicações em um fazer artístico que se contrapõe às ideias fetichizadas envolvidas em todo espectro de profissões que lidam com práticas de escrita. Serão, ainda, relatados processos e procedimentos experimentados pela autora em sua prática dramatúrgica. Resultado preliminar de projeto de pesquisa que propõe uma análise de práticas de dramaturgia no contexto contemporâneo, as notas se apresentam como propostas de outros modos de estar, produzir, trabalhar e se relacionar com as pessoas e com as materialidades como necessárias à prática de dramaturgia - que não necessite negar o texto ou a produção textual e que seja composta em processo coletivo. Palavras-chaveCena. Dramaturgia. Preparação para a Escrita. Processo de Criação.
DANÇAS DE UM TEMPO: PEDAGOGIAS DA AUSÊNCIA EM MEIO À PANDEMIA
Authors: De Andrade Carolina Romano , Dos Santos Renata Fernandes , Banov Luiza Romani Ferreira 
Published: June 2021

Este artigo apresenta um caminho de organização de processos artístico-pedagógicos em dança realizados durante a pandemia de Covid-19. Essa proposição surge a partir das trocas estabelecidas entre cinco artistas/educadoras da dança. A dança, em viés educacional, é uma área do conhecimento que se relaciona com as experiências corporais, artísticas e estéticas que, até a pandemia, eram realizadas prioritariamente de maneira presencial. Com o agravamento da situação sanitária, as práticas artístico-pedagógicas precisaram com emergência ser adaptadas ao ensino remoto. A partir desse cenário, este artigo se propõe a oferecer possibilidades de aprendizagem da dança em caráter remoto e apontar pistas sobre o retorno presencial. Na introdução apresentamos o contexto do ensino remoto emergencial em relação às práticas de dança. Em seguida apresentamos três aspectos relacionados a uma aprendizagem em dança: um tempo da escuta, uma poética da distância e uma permanência no presente. Na última parte tecemos sentidos sobre a presença da dança e suas contribuições neste processo de reformulação artístico-pedagógica que exigiu reinvenções de todas as partes envolvidas: crianças, educadores e famílias. Palavras-chaveDança. Arte. Educação. Pandemia. Distância.
ARE THERE THINGS ONLY ARTISTS CAN DO? ARCHIVING THROUGH A TREADMILL
Authors: Felice Bonfim Carolina 
Published: June 2021

This article seeks to share the methods and strategies of the practice-based research project Ninety movements on TECHNOGYM G6508D. The research dissects the act of running in all its dimensions by fragmenting, archiving, incorporating, and highlighting what is unique and personal in each gesture and each way of moving. Ninety movements is a continuation of Carolina Bonfim’s recent artistic practice, which explores the relationship between the body and the archive through a visual-arts approach. KeywordsArchive. Body. Embodiment. Methodology. Practice-based Research.
"NÃO HÁ NINGUÉM": VIOLÊNCIAS CONTEMPORÂNEAS E LUGARES DE FALA NA CENA PERFORMÁTICA
Authors: Fazzioni Mateus Junior , Berselli Marcia , Pereira Diego De Medeiros 
Published: June 2021

O presente texto trata das ações artísticas realizadas no projeto “Violências contemporâneas e Criação em Ciclos: investigações de processos Colaborativos”, do Grupo de Pesquisa Laboratório de Criação - LACRI (CNPq/UFSM). Unindo professores e estudantes de teatro, o projeto propunha a criação, em modo colaborativo, de um acontecimento cênico a partir da temática “violências”. Dos laboratórios semanais, em que se investigava a estratégia de criação Cycles Repère, emergiu o trabalho “Não há ninguém” (2018). As reflexões que seguem intentam discutir, à luz das teorias sobre a cena performática, a construção de um discurso poético permeado de cotidianidade, das violências camufladas e institucionalizadas.
Dramaturgia(s), Dramaturgismos em Tempos Pós-Dramáticos
Authors: Dias Massa Clóvis 
Published: June 2021

Apresentação dos artigos do número 29 do periódico, sobre a dramaturgia na contemporaneidade e suas relação com criações cênicas híbridas, multifacetadas, inusitadas, fazendo apelo a um trabalho coletivo de concepção o qual acarreta uma nova acepção em relação ao termo dramaturgia e suas implicações prático-teóricas.
Analysis of clinical characteristics and prognostic factors of elderly patients with renal cell carcinoma based on SEER database
Authors: Peng Xiaoyan , Sun Hui , Guo Tianyi , Wang Linxiao , Guo Wanji , Ma Yanchun , Yang Jian 
Published: June 2021

Background: To study the difference of clinical characteristics and
prognostic factors from elderly patients with renal cell carcinoma
(RCC), the statistical analysis was carried out based on SEER database.
Methods: The relevant clinical informations of 19472 RCC patients from
2010 to 2015 were collected, and the differences of clinicopathological
characteristics and survival rate was analyzed by log-rank method and
Chi square test, respectively. Multivariate Cox regression model was
used to explore the independent risk factors affecting the long-term
survival of RCC patients. Results: Chi square test showed a significant
correlation between older RCC patients with gender (χ2 = 89.598) , race
(χ2 = 129.889), TNM stage (χ2 = 181.709), T stage (χ2 = 145.253), and N
stage (χ2 = 81.859). Statistics found that the proportion of 65-69-year
age group, male, white population in RCC patients was higher than that
of other year groups, female, other race, respectively. The median
survival time of 19472 RCC patients was 43 months, and 3-year and 5-
year survival rate was 75.95 % and 66.62 %, respectively. Univariate
survival analysis showed that the survival time was significant
correlation with gender ( χ2 =576.5), TNM stage ( χ2 =8206), T stage (
χ2 =4097), N stage ( χ2 =4849), and M stage ( χ2 =6986). Cox
proportional hazards model analysis revealed the independent prognostic
factors related with prognosis including TNM stage (HR: 1.527), T stage
(HR: 1.044), N stage (HR: 1.334 ), and M stage (HR: 2.686). Conclusion:
Age, TNM stage, T stage, N stage, and M stage are independent prognostic
factors for RCC patients, which provides an important basis for the
clinical analysis of the prognosis of elderly RCC patients in different
ages.
An Empirical Assessment of Real Activities Manipulation Measures
Authors: Siriviriyakul Subprasiri (Jackie) 
Published: June 2021

ABSTRACT
I empirically assess the extent to which real earnings management metrics capture opportunistic behavior versus firms' fundamental factors such as performance. For the traditional proxies proposed by Roychowdhury (2006), I find (1) the economic magnitude of the proxies to be high relative to two relevant benchmarks; (2) they exhibit persistence; and (3) they vary predictably with performance. These findings suggest that the traditional proxies likely not only capture opportunistic behavior, but also likely reflect fundamental factors. I also examine several adjusted proxies based on refinements proposed by subsequent studies. I find that those proposed by Vorst (2016) and those based on Kothari, Mizik, and Roychowdhury (2016) seem to be the most effective at attenuating correlation with underlying fundamentals. Additional simulation tests on bias and power reveal that, between the two adjusted proxies, those based on Kothari et al.'s (2016) are generally more preferable.
JEL Classifications: M41; M1.