bluuebunny/crossref_metadata_2025_split huggingface dataset:
Using a Multisectoral Approach to Advance Health Equity in Rural Arizona: Community-Engaged Survey Development and Implementation Study
Authors: Remiker Mark , Sabo Samantha , Jiménez Dulce , Samarron Longorio Alexandra , Chief Carmenlita , Williamson Heather , Teufel-Shone Nicolette 
Published: April 2021

Background
Over the past decade, public health research and practice sectors have shifted their focus away from identifying health disparities and toward addressing the social, environmental, and economic determinants of health equity. Given the complex and interrelated nature of these determinants, developing policies that will advance health equity requires collaboration across sectors outside of health. However, engaging various stakeholder groups, tapping into their unique knowledge systems, and identifying common objectives across sectors is difficult and time consuming and can impede collaborative efforts.

Objective
The Southwest Health Equity Research Collaborative at Northern Arizona University, in partnership with an 11-member community advisory council, is addressing this need with a joint community-campus effort to develop and implement a Regional Health Equity Survey (RHES) designed to generate an interdisciplinary body of knowledge, which will be used to guide future multisectoral action for improving community health and well-being.

Methods
Researchers and community partners used facilitated discussions and free listing techniques to generate survey items. The community partners pilot tested the survey instrument to evaluate its feasibility and duration before survey administration. Respondent-driven sampling was used to ensure that participants included leadership from across all sectors and regions of northern Arizona.

Results
Over the course of 6 months, 206 participants representing 13 sectors across the 5 counties of northern Arizona were recruited to participate in an RHES. Survey response rates, completion percentage, and sector representation were used to assess the effectiveness and feasibility of using a community-engaged apporach for survey development and participant recruitment. The findings describe the current capacity to impact health equity by using a multisectoral approach in northern Arizona.

Conclusions
The Southwest Health Equity Research Collaborative effectively engaged community members to assist with the development and implementation of an RHES aimed at understanding and promoting multisectoral action on the root causes of health inequity. The results will help to build research and evaluation capacity to address the social, economic, and environmental conditions of health inequity in the region.
Utility, Value, and Benefits of Contemporary Personal Health Records: Integrative Review and Conceptual Synthesis
Authors: Ruhi Umar , Chugh Ritesh 
Published: April 2021

Background
Contemporary personal health record (PHR) technologies offer a useful platform for individuals to maintain a lifelong record of personally reported and clinically sourced data from various points of medical care.

Objective
This paper presents an integrative review and synthesis of the extant literature on PHRs. This review draws upon multiple lenses of analysis and deliberates value perspectives of PHRs at the product, consumer, and industry levels.

Methods
Academic databases were searched using multiple keywords related to PHRs for the years 2001-2020. Three research questions were formulated and used as selection criteria in our review of the extant literature relevant to our study.

Results
We offer a high-level functional utility model of PHR features and functions. We also conceptualize a consumer value framework of PHRs, highlighting the applications of these technologies across various health care delivery activities. Finally, we provide a summary of the benefits of PHRs for various health care constituents, including consumers, providers, payors, and public health agencies.

Conclusions
PHR products offer a myriad of content-, connectivity-, and collaboration-based features and functions for their users. Although consumers benefit from the tools provided by PHR technologies, their overall value extends across the constituents of the health care delivery chain. Despite advances in technology, our literature review identifies a shortfall in the research addressing consumer value enabled by PHR tools. In addition to scholars and researchers, our literature review and proposed framework may be especially helpful for value analysis committees in the health care sector that are commissioned for the appraisal of innovative health information technologies such as PHRs.
Improved Glycemic Control With a Digital Health Intervention in Adults With Type 2 Diabetes: Retrospective Study
Authors: Zimmermann Gretchen , Venkatesan Aarathi , Rawlings Kelly , Scahill Michael D 
Published: April 2021

Background
Traditional lifestyle interventions have shown limited success in improving diabetes-related outcomes. Digital interventions with continuously available support and personalized educational content may offer unique advantages for self-management and glycemic control.

Objective
In this study, we evaluated changes in glycemic control among participants with type 2 diabetes who enrolled in a digital diabetes management program.

Methods
The study employed a single-arm, retrospective design. A total of 950 participants with a hemoglobin A1c (HbA1c) baseline value of at least 7.0% enrolled in the Vida Health Diabetes Management Program. The intervention included one-to-one remote sessions with a Vida provider and structured lessons and tools related to diabetes management. HbA1c was the primary outcome measure. Of the 950 participants, 258 (27.2%) had a follow-up HbA1c completed at least 90 days from program start. Paired t tests were used to evaluate changes in HbA1c between baseline and follow-up. Additionally, a cluster-robust multiple regression analysis was employed to evaluate the relationship between high and low program usage and HbA1c change. A repeated measures analysis of variance was used to evaluate the difference in HbA1c as a function of the measurement period (ie, pre-Vida enrollment, baseline, and postenrollment follow-up).

Results
We observed a significant reduction in HbA1c of –0.81 points between baseline (mean 8.68, SD 1.7) and follow-up (mean 7.88, SD 1.46; t257=7.71; P<.001). Among participants considered high risk (baseline HbA1c≥8), there was an average reduction of –1.44 points between baseline (mean 9.73, SD 1.68) and follow-up (mean 8.29, SD 1.64; t139=9.14; P<.001). Additionally, average follow-up HbA1c (mean 7.82, SD 1.41) was significantly lower than pre-enrollment HbA1c (mean 8.12, SD 1.46; F2, 210=22.90; P<.001) There was also significant effect of program usage on HbA1c change (β=–.60; P<.001) such that high usage was associated with a greater decrease in HbA1c (mean –1.02, SD 1.60) compared to low usage (mean –.61, SD 1.72).

Conclusions
The present study revealed clinically meaningful improvements in glycemic control among participants enrolled in a digital diabetes management intervention. Higher program usage was associated with greater improvements in HbA1c. The findings of the present study suggest that a digital health intervention may represent an accessible, scalable, and effective solution to diabetes management and improved HbA1c. The study was limited by a nonrandomized, observational design and limited postenrollment follow-up data.
Average Level Of Evidence Of Papers Published In Six Orthopedic Journals
Authors: Buford, MD Don , Tulpule Sharmila , Hyder Jasmine , Boot Henry 
Published: April 2021

Background
An assessment of the average level of evidence (LOE) of clinical research papers in peer reviewed orthopedic surgery journals has not previously been published. In this paper we report on the average LOE of papers published in six of the top English language orthopedic surgery journals.

Methods
Six well established orthopedic journals were identified by using the Google Scholar H5 Journal Index. We selected 6 of the top ten journals identified by the Index. The six journals that were evaluated for this project were as follows: The American Journal Of Sports Medicine (AJSM); Clinical Orthopedics and Related Research (CORR); Journal of Bone and Joint Surgery (JBJS); Knee Surgery, Sports, Traumatology, Arthroscopy (KSSTA); Journal of Arthroscopy (Arthros.); and the Journal of Shoulder and Elbow Surgery (JSES). Thirteen consecutive monthly issues (July, 2018 - July, 2019) of each journal were evaluated for the LOE of each clinical paper. The assigned LOE was used if published, or the level of evidence was assigned by the senior author (DAB) if one was not listed. For each journal, the overall mean LOE along with the variance and standard deviation was calculated with all confidence intervals set at 95%. Summary data was statistically analyzed to provide an overall mean LOE for the 6 journals evaluated.

Results
For AJSM, we evaluated 246 clinical research articles that had an average LOE of 2.96 +/- 0.16. For CORR, we evaluated 155 papers that had an average LOE of 2.83 +/- 0.19. For JBJS, we evaluated 164 papers that had an average LOE of 3.04 +/- 0.13. For KSSTA, we evaluated 402 papers that had an average LOE of 3.05 +/- 0.16. For Arthros. we evaluated 226 papers that had an average LOE of 3.19 +/- 0.10. For JSES, we evaluated 237 papers that had an average LOE of 3.25 +/- 0.13.
In summary, for the 1425 clinical research papers published in 98 issues of 6 of the top orthopedic journals, we found the average Level Of Evidence to be 3.05 +/- 0.16.

Conclusions
The goal of scientific study design is to prove or disprove a hypothesis while minimizing bias and errors. The gold standard for therapeutic studies has been a double blind, randomized controlled trial (RCT). However, it is not possible or feasible for every clinical study to have a blinded RCT design. Additionally, clinically relevant and actionable data can come from studies that are not RCTs. In a medical discipline like orthopedics many interventions are invasive, making controlled trials or blinded trials unethical or technically not practical. Our analysis of over 1400 peer reviewed publications in one year in 6 of the top English language orthopedic journals reveals that the average level of evidence deemed worthy of publication is level 3. In terms of the most common study design, the average published clinical study in these orthopedic journals was a case-control study.
Fear of Crime among Mongolians in the Ulaanbaatar Metropolitan Area
Authors: Chuluunbat Sharkhuu , Min-Sik Lee 
Published: April 2021

This study is about fear of crime, which is one of the most important topics in the criminological research.The study tested an integrated model in structural equation modeling method by using both SPSS and AMOS. Those who perceive higher levels of incivility were found to be more fearful of crime. Policies to reduce fear of crime and implications for future research were discussed based on the findings.
Advocacy Coalition Framework of Ultra Micro Loan Policymaking in Indonesia
Authors: Soesilo Nining I 
Published: April 2021

Advocating the Ultra Micro-lending concept of Indonesia's Ministry of Finance in 2017 was a tumultuous nine-year process. The present paper aims to examine the Ultra Micro-lending (UMi) program conducted by the Ministry of Finance of Republic of Indonesia using Advocacy Coalition Framework. This paper showed that Advocacy Coalition Framework could moderate the interest groups' disagreement through seven steps as follows. First, relatively stable parameters of poverty need alleviation using better financial access with empowerment. Second, the external system is inspired by Grameen Bank as the winner of the Nobel Peace Prize. Third, removing constraints and resources of subsystem actors from the internal Ministry of Finance and the Parliaments. Fourth, creating consensus for getting the Ministry of Bureaucratic Reform's permit. Fifth, policy subsystem that coalesces the need of market-rate and subsidized rate to cater to 46.7 million grassroots entrepreneurs as a 'win-win' arrangement to complement the bank-based People's Business Credit (KUR). Sixth, policy outputs as the legal product of the UMi with a 7 Trillion State budget. Seventh, policy impact's measurement after one year piloting before UMi's scaling up. This paper has a significant contribution to enhancing the efficacy of UMi program, and as a continuous effort to ensure the economic development of the country.
CE Article: Use of an Evidence-Based Protocol for Repositioning Peripherally Inserted Central Catheters (PICCs) in Children and Adults
Authors: Mesa Jorge , Mejia Amalyn , Tiu Gareth 
Published: April 2021

Highlights

Abstract
Introduction: Achieving and maintaining optimal peripherally inserted central catheter (PICC) tip position can be challenging. At any time during therapies, the final catheter position can be altered due to changes in patient condition and intrathoracic pressure.
Aim: To determine if the use of a standardized protocol with power flush option for repositioning the PICC tips will reduce the number of withdrawal interventions or exchange procedures.
Methods: Johns Hopkins evidence-based practice (EBP) methodology was used to evaluate literature published in the past 5 years. A standardized protocol was developed and implemented in patients with malpositioned PICCs. The outcome measures were the successful repositioning of the catheter and costs for the procedure.
Results: In 4 months, 43 (93%) of 46 (14 adult/32 pediatric) catheters were successfully repositioned. The withdrawal method was used to reposition 34 (73.9%). In 12 patients where a power flush was used, 9 (75%) were successfully repositioned. These changes resulted in decreased delays in treatment and financial savings of $235,210 in personnel time and supplies.
Discussion: The standardized protocol provided an alternative to previous practices, extending dwell time, decreasing treatment delay, and unnecessary procedures, showing significant savings for the institution.
Conclusions: The Vascular Access Team use of an evidence-based protocol was successful in reducing catheter exchange and withdrawals in malpositioned catheters among adult and pediatric populations.
Relevance to Clinical Practice: The implementation of a standardized EBP to address malpositioned catheters resulted in the decreased need for catheter exchange, reduced delays in treatment, and cost savings.
Placing a Hemodialysis Catheter in Patients With Multiple Access Failure and Exhausted Usual Approachable Veins: Egyptian Single Center Experience
Authors: Fatthy Moataz , Abdelaziz Tarek S. , Marie Mohamed A. , Abdelkawi Mohamed , Tawab Tamer Abdel 
Published: April 2021

Highlights

Abstract
Background: End-stage renal disease (ESRD) is a growing global health hazard. Most patients are maintained on dialysis rather than transplantation. Adequate vascular access for hemodialysis is crucial to achieve an optimal dialysis dose and to reduce morbidity and mortality. Patients with multiple access failure are in desperate need for lifesaving access, especially in the absence of alternatives (transplantation or peritoneal dialysis).
Objective: Patients with multiple vascular access failure and exhausted approachable veins are being referred to an interventional nephrology or radiology centers. The aim of this work is to evaluate a single center’s experience of sophisticated venous approaches to provide access for hemodialysis.
Methods: This study was performed at the Interventional Nephrology Center at Kasr Al-Ainy University Hospitals. Epidemiological data of patients, e.g., age, gender, as well as the number of previously cannulated central veins, were documented.
Results: Data of 188 patients with multiple dialysis venous access failure (117 females and 71 males, aged 17–56 years) were collected. Successful innominate (brachiocephalic) venous cannulation was achieved in 149 patients (79%). Eighteen patients had successful external iliac venous approach (9%). Successful transhepatic venous approach was placed as permanent access in 7 patients (4%). The rest of the patients (n = 14, 7%) were referred to other centers due to failure.
Conclusions: Sophisticated central venous approaches, mainly brachiocephalic, as described in this study, may play as alternatives for placing either temporary or tunneled hemodialysis catheters in patients with multiple vascular access failure and stenosed or thrombosed central veins.
Penerapan Model CTL (Contextual Teaching And Learning) Melalui Alat Peraga Torso dalam Peningkatan Hasil Belajar Pada Mata Pelajaran IPA Kelas V di SDN Muara Bumban 1 Kabupaten Murung Raya
Authors: Nurhaliza Erisma 
Published: April 2021

So that the formulation of this problem is 1) How is the application of the CTL (Contextual Teaching and Learning) model through the Torso Props Class V at SDN Muara Bumban 1, Murung District, Murung Raya District. 2) Is there an increase in student learning outcomes after the application of the fifth grade CTL (Contextual Teaching and Learning) model at SDN Muara Bumban 1, Murung District, Murung Raya Regency. This study aims to determine: 1) The application is carried out using the CTL (contextual taching and learning) learning model using torso props in the fifth grade natural science subjects at SDN Muara Bumban 1, Murung District, Murung Raya District. 2) To find out the increase in student learning outcomes after using the CTL (Contextual Teaching and Learning) model class V at SDN Muara Bumban 1, Murung District, Murung Raya Regency. This study uses a mixed methodology (mixed methodology). The population and sample data in this study were 15 students. Data collection techniques used in this study were observation, objective tests (pre-test and post-test) and documentation. The results of this study indicate that: 1) The application is carried out using the CTL (contextual taching and learning) learning model using torso teaching aids that students tend to be active during learning and listening to what is explained and conveyed by the teacher. 2) There is an increase after is 43,733 receiving treatment (treatment) with an average post-test value that is equal to 87.2 and N-gain value of 0.767 with moderate criteria.
РАЗРАБОТКА ПРЕДЛОЖЕНИЙ В РЕКОМЕНДАЦИИ ВОИС ПО ПОВЫШЕНИЮ ЭФФЕКТИВНОСТИ СИСТЕМ ЭЛЕКТРОННОЙ ПУБЛИКАЦИИ СВЕДЕНИЙ ОБ ОБЪЕКТАХ ПАТЕНТНОГО ПРАВА
Authors: Бирюков Сергей , Быков Даниил 
Published: April 2021

Объектом исследования являются системы электронной публикации Роспатента и зарубежных ведомств в сфере промышленной собственности.
Цель работы – разработка требований к системам электронной публикации для информационного обслуживания, позволяющего обеспечить доступ к полному содержанию выданного патента или опубликованного документа заявки в электронном виде, и обогащающих пользовательский опыт работы с указанными документами за счет технических возможностей гипертекста.
В работе использован структурно-функциональный метод исследования, позволяющий изучить практику Роспатента и ФИПС и зарубежных патентных ведомств в части возможностей информационных систем электронной публикации, анализ результатов опроса, проведенного среди патентных ведомств, в том числе Российской Федерации.
Результатами НИР являются разработанные предложения в рекомендации ВОИС по системам электронной публикации.
Научная новизна заключается в исследовании возможности широкого применения гипертекста в системах публикации как национальных, так и их совокупности на международном уровне.
Практическая новизна заключается в выработке совокупности предложений для использования:
- Целевой группой ВОИС для создания рекомендаций по системам электронной публикации;
- при создании новых систем в рамках мероприятий национальной программы «Цифровая экономика Российской Федерации».
Las campanas de Génova
Authors: D'Iorio Paolo 
Published: April 2021

Este texto explora los diferentes aspectos que conforman aquella experiencia intelectual que sobrevino a Nietzsche al escuchar el sonido de las campanas de Génova. En un primer momento, considerará los tres niveles semánticos de esta iluminación: biográfico, literario y filosófico. En un segundo momento, atenderá al desarrollo y adiciones de sentido de esta epifanía a través de la continua aparición en sus obras. Así pues, analizará los ecos semánticos de estas imágenes, así como las referencias intertextuales e intratextuales de las mismas.
Dioniso en Sobre verdad y mentira en sentido extramoral. Lo dionisíaco en la metáfora como fenómeno pre-lingüístico:
Authors: Piñero María Eugenia 
Published: April 2021

En Verdad y mentira en sentido extramoral Nietzsche entiende que el valor de las formas de verdad y mentira se encuentra en los efectos de un instinto de producción de realidad; siendo consideradas «interpretaciones», ambas se hallan desvinculadas de la tradicional pretensión que las concebía como principios lógicos y que las hacía responder a una metafísica moral cristiana. Pero, puesto que para la retórica de Nietzsche es imposible una intelección de las esencias, todo proceso de aprehensión de la realidad no es otra cosa que una interpretación que no sigue un orden lógico sino prelógico, estético, mediante el cual el hombre se sumerge en ilusiones y ensueños; su mirada se desliza sobre la superficie de las cosas y percibe «formas», su sensación no conduce a la verdad, sino que se contenta con recibir estímulos, como si jugase a tantear el dorso de las cosas.
Noticias 2017
Authors: De Santiago Guervós Luis Enrique , Hoyos Sánchez Inmaculada , Rodríguez Mariano , Mayer Branco Maria João , Marton Scarlett , Nühlen Maria , Zavatta Benedetta 
Published: April 2021

Noticas 2017: Nietzsche et la Phénoménologie. Entre textes, réceptions e interprétations; 27. Internationaler Kongress der Nietzsche-Gesellschaft und der Friedrich Nietzsche Stiftung. Gemeinsame zweisprachige Jahrestagung; Presentación de las obras completas de F. Nietzsche volumen IV. Escritos de madurez II y complementos a la edición; Seminario Nietzsche Complutense (SNC) año 2016; Grupo Nietzsche de Lisboa; XXXVIII Encontros Nietzsche; Nietzsche un die Griechen - Internationale Tagung in Naumburg; El anillo de Nietzsche; Grupo de investigación internacional «Hypernietzsche»; XIII Edizione del Seminario Permanente Nietzscheano. Nietzsche e l'edcazione; L'eredita di Montinari (1986-2016);North American Nietzsche Society Conference; Exposición del pintor Jobst Günter en Naumburg.
Del arte de guíar: apuntes sobre las introducciones de las Obras completas de F. Nietzsche
Authors: Esteba Enguita José Emilio 
Published: April 2021

El propósito de este artículo es analizar las introducciones escritas por el profesor Diego Sánchez Meca para la edición de las Obras completas de F. Nietzsche en lengua castellana. Como resultado de este análisis, señalamos tres logros principales: primero, la división de la evolución del pensamiento de Nietzsche en dos etapas y no en tres; segundo, la pertinente valoración de sus escritos filológicos y del problema de la filología a través de toda su obra, y, tercero, la articulación de los conceptos fundamentales de su última filosofía a partir de las propuestas de Así habló Zaratustra.
El culto a Nietzsche en Alemania
Authors: Gauger Klaus 
Published: April 2021

Friedrich Nietzsche (1844-1900) es la principal influencia para muchos filósofos posmodernistas desde los años posteriores a 1870. Para ellos Nietzsche es un crítico radical del racionalismo positivista, el profeta de la fragmentación y discontinuidad, del poder del discurso y del carácter metafórico de la verdad. El artículo muestra y explica el culto cuasi religioso a Friedrich Nietzsche que existió en Alemania desde 1890 a 1945 en sus diferentes formas ideológicas y sus más importantes representantes.