bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Biofeedback App for Migraine: Development and Usability Study
Authors: Ingvaldsen Sigrid Hegna , Tronvik Erling , Brenner Eiliv , Winnberg Ingunn , Olsen Alexander , Gravdahl Gøril Bruvik , Stubberud Anker 
Published: June 2021

Background
Biofeedback is effective in treating migraines. It is believed to have a beneficial effect on autonomous nervous system activity and render individuals resilient to stressors that may trigger a migraine. However, widespread use of biofeedback is hampered by the need for a trained therapist and specialized equipment. Emerging digital health technology, including smartphones and wearables (mHealth), enables new ways of administering biofeedback. Currently, mHealth interventions for migraine appear feasible, but development processes and usability testing remain insufficient.

Objective
The objective of this study was to evaluate and improve the feasibility and usability of an mHealth biofeedback treatment app for adults with migraine.

Methods
In a prospective development and usability study, 18 adults with migraine completed a 4-week testing period of self-administered therapist-independent biofeedback treatment consisting of a smartphone app connected to wearable sensors (Cerebri, Nordic Brain Tech AS). The app included biofeedback training, instructions for self-delivery, and a headache diary. Two wearable sensors were used to measure surface electromyographic voltage at the trapezius muscle and peripheral skin temperature and heart rate at the right second fingertip. Participants were instructed to complete a daily headache diary entry and biofeedback session of 10 minutes duration. The testing period was preceded by a preusability expectation interview and succeeded by a postusability experience interview. In addition, an evaluation questionnaire was completed at weeks 2 and 4. Adherence was calculated as the proportion of 10-minute sessions completed within the first 28 days of treatment. Usability and feasibility were analyzed and summarized quantitatively and qualitatively.

Results
A total of 391 biofeedback sessions were completed with a median of 25 (IQR 17-28) per participant. The mean adherence rate was 0.76 (SD 0.26). The evaluation questionnaire revealed that functionality and design had the highest scores, whereas engagement and biofeedback were lower. Qualitative preexpectation analysis revealed that participants expected to become better familiar with physical signals and gain more understanding of their migraine attacks and noted that the app should be simple and understandable. Postusability analysis indicated that participants had an overall positive user experience with some suggestions for improvement regarding the design of the wearables and app content. The intervention was safe and tolerable. One case of prespecified adverse events was recorded in which a patient developed a skin rash from the sticky surface electromyography electrodes.

Conclusions
The app underwent a rigorous development process that indicated an overall positive user experience, good usability, and high adherence rate. This study highlights the value of usability testing in the development of mHealth apps.
Evaluating the Acceptability, Feasibility, and Outcomes of Two Methods Involving Patients With Disability in Developing Clinical Guidelines: Crossover Pilot Study
Authors: Lamontagne Marie-Eve , Gagnon Marie-Pierre , Perreault Kadija , Gauthier Véronique 
Published: June 2021

Background
Engaging patients and the public in clinical practice guideline (CPG) development is believed to contribute significantly to guideline quality, but the advantages of the various co-design strategies have not been empirically compared, making it difficult to choose one strategy over another.

Objective
This pilot study aims to document the acceptability, feasibility, and outcomes of 2 methods of involving patients in outlining CPG.

Methods
A single-blind crossover pragmatic study was performed with patients with traumatic brain injury. The patients experimented with 2 alternative methods of producing clinical practice recommendations (ie, a discussion group and a wiki). The participants rated the acceptability of the 2 methods, and feasibility was assessed using indicators, such as the number of participants who completed the 2 methods and the number of support interventions required. Experts, blinded to the method, independently rated the participants' outcome recommendations for clarity, accuracy, appropriateness, and usefulness.

Results
We recruited 20 participants, and 16 completed the study. The acceptability of the 2 methods showed little variation, with qualitative comments expressing a slight preference for the social nature of focus groups. Thus, both methods of involving patients in CPG development appeared feasible, and the experts’ opinions of the adapted recommendations were both positive, although the recommendations produced through focus groups were deemed more relevant to support clinical practice.

Conclusions
Our results confirm the acceptability and feasibility of focus groups and wikis to allow patients with traumatic brain injury to participate in clinical practice guideline production. This study contributes to the scientific literature by suggesting that the 2 methods were acceptable, feasible, and produced positive outcomes.

Trial Registration
ClinicalTrials.gov NCT02023138; https://clinicaltrials.gov/ct2/show/NCT02023138
Understanding Physicians’ Preferences for Telemedicine During the COVID-19 Pandemic: Cross-sectional Study
Authors: Nies Sarah , Patel Shae , Shafer Melissa , Longman Laura , Sharif Iman , Pina Paulo 
Published: June 2021

Background
In contrast to the current broad dissemination of telemedicine across medical specialties, previous research focused on the effectiveness of telemedicine in special populations and for behavioral health encounters, demonstrating that both physician and patient factors impact the efficacious use of telemedicine.

Objective
We aim to evaluate physician perceptions of the appropriateness of telemedicine for patients attending the primary care practices of a federally qualified health center in New York City.

Methods
We used an anonymous cross-sectional survey including closed- and open-ended questions. We used chi-square to test whether providers from certain specialties were more likely to state they would use telemedicine in the future. We used t tests to compare age between those who would versus would not use telemedicine. We then used logistic regression to test whether age and specialty were both correlated with the desire to use telemedicine in the future. We used thematic content analysis to describe the reasons providers felt they would not want to use telemedicine in the future and to describe the situations for which they felt telemedicine would be appropriate.

Results
Of 272 health care providers who were sent the electronic survey, 157 (58%) responded within the 2-week survey time frame. The mean age of providers was 45 (range 28-75) years. Overall, 80% (126/157) stated they would use telemedicine in the future. Compared to the family medicine, internal medicine, behavioral health, dental, and obstetrics and gynecology specialties, providers from pediatrics, med-peds, subspecialties, and surgery (protelemedicine specialties) were more likely to believe telemedicine would be useful post pandemic (61/67 [91%] vs 65/90 [72%]; P<.001). Providers who reported they would use telemedicine in the future were younger (mean age 44, range 42-46 years vs mean age 50, range 46-55 years; P=.048). In the regression analysis, both protelemedicine specialties and age were significantly associated with odds of reporting they would use telemedicine in the future (prospecialties: odds ratio 5.2, 95% CI 1.7-16.2; younger age: odds ratio 1.05, 95% CI 1.01-1.08). Providers who did not want to use telemedicine in the future cited concerns about inadequate patient care, lack of physical patient interaction, technology issues, and lack of necessity. Providers who felt telemedicine would be useful cited the following situations: follow-up visits, medication refills, urgent care, patient convenience, and specific conditions such as behavioral health, dermatology visits, and chronic care management.

Conclusions
The majority of health providers in this resource-limited setting in a federally qualified health center believed that telemedicine would be useful for providing care after the pandemic is over.
Supportive Accountability and Mobile App Use in a Tobacco Control Intervention Targeting Low-Income Minority Mothers Who Smoke: Observational Study
Authors: Lepore Stephen J , Collins Bradley N , Killam Howard W , Barry Barbara 
Published: June 2021

Background
Smartphone mobile apps are frequently used in standalone or multimodal smoking cessation interventions. However, factors that impede or improve app usage are poorly understood.

Objective
This study used the supportive accountability model to investigate factors that influence app usage in the context of a trial designed to reduce maternal smoking in low-income and predominantly minority communities.

Methods
We conducted a secondary analysis of data (N=181) from a randomized controlled trial that included a smoking cessation app (QuitPal-m). Supportive accountability was measured by the number of times a participant was advised by their cessation counselor to use QuitPal-m. Participants reported app use helpfulness and barriers. Investigators tracked reported phone and technical problems that impeded app use.

Results
Most participants rated the app as very helpful (103/155, 66.5%), but daily use declined rapidly over time. App use was positively related to the level of perceived app helpfulness (P=.02) and education (P=.002) and inversely related to perceived barriers (P=.003), phone technical problems (P<.001), and cigarettes smoked per day at the end of treatment (P<.001). Participants used the app a greater proportion of the days following app advice than those preceding app advice (0.45 versus 0.34; P<.001). The positive relation between counselor app advice and app usage 24 hours after receiving advice was stronger among smokers with no plan to quit than in those planning to quit (P=.03), independent of education and phone or app problems.

Conclusions
Findings show the utility of supportive accountability for increasing smoking cessation app use in a predominantly low-income, minority population, particularly if quit motivation is low. Results also highlight the importance of addressing personal and phone/technical barriers in addition to adding supportive accountability.

Trial Registration
ClinicalTrials.gov NCT02602288; https://clinicaltrials.gov/ct2/show/NCT02602288
Creation of a Student-Run Medical Education Podcast: Tutorial
Authors: Milligan Kevin John , Daulton Robert Scott , St Clair Zachary Taylor , Epperson Madison Veronica , Holloway Rachel Mackenzie , Schlaudecker Jeffrey David 
Published: June 2021

Background
Podcasting has become a popular medium for medical education content. Educators and trainees of all levels are turning to podcasts for high-quality, asynchronous content. Although numerous medical education podcasts have emerged in recent years, few student-run podcasts exist. Student-run podcasts are a novel approach to supporting medical students. Near-peer mentoring has been shown to promote medical students’ personal and professional identity formation. Student-run podcasts offer a new medium for delivering near-peer advice to medical students in an enduring and accessible manner.

Objective
This paper describes the creation of the UnsCripted Medicine Podcast—a student-run medical education podcast produced at the University of Cincinnati College of Medicine.

Methods
The planning and preparatory phases spanned 6 months. Defining a target audience and establishing a podcast mission were key first steps. Efforts were directed toward securing funding; obtaining necessary equipment; and navigating the technical considerations of recording, editing, and publishing a podcast. In order to ensure that high professionalism standards were met, key partnerships were created with faculty from the College of Medicine.

Results
The UnsCripted Medicine Podcast published 53 episodes in its first 2 years. The number of episodes released per month ranges from 0 to 5, with a mean of 2.0 episodes. The podcast has a Twitter account with 217 followers. The number of listeners who subscribed to the podcast via Apple Podcasts grew to 86 in the first year and then to 218 in the second year. The show has an average rating of 4.8 (out of 5) on Apple Podcasts, which is based on 24 ratings. The podcast has hosted 70 unique guests, including medical students, resident physicians, attending physicians, nurses, physicians’ family members, graduate medical education leadership, and educators.

Conclusions
Medical student–run podcasts are a novel approach to supporting medical students and fostering professional identity formation. Podcasts are widely available and convenient for listeners. Additionally, podcast creators can publish content with lower barriers of entry compared to those of other forms of published content. Medical schools should consider supporting student podcast initiatives to allow for near-peer mentoring, augment the community, facilitate professional identity formation, and prepare the rising physician workforce for the technological frontier of medical education and practice.
PEQUENOS BRINCANTES DA EDUCAÇÃO INFANTIL: UM ENCONTRO ENTRE A DANÇA E AS CULTURAS POPULARES BRASILEIRAS
Authors: Almeida Fernanda De Souza , De Sá Andreza Lucena Minervino 
Published: June 2021

O presente texto apresenta uma investigação que almejou elaborar, aplicar e refletir sobre uma proposta de intervenção em dança com as crianças goianienses, trazendo em seu cerne, a complexa trama de saberes das culturas populares brasileiras: o lúdico, o conto, a música, o ritmo, o movimento e a dramatização; tendo como principal inspiração, os parques infantis de Mário de Andrade. Para a construção da proposta elencamos, a partir dos estudos vinculados à área temática da pesquisa, três eixos de ação: Fundamentos brincantes, Elementos da dança e Estratégias de abordagem. Com isso, por meio de uma pesquisa-ação, ofertamos 12 encontros, uma vez por semana, ao longo de 4 meses, para duas turmas de crianças com 4 anos de idade, matriculadas em um Centro de Educação Infantil conveniado à prefeitura de Goiânia (GO). Todo o processo foi registrado em um diário de campo e dialogado com a teoria elencada. Assim, entre gatos, cachorros, caranguejos, sapos, jacarés coiós, Cacuriás, Cirandas, Jongos, Bumba meu Boi, Capoeira, Catira, cantigas, cordéis, brincadeiras, jogos, brinquedos, adivinhas, palmas, adoletas, mapas do Brasil, vídeos, dobraduras, pinturas, entramos na roda e exploramos palavras, sons, expressões e gestos de modo mágico, metafórico e lúdico. As crianças dançaram e foi possível desenvolver vivências em dança tendo os saberes populares como eixo condutor. Um percurso que nos possibilitou converter-nos em parceiras privilegiadas de novas e infinitas aventuras poéticas com as crianças. Palavras-chaveDança e Educação Infantil. Educação da Infância. Práticas Educativas. Saberes Tradicionais.
O PROFESSOR-NARRADOR: AUTORIDADE E RESPONSABILIDADE COMO ESTRATÉGIA DOCENTE
Authors: Gomes Sidmar Silveira 
Published: June 2021

Ao partir da problematização de dizeres naturalizados no que tange à função-docente, articulados a atuais discussões sobre a Base Nacional Comum Curricular (BNCC), a presente reflexão intenta ensaiar a função professor de teatro pela perspectiva de um professor-narrador: figura que ao narrar o mundo integraria a ele as gerações vindouras. Participa desta discussão os temas da tradição, da autoridade e da responsabilidade no campo educacional, debatidos por Hannah Arendt, a função do narrador, rememorada por Walter Benjamin, assim como as ideias de governo e de atitude crítica, legadas pelo pensador francês Michel Foucault. A armação argumentativa da reflexão, desafiando-se a uma abordagem outra do professor de teatro, dialoga com referências exógenas às práticas teatrais e educacionais: o filme Teorema, do italiano Pier Paolo Pasolini, e a obra literária Fahrenheit 451, do norte-americano Ray Bradbury. Palavras-chaveFunção-Docente. Professor-Narrador. BNCC. Pedagogia do Teatro.
COMPOSIÇÃO DRAMATÚRGICA: PRÁTICAS DE CRIAÇÃO CÊNICA
Authors: Fagundes Patricia 
Published: June 2021

O trabalho reflete sobre conceitos e práticas de dramaturgia desenvolvidas durante o processo de ensaios, em montagens onde cena e texto são criados de modo simultâneo e interligado, a partir da perspectiva do teatro como arte corpórea, relacional e efêmera. Neste contexto, apresenta-se a noção de composição dramatúrgica, conceito e prática de escrita cênica que promove autorias compartilhadas, através de procedimentos heterogêneos, onde movimento, palavra, corpo, política e est(é)tica dialogam na experiência de fazer teatro no século XXI no Brasil, inventando as próprias narrativas. Palavras-chaveDramaturgia. Processo de Ensaios. Encenação. Festividade. Teatro.
Effectiveness of an anterior mini-screw in achieving incisor intrusion and palatal root torque for anterior retraction with clear aligners:
Authors: Liu Lu , Zhan Qi , Zhou Jing , Kuang Qianyun , Yan Xinyu , Zhang Xiaoqi , Shan Yue , Li Xiaolong , Lai Wenli , Long Hu 
Published: June 2021

ABSTRACT

Objectives
To analyze the biomechanical system of anterior retraction with clear aligner therapy (CAT) with and without an anterior mini-screw and elastics.

Materials and Methods
Models including a maxillary dentition (without first premolars), maxilla, periodontal ligaments (PDLs), attachments, and aligners were constructed and imported to finite element software. Three model groups were created: (1) control (CAT alone), (2) labial elastics (CAT with elastics between the anterior mini-screw and buttons on central incisors), and (3) linguoincisal elastics (CAT with elastics between the anterior mini-screw and precision cuts on the lingual sides of the aligner). Elastic forces (0–300 g, in 50 g increments) were applied.

Results
CAT alone caused lingual tipping and extrusion of the incisors. Labial elastics caused palatal root torquing and intrusion and mesial tipping of the central incisors, while linguoincisal elastics produced palatal root torquing and intrusion of both central and lateral incisors. Second premolars were intruded in all three groups, with less intrusion in the linguoincisal elastics group. For the control group, stress was concentrated on both labial and lingual root surfaces, alveolar ridge, and cervical and apical PDLs. Stress was more concentrated in the labial elastics group and less concentrated in the linguoincisal elastics group.

Conclusions
CAT produced lingual tipping and extrusion of incisors during anterior retraction. Anterior mini-screws and elastics can achieve incisor intrusion and palatal root torquing. Linguoincisal elastics are superior to labial elastics with a lower likelihood of buccal open bite. Root resorption and alveolar defects may occur in CAT, more likely for labial elastics and less likely for linguoincisal elastics.
The Contribution Value of Conservation Institution to Animal Welfare Aspects at Serulingmas Wildlife Recreation Park, Banjarnegara
Authors: Setiawan Wibiyanto , Sunarminto Tutut , Masy'ud Burhanuddin 
Published: June 2021

The main functionof conservation institutions is to control breeding and wild plants and rescue wild plants and animals while maintaining the species purity. This role requires conservation institutions to contribute toanimal conservation to save and conserve wild animals ex-situ. This research aims to determine the contribution value of Serulingmas Wildlife Recreation Park as an implementationof animal welfare. The data was collected through interviews and field observations. The results showed that the implementation achievement of animal welfare at Serulingmas Wildlife Recreation Park was classified as good with an achievement value of 76.61.However, the contribution value of Serulingmas Wildlife Recreation Park to the animal conservation aspects was still categorized as low, which was mainly due to the low animal births. Increasing the success of animal births could be carried out through coaching on technical aspects such as improving animal health management and facilities.Keywords: animal welfare, ex-situ conservation, conservation institution, wildlife conservation
Motivações de estudantes de pedagogia para a escolha do curso
Authors: Alves Iron Pedreira , Ribeiro Marinalva Lopes , Gomez Daboin Maria Mercedes 
Published: June 2021

A escolha de uma carreira é um passo importante na formação profissional, pois os motivos que sustentam essa decisão afetam o investimento pessoal na aprendizagem e o compromisso com a sua realização. O presente trabalho, oriundo de uma pesquisa de abordagem qualitativa, teve como objetivo conhecer as motivações de estudantes de Licenciatura em Pedagogia para a escolha do curso. Para a produção dos dados, foram realizadas entrevistas semiestruturadas com a participação voluntária de seis estudantes do primeiro semestre de uma universidade pública da Bahia, as quais receberam nomes fictícios a fim de terem suas identidades preservadas. As respostas das participantes foram transcritas e analisadas mediante aproximações com a técnica análise de conteúdo. Os resultados corroboraram os achados de outros estudos, demonstrando a importância dos motivos altruístas e intrínsecos para a escolha da docência. Os motivos extrínsecos, entretanto, não parecem ter afetado a decisão das estudantes.
Respons Pedagang Kaki Lima Terhadap Surat Edaran Bupati Ponorogo Nomor 713/235/405.01.3/2021 Tentang Pemberlakuan Pembatasan Kegiatan Masyarakat Untuk Pengendalian Penyebaran Covid-19 di Kabupaten Ponorogo
Authors: Imamudin Iqbal Akbar , Sari Sismonika Pupita , Pamungkas Sujud Tri Fajar , Mahardhani Ardhana Januar 
Published: June 2021

Implementasi dari Surat Edaran Bupati Ponorogo nomor 713/235/405.01.3/2021 tentang Pemberlakuan Pembatasan Kegiatan Masyarakat Untuk Pengendalian Penyebaran Covid-19 di Kabupaten Ponorogo menimbulkan pro dan kontra di masyarakat terutama untuk pelaku usaha yaitu pedagang kaki lima yang berdampak secara langsung. Penelitian ini dilakukan di Jalan Suromenggolo Kabupaten Ponorogo. Metode penelitian menggunakan kualitatif dengan metode pengumpulan data adalah observasi, wawancara, dan dokumentasi. Hasil dari penelitian diketahui bahwa 44,8% pelaku usaha setuju dengan pemberlakuan jam malam dan 55,2 % pelaku usaha tidak setuju dengan pemberlakukan jam malam. Selanjutnya 92,1% para pelaku usaha setuju dengan kebijakan yang PPKM dan 7.9% pelaku usaha yang tidak setuju dengan kebijakan PPKM. Ada dua alternatif untuk mengatasi keluarnya surat edaran tersebut, yaitu: pertama pemerintah melakukan peninjauan ulang dan merevisi surat edaran dan kedua adalah pemerintah hendaknya menyiapkan aplikasi order online agar kegiatan jual beli pdagang kaki lima tetap bisa dijalankan.