bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors That Influence the Use of Electronic Diaries in Health Care: Scoping Review
Authors: Daniëls Naomi E M , Hochstenbach Laura M J , van Zelst Catherine , van Bokhoven Marloes A , Delespaul Philippe A E G , Beurskens Anna J H M 
Published: June 2021

Background
A large number of people suffer from psychosocial or physical problems. Adequate strategies to alleviate needs are scarce or lacking. Symptom variation can offer insights into personal profiles of coping and resilience (detailed functional analyses). Hence, diaries are used to report mood and behavior occurring in daily life. To reduce inaccuracies, biases, and noncompliance with paper diaries, a shift to electronic diaries has occurred. Although these diaries are increasingly used in health care, information is lacking about what determines their use.

Objective
The aim of this study was to map the existing empirical knowledge and gaps concerning factors that influence the use of electronic diaries, defined as repeated recording of psychosocial or physical data lasting at least one week using a smartphone or a computer, in health care.

Methods
A scoping review of the literature published between January 2000 and December 2018 was conducted using queries in PubMed and PsycInfo databases. English or Dutch publications based on empirical data about factors that influence the use of electronic diaries for psychosocial or physical purposes in health care were included. Both databases were screened, and findings were summarized using a directed content analysis organized by the Consolidated Framework for Implementation Research (CFIR).

Results
Out of 3170 articles, 22 studies were selected for qualitative synthesis. Eleven themes were determined in the CFIR categories of intervention, user characteristics, and process. No information was found for the CFIR categories inner (eg, organizational resources, innovation climate) and outer (eg, external policies and incentives, pressure from competitors) settings. Reminders, attractive designs, tailored and clear data visualizations (intervention), smartphone experience, and intrinsic motivation to change behavior (user characteristics) could influence the use of electronic diaries. During the implementation process, attention should be paid to both theoretical and practical training.

Conclusions
Design aspects, user characteristics, and training and instructions determine the use of electronic diaries in health care. It is remarkable that there were no empirical data about factors related to embedding electronic diaries in daily clinical practice. More research is needed to better understand influencing factors for optimal electronic diary use.
Patient Perspectives on Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure (ITEC-CHF): Usability Study
Authors: Chen Sheau Huey , Edwards Iain , Jayasena Rajiv , Ding Hang , Karunanithi Mohanraj , Dowling Alison , Layland Jamie , Maiorana Andrew 
Published: June 2021

Background
Telemonitoring enables care providers to remotely support outpatients in self-managing chronic heart failure (CHF), but little is known about the usability and patients’ willingness to engage with this technology.

Objective
This study aims to evaluate feedback from patients with CHF following participation in the Innovative Telemonitoring Enhanced Care program for CHF (ITEC-CHF) study.

Methods
The telemonitoring intervention consisted of three components: remote weight monitoring, structured telephone support, and
nurse-led collaborative care. Participants were provided with electronic weighing scales (W550; ForaCare), and a computer tablet (Galaxy Tab A; Samsung). They were asked to weigh themselves on the provided scales daily. Telemonitoring was integrated with a personal assistance call service and a nurse care service according to their workflows in usual care. Feedback on the usability of ITEC-CHF was collected via survey from study participants following 6 months of receiving telemonitoring care for their body weight. Survey responses were provided on a 5-point Likert scale and through open-ended questions to determine participants’ perceived benefits and barriers to using ITEC-CHF.

Results
A total of 67 participants (49/67, 73% male), with a mean age of 69.8 (SD 12.4) years completed the survey. The majority of participants agreed or strongly agreed that the ITEC-CHF program was easy to use (61/67, 91%), easy to navigate (51/65, 78%), useful (59/65, 91%), and made them feel more confident in managing their weight (57/67, 85%). Themes related to participants’ perceptions of telemonitoring included increased support for early intervention of clinical deterioration, improved compliance to daily weighing, a sense of reassurance, and improved self-care and accountability, among others.

Conclusions
ITEC-CHF was rated highly on usability and was well accepted by users as part of their routine self-management activities. Participants were willing to use telemonitoring because they perceived a broad spectrum of benefits for CHF management.

Trial Registration
Australian New Zealand Clinical Trial Registry ID ACTRN 12614000916640; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366691.
Gaps in Public Awareness About BRCA and Genetic Testing in Prostate Cancer: Social Media Landscape Analysis
Authors: Loeb Stacy , Massey Philip , Leader Amy E , Thakker Sameer , Falge Emily , Taneja Sabina , Byrne Nataliya , Rose Meredith , Joy Matthew , Walter Dawn , Katz Matthew S , Wong Risa L , Selvan Preethi , Keith Scott W , Giri Veda N 
Published: June 2021

Background
Genetic testing, particularly for BRCA1/2, is increasingly important in prostate cancer (PCa) care, with impact on PCa management and hereditary cancer risk. However, the extent of public awareness and online discourse on social media is unknown, and presents opportunities to identify gaps and enhance population awareness and uptake of advances in PCa precision medicine.

Objective
The objective of this study was to characterize activity and engagement across multiple social media platforms (Twitter, Facebook, and YouTube) regarding BRCA and genetic testing for PCa compared with breast cancer, which has a long history of public awareness, advocacy, and prominent social media presence.

Methods
The Symplur Signals online analytics platform was used to obtain metrics for tweets about (1) #BRCA and #breastcancer, (2) #BRCA and #prostatecancer, (3) #genetictesting and #breastcancer, and (4) #genetictesting and #prostatecancer from 2016 to 2020. We examined the total number of tweets, users, and reach for each hashtag, and performed content analysis for a subset of tweets. Facebook and YouTube were queried using analogous search terms, and engagement metrics were calculated.

Results
During a 5-year period, there were 10,005 tweets for #BRCA and #breastcancer, versus 1008 tweets about #BRCA and #prostatecancer. There were also more tweets about #genetictesting and #breastcancer (n=1748), compared with #genetic testing and #prostatecancer (n=328). Tweets about genetic testing (12,921,954) and BRCA (75,724,795) in breast cancer also had substantially greater reach than those about PCa (1,463,777 and 4,849,905, respectively). Facebook groups and pages regarding PCa and BRCA/genetic testing had fewer average members, new members, and new posts, as well as fewer likes and followers, compared with breast cancer. Facebook videos had more engagement than YouTube videos across both PCa and breast cancer content.

Conclusions
There is substantially less social media engagement about BRCA and genetic testing in PCa compared with breast cancer. This landscape analysis provides insights into strategies for leveraging social media platforms to increase public awareness about PCa germline testing, including use of Facebook to share video content and Twitter for discussions with health professionals.
Clinic Time Required for Remote and In-Person Management of Patients With Cardiac Devices: Time and Motion Workflow Evaluation
Authors: Seiler Amber , Biundo Eliana , Di Bacco Marco , Rosemas Sarah , Nicolle Emmanuelle , Lanctin David , Hennion Juliette , de Melis Mirko , Van Heel Laura 
Published: June 2021

Background
The number of patients with cardiac implantable electronic device (CIED) is increasing, creating a substantial workload for device clinics.

Objective
This study aims to characterize the workflow and quantify clinic staff time requirements for managing patients with CIEDs.

Methods
A time and motion workflow evaluation was performed in 11 US and European CIEDs clinics. Workflow tasks were repeatedly timed during 1 business week of observation at each clinic; these observations included all device models and manufacturers. The mean cumulative staff time required to review a remote device transmission and an in-person clinic visit were calculated, including all necessary clinical and administrative tasks. The annual staff time to manage a patient with a CIED was modeled using CIED transmission volumes, clinical guidelines, and the published literature.

Results
A total of 276 in-person clinic visits and 2173 remote monitoring activities were observed. Mean staff time required per remote transmission ranged from 9.4 to 13.5 minutes for therapeutic devices (pacemaker, implantable cardioverter-defibrillator, and cardiac resynchronization therapy) and from 11.3 to 12.9 minutes for diagnostic devices such as insertable cardiac monitors (ICMs). Mean staff time per in-person visit ranged from 37.8 to 51.0 and from 39.9 to 45.8 minutes for therapeutic devices and ICMs, respectively. Including all remote and in-person follow-ups, the estimated annual time to manage a patient with a CIED ranged from 1.6 to 2.4 hours for therapeutic devices and from 7.7 to 9.3 hours for ICMs.

Conclusions
The CIED patient management workflow is complex and requires significant staff time. Understanding process steps and time requirements informs the implementation of efficiency improvements, including remote solutions. Future research should examine heterogeneity in patient management processes to identify the most efficient workflow.
Use of Telemedicine in Depression Care by Physicians: Scoping Review
Authors: Echelard Jean-François 
Published: June 2021

Background
Depression is a common disorder, and it creates burdens on people’s mental and physical health as well as societal costs. Although traditional in-person consultations are the usual mode of caring for patients with depression, telemedicine may be well suited to psychiatric assessment and management. Telepsychiatry can be defined as the use of information and communication technologies such as videoconferencing and telephone calls for the care of psychopathologies.

Objective
This review aims to evaluate the extent and nature of the existing literature on the use of telemedicine for the care of depression by physicians. This review also aims to examine the effects and perceptions regarding this virtual care and determine how it compares to traditional in-person care.

Methods
The Arksey and O’Malley framework and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines were followed. Relevant articles were identified through a search of three databases (MEDLINE, Cochrane Database of Systematic Reviews, and PsycArticles) on October 11, 2020. The search terms were “(virtual OR telemedicine OR teleconsultation* OR telehealth OR phone* OR webcam* OR telepsychiatry) AND (depress*)”. Eligibility criteria were applied to select studies about the use of telemedicine for the care of patients with depression specifically by physicians. An Excel file (Microsoft Corporation) was used to chart data from all included articles.

Results
The search resulted in the identification of 28 articles, and all 13 nonreview studies were analyzed in detail. Most nonreview studies were conducted in the United States during the last decade. Most telemedicine programs were led by psychiatrists, and the average study population size was 135. In all applicable studies, telepsychiatry tended to perform at least as well as in-person care regarding improvement in depression severity, patient satisfaction, quality of life, functioning, cost-effectiveness, and most other perceptions and variables. Cultural sensitivity and collaborative care were part of the design of some telemedicine programs.

Conclusions
Additional randomized, high-quality studies are recommended to evaluate various outcomes of the use of telemedicine for depression care, including depression variables, perceptions, health care outcomes and other outcomes. Studies should be conducted in various clinical contexts, including primary care. Telepsychiatry is a promising modality of care for patients suffering from depression.
Analyzing Evidence on Interventions to Strengthen the Clinical Support for Midwifery Students in Clinical Placements: Protocol for a Systematic Scoping Review
Authors: Amod Hafaza , Mkhize Sipho Wellington , Muraraneza Claudine 
Published: June 2021

Background
The benefits of clinical support are evident in various mentorship, preceptorship, or clinical supervision models. Poor collaboration between lecturers and clinical staff, lack of confidence about student support, large student intakes coupled with core demands create negative attitudes toward student supervision, and this poses a huge challenge to midwifery students who are expected to become competent in the process.

Objective
This study aims to identify and analyze interventions, strategies, and/or mechanisms in order to strengthen the clinical support for midwifery students in clinical practice areas from a global perspective.

Methods
This review will follow the Arksey and O’Malley framework (2005). The search strategy will include primary studies searched for in electronic databases such as EBSCOhost (CINAHL, MEDLINE, and Health Source: Nursing/Academic edition), PubMed, Google, and Google Scholar. Keywords such as “midwifery students,” “midwifery education,” and “clinical support” will be used to search for related articles. The search will include articles from the cited by search, as well as citations from the reference list of included articles. All title-screened articles will be exported to an EndNote library, and duplicate studies will be removed. Two independent reviewers will concurrently carry out the abstract and full-text article screening according to the eligibility criteria. Extracted data will highlight the aims, geographical setting, and level of training; intervention outcomes; and the most relevant and most significant findings. This review will also include a mixed methods quality appraisal check. A narrative summary of data extracted will be analyzed using content analysis.

Results
Interventions to strengthen the clinical support for midwifery students in practice will be extracted from this review, and data will be analyzed and extracted to develop a comprehensive guide or framework for clinical mentorship. As of August 2021, the electronic search, the data extraction, and the analysis have been completed. The results paper is expected to be published within the next 6 months.

Conclusions
It is expected that this review will contribute to midwifery education by identifying quality evidence on clinical support interventions available to midwifery students globally, as well as best practice methods, procedures, or interventions that can be used to develop a midwifery mentorship training program.

International Registered Report Identifier (IRRID)
DERR1-10.2196/29707
Combining Ketamine and Internet-Based Cognitive Behavioral Therapy for the Treatment of Posttraumatic Stress Disorder: Protocol for a Randomized Controlled Trial
Authors: Philipp-Muller Aaron Emile , Reshetukha Taras , Vazquez Gustavo , Milev Roumen , Armstrong Dawn , Jagayat Jasleen , Alavi Nazanin 
Published: June 2021

Background
Over one third of patients with posttraumatic stress disorder (PTSD) do not respond to current interventions. Ketamine presents a potential treatment option; however, its effects are temporary. Administering ketamine alongside psychotherapy is one potential means of prolonging its effects; however, only a few studies have investigated this treatment method to date, and none have tested ketamine with internet-based or electronically delivered cognitive behavioral therapy (e-CBT).

Objective
This open-label randomized controlled trial aims to assess the efficacy of a combined treatment method of subanesthetic intravenous ketamine and e-CBT for treating patients with PTSD.

Methods
In total, 20 patients with refractory PTSD recruited from a community clinic will be randomly assigned to either an experimental group (n=10), receiving a combination of ketamine and therapist-administered e-CBT over 14 weeks, or a waitlist control group (n=10), receiving the experimental treatment after 14 weeks. Both groups will be assessed for the symptoms of PTSD and comorbid disorders before treatment, at two midway points, and at the end of the experiment.

Results
PTSD symptoms of participants in the experimental group are expected to improve significantly more than those of participants in the waitlist control group (P=.05) with a large effect size (η2=0.14).

Conclusions
This is the first study to assess the relationship between e-CBT and ketamine and their combined ability to treat refractory PTSD. If successful, this study will open web-based, asynchronous therapeutic options for patients with PTSD and will provide new insights into the functional role of glutamate in trauma-related disorders as well as in learning, memory, and fear extinction.

Trial Registration
ClinicalTrials.gov NCT04771767; https://clinicaltrials.gov/ct2/show/NCT04771767.

International Registered Report Identifier (IRRID)
PRR1-10.2196/30334
PROCESSOS FORMATIVOS EM TEATRO MUSICAL NO ENSINO TÉCNICO EM ARTES CÊNICAS: UM GESTO MULTIPERCEPTIVO
Authors: Reis Fidelcino Neves 
Published: June 2021

O presente artigo busca investigar algumas estratégias metodológicas elaboradas para atender a formação técnica e também profissional de alunos no gênero Teatro Musical. Nesse sentido, o conceito de gesto multiperceptivo, o qual busca integrar a preparação corporal com o trabalho vocal, foi considerado uma ferramenta importante para o desenvolvimento das metodologias apresentadas ao longo desse texto. O campo da pesquisa nos desafiou a investigar determinadas questões, por exemplo, o desenvolvimento de um trabalho de exploração sensorial, através de uma abordagem somática, que permitisse ao aluno-ator dialogar com as múltiplas artes que compõe o espetáculo teatral, estimulando-o a desempenhar várias funções em um musical. Palavras-chaveMultipercepção. Gesto. Corpo. Voz. Educação Somática.
SOBRE DRAMATURGIA DA DANÇA
Authors: Cools Guy 
Published: June 2021

Em 1994, Marianne Van Kerkhoven, a madrinha flamenga da dramaturgia da dança, escreveu um pequeno artigo seminal sobre o assunto – Looking without pencil in the hand – do qual o título por si só já é um manifesto. Essa contribuição se desenvolve ainda mais nos insights de Van Kerkhoven: como o dramaturgo deve permanecer necessariamente invisível no processo criativo que ele(a) está apoiando; como, de modo a capturar esse papel invisível, muitas metáforas foram criadas. O texto continua com olhares para os diferentes papéis que assumo em minha própria prática: a de testemunha somática, parceiro de diálogo e editor. Ele conclui-se reafirmando a prática do dramaturgo (de dança) como uma prática criativa na qual todo o corpo está envolvido e na qual a proximidade somática do processo criativo é tão importante quanto a distância crítica.Palavras-chaveDramaturgia da dança. Testemunha somática. Parceiro de diálogo. Editor.
A DRAMATURGIA NO TEMPO DO "PÓS-DRAMÁTICO"
Authors: Danan Joseph , D. Massa Trad. de Clóvis 
Published: June 2021

Algo está transformando profundamente o teatro. Hans-Thies Lehmann teve o mérito de nomear esse fenômeno, propondo a noção de "teatro pós-dramático" – mesmo que essa expressão seja discutível na medida em que essas novas formas não necessariamente anulam o drama. O teatro do século XX se baseou no paradigma de uma "arte em dois momentos" (Henri Gouhier). O autor escreve uma peça, depois o diretor a pega e a monta. Essa é a utopia de Artaud, a de um "criador único", que parece tomar forma nesse início do século XXI. A dramaturgia se encontra inevitavelmente afetada por essa evolução: obviamente, em seu primeiro sentido, a arte de escrever uma peça, quando a escrita e a encenação ocorrem no mesmo movimento; mas também em seu sentido moderno, quando o termo se aplica à passagem para a cena de uma sala pre-existente. Entre a transformação de uma obra dramática em um material para a cena, sem levar em conta sua estrutura dramática, e a imposição de uma rígida "grade de leitura", ainda deveria haver espaço para uma dramaturgia aberta e sensível, criando as condições de uma experiência para o público. Palavras-chaveDramaturgia. Dramaticidade. Escrita dramática. Teatro “Pós-dramático”. Performance. Experiência.
Peripartum cardiomyopathy and massive transfusion due to postpartum hemorrhage: was it associated with each other?
Authors: Rianda Raissa Virgy , Armadani Amelya , Rianda Rama Azalix , Mulia Eka Prasetya Budi , Sukmana M 
Published: June 2021

Background: Peripartum cardiomyopathy (PPCM) is a potentially
life-threatening pregnancy-associated disease marked by left ventricular
dysfunction and heart failure (HF). Clinical findings of HF are often
masked by the normal physiological changes seen in pregnancy, making the
diagnosis challenging. Furthermore, postpartum hemorrhage followed by
massive blood transfusion may mask the diagnosis of PPCM or worsen the
decompensated HF.
Case Description: We report a 35-year-old postpartum gemelli
woman with a history of massive postpartum hemorrhage due to atonia
uteri and Disseminated Intravascular Coagulation, complain of shortness
of breath and fever. The patient received a massive blood transfusion
for her massive postpartum hemorrhage. Physical examination revealed
tachypnea and bilateral rales at lung bases. Chest radiographs showed
cardiomegaly, right pleural effusion, and early lung edema. The
echocardiography showed a decrease in left ventricular systolic function
with ejection fraction of 41%, diastolic dysfunction, and global
hypokinetic. She was diagnosed with PPCM, acute lung edema, pleural
effusion, and pneumonia. Patient was treated with Furosemide continuous
pump, Spironolactone, Bisoprolol, Valsartan. Her dyspnea greatly
decrased with diuresis and antibiotic. She was discharged with HF
medication continued.
Discussion: Women with PPCM typically present with symptoms of
HF and signs of congestion. History of massive blood transfusion at
first can mask the diagnosis of PPCM due to the possibility of
Transfusion Associated Circulatory Overload, which also has signs of
congestion. Massive blood transfusion can increase preload and may
worsen the decompensated HF.
Conclusion: The presence of massive transfusion in a patient
with PPCM can be challenging in diagnosing PPCM itself and the
unpredictable course of decompensated HF in peripartum mothers. Due to
its high mortality rate without proper treatment, prompt investigation
is essential in improving maternal survival.