bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perceptions of Endocrine Therapy in African-American Breast Cancer Survivors: Mixed Methods Study
Authors: Donevant Sara , Heiney Sue P , Wineglass Cassandra , Schooley Benjamin , Singh Akanksha , Sheng Jingxi 
Published: April 2021

Background
Although the incidence of breast cancer is lower in African-American women than in White women, African-American women have a decreased survival rate. The difference in survival rate may stem from poor endocrine therapy adherence, which increases breast cancer recurrence. Therefore, accessible and culturally sensitive interventions to increase endocrine therapy adherence are necessary.

Objective
The purpose of this concurrent convergent mixed methods study was to provide further data to guide the development of the proposed culturally sensitive mHealth app, STORY+ for African-American women with breast cancer.

Methods
We recruited 20 African-American women diagnosed with estrogen-positive breast cancer and currently prescribed endocrine therapy. We used a concurrent convergent data collection method to (1) assess the use of smartphones and computers related to health care and (2) identify foundational aspects to support endocrine therapy adherence for incorporation in a mobile health app.

Results
Overwhelmingly, the participants preferred using smartphones to using computers for health care. Communicating with health care providers and pharmacies was the most frequent health care use of smartphones, followed by exercise tracking, and accessing the patient portal. We identified 4 aspects of adherence to endocrine therapy and smartphone use for incorporation in app development. The factors that emerged from the integrated qualitative and quantitative data were (1) willingness to use, (2) side effects, (3) social connection, and (4) beliefs about endocrine therapy.

Conclusions
Further research is needed to develop a culturally sensitive app for African-American women with breast cancer to improve adherence to endocrine therapy. Our work strongly suggests that this population would use the app to connect with other African-American breast cancer survivors and manage endocrine therapy.
Preferences for mHealth Technology and Text Messaging Communication in Patients With Type 2 Diabetes: Qualitative Interview Study
Authors: Lauffenburger Julie C , Barlev Renee A , Sears Ellen S , Keller Punam A , McDonnell Marie E , Yom-Tov Elad , Fontanet Constance P , Hanken Kaitlin , Haff Nancy , Choudhry Niteesh K 
Published: April 2021

Background
Individuals with diabetes need regular support to help them manage their diabetes on their own, ideally delivered via mechanisms that they already use, such as their mobile phones. One reason for the modest effectiveness of prior technology-based interventions may be that the patient perspective has been insufficiently incorporated.

Objective
This study aims to understand patients’ preferences for mobile health (mHealth) technology and how that technology can be integrated into patients’ routines, especially with regard to medication use.

Methods
We conducted semistructured qualitative individual interviews with patients with type 2 diabetes from an urban health care system to elicit and explore their perspectives on diabetes medication–taking behaviors, daily patterns of using mobile technology, use of mHealth technology for diabetes care, acceptability of text messages to support medication adherence, and preferred framing of information within text messages to support diabetes care. The interviews were digitally recorded and transcribed. The data were analyzed using codes developed by the study team to generate themes, with representative quotations selected as illustrations.

Results
We conducted interviews with 20 participants, of whom 12 (60%) were female and 9 (45%) were White; in addition, the participants’ mean glycated hemoglobin A1c control was 7.8 (SD 1.1). Overall, 5 key themes were identified: patients try to incorporate cues into their routines to help them with consistent medication taking; many patients leverage some form of technology as a cue to support adherence to medication taking and diabetes self-management behaviors; patients value simplicity and integration of technology solutions used for diabetes care, managing medications, and communicating with health care providers; some patients express reluctance to rely on mobile technology for these diabetes care behaviors; and patients believe they prefer positively framed communication, but communication preferences are highly individualized.

Conclusions
The participants expressed some hesitation about using mobile technology in supporting diabetes self-management but have largely incorporated it or are open to incorporating it as a cue to make medication taking more automatic and less burdensome. When using technology to support diabetes self-management, participants exhibited individualized preferences, but overall, they preferred simple and positively framed communication. mHealth interventions may be improved by focusing on integrating them easily into daily routines and increasing the customization of content.
Neighborhood Broadband and Use of Telehealth Among Older Adults: Cross-sectional Study of National Survey Data Linked With Census Data
Authors: Okoye Safiyyah M , Mulcahy John F , Fabius Chanee D , Burgdorf Julia G , Wolff Jennifer L 
Published: April 2021

Background
The COVID-19 pandemic has amplified the role of telehealth in health care delivery. Regional variation in internet access and telehealth use are well-documented, but the effect of neighborhood factors, including the pervasiveness of broadband internet, on older adults’ telehealth usage in the context of internet access is not known.

Objective
This study aimed to investigate how individual and neighborhood characteristics, including the pervasiveness of neighborhood broadband internet subscription, are associated with engagement in telehealth among older adults with internet access.

Methods
In this cross-sectional study, we included 5117 community-living older adults aged ≥65 years, who participated in the 2017 National Health and Aging Trends Study with census tract–level data for participants’ places of residence from the American Community Survey.

Results
Of an estimated 35.3 million community-living older adults, 21.1 million (59.7%) were internet users, and of this group, more than one-third (35.8%) engaged in telehealth. In a multivariable regression model adjusted for individual- and neighborhood-level factors, age, education, income, and the pervasiveness of neighborhood broadband internet subscription were associated with engagement in telehealth, while race, health, county metropolitan status, and neighborhood social deprivation were not. Among internet users, living in a neighborhood at the lowest (versus highest) tertile of broadband internet subscription was associated with being 40% less likely to engage in telehealth (adjusted odds ratio 0.61, 95% CI 0.42-0.87), all else equal.

Conclusions
Neighborhood broadband internet stands out as a mutable characteristic that is consequential to engagement in telehealth.
Factors Influencing the Adoption of Contact Tracing Applications: Protocol for a Systematic Review
Authors: Oyibo Kiemute , Sahu Kirti Sundar , Oetomo Arlene , Morita Plinio Pelegrini 
Published: April 2021

Background
Following the onset of the COVID-19 pandemic, digital contact tracing apps have become prevalent worldwide in a coordinated effort to curb the spread of COVID-19. However, their uptake has been low and slow due to privacy concerns, the lack of trust and motivational affordances, and their minimalist design.

Objective
The objective of this article is to present a protocol for a systematic review of the main factors, including facilitators and barriers, that influence the adoption of contact tracing apps.

Methods
We searched seven databases, namely, Scopus, CINAHL, PubMed (MEDLINE), IEEE Xplore Digital Library, Association for Computing Machinery (ACM) Digital Library, Web of Science, and Google Scholar, for relevant publications between October 30, 2020, and January 31, 2021. Three authors were involved in removing duplicates, screening, and selection of relevant articles according to the PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-analysis Protocols) guidelines.

Results
Altogether, we retrieved 777 articles from the seven databases. As of May 14, 2021, we have completed the screening process and arrived at 13 eligible articles to be included in the systematic review. We hope to elicit, summarize, and report the main findings in the systematic review article by the end of August 2021. We expect to uncover facilitators and barriers related to app utility, data security, ease of use, and persuasive design that are deemed important to adoption of contact tracing apps.

Conclusions
The findings of the systematic review will help researchers to uncover the gaps in the adoption of contact tracing apps, and decision makers and designers to focus on the principal adoption factors necessary to create better and more effective contact tracing apps.

International Registered Report Identifier (IRRID)
DERR1-10.2196/28961
Pocung Bingkas Corona dan Gambuh Kurasing Hawa: Inovasi dan Media Edukasi Hidup Sehat di Era Pandemi COVID-19
Authors: Rahayu Wiwien Widyawati 
Published: April 2021

The COVID-19 pandemic is a challenge for all of us to always be enthusiastic in all activities even though we are physically limited. The enthusiasm in all activities must also be balanced with strong motivation to maintain personal health against the pandemic. Implementation of health protocols, especially hand washing and wearing masks wherever and whenever is the main thing. Through GERMAS, the government urges all Indonesian people to implement health protocols, but over time people feel bored with the existing socialization styles, this has emerged in the Manggis community as the main target of Community Service (PkM). The solution offered by the FIB UGM Community Service team is an innovation in the form of socialization of the application of health protocols by collaborating cultural elements (macapat) with the main essence of health protocols washing hands and wearing masks. Innovation is manifested in the macapat song Pocung Bingkas Corona and Gambuh Kurasing Hawa. The method of implementation is through the ToT (Training of Trainers) process. The purpose of the socialization using the two songs is to educate and motivate the people of Mangosteen and the general public to implement health protocols and understand the important elements of washing hands and using masks.
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Pandemi COVID-19 menjadi tantangan bagi kita semua untuk selalu semangat dalam segala aktivitas meskipun dibatasi secara fisik. Semangat dalam segala aktivitas juga harus diimbangi dengan motivasi kuat dalam menjaga kesehatan diri terhadap pandemi. Pelaksanaan protokol kesehatan khususnya mencuci tangan dan menggunakan masker di mana pun dan kapan pun menjadi hal utama. Melalui GERMAS pemerintah menghimbau seluruh masyarakat Indonesia untuk menerapkan protokol kesehatan, tetapi seiring berjalannya waktu masyarakat merasa jenuh dengan gaya sosialisasi yang ada, hal ini muncul pada masyarakat Manggis sebagai sasaran utama Pengabdian kepada Masyarakat (PKM). Solusi yang ditawarkan oleh tim Pengabdian Masyarakat FIB UGM adalah inovasi bentuk sosialisasi penerapan protokol kesehatan dengan cara kolaborasi unsur budaya (macapat) dengan esensi pokok protokol kesehatan mencuci tangan dan memakai masker. Inovasi diwujudkan dalam tembang macapat Pocung Bingkas Corona dan Gambuh Kurasing Hawa. Metode pelaksanaan melalui proses ToT (Training of Trainers). Tujuan dari sosialisasi menggunakan kedua tembang adalah mengedukasi serta memotivasi masyarakat Manggis dan umum untuk melaksanakan protokol kesehatan dan memahami unsur-unsur penting dalam mencuci tangan dan menggunakan masker.
Tolerance of Public Open Space Utilization of Urban Kampung in Surakarta City
Authors: Pramono Rayi Anindya Pitoka , Dwita Hadi Rahmi  
Published: April 2021

This paper aims to determine the form, type, and utilization of public open space in the urban kampung and see the extent of tolerance in it. Limited land does not make the urban kampung stop providing public open space for its citizens. For this reason, three samples of urban villages were chosen that are considered to represent the characteristics of urban kampungs in the city of Surakarta. The three kampungs are Pringgolayan Village which is the center of several home industries, Karengan Village is a village on the banks of the Solo River, and Mloyokusuman Village is a traditional kampung within Beteng Keraton.
This research was conducted by direct observation and interviews with key informants. The results obtained from this study are that there are various types, forms, and uses of public open space in urban villages. As well as the high level of tolerance in the use of public open space in urban kampung so that although there is limited land, conflict tends to be minimal.
IMPACTOS SOCIOAMBIENTAIS DA EXPANSÃO DO AGRONEGÓCIO DA SOJA NA REGIÃO DE SANTARÉM – PA E A CRISE DOS INSTRUMENTOS DE GOVERNANÇA AMBIENTAL
Authors: Barbosa Jonismar Alves , Moreira Eliane Cristina Pinto 
Published: April 2021

O presente artigo tem como objetivo analisar a inserção do agronegócio da soja no município de Santarém, no Pará, Brasil a partir do Zoneamento Econômico Ecológico feito para a BR 163, revela que há uma ausência de aplicabilidade dos instrumentos de boa governança ambiental, destaca que esta monocultura trouxe inúmeros impactos socioambientais para a região, aumentou os índices de grilagem e violência no campo, fato este agravado pela instalação de um Porto graneleiro na cidade de Santarém, que se efetivou sob fortes questionamentos de descumprimento da legislação que rege o licenciamento ambiental, demonstra que a produção de soja amazônica leva os povos tradicionais a deixarem suas terras comunais, o que afeta diretamente, de modo negativo, os modos de fazer, criar e viver amazônico, revela que a política de ocupação territorial da Amazônia ainda é feita como na época do período colonial, onde vigora a ideia do desenvolvimento a qualquer custo, em detrimento da proteção e valorização de direitos fundamentais.
EL NUEVO PARADIGMA DE LA SUSTENTABILIDAD FUERTE COMO PILAR DEL ESTADO ECOLÓGICO DE DERECHO
Authors: Peralta Carlos E. 
Published: April 2021

La sustentabilidad ambiental fuerte constituye nuevo paradigma que objetiva un nuevo modelo de Estado de Derecho: El Estado Ecológico de Derecho. Ese modelo, fundamentado en nuevos valores, y orientado por principios de justicia ecológica, busca establecer una relación de respeto, solidaridad, prudencia y precaución entre los seres humanos y la Naturaleza, de forma que los impactos ambientales respeten los límites biofísicos. Ese nuevo modelo de Estado busca una sociedad más solidaria, pluralista, respetuosa de las diferencias y cosmovisiones y que aspire a una baja entropía y a una justicia ecológica. A partir de una perspectiva de pensamiento complejo se analizan las características, bases conceptuales y perspectivas para ese Estado Ecológico de Derecho dentro del contexto del Antropoceno.
SUMISIÓN Y RESIDENCIA HABITUAL EN EL REGLAMENTO EUROPEO DE SUCESIONES: FUNDAMENTOS ROMANÍSTICOS
Authors: Carrascosa González Javier 
Published: April 2021

RENDO, Carmen López; AZAUSTRE, María José. Sumisión y residencia habitual en el Reglamento europeo de sucesiones: fundamentos romanísticos. Revista Internacional de Derecho Romano, nº 24, abr. 2020. Disponible en: http://www.ridrom.uclm.es/documentos24/lopez24.pdf
Information support of public administration in the field of the knowledge economy and post<industrial society
Authors: Nikishin V. V. 
Published: April 2021

The issue of information support for public administration has always been very acute and, obviously, will never leave the category of topical. By solving it, active integration of advanced scientific and technological achievements into the provision of the process of state administration has been and continues to be. Several upheavals have taken place along the way, the largest of which have been the emergence of wired radio telephony and computerization. Today, such a revolution is digitalization, under the sign of which the post– industrial society exists today and the knowledge economy is being formed. In such conditions, it seems appropriate to consider the problem put forward in the title of this article and specifically characterize the post–industrial society and the knowledge economy in the system of modern economic discourse, consider public administration as a mechanism and an economic problem, and analyze the information support of public administration of the knowledge economy.
<p>Pengalaman karies, penyakit periodontal dan tingkat risiko karies ibu hamil</p><p>Caries experience, periodontal disease, and caries risk level of pregnant women</p>
Authors: Rahmayani Mutia Rizki , Suwargiani Anne Agustina , Suryanti Netty 
Published: April 2021

Pendahuluan: Perempuan yang sedang hamil merupakan golongan yang rentan terhadap penyakit gigi dan mulut. Kesehatan gigi dan mulut yang tidak dijaga dengan baik dapat menjadi sumber terjadinya penyakit gigi dan mulut seperti infeksi gigi dan jaringan periodontal. Tujuan dari penelitian ini adalah untuk mengetahui pengalaman karies, penyakit periodontal, dan tingkat risiko karies ibu hamil. Metode: Jenis penelitian ini bersifat deskriptif dengan teknik pengumpulan data melalui survei yang melibatkan 50 orang ibu hamil di Puskesmas Pagarsih. Pengumpulan data diperoleh melalui pemeriksaan indeks DMF-T, Community Periodontal Index of Treatment Needs (CPITN) dan Caries Risk Assessment Form ADA usia >6 tahun. Hasil: Nilai indeks DMF-T ibu hamil 7,84 termasuk kriteria rendah. Hasil CPITN yaitu periodontal sehat 0%; BOP 4%; kalkulus 64%; poket 4-5 mm 32%; poket 6 mm 0%. Sejumlah 4% ibu hamil membutuhkan perawatan periodontal instruksi oral hygiene, 96% lainnya membutuhkan perawatan instruksi oral hygiene, scaling dan menghilangkan faktor retentif plak. Persentase risiko karies ibu hamil dengan kategori sedang sebanyak 34% dan tinggi sebanyak 66%. Simpulan: Pengalaman karies ibu hamil termasuk ke dalam kriteria rendah, penyakit periodontal yang paling sering dijumpai adalah gingivitis, sedangkan tingkat risiko karies ibu hamil masuk ke dalam kategori tinggi.Kata kunci: Ibu hamil, indeks DMF-T, indeks CPITN, karies, tingkat risiko karies. ABSTRACTIntroduction: Pregnant women are the susceptible group to oral diseases. Negligence of oral health care can be a source of oral diseases such as dental and periodontal tissue infections. The purpose of this study was to determine the caries experience, periodontal disease, and caries risk level of pregnant women. Methods: This research was descriptive with data collection techniques through a survey involving 50 pregnant women at Pagarsih Community Health Centre (Puskesmas). Data collection was obtained by examining the DMF-T index, Community Periodontal Index of Treatment Needs (CPITN), and the ADA Caries Risk Assessment Form aged >6 years. Results: The DMF-T index value for pregnant women was 7.84, which included the low criteria. The result of the CPITN was 0% healthy periodontal; BOP 4%; 64% calculus; pocket 4-5 mm 32%; pocket 6 mm 0%. Some 4% of pregnant women need periodontal treatment with oral hygiene instructions; the other 96% need oral hygiene instructions, scaling and removing plaque retentive factors. The percentage of caries risk for pregnant women in the moderate category was 34%, and 66% were in the high category. Conclusion: The caries experience of pregnant women is included in the low criteria. The most common periodontal disease is gingivitis, while the caries risk level of pregnant women is in the high category.Keywords: Pregnant women, DMF-T index, CPITN index, caries, caries risk level.
<p>Identifikasi gen kariogenik glukosiltransferase Streptococcus mutans pada pasien karies gigi</p><p>Identification of Streptococcus mutans cariogenic gene glucosyltransferase (gtf) in dental caries patients</p>
Authors: Endriani Rita , Siregar Fajri Marindra , Rafni Elita , Azhari Rahmat Kemal , Jefrizal Jefrizal 
Published: April 2021

Pendahuluan: Streptococcus mutans (S. mutans) merupakan bakteri yang mempunyai glukosiltransferase surface (GTFs) yang berperan pada proses perlekatan dan virulensi bakteri pada permukaan gigi. Enzim GTFs terdiri atas tiga jenis enzim GTFs yaitu GTFB, GTFC dan GTFD dan masing-masing enzim ini dikode oleh gen gtfB, gtfC dan gtfD yang juga berperan sebagai prekursor dalam adhesi seluler plak gigi yang dapat menyebabkan karies gigi. Tujuan penelitian adalah mengidentifikasi gen gtfC dan gtfD S. mutans pada pasien karies gigi. Metode: Penelitian dilakukan dengan consecutive sampling. Sampel penelitian diambil dari kerokan jaringan karies gigi, diisolasi, dikultur, dan diidentifikasi di laboratorium Mikrobiologi dan Sentral FK UNRI. Identifikasi S. mutans dan gen kariogenik gtfC dan gtfD menggunakan metode Polymerase Chain Reaction (PCR). Data ditampilkan dalam bentuk tabel distribusi frekuensi dan dinyatakan dalam persentase Hasil: Dari 60 kerokan jaringan karies didapatkan S. mutans sebanyak 10 isolat, sedangkan gen gtfC dan gen gtfD didapatkan masing-masing 4 (40%) isolat. Simpulan: Gen kariogenik teridentifikasi gen gtfC dan gtfD pada isolat S. mutans dari pasien karies gigi sebanyak 40%.Kata kunci: gtfC, gtfD, kariogenik glukosiltransferase Streptococcus mutans. ABSTRACTIntroduction: Streptococcus mutans (S. mutans) is a bacterium with a glucosyltransferase (Gtfs) surface, which plays a role in the attachment process and bacteria virulence on the tooth surface. The Gtfs enzyme consists of three types of Gtfs enzymes, namely GtfB, GtfC, and GtfD. These enzymes are encoded by the GtfB, GtfC, and GtfD genes, which also act as precursors in the cellular adhesion of dental plaque that can cause dental caries. This study was aimed to identify the GtfC and GtfD of S. mutans in dental caries patients. Methods: This study was conducted with consecutive sampling. Research samples were taken from dental caries tissue scrapings, isolated, cultured, and identified in the Microbiology and Central Laboratory of the Faculty of Medicine University of Riau. Identification of S. mutans and GtfC and GtfD cariogenic genes using the Polymerase Chain Reaction (PCR) method. The data was displayed in the form of a frequency distribution table and expressed as a percentage. Results: From 60 caries tissue scrapings, ten isolates were obtained, while the GtfC gene and GtfD gene were obtained 4 (40%) isolates each. Conclusion: Forty percents of S. mutans isolates from dental caries patients were identified as the GtfC and GtfD cariogenic genes.Keywords: GtfC, GtfD, cariogenic, Streptococcus mutans glucosyltransferase.