bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Smart Mobile Health Tool Versus a Paper Action Plan to Support Self-Management of Chronic Obstructive Pulmonary Disease Exacerbations: Randomized Controlled Trial
Authors: Boer Lonneke , Bischoff Erik , van der Heijden Maarten , Lucas Peter , Akkermans Reinier , Vercoulen Jan , Heijdra Yvonne , Assendelft Willem , Schermer Tjard 
Published: October 2019

Background
Many patients with chronic obstructive pulmonary disease (COPD) suffer from exacerbations, a worsening of their respiratory symptoms that warrants medical treatment. Exacerbations are often poorly recognized or managed by patients, leading to increased disease burden and health care costs.

Objective
This study aimed to examine the effects of a smart mobile health (mHealth) tool that supports COPD patients in the self-management of exacerbations by providing predictions of early exacerbation onset and timely treatment advice without the interference of health care professionals.

Methods
In a multicenter, 2-arm randomized controlled trial with 12-months follow-up, patients with COPD used the smart mHealth tool (intervention group) or a paper action plan (control group) when they experienced worsening of respiratory symptoms. For our primary outcome exacerbation-free time, expressed as weeks without exacerbation, we used an automated telephone questionnaire system to measure weekly respiratory symptoms and treatment actions. Secondary outcomes were health status, self-efficacy, self-management behavior, health care utilization, and usability. For our analyses, we used negative binomial regression, multilevel logistic regression, and generalized estimating equation regression models.

Results
Of the 87 patients with COPD recruited from primary and secondary care centers, 43 were randomized to the intervention group. We found no statistically significant differences between the intervention group and the control group in exacerbation-free weeks (mean 30.6, SD 13.3 vs mean 28.0, SD 14.8 weeks, respectively; rate ratio 1.21; 95% CI 0.77-1.91) or in health status, self-efficacy, self-management behavior, and health care utilization. Patients using the mHealth tool valued it as a more supportive tool than patients using the paper action plan. Patients considered the usability of the mHealth tool as good.

Conclusions
This study did not show beneficial effects of a smart mHealth tool on exacerbation-free time, health status, self-efficacy, self-management behavior, and health care utilization in patients with COPD compared with the use of a paper action plan. Participants were positive about the supportive function and the usability of the mHealth tool. mHealth may be a valuable alternative for COPD patients who prefer a digital tool instead of a paper action plan.

Trial Registration
ClinicalTrials.gov NCT02553096; https://clinicaltrials.gov/ct2/show/NCT02553096.
Experiences of a Web-Based Quality of Life Self-Monitoring Tool for Individuals With Bipolar Disorder: A Qualitative Exploration
Authors: Morton Emma , Hole Rachelle , Murray Greg , Buzwell Simone , Michalak Erin 
Published: October 2019

Background
Self-monitoring of symptoms is a cornerstone of psychological interventions in bipolar disorder (BD), but individuals with lived experience also value tracking holistic outcomes, such as quality of life (QoL). Importantly, self-monitoring is not always experienced positively by people with BD and may have lower than expected rates of engagement. Therefore, before progressing into QoL tracking tools, it is important to explore user perspectives to identify possible risks and benefits, optimal methods to support engagement, and possible avenues to integrate QoL self-monitoring practices into clinical work.

Objective
This study aimed to conduct a qualitative exploration of how individuals with BD engaged with a Web-based version of a BD-specific QoL self-monitoring instrument, the QoL tool.

Methods
A total of 43 individuals with BD engaged with a self-management intervention with an optional Web-based QoL self-assessment tool as part of an overarching mixed method study. Individuals were later interviewed about personal experiences of engagement with the intervention, including experiences of gauging their own QoL. A thematic analysis was used to identify salient aspects of the experience of QoL self-monitoring in BD.

Results
In total, 4 categories describing people’s experiences of QoL self-monitoring were identified: (1) breadth of QoL monitoring, (2) highlighting the positive, (3) connecting self-monitoring to action, and (4) self-directed patterns of use.

Conclusions
The findings of this research generate novel insights into ways in which individuals with BD experience the Web-based QoL self-assessment tool. The value of tracking the breadth of domains was an overarching aspect, facilitating the identification of both areas of strength and life domains in need of intervention. Importantly, monitoring QoL appeared to have an inherently therapeutic quality, through validating flourishing areas and reinforcing self-management efforts. This contrasts the evidence suggesting that symptom tracking may be distressing because of its focus on negative experiences and positions QoL as a valuable adjunctive target of observation in BD. Flexibility and personalization of use of the QoL tool were key to engagement, informing considerations for health care providers wishing to support self-monitoring and future research into Web- or mobile phone–based apps.
Proposta pedagógica para utilização do filme Bicho de Sete Cabeças na perspectiva da saude mental e redução de danos do uso abusivo de drogas
Authors: Coelho Francisco José Figueiredo , Barros Marcelo Diniz Monteiro de , Assis Talita de 
Published: October 2019

Este ensaio descreve uma proposta pedagógica para utilização do filme brasileiro Bicho de sete cabeças, promovendo debates sobre a saúde mental e o uso abusivo de drogas entre os jovens. O audiovisual conta a história de um adolescente que gosta de desafios, como fumar maconha e pichar muros da cidade. O drama familiar atinge seu ápice quando seus pais decidem interná-lo num hospital psiquiátrico. Partindo dessa película, essa proposta metodológica foi construída, sustentada pela experiência docente dos autores em diálogo com a literatura. Pela sua amplitude, pode ser utilizada na educação básica e no ensino superior, inclusive pelos familiares. Atende as demandas da LDB e dos PCN, abarcando possibilidades de aliar o filme com outros audiovisuais e ferramentas (como letras de música e charges) de acesso gratuito. A proposta convida os adolescentes a falarem sobre drogas sem medo, buscando oportunizar conhecer mais sobre o assunto e reduzir danos à saúde.
Oficina temática “Tintas Indígenas”: ensino de Ciências por meio da temática “indígena”
Authors: Vanuchi Vânia Costa Ferreira , Welter Luiz Eduardo , Stefanello Luiza Bertoldo , Braibante Mara Elisa Fortes 
Published: October 2019

A temática indígena começou a ser considerada objeto de estudo nos parâmetros curriculares brasileiros recentemente. Desde o ano de 2008, tem se discutido a possibilidade de incluir a temática em sala de aula e como contemplar outras áreas do conhecimento que não sejam as estabelecidas pela legislação (Educação Artística, Literatura e História brasileira). Nesta perspectiva, esta oficina temática propõe inserir no ensino de Ciências conhecimentos que remetem a cultura indígena, possibilitando que por meio da abordagem conceitual de tintas, os estudantes desenvolvam saberes científicos e culturais. A oficina temática foi desenvolvida com estudantes do nono ano do ensino fundamental, com duração de 4 horas aula, com o objetivo de abordar os conceitos científicos contextualizados com a temática “indígena”. Dessa forma, os estudantes puderem por meio de uma atividade experimental, confeccionar tintas, com pigmentos naturais oriundos do saber indígena e aplicar em telas para pinturas, bem como reconhecer os conceitos científicos envolvidos na atividade.
Análisis de las entrevistas en la investigación cualitativa: Metodología de Demaziére D. y Dubar C.
Authors: Guarate Yeisy Cristina 
Published: October 2019

Introducción: El análisis del discurso consiste en describir la importancia que el texto hablado tiene en la comprensión de la vida social. Cuando analiza, el investigador no se limita a informar lo que encuentra sino que crea un relato de la vida social. Objetivo: Aplicar la metodología de Demaziére D. y Dubar C., en el análisis de las entrevistas en investigación cualitativa. Método: Biográfico, en la modalidad relatos de vida; método dialéctico comprendiendo las fases de tesis, antítesis y síntesis y método hermenéutico, donde la experiencia vivida es, esencialmente, un proceso interpretativo. Se realizaron 10 entrevistas en profundidad a personas en proceso de rehabilitación y reinserción social que habitan en una comunidad terapéutica en Venezuela, cuidándose los aspectos éticos de confidencialidad, respeto, autonomía; de igual forma se solicitó consentimiento informado a los participantes del estudio. Resultados: Se obtuvieron los niveles narración, acciones y funciones, donde se evidenciaron las causas, consecuencias y personas que participan en un largo proceso de adicciones, entre los que destaca la familia, los amigos y la escuela. Conclusiones: El análisis de la información concluyó en un esquema específico que permitió obtener y nombrar la lógica de conjunto que presidió cada relato emitido por los informantes, donde no solo se obtuvo el punto de vista de los sujetos investigados sino de los personajes importantes para ellos; así como la secuencia vivida durante su etapa de adicción en la llamada subcultura de la drogas.
Combinación de métodos potenciales y percepción remota para el análisis geológico-estructural de la caldera panales, Hidalgo, México
Authors: Reyes Moreno J.A. , Pérez Corona F.Y. , Árcega Santillán I. , Ortíz Hernández L.E. 
Published: October 2019

La zona de estudio se ubica entre las provincias fisiográficas de la sierra madre oriental y la faja volcánica transmexicana. Geológicamente, corresponde a la plataforma valles-San Luis Potosí, formada durante el cretácico en la porción este y centro de México. De manera específica, el área de estudio se sitúa en la caldera panales (CP) con un diámetro aproximado de 9 kilómetros, exponiendo diversos domos, diques dacíticos y un intrusivo de composición diorítica que provocó metamorfismo de contacto en la caliza encajonante. El objetivo del presente trabajo es obtener un modelo geológico-geofísico del subsuelo de la CP.
Para el estudio e interpretación del subsuelo se combinaron métodos potenciales (gravimetría y magnetometría) e imágenes Sentinel2, a los cuales se les aplicaron diferentes algoritmos matemáticos. El análisis indica que existe una correlación entre los lineamientos obtenidos de los métodos potenciales y la percepción remota con las diferentes fallas, fracturas y contactos geológicos, de igual manera con la modelación 2D se obtuvo la geometría relativa de la CP. Los resultados obtenidos corroboran que la estructura semicircular de Panales corresponde a una caldera, así como su correlación con los diferentes eventos tectónicos y volcánicos.
SOME FEATURES OF THE RELATIONSHIP BETWEEN PATHOGENETIC MECHANISMS OF HYPOSALIVATION IN RHEUMATOID ARTHRITIS AND SJOGREN'S SYNDROME
Authors: Yakimenko D. O. 
Published: October 2019

Oral cavity damage, impaired salivation, the presence of autoantibodies and the level of inflammatory markers were studied in 150 patients with rheumatoid arthritis – RA (27 males and 123 females), mean age – (50.10 ± 0.44 years); 90 patients without complaints of dry mouth, 31 patients with complaints of dry mouth and 29 patients with Sjogren's syndrome. It was found that all patients with RA (without complaints of dry mouth and with them) had a decrease in salivation (0.29 ml/min ± 0.07 ml/min and 0.25 ml/min ± 0.05 ml/min) , which is associated with an increase in the activity of the inflammatory process and the presence of autoantibodies. Shegren's syndrome in RA was detected in 19% of patients, it is associated with significant deterioration of oral hygiene, expressed by hyposalivation (0.14 ml/min ± 0.06 ml/min), high activity of the inflammatory process, a wide spectrum of autoantibodies (rheumatoid factor, antinuclear antibodies in low titres, antibodies Ro and La), an increase in the content of C-reactive protein and interleukin-1.
EDUCAÇÃO JUDICIÁRIA E A FUNÇÃO SOCIAL DO PODER JUDICIÁRIO: CAPACITAÇÃO DE MAGISTRADOS E SERVIDORES PARA EFETIVA PRESTAÇÃO JURISDICIONAL
Authors: Oliveira Jadir Alves de , Medina Patrícia , Oliveira Gustavo Paschoal Teixeira de Castro 
Published: October 2019

Trata-se de escrito resultado de pesquisa exploratória que, utilizando-se do método dedutivo, evidencia a educação como importante coadjuvante do Poder Judiciário para com o acesso à justiça por parte dos(as) jurisdicionados(as), por meio da formação, capacitação e aperfeiçoamento de magistrados(as) e servidores(as) pelas escolas judiciárias, especificamente em relação à Escola Superior da Magistratura Tocantinense (ESMAT). Valendo-se de abordagem quantiqualitativa, analisando pontos imprescindíveis, como o direito humano e fundamental ao acesso à justiça, e sua previsão normativa em âmbito internacional e interno; do acesso à justiça por parte do Poder Judiciário; da educação ofertada por parte do Poder Judiciário a magistrados(as) e servidores(as); e contribuições da Esmat para o acesso à justiça. Legislação correlata, dados institucionais e doutrina especializada serão devidamente analisados para a confecção da pesquisa.
A MÍDIA E O PROCESSO PENAL NA PRIMEIRA INSTÂNCIA
Authors: Lulia Luciana de Toledo Temer , Araujo Ricardo Manoel Cruz de 
Published: October 2019

O presente estudo tem o escopo de analisar se existe correlação entre a mídia, em suas mais diversas manifestações, e a relação processual penal até a sentença de primeiro grau. O trabalho tem ainda a finalidade de focar as garantias constitucionais dentro do processo penal.
Yenidoğan Yoğun Bakım Ünitesinde Sık Görülen Sağlık Hizmeti İlişkili Enfeksiyonlarından Korunma ve Önlenmesi
Authors: ALAY Handan 
Published: October 2019

Sağlık bakım hizmeti
ile ilişkili enfeksiyonlar yenidoğan yoğun bakım ünitelerinde morbidite, mortalite ve maliyet artışına
neden olmaktadırlar. Yenidoğanların daha geçirgen ve olgunlaşmamış cilt ve mukozaları, bozuk konak savunma
mekanizmaları, tedavi veya monitarizasyon amacıyla kullanılan invaziv işlemler
ve geniş spektrumlu antibiyotik kullanımı sağlık hizmeti ilişkili
enfeksiyonların görülmesine zemin hazırlamaktadırlar. Bu klinik çalışma ile
yenidoğan yoğun bakım ünitelerinde sıklıkla karşılaştığımız sağlık hizmeti
ilişkili enfeksiyonlardan korunma ve önlem stratejilerine rehberler
doğrultusunda bakış sunmak istedik.
Radial Velocity Discovery of an Eccentric Jovian World Orbiting at 18 au
Authors: Blunt Sarah , Endl Michael , Weiss Lauren M. , Cochran William D. , Howard Andrew W. , MacQueen Phillip J. , Fulton Benjamin J. , Henry Gregory W. , Johnson Marshall C. , Kosiarek Molly R. , Lawson Kellen D. , Macintosh Bruce , Mills Sean M. , Nielsen Eric L. , Petigura Erik A. , Schneider Glenn , Vanderburg Andrew , Wisniewski John P. , Wittenmyer Robert A. , Brugamyer Erik , Caldwell Caroline , Cochran Anita L. , Hatzes Artie P. , Hirsch Lea A. , Isaacson Howard , Robertson Paul , Roy Arpita , Shen Zili 
Published: October 2019

Abstract
Based on two decades of radial velocity (RV) observations using Keck/High Resolution Echelle Spectrometer (HIRES) and McDonald/Tull, and more recent observations using the Automated Planet Finder, we found that the nearby star HR 5183 (HD 120066) hosts a 3

minimum mass planet with an orbital period of

yr. The orbit is highly eccentric (e ≃ 0.84), shuttling the planet from within the orbit of Jupiter to beyond the orbit of Neptune. Our careful survey design enabled high cadence observations before, during, and after the planet’s periastron passage, yielding precise orbital parameter constraints. We searched for stellar or planetary companions that could have excited the planet’s eccentricity, but found no candidates, potentially implying that the perturber was ejected from the system. We did identify a bound stellar companion more than 15,000 au from the primary, but reasoned that it is currently too widely separated to have an appreciable effect on HR 5183 b. Because HR 5183 b’s wide orbit takes it more than 30 au (1″) from its star, we also explored the potential of complimentary studies with direct imaging or stellar astrometry. We found that a Gaia detection is very likely, and that imaging at 10 μm is a promising avenue. This discovery highlights the value of long-baseline RV surveys for discovering and characterizing long-period, eccentric Jovian planets. This population may offer important insights into the dynamical evolution of planetary systems containing multiple massive planets.
Regime Transition between Eddy-driven and Moist-driven Circulation on High Obliquity Planets
Authors: Kang Wanying 
Published: October 2019

Abstract
We investigate how the meridional circulation and baroclinic eddies change with insolation and rotation rate, under high and zero-obliquity setups, using a general circulation model. The total circulation is considered as superposition of circulations driven by different physics processes, such as diabatic and adiabatic processes. We decompose the meridional circulation into diabatic and adiabatic components, in order to understand their different responses to changes of insolation and rotation rate. As insolation or rotation period increases, the meridional circulation tends to become more diabatically dominant, regardless of the obliquity. The low obliquity circulation is always dominated by diabatic processes, while the high obliquity configuration has two circulation regimes: an adiabatic-dominant regime in the limit of low insolation and fast rotation, and a diabatic-dominant regime in the opposite limit. This regime transition may be observable via its signature on the upper atmospheric zonal wind and the column cloud cover. The momentum-driven circulation, the dominant circulation component in the weak-insolation and fast-rotating regimes is found to resemble that in a dry dynamic model forced by a reversed meridional temperature gradient, indicating the relevance of using a dry dynamic model to understand planetary general circulations under high obliquity.
Corneal Epithelial Thickness Mapping After Photorefractive Keratectomy for Myopia
Authors: Sedaghat Mohammad-Reza , Momeni-Moghaddam Hamed , Gazanchian Mehrdad , Reinstein Dan Z. , Archer Timothy J. , Randleman J. Bradley , Hosseini Seyed Rafi , Nouri-Hosseini Golshid 
Published: October 2019

PURPOSE:
To evaluate the longitudinal changes in epithelial thickness after photorefractive keratectomy (PRK) and correlate these with refractive changes.

METHODS:
This prospective study included 52 eyes of 52 candidates for myopic PRK. Along with standard ophthalmic examinations, corneal epithelial thickness mapping by anterior segment optical coherence tomography was performed. Epithelial thickness maps of 9-mm diameter were divided into 25 sectors, including a central 2-mm zone and eight octants within para-central (2 to 5 mm), midperipheral (5 to 7 mm), and peripheral (7 to 9 mm) annular zones. All PRK treatments were performed using the Technolas Teneo 317 model 2 excimer laser (Bausch & Lomb, Rochester, NY) and an aspheric profile with a 6-mm diameter optical zone. Follow-up was at 1, 3, and 6 months.

RESULTS:

Repeated thickness measures before and after PRK at different follow-up times showed a significant difference in thickness separately in various zones (
P
< .001). A significant decrease in thickness was seen 1 month after PRK in all zones. Afterward, epithelial thickening continued in all zones and reached the preoperative thickness in the midperipheral and peripheral zones 6 months later, whereas the thickness in the central 5-mm zone was significantly thicker than before surgery. There was also a significant correlation between changes in spherical equivalent and epithelial thickness from before to 6 months postoperatively in the paracentral and peripheral zones.

CONCLUSIONS:
There was a marked decrease in the epithelial thickening pattern at 1 month after PRK, with gradual thickening at 3 and 6 months. Changes in epithelial thickness and spherical equivalent were significant only for the para-central peripheral zone.

[
J Refract Surg.
2019;35(10):632–641.]
Long-term Comparison of Combined t-PTK and CXL (Cretan Protocol) Versus CXL With Mechanical Epithelial Debridement for Keratoconus
Authors: Grentzelos Michael A. , Liakopoulos Dimitrios A. , Siganos Charalambos S. , Tsilimbaris Miltiadis K. , Pallikaris Ioannis G. , Kymionis George D. 
Published: October 2019

PURPOSE:
To compare the long-term outcomes of corneal cross-linking (CXL) for the treatment of keratoconus using two different techniques for epithelial removal: transepithelial phototherapeutic keratectomy (t-PTK) and mechanical epithelial debridement.

METHODS:
In this prospective, comparative, interventional case series, 26 patients (30 eyes) with progressive keratoconus underwent CXL treatment. Fifteen eyes (13 patients) underwent epithelial removal with t-PTK (Cretan protocol) and 15 eyes (13 patients) underwent mechanical epithelial debridement (Dresden protocol) during CXL. Visual, refractive, and keratometric outcomes were evaluated preoperatively and at 1, 2, 3, and 4 years postoperatively.

RESULTS:

No intraoperative or postoperative complications were observed in any of the patients. In the Cretan protocol group, mean uncorrected (UDVA) and corrected (CDVA) visual acuity improved from 0.99 ± 0.42 and 0.33 ± 0.28 logMAR preoperatively to 0.75 ± 0.32 (
P
= .018) and 0.21 ± 0.16 (
P
= .024) logMAR at 4 years postoperatively, respectively. In the Dresden protocol group, mean UDVA improved from 0.83 ± 0.47 logMAR preoperatively to 0.63 ± 0.40 logMAR (
P
= .033) at 4 years postoperatively, whereas mean CDVA did not demonstrate a statistically significant improvement postoperatively (
P
> .05). In the Cretan protocol group, mean corneal astigmatism improved from −6.19 ± 4.54 diopters (D) preoperatively to −4.68 ± 3.10 D (
P
= .041) at last follow-up, whereas in the Dresden protocol group there was no statistically significant difference postoperatively (
P
> .05).

CONCLUSIONS:
Epithelial removal with t-PTK during CXL (Cretan protocol) resulted in better visual, refractive, and keratometric outcomes compared with mechanical epithelial debridement over a long-term follow-up.

[
J Refract Surg
. 2019;35(10):650–655.]