bluuebunny/crossref_metadata_2025_split huggingface dataset:
942-P: Disparities in Telemedicine Use among Pediatric Patients with Type 1 and Type 2 Diabetes
Authors: CHAN KAREN , DEMETERCO-BERGGREN CARLA 
Published: May 2022

Despite the increase in telehealth services in diabetes care during the COVID-pandemic, studies have found disparities in telemedicine (TM) use among patients. Our Diabetes Clinic currently cares for 1400 patients with type 1 diabetes (T1D) with 46% being publicly insured and for 375 patients with type 2 diabetes (T2D) , 88% being publicly insured. We have previously shown a significantly lower number of completed TM encounters between March and July 2020 by publicly insured patients when compared with privately insured and a threefold increase in no-shows and same day TM visit cancelations by the publicly insured group. Between January and March 2021 we surveyed families who had never attended a TM visit to better understand barriers to TM use. Of the 7patients who received care during this period, 162 (22.8%) had never attended a TM visit. Of the 39 surveyed patients, 84.6% had T1D and 15.4% had T2D. There were 46.2% who self-identified as Non-Hispanic White, 35.9% as Hispanic, 5.1% as Asian, 2.6% as Non-Hispanic Black, and 10.3% as Other. Additionally, 48.7% had public insurance, 23.1% had no EMR access and 15.4% did not speak English as their primary language. Out of patients with T1D, 63.6% used a CGM and 33.3% used an insulin pump. Reported reasons not to attend a TM visit included: preference for in-person care (43.6%) , not being offered a TM visit (17.9%) , technology issues (12.8%) , scheduling conflicts or forgetting about the appointment (17.9%) and 20.5% preferred not to provide a reason.
In conclusion, more than half of our surveyed patients with diabetes who never attended a TM visit were from racial and ethnic minority groups. The COVID-pandemic has highlighted disparities related to access to and use of technology to improve diabetes care. Our results show the importance of ensuring all families are aware of TM options and receive support with TM technology. Further research into TM perception and adoption barriers should be conducted to prevent disparities in care and to close health equity gaps.

Disclosure
K.Chan: None. C.Demeterco-berggren: None.
974-P: Implementation of Remote Continuous Data Monitoring within a Clinical Setting for the Management of Type 2 Diabetes Mellitus
Authors: CACCELLI MILENA , SAID YOUSEF , MOJADO JOENA FE D. , PALSKY CAROLYN , COLODETTI RAIZA , ALMARZOOQI IHSAN , HASHEMI ALI 
Published: May 2022

Introduction: The challenge of managing type 2 diabetes mellitus is well known and was especially highlighted during the pandemic. Advances in the use of technology have resulted in improved glycemic control. The GluCare program uses Remote Continuous Data Monitoring (RCDM) and leverages connectivity and shifting diabetes management away from episodic care to continuous care.
Methods and Analysis: Forty type 2 DM patients were managed, with half opting "in" to monitoring using the GluCare RCDM program and half opting "out" to not be monitored. Data was collected from electronic medical reports and statistical analysis was conducted to compare clinical parameters between groups.
Outcomes: The primary outcome was the difference in mean HbA1c at 3 months follow-up between Glucare opt-in and opt-out patients with both groups managed by the same health care professional and facility. Secondary outcomes included analysis of body mass index (BMI) , LDL cholesterol, HDL cholesterol, triglycerides (TG) , uric acid, high-sensitivity C-reactive protein and cardiovascular disease (CVD) risk reduction.
Results: According to our findings, HbA1c levels from the opt-in RCDM group decreased significantly by a mean of 2.38 points and were statistically superior than the opt-out group (p &lt; 0.001) . The improvements in BMI, TG, and CVD risk reduction also were higher in opt-in patients (p =0.046, p=0.018, p=0.001, respectively) .
Conclusion: The GluCare RCDM opt-in group had significantly superior results in HbA1c and other metabolic parameters at 3 months follow up suggesting RCDM post first visit may be an efffective way to improve diabetes care models.

Disclosure
M.Caccelli: Speaker's Bureau; Novo Nordisk, Servier Laboratories. Y.Said: None. J.D.Mojado: None. C.Palsky: None. R.Colodetti: None. I.Almarzooqi: None. A.Hashemi: None.
979-P: Risk Factors for Hyperosmolar Hyperglycemic State in Youth-Onset Type 2 Diabetes
Authors: EVERETT ESTELLE M. , WISK LAUREN E. , CHAO LILY 
Published: May 2022

Background: The prevalence of youth-onset type 2 diabetes (T2D) has been rising. There is a paucity of data on the risk factors for hyperosmolar hyperglycemic state (HHS) compared to diabetic ketoacidosis (DKA) in this population.
Methods: We used the national Kids’ Inpatient Database to identify pediatric admissions for DKA and HHS among those with T2D in years 2006, 2009, 2012, and 2016. Admissions were identified using ICD codes. We used descriptive statistics to summarize baseline characteristics and used Chi-squared test and logistic regression to evaluate factors associated with admissions for HHS compared to DKA in unadjusted and adjusted models.
Results: We found 6,8admissions for hyperglycemic emergencies in youth with T2D, of which 9.8% were due to HHS and 90.2% were for DKA. These admissions occurred mostly in youth 16-20 years old (70%) , females (52%) , who were non-White (Black 29%, Hispanic 17%) with public insurance (46%) and from the lowest income quartile (39.4%) . Most hospitalizations occurred in urban areas (82%) , southern US (47%) in private (58%) , large hospitals (61%) . In adjusted models, there was increased odds for HHS compared to DKA in males (OR 1.84, 95%CI 1.47-2.30) and those of Black race compared to those of White race (1.69, 95%CI 1.25-2.28) . There was no significant difference between those admitted for HHS compared to DKA with regards to age, other racial-ethnic groups, insurance payer, income, hospital region, size or ownership. In patients admitted with HHS compared to DKA, severity of illness (54% vs. 12.9% with major illness; p&lt;0.001) and mortality were significantly higher (1.8% vs. 0.2%, p&lt;0.001) .
Conclusion: While DKA represents most admissions for hyperglycemic emergencies among youth-onset T2D, those admitted for HHS had higher severity of illness and mortality. Male gender and Black race were associated with HHS admission compared to DKA. Additional studies are needed to understand the drivers of these risk factors.

Disclosure
E.M.Everett: None. L.E.Wisk: None. L.Chao: None.

Funding
National Institute of Diabetes and Digestive and Kidney Diseases (K01DK116932, L40DK129996)
998-P: Association between Modifiable Lifestyle Behaviors and Prediabetes among Latino Adolescents with Obesity
Authors: RODRIGUEZ LUIS A. , GOPALAN ANJALI , CHANDRA MALINI , DARBINIAN JEANNE A. , GREENSPAN LOUISE , LO JOAN C. 
Published: May 2022

Background: Prediabetes disproportionally affects US Latino adolescents. However, it is unclear which characteristics or modifiable lifestyle behaviors captured in the electronic health record (EHR) are associated with prediabetes among Latino adolescents. Addressing this knowledge gap was the objective of this study.
Methods: Cross-sectional data was used from 8,946 Latino adolescents ages 13-17 years in northern California with a well-child visit in 2016-20 and BMI ≥95th percentile. Characteristics and modifiable lifestyle behaviors of interest included age, gender, household language preference (English/Spanish) , neighborhood deprivation index (NDI, quartiles) , obesity class and 4 self-reported daily obesogenic behaviors captured during the visit: 1) consuming &lt;5 servings of fruits/vegetables; 2) drinking ≥12 oz juice/soda; 3) exercising for &lt;60 minutes; and 4) &gt;2 hours of screen time. Prediabetes was ascertained within 1 year of the health visit and was classified as HbA1c 5.7-6.4%. Multivariate logistic regression was used to examine the association between the variables of interest and prediabetes.
Results: Among 8,946 Latino adolescents with obesity, 15.4% had prediabetes. Having class 3 obesity (OR of 2.7; [95% CI: 2.3-3.1], living in a Spanish-speaking household (1.15; 1.0-1.3) and engaging in low exercise (OR 1.12; 0.99-1.3) were all independently associated with increased odds of prediabetes, though exercise was only marginally significant at a p-value &lt;0.1. Age, gender, NDI, and diet were not independently associated with prediabetes.
Conclusion: Among Latino adolescents with obesity, 1 in 7 had prediabetes. Our findings suggest that strategies targeting obesity and promotion of physical activity, particularly among adolescents living in Spanish-speaking households, may have the most success in preventing diabetes among Latino adolescents with prediabetes.

Disclosure
A. Gopalan: None. M. Chandra: None. J.A. Darbinian: None. L. Greenspan: None. J.C. Lo: None.

Funding
The Permanente Medical Group (TPMG) Health Care Delivery and Policy Section Pilot Award. TPMG (Delivery Science Fellowship Program) . Kaiser Permanente Northern California Graduate Medical Education Research Community Benefit Program. National Institutes of Health (T32DK11668401) .
Historic Residential Redlining and Present-day Diabetes Mortality and Years of Life Lost: The Persistence of Structural Racism
Authors: Linde Sebastian , Walker Rebekah J. , Campbell Jennifer A. , Egede Leonard E. 
Published: May 2022

OBJECTIVE
The association between structural racism, as captured by historic residential redlining practices under the Home Owners’ Loan Corporation (HOLC), and present-day diabetes mortality, and years of life lost (YLL), remains unknown.

RESEARCH DESIGN AND METHODS
Age-standardized mortality and YLL data were combined with historic HOLC redlining data for the city of Seattle, WA (a sample of 109 census tract–level observations) for each of the years 1990 through 2014 (25 years). Spatial autoregressive regression analyses were used for assessment of the association between an area’s historic HOLC redlining score and diabetes (and all-cause) mortality and YLL.

RESULTS
Spatial autoregressive model estimates indicate that an area’s HOLC redlining score explains 45%–56% of the variation in the census tract–level diabetes mortality rate and 51%–60% of the variation in the census tract diabetes YLL rate between the years of 1990 and 2014. For 2014, estimates indicate that areas with a unit-higher HOLC grade are associated with 53.7% (95% CI 43.3–64.9; P &lt; 0.01) higher diabetes mortality rates and 66.5% (53.7–80.4; P &lt; 0.01) higher diabetes YLL rate. Magnitudes of marginal effects were consistently larger for diabetes than for all-cause outcomes.

CONCLUSIONS
Results indicate sizable, and statistically significant, associations between historic redlining practices and present-day diabetes mortality and YLL rates. In addition, the persistence of these associations across the 1990–2014 period highlight a need for targeted action to undo the impact of historical redlining on current health.
Lärare talar om textanvändning – en fallstudie av skriftpraktiker i läraryrket
Authors: Ström Peter 
Published: May 2022

För lärare är texter och skriftpraktiker centrala inslag i den dagliga yrkesutövningen. Syftet med den här studien är att bättre förstå läraryrket och dess förutsättningar med fokus på textanvändning, och studien söker svar på hur några lärare i skolans senare år (7–9 och gymnasiet) beskriver, uppfattar och förhåller sig till läsande och skrivande inom yrket samt hur de beskriver skriftpraktiksanknutna utmaningar och resurser. Materialet för studien består av ljudinspelade fokusgruppsamtal. Studien finner att lärarnas samtal präglas av allmängiltiga resonemang om texter och textanvändning genom att lärarna fokuserar på aspekter som är relevanta för i princip alla skrivsituationer, till exempel tydlighet och textlängd. Vidare framträder bilden av att 7–9-lärarna har ett mer kollektivt orienterat förhållningssätt gentemot yrkets skriftpraktiker än vad gymnasielärarna har. Ifråga om skriftpraktiksanknutna utmaningar ser lärarna framför allt utmaningar i skrivandet av texter som de menar har indirekt undervisningsanknytning, och särskilt beskriver de utmaningar med att formulera sig på sätt så att mottagare inte blir upprörda. Av samtalen framgår också att de resurser som lärarna ser sig ha för att utveckla kompetens att hantera skriftpraktiksanknutna utmaningar utgörs av informella strukturer, vilket är anmärkningsvärt med tanke på att de aktuella skriftpraktikerna är centrala i deras yrkesutövning.
English abstract
Teachers discuss text usage – a case study of teachers’ opinions about literacy practices in the teaching profession
For teachers, literacy practices are central to their everyday work. The aim of this study is to better understand the teaching profession and it’s conditions with a focus on text usage. The study seeks to answer how some teachers in the school’s later years (7–9 and upper secondary school) describe, perceive and relate to professional literacy practices and how they describe literacy practices-related challenges and resources. Data consists of audio-recorded focus group discussions. Findings are that teacher’s discussions are characterized by generic perspectives on literacy practices, for example by focusing on clarity and text length. Furthermore, the teachers in years 7–9 seem to have a more collectively oriented approach to literacy practices than upper secondary teachers. In terms of challenges related to literacy practices, they focus on writing with an indirect connection to teaching, and they describe difficulties about formulating written texts in such a way that no reader gets upset. The conversations also show that the resources that the teachers perceive as available to them in developing literacy skills and for dealing with challenges related to literacy practices consist of informal support structures, which is interesting given that the relevant literacy practices are central to their work.
Efektivitas Penggunaan Mobile Learning Terhadap Hasil Belajar Bahasa Indonesia Siswa
Authors: M Usman , Jumiati Jumiati , Julianti Febi 
Published: May 2022

Penelitian ini bertujuan untuk mengetahui efektivitas penggunaan mobile learning terhadap hasil belajar bahasa Indonesia siswa kelas X SMA Negeri 10 Sidenreng Rappang. Penelitian ini menggunakan dua variabel, yaitu penggunaan mobile learning sebagai variabel bebas dan hasil belajar bahasa indonesia sebagai variabel terikat.Populasi dalam penelitian ini adalah seluruh siswa kelas X SMA Negeri 10 Sidenreng Rappang, yakni sebanyak 65 siswa yang tersebar pada 3 kelas yaitu X IPA 1, X IPA 2 dan X IPS. Sampel ditarik sebanyak 2 kelas, yaitu X IPA 1 sebanyak 22 siswa (kelompok eksperimen) dan X IPS sebanyak 22 siswa (kelompok kontrol). Data diperoleh dari instrumen tes hasil belajar siswa, kemudian diolah dengan menggunakan aplikasi SPSS 20.0 for Windows. Dari data hasil analisis diperoleh bahwa bahwa nilai thitung sebesar 7,931 adapun nilai ttabel yaitu 2,018. Jadi thitung7,931 lebih besar dari ttabel 2,018. Dengan demikian hipotesis kerja atau hipotesis alternatif yang diajukan dalam penelitian ini yang berbunyi penggunaan Mobile Learning terhadap hasil belajar Bahasa Indonesia siswa kelas X SMA Negeri 10 Sidenreng Rappang tahun ajaran 2020/2021 “ diterima. Sedangkan hipotesis nol atau nihil yang menyatakan bahwa : “penggunaan Mobile Learning terhadap hasil belajar Bahasa Indonesia siswa kelas X SMA Negeri 10 Sidenreng Rappang tahun ajaran 2020/2021”, ditolak.
Analisis Kemampuan Pemecahan Masalah Matematis Ditinjau Dari Aktivitas Belajar Siswa Dalam Model RME Berbantuan Kartu Keren Pada Siswa Kelas V
Authors: Safitri Istiana , Bintoro Henry Suryo , Wanabuliandari Savitri 
Published: May 2022

Penelitian ini bertujuan untuk mengetahui kemampuan pemecahan masalah matematika ditinjau dari aktivitas belajar siswa dalam model RME melalui kartu keren pada siswa kelas V SDN 1 Gebang tahun pelajaran 2019/2020. Realistik Mathematic Education (RME) adalah suatu pendekatan pembelajaran matematika yang berawal dari masalah realistik sebagai sarana untuk mengonkretkan materi dan menghimpun konsep matematika. Langkah yang dapat dilakukan adalah memahami masalah, membuat perencanaan, melaksanakan rencana, dan melihat kembali hasil yang diperoleh. Penelitian ini merupakan penelitian kualitatif dengan jenis penelitian studi kasus. Subjek penelitian ini adalah siswa kelas V yang dengan jumlah 6 siswa. Pengecekan keabsahan data dilakukan dengan uji kredibilitas, tranferabelitas, dependabilitas, dan konfirmabilitas Proses analisa menggunakan langkah-langkah yang terdiri dari pengumpulan data, reduksi data, display data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa Penerapan model Realistic Mathematic Education (RME) di SDN 1 Gebang memiliki pengaruh yang signifikan dalam membantu siswa menyelesaikan permasalahan matematika tentang volume bangun ruang kubus dan balok.
Effects of Genotype and Quantitative Feed Restriction on the Post-weaning Growth Traits of Rabbits
Authors: Isaac Ugwumba Chijioke , Kalu Eme Ude , Oriaku Jennifer Onyinyechi , Ogwuegbu Mercy Chisara , Ezea Jonas , Obike Onyemauchechi Mercy 
Published: May 2022

Summary
The purpose of this paper is to determine the effects of four genotypes and four different quantitative feeding regimes on the post-weaning average feed intake (AFI), body weight (BW), weight gain (WG) and feed conversion ratio (FCR) of 48 unsexed weaner rabbits. At weaning, a total of 3 rabbits from each genotype considered, namely the purebred Chinchilla and New Zealand White (CH x CH, NZW x NZW) and their reciprocal crossbreds (CH x NZW, NZW x CH), were randomly assigned to four feeding regimes: ad libitum concentrate + ad libitum forage (A), ad libitum concentrate + 30% restricted forage (B), 30% restricted concentrate + ad libitum forage (C), and 30% restricted concentrate + 30% restricted forage (D). The data were subjected to a two-way analysis of variance in a completely randomized design appropriate for a 4x4 factorial experiment. The experiment was conducted over a period of 5 weeks: from 7 to 11 weeks post-weaning. The AFI values obtained from the interactions between CH x CH and the C feeding regime at 7 weeks post-weaning (366.50 ± 1.50 g), and between NZW x NZW and the B feeding regime at 8 weeks (324.00 ± 1. 00 g) and 10 weeks post-weaning (336.50 ± 0.00 g) were similar, but differed significantly (P < 0.05) from the rest. The lowest significant AFI values (P < 0.05) at all ages and FCR values (3.46 ± 0.33) at 9 weeks post-weaning were obtained from NZW x NZW, whereas the highest BW values at 9-11 weeks post-weaning was obtained from CH x CH. The lowest significant AFI values (P < 0.05) were recorded in the B feeding regime at 7-11 weeks post-weaning, as well as the highest BW and WG values in the A feeding regime at 8–11 and 11 weeks post-weaning, respectively. Moreover, the highest significant BW values (781.25 ± 7.83) were recorded in the C feeding regime at 7 weeks post-weaning. It was concluded that the interactions between CH x CH and the C feeding regime and between NZW x NZW and the B feeding regime can significantly reduce the overall feed intake, thus invariably increasing profit in rabbit production.
Analysis of Wet Periods in Vojvodina Province Using Standardized Precipitation Index
Authors: Stajić Milica , Vranešević Milica , Bezdan Atila , Blagojević Boško 
Published: May 2022

Summary
In this study, wet periods were analyzed using the Standardized Precipitation Index (SPI) on timescales of 3, 6 and 12 months (SPI3, SPI6 and SPI12) at eight stations in Vojvodina Province during the period 1971-2019. The obtained results show that there were very wet years in the observed period, so that regular maintenance of drainage channels is of great importance. Also, in order to illustrate the wet periods for the area of Vojvodina, maps for a timescale of 6 months (SPI6) were made for the vegetation season (April-September) of 2010. By analyzing the maps, it can be concluded that there were four categories of humidity conditions occurring in the observed period – from normal humidity conditions through moderate to very humid and extremely humid conditions.
Determinants of Adoption of Integrated Pest Management Practices Among Maize Farmers in Southwest Nigeria
Authors: Olasunkanmi Nuren Olawole , Ogunwande Isaac Olusegun , Thompson Olaniran Anthony , Afolabi Jimoh Atanda , Sofoluwe Nurudeen Afolabi 
Published: May 2022

Summary
The purpose of this study is to examine the determinants of integrated pest management (IPM) adoption among maize farmers in Southwest Nigeria. A multistage sampling technique was used to collect information from 360 respondents (namely 180 adopters and 180 non-adopters of IPM) from Osun and Ekiti States, Nigeria. The data collected were analyzed using descriptive statistics and probit regression models. The descriptive statistics results obtained on the respondents’ awareness of IPM practices indicate that a majority (74.2%) of the respondents are aware of IPM practices. Most of the respondents (98.9%) were categorized as adopters of IPM. The probit regression analysis results revealed that the respondent’s gender, farm size, access to enough credit, land ownership and the environmental impact of IPM were significant coefficients, potentially increasing the adoption of IPM at various levels. The findings obtained suggest that the government and financial institutions should assist farmers by offering readily available loans at a low or no interest rate and by making essential inputs available to farmers at a subsidize rate.
Biopesticides in Organic Agriculture
Authors: Golijan-Pantović Jelena , Sečanski Mile 
Published: May 2022

Summary
The central issuses in organic agricultural production are related to the plant protection sector. As the use of synthetic pesticides is not allowed in the organic system of agricultural production, biopesticides are considerd a natural, safe and environmentally friendly alternative. The purpose of this study is to identify the most important biological agents used as biopesticides in organic agriculture through a review of the relevant literature. Biopesticides are compounds made from microorganisms and various natural materials of plant and animal origin. Biological protection also includes the use of extracts of different plant species (such as essential oils) that have toxic effects on plant pathogens. This paper accounts for the most important types of biopesticides based on bacteria, fungi and viruses, which are licensed for use in the Republic of Serbia according to the Law on Organic Agriculture. Their mechanisms of action, possibilities of application and efficiency are described in the present study. The bacterium Bacillus subtilis is the most studied bacterial species used in biological protection, whereas the species Bacillus thuringiensis is predominantly used for the control of harmful insects. There is no doubt about the need for alternative protection systems in the future, which necessitates further scientific research. A sound application of biopesticides in combination with preventive protection measures would meet the requirements of safe agricultural production.