cometadata/datacite-rtg-text-other-reclassification-records huggingface dataset:
Factors associated with the implementation and adoption of electronic health records (EHRs) in Saudi Arabia
Creators: name: Alghamdi, Ahmed Saad
Publisher: name: No Publisher Supplied
Year: 2015

description: The scope of this study was to identify the extent of the relationship between the factors that associated with delay in the universal implementation of electronic healthcare records (EHRs) and how to effect on the quality and efficiency of work and acceptance of implementation EHRs System in Saudi Arabia hospitals. The Proposed research aimed at pinpointing the precise technological issues that affected on the EHRs system implementation in the Kingdom of Saudi Arabia, by focusing on those factors which are recognized to be barriers for such implementations. Using a questionnaire that was distributed to Ten Hospitals and the Directorate of Health Affairs in Saudi Arabia. These hospitals are King Fahad Hospital, Baljurashi Hospital, Aqiq Hospital, Psychiatric Hospital, Mandaq Hospital, Karra Hospital, Rehabilitation Hospital, Mikwah Hospital, Qilwa Hospital, Hajra Hospital, and General Directorate of Health Affairs. This study attempted to identify which barriers actually affect the implementation of EHR systems in Saudi Arabia. For a confidence interval of 5% at the 95% confidence level, 260 surveys needed to be sent out at the largest hospital, King Fahad Hospital, and the total surveyed sent out to all hospitals was 1754. Six groups of health care professionals participated in this study: physicians, pharmacists, nurses, lab technicians, administration staff, and medical records staff.  iv  Pearson correlation analysis and a t-test test were used on the collected questionnaire data to identify the association factors which are significant barriers to EHRs implementations in Saudi Arabia. Results indicate that there is a relationship between believes that privacy and security concerns were not a significant obstacle, whenever the facility had enough employees to ensure that the implemented EHRs was secure and that maintaining and updating EHRs systems was not too expensive they were more likely to believe that the implementation EHRs would increase the quality and efficiency of work in hospitals .also the data show that no statistically significant difference between the belief that EHRs system maintenance as one of the four most important barriers influencing the success of EHRs and the belief that the implementation EHRs would increase the quality and efficiency of work in hospitals, The data also show that Despite that privacy and security concerns were not a significant obstacle and whenever the facility had enough employees to ensure that the implemented EHRs was secure will increase the quality and efficiency of work in hospitals. Also, of the six barriers recognized as being of inhibit to the implementation of EHRs systems, the four most commonly cited to be significant in Saudi Arabia by participants were lack of computer skills, adaptation to new technology, costs of the EHRs system, privacy and security concerns.
Oswaldella erratum Pena Cantero & Vervoort 1997
Creators: name: Soto, Joan J.
name: Peña, Álvaro L.
Publisher: name: Zenodo
Year: 2019
Subjects: Biodiversity
Taxonomy
Animalia
Cnidaria
Hydrozoa
Leptothecata
Kirchenpaueriidae
Oswaldella
Oswaldella erratum

description: Oswaldella erratum Peña Cantero & Vervoort, 1997
(Fig. 16 a–e)
Material examined. ANT XV/3: 48-4, few stems, up to 80 mm high, on gravel, with developing gonothecae; 48-50, few stems, up to 100 mm high, with developing gonothecae; 48-58, few stems, up to 90 mm high, with developing gonothecae; 48-168, few stems, up to 60 mm high, with developing gonothecae; 48-197, few stems, up to 45 mm high; 48-222, few stems, up to 55 mm high, with developing gonothecae; 48-276, few stems, up to 95 mm high, with developing gonothecae; ANT XXI/2: PS65/39, few stems, up to 70 mm high, with gonothecae; PS65/121, several stems, up to 100 mm high, with developing gonothecae; PS65/132, several stems, up to 205 mm high, some on polychaete tube; PS65/148, few stems, up to 75 mm high, on gravel; PS65/166, several stems, up to 160 mm high; PS65/174, several stems, up to 170 mm high; PS65/175, several stems, up to 120 mm high; PS65/237, several stems, up to 120 mm high, with gonothecae; PS65/274, several stems, up to 150 mm high; PS65/280, several stems, up to 140 mm high; PS65/336, one stem, c. 20 mm high.
Ecology and distribution. Species previously found at depths between 55 (Peña Cantero & Vervoort 2004) and 696 m (Peña Cantero et al. 1997a); present material between 166 and 417 m. West Antarctic distribution (Peña Cantero & Vervoort 2004).
description: Published as part of Soto, Joan J. & Peña, Álvaro L., 2019, Benthic hydroids (Cnidaria, Hydrozoa) from the Weddell Sea (Antarctica), pp. 1-78 in Zootaxa 4570 (1) on page 46, DOI: 10.11646/zootaxa.4570.1.1, http://zenodo.org/record/2608527
Dasypus pilosus
Creators: name: James H. Honacki
name: Kenneth E. Kinman
name: James W. Koeppl
Publisher: name: Alien Press, Inc. & The Association of Systematics Collections
Year: 1982
Subjects: Biodiversity
Taxonomy
Animalia
Chordata
Mammalia
Edentata
Dasypodidae
Dasypus
Dasypus pilosus

description: Dasypus pilosus (Fitzinger, 1856). Versamml. Deutsch. Nat. Arzte, Wien, 6: 123.
TYPE LOCALITY: Montane Peru.
DISTRIBUTION: Known only from four localities in montane Peru.
COMMENT: Reviewed by Wetzel and Mondolfi, 1979:56.
ISIS NUMBER: 5301407003005005001.
description: Published as part of James H. Honacki, Kenneth E. Kinman & James W. Koeppl, 1982, Order Edentata, pp. 52-57 in Mammal Species of the World (1 st Edition), Lawrence, Kansas, USA :Alien Press, Inc. & The Association of Systematics Collections on page 56, DOI: 10.5281/zenodo.7352995
Limnophora thoracica Zielke 1970
Creators: name: Couri, Márcia
name: Pont, Adrian
Publisher: name: Zenodo
Year: 2017
Subjects: Biodiversity
Taxonomy
Animalia
Arthropoda
Insecta
Diptera
Muscidae
Limnophora
Limnophora thoracica

description: Limnophora thoracica Zielke, 1970b: 146.
Holotype male in NMSA (not seen).
Diagnosis. Arista short-haired, the longest hairs not longer than the width of postpedicel; dorsocentrals 2+4; katepisternals 1+2; fore tibia without a median seta; mid femur with 1 preapical seta; mid tibia with 2 posterior setae; sternite 1 bare.
Notes. This runs to couplet 23 and to L. obsignata in Emden’s (1951) key, but differs by the absence of brown marks on abdominal tergite 5 and by the more grey dusted scutum.
description: Published as part of Couri, Márcia & Pont, Adrian, 2017, Afrotropical Limnophora Robineau-Desvoidy (Diptera, Muscidae) with the description of four new species, pp. 501-536 in Zootaxa 4216 (6) on page 533, DOI: 10.5281/zenodo.242395
Additional file 4: Table S3. of Predictive value of C-reactive protein in patients treated with sunitinib for metastatic clear cell renal cell carcinoma
Creators: name: Pilskog, Martin
name: Beisland, Christian
name: Akslen, Lars
name: Bostad, Leif
name: Ă Se Haug
name: Heinrich, Daniel
name: Hjelle, Karin
name: OddbjĂ¸Rn Straume
Publisher: name: Figshare
Year: 2017
Subjects: subject: Biochemistry
subject: Genetics
subject: FOS: Biological sciences
subject: Molecular Biology
subject: Pharmacology
subject: 39999 Chemical Sciences not elsewhere classified
subject: FOS: Chemical sciences
subject: Immunology
subject: FOS: Clinical medicine
subject: 69999 Biological Sciences not elsewhere classified
subject: 19999 Mathematical Sciences not elsewhere classified
subject: FOS: Mathematics
subject: Developmental Biology
subject: Cancer
subject: Hematology
subject: 110309 Infectious Diseases
subject: FOS: Health sciences
subject: Plant Biology
subject: 60506 Virology

description: Adverse effects. (DOCX 20Â kb)
Utilization of health information technology systems in quality improvement methodologies at healthcare organizations in the United States
Creators: name: AlHazme, Raed H.
Publisher: name: No Publisher Supplied
Year: 2015

description: Quality improvement in healthcare has been one of the key challenges in the United States for decades now. To overcome those challenge, healthcare organizations have employed many of the common Quality Improvement Methodologies (QIMs). Those methodologies and others have been some of the most effective tools for quality improvement in many other industries, including manufacturing and supply chain. However, it is unclear as to how QIMs are utilized in healthcare settings and if the QIM implementations can benefit from the commonly implemented Health Information Technologies (HITs). This study evaluates the hypothesis of whether or not QIMs are implemented using HIT systems in hospitals and practices in the United States. This involves evaluating the types of implemented QIMs as well as investigating the outcomes of the employed methodologies in terms of efficiency, throughput and financial impact. Moreover, the study forms an understanding on how the different HITs that exist in many healthcare settings are used as part of QIMs. The study also assesses the obstacles that prevent hospitals and practices from utilizing HITs in QIMs. To conduct the study, two datasets have been obtained, which are the Dorenfest Institute dataset and the Healthcare Information and Management Systems Society (HIMSS) Analytics data source. In addition, a survey has been conducted to collect data about how healthcare settings in the United States have been utilizing QIMs in the last ten years. Finally, the allocated and collected data have been analyzed and the results have been presented and discussed.
Dasypus sabanicola Mondolfi 1968
Creators: name: James H. Honacki
name: Kenneth E. Kinman
name: James W. Koeppl
Publisher: name: Alien Press, Inc. & The Association of Systematics Collections
Year: 1982
Subjects: Biodiversity
Taxonomy
Animalia
Chordata
Mammalia
Edentata
Dasypodidae
Dasypus
Dasypus sabanicola

description: Dasypus sabanicola Mondolfi, 1968. Mem. Soc. Cienc. Nat. La Salle, 27: 151.
TYPE LOCALITY: Venezuela, Apure, Achaguas, Hato Macanillal.
DISTRIBUTION: Llanos of Venezuela and E. Colombia.
description: Published as part of James H. Honacki, Kenneth E. Kinman & James W. Koeppl, 1982, Order Edentata, pp. 52-57 in Mammal Species of the World (1 st Edition), Lawrence, Kansas, USA :Alien Press, Inc. & The Association of Systematics Collections on page 56, DOI: 10.5281/zenodo.7352995
Oswaldella rigida Pena Cantero, Svoboda & Vervoort 1997
Creators: name: Soto, Joan J.
name: Peña, Álvaro L.
Publisher: name: Zenodo
Year: 2019
Subjects: Biodiversity
Taxonomy
Animalia
Cnidaria
Hydrozoa
Leptothecata
Kirchenpaueriidae
Oswaldella
Oswaldella rigida

description: Oswaldella rigida Peña Cantero, Svoboda & Vervoort, 1997
(Fig. 16 f–j)
Material examined. ANT XV/3: 48-27, few stems, up to 55 mm high; 48-72, few stems, up to 50 mm high; 48-168, few stems, up to 60 mm high; 48-189, few stems, up to 55 mm high; 48-276, few stems, up to 20 mm high; ANT
XXI/2: PS65/148, few stems, up to 75 mm high; PS65/237, few stems, up to 30 mm high; PS65/278, few stems, up to 70 mm high.
Ecology and distribution. Species collected at depths between 80 (Peña Cantero et al. 1997a) and 1157 m (Peña Cantero 2014a); present material was collected at depths between 119 and 417 m. Circum-Antarctic distribution (Peña Cantero et al. 1997a).
description: Published as part of Soto, Joan J. & Peña, Álvaro L., 2019, Benthic hydroids (Cnidaria, Hydrozoa) from the Weddell Sea (Antarctica), pp. 1-78 in Zootaxa 4570 (1) on pages 46-47, DOI: 10.11646/zootaxa.4570.1.1, http://zenodo.org/record/2608527
Additional file 3: Appendix C. of Disability and ageing in China and India â   decomposing the effects of gender and residence. Results from the WHO study on global AGEing and adult health (SAGE)
Creators: name: Williams, Jennifer Stewart
name: NorstrĂśm, Fredrik
name: Nawi Ng
Publisher: name: Figshare
Year: 2017
Subjects: subject: 59999 Environmental Sciences not elsewhere classified
subject: FOS: Earth and related environmental sciences
subject: Sociology
subject: FOS: Sociology
subject: 69999 Biological Sciences not elsewhere classified
subject: FOS: Biological sciences
subject: Developmental Biology
subject: Science Policy

description: This file outlines the Blinder-Oaxaca method of decomposition. (PDF 265Â kb)
A modified technology acceptance model (TAM) for implementation of privacy in health information systems in Saudi Arabia
Creators: name: Almutairi, Sulaiman S.
Publisher: name: No Publisher Supplied
Year: 2015

description: This study developed a modified technology acceptance model (TAM) based of the actual adoption of the privacy of health information that suggested that external factors of culture and awareness of health information privacy predicted internal factors of privacy, including confidentiality, accountability, and regulations and policies. The study was concerned with the effects of culture and the nature of privacy, as well as the ways in which people’s sensitive information is accessed and maintained by healthcare facilities. The study provided detail regarding the need for improved information privacy in the Saudi healthcare setting. A survey instrument was designed and used to assess the knowledge of the privacy of health information among Saudi professionals in the fields of IT, medicine, and law. The data were analyzed to determine whether or not there was any connection between participants’ characteristics, especially from a religious culture perspective, and their attitudes about the privacy of health information. One-way ANOVAs were conducted to assess differences across professions for each of the outcome and predictor variables. No significant differences were found for accountability, or regulations and policies. Significant differences among professions were found for confidentiality, awareness, and culture. Post hoc analyses indicated that medical professionals reported significantly greater adherence to confidentiality than did law professionals, but they demonstrated significantly lower awareness and culture. Law professionals were also significantly higher in culture than were information technology professionals.
Additional file 1: of Perceptions of Mexican women regarding barriers in mental Heath Services in primary care
Creators: name: GalvĂĄn, Jorge
name: Nayelhi Saavedra
name: Bartolo, Feliciano
name: Berenzon, Shoshana
Publisher: name: Figshare
Year: 2017
Subjects: subject: Molecular Biology
subject: Sociology
subject: FOS: Sociology
subject: 69999 Biological Sciences not elsewhere classified
subject: FOS: Biological sciences
subject: 111714 Mental Health
subject: FOS: Health sciences

description: Interview guide. (PDF 272Â kb)
Limnophora translucida Stein 1913
Creators: name: Couri, Márcia
name: Pont, Adrian
Publisher: name: Zenodo
Year: 2017
Subjects: Biodiversity
Taxonomy
Animalia
Arthropoda
Insecta
Diptera
Muscidae
Limnophora
Limnophora translucida

description: Limnophora translucida Stein, 1913: 517.
(Figs 8, 112–115)
Syntypes male and female seen in BMNH (Pont and Werner 2006: 104–105; Pont 2013: 113); all in good condition.
Diagnosis. (Fig. 8) Presutural spots separated posteriorly or wholly fused, sometimes narrowly connected with the presutural band on median line, but not extending on to postpronotum as in L. flavibasis; postsutural dorsocentrals 4; mid femur with 2 preapical setae; mid tibia with 2 posterior setae; costal spine not distinct; basal abdominal segments yellow; sternite 5 much longer than wide (Fig. 112).
Terminalia. Cercal plate and surstylus as in Figs 113-114. Aedeagal complex as in Fig. 115.
Notes. A long series of males and females in the BMNH. One male dissected and illustrated. The morphology of the male terminalia is identical with that of L. terrestris Paterson, 1955 (paratype male seen and one male dissected), and the synonymy of these two species is proposed herein, with L. terrestris being ranked as a junior synonym of L. translucida (syn. nov.).
description: Published as part of Couri, Márcia & Pont, Adrian, 2017, Afrotropical Limnophora Robineau-Desvoidy (Diptera, Muscidae) with the description of four new species, pp. 501-536 in Zootaxa 4216 (6) on page 533, DOI: 10.5281/zenodo.242395
Dasypus septemcinctus Linnaeus 1758
Creators: name: James H. Honacki
name: Kenneth E. Kinman
name: James W. Koeppl
Publisher: name: Alien Press, Inc. & The Association of Systematics Collections
Year: 1982
Subjects: Biodiversity
Taxonomy
Animalia
Chordata
Mammalia
Edentata
Dasypodidae
Dasypus
Dasypus septemcinctus

description: Dasypus septemcinctus Linnaeus, 1758. Syst. Nat., 10th ed., 1:51.
TYPE LOCALITY: Brazil, Pernambuco.
DISTRIBUTION: Lower Amazon Basin (Brazil) to Chaco, Formosa, and Salta (Argentina).
COMMENT: Reviewed by Wetzel and Mondolfi, 1979:53. Type locality discussed by Cabrera, 1958:226.
ISIS NUMBER: 5301407003005006001.
description: Published as part of James H. Honacki, Kenneth E. Kinman & James W. Koeppl, 1982, Order Edentata, pp. 52-57 in Mammal Species of the World (1 st Edition), Lawrence, Kansas, USA :Alien Press, Inc. & The Association of Systematics Collections on page 56, DOI: 10.5281/zenodo.7352995
Modeling and analysis of a clinical documentation improvement system
Creators: name: Anyika, Chinwe
Publisher: name: No Publisher Supplied
Year: 2015

description: Over the past decade, clinical documentation improvement (CDI) programs have undergone quite an evolution and continue to evolve even today, particularly as the implementation of the new International Classification of Diseases, version 10 (ICD-10) system draws near. Before the Prospective Payment System (PPS) was established, Physicians focused on taking care of their patients without concerning themselves about quality or detailed documentation. They were reimbursed by Insurance companies without in-depth enquiries about services provided. With the introduction of the PPS, quality of patient care, length of stay during admission, severity of illness, and risk of mortality, became important benchmarks. CDI software models became more and more necessary as more hospitals adopted CDI programs to assist in improving Physician documentation in the patient’s medical record. This study first describes the need for a comprehensive electronic CDI model. Secondly, descriptive statistics will be used to determine the relevance of the different metrics collected as data in the new CDI model. Then, analysis of the collected data will be performed using the MS-DRG severity level and APR-DRG severity level to show the effects and contributions of a functional CDI program in relation to a hospital’s reported and coded statistics. Consequently, results of descriptive statistics show that between 19 to 32.5 percent of queries were generated monthly as a result of inadequate documentation by Physicians in patients’ medical records in relation to the total number of records reviewed and entered in the CDI software by the CDI Specialists. Other results of analyses show that a good CDI program significantly and positively impacts on different hospital metrics like the accuracy of coded data, case mix index (CMI), length of stay (LOS), severity of illness (SOI), risk of mortality (ROM), and reimbursement. In conclusion, the results of this study reveal that a significant positive ripple effect is achieved when an efficient CDI program is implemented, and this notion should serve as a basis to obtain a comprehensive CDI model where data collection can be better utilized to positively impact patient outcomes.
Additional file 4: Table S3. of Predictive value of C-reactive protein in patients treated with sunitinib for metastatic clear cell renal cell carcinoma
Creators: name: Pilskog, Martin
name: Beisland, Christian
name: Akslen, Lars
name: Bostad, Leif
name: Ă Se Haug
name: Heinrich, Daniel
name: Hjelle, Karin
name: OddbjĂ¸Rn Straume
Publisher: name: Figshare
Year: 2017
Subjects: subject: Biochemistry
subject: Genetics
subject: FOS: Biological sciences
subject: Molecular Biology
subject: Pharmacology
subject: 39999 Chemical Sciences not elsewhere classified
subject: FOS: Chemical sciences
subject: Immunology
subject: FOS: Clinical medicine
subject: 69999 Biological Sciences not elsewhere classified
subject: 19999 Mathematical Sciences not elsewhere classified
subject: FOS: Mathematics
subject: Developmental Biology
subject: Cancer
subject: Hematology
subject: Infectious Diseases
subject: FOS: Health sciences
subject: Plant Biology
subject: Virology

description: Adverse effects. (DOCX 20Â kb)
A correlational study between hospital patient safety culture and computer self-efficacy among nurses in a hospital setting
Creators: name: Joseph, Jean Marc
Publisher: name: No Publisher Supplied
Year: 2015

description: A largely aging population, increase in chronic diseases, and rising costs are leading to the requirement for worldwide healthcare reform (Wilson, Whitaker, & Whitford, 2012). Wilson, Whitaker, and Whitford (2012) resolved, "To meet these needs, nurses are being encouraged to practice to the full extent of their skills and take significant leadership roles in health policy, planning, and provisions" (Wilson et al., 2012). "Nurses are frequently restricted in their scope of practice even as they comprise the largest group of health professionals" (Wilson et al., 2012). Wilson et al. asserted, "Nurses can help improve health services in a cost effective way, but to do so, they must be seen as equal partners in health service provision" (2012). The purpose of this study is to examine if there is a correlation between the level of computer skills among nurses working in a hospital setting and the patient safety culture of the hospital in order to promote successful electronic medical record in the nursing practice. The methodology for this study is a questionnaire design that will be used to survey hospital patient safety culture and nurses’ views using computer self-efficacy systems in a hospital setting. This data collection and the presentation of the necessary findings and results will provide key insights for the evaluation of this research management. All statistical analyses will be performed using SPSS for Windows (IBM SPSS 19.0, SPSS Inc., Chicago, IL). All of the analyses will be two-sided with a 5% alpha level. Demographic characteristics of the study sample will be described using the mean, standard deviation, and range for continuous scaled variables, and frequency and percent for categorical scaled variables. Cronbach’s alpha will be used to measure the internal consistency reliability of the computer self-efficacy, teamwork within hospital units aspect of patient safety culture, hospital management support for patient safety aspect of patient safety culture, communication openness aspect of patient safety culture, and feedback and communication about errors aspects of the patient safety culture scale scores.
Limnophora transvaalensis Zielke 1970
Creators: name: Couri, Márcia
name: Pont, Adrian
Publisher: name: Zenodo
Year: 2017
Subjects: Biodiversity
Taxonomy
Animalia
Arthropoda
Insecta
Diptera
Muscidae
Limnophora
Limnophora transvaalensis

description: Limnophora transvaalensis Zielke, 1970b: 142.
Holotype male in NMSA (not seen).
Diagnosis. Arista with very short hairs; dorsocentrals 2+3; katepisternals 1+2; fore tibia with a posterior median seta; mid femur with 2 preapical setae, one posterior and one posterodorsal; mid tibia with 2 posterior setae; costal spine not distinct; sternite 1 bare. Cercal plate and surstylus as in Zielke (1970b: Fig. 1). Notes. This runs to couplet 28 of Emden’s (1951) key, but has no costal spine and a very short-haired arista.
description: Published as part of Couri, Márcia & Pont, Adrian, 2017, Afrotropical Limnophora Robineau-Desvoidy (Diptera, Muscidae) with the description of four new species, pp. 501-536 in Zootaxa 4216 (6) on page 533, DOI: 10.5281/zenodo.242395
Predictive modeling for in-hospital mortality in pancreatic cancer patients
Creators: name: Luo, Fang
Publisher: name: No Publisher Supplied
Year: 2015

description: Background:  Pancreatic cancer is very aggressive with few symptoms before the cancer can diagnosed and usually the cancer is advanced when it was found. It is the most deadly type of cancer, and it is listed as the fourth leading cause of cancer-related death with a poor prognosis because of the late finding of the disease. To patients, the pancreatic cancer diagnosis is a life-changing disaster; however, to maximally extend the pancreatic cancer patients’ life is most important task after diagnosis. In this research study, we found certain statistical significant relationships between the death of pancreatic cancer patients and the comorbidities & demographics.  Furthermore, patients with some comorbidities or demographics can make their life longer or shorter.   Objectives: To develop a mathematic model to predict the death of pancreatic cancer patients using certain patients’ comorbidities and demographics. Also, pancreatic cancer patients with certain comorbidities or demographics can predict their rest of life will be longer or shorter.  Methods:  The study uses HCUP NIS year 2005-2009 data files as research source database. With retrieving pancreatic cancer patient from NIS data files, the database used in this study includes pancreatic cancer patients’ information with their comorbidities and some demographics. The algorithm used in this research study in 1) Logistic regression ROC curve calculation 2) Logistic regression Odds Ratio calculation.  Results: 1) In output ROC curve, the area under the ROC curve (AUC) is 0.725 which is >0.5. It means when randomly pick one patient from the disease group (diagnosed as pancreatic cancer) and one from the no-disease group (not diagnosed as pancreatic cancer) and do the test on both. The patient with the more abnormal test result (Died) should be the one from the disease group (diagnosed as pancreatic cancer). 2) 11 comorbidities can significantly influence on life of pancreatic cancer patients, both LCL and UCL of odds ratio are either <1 or >1 in all 11 comorbidities, which means if patients were diagnosed as one of 11 comorbidities, they might either live longer or live shorter.   Conclusions:  The study results were cross verified by 3 types of cancer patients, which is pancreatic cancer, breast cancer and stomach cancer. Those 11 comorbidities have the same statistical significance effect on influencing patients’ life. So far no literatures can be found on such kind of study, this study can be considered as a new research field in the future.
Additional file 1: of Perceptions of Mexican women regarding barriers in mental Heath Services in primary care
Creators: name: GalvĂĄn, Jorge
name: Nayelhi Saavedra
name: Bartolo, Feliciano
name: Berenzon, Shoshana
Publisher: name: Figshare
Year: 2017
Subjects: subject: Molecular Biology
subject: Sociology
subject: FOS: Sociology
subject: 69999 Biological Sciences not elsewhere classified
subject: FOS: Biological sciences
subject: Mental Health

description: Interview guide. (PDF 272Â kb)
Oswaldella tottoni Pena Cantero & Vervoort 1996
Creators: name: Soto, Joan J.
name: Peña, Álvaro L.
Publisher: name: Zenodo
Year: 2019
Subjects: Biodiversity
Taxonomy
Animalia
Cnidaria
Hydrozoa
Leptothecata
Kirchenpaueriidae
Oswaldella
Oswaldella tottoni

description: Oswaldella tottoni Peña Cantero & Vervoort, 1996
(Fig. 17 g–m)
Material examined. ANT XV/3: 48-194, few stems, up to 120 mm high, with gonothecae; ANT XXI/2: PS65/121, several stems, up to 150 mm high, with gonothecae; PS65/276, few stems, up to 120 mm high, with gonothecae.
Remarks. Only known with female gonothecae from its type locality in the Ross Sea (Peña Cantero & Vervoort 1996), although no sex was attributed by the authors. Material examined here let us confirm a patent sexual dimorphism (Fig. 17m). Male gonotheca, 1.3–1.7 mm high x 0.7–0.8 mm maximum width, cylindrical with rounded end, fusiform in lateral view, with distal, circular aperture. Female gonotheca larger, 2.4–3.0 mm high x 1.2 mm maximum width, inverted cone-shaped, flattened in lateral view, with subterminal, oval aperture.
Ecology and distribution. Species reported from depths between 256 (Peña Cantero & Vervoort 1996) and 400 m (Peña Cantero et al. 1997a); present material from 244 to 277 m. Circum-Antarctic species (Peña Cantero & Vervoort 2004).
description: Published as part of Soto, Joan J. & Peña, Álvaro L., 2019, Benthic hydroids (Cnidaria, Hydrozoa) from the Weddell Sea (Antarctica), pp. 1-78 in Zootaxa 4570 (1) on page 49, DOI: 10.11646/zootaxa.4570.1.1, http://zenodo.org/record/2608527
Additional file 5: Table S4. of Predictive value of C-reactive protein in patients treated with sunitinib for metastatic clear cell renal cell carcinoma
Creators: name: Pilskog, Martin
name: Beisland, Christian
name: Akslen, Lars
name: Bostad, Leif
name: Haug, Åse
name: Heinrich, Daniel
name: Hjelle, Karin
name: Oddbjørn Straume
Publisher: name: Figshare
Year: 2017
Subjects: subject: Biochemistry
subject: Medicine
subject: Cell Biology
subject: Pharmacology
subject: 69999 Biological Sciences not elsewhere classified
subject: FOS: Biological sciences
subject: Developmental Biology
subject: Cancer
subject: Hematology
subject: 60506 Virology

description: Summary of quality of life (QoL) scores. (DOCX 14 kb)
The brain mechanisms underlying walking in complex situations in healthy older adults and persons with Parkinson's disease
Creators: name: Maidan, Inbal
Publisher: name: No Publisher Supplied
Year: 2015

description: Introduction: The ability to walk safely and independently is a fundamental component of daily living activities. Walking while dual tasking and obstacle negotiation are two tasks that have been used to investigate walking in complex situations. Deficits in cognitive domains and sensory-motor processes associated with aging and neurodegenration impair the ability to successfully assess the environment and react to it. These changes in the ability to walk are modulated via neural circuits. However, the actual neural circuits of the brain involved in the control of locomotion in different challenging situations are still poorly understood.    Methods: Two groups of subjects; 20 healthy older adults (mean age 69.7±1.3 yrs, 50% females) and 47 persons with PD (mean age 71.7±1.1 yrs, 32% females) were studied. The protocol included real and imagined walking while negotiating obstacles and dual tasking. Walking conditions were performed while being monitored with fNIRS and imagined walking were assessed in the MR scanner. A repeated measures design (condition x group) was conducted with two levels; within group and between groups.   Results: Significant differences in brain activation were observed in the fMRI and fNIRS. Between groups comparison showed that persons with PD had a significantly higher activation in frontal, parietal, occipital, and cerebellum regions during usual walking compared to healthy older adults (p<0.048).  Comparison between the walking tasks within each group revealed (1) increased activation during walking while negotiating obstacles in both groups (p<0.023) and (2) increased activation during walking while dual tasking only in healthy older adults (p<0.035). Correlations between brain activation and performance in motor-cognitive tests were found in both groups however, healthy older adults presented inverse correlation and persons with PD positive correlation.   Conclusions: These findings indicate that subjects with PD activate larger brain areas than healthy older adults even during usual walking. Perhaps, this increased activation is a compensatory strategy to enhance performance. The increased activation already during usual walking task may limit the ability to increase activation or recruit additional brain areas during the more complex walking tasks and may contribute to the high prevalence of falls and the dual tasking difficulty in persons with PD.
Additional file 5: Table S4. of Predictive value of C-reactive protein in patients treated with sunitinib for metastatic clear cell renal cell carcinoma
Creators: name: Pilskog, Martin
name: Beisland, Christian
name: Akslen, Lars
name: Bostad, Leif
name: Haug, Åse
name: Heinrich, Daniel
name: Hjelle, Karin
name: Oddbjørn Straume
Publisher: name: Figshare
Year: 2017
Subjects: subject: Biochemistry
subject: Medicine
subject: Cell Biology
subject: Pharmacology
subject: 69999 Biological Sciences not elsewhere classified
subject: FOS: Biological sciences
subject: Developmental Biology
subject: Cancer
subject: Hematology
subject: Virology

description: Summary of quality of life (QoL) scores. (DOCX 14 kb)
title: ÐÐµÑ Ð°Ð½Ð¸ÑÐµÑÐºÐ¸Ðµ ÑÐ²Ð¾Ð¹ÑÑÐ²Ð° Ð¼Ð°ÑÐµÑÐ¸Ð°Ð»Ð¾Ð² Ð¸ ÑÑÐ»Ð¾Ð²Ð¸Ñ Ð¿ÑÐ¾ÑÐ½Ð¾ÑÑÐ¸ ÑÐ»ÐµÐ¼ÐµÐ½ÑÐ¾Ð² ÐºÐ¾Ð½ÑÑÑÑÐºÑÐ¸Ð¹. Ð§. 1
title: ÐºÐ¾Ð½ÑÐ¿ÐµÐºÑ Ð»ÐµÐºÑÐ¸Ð¹ Ð´Ð»Ñ ÑÑÑÐ´ÐµÐ½ÑÐ¾Ð² ÑÐ¸Ð·Ð¸ÐºÐ¾-Ð¼ÐµÑ Ð°Ð½Ð¸ÑÐµÑÐºÐ¾Ð³Ð¾ ÑÐ°ÐºÑÐ»ÑÑÐµÑÐ°, ÑÐ¿ÐµÑÐ¸Ð°Ð»Ð¸Ð·Ð¸ÑÑÑÑÐ¸Ñ ÑÑ Ð¿Ð¾ Ð´Ð¸Ð½Ð°Ð¼Ð¸ÐºÐµ Ð¸ Ð¿ÑÐ¾ÑÐ½Ð¾ÑÑÐ¸ Ð¼Ð°ÑÐ¸Ð½
titleType: Subtitle
Creators: name: ÐÐ°Ð²Ð»Ð¾Ð², ÐÐµÑÑ
name: ÐÐ¾Ð½Ð´Ð°ÐºÐ¾Ð²Ð°, ÐÐ»ÑÐ³Ð°
Publisher: name: [ÐÐÐ]
Year: 1973
Subjects: ÐÐ¾Ð½ÑÑÑÑÐºÑÐ¸Ð¾Ð½Ð½ÑÐµ Ð¼Ð°ÑÐµÑÐ¸Ð°Ð»Ñ

description: ÐÐ¾Ð½ÑÐ¿ÐµÐºÑ Ð»ÐµÐºÑÐ¸Ð¹ ÑÐ¾Ð´ÐµÑÐ¶Ð¸Ñ ÑÐ²ÐµÐ´ÐµÐ½Ð¸Ñ Ð¾ ÑÐ¸Ð·Ð¸ÑÐµÑÐºÐ¸Ñ Ð¼ÐµÑÐ°Ð½Ð¸Ð·Ð¼Ð°Ñ Ð´ÐµÑÐ¾ÑÐ¼Ð¸ÑÐ¾Ð²Ð°Ð½Ð¸Ñ Ð¸ ÑÐ°Ð·ÑÑÑÐµÐ½Ð¸Ñ, Ð¾Ð¿Ð¸ÑÐ°Ð½Ð¸Ðµ Ð¼ÐµÑÐ°Ð½Ð¸ÑÐµÑÐºÐ¸Ñ ÑÐ²Ð¾Ð¹ÑÑÐ² Ð²Ð°Ð¶Ð½ÐµÐ¹ÑÐ¸Ñ ÐºÐ¾Ð½ÑÑÑÑÐºÑÐ¸Ð¾Ð½Ð½ÑÑ Ð¼Ð°ÑÐµÑÐ¸Ð°Ð»Ð¾Ð² Ð² ÑÑÐ»Ð¾Ð²Ð¸ÑÑ Ð»Ð¸Ð½ÐµÐ¹Ð½Ð¾Ð³Ð¾ ÑÐ°ÑÑÑÐ¶ÐµÐ½Ð¸Ñ Ð¸ ÑÐ¶Ð°ÑÐ¸Ñ Ñ Ð¸ÑÐ¿Ð¾Ð»ÑÐ·Ð¾Ð²Ð°Ð½Ð¸ÐµÐ¼ Ð¿ÑÐ¾ÑÑÐµÐ¹ÑÐ¸Ñ ÑÑÐ°Ð²Ð½ÐµÐ½Ð¸Ð¹ ÑÐ¾ÑÑÐ¾ÑÐ½Ð¸Ñ, Ð° ÑÐ°ÐºÐ¶Ðµ Ð¸Ð·Ð»Ð¾Ð¶ÐµÐ½Ð¸Ðµ Ð¾ÑÐ½Ð¾Ð²Ð½ÑÑ Ð·Ð°ÐºÐ¾Ð½Ð¾Ð² Ð¿Ð»Ð°ÑÑÐ¸ÑÐµÑÐºÐ¾Ð³Ð¾ Ð¸ Ð²ÑÐ·ÐºÐ¾ÑÐ¿ÑÑÐ³Ð¾Ð³Ð¾ Ð´ÐµÑÐ¾ÑÐ¼Ð¸ÑÐ¾Ð²Ð°Ð½Ð¸Ñ Ð¼ÐµÑÐ°Ð»Ð»Ð¾Ð² Ð¿ÑÐ¸ ÑÐ»Ð¾Ð¶Ð½Ð¾Ð¼ Ð½Ð°Ð¿ÑÑÐ¶ÐµÐ½Ð½Ð¾Ð¼ ÑÐ¾ÑÑÐ¾ÑÐ½Ð¸Ð¸. ÐÐ¿Ð¸ÑÑÐ²Ð°ÐµÑÑÑ Ð¿Ð¾ÑÑÑÐ¾ÐµÐ½Ð¸Ðµ Ð¿ÑÑÐ¸ Ð´ÐµÑÐ¾ÑÐ¼Ð¸ÑÐ¾Ð²Ð°Ð½Ð¸Ñ Ð¿Ð¾ Ð·Ð°Ð´Ð°Ð½Ð½Ð¾Ð¼Ñ Ð¿ÑÑÐ¸ ÑÐ»Ð¾Ð¶Ð½Ð¾Ð³Ð¾ Ð½Ð°Ð³ÑÑÐ¶ÐµÐ½Ð¸Ñ Ð¸ Ð´Ð°ÐµÑÑÑ Ð¿ÑÐ¸Ð¼ÐµÑ Ð¾Ð¿ÑÐµÐ´ÐµÐ»ÐµÐ½Ð¸Ñ Ð¿ÑÐµÐ´ÐµÐ»ÑÐ½ÑÑ Ð½Ð°Ð³ÑÑÐ·Ð¾Ðº, Ð¾ÑÐ²ÐµÑÐ°ÑÑÐ¸Ñ Ð»Ð¾ÐºÐ°Ð»Ð¸Ð·Ð°ÑÐ¸Ð¸ Ð¿Ð»Ð°ÑÑÐ¸ÑÐµÑÐºÐ¾Ð¹ Ð´ÐµÑÐ¾ÑÐ¼Ð°ÑÐ¸Ð¸. ÐÑÐ¸Ð²Ð¾Ð´ÑÑÑÑ Ð´Ð¸Ð°Ð³ÑÐ°Ð¼Ð¼Ñ Ð²ÑÐ·ÐºÐ¾ÑÐ¿ÑÑÐ³Ð¾Ð¿Ð»Ð°ÑÑÐ¸ÑÐµÑÐºÐ¾Ð³Ð¾ Ð´ÐµÑÐ¾ÑÐ¼Ð¸ÑÐ¾Ð²Ð°Ð½Ð¸Ñ Ð¸ ÐºÑÐ¸Ð²ÑÐµ Ð´Ð»Ð¸ÑÐµÐ»ÑÐ½Ð¾Ð¹ Ð¿ÑÐ¾ÑÐ½Ð¾ÑÑÐ¸ ÐºÐ¾Ð½ÐºÑÐµÑÐ½ÑÑ ÐºÐ¾Ð½ÑÑÑÑÐºÑÐ¸Ð¾Ð½Ð½ÑÑ Ð¼Ð°ÑÐµÑÐ¸Ð°Ð»Ð¾Ð². ÐÐ¾Ð½ÑÐ¿ÐµÐºÑ ÑÐ°ÑÑÑÐ¸ÑÐ°Ð½ Ð½Ð° ÑÑÑÐ´ÐµÐ½ÑÐ¾Ð² ÑÑÐ°ÑÑÐ¸Ñ ÐºÑÑÑÐ¾Ð², Ð°ÑÐ¿Ð¸ÑÐ°Ð½ÑÐ¾Ð² Ð¸ Ð¸Ð½Ð¶ÐµÐ½ÐµÑÐ¾Ð², Ð·Ð°Ð½Ð¸Ð¼Ð°ÑÑÐ¸ÑÑÑ Ð²Ð¾Ð¿ÑÐ¾ÑÐ°Ð¼Ð¸ Ð¿ÑÐ¾ÑÐ½Ð¾ÑÑÐ¸.
Limnophora transversalis Zielke 1971
Creators: name: Couri, Márcia
name: Pont, Adrian
Publisher: name: Zenodo
Year: 2017
Subjects: Biodiversity
Taxonomy
Animalia
Arthropoda
Insecta
Diptera
Muscidae
Limnophora
Limnophora transversalis

description: Limnophora transversalis Zielke, 1971a: 291.
Holotype female in NMSA (not seen).
Diagnosis. Dorsocentrals 2+3; fore tibia without a posterior seta; mid femur with 2 preapical setae; mid tibia with 2 posterior setae; lower katepisternal seta closer to the posterior one than to the anterior one; haltere yellow.
Notes. This runs to couplet 28 of Emden’s (1951) key, but Zielke does not give any characters that would enable it to go further (such as length of aristal plumes and width of parafacial).
description: Published as part of Couri, Márcia & Pont, Adrian, 2017, Afrotropical Limnophora Robineau-Desvoidy (Diptera, Muscidae) with the description of four new species, pp. 501-536 in Zootaxa 4216 (6) on pages 533-534, DOI: 10.5281/zenodo.242395
Additional file 3: of Molecular characterization of hepatitis B virus in Vietnam
Creators: name: Bui, Thi Ton Taht
name: Tran, Tan Thanh
name: Nghiem, My Ngoc
name: Rahman, Pierre
name: Tran, Thi Thanh Thanh
name: Dinh, Man Nguyen Huy
name: Le, Manh Hung
name: Nguyen, Van Vinh Chau
name: Thwaites, Guy
name: Motiur Rahman
Publisher: name: Figshare
Year: 2017
Subjects: subject: Microbiology
subject: FOS: Biological sciences
subject: Genetics
subject: Molecular Biology
subject: 59999 Environmental Sciences not elsewhere classified
subject: FOS: Earth and related environmental sciences
subject: 39999 Chemical Sciences not elsewhere classified
subject: FOS: Chemical sciences
subject: Ecology
subject: 69999 Biological Sciences not elsewhere classified
subject: 110309 Infectious Diseases
subject: FOS: Health sciences
subject: 60506 Virology

description: HBV reference isolates_180817. The HBV reference genome sequence and sequences isolated from Vietnam in this study used for phylogentic analysis. Gene Bank accession number and subgenotype of the reference sequences used for phylogenetic analysis. Gene Bank accession number and subgenotype of the HBV isolates from this study. (DOCX 12 kb)
Final report. Development of a conceptual plan for a living shoreline near Harrison Avenue in North Camden, New Jersey
Creators: name: Kreeger, Danielle
name: Moody, Joshua
name: Buckner, Jessie
name: Whalen, Laura
name: Rothrock, Sari
name: Ross, Dee
name: Cole, Priscilla
name: Padeletti, Angela
Publisher: name: No Publisher Supplied
Year: 2014

description: This report provides first conceptual ideas for a living shoreline tailored for the unique stressors and natural resources found within the urban corridor, namely along a degraded shoreline adjacent to a former landfill in North Camden, New Jersey. The Harrison Avenue Landfill site is situated at the confluence of the Cooper River and Delaware River, on the eastern side of Petty Island. Although past industrial activity left this landscape scarred and altered significantly, in most areas the natural infrastructure has begun to reassert itself as industrial uses have been reduced over time. The conceived living shoreline would be situated along the eastern shoreline of the Delaware River immediately upstream from the mouth of the Cooper River. The conceptual plan for the Harrison Landfill Living Shoreline is designed as a habitat mosaic that would include freshwater tidal high marsh (not currently in evidence here), expanded freshwater tidal low marsh (exists currently but with low biodiversity), and beds of freshwater mussels and submerged aquatic vegetation in the shallow subtidal zone fronting the tidal wetlands. If successful, the living shoreline project would therefore likely contribute to a substantial increase in meaningful water quality benefits in the Camden area at the former landfill site.
Euphractus Wagler 1830
Creators: name: James H. Honacki
name: Kenneth E. Kinman
name: James W. Koeppl
Publisher: name: Alien Press, Inc. & The Association of Systematics Collections
Year: 1982
Subjects: Biodiversity
Taxonomy
Animalia
Chordata
Mammalia
Edentata
Dasypodidae
Euphractus

description: Euphractus Wagler, 1830. Natürliches Syst. Amphibien, p. 36.
COMMENT: Moeller, 1968, Zool. Jahrb. Abt. Syst. Oekol. Geogr. Tiere, 85:411-528, included Chaetophractus and Zaedyus in this genus, but see Wetzel, 1982, in Montgomery, ed., Smithson. Inst. Press, Washington, D.C., who considered them to be distinct genera.
ISIS NUMBER: 5301407003006000000.
description: Published as part of James H. Honacki, Kenneth E. Kinman & James W. Koeppl, 1982, Order Edentata, pp. 52-57 in Mammal Species of the World (1 st Edition), Lawrence, Kansas, USA :Alien Press, Inc. & The Association of Systematics Collections on page 56, DOI: 10.5281/zenodo.7352995
Limnophora triangularis Couri, Pont & Penny 2006
Creators: name: Couri, Márcia
name: Pont, Adrian
Publisher: name: Zenodo
Year: 2017
Subjects: Biodiversity
Taxonomy
Animalia
Arthropoda
Insecta
Diptera
Muscidae
Limnophora
Limnophora triangularis

description: Limnophora triangularis Couri, Pont & Penny, 2006: 853.
Holotype female in CAS.
Diagnosis. Ocellar triangle cut off abruptly; scutum with a pair of presutural spots running along the dorsocentral rows of setae and reaching the second pair of presutural dorsocentrals; mid femur with two posterior preapical setae; mid tibia with two posterior setae on middle third.
Notes. Described from Madagascar and known only from the female. Ovipositor and spermatheca illustrated by Couri et al. (2006: Fig. 99). The species runs to L. excisa at couplet 32 of Emden’s key, and Couri et al. (2006) gave the following key couplet to separate the two species:
1. Ocellar triangle cut off abruptly, not extending far down frons; fronto-orbital plate brown on over upper half; mid femur with 2 posterior preapical setae; scutellum black along sides as well as along base; black abdominal spots larger, those on tergites 3 and 4 reaching fore margin of the tergites........................................................ L. triangularis
- Ocellar triangle normal, reaching at least halfway from front ocellus to lunule; fronto-orbital plate silvery, brownish only around middle; mid femur with 1 preapical posterior seta; scutellum black only along base, grey on sides; black abdominal spots smaller, those on tergites 3 and 4 not reaching fore margin of the tergites............................... L. excisa
description: Published as part of Couri, Márcia & Pont, Adrian, 2017, Afrotropical Limnophora Robineau-Desvoidy (Diptera, Muscidae) with the description of four new species, pp. 501-536 in Zootaxa 4216 (6) on page 534, DOI: 10.5281/zenodo.242395
Additional file 3: of Molecular characterization of hepatitis B virus in Vietnam
Creators: name: Bui, Thi Ton Taht
name: Tran, Tan Thanh
name: Nghiem, My Ngoc
name: Rahman, Pierre
name: Tran, Thi Thanh Thanh
name: Dinh, Man Nguyen Huy
name: Le, Manh Hung
name: Nguyen, Van Vinh Chau
name: Thwaites, Guy
name: Motiur Rahman
Publisher: name: Figshare
Year: 2017
Subjects: subject: Microbiology
subject: FOS: Biological sciences
subject: Genetics
subject: Molecular Biology
subject: 59999 Environmental Sciences not elsewhere classified
subject: FOS: Earth and related environmental sciences
subject: 39999 Chemical Sciences not elsewhere classified
subject: FOS: Chemical sciences
subject: Ecology
subject: 69999 Biological Sciences not elsewhere classified
subject: Infectious Diseases
subject: FOS: Health sciences
subject: Virology

description: HBV reference isolates_180817. The HBV reference genome sequence and sequences isolated from Vietnam in this study used for phylogentic analysis. Gene Bank accession number and subgenotype of the reference sequences used for phylogenetic analysis. Gene Bank accession number and subgenotype of the HBV isolates from this study. (DOCX 12 kb)
Low-achieving students' perspectives regarding their experiences as recipients of instructional support delivered in a general education setting
Creators: name: Carman, Lynn Keller
Publisher: name: No Publisher Supplied
Year: 2015

description: Similar to administering support services for special education, basic skills instruction (BSI) for low achievers is increasingly being delivered in general education, or heterogeneous, classrooms. These practices have become more common as a result of research findings suggesting that an in-class setting is favored for struggling students. However, whereas some studies have shown heterogeneous compositions of students to be more beneficial than homogeneous settings, characteristic in pull-out instruction, conflicting evidence exists.       While the intent of this study was not to confirm or deny whether the benefits of push-in settings outweigh those of pull-out settings, this phenomenology research examined this topic in a manner that has largely been ignored: examining students’ perspectives relating to their support experiences.   Data collection methods consisted of interviews, observations, and students’ drawings. Participants were asked to draw pictures of classrooms they felt would be an ideal setting to receive their support instruction in.       Data analysis of this qualitative study provides insight about why there are contrasting findings between existing studies. This research found that participants felt that in-class BSI support was a generally positive experience, and they credited much of the progress they have made during the school year to that program. According to these students, one of the most valuable aspects of receiving support in a heterogeneous setting was the fact that they receive help from the higher-performing students. By contrast, their drawings demonstrated that they favored being in a homogeneous setting for their support instruction. The participants preferred being in smaller group settings and being among students who performed similarly to themselves. Findings in this study also demonstrate that, when teachers provide a supportive classroom environment that includes differentiated instruction and mastery experiences, the support program works well.       Results of this study suggest that policy makers and administrators should consider revisiting how their support programs are delivered. The results of this study provide them with a resource of valuable real-life information that other research has largely omitted. The participants’ perspectives of how they experience this phenomenon can help towards the construction of more effective support instruction for the low-achieving student population.
An evaluation for how the innovator, innovation, and context affect technology innovations in a K-5 setting
Creators: name: Duncan, Paul
Publisher: name: No Publisher Supplied
Year: 2015

description: There are a variety of factors that can facilitate or constrain technology use in classrooms (Hew & Brush, 2006). Using a modified version of the framework for Conditions for Classroom Technology Innovations (Zhao et al., 2002), this study explored how the innovator, innovation, and context impact technology use in four K-5 elementary schools. The TPACK framework was used to analyze teacher knowledge and support structures (Mishra & Koehler, 2006). Research has called for more contextualized studies in schools, that include stakeholders like teachers and administrators, and that focus on supports like vision, access to technology, training, collaboration, and technical support. Of particular importance is not just the availability of these supports but how well they flexibly and responsively meet the needs of teachers (Granger et al., 2002; Rutkowski et al., 2011).    Therefore, the purpose of this study was to conduct a program evaluation to determine the needs of teachers using the framework so the district could improve context supports to better meet teacher needs and improve teaching practices. Study participants included fifty-eight teachers who participated in a survey—twenty of whom also participated in focus groups. Other relevant stakeholders included technology coaches, principals, tech support personnel, and central office administrators who participated in interviews or focus groups.    The findings established a wide variety of needs that could benefit from greater responsiveness from the supports the district has established. The innovators demonstrated a need for more ongoing, detailed training for basic technical knowledge before widespread integration at the level of TPACK could be established. With increased access to a variety of technologies, “easy and efficient” use is needed if teachers are going to be able to properly integrate the number of tools that are becoming available to them due to decreased costs for new technology. Also important were underlying beliefs that were hindering greater technology integration, particularly with decentralizing the classroom for more student-centered practices. Teachers had a variety of “distances” between themselves and technology, and between the desired technology practices and their current practices.    The implications call for the district to more purposely use teachers’ needs to drive the flexible supports it already has in place. This includes articulating a short-term vision and improving the coordination of support structures to help all teachers meet the vision. Those supports would involve ongoing discussions about teacher pedagogical beliefs, increased coaching during the school day, structured collaboration to meet the vision, and more ongoing training for basic technical knowledge. This study shows the importance of using all relevant stakeholders to evaluate a program for improved practices and to use teacher needs to coordinate improved context supports.