bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Potensi Lahan Pertanian Pangan Berkelanjutan Di Kabupaten Lamongan Tahun 2018
Authors: Rahmawaty Mitha Asyita
Published: June 2020

This study aims to analyze the potential of sustainable food agriculture land in Lamongan District in 2018. This research emphasizes the potential of sustainable food agriculture land based on Lamongan District Regulation Number 15 Year 2011 concerning Spatial Planning for Lamongan Regency in 2011-2031. The research method used is a quantitative research that emphasizes analytical techniques in GIS (Geographic Information Systems), namely overlay and buffering maps. Map overlay is done between the map of agricultural land use with a map of the carrying capacity agricultural land in Lamongan Regency. Then doing a map buffering analysis technique based on road network parameters. The results showed that the potential area for sustainable food agriculture in Lamongan Regency in 2018 was 45,627.54 hectares or 25.17% of the area of Lamongan Regency.
Transisi Demografi di Kabupaten Sleman: Proses dan Analisis Perubahan Struktur Penduduk Dalam Satu Dasawarsa Terakhir
Authors: Alfana Muhammad Arif Fahrudin , Adlina Luthfia , Rohmah Hidayati Nur
Published: June 2020

Tujuan dalam penelitian ini adalah untuk menjelaskan transisi demografis yang terjadi di Kabupaten Sleman Daerah Istimewa Yogyakarta dalam satu dasawarsa terakhir. Metode yang digunakan adalah menggunakan studi kepustakaan. Analisis data menggunakan analisis deskriptif kualitatif. Hasil penelitian menunjukkan bahwa selama 2010 sampai 2020 proses transisi demografis terus terjadi dan dapat secara mudah dilihat dari piramida penduduk. Perubahan struktur penduduk di kabupaten Sleman hampir terjadi di semua jenjang kategori baik untuk kelompok umur muda (0-14 tahun), kelompok umur produktif (15-65 tahun) dan kelompok umur tua/lansia (65 tahun ke atas). Pada kelompok usia muda, perubahan lebih kepada semakin naiknya tingkat kelahiran di Kabupaten Sleman. Pada kelompok produktif, perubahan lebih kepada terjadinya pergeseran pola penduduk kelompok umur 25-29 dan 30-34 dimana sayap piramida terus mengalami peningkatan selama satu dasawarsa terakhir. Sedangkan pada kelompok usia tua/lansia, perubahan struktur lebih kepada bertambahnya jumlah lansia dari waktu ke waktu.
Lansia Tangguh “7 (Tujuh) Dimensi” di Kota Yogyakarta (Kasus: Lansia di Badran RW XI, Kelurahan Bumijo, Kecamatan Jetis)
Authors: Sutrisnowati Sri Agustin , Khotimah Nurul , Widyastuti Mawanti
Published: June 2020

Penelitian ini bertujuan untuk mengetahui : (1) kondisi lansia tangguh “7 (tujuh) dimensi” di Kota Yogyakarta, dan (2) faktor yang paling berhubungan dengan kondisi lansia tangguh “7 (tujuh) dimensi” di Kota Yogyakarta. Penelitian ini merupakan peneltian deskriptif yang dilakukan di Kota Yogyakarta dengan mengambil kasus lansia di Badran RW XI, Kelurahan Bumijo, Kecamatan Jetis, yang telah mendapat intervensi BKL. Variabel penelitian ini adalah kondisi lansia tangguh “7 (tujuh) dimensi” dan faktor-faktor yang berhubungan dengan kondisi lansia tangguh “7 (tujuh) dimensi”. Sampel ditentukan secara kuota sampling, yaitu sebanyak 50 orang. Data penelitian dikumpulkan dengan metode observasi, wawancara, dan dokumentasi. Data penelitian selanjutnya dianalisis secara deskriptif berdasarkan data tabel frekuensi dan hasil uji statistik korelasi pearson. Hasil penelitian menunjukkan bahwa: (1) kondisi lansia tangguh 7 (tujuh) dimensi di daerah penelitian didominasi dengan kategori sedang, (2) faktor yang paling berhubungan dengan kondisi lansia tangguh 7 (tujuh) dimensi adalah pendidikan lansia, dengan nilai korelasi pearson sebesar 0.385 atau korelasi cukup.
OTAK KARAKTER DALAM PENDIDIKAN ISLAM: ANALISIS KRITIS PENDIDIKAN KARAKTER ISLAM BERBASIS NEUROSAINS
Authors: Awhinarto Awhinarto , Suyadi Suyadi
Published: June 2020

Penelitian ini bertujuan menganalisis pendidikan karakter dalam perspektif neurosains. Hal ini dilatarbelakangi oleh bukti adanya hubungan yang tak terpisahkan antara otak dan karakter manusia. Oleh karena itu, pendidikan karakter sebenarnya tidak dapat dipisahkan dari organ penting manusia yang biasa disebut dengan otak. Penelitian ini merupakan studi kepustakaan dengan pendekatan kualitatif. Sumber data penelitian ini adalah berbagai literatur baik berasal dari buku maupun jurnal terkait dengan pendidikan karakter dan neurosains. Pengumpulan data dilakukan dengan penelusuran dan pembacaan referensi terkait baik secara manual maupun digital. Data yang terkumpul kemudian didisplay, direduksi, dan dikonstruksi menjadi konsep baru yang utuh. Analisis data dilakukan secara induktif dengan mengedepankan intelektualitas. Hasil penelitian menunjukkan otak manusia berfungsi mempengaruhi manusia dalam menjalankan aktivitasnya. Perilaku manusia dikontrol oleh sistem saraf dalam otak, sehingga seluruh aktivitasnya bermuara pada fungsi otaknya. Pendidikan karakter Islam menekankan pada proses pembentukan perilaku manusia yang baik (al-akhlaqul karimah) dan menjauhkan manusia dari perilaku buruk (al-akhlaqul madzmumah). Nilai-nilai karakter dalam pendidikan Islam didasarkan pada nilai-nilai kebaikan (ihsan) yang terkandung dalam Alquran dan hadis Nabi Muhammad saw. Kata kunci: Otak, pendidikan Islam, pendidikan karakter, neurosains. CHARACTER BRAIN IN ISLAMIC EDUCATION: CRITICAL ANALYSIS OF ISLAMIC CHARACTER EDUCATION BASED ON NEUROSAINS Abstract: This study aims to analyze character education in the neuroscience perspective. This is motivated by evidence of an inseparable relationship between the brain and human character. Therefore, character education actually cannot be separated from important human organs commonly called the brain. This research is a literature study with a qualitative approach. The data source of this research is a variety of literature both from books and journals related to character education and neuroscience. Data collection was done by searching and reading related references both manually and digitally. The collected data were then displayed, reduced, and constructed into a whole new concept. Data analysis was carried out inductively by promoting intellect. The results showed that the human brain functions were to influence humans in carrying out their activities. Human behavior is controlled by the nervous sistem in the brain, so that all of his activities lead to the functioning of the brain. Islamic character education emphasizes the process of forming good human behavior (al-akhlaqul karimah) and keeping people from bad behavior (al-akhlaqul madzmumah). Character values in Islamic education are based on the values of goodness (ihsan) contained in the Qur’an and the traditions of the Prophet Muhammad PBUH. Keywords: Brain, Islamic education, character education, neuroscience
Параметры туннельного барьера сверхпроводниковых структур на основе ниобия
Authors: Парамонов М.Е. , Филиппенко Л.В. , Дмитриев П.Н. , Фоминский М.Ю. , Ермаков А.Б. , Кошелец В.П.
Published: June 2020

The main parameters of the tunneling barrier of the Josephson junctions Nb/AlOx/Nb and Nb/AlN/Nb were estimated using the Simmons method in a wide range of current densities. The dependences of the height and width of the tunnel barrier on the resistivity for each type of junctions are experimentally determined. A decrease in the height of the AlN tunnel barrier by 0.3 eV, compared with the oxide one, makes it possible to obtain junctions with a current density above 15 kA/cm2 at a technologically achievable insulation layer of the order of 10 Angstroms, which makes it possible to realize the quality parameter Rj/Rn not lower than 25.
Затухание вакуумных осцилляций Раби в двухкубитной структуре в высокодобротном резонаторе
Authors: Чуйкин О.А. , Гринберг Я.С. , Штыгашев А.А.
Published: June 2020

In this work, we study the damping of vacuum Rabi oscillations for a system of two superconducting solid-state qubits placed in a high-quality microwave resonator. Two different cases are considered: the first qubit is excited at the initial moment, and the initial state is an entangled symmetric and antisymmetric pair. The dependence of the damping on various parameters, primarily on the photon-qubit coupling and on the distance between qubits, is studied in detail. It is shown that for some parameters, the relaxation time of the excited qubit is significantly longer than that for a single qubit in the cavity.
Экспериментальное наблюдение s-компоненты сверхпроводящего спаривания в тонких неупорядоченных пленках ВТСП на основе YBCO
Authors: Антонов А.В. , Елькинa А.И. , Васильев B.К. , Галин М.А. , Мастеров Д.В. , Михайлов А.Н. , Морозов С.В. , Павлов С.А. , Парафин А.Е. , Тетельбаум Д.И. , Уставщиков С.С. , Юнин П.А. , Савинов Д.А.
Published: June 2020

The original research results for thin disordered HTSC films based on YBCO are presented in this article. Several experiments have been carried out to confirm a theoretical prediction that the s-phase of superconducting pairing in disordered d-type superconductors can occur with a gradual decrease in the mean free path. The YBa_2Cu_3O_{7-x} films were used as samples which possess a d-type of superconducting state that was experimentally confirmed. A gradual decrease in the mean free path was achieved by both thermal annealing and ion irradiation. The experiments included measurements of temperature dependence of the London penetration depth λ and resistive studies.
Спектральный отклик матриц полуволновых и электрически малых антенн с СИНИС-болометрами
Authors: Гунбина А.А. , Тарасов М.А. , Лемзяков С.А. , Чекушкин А.М. , Юсупов Р.А. , Нагирная Д.В. , Мансфельд М.А. , Вдовин В.Ф. , Винклер Д. , Калабухов А.С. , Махашабде С. , Эдельман В.С.
Published: June 2020

Two types arrays of ring half – wave and electrically small antennas (the typical sizes of the elements correspond to 1/10 of the wavelength) of SubTHz band with integrated Superconductor – Insulator – Normal metal – Insulator-Superconductor (SINIS) bolometers have been developed, fabricated and investigated. It is necessary to make numerical modeling of the full structure and to use additional reference channels in experimental studies for improving the accuracy of the spectral response estimations of receiving arrays. In this work, three reference channels were used for normalization: a pyroelectric receiver outside the cryostat and two cold channels – a RuO2 bolometer and chain of NIS junctions as a thermometer.
Эффективные взаимодействия, индуцированные спин-орбитальной связью в сверхпроводящих нанопроволоках в режиме сильных корреляций
Authors: Злотников А.О. , Аксенов С.В. , Шустин М.С.
Published: June 2020

Abstract In the second order of the operator form of the perturbation theory, the effective interactions in a superconducting nanowire have been obtained at the strong electron correlations, when the spin–orbit coupling parameter is comparable with the hopping integral. Using the exact diagonalization technique, in short nanowires with the open boundary conditions at the strong Coulomb repulsion, the excitations corresponding to the Majorana edge states with the energy below the value of a bulk superconducting gap have been demonstrated.
Internet-Delivered Tobacco Treatment for People Using Cannabis: A Randomized Trial in Two Australian Cannabis Clinics
Authors: Hindson Josephine , Hanstock Tanya , Dunlop Adrian , Kay-Lambkin Frances
Published: June 2020

Background

Tobacco use is disproportionately higher in people who smoke cannabis than in the general population, increasing the severity of dependence for cannabis use, decreasing the likelihood of successful quit attempts for both cannabis and tobacco, and increasing the risk of relapse for both substances. Opportunities to address tobacco use in people using cannabis are being missed.

Objective

This study aims to investigate the feasibility of engaging tobacco smokers who were accessing treatment for cannabis, with a tobacco-focused internet-based Healthy Lifestyle Program (iHeLP; 4 modules). It was hypothesized that iHeLP completion would be associated with decreases in tobacco use and improved quality of life (QoL) and psychological health. It was also hypothesized that iHeLP completion would be higher in those who additionally received telephone support. Given that iHeLP aimed to improve healthy lifestyle behaviors, it was also hypothesized that there would be reductions in cannabis use.

Methods

A total of 13 smokers seeking treatment for cannabis use were randomly allocated to iHeLP alone or iHeLP plus telephone support. Participants were engaged in iHeLP over 8 weeks and completed a 12-week follow-up assessment.

Results

Results from 10 participants who completed the follow-up indicated that the acceptability of iHeLP was high-very high in terms of general satisfaction, appropriateness of services, effectiveness, and met need. Additional telephone support increased modal module completion rates for iHeLP from 0 to 2 but did not provide any other significant advantages over iHeLP alone in terms of cannabis use, tobacco use, QoL, or psychological health. Participants in the iHeLP-alone condition (n=4) reported a mean reduction of 5.5 (SD 9.00) tobacco cigarettes per day between baseline and follow-up, with a concomitant mean reduction in expired carbon monoxide (CO) of 5.5 parts per million (ppm, SD 6.91). The iHeLP plus telephone support group (n=6) reported a mean reduction of 1.13 (SD 4.88) tobacco cigarettes per day and a mean reduction of 9.337 ppm of expired CO (SD 5.65). A urinalysis indicated that abstinence from cannabis was achieved by 2 participants in the iHeLP-alone group and three participants in the iHeLP plus telephone support group. Between baseline and follow-up assessments, iHeLP-alone participants reported a mean reduction in days of use of cannabis in the prior month of 6.17 days (SD 13.30). The average reduction in the number of days of cannabis use for the iHeLP plus telephone support group was also 6.17 days (SD 13.59).

Conclusions

Despite the small sample size, this study provides preliminary support for the use of internet-delivered, tobacco-focused interventions in tobacco smokers seeking treatment for cannabis use.
Self-Selection of Bathroom-Assistive Technology: Development of an Electronic Decision Support System (Hygiene 2.0)
Authors: Guay Manon , Latulippe Karine , Auger Claudine , Giroux Dominique , Séguin-Tremblay Noémie , Gauthier Josée , Genest Catherine , Morales Ernesto , Vincent Claude
Published: June 2020

Background

A clinical algorithm (Algo) in paper form is used in Quebec, Canada, to allow health care workers other than occupational therapists (OTs) to make bathroom adaptation recommendations for older adults. An integrated knowledge transfer process around Algo suggested an electronic version of this decision support system (electronic decision support system [e-DSS]) to be used by older adults and their caregivers in search of information and solutions for their autonomy and safety in the bathroom.

Objective

This study aims to (1) create an e-DSS for the self-selection of bathroom-assistive technology by community-dwelling older adults and their caregivers and (2) assess usability with lay users and experts to improve the design accordingly.

Methods

On the basis of a user-centered design approach, the process started with content identification for the prototype through 7 semistructured interviews with key informants of various backgrounds (health care providers, assistive technology providers, and community services) and 4 focus groups (2 with older adults and 2 with caregivers). A thematic content transcript analysis was carried out and used during the creation of the prototype. The prototype was refined iteratively using think-aloud and observation methods with a clinical expert (n=1), researchers (n=3), OTs (n=3), older adults (n=3), and caregivers (n=3), who provided information on the usability of the e-DSS.

Results

Overall, 4 themes served as the criteria for the prototype of the electronic Algo (Hygiene 2.0 [H2.0]): focus (safety, confidentiality, well-being, and autonomy), engage, facilitate (simplify, clarify, and illustrate), and access. For example, users first pay attention to the images (engage and illustrate) that can be used to depict safe postures (safety), illustrate questions embedded in the decision support tool (clarify and illustrate), and demonstrate the context of the use of assistive technology (safety and clarify).

Conclusions

The user-centered design of H2.0 allowed the cocreation of an e-DSS in the form of a website, in line with the needs of community-dwelling older adults and their caregivers seeking bathroom-assistive technology that enables personal hygiene. Each iteration improved usability and brought more insight into the users’ realities, tailoring the e-DSS to the implementation context.
Validation of a Mobile Version of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form: An Observational Randomized Crossover Trial
Authors: Hou Jingyi , Li Qingyue , Yu Menglei , Li Fangqi , Tang Yiyong , Long Yi , Alike Yamuhanmode , Zhang Yuanhao , Ali Maslah Idiris , Zhang Congda , Li Weiping , Yang Rui
Published: June 2020

Background

The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) questionnaire is an effective tool for evaluating shoulder joint function. The development and usage of a mobile version of the ASES questionnaire has the potential to save time, money, and effort.

Objective

The aim of this study is to assess the equivalence between the paper and mobile versions of the ASES questionnaire and their acceptability among patients.

Methods

The paper and mobile versions of the ASES questionnaire were used to evaluate the shoulder joint function of 50 patients with shoulder pain. This study included patients from the shoulder clinic of Sun Yat-sen Memorial Hospital. The intraclass correlation coefficient (ICC) and Bland-Altman method were used to evaluate the agreement (reliability) of the scores obtained by the two methods (paper versus mobile).

Results

Of the 50 patients recruited from March 2018 to May 2019, 46 (92%) completed the study. There was a high agreement between the paper and mobile versions of the ASES questionnaire (ICC=0.979, 95% CI 0.943-0.987; P<.001). The mean difference between the scores of the mobile and paper versions was 1.0, and only 1/46 (2%) had a difference greater than the minimal clinically important difference of 12 points. About 75% of patients preferred the mobile version to the paper version.

Conclusions

Our study shows that the mobile version of the ASES questionnaire is comparable to the paper version, and has a higher patient preference. This could prove to be a useful tool for epidemiological studies and patient follow-up over longer periods of time.
Creating a Smartphone App for Caregivers of Children With Atopic Dermatitis With Caregivers, Health Care Professionals, and Digital Health Experts: Participatory Co-Design
Authors: Xu Xiaomeng , Griva Konstadina , Koh Mark , Lum Elaine , Tan Woan Shin , Thng Steven , Car Josip
Published: June 2020

Background

Smartphone apps could support patients and caregivers in disease self-management. However, as patients’ experiences and needs might not always align with clinical judgments, the eliciting and engaging of perspectives of all stakeholders in the smartphone app design process is of paramount importance.

Objective

The aims of this study are to better understand the needs of and challenges facing caregivers and health care professionals (HCPs) who care for children with atopic dermatitis (AD) and to explore the desirable features and content of a smartphone app that would support AD self-management.

Methods

This study adopted a qualitative participatory co-design methodology involving 3 focus group discussions: workshop one focused on caregivers; workshop two engaged with HCPs; and in the last workshop, caregivers and digital health experts were asked to design the wireframe prototype. The participants completed a sociodemographic questionnaire, a technology acceptance questionnaire, and a workshop evaluation form.

Results

Twelve caregivers participated in the first workshop, and 10 HCPs participated in the second workshop. Eight caregivers and 4 digital health experts attended the third workshop. Three superordinate themes that reflected caregivers’ and HCPs’ challenges and needs were identified: empowerment by education, confusion over treatment, and emotional impact. Workshop participants also raised a series of suggestions on the features and contents of the AD self-management app, which informed the last co-design workshop, and described their needs and challenges. In the last workshop, the participants developed a wireframe prototype of the app following the identified requirements and recommendations.

Conclusions

The co-design approach was found to be a successful way of engaging with the participants, as it allowed them to express their creativity and helped us to articulate the root of the clinical problems. The co-design workshop was successful in creating and generating new ideas and solutions for smartphone app development.
Barriers to and Facilitators of the Prescription of mHealth Apps in Australian General Practice: Qualitative Study
Authors: Byambasuren Oyungerel , Beller Elaine , Hoffmann Tammy , Glasziou Paul
Published: June 2020

Background

The ubiquity of smartphones and health apps make them a potential self-management tool for patients that could be prescribed by medical professionals. However, little is known about how Australian general practitioners and their patients view the possibility of prescribing mobile health (mHealth) apps as a nondrug intervention.

Objective

This study aimed to determine barriers and facilitators to prescribing mHealth apps in Australian general practice from the perspective of general practitioners and their patients.

Methods

We conducted semistructured interviews in Australian general practice settings with purposively sampled general practitioners and patients. The audio-recorded interviews were transcribed, coded, and thematically analyzed by two researchers.

Results

Interview participants included 20 general practitioners and 15 adult patients. General practitioners’ perceived barriers to prescribing apps included a generational difference in the digital propensity for providers and patients; lack of knowledge of prescribable apps and trustworthy sources to access them; the time commitment required of providers and patients to learn and use the apps; and concerns about privacy, safety, and trustworthiness of health apps. General practitioners perceived facilitators as trustworthy sources to access prescribable apps and information, and younger generation and widespread smartphone ownership. For patients, the main barriers were older age and usability of mHealth apps. Patients were not concerned about privacy and data safety issues regarding health app use. Facilitators for patients included the ubiquity of smartphones and apps, especially for the younger generation and recommendation of apps by doctors. We identified evidence of effectiveness as an independent theme from both the provider and patient perspectives.

Conclusions

mHealth app prescription appears to be feasible in general practice. The barriers and facilitators identified by the providers and patients overlapped, though privacy was of less concern to patients. The involvement of health professionals and patients is vital for the successful integration of effective, evidence-based mHealth apps with clinical practice.
Virtual Reality Smartphone-Based Intervention for Smoking Cessation: Pilot Randomized Controlled Trial on Initial Clinical Efficacy and Adherence
Authors: Goldenhersch Emilio , Thrul Johannes , Ungaretti Joaquín , Rosencovich Nicolas , Waitman Cristian , Ceberio Marcelo Rodriguez
Published: June 2020

Background

Obstacles to current tobacco cessation programs include limited access and adherence to effective interventions. Digital interventions offer a great opportunity to overcome these difficulties, yet virtual reality has not been used as a remote and self-administered tool to help increase adherence and effectiveness of digital interventions for tobacco cessation.

Objective

This study aimed to evaluate participant adherence and smoking cessation outcomes in a pilot randomized controlled trial of the digital intervention Mindcotine (MindCotine Inc) using a self-administered treatment of virtual reality combined with mindfulness.

Methods

A sample of 120 participants was recruited in the city of Buenos Aires, Argentina (mean age 43.20 years, SD 9.50; 57/120, 47.5% female). Participants were randomly assigned to a treatment group (TG), which received a self-assisted 21-day program based on virtual reality mindful exposure therapy (VR-MET) sessions, daily surveys, and online peer-to-peer support moderated by psychologists, or a control group (CG), which received the online version of the smoking cessation manual from the Argentine Ministry of Health. Follow-up assessments were conducted by online surveys at postintervention and 90-day follow-up. The primary outcome was self-reported abstinence at postintervention, with missing data assumed as still smoking. Secondary outcomes included sustained abstinence at 90-day follow-up, adherence to the program, and readiness to quit.

Results

Follow-up rates at day 1 were 93% (56/60) for the TG and 100% (60/60) for the CG. At postintervention, the TG reported 23% (14/60) abstinence on that day compared with 5% (3/60) in the CG. This difference was statistically significant (χ21=8.3; P=.004). The TG reported sustained abstinence of 33% (20/60) at 90 days. Since only 20% (12/60) of participants in the CG completed the 90-day follow-up, we did not conduct a statistical comparison between groups at this follow-up time point. Among participants still smoking at postintervention, the TG was significantly more ready to quit compared to the CG (TG: mean 7.71, SD 0.13; CG: mean 7.16, SD 0.13; P=.005). A total of 41% (23/56) of participants completed the treatment in the time frame recommended by the program.

Conclusions

Results provide initial support for participant adherence to and efficacy of Mindcotine and warrant testing the intervention in a fully powered randomized trial. However, feasibility of trial follow-up assessment procedures for control group participants needs to be improved. Further research is needed on the impact of VR-MET on long-term outcomes.

Trial Registration

ISRCTN Registry ISRCTN50586181; http://www.isrctn.com/ISRCTN50586181
An App for Classifying Personal Mental Illness at Workplace Using Fit Statistics and Convolutional Neural Networks: Survey-Based Quantitative Study
Authors: Yan Yu-Hua , Chien Tsair-Wei , Yeh Yu-Tsen , Chou Willy , Hsing Shu-Chen
Published: June 2020

Background

Mental illness (MI) is common among those who work in health care settings. Whether MI is related to employees’ mental status at work is yet to be determined. An MI app is developed and proposed to help employees assess their mental status in the hope of detecting MI at an earlier stage.

Objective

This study aims to build a model using convolutional neural networks (CNNs) and fit statistics based on 2 aspects of measures and outfit mean square errors for the automatic detection and classification of personal MI at the workplace using the emotional labor and mental health (ELMH) questionnaire, so as to equip the staff in assessing and understanding their own mental status with an app on their mobile device.

Methods

We recruited 352 respiratory therapists (RTs) working in Taiwan medical centers and regional hospitals to fill out the 44-item ELMH questionnaire in March 2019. The exploratory factor analysis (EFA), Rasch analysis, and CNN were used as unsupervised and supervised learnings for (1) dividing RTs into 4 classes (ie, MI, false MI, health, and false health) and (2) building an ELMH predictive model to estimate 108 parameters of the CNN model. We calculated the prediction accuracy rate and created an app for classifying MI for RTs at the workplace as a web-based assessment.

Results

We observed that (1) 8 domains in ELMH were retained by EFA, (2) 4 types of mental health (n=6, 63, 265, and 18 located in 4 quadrants) were classified using the Rasch analysis, (3) the 44-item model yields a higher accuracy rate (0.92), and (4) an MI app available for RTs predicting MI was successfully developed and demonstrated in this study.

Conclusions

The 44-item model with 108 parameters was estimated by using CNN to improve the accuracy of mental health for RTs. An MI app developed to help RTs self-detect work-related MI at an early stage should be made more available and viable in the future.
Using Internet of Things to Reduce Office Workers’ Sedentary Behavior: Intervention Development Applying the Behavior Change Wheel and Human-Centered Design Approach
Authors: Huang Yitong , Benford Steve , Price Dominic , Patel Roma , Li Benqian , Ivanov Alex , Blake Holly
Published: June 2020

Background

Sedentary behavior (SB) is associated with various adverse health outcomes. The prevalence of prolonged sitting at work among office workers makes a case for SB interventions to target this setting and population. Everyday mundane objects with embedded microelectronics and ubiquitous computing represent a novel mode of delivering health behavior change interventions enabled by internet of things (IoTs). However, little is known about how to develop interventions involving IoT technologies.

Objective

This paper reports the design and development of an IoT-enabled SB intervention targeting office workers.

Methods

The process was guided by the behavior change wheel (BCW), a systematic framework for theory-informed and evidence-based development of behavior change interventions, complemented by the human-centered design (HCD) approach. Intervention design was shaped by findings from a diary-probed interview study (n=20), a stakeholder design workshop (n=8), and a series of theoretical mapping and collaborative technical design activities.

Results

The resulting intervention named WorkMyWay targets a reduction in office workers’ prolonged stationary behaviors at work and an increase in regular breaks by modifying behavioral determinants in 11 theoretical domains with 17 behavior change techniques. The delivery technology consists of a wearable activity tracker, a light-emitting diode reminder device attached to a vessel (ie, water bottle or cup), and a companion Android app connected to both devices over Bluetooth. The delivery plan consists of a 2-week baseline assessment, a 30-min face-to-face action planning session, and 6-week self-directed use of the delivery technology.

Conclusions

This is the first study to demonstrate that it is possible to develop a complex IoT-enabled intervention by applying a combination of the BCW and HCD approaches. The next step is to assess the feasibility of WorkMyWay prior to testing intervention efficacy in a full-scale trial. The intervention mapping table that links individual intervention components with hypothesized mechanisms of action can serve as the basis for testing and clarifying theory-based mechanisms of action in future studies on WorkMyWay.
Assessing Ethoshunt as a Gamification-Based Mobile App in Ethics Education: Pilot Mixed-Methods Study
Authors: Zakaria Noor Syamilah , Saripan M Iqbal , Subarimaniam Neerushah , Ismail Alyani
Published: June 2020

Background

Gamification has remarkable potential in the learning space. The process of creating a gamified system and its influence on human behavior reflect the interaction between educators and machines.

Objective

The purpose of this pilot study was to present Ethoshunt as a gamification-based mobile app that can be used in teaching and learning ethics.

Methods

This study involved a mixed-methods research design. The researchers surveyed 39 undergraduate students who were introduced to Ethoshunt in order to examine the relationships between mobile app usability and positive emotions, ethical competency, and user experience. Affinity diagramming was used as a tool to organize the opinions and experiences of participants using featured gamification elements.

Results

Game dynamics and game mechanics explained the functionality of Ethoshunt. In addition, the learning flow through Ethoshunt was discussed. Overall, the findings were positive, and mobile app usability had the strongest relationship with positive emotions (r=0.744, P<.001), followed by ethical competency (r=0.686, P<.001) and user experience (r=0.614, P<.001).

Conclusions

Positive emotions could be perceived as an important dimension in the development and usability of Ethoshunt. The researchers suggest that the gamification-based mobile app advocated in this study may provide ideas for ethics educators who wish to develop a technology-mediated learning environment.
A Conceptual Framework to Study the Implementation of Clinical Decision Support Systems (BEAR): Literature Review and Concept Mapping
Authors: Camacho Jhon , Zanoletti-Mannello Manuela , Landis-Lewis Zach , Kane-Gill Sandra L , Boyce Richard D
Published: June 2020

Background

The implementation of clinical decision support systems (CDSSs) as an intervention to foster clinical practice change is affected by many factors. Key factors include those associated with behavioral change and those associated with technology acceptance. However, the literature regarding these subjects is fragmented and originates from two traditionally separate disciplines: implementation science and technology acceptance.

Objective

Our objective is to propose an integrated framework that bridges the gap between the behavioral change and technology acceptance aspects of the implementation of CDSSs.

Methods

We employed an iterative process to map constructs from four contributing frameworks—the Theoretical Domains Framework (TDF); the Consolidated Framework for Implementation Research (CFIR); the Human, Organization, and Technology-fit framework (HOT-fit); and the Unified Theory of Acceptance and Use of Technology (UTAUT)—and the findings of 10 literature reviews, identified through a systematic review of reviews approach.

Results

The resulting framework comprises 22 domains: agreement with the decision algorithm; attitudes; behavioral regulation; beliefs about capabilities; beliefs about consequences; contingencies; demographic characteristics; effort expectancy; emotions; environmental context and resources; goals; intentions; intervention characteristics; knowledge; memory, attention, and decision processes; patient–health professional relationship; patient’s preferences; performance expectancy; role and identity; skills, ability, and competence; social influences; and system quality. We demonstrate the use of the framework providing examples from two research projects.

Conclusions

We proposed BEAR (BEhavior and Acceptance fRamework), an integrated framework that bridges the gap between behavioral change and technology acceptance, thereby widening the view established by current models.
Information Technology–Based Management of Clinically Healthy COVID-19 Patients: Lessons From a Living and Treatment Support Center Operated by Seoul National University Hospital
Authors: Bae Ye Seul , Kim Kyung Hwan , Choi Sae Won , Ko Taehoon , Jeong Chang Wook , Cho BeLong , Kim Min Sun , Kang EunKyo
Published: June 2020

Background

South Korea took preemptive action against coronavirus disease (COVID-19) by implementing extensive testing, thorough epidemiological investigation, strict social distancing, and rapid treatment of patients according to disease severity. The Korean government entrusted large-scale hospitals with the operation of living and treatment support centers (LTSCs) for the management for clinically healthy COVID-19 patients.

Objective

The aim of this paper is to introduce our experience implementing information and communications technology (ICT)-based remote patient management systems at a COVID-19 LTSC.

Methods

We adopted new electronic health record templates, hospital information system (HIS) dashboards, cloud-based medical image sharing, a mobile app, and smart vital sign monitoring devices.

Results

Enhancements were made to the HIS to assist in the workflow and care of patients in the LTSC. A dashboard was created for the medical staff to view the vital signs and symptoms of all patients. Patients used a mobile app to consult with their physician or nurse, answer questionnaires, and input self-measured vital signs; the results were uploaded to the hospital information system in real time. Cloud-based image sharing enabled interoperability between medical institutions. Korea’s strategy of aggressive mitigation has “flattened the curve” of the rate of infection. A multidisciplinary approach was integral to develop systems supporting patient care and management at the living and treatment support center as quickly as possible.

Conclusions

Faced with a novel infectious disease, we describe the implementation and experience of applying an ICT-based patient management system in the LTSC affiliated with Seoul National University Hospital. ICT-based tools and applications are increasingly important in health care, and we hope that our experience will provide insight into future technology-based infectious disease responses.
Human Factor Considerations in Using Personal Protective Equipment in the COVID-19 Pandemic Context: Binational Survey Study
Authors: Parush Avi , Wacht Oren , Gomes Ricardo , Frenkel Amit
Published: June 2020

Background

Full level 1 personal protective equipment (PPE) is used in various domains and contexts. Prior research has shown influences of such equipment on performance, comfort, and contamination levels. The coronavirus disease (COVID-19) pandemic forced a pervasive requirement of PPE, with little preparation, rushed deployment, inadequate time for training, and massive use by personnel who are inexperienced or not qualified in its effective use.

Objective

This study aims to examine the key human factors (physical and ergonomic, perceptual and cognitive) that influence the use of level 1 PPE when attending to patients with suspected or confirmed COVID-19.

Methods

The research approach consisted of a short survey disseminated to health care professionals in two countries, Israel and Portugal, with similar demographics and health care systems. The survey included 10 items with a 5-point Likert scale regarding the key human factors involved in level 1 PPE, as identified in prior research.

Results

A total of 722 respondents from Israel and 301 respondents from Portugal were included in the analysis. All the respondents reported using level 1 PPE with patients with COVID-19 in the range of several hours daily to several hours weekly. The Cronbach α was .73 for Israel and .75 for Portugal. Responses showed high levels of difficulty, with medians of 4 for items related to discomfort (n=539/688, 78% in Israel; n=328/377, 87% in Portugal), hearing (n=236/370, 64% in Portugal; n=321/642, 50% in Israel), seeing (n=697/763, 89% in Israel; n=317/376, 84% in Portugal), and doffing (n=290/374, 77% in Portugal; n=315/713, 44% in Israel). A factor analysis showed a set of strongly related variables consisting of hearing, understanding speech, and understanding the situation. This suggests that degradation in communication was strongly associated with degradation in situational awareness. A subsequent mediation analysis showed a direct effect of PPE discomfort on situational awareness (P<.001); this was also influenced (mediated) by difficulties in communicating, namely in hearing and understanding speech.

Conclusions

In 2020, the COVID-19 pandemic is paving the way for updating PPE design. The use of already deployed technology affords ample opportunities to improve, adapt, and overcome caveats. The findings here suggest that the use of level 1 PPE with patients with COVID-19 has perceptual and cognitive effects, in addition to physical and ergonomic influences. Efforts should be taken to mitigate the harmful effects of such influences, both regarding the performance of medical actions and the risk of contamination to health care workers. Such efforts involve the design of PPE; the introduction of technologies to enhance vision, hearing, and communicating during the use of PPE; and training staff in using the equipment and in effective communication and teamwork protocols.
Serious Games for Nutritional Education: Online Survey on Preferences, Motives, and Behaviors Among Young Adults at University (Preprint)
Authors: Holzmann Sophie Laura , Schäfer Hanna , Plecher David Alexander , Stecher Lynne , Klinker Gudrun Johanna , Groh Georg , Hauner Hans , Holzapfel Christina
Published: June 2020

BACKGROUND

Data on nutritional information and digital gameplay are limited among young adults in Germany.

OBJECTIVE

This survey aimed to gather data on nutritional information sources and digital games for nutritional education (preferences, motives, and behaviors) among young adults at both Munich universities in Germany.

METHODS

An online survey was developed by an multidisciplinary research group using EvaSys, an in-house survey software. The questionnaire (47 items) covered questions about baseline characteristics (eg, housing situation and weight), nutrition (eg, nutritional information sources), and digital (nutritional) gameplay (eg, preferences, motives, and behaviors). A feedback field was also provided. This publication is based on a selection of 20 questions (7 baseline characteristics, 2 nutrition, 11 gameplay). Young adults, primarily Munich university students aged from 18 to 24 years, were invited to participate by digital and nondigital communication channels between 2016 and 2017. Statistical analyses were performed using Excel 2013 (Microsoft Corp) and R version 3.1.3 (R Foundation for Statistical Computing).

RESULTS

In total, 468 young adults (342/468, 73.1% women; 379/468, 81.0% university students) participated. Most of the participants (269/468, 57.5%) were aged 18 to 24 years with a BMI in the normal weight range (346/447, 77.4%). Mean body weight was 65.5 [SD 14.0] kg. Most participants reported getting nutritional information from the internet (372/467, 79.7%) and printed media (298/467, 63.8%), less than 1.0% (2/467, 0.4%) named digital games. Apps (100/461, 21.7%) and university/workplace (146/461, 31.7%) were the most desired sources for additional information about nutrition, while 10.0% (46/461, 10.0%) of participants stated wanting digital games. Almost two-thirds (293/468, 62.6%) of participants played digital games, while one-fifth (97/456, 21.3%) played digital games daily using smartphones or tablets. Finally, most respondents (343/468, 73.3%), mainly women, expressed interest in obtaining nutritional information during digital gameplay. However, significant gender differences were shown for nutritional acquisition behaviors and digital gameplay preferences, motives, and behaviors.

CONCLUSIONS

Our survey population reported playing digital games (especially men) and wanting nutritional information during digital gameplay (especially women). Furthermore, university or workplace are named as preferred settings for nutritional information. Therefore, a digital game app might have the potential to be a tool for nutritional education among young adults within the university or workplace environment.
Natural Language Processing for Rapid Response to Emergent Diseases: Case Study of Calcium Channel Blockers and Hypertension in the COVID-19 Pandemic (Preprint)
Authors: Neuraz Antoine , Lerner Ivan , Digan William , Paris Nicolas , Tsopra Rosy , Rogier Alice , Baudoin David , Cohen Kevin Bretonnel , Burgun Anita , Garcelon Nicolas , Rance Bastien ,   AP-HP/Universities/INSERM COVID-19 Research Collaboration; AP-HP COVID CDR Initiative
Published: June 2020

BACKGROUND

A novel disease poses special challenges for informatics solutions. Biomedical informatics relies for the most part on structured data, which require a preexisting data or knowledge model; however, novel diseases do not have preexisting knowledge models. In an emergent epidemic, language processing can enable rapid conversion of unstructured text to a novel knowledge model. However, although this idea has often been suggested, no opportunity has arisen to actually test it in real time. The current coronavirus disease (COVID-19) pandemic presents such an opportunity.

OBJECTIVE

The aim of this study was to evaluate the added value of information from clinical text in response to emergent diseases using natural language processing (NLP).

METHODS

We explored the effects of long-term treatment by calcium channel blockers on the outcomes of COVID-19 infection in patients with high blood pressure during in-patient hospital stays using two sources of information: data available strictly from structured electronic health records (EHRs) and data available through structured EHRs and text mining.

RESULTS

In this multicenter study involving 39 hospitals, text mining increased the statistical power sufficiently to change a negative result for an adjusted hazard ratio to a positive one. Compared to the baseline structured data, the number of patients available for inclusion in the study increased by 2.95 times, the amount of available information on medications increased by 7.2 times, and the amount of additional phenotypic information increased by 11.9 times.

CONCLUSIONS

In our study, use of calcium channel blockers was associated with decreased in-hospital mortality in patients with COVID-19 infection. This finding was obtained by quickly adapting an NLP pipeline to the domain of the novel disease; the adapted pipeline still performed sufficiently to extract useful information. When that information was used to supplement existing structured data, the sample size could be increased sufficiently to see treatment effects that were not previously statistically detectable.