bluuebunny/crossref_metadata_2025 huggingface dataset:
PERCEPÇÃO E COMPORTAMENTO DE PEDESTRES EM AMBIENTES DE CAMINHADA
Authors: Marangão Glaucia Hellen de Freitas , Magagnin Renata Cardoso
Published: September 2024

O uso e a apropriação dos espaços públicos para a prática da caminhada está relaciona à qualidade espacial desses locais, essa qualidade é definida por uma série de elementos morfológicos que podem influenciar tanto de forma positiva quanto negativa a experiência dos pedestres. A percepção que os usuários têm desses espaços está intrinsecamente ligada à sua experiência física e visual ao se deslocar por esses trajetos urbanos. Nesse contexto, o presente artigo apresenta dados sobre a percepção dos usuários de um espaço público dedicado à realização de atividades físicas. A avaliação da percepção é conduzida em três fases distintas, a análise dos aspectos físicos, examinando os elementos concretos e estruturais presentes nas áreas de caminhada. Seguida de uma análise de observação sistemática, realizada para identificar padrões de deslocamento, atividades e comportamentos dos usuários. E, aplicação de entrevista aos pedestres que utilizam a área, para identificar a percepção e satisfação em relação ao ambiente de caminhada. O local investigado corresponde a uma área pública de passagem e permanência amplamente utilizada pela população da cidade de Bauru-SP para a prática de atividades físicas e de lazer. Os resultados demonstram a eficácia do instrumento em identificar quais elementos afetam a percepção dos usuários, sejam eles positivos ou negativos. A aplicação deste instrumento oferece uma análise aprofundada e perceptiva dos ambientes de caminhada, fornecendo um diagnóstico do local, servindo de base para a formulação de projetos e diretrizes que visam a melhoria da qualidade espacial dessas áreas urbanas.
O POTENCIAL DA CIÊNCIA CIDADÃ NO PLANEJAMENTO URBANO
Authors: MARTINS FABIO , Koury Ana Paula
Published: September 2024

Projetos que utilizam abordagens de ciência cidadã têm se popularizado em diferentes partes do mundo. Embora as pesquisas em ciência cidadã geralmente estejam concentradas nos campos da biodiversidade e da conservação ambiental, existe uma oportunidade promissora no campo do planejamento urbano que merece ser explorada. Ao examinarmos as características essenciais da ciência cidadã, podemos estabelecer uma analogia com os modelos convencionais de participação popular na prática do planejamento urbano. Por outro lado, o modelo de participação definido pelo Estatuto da Cidade através dos planos diretores participativos conta com pouca credibilidade por parte da população, limitando o controle social das políticas urbanas e prejudicando o direito à cidade. Para elaborar uma análise sobre o "paradigma" da participação no âmbito do planejamento urbano, é fundamental compreender que o domínio do espaço urbano está intrinsecamente relacionado às relações de saber-poder, que impactam o campo político através de discursos ideológicos potentes. Acreditamos que a integração metodológica da ciência cidadã pode oferecer novas perspectivas e respostas menos subjetivas para os desafios urbanos contemporâneos. Para isso, apresentaremos, no contexto histórico da ciência cidadã, analisando os desafios culturais que emergem desse modelo científico, baseados em inovação científica, aprendizagem social e democracia local. Como essa abordagem pode-se criar projetos urbanos mais democráticos e eficazes para a tomada de decisões, melhorar a qualidade dos dados coletados e aumentar a legitimidade das políticas urbanas.
INCLUSÃO DA DIMENSÃO AFETIVA NO PROJETO ARQUITETÔNICO
Authors: Imara Duarte  , D. L. Costa Angelina , S. G. Acioly Angélica , M. Tonetto Leandro
Published: September 2024

Sendo compreendido de modo geral, como algo vago e subjetivo, ligado diretamente às emoções humanas, a dimensão afetiva é mais palpável do que aparenta. Ela tem recebido recentemente certa atenção em função de suas implicações e aplicabilidade em investigações qualitativas, mais especificamente no discurso arquitetônico, em função do impacto do ambiente construído sobre as pessoas. Nesse sentido, a análise dos projetistas e dos seus modos de apropriação do arcabouço fornecido justifica-se à medida que poderá auxiliar a identificar, no plano da práxis, os melhores procedimentos e abordagens, as estratégias, para salvaguarda não só de princípios de usabilidade ou conforto, como também os princípios valorais e afetivos do utilizador. Desse modo, o objetivo geral do trabalho foi avaliar a  apropriação do arcabouço e ferramental específicos do conjunto teórico-metodológico original denominado ‘Projeto Sensível ao Valor centrado no Afeto’ (PSV_A), por parte dos projetistas, em ambiente acadêmico. O método foi constituído do repasse do arcabouço teórico-metodológico proposto às turmas de graduação e pós-graduação em Arquitetura e Urbanismo, e o acompanhamento dos modos e interação, variações e apropriações pelas quais os discentes o puseram em prática, tendo como estudo de caso o ambiente hospitalar, sob uma avaliação composta por análise comparativa, conceitual conforme aproximação ao referido arcabouço e, análise de conteúdo. O trabalho busca contribuir para o debate acerca da consideração dos valores, princípios e ética dos usuários e demais partes interessadas no planejamento de elementos societais influenciados pelo projeto arquitetônico de ambientes de saúde.
ESCOLA HARMONIA
Authors: Dantas de Araújo Bianca Carla , ALVES DE CARVALHO VITORIA JADE , Silva Gabriela Tabita da
Published: September 2024

Este artigo descreve a experiência de desenvolvimento de um anteprojeto arquitetônico escolar para o "III Concurso Estudantil de Acústica Conrado Silva - III CACS", realizado para o XXX Encontro da Sociedade Brasileira de Acústica (SOBRAC), que ocorreu na UFRN, na cidade de Natal/RN, em 2023, com ênfase na qualidade acústica em ambientes educacionais. O projeto "Escola Harmonia", premiado com o terceiro lugar na competição, integrou conhecimentos de acústica e arquitetura para propor soluções que isolam os sons indesejados, controlam a reverberação sonora e otimizam a inteligibilidade da fala em espaços de ensino-aprendizagem. O conceito de harmonia norteou a implementação de mecanismos acústicos através da forma arquitetônica e da escolha de materiais. As decisões projetuais focaram na proteção das áreas de aprendizagem contra o ruído urbano e o ruído gerado pelo próprio ambiente escolar, assegurando um espaço propício ao desenvolvimento infanto-juvenil. A seleção e combinação de materiais acústicos, conforme fornecedores pré-determinados pelo concurso, destacam-se no projeto, que detalha três ambientes educacionais: auditório, sala de aula e sala multiuso. Além das questões acústicas, o projeto incorporou princípios de conforto ambiental e acessibilidade.
50 ANOS DE HISTÓRIA
Authors: Araújo Virginia Maria Dantas de
Published: September 2024

O presente texto trata da história dos 50 anos do Curso de Arquitetura e Urbanismo (CAU) da Universidade Federal do Rio Grande (UFRN), destacando-se pela discussão da proposta do projeto pedagógico integrado, implantado no início da década de 1990. A essência da proposta do CAU da UFRN foi o sistema de integração de conteúdos que, ao invés de serem trabalhados isoladamente, dentro das ciências parcelares, a intenção foi a apreensão dialética do conhecimento. A estrutura curricular do curso de Arquitetura e Urbanismo da UFRN foi uma proposta revolucionária no âmbito dos cursos de arquitetura e urbanismo em todo o Brasil. Isto resultou na melhoria na qualidade dos trabalhos desenvolvidos pelos alunos e, obviamente, do profissional formado. Também, apresenta-se a evolução dos projetos pedagógicos subsequentes e os resultados das avaliações institucionais. Além disso, destaca-se o Programa de Pós-Graduação em Arquitetura e Urbanismo (PPGAU) com mestrado acadêmico e do doutorado, e o Programa de Pós-Graduação em Arquitetura, Projeto e Meio Ambiente (PPAPMA), na modalidade mestrado profissional. No momento que o CAU UFRN completa 50 anos de sua criação, fica demonstrado o esforço do Departamento de Arquitetura (DARQ), através do seu corpo docente, discente e administrativo, sempre primando pela qualidade na formação da graduação e pós-graduação em arquitetura e urbanismo e pela indissociabilidade do ensino, pesquisa e extensão.
A Systematic Review on Recent Trends of Digital Financial Inclusion
Authors: Sille Roohi , Nanda Ishita , Kapoor Akshita , Sahoo Samyukta , Sharma Arnav
Published: September 2024

Digitalization and related processes have become prevalent in the last few
years. In this chapter, we have examined and discussed the main aspects of digital
transformation, their impact on the financial sector, challenges faced and scope of
digital finance etc. Financial technology has become increasingly prominent in
financial markets in recent years, though this cannot be attributed to the competence of
regulators and policymakers as to this call. Fintech can, however, demonstrate its
importance as a tool and strategy for achieving inclusive development by attesting to
what it has already achieved in the realm of financial inclusion and disruption of
traditional market structures. It is now much easier to have basic financial services in
India, due to the vast adoption of digital payment systems.The FinTech ecosystem in India has been aided by a number of factors like the growing
availability of smartphones, increased internet access, demonetization and Covid
outbreak. The financial industry is full of new innovations that can be applied in a
variety of ways to the fields of artificial intelligence and block chain. They all aim to
satisfy ever-evolving customer needs generated by the digital revolution. There is also
a discussion of the obvious positive advantages of the application of the latest
technological solutions. Payment systems facilitate entrepreneurs to easily and
affordably connect with their banks, employees, suppliers, and new markets for their
services. Reduced travel time and costs can speed up the process of registering and
paying for business licenses and permits using these systems. While the situation is
improving, entrepreneurs and employees still face challenges due to a lack of banks,
digital devices, and reliable technology infrastructure.
As a result of technological advancement, today’s underground economy can provide a
favourable breeding ground for hiding a broad range of illegal activities which include
cyber threats like phishing, ransomware fraud, and tax evasion. The financial sector is
constantly innovating. The industry today places significant emphasis on transaction
speed, along with security. The process begins with clients who demand immediate
payment transactions and ends up with large corporate trade transactions where time
and transparency of the action become core requirements. The digital advancement and financial literacy will help customers find smarter and better ways to save, borrow,
invest, and make payments. With consumers becoming savvier, there will be an intense
new battle between incumbents and challengers to become their trusted interface.
An Introduction to Thyroid Physiology
Authors: Bernal Juan
Published: September 2024

This chapter is a general introduction to this book and contains basic
concepts of thyroid hormone signaling for a better understanding of the book’s subject.
It begins with an introduction that offers a simplified view of thyroid hormones as
iodine-containing compounds and the regulatory function of the hypothalamuspituitary-thyroid axis, followed by a description of the thyroid gland and thyroid
hormone synthesis. Iodide transporters concentrate iodide in the gland and after
oxidation, it is incorporated into thyroglobulin tyrosyl residues. The coupling of
iodotyrosyl residues forms T4 and T3, which are released after thyroglobulin
hydrolysis. Thyroid hormones act via nuclear receptors, which are ligand-regulated
transcription factors, and T3 is the primary active thyroid hormone that binds to the
receptors. T3 is produced primarily in extrathyroidal tissues by the action of deiodinase
enzymes catalyzing the removal of an iodine atom from T4. Thyroid hormones are
ancient signaling molecules with critical actions on growth and metabolism that
regulate many developmental transitions, with evolutionary roots at the base of the
chordate species.
Actions of Thyroid Hormones on Myelination
Authors: Bernal Juan
Published: September 2024

The control of myelination in the central nervous system is a classical action
of thyroid hormones. In rodents, thyroid hormone deficiency during the fetal and
postnatal periods delays central myelin deposition and oligodendrocyte gene
expression. Oligodendrocytes differentiate from precursor cells (OPC), originating
from radial glial cells in the ventricular and subventricular zones after multiple cell fate
decisions controlled by developmental genes. The interplay between growth factors
acting at the cell membranes and nuclear receptors, such as those for T3 and retinoic
acid, regulates OPC differentiation. Growth factors promote OPC proliferation, and the
liganded nuclear receptors promote cell cycle exit. Myelination occurs in axons that
reach a critical size, and thyroid hormone might also indirectly affect myelination
through axonal maturation effects. In the clinical setting, myelination can be analyzed
by magnetic resonance imaging in hypothyroid states with variable results.
IDENTIFICATION OF INTERNAL AND EXTERNAL FACTORS OF VILLAGE-OWNED ENTERPRISES SUMBER SEJAHTERA AT PUJON KIDUL VILLAGE, MALANG REGENCY
Authors: Maharani Tifa Ervita , Isaskar Riyanti , Priminingtyas Dina Novia
Published: September 2024

To strengthen the village economy, Village-Owned Enterprises (BUMDes) are commercial units owned and controlled by the government. To improve the local economy, BUMDes development activities have expanded in East Java. But there has been an outbreak of the COVID-19 virus that has hit the entire world, causing many negative aspects, including social, political, and economic life. One of the businesses affected by the economic downturn is the BUMDes. Aware of the internal and external environmental conditions of BUMDes became the target of research. 7S McKinsey's and PESTLE methods were used to facilitate the research. The 7S McKinsey approach is used to identify an organization's internal components, including strategy, system, structure, staff, style, skills, and shared values. PESTLE approach is used to determine how an organization affects the external economic environment, including political, economic, social, technological, legal, and environmental aspects. The results showed that the pandemic impacted business units in BUMDes. From the results of consumer tourism assessments, consumers or users of products or services most visitors feel that the tourism environment is very attractive, beautiful, clean, and comfortable, feel suitable to subscribe to products or services.
IMPLEMENTATION OF DIGITAL MARKETING ON SMALL AND MEDIUM ENTERPRISES
Authors: Hakimi Rini , Fitriana Widya , Hariance Rika
Published: September 2024

Information and communication technology advancement can transform traditional marketing into internet-based marketing. Marketing digitalization was initially more researched in large companies but was still limited in digital marketing research in SMEs. This study aims to close a knowledge gap to describe the implementation of digital marketing in SMEs and analyze the impact on SME performance. This study used 184 samples of SMEs in West Sumatra. Research variables include entrepreneur aspects, business aspects and infrastructure aspects. The data were analyzed using descriptive and binary logits. The findings show that gender and firm size significantly influence how well digital marketing is used in SMEs. Women entrepreneurs more intensively use social media for digital marketing activities, but limited resources and infrastructure cause SMEs more limited opportunities to adopt digital marketing.
FACTORS AFFECTING THE CHOICE OF ADAPTATION STRATEGIES TO CLIMATE EXTREMES: THE CASE OF SMALLHOLDER FARMERS IN SOUTHERN ZAMBIA
Authors: Sichoongwe Kiru , Wang Jinxia
Published: September 2024

This study assesses smallholder farmers' adaptation to climate extremes and its contributing factors in Zambia's southern province. The study employed primary data from 270 smallholder farmers, constituting the sample size.  According to the study's findings, change crop variety was adopted by 43% of the farmers. Other strategies of adaptation that were employed include; agricultural insurance, change sow/harvest date, crop diversification and soil conservation. The findings also showed that the various adaptation strategies (agricultural insurance, change sow/harvest date, crop diversification and soil conservation), correlated positively with age, education, distance, farming experience, radio ownership, an ox, a plough, and extension source. The study makes the following recommendations; (a) enhancing the education and awareness level of farmers towards climate extreme, (b) when drafting policy, asset formation should be considered, and (c) when developing and implementing adaptation strategies, indigenous knowledge should be taken into account.
DOES COOPERATIVE MEMBERSHIP IMPROVE COCOA FARMER INCOME? EVIDENCE FROM MANKRANSO COCOA DISTRICT, GHANA
Authors: Boadu Felix Nketia , Appiah Patrick , Tham-Agyekum Enoch  Kwame , Bakang John-Eudes Andivi , Nimoh Fred
Published: September 2024

This study investigates whether cocoa cooperatives can significantly improve the revenue of cocoa farmers. A simple random sampling technique was adopted to draw a sample of 306 farmers from a population of 25,109 cocoa farmers in the Mankranso Cocoa District. Structured questionnaires were administered to obtain primary data from the households. Descriptive statistics were used to compare revenues generated by cocoa farmers. The study employed the multiple linear regression model to assess the effect of cooperative membership on cocoa farmers’ income. The study also used the Kendall's coefficient of concordance to assess the constraints faced by cooperatives societies. Revenue comparison reveal that although the price per bag of cocoa did not vary, the income level of cooperative members was significantly higher than non-members. Cooperative membership, credit access, and extension service significantly and positively affect cocoa revenue and revenue generated from other activities. The Likert scale analysis also indicate that farmers generally agree that cooperatives play social and production roles but disagree that cooperatives play appropriate financial roles. Lack of external motivation was the main limiting constraint faced by cocoa farmers. The study recommends that extension and credit institutions should be strengthened among cocoa farmers. Importantly, the positive effect of cooperative membership raises the need to incentivize cocoa cooperatives and the need for farmers to be actively motivated to join cooperative societies.
POTENTIAL ROLE OF PUBLIC-PRIVATE PARTNERSHIPS IN IMPROVING THE FOOD AND NUTRITION SECURITY IN WEST PAPUA
Authors: Usfar Avita Aliza , Sudibya Arienta , Hurulean Ferdinandus , Heatubun Charlie
Published: September 2024

The study aims to stimulate the potential of a Public-Private Partnership (PPP) in West Papua province, which ranks 33rd (out of 34) on the Indonesian Food and Nutrition Security (FNS) Index and where stunting is a public health challenge. The authors analyzed the potential by using FNS Indicators and examining the results of discussions with the stakeholders. We propose to focus interventions on the provision of food for vulnerable individuals, behavioral change communication to improve the consumption of healthy local food, improvement of the knowledge of mothers and other household members about food and nutrition, the promotion and reinforcement of exclusive breastfeeding for children below six months, the improvement of access to clean water and latrines, the improvement of access to preventive and health care services by providing one nutritionist per village, and the provision of iron and folic-acid tablets to pregnant women and adolescent girls. A multi-stakeholder effort should be put in place, led by the provincial government, comprising representatives from the offices of public works, health, education, and social affairs. The network should involve the 36 private companies based in the area. Educational materials could be reproduced by the printing companies and distributed by the construction, fishing, and timber companies. The government of West Papua should identify food and nutrition as a priority concern and widen its existing PPP activities beyond Corporate Social Responsibility.
CAN THE SMALL-SCALE PRODUCERS OF NAVEL ORANGE RESIST THE STABILITY OF THE FARM GATE PRICES AND THE SOAR OF THE INPUT PRICES WITHIN THE BIOPHYSICAL FACTORS?
Authors: Mohamed Assem A. A. , Esmail A. A. M. , Abdelaty Emad F.
Published: September 2024

Egypt Navel orange planted area reached about 174.6 thousand acres during the average period of 2012-2020. Delta governorates is the major orange’s productive region in Egypt with 97.4% of the total production of the country. 87.2% of orange’s planted area came from only five Delta governorates. The top planted area governorates are El Behera with an acreage area representing about (41.3%), followed by Qalyoubia (16.7%), Ismailia (11.1%), Menufia (9.54%) and Sharqiya (8.52%) of total planted areas during the period 2012-2020. El-Behera is the major Navel orange’s productive governorate in Egypt with (43.9%) of Egyptian total production of Navel orange, followed by Qalyoubia (18.8%), Menufia (9.2%), Ismailia (8.3) and Sharqiya (7.7%) of Navel orange total production during the period 2012-2020. In recent years, small scale farmers have experienced technical, environmental and economic problems. This study will shade light on the economic problems because fruit prices have come to a standstill or even decreased while the production costs have risen continuously. The present study depends on data collected from the private small farm planted with Washington Navel orange trees [Citrus sinensis L.(Osbeck)] since 1968, which is located in Minyat as Siba,  Benha-Qalyoubia governorate, Egypt. The result shows that the average values of fertilizers, pests and diseases account for a large proportion of the total costs, representing about 42.57% and 26.47% respectively from the total production costs during 2012-2022. Prices received for Navel oranges fluctuate markedly from year to year. This combined with fluctuations in yields. Over the period 2012 to 2022 farm gate prices of Navel orange averaged 2905 Egyptian pound (LE) per ton, with the minimum of LE 1750 per ton in 2012 and the maximum of LE 4000 per ton in the 2019, 2020 and 2021.
ANALYSIS OF THE FEASIBILITY STUDY OF THE DOMESTIC WASTE BUSINESS IN SIDENRENG RAPPANG DISTRICT DUCK BONE FLOUR (DUCK BONE FLOUR)
Authors: Haryono Iranita
Published: September 2024

Duck bone waste which is a domestic waste in Sidenreng Rappang Regency has not been utilized and there is no handler which is feared will pollute the environment. So it is necessary to use it by making it economically valuable by making duck bone flour. The purpose of this study was to analyze the feasibility of investing in duck bone waste (Duck Bone Flour). The method used is a saturated sample where all of the population is a sample because the number of samples is limited. Methods of data analysis using financial analysis. The analytical tool used for the financial aspect uses analysis of the Payback Period (PP), Net Present Value (NPV), Internal Rate of Return (IRR), and Profitability Index (PI), to determine whether a business is feasible or not. The results showed that the Duckbone Flour Business, from a financial point of view, with a project duration of 10 years and a discount rate of 10%, it proved feasible. An analysis of admission criteria found a payback period (PP) of 6 months and 1 week. Net Present Value (NPV) is IDR 1,730,085,150, Profitability Index (PI) is 1.63% and Internal Rate of Return (IRR) is 32%. This research is important to be carried out as a source of information for the community and the government about the economic value of duck bone waste.
Implementation of Self-Acceptance in the PukPuk Station Mental Health Community Support Group through Group Communication
Authors: Sabrina Eya Rusydasani , Suminar Jenny Ratna , Damayanti Trie
Published: September 2024

This research aims to explore the implementation of self-acceptance in support group in the PukPuk Station mental health community through a group communication approach. It has relation that mental health is an important variable in improving individual well-being and health. The research method used was qualitative with a phenomenological design. Data was collected through participant observation, in-depth interviews with group members, and document analysis of group meeting notes. This research uses some theory concept such as group communication, mental health, self-acceptance. Research findings show that through structured and open group communication, support group members are able to increase their level of self-acceptance. Factors such as social support, mutual identification, and social learning also play an important role in the process of self-acceptance. The open, deep, and structured communication creates a safe environment for members to strengthen their self-acceptance. Then, about the practical of this research are importance of strengthening group communication skills in the training and development of support group members, as well as expanding access to community programs that emphasize the importance of self-acceptance. The implication of this research is the importance of strengthening group communication in supporting individual self-acceptance processes in the context of the mental health community Keywords: self-acceptance, support group, group communication
CNC Learning Innovation: Improving Students' Self-Efficacy and Creativity through Peer-PBL
Authors: Sutopo Sutopo , Setiadi Bayu Rahmat , Nashir Irdayanti Mat , Saputri Virda Hersy Lutviana , Arifin Achmad , Prasetya Tri Adi , Harjanto Chrisna Tri , Sasongko Beni Tri
Published: September 2024

The demand for increasingly diverse product designs and specifications in the manufacturing industry requires CNC machine operators to have high technical skills and strong self-efficacy and creativity. High self-efficacy allows operators to be more confident in applying their technical skills, while creativity helps them solve problems and challenges during the production process. This study aims to improve students' self-efficacy and creativity by applying the Peer-Project Based Learning (Peer-PjBL) model, which combines aspects of project-based learning with peer-to-peer learning. The method used in this research is Classroom Action Research (PTK), which consists of two implementation cycles. Each cycle involves planning, implementation, observation, and reflection stages. The subjects of this study were 20 students who took the CNC Machining Technology course at Yogyakarta State University. Data were collected using a questionnaire that measured self-efficacy and student creativity indicators and then analyzed descriptively. The results showed that applying the Peer-PjBL method significantly increased students' self-efficacy and creativity in each research cycle. This improvement can be seen in students' ability to face new challenges independently, as well as their ability to generate diverse creative ideas in solving problems. This research makes an important contribution to the development of learning methods in vocational education by emphasizing the improvement of technical abilities and non-technical skills, such as self-efficacy and creativity, which are needed in the modern world of work.
Usability, Engagement, and Report Usefulness of Chatbot-Based Family Health History Data Collection: Mixed Methods Analysis
Authors: Nguyen Michelle Hoang , Sedoc João , Taylor Casey Overby
Published: September 2024

Background

Family health history (FHx) is an important predictor of a person’s genetic risk but is not collected by many adults in the United States.

Objective

This study aims to test and compare the usability, engagement, and report usefulness of 2 web-based methods to collect FHx.

Methods

This mixed methods study compared FHx data collection using a flow-based chatbot (KIT; the curious interactive test) and a form-based method. KIT’s design was optimized to reduce user burden. We recruited and randomized individuals from 2 crowdsourced platforms to 1 of the 2 FHx methods. All participants were asked to complete a questionnaire to assess the method’s usability, the usefulness of a report summarizing their experience, user-desired chatbot enhancements, and general user experience. Engagement was studied using log data collected by the methods. We used qualitative findings from analyzing free-text comments to supplement the primary quantitative results.

Results

Participants randomized to KIT reported higher usability than those randomized to the form, with a mean System Usability Scale score of 80.2 versus 61.9 (P<.001), respectively. The engagement analysis reflected design differences in the onboarding process. KIT users spent less time entering FHx information and reported more conditions than form users (mean 5.90 vs 7.97 min; P=.04; and mean 7.8 vs 10.1 conditions; P=.04). Both KIT and form users somewhat agreed that the report was useful (Likert scale ratings of 4.08 and 4.29, respectively). Among desired enhancements, personalization was the highest-rated feature (188/205, 91.7% rated medium- to high-priority). Qualitative analyses revealed positive and negative characteristics of both KIT and the form-based method. Among respondents randomized to KIT, most indicated it was easy to use and navigate and that they could respond to and understand user prompts. Negative comments addressed KIT’s personality, conversational pace, and ability to manage errors. For KIT and form respondents, qualitative results revealed common themes, including a desire for more information about conditions and a mutual appreciation for the multiple-choice button response format. Respondents also said they wanted to report health information beyond KIT’s prompts (eg, personal health history) and for KIT to provide more personalized responses.

Conclusions

We showed that KIT provided a usable way to collect FHx. We also identified design considerations to improve chatbot-based FHx data collection: First, the final report summarizing the FHx collection experience should be enhanced to provide more value for patients. Second, the onboarding chatbot prompt may impact data quality and should be carefully considered. Finally, we highlighted several areas that could be improved by moving from a flow-based chatbot to a large language model implementation strategy.
Visualizing Empathy in Patient-Practitioner Interactions Using Eye-Tracking Technology: Proof-of-Concept Study
Authors: Park Yuyi , ­Kim Hyungsin , Kim Hakkyun
Published: September 2024

Background

Communication between medical practitioners and patients in health care settings is essential for positive patient health outcomes. Nonetheless, researchers have paid scant attention to the significance of clinical empathy in these interactions as a practical skill.

Objective

This study aims to understand clinical empathy during practitioner-patient encounters by examining practitioners’ and patients’ verbal and nonverbal behaviors. Using eye-tracking techniques, we focused on the relationship between traditionally assessed clinical empathy and practitioners’ actual gaze behavior.

Methods

We used mixed methods to understand clinical encounters by comparing 3 quantitative measures: eye-tracking data, scores from the Korean version of the Jefferson Scale of Empathy–Health Professional, and Consultation and Relational Empathy survey scores. We also conducted qualitative interviews with patients regarding their encounters.

Results

One practitioner and 6 patients were involved in the experiment. Perceived empathy on the part of the practitioner was notably higher when the practitioner focused on a patient’s mouth area during the consultation, as indicated by gaze patterns that focused on a patient’s face. Furthermore, an analysis of areas of interest revealed different patterns in interactions with new as opposed to returning patients. Postconsultation interviews suggested that task-oriented and socially oriented empathy are critical in aligning with patients’ expectations of empathetic communication.

Conclusions

This proof-of-concept study advocates a multidimensional approach to clinical empathy, revealing that a combination of verbal and nonverbal behaviors significantly reinforces perceived empathy from health care workers. This evolved paradigm of empathy underscores the profound consequences for medical education and the quality of health care delivery.
Effectiveness of Internet-Based Telehealth Programs in Patients With Hip or Knee Osteoarthritis: Systematic Review and Meta-Analysis (Preprint)
Authors: Wang Hao-Nan , Luo Pei , Liu Shuyue , Liu Yunyi , Zhang Xiao , Li Jian
Published: September 2024

BACKGROUND

Osteoarthritis (OA) is a chronic musculoskeletal disease that causes pain, functional disability, and an economic burden. Nonpharmacological treatments are at the core of OA management. However, limited access to these services due to uneven regional local availability has been highlighted. Internet-based telehealth (IBTH) programs, providing digital access to abundant health care resources, offer advantages, such as convenience and cost-effectiveness. These characteristics make them promising strategies for the management of patients with OA.

OBJECTIVE

This study aimed to evaluate the effectiveness of IBTH programs in the management of patients with hip or knee OA.

METHODS

We systematically searched 6 electronic databases to identify trials comparing IBTH programs with conventional interventions for hip and knee OA. Studies were selected based on inclusion and exclusion criteria, focusing on outcomes related to function, pain, and self-efficacy. Standardized mean differences (SMDs) with 95% CIs were calculated to compare outcome measures. Heterogeneity was assessed using I² and χ² tests. The methodological quality of the selected studies and the quality of evidence were also evaluated.

RESULTS

A total of 21 studies with low-to-high risk of bias were included in this meta-analysis. The pooled results showed that IBTH has a superior effect on increasing function (SMD 0.30, 95% CI 0.23-0.37, P<.001), relieving pain (SMD –0.27, 95% CI –0.34 to –0.19, P<.001), and improving self-efficacy for pain (SMD 0.21, 95% CI 0.08-0.34, P<.001) compared to the conventional intervention group. Subgroup analysis revealed that IBTH with exercise can significantly alleviate pain and improve function and self-efficacy, but IBTH with cognitive-behavioral therapy only had the effect of reducing pain.

CONCLUSIONS

The meta-analysis provides moderate-quality evidence that IBTH programs have a beneficial effect on improving function, relieving pain, and improving self-efficacy compared to conventional interventions in patients with hip or knee OA. Limited evidence suggests that the inclusion of exercise regimens in IBTH programs is recommended.

CLINICALTRIAL

PROSPERO CRD42024541111; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=541111
Experiences of Older Mental Health Patients and Their Care Partners Using a Proxy Account to Access Open Notes: Qualitative Interview Study (Preprint)
Authors: Meier-Diedrich Eva , Esch Tobias , Hägglund Maria , Heinze Martin , Hochwarter Stefan , Speck Justin , Wagener Marie , Dahling Volker , Schwarz Julian
Published: September 2024

BACKGROUND

Older patients with serious mental illnesses such as cognitive disorders often rely on family members or spouses (care partners [CPs]) to meet their health care needs. CPs frequently lack essential information to fully understand the patients’ illnesses and effectively support their treatment. Open Notes provide patients with digital access to their health care professionals’ clinical notes and are associated with many positive outcomes, such as increased adherence and empowerment. However, older patients who use Open Notes may encounter use barriers such as limited digital literacy. Recent developments allow CPs to access Open Notes (proxy access) and receive valuable information, which holds significant potential for improving the care of older patients.

OBJECTIVE

This study explored the experiences, barriers, and opportunities of older mental health patients and their CPs related to using Open Notes. Furthermore, influencing factors and interdependencies were identified.

METHODS

Older patients (n=10) and their CPs (n=10) were provided with web-based proxy access to clinical documentation through a web-based patient portal. In-depth qualitative interviews (N=20) were conducted to explore experiences with this access. Data analysis was conducted in accordance with the constructivist grounded theory approach.

RESULTS

The prerequisites for using Open Notes with proxy access were sufficient digital literacy on the part of the patient or CP, as well as the establishment of a trusting relationship between patients and CPs. Access to Open Notes enabled patients and CPs to gain a deeper understanding of the illness and its treatment while also facilitating enhanced contact with health care professionals. This resulted in greater involvement in the treatment process but may also prompt changes in relationship dynamics—CPs are better equipped to support patients in their health care but may also tend to monitor or control them through Open Notes. As a result, the introduction of Open Notes was accompanied by mixed feelings.

CONCLUSIONS

It is of utmost importance to provide older patients with comprehensive access to Open Notes to preserve their health autonomy. However, the involvement of CPs through proxy access is of great value in improving the care of older patients, especially those with cognitive impairments.
A Decade of Networking in Women’s Mental Health: A Bibliometric Analysis (Preprint)
Authors: Priya Banu , Nagarajan Savitha , Sharma Poonam
Published: September 2024

BACKGROUND

The vulnerability of women has positioned them to an untoward mental health status in comparison to men. The criticality of research in women's mental health is invincible reflecting the unique biopsychosocial, factors influencing her psychological well-being. Present Bibliometric analysis offers an approach to assessing the highlighting trends, influential works, and gaps in women's mental health research.

OBJECTIVE

Statistical descriptive analysis in combination with performance analysis and co-word analysis was used to understand the research trends, leading countries and country collaborations studying women's mental health.

METHODS

This study aims to perform a comprehensive bibliometric analysis of scholarly articles on women's mental health with secondary emphases on career and non-career women's mental health, by utilizing data extracted from the Scopus database from 2013 to 2024 analysing the 655 research articles.

RESULTS

The first publication appeared in 2013 with not much research through 2019. Consistent publishing started trending upward through 2020 during the pandemic with the largest increase between 2021 to 2023 constituting 90 publications. The United States of America is the leading country studying mental health and women including career women, with 1151 papers. Followed by the second-highest contributor the united-Kingdom, with 309 publications. Rajkumar (2020), reviewed the most influential piece of research with 2320 citations. Journal of Social Science and Medicine is noted as the leading journal publishing work on women's mental health, followed by the Journal of Affective Disorder.

CONCLUSIONS

The analysis reflects the rising importance of women's mental health in developing nations with meagre contributions coming from the developing and underdeveloped countries in the form of influential research in this area.
Interpreting the English Translation of Plant Images in The Songs of Chu from the Perspective of Eco-translatology— Taking Xu Yuanchong's Translation as an Example
Authors: Zeze Li , Weiyi Li
Published: September 2024

Xu Yuanchong's translation of The Songs of Chu into English is acclaimed for its nuanced adaptation. Xu Yuanchong has adopted a flexible translation strategy in the English version based on the balance of "faithfulness, expressiveness and elegance", so as to meet the reading habits of English readers and develop the outstanding traditional culture. This paper explores Xu Yuanchong's multi-dimensional adaption and translator-centeredness, particularly for the rich plant imagery in the text, through the lens of eco-translatology. By examining how Xu Yuanchong maintains the original's spirit and cultural essence, the analysis reveals the translator's role in facilitating cross-cultural understanding. This paper contributes to the discourse on translation by illustrating the preservation of Eastern wisdom in English renderings, enhancing global appreciation of ancient Chinese literature.
Síndrome de Dunbar con infartos esplénicos como complicación poco usual.
Authors: Jacinto Peñaloza Ingrid , Murguía Lugo Emmanuel Francisco
Published: September 2024

The Dunbar syndrome is an underdiagnosed condition, first reported in 1963 and confirmed through imaging methods until 1972. It presents clinically with epigastric pain, caused by compression of the celiac trunk by the median arcuate ligament, which can be due to a low insertion of the ligament or a high origin of the celiac trunk. This stenosis persists even
with changes in the position of the diaphragm during the respiratory cycle. In this article, two imaging methods, namely angiotomography and spectral Doppler ultrasound, were employed.
Key data were obtained from each of these methods, and their integration is crucial for establishing the diagnosis. Keywords: Syndrome; Dunbar; infarct; splenic; complication.
Secure Efficiency: Navigating Performance Challenges in Multi-Tenant Cloud Security Implementations
Authors: Sharma Anshul
Published: September 2024

Multi-tenant cloud environments offer significant advantages in terms of cost-efficiency and scalability, but they also present unique challenges in balancing robust security measures with optimal performance. This article examines the intricate relationship between security implementations and system performance in shared cloud infrastructures. Through a comprehensive analysis of data isolation techniques, access control mechanisms, network security protocols, and threat detection systems, we identify key areas where security measures can impact performance metrics such as latency, throughput, and resource utilization. Our article employs a mixed-methods approach, combining quantitative performance measurements with qualitative case studies from industry-leading cloud service providers. The findings reveal that while stringent security measures often introduce performance overhead, strategic implementation and optimization can significantly mitigate these effects. We propose a framework for dynamically balancing security and performance requirements, incorporating emerging technologies such as AI-driven threat detection and automated resource allocation. This article contributes to the growing body of knowledge on cloud computing optimization and provides practical insights for cloud architects and security professionals seeking to enhance both the security posture and performance efficiency of multi-tenant cloud environments.
Cloud-Enabled Personalization: Transforming Educational Paradigms through Adaptive Learning Technologies
Authors: Peram Purnimanand
Published: September 2024

This article examines the transformative impact of cloud computing on personalized learning in education, exploring how cloud-based technologies are reshaping educational paradigms. Through a comprehensive analysis of adaptive learning platforms, real-time feedback systems, and learning analytics, we demonstrate how cloud computing facilitates tailored educational experiences. The article addresses key challenges in education, including accessibility, resource allocation, and costeffectiveness, showcasing cloud-based solutions that enhance collaboration and inclusivity. We explore the evolution of teaching and learning tools, from virtual classrooms to interactive content delivery, and their role in improving student outcomes through early intervention systems and engagement-enhancing techniques. The global reach and scalability of cloud-based education are examined, highlighting its potential for cross-border learning and ability to meet fluctuating demands. Our findings indicate that cloud computing is not merely a technological advancement but a fundamental shift in educational methodology, offering unprecedented opportunities for personalized, efficient, and globally accessible learning experiences. This article contributes to the growing body of knowledge on educational technology and provides insights for educators, institutions, and policymakers seeking to leverage cloud computing for educational excellence.
Proposing a Model to Enhance Security in Online Blockchain-Based Banking Transactions
Authors: Patel Jaini
Published: September 2024

In the banking industry, technologies are changing rapidly. The banking industry is the first target to implement the new technology to provide better customer services. In the past, banking systems used the manual ledger system, which has many drawbacks. To overcome this, the banking industry implemented the computerised mechanism to implement the centralised system, in which data is stored in one place, like a data warehouse. However, this centralised, automated system has also led to increased threats and cybercrimes. There are various malicious software (ransomware, phishing) through which hackers can hack customers' private data and use it illegally. The urgency to address these challenges has led to the adoption of blockchain, a leading technology based on decentralised, distributed behaviour and its public ledger system. Implementing blockchain in the banking sector is not just a choice, but a necessity. It can increase security, immutability, faster transactions, a decentralised system, consensus manner, transparency, etc. We will be discussing blockchain and its functionality. Furthermore, we will present a theoretical framework that uses consortium blockchain to reduce security threats in online transactions. Our model, IVSMOT, is a crucial step in this direction, as it divides the private key into two shares, thereby addressing the urgent need to enhance security in online banking transactions.
Boosting customer loyalty through marketing distribution, customer experience management and customer relationship management
Authors: Badawi Badawi , Muafi Muafi
Published: September 2024

This study aims to analyze the effect of marketing distribution on customer experience management (CEM), customer relationship management (CRM), and customer loyalty. This study also analyzes the effect of CEM and CRM on customer loyalty. This study uses quantitative methods with a population of all BPRS (Sharia People's Financing Bank) customers in the Cirebon area, West Java. The sample in this study was taken through the purposive sampling method regarding sampling criteria tailored to the research objectives. From the sampling process, we obtained 185 respondents who met the criteria and became the research sample. Data were collected through the distribution of questionnaires and analyzed using a structural equation model with Smart-PLS 3. The analysis shows that marketing distribution positively affects customer experience management, customer relationship management and customer loyalty. Furthermore, customer experience management and customer relationship management are also proven to positively affect customer loyalty. Conclusion: It is concluded that marketing distribution has an important role in improving CEM, CRM and customer loyalty. This research proves that the implementation of good marketing distribution can encourage consumer interest in the company's products and services and build customer loyalty.