bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring the Self-Killing Predestination Paradox in Time Travel
Authors: Tiwari Utkarsh
Published: July 2024

This essay explores the self-killing predestination paradox with the help of a time travel scenario. To comprehend the effects of this paradox on causality, We use spacetime diagrams to investigate, make use of mathematical models, and analyze line cone overlapping. This study illustrates the difficulties and possible contradictions in time travel scenarios by offering a mathematical and graphic interpretation of the conundrum. The integration of insights from Smith et al. (2020) and Johnson and Lee (2019) offers a thorough understanding of temporal paradoxes and how they affect the essence of time.We investigate the causal loop and its consequences for spacetime by modeling the events of birth and time travel leading to the self-killing predestination paradox. This research also provides pieces of evidence that paradoxical regions can be represented by the Gaussian Distribution function and its effect on paradoxical regions.
Conceptualizing adult ADHD with the DSM Alternative Model of Personality Disorder
Authors: Jacobsson Peter , Hopwood Christopher James , Krueger Robert , Soderpalm Bo , Nilsson Thomas
Published: July 2024

Personality traits and personality disorders are related to ADHD and to indicate dysfunction in clinical populations. The goals of this study were to examine how the DSM-5 Alternative Model of Personality Disorder (AMPD) a) indicate presence of ADHD and b) communicate information about dysfunction over and above ADHD diagnosis. A sample of 330 adult psychiatric patients with and without ADHD (60% female; mean age 33 years) were assessed for ADHD symptoms, personality impairment, maladaptive personality traits, and functional life impairment domains. The maladaptive personality domain Disinhibition and particularly the lower order facet of Distractibility distinguished between individuals with psychiatric difficulties with and without ADHD. Distractibility is strongly related to the ADHD symptom dimension Inattentiveness, and Antagonism to Hyperactivity/impulsivity. General personality impairment augmented ADHD diagnosis in predicting life impairments. The AMPD has utility in ADHD assessments for diagnosis and prognosis.
A review of pre-registration in autism research journals
Authors: Poole Daniel , Linden Audrey Helen , Sedgewick Felicity , Hobson Hannah
Published: July 2024

Pre-registration refers to the practice of researchers preparing a time-stamped document describing the plans for a study. This open research tool is used to improve transparency, so that readers can evaluate the extent to which the researcher adhered to their original plans and tested their theory appropriately. In the current study, we conducted an audit of pre-registration in autism research through a review of manuscripts published across six autism research journals between 2011 - 2022. We found that 192 publications were pre-registered, approximately 2.23% of publications during this time frame. We also conducted a quality assessment of a sample of the pre-registrations, finding that specificity in the pre-registrations was low, particularly in the design and analysis components of the pre-registration. Additionally, only 28% of sampled manuscripts adhered to their analysis plan or transparently disclosed all deviations. Autism researchers conducting confirmatory, quantitative research should consider pre-registering their work, reporting any changes in plans transparently in the published manuscript. We outline recommendations for researchers and journals to improve the transparency and robustness of the field.
A Parallel Distributed Processing Network of Human Reasoning
Authors: Jialin  , Cortese Michael
Published: July 2024

Humans are found to display a bias when they are doing deductive reasoning in the Wason selection task (WST). Specifically, when asked to identify evidence that disproves a rule (e.g., that a card with an even number on one side must contain a vowel on the opposite side), humans perform better when the task uses real-life examples than abstract examples. The mechanism of this reasoning bias remained unclear. One study used a parallel distributed processing (PDP) model to model the human-like bias but failed. The possible reason for the failure was that semantic similarities between words/concepts used in the task could induce the bias, and the semantic similarity among learned concepts was not simulated in the PDP model. Regardless, PDP offers an exciting avenue to examine decision making due to its theoretical and biological plausibility. And so, the current study used a PDP approach to model the deductive reasoning behaviors in the Wason selection task. Different from the previous PDP model study, we trained the PDP model with a WST under two semantic distance conditions: close and far. We found that the PDP model learned to choose “p and not q” under the close semantic distance condition and “p and q” under the long semantic distance condition. However, unlike human participants, the PDP model did not find it more difficult to choose “p and not q” over “p and q” in either condition. Future studies might explore how the model’s cause-effect experiences without proper feedback prior to exposure on the Wason selection task may produce biased outcomes.
Early Childhood Reward-Related Neural Reactivity Concurrently and Prospectively Associates with Depressive Symptom Severity
Authors: Camacho Nicolas Leonardo , Gaffrey Michael S.
Published: July 2024

Background: The emergence of depression during the preschool years is well established. However, the neural correlates of depressive symptoms during this developmental period remain relatively understudied. Prior work has suggested a concurrent association between left amygdala salience reactivity (i.e., reward and loss versus neutral) and depressive symptoms in early childhood. Replication and extension into the predictive utility of the amygdala and other relevant neurobiological correlates are now needed. Methods: The current longitudinal study conducted a conceptual replication and extension of prior work using functional Magnetic Resonance Imaging in a sample of 4-8-year-old children. We investigated whether reward-related reactivity in a priori regions of interest were associated with parent-reported early childhood depressive symptoms concurrently (N = 114; 54% female) and approximately one year later (N = 75; 53% female). Results: Left amygdala salience reactivity and right caudate and medial prefrontal cortex reward reactivity (i.e., reward versus neutral) negatively associated with concurrent childhood depressive symptom severity. Only right caudate reward reactivity negatively associated with childhood depressive symptom severity one year later. Conclusions: Results replicate prior research suggesting an association between amygdala response to salient outcomes during reward processing and concurrent depressive symptom elevations in young children. They also provide novel information supporting the potential role of right caudate reactivity during reward processing as a biomarker of future elevations in depressive symptoms. These findings provide neurobiological insights into our developmental understanding of early emerging depressive symptoms and underscore early childhood as an important developmental period for understanding depression.
STUDY ON THE INFLUENCE OF PROCESSING METHODS ON THE ADHESIVE PROPERTIES OF MOUNTING SURFACES FOR NATURAL STONE PRODUCTS
Authors: Kotenko Volodymyr ,   Zhytomyr Polytechnic State University, Piskun Ihor ,   Zhytomyr Polytechnic State University
Published: July 2024

Purpose. The purpose of the research is to establish the degree of influence of the structural-textural features and the method of processing the facing surface of natural stone products on their ability to adhere. Methodology. To achieve the goal of the research, the following steps were taken: justification and formulation of the hypothesis regarding the dependence of adhesion on the parameters of micro-relief of stone products and the structural-textural features of rock formations; determination and description of the requirements for the samples under investigation; review and brief characterization of the typology of fixing mixtures; selection and description of the main parameters of the mounting surface (base) for fixing the samples under investigation; development of a sequential plan for conducting the research part of the work; actual execution of the research; analysis of the obtained results. Results. Based on the results of the research, the influence of the method of processing the mounting surfaces of stone products on the magnitude of the provided adhesive interaction and the influence of the structural-textural features of natural stone on the adhesion magnitude of adhesive interaction have been established. Scientific novelty. The scientific novelty lies in establishing the relationship between the ability of the surface of natural stone to adhere and the method of its processing; for the first time, the value of adhesion magnitude for the sawn texture of granite from the Didkovytske deposit and gabbro from the Kamyanobridsky deposit has been determined. Practical significance. The practical significance of the obtained results lies in the possibility of using the obtained dependencies for the early prediction of the adhesion magnitude of the surface of facing products made of natural stone to the surface to which they are attached, based on the physical-mechanical properties of the stone and the method of processing its surface. Keywords: adhesion, natural stone, diamond wire sawing, disk sawing, stone product installation.
Visceral uric gout in an adult Aburria jacutinga
Authors: Rocha Barreto Corrêa Manhães Clara , Dos Santos Barreto Rangel Karen , Ruiz-Miranda Carlos Ramón
Published: July 2024

Visceral uric gout is a metabolic disorder characterized by the accumulation of urate crystals on the serous surfaces of the coelomic cavity and in the kidneys. In the present study, we describe a case of visceral uric gout in an adult black-fronted piping guan (Aburria jacutinga) under human care. Macroscopic findings showed urate crystals in the mesentery, pericardium, liver, and kidneys. The kidneys were enlarged, and the vessels of the right kidney were congested. Microscopically, we observed the presence of fine crystals with the appearance of "needles". The lesions found are compatible with those previously described in the literature for visceral uric gout syndrome in birds. This is the first report of visceral uric gout in Aburria jacutinga.
Association of Online Learning Tools and Students’ Health: A Case Study During the COVID-19 Pandemic
Authors: Neamhom Thanakrit , Phosat Chanchira , Chumprasittichok Thanathorn
Published: July 2024

Objective: This study aimed to determine the health effects on undergraduate students from online learning and connectivity devices, characterizing the association between significant confounding factors and the prevalence of health symptoms among undergraduates.Material and Methods: This cross-sectional study was conducted from July to August 2021 and involved 219 undergraduates selected by simple random sampling from an academic institute within Thailand. Data were analyzed using Chi-square and Kendall’s tau-c tests. All data were collected through a self-administered questionnaire.Results: Among participants, (1) tablets and smartphones were the major devices used (97.7% and 77.2%, respectively), (2) the prevalence of nervous-related and mental symptoms was over 80% for headache, dizziness, fatigue, difficulty concentrating, stress, tiredness and anxiety, (3) the Chi-square test results for laptop devices revealed an association with anxiety and burnout effects (p-value<0.05 for all), while anxiety presented as a positive correlation coefficient of Kendall rank (0.003), with desktop PC devices, and (4) learning media including video, PowerPoint and academic articles, played a major role in affecting health; especially academic articles, which exhibited a positive relationship in all related effects.Conclusion: The use of learning media during the Coronavirus Disease-19 (COVID-19) pandemic has had an impact on students’ mental health. Decisions regarding implementing mitigation measures and monitoring programs should be reconsidered to reduce risks to students’ health.
Radiographic abnormalities and their clinical significance in patients with Parkinson disease who receive deep brain stimulation implants
Authors: Findlay Matthew C. , Tenhoeve Samuel A. , Campbell Justin M. , Yost Samantha , Gautam Diwas , Rahimpour Shervin , Botros David , Liang Allison S. , Alshaikh Jumana T. , Kassavetis Panagiotis , Moretti Paolo , Embree Lindsay M. , Shofty Ben
Published: July 2024

OBJECTIVE

Preoperative MR images obtained in patients with Parkinson disease (PD) undergoing deep brain stimulation (DBS) often reveal incidental radiographic abnormalities (RAs). These findings range from small changes to gross pathologies. The effect of these findings on patients’ clinical outcomes is unknown. The authors characterized RAs in patients with PD who underwent DBS and assessed clinical outcomes.

METHODS

Records of patients at the authors’ institution with PD who underwent MRI for DBS electrode implantation from 2010 through 2022 were reviewed. RAs were identified from the official preoperative MRI reports. RAs were grouped into four general categories (ischemic changes, atrophy or degenerative changes [ADCs], structural abnormalities, and tumors) and correlated with clinical outcomes (including subjective clinical response, levodopa equivalent dose [LED], and Unified Parkinson’s Disease Rating Scale Part III [UPDRS] score) at the 1-year and last available follow-ups.

RESULTS

In this review, 160 patients were identified for initial analysis, with 135 presenting with ≥ 1 RAs. Of these 135 patients, 69.4% (111/160) had ischemic vascular changes, 39.4% (63/160) had ADCs, 16.9% (27/160) had structural changes, and 1.9% (3/160) had tumors. No differences in preoperative LED or UPDRS score were observed between these groups. After DBS, no differences in outcomes were observed between patients with RAs and those without RAs for both the 1-year and last follow-up time points, including mortality rates and times. Structural lesions were associated with lower mortality rates (OR 0.1, p = 0.04). ADCs were associated with a worse subjective clinical response at the 1-year (OR 0.50, p = 0.04) and last (OR 0.49, p = 0.03) follow-ups, but subjectively worse responses were not correlated with worse objective outcome measures.

CONCLUSIONS

Most RAs have no significant effect on clinical outcomes in PD patients undergoing DBS. Generalized ADCs may be associated with poorer subjective responses and may warrant further discussion with the patient if diagnosed on preoperative MRI.
Comparison of biportal endoscopic and microscopic tubular paraspinal approach for foraminal and extraforaminal lumbar disc herniation
Authors: Kang Min-Seok , Hwang Jae-Yeun , Park Sang-Min , Yang Jae-Hyuk , You Ki-Han , Hong Seok-Ho , Cho Samuel K. , Park Hyun-Jin
Published: July 2024

OBJECTIVE

Foraminal and extraforaminal lumbar disc herniation (FELDH) is an important pathological condition that can lead to lumbar radiculopathy. The paraspinal muscle–splitting approach introduced by Reulen and Wiltse is a reasonable surgical technique. Minimally invasive procedures using a tubular retractor system have also been introduced. However, surgical treatment is considered more challenging for FELDH than for central or subarticular lumbar disc herniations (LDHs). Some researchers have proposed uniportal extraforaminal endoscopic lumbar discectomy through a posterolateral approach as an alternative for FELDH, but heterogeneous clinical results have been reported. Recently, the biportal endoscopic (BE) paraspinal approach has been suggested as an alternative. The aim of this study was to compare the clinical outcomes of BE and microscopic tubular (MT) paraspinal approaches for decompressive foraminotomy and lumbar discectomy (paraLD) in patients with FELDH.

METHODS

Ninety-one consecutive patients with unilateral lumbar radiculopathy and FELDH underwent paraLD. Demographic and perioperative data were collected. Clinical outcomes were evaluated using the visual analog scale (VAS) for back and leg pain, the Oswestry Disability Index (ODI) for spinal disability, and the modified Macnab criteria for patient satisfaction. Postoperative complications and reoperation rates were also evaluated.

RESULTS

In total, 76 patients were included in the final analysis. Among them, 43 underwent BE paraLD (group A) and the remaining 33 underwent MT paraLD (group B). The demographic and preoperative data were not statistically different between the groups. All patients showed significant improvements in VAS back, VAS leg, and ODI scores compared with baseline values (p < 0.05). The improvement in VAS back scores was significantly better in group A than in group B on postoperative day 2 (p < 0.001). However, all clinical parameters were comparable between the two groups after postoperative year 1 (p > 0.05). According to the modified Macnab criteria, 86.1% and 72.7% of the patients had excellent or good outcomes in groups A and B, respectively. No intergroup differences were observed (p = 0.367). In addition, there were no differences in the total operation time or amount of surgical drainage. Postoperative complications were not significantly different between the two groups (p = 0.301); however, reoperation rates were significantly higher in group B (p = 0.035).

CONCLUSIONS

BE paraLD is an effective treatment for FELDH and is an alternative to MT paraLD. In particular, BE paraLD has advantages of early improvement in postoperative back pain and low reoperation rates.
Discrepancy between global- and disease-specific outcome measures following lumbar spine surgery
Authors: Vaishnav Avani S. , Kwas Cole , Mok Jung Kee , Araghi Kasra , Singh Nishtha , Tuma Olivia , Korsun Maximilian , Simon Chad Z. , Asada Tomoyuki , Mai Eric , Zhang Joshua , Allen Myles , Kim Eric , Heuer Annika , Iyer Sravisht , Qureshi Sheeraz
Published: July 2024

OBJECTIVE

The aim of this study was to assess the correlation between patient-perceived changes in health and commonly utilized patient-reported outcome measures (PROMs) in lumbar spine surgery.

METHODS

This was a retrospective review of prospectively collected data on consecutive patients who underwent lumbar microdiscectomy, lumbar decompression, or lumbar fusion at a single academic institution from 2017 to 2023. Correlation between the global rating of change (GRC) questionnaire, a 5-item Likert scale (much better, slightly better, about the same, slightly worse, and much worse), and PROMs (Oswestry Disability Index, visual analog scale for back and leg pain, 12-Item Short Form Health Survey Physical Component Summary and Mental Component Summary, and PROMIS physical function) was assessed using Spearman’s rank correlation coefficients.

RESULTS

A total of 1871 patients (397 microdiscectomies, 965 decompressions, and 509 fusions) were included. A majority of patients in each group rated their lumbar condition as much better at each postoperative time point compared with preoperatively and reported improved health status at each postoperative time point compared with the previous follow-up visit. Statistically significant but weak to moderate correlations were found between GRC and change in PROM scores from the preoperative time point. Correlation between GRC and change in PROM scores from the prior visit showed some statistically significant correlations, but the strengths ranged from very weak to weak.

CONCLUSIONS

A majority of patients undergoing lumbar microdiscectomy, decompression, or fusion endorsed notable improvements in health status in the early postoperative period and continued to improve at late follow-up. However, commonly used PROMs demonstrated very weak to moderate correlations with patient-perceived changes in overall lumbar spine–related health status as determined by GRC. Therefore, currently used PROMs may not be as sensitive at detecting these changes or may not be adequately reflecting changes in health conditions that are meaningful to patients undergoing lumbar spine surgery.
Assessment of the genetic similarity between the novoaltayskaya horse breed and the original breeds by microsatellite DNA loci
Authors: Dubrovin A. V. , Blohina N. V. , Borisova A. V.
Published: July 2024

The research was carried out for the purpose of a comparative assessment of the allele pool of the Novoaltayskaya horse breed and the breeds that participated in its creation. The experimental sample included 5736 horses, including: Novoaltayskaya breed – 363, Altai – 39, Lithuanian Heavy Draft – 159, Russian Heavy Draft – 617, Soviet d Heavy Draft – 288, Orlov trotter – 4,177, Budenny – 93. Population genetic analysis was performed using generally accepted methods. The following indicators were determined: the total number of alleles at 17 loci, the average number of alleles per locus, the level of polymorphism, observed and expected heterozygosity, coefficients of intrapopulation inbreeding, genetic similarity and genetic distances. It was established that horses of the Novo-Altai breed had the highest level of genetic diversity (154 alleles) and polymorphism (Ae = 4,909). Analysis of genetic differentiation showed the absence of intrapopulation inbreeding in the groups of Altai, Lithuanian Heavy Draft and Budenny breeds. Groups of horses of the Novoaltayskaya, Orlov trotter, Russian Heavy Draft and Soviet Heavy Draft breeds were distinguished by a slight deficiency of heterozygotes. It has been established that horses of the Novoaltayskaya and Heavy Draft breeds are characterized by a high frequency of occurrence of the HTG6 O allele, and the Altai breed is characterized by a high frequency of occurrence of the HTG4 M allele. A number of loci of alleles identical in spectrum to those of the Altai, Russian Heavy Draft and Soviet Heavy Draft breeds were identified in the Novoaltayskaya horse. Cluster analysis demonstrated a high level of genetic similarity of horses of the Novoaltayskaya breed with the Russian Heavy Draft (0,903) and Altai (0,899) breeds. As part of the study, using molecular genetic markers, new data was obtained on horses of seven breeds, with the help of which it is possible to improve breeding programs in horse breeding, allowing to control the biodiversity and genetic similarity of populations, preserving the originality and heterogeneity of the allele pool of horses of different breeds.
Analisis Inovasi Berbasis Teknologi Dalam Keunggulan Bersaing Pada Pengalaman Pelanggan Serta Loyalitas Pelanggan Di Industri Perhotelan Kabupaten Jember
Authors: Sandy Syah Riza Octavy , Faozen Faozen
Published: July 2024

This research aims to examine technology-based innovation in competition excellence, customer experience, customer loyalty in the hotel industry in Jember Area. So that through this research we can provide reference ideas for stakeholder partners, namely Hotel Indonesia Jember Branch and Restaurant Association (PHRI) and more specifically hotel services business actors as a reference in making policies in responding to hotel marketing strategies that correlate with customer practices and customer loyalty. This The research aims to find out and test technology-based innovation competitively excellence, customer experience, customer loyalty in the hotel industry (Case III Star Hotel Study in Jember Regency). The population of this study is Hotel guests. This activity stage begins with a survey, namely testing research instrument. After obtaining a valid instrument, the research team then left go to the field to dig up information by interviewing and distributing questionnaires to obtain primary and secondary data. The data obtained are processed using a statistical processing application program. The next stage is prepare a final report based on the results of data and scientific analysis publication as the output of this research.
Analisis Perbandingan Likuiditas Terhadap Profitabilitas
Authors: Sri Nuringwahyu  , Trianti Khoiriyah , Sholikhah Lutfiatus
Published: July 2024

This study aims to examine the causal relationship between the liquidity ratio as measured using the cash ratio and loans deposit ratio to bank profitability as measured using Return On Assets (ROA). This test was carried out on two banks, namely conventional commercial banks and Islamic commercial banks in Indonesia. The population used in this study are all Conventional Commercial Banks and Islamic Commercial Banks listed on the Indonesia Stock Exchange. The data used is secondary data. Secondary data is obtained from the financial statements published by the bank during the observation period. The observation period used is 2019-2022. Data at Conventional Banks is not normally distributed, so a relationship analysis is carried out, the relationship between the Cash Ratio and the Loans-Deposit Ratio shows that it is in a moderate position. Relationship Cash Ratio to Return On Assets, shows in a low position Relationship of Loans Deposit Ratio to Return On Assets, shows in a low position at Islamic Banks with correlation results: Relationship Cash Ratio to LoansDeposit Ratio shows in a moderate position. Relationship Cash Ratio to Return On Assets, shows in a strong position. The relationship between Loans Deposit Ratio and Return On Assets is in a moderate position. In Islamic Banks, regression analysis can be carried out because the data is normally distributed, the results of the regression analysis are Cash Ratio which has a significant effect on ROA while LDR does not have a significant effect on ROA. Simultaneously Cash ratio and LDR have a significant effect on ROA.
 
Keywords: Cash ratio, Loan deposit ratio, ROA, Conventional Commercial Banks, Islamic Commercial Banks, not normally distributed, correlation, regression
Transport Properties of Internally Cured Self Compacting Concrete with Fly Ash
Authors: Shanmugapriya J. , Chinnaraju K.
Published: July 2024

Proper curing of concrete has a major beneficial effect on the transport properties of concrete which in turn influences its durability. This paper attempts to study the effect of fly ash on the transport properties of internally cured Self-Compacting Concrete specimens under ambient conditions. Two internal curing materials, Lightweight Expanded Clay Aggregates [LECA] and Superabsorbent Polymer [SAP] were chosen for the study. Properties such as sorptivity, resistance to chloride ion penetration and chloride ion migration specimens with varying percentages of fly ash replacement from 30% to 50% are presented under different curing conditions namely conventional curing, sealed curing with internal curing materials and ambient curing with internal curing materials. The results showed that the impermeability of concrete improved with an increasing percentage of fly ash replacements owing to the presence of internal curing water to improve hydration along with fly ash that moderates the heat of hydration and drying. The internal curing efficiency also improved with the increase in the percentage of fly ash replacement. Under ambient conditions, the mixes with fly ash above 45% replacement have shown very good mechanical and durability properties indicating a refined pore structure leading to enhanced transport properties.
Intuitive Data Visualization for Enhanced Patient Comprehension
Authors: Asfandiyar Samina , Hough Shelley , Agugo Vivian , Brixey Juliana J. , Gong Yang
Published: July 2024

The pilot study explores how data visualization influences patient comprehension and engagement in understanding hyperlipidemia test results across diverse patient groups. Employing Gestalt theory and the Relational Information Display (RID) framework, intuitive visual tools were developed using Google Sheets, QlikView®, and Microsoft® Excel®. The survey conducted with patients used a Likert scale to evaluate six different line and bar graphs, each presenting the same LDL cholesterol data. The study emphasized the creation of graphs that were easily interpretable. The survey aimed to assess preferences for various data visualization formats. The survey results indicated that patients preferred stacked area charts, while healthcare providers favored line charts. The results highlight the importance of user-centric design and the effective application of theoretical frameworks in creating visualizations that enhance patient engagement and comprehension. The study highlights the role of tailored data visualizations in healthcare, emphasizing the need for such tools in user-centered health technology.
Can an Immersive Virtual Reality 360 Enhancing Students’ Self-Directed Learning on Diabetes Knowledge and Self-Efficacy?
Authors: Guo Sophie Huey-Ming , Yang Yu-Ru , I Liu Mei
Published: July 2024

Nurses need to be competent in clinical nursing knowledge and skills via engagement in continuing education. The knowledge of nurses should be updated especially in caring for diabetes disease. The potential for immersive experience provision by 360-degree video. This study aims to design an immersive interactive learning experience based on 360° immersive videos and pilot testing on nursing students receiving diabetes education.
Integrating Health Informatics into Pre-Registration Nursing Education: Insights from a Participatory Workshop
Authors: Lokmic-Tomkins Zerina , Raghunathan Kalpana , Almond Helen , Booth Richard G. , McBride Susan G. , Tietze Mari F. , Honey Michelle , Procter Paula , Peddle Monica , McKenna Lisa
Published: July 2024

The implementation of health informatics in pre-registration health professional degrees faces persistent challenges, including curriculum overload, educator workforce capability gaps, and financial constraints. Despite these barriers, reports of successful implementation of health informatics pre-registration nursing programs exist. A virtual workshop was held during thein 15th International Nursing Informatics Conference in 2021 with the aim to explore successful implementation strategies for incorporating health informatics into the nursing curriculum to meet the accreditation standards. This paper reports recommendations from the workshop emphasising the importance academic-clinical partnerships to develop innovative approaches to enhance theof capacity of academic teams and access to contemporary point of care digital technologies that reflect applications of health informatics in interdisciplinary clinical settings.
Nursing Informatics Research: A Bibliometric Analysis from 1989 to 2023
Authors: Liu Chun-Wei , Lin Zu-Chun , Koo Malcolm
Published: July 2024

Nursing informatics has evolved rapidly since its inception. Despite its growth, there remains a gap in comprehensive bibliometric analyses of the field’s development and themes. The study aimed to provide an overview of the evolution and current status of nursing informatics by conducting a bibliometric analysis of the literature from 1989 to 2023. Utilizing the Science Citation Index Expanded edition of the Web of Science Core Collection, 483 original English-language articles were analyzed using Bibliometrix 4.1. The results revealed a steady increase in publications, with the United States as the leading contributor. Thematic analysis indicates a shift from basic informatics integration to advanced technologies like artificial intelligence, reflecting the dynamic nature and expanding scope of nursing informatics. These findings highlight the need for ongoing research, enhanced digital literacy, and interdisciplinary collaboration, emphasizing the field’s critical role in advancing healthcare in the digital age.
Academic-Practice Partnerships, EHR in Nursing Curriculum, and the Value Equation
Authors: Tietze Mari , Rogers Meagan , Roye Jennifer , Knecht Karen , Tellson Alaina
Published: July 2024

Workforce well-being and associated factors such as burnout, depression and documentation burden, have been identified as the highest concerns to be addressed. In academia, the new essentials of nursing practice including domain 8 for informatics and healthcare technology have become a focus for curricular revisions/enhancements. Our study focused on technology skills by using the technology of an academic EHR to measure baselines and progression of EHR use, sense of confidence, documentation competency, and post-graduation employer-based performance assessment. We provide results of an ongoing 1.5-year study and overarching strategy for university-wide deployment and financing.
The Relationship Between Patient Perceived Pain and the Numerical Rating System: A Prospective Validation Using Electronic Health Record Data
Authors: Pruinelli Lisiane , Nguyen Minh , Stalter Nicholas , Johnson Steven G. , Simon Gyorgy , Speedie Stuart , Ma Sisi
Published: July 2024

We developed a method of using the Clinically Aligned Pain Assessment (CAPA) measures to reconstruct the Numeric Rating System (NRS). We used an observational retrospective cohort study design with prospective validation using de-identified adult patient data derived from a major health system. Data between 2011-2017 were used for development and 2018-2020 for validation. All included patients had at least one NRS and CAPA measurement at the same time. An ordinal regression model was built with CAPA components to predict NRS scores. We identified 6,414 and 3,543 simultaneous NRS-CAPA pairs in the development and validation dataset, respectively. All CAPA components were significantly related to NRS, with RMSE of 1.938 and Somers’ D of 0.803 on the development dataset, and RMSE of 2.1 and Somers’ D of 0.74 when prospectively validated. Our model was capable of accurately reconstructing NRS based on CAPA and was exact when the NRS was [0,7].
Acceptability of Home Monitoring for Neovascular Age-Related Macular Degeneration Reactivation: A Qualitative Study
Authors: O’Connor Sean , Treanor Charlene , Ward Elizabeth , Wickens Robin , O’Connell Abby , Culliford Lucy , Rogers Chris , Gidman Eleanor , Peto Tunde , Knox Paul , Burton Benjamin , Lotery Andrew , Sivaprasad Sobha , Reeves Barnaby , Hogg Ruth , Donnelly Michael
Published: July 2024

This study formed part of a diagnostic test accuracy study to quantify the ability of three index home monitoring (HM) tests (one paper-based and two digital tests) to identify reactivation in Neovascular age-related macular degeneration (nAMD). The aim of the study was to investigate views about acceptability and explore adherence to weekly HM. Semi-structured interviews were held with 98 patients, family members, and healthcare professionals. A thematic approach was used which was informed by theories of technology acceptance. Various factors influenced acceptability including a patient’s understanding about the purpose of monitoring. Training and ongoing support were regarded as essential for overcoming unfamiliarity with digital technology. Findings have implications for implementation of digital HM in the care of older people with nAMD and other long-term conditions.
Hospital in the Home: Nurse-Led Models of Care and Pathways
Authors: Westbrooke Lucy A.
Published: July 2024

Hospital in the Home (HITH) model of care was developed to support the COVID-19 response and the need to deliver care in new ways to ensure secondary care services were free to deliver care to the sickest patients and not be overwhelmed by the COVID-19 patients needing hospital-level care. Intermediate Care Services, led by nursing and allied health stepped up to the challenge and collaborated on the development of the HITH model of care with defined pathways. This provided hospital-level acute health services in the home that was a clinically safe alternative option to inpatient care. The establishment of HITH released bed capacity and resources and therefore prevented the need for expanding hospital inpatient capacity at a time where resources and staff were constrained. Care delivery was achieved by utilising both in-person visits and telehealth. Technology supported the care delivery which allowed patients, whanau (family) and clinicians to be connected.
Optimizing Data-Centric Healthcare: A Novel Monitoring Framework for High-Risk General Ward Patients
Authors: Kim Eun Chae , Shin Hye Kyung , Kim Young A. , Shin Sang Hee , Ahn Mi Jung , Sung Hyun Suk , Kang Eun Hye , Jung Hye Kyung , Song Chul Min
Published: July 2024

The digital transformation of healthcare in South Korea, accelerated by COVID-19, has led to increased focus on critically ill patients in large hospitals. To address this, a monitoring system was developed to ensure safe inpatient treatment and improve staff efficiency. This aligns with the Medical Data-Centric Hospitals initiative, which leverages data for healthcare innovation. The case study highlights the implementation of a ward critical care monitoring system, which has improved patient safety, work efficiency, and expanded patient monitoring scope. Key lessons include the importance of addressing technical and user challenges, aligning innovations with national policies, and the potential of data-driven solutions to tackle healthcare challenges.
Using the Discharge Decision-Making System to Improve the Pressure on Family Members of Ventilator-Dependent Patients
Authors: Lee Ya-Hui
Published: July 2024

The relevant regulations for preparing ventilator-dependent patients for discharge to institutions or home care are cumbersome and there are numerous health and education materials, which make family members confused and make the decision to discharge very difficult. The purpose of this study is to explore the use of ventilator-dependent family members in critical care units. Discussion on the pressure before and after “Discharge Decision Assistance System web APP”.
Applying Microsoft Power Platform to Improve Primary Medical Equipment Maintenance Processes
Authors: Teng Meng-Lan , Huang Mei-Luan , Liang Hui-Ching
Published: July 2024

Post-COVID, our hospital shifted to online systems using Microsoft Power Platform to mitigate errors and delays. SharePoint and Power Apps manage equipment maintenance records and submissions, enhancing immediacy and transparency. Power Automate automates report generation and reminders, improving task completion rates. Power BI visualizes data for streamlined management. Adjustments to real-time reporting enhanced efficiency, reducing manual efforts and improving completion rates.
EHR Solutions for Information Transfer Deficits During Transitions in Care for Sepsis Survivors
Authors: Bowles Kathryn H. , You Sang Bin , Sang Elaine , Song Jiyoun , Stawnychy Michael A.
Published: July 2024

In a previous study, sepsis was noted as a diagnosis on the home health record only 4% of the time for 165,000 sepsis survivors transitioning from hospital to home health care in America. If sepsis and other conditions are not clearly documented in the transitional care record this can lead to unpreparedness, missed, care, and poor patient outcomes. Our implementation science study discovered a source of this problem regarding the sepsis documentation in 16 hospitals referring to five home care agencies. Together, researchers, hospital, and home care personnel developed and implemented two information technology solutions to address this deficit in seven hospitals. The automated method was more readily adopted and effective in improving information transfer between hospital and home health care.
Perspectives of Multidisciplinary Faculty on the Design of Nursing Informatics Curriculum
Authors: Liu Jialin , Xie Wenyi , Wu Shuaiqi , Liu Siru
Published: July 2024

This study aimed to understand the experiences and challenges of interdisciplinary collaboration in nursing informatics curriculum design. The study was conducted from 9-20 August 2023 with 14 multidisciplinary faculty members. Surveys and interviews focused on perceptions of interdisciplinary communication, importance of collaboration, challenges encountered, and training needs to identify barriers to effective curriculum development. Participation was voluntary and anonymous. The results revealed significant challenges, including differences in terminology and thought processes between disciplines, role ambiguity, and cultural/methodological differences. The results of the study highlight the importance of collaboration, which is critical to the development of an effective and cohesive nursing informatics curriculum.
Home Care Nursing on Long-Term Illness Management in the French Healthcare System
Authors: Quindroit Paul , Teston Antoine , Millevile Nicolas , Chazard Emmanuel , Saint-Dizier Chloé , Lamer Antoine
Published: July 2024

This study explores the role of home care nurses in managing long-term illnesses (L-TI) within the French healthcare system, utilizing data from the SNDS. Focused on data from 2022, it categorizes nursing actions into medical procedures, care procedures, and nursing processes, revealing significant involvement in patient care. The findings highlight the crucial, evolving role of home care nurses in addressing the complex needs of millions suffering from chronic conditions like diabetes and cardiovascular diseases in France.
A Research Protocol: Mixed-Mode Designs to Optimize Engagement in Clinical Informatics Research
Authors: Wise Keely , Schrimpf M. Brooke , Hobensack Mollie , Zhao Yihong , Poghosyan Lusine , Alexander Greg
Published: July 2024

To introduce a research protocol that utilizes mixed-mode methodology (i.e., delayed concurrent and sequential approaches) to optimize response rates of two surveys being administered to U.S. nursing homes (NHs). This protocol is being employed in a cross-sectional survey to assess for HIT maturity and nurse practitioners (NP) care environments. Survey recruitment from 3,000 NHs will be conducted from June 2023 to July 2025. Respondents included NH administrators evaluating facility-wide HIT and NPs in each NH rating their care environment.
Interpretive Description in Computerized Ontology Development: Rigour
Authors: Block Lorraine J. , Wong Sabrina T. , Hardiker Nicholas R. , Hung Lillian , Currie Leanne M.
Published: July 2024

This poster presents the use of Interpretive Description in ontology development. The methods selected attended to the need for quality and rigour.
HELPeR: Interface Design Decision and Evaluation
Authors: Thaker Khushboo , Rahadari Behnam , Hui Vivian , Luo Zhimeng , Wang Youjia , Brusilovsky Peter , He Daqing , Donovan Heidi , Lee Young Ji
Published: July 2024

Inequities in health information access contribute to disparities in health outcomes. Health recommender systems have emerged as a promising solution to help users find the right information. Despite their various applications, it remains understudied how these systems can aid cancer patients. In this paper, we introduce HELPeR, a recommender system designed to assist ovarian cancer patients with their information needs. The design addresses cold-start challenges, drawing input from health experts and ovarian cancer forum posts. We evaluated HELPeR with nurse practitioners in a cold-start scenario, highlighting its benefits and areas for future improvement.
Applying Behaviour Change Theory to Understand PhD Supervisors' Barriers and Enablers to Supporting PhD Students with Academic and Other-Sector Careers
Authors: Buckland Nicola , Richardson Kate , Ehata Rebecca
Published: July 2024

Most PhD graduates work in sectors beyond academia. However, only 15% of PhD students report discussing other-sector careers with supervisors. The extent to which supervisors feel capable, motivated and have the opportunity to provide support for academic versus other-sector careers is unknown. This project applied behaviour change theory (COM-B; Michie, van Stralen & West, 2011) to assess and compare PhD supervisors’ capability, opportunity and motivation to provide careers support to PhD students for academic versus other-sector careers. An online survey of 39 science-based PhD supervisors at a UK-based University assessed capability, opportunity and motivation to discuss and signpost students to University careers services for academic and other-sector careers (pre-registered: LINK [https://osf.io/hgwdq/]-ANONYMISED). Open-ended questions assessed barriers/enablers to providing support for other-sector careers. However, most reported no training on careers, were unaware of specific University careers resources, and less than one third thought there were sufficient reminders to discuss careers. Supervisors reported significantly greater confidence (_p_<.001), ease (_p_=.002) and enthusiasm (p=.03) to discuss academic careers compared to other-sector careers. Open-ended responses indicated that generally supervisors were motivated to support the career development of students for academic and other-sector careers, and that a quick supervisor guide would be useful. It is recommended that strategies which target supervisors’ capability (training, guide) and opportunity (e.g. reminders) to provide careers support to PhD students are adopted, to ensure students are sufficiently supported for careers within and beyond academia.
Оценка экологического состояния засоленных почв на территории Казахстана
Authors: Рахымжан Жанар , Рахишева А.Д. , Нургалиева З.Ж. , Тазитдинова Р.М. , Мирзабекова Меруерт , Ергазина Н.С.
Published: July 2024

Распространение засоленных почв в Казахстане в настоящее время является одной из основных проблем, и ученые начали проявлять большой интерес к деградации земель, таким как широко распространенные засоленные почвы. Современные экологические проблемы, вызванные чрезмерной деятельностью человека и нерациональным использованием природных ресурсов, безусловно, сказались на почвенном покрове Казахстана. Во всех природных зонах республики состояние почвенного покрова ухудшилось из-за нестабильной экологической обстановки. Общая площадь республики составляет 272 миллиона гектаров. 222 миллиона гектаров используются в сельском хозяйстве, из которых 27 миллионов гектаров - пахотные земли. На сельскохозяйственных полях республики сложилась неблагоприятная экологическая обстановка.
Климат южных регионов Казахстана характеризуется сильной засухой. Поэтому на этой территории преобладает непригодный почвенный покров. Согласно схеме природного и сельскохозяйственного районирования земельного фонда Республики Казахстан, область пустынь в пределах структурно-аккумулятивной равнины Северного Приаралья состоит из районов Сырдарьи и Аральского моря. Была составлена карта засоления почв на территории Казахстана. Согласно полученным данным, засоленные почвы на территории Кызылординской области в настоящее время составляют 85% всей площади области (20,3 млн. га), почти 22,6 млн. га засолены. Для данного исследования были использованы картографические материалы по засоленным почвам Казахстана. Выяснилось, что центральные и южные регионы Казахстана в значительной степени покрыты засоленными почвами.
Im Unterricht am Growth Mindset arbeiten
Authors: Steiner Nicole
Published: July 2024

Wie gehen Lernende mit Herausforderungen um? Wie stark wird ihr Lernen durch ihre Einstellungen, Denkweisen und Haltungen beeinflusst? Und wie können Lehrpersonen das Mindset von Schüler:innen in einer Weise stärken, dass diese selbstsicherer werden und ihr Potenzial entfalten?
Feedback im Dialog
Authors: Werner Anna
Published: July 2024

In Bayern ist das Schüler:innenfeedback in der zweiten Phase der Lehrerbildung verbindlicher Ausbildungsinhalt. Es kann den Feedbacknehmenden helfen, Lernen erfolgreicher zu gestalten. Darüber hinaus werden Schüler:innen zu Mitgestaltenden und erfahren Grundlagen der Werte- und Demokratieerziehung.
Gender im Unterricht
Authors: Klenk Florian Cristobal , Kulick Theresa
Published: July 2024

Rezensionen
Magazin
Authors: Arn Christof , Munsch Jean-Paul , Frick Andrea
Published: July 2024

Ist die Lehrkräftebildung angesichts des Personalmangels noch zeitgemäß? Ein neues Modell hat die Schweizer »Hochschule für agile Bildung« entwickelt: Studierende lernen on the job und beziehen von Anfang an ein eigenes Einkommen. Sowie weitere Nachrichten und Meldungen.