bluuebunny/crossref_metadata_2025 huggingface dataset:
A Study on the Perception and Attitude toward Korean Language among Koryeoin Adolescents and Young adults: Focus on Residents Uzbekistan and Kazakhstan
Authors:   Korean Language & Literature, Kim Mi-jung , Shin Woo-bong
Published: April 2024

This study investigated experience and willingness to learn Korean, awareness of the necessity of learning Korean, and important factors when learning Korean through surveys and individual interviews conducted on young adults and adolescents of Koryeoin living in Uzbekistan and Kazakhstan. A total of 113 people participated in the survey, and among them, 108 people(95.6%) have learned Korean and only 5(4.5%) responded that they had never learned Korean. Also, the 74 people(65.5%) who are currently learning Korean continued to learn Korean because of their plans to study abroad or to move to Korea, and their interest in Korean language and culture. Also, the survey participants answered 3 or more out of 5 points on average when asked about the necessity of learning Korean for young adults and adolescents of Koryeoin, and there were various reasons for thinking that learning Korean was necessary, such as plans to study abroad or to move to Korea, justification as a Korean, and in order to get a job in the local area. In addition, ‘professor's professionalism' and ‘speaking' accounted for the highest proportion of the questionnaire on the most important elements and areas of learning Korean, and these results were also consistent with the results of individual interviews conducted on a total of 10 young people and adolescents of Koryeoin in their 10-20s. Also most of the young people and adolescents of Koryeoin who answered that they had learned Korean studied Korean for less than three years, and among the areas of learning Korean culture, the importance of ‘popular culture such as K-pop' was perceived as the lowest compared to ‘modern society and culture', ‘history' and ‘traditional culture'. Through this, this study was able to find out the perception of young adults and adolescents of Koryeoin living in Uzbekistan and Kazakhstan on Korean language, and based on the main results, this study suggested the direction of Korean language education in the corresponding area in the future.
A study of language play and educational implications in subtitles of television entertainment programs
Authors:   Korean Language & Literature, Piao Na-li
Published: April 2024

The purpose of this study is to analyze the linguistic levels and functions of language play in the subtitles of TV entertainment programs, which have not been well studied in the field of language education, and to suggest pedagogical implications. For this purpose, 475 subtitles containing language plays in 36 TV entertainment programs were extracted and categorized into the following types: Use of homophones and similar sounds, Sound repetition, Syllable substitution and addition, Transformation of existing texts, Utilize the spacing, Antithesis, Three-line acrostic poem, Use of homophones and polysemy, use of Chinese characters, abbreviations and Paraphrasing, visual pun. As a result, we found that in addition to its basic function of making people laugh, language play in subtitles also plays a role in drawing the viewer's attention and emphasizing the content to be conveyed, and even in covertly presenting sensitive or taboo expressions. Based on these findings, we concluded that language humor in subtitles can be used to enhance learners' linguistic and cultural knowledge, meta-linguistic awareness and multimodal literacy, and can be used as a language assessment tool.
Effect of Performance-Based Nonfinancial Incentives on Data Quality in Individual Medical Records of Institutional Births: Quasi-Experimental Study (Preprint)
Authors: Taye Biniam Kefiyalew , Gezie Lemma Derseh , Atnafu Asmamaw , Mengiste Shegaw Anagaw , Kaasbøll Jens , Gullslett Monika Knudsen , Tilahun Binyam
Published: April 2024

BACKGROUND

Despite the potential of routine health information systems in tackling persistent maternal deaths stemming from poor service quality at health facilities during and around childbirth, research has demonstrated their suboptimal performance, evident from the incomplete and inaccurate data unfit for practical use. There is a consensus that nonfinancial incentives can enhance health care providers’ commitment toward achieving the desired health care quality. However, there is limited evidence regarding the effectiveness of nonfinancial incentives in improving the data quality of institutional birth services in Ethiopia.

OBJECTIVE

This study aimed to evaluate the effect of performance-based nonfinancial incentives on the completeness and consistency of data in the individual medical records of women who availed institutional birth services in northwest Ethiopia.

METHODS

We used a quasi-experimental design with a comparator group in the pre-post period, using a sample of 1969 women’s medical records. The study was conducted in the “Wegera” and “Tach-armacheho” districts, which served as the intervention and comparator districts, respectively. The intervention comprised a multicomponent nonfinancial incentive, including smartphones, flash disks, power banks, certificates, and scholarships. Personal records of women who gave birth within 6 months before (April to September 2020) and after (February to July 2021) the intervention were included. Three distinct women’s birth records were examined: the integrated card, integrated individual folder, and delivery register. The completeness of the data was determined by examining the presence of data elements, whereas the consistency check involved evaluating the agreement of data elements among women’s birth records. The average treatment effect on the treated (ATET), with 95% CIs, was computed using a difference-in-differences model.

RESULTS

In the intervention district, data completeness in women’s personal records was nearly 4 times higher (ATET 3.8, 95% CI 2.2-5.5; P=.02), and consistency was approximately 12 times more likely (ATET 11.6, 95% CI 4.18-19; P=.03) than in the comparator district.

CONCLUSIONS

This study indicates that performance-based nonfinancial incentives enhance data quality in the personal records of institutional births. Health care planners can adapt these incentives to improve the data quality of comparable medical records, particularly pregnancy-related data within health care facilities. Future research is needed to assess the effectiveness of nonfinancial incentives across diverse contexts to support successful scale-up.

CLINICALTRIAL
Effects of a Serious Smartphone Game on Nursing Students' Theoretical Knowledge and Practical Skills in Adult Basic Life Support: Randomized Wait List–Controlled Trial (Preprint)
Authors: Fijačko Nino , Masterson Creber Ruth , Metličar Špela , Strnad Matej , Greif Robert , Štiglic Gregor , Skok Pavel
Published: April 2024

BACKGROUND

Retention of adult basic life support (BLS) knowledge and skills after professional training declines over time. To combat this, the European Resuscitation Council and the American Heart Association recommend shorter, more frequent BLS sessions. Emphasizing technology-enhanced learning, such as mobile learning, aims to increase out-of-hospital cardiac arrest (OHCA) survival and is becoming more integral in nursing education.

OBJECTIVE

The aim of this study was to investigate whether playing a serious smartphone game called MOBICPR at home can improve and retain nursing students’ theoretical knowledge of and practical skills in adult BLS.

METHODS

This study used a randomized wait list–controlled design. Nursing students were randomly assigned in a 1:1 ratio to either a MOBICPR intervention group (MOBICPR-IG) or a wait-list control group (WL-CG), where the latter received the MOBICPR game 2 weeks after the MOBICPR-IG. The aim of the MOBICPR game is to engage participants in using smartphone gestures (eg, tapping) and actions (eg, talking) to perform evidence-based adult BLS on a virtual patient with OHCA. The participants’ theoretical knowledge of adult BLS was assessed using a questionnaire, while their practical skills were evaluated on cardiopulmonary resuscitation quality parameters using a manikin and a checklist.

RESULTS

In total, 43 nursing students participated in the study, 22 (51%) in MOBICPR-IG and 21 (49%) in WL-CG. There were differences between the MOBICPR-IG and the WL-CG in theoretical knowledge (P=.04) but not in practical skills (P=.45) after MOBICPR game playing at home. No difference was noted in the retention of participants’ theoretical knowledge and practical skills of adult BLS after a 2-week break from playing the MOBICPR game (P=.13). Key observations included challenges in response checks with a face-down manikin and a general neglect of safety protocols when using an automated external defibrillator.

CONCLUSIONS

Playing the MOBICPR game at home has the greatest impact on improving the theoretical knowledge of adult BLS in nursing students but not their practical skills. Our findings underscore the importance of integrating diverse scenarios into adult BLS training.

CLINICALTRIAL

ClinicalTrials.gov (NCT05784675); https://clinicaltrials.gov/study/NCT05784675
Exploring the Qualitative Experiences of Administering and Participating in Remote Research via Telephone Using the Montreal Cognitive Assessment-Blind: Cross-Sectional Study of Older Adults (Preprint)
Authors: Dumassais Shirley , Grewal Karl Singh , Aubin Gabrielle , O'Connell Megan , Phillips Natalie A , Wittich Walter
Published: April 2024

BACKGROUND

The COVID-19 pandemic caused a drastic shift in the practice of research and clinical services. It has been noted that cognition measured via in-person versus remote methods differ substantially, and it is possible that subjective and experiential differences exist between modalities.

OBJECTIVE

The aim of the study is to explore the perceptions of both researchers and older adult participants on the experience of remotely conducted research using a cognitive screener.

METHODS

We conducted a thematic analysis of the experience of engaging in remote research from both the participant (n=10) and researcher (n=4) perspectives. The research interaction was framed through teleadministration of the Montreal Cognitive Assessment-Blind (suitable for telephone administration) and administration of a subsequent semistructured debriefing interview. Participant perspectives were garnered during debriefing interviews, while researcher insights were collected via self-reported qualitative field notes completed following each research session.

RESULTS

Data aggregated into themes of barriers and facilitators from the lenses of both participants and researchers. Participants noted facilitators including short instrument length, convenience, and presession contact; barriers included the length of the interaction, some tasks being more challenging on the phone, and the potential for participant dishonesty. Research assistants noted several facilitators: instrument length, rapport building, ability to prepare for and record sessions, and comfort with the protocol; barriers were items with too many response options, telephone issues (eg, response delays), and concerns about participant comprehension.

CONCLUSIONS

These results suggest remote telephone-delivered cognitive screening tools as a feasible and acceptable method of research inquiry. The findings provide a starting point for the inclusion of diverse populations in research to capture underrepresented groups whose input would immensely benefit our understanding of remotely delivered cognitive screening measures. Further, we offer materials (eg, checklists), which can be used in future investigations to promote future inclusive research and increase generalizability.
Advancing Digital Health Initiatives in Developing Regions: A Path to Universal Health Coverage (Preprint)
Authors: Sylla Bry , Ismaila Ouedraogo , Diallo Gayo
Published: April 2024

BACKGROUND

Over the last 25 years, digital health interventions in developing countries have under-gone substantial transformations propelled by technological advancements, increased internet accessibility, and a deeper appreciation of the benefits of digital tools in en-hancing healthcare availability.

OBJECTIVE

This study aims to examine the evolution, impact, and prospects of digital health inter-ventions in developing regions, highlighting their role in improving healthcare accessi-bility and equity.

METHODS

A retrospective analysis of digital health initiatives scanning the past two and a half decades focused on the progression from basic SMS platforms to sophisticated mobile health (mHealth) applications and other health digital interventions. Relevant literature and case studies were reviewed to elucidate key milestones, successes, challenges, and opportunities in advancing digital health initiatives in developing regions.

RESULTS

Digital health initiatives in developing regions initially targeted specific health concerns, such as malaria diagnosis and treatment, through text-based platforms, demonstrating their efficacy in reaching remote and marginalized communities. With the proliferation of mobile phone ownership and internet access, these interventions evolved into com-prehensive mHealth applications, facilitating self-care support, patient education, chronic disease monitoring, and remote consultations. The COVID-19 pandemic further accelerated the adoption of digital health interventions, particularly in disseminating health information, supporting contact tracing efforts, and enabling virtual consultations to alleviate strain on healthcare systems.

CONCLUSIONS

The future of digital health interventions in developing regions holds immense promise, fueled by emerging technologies such as artificial intelligence, machine learning, and blockchain. However, challenges persist in ensuring equitable access to digital health technologies, addressing disparities in digital literacy, and establishing robust healthcare infrastructure. Collaboration among governments, healthcare providers, technology innovators, and communities is essential to overcome these challenges and harness the full potential of digital health to improve healthcare outcomes in developing regions.
Characteristics of Digital Health Platforms for Wound Management: Content Analysis Through Systematic Review and Search of App Stores (Preprint)
Authors: Guo Yuchen , Zhao Chunlin , Liang Zhimin , Yang Xue , Zhu Ling , Xu Xinxin , Yuan Linyan , Chen Xiao , Wang Jing , Li Lingli
Published: April 2024

BACKGROUND

With the development of interdisciplinary research, digital health exhibits considerable potential in wound management, and artificial intelligence (AI) has emerged as a vital technology in wound image recognition and the construction of risk prediction models which plays a significant role in promoting wound management.

OBJECTIVE

This scoping review aims to systematically review the current state of digital health platforms (DHP) designed for wound management. Specifically, we focus on the AI-powered functions of these apps to explore the gaps between the research and practical application of machine learning.

METHODS

According to the scoping review methodology, mainstream app markets including GooglePlay (Android), AppStore (iOS), Huawei App Market (Harmony) and other types of DHPs were searched by keywords, installed and screened out. At the same time, PubMed (MEDLINE), Embase (OVID), Cochrane Library, Web of Science, IEEE Xplore, CNKI, Wanfang were searched and recorded, supplementing the incomplete part of the app stores. Qualifying DHPs were evaluated based on parameters such as characteristics, functionality, usage, privacy and security.

RESULTS

In total, 23,894 documents were searched, resulting in 51 compliant studies. The DHPs for wound management encompassed 65 mobile apps, 3 Software as a Service (SaaS), 1 Progressive Web Application (PWA), and 2 Electronic Health Records (EHR), with an aggregate of 52 being launched on app stores. The majority were for chronic wounds or all types of wound management (43/52, 82.7%), and over half of the apps are AI-powered(33/52, 63.5%). Overall, wound management apps occupied a limited part of the app market, which were characterized by low download volumes, delayed updates, and predominantly single-functionality, rendering them insufficient to fulfill the requirements of home-based wound management for patients. And most of launched apps lacked the support of academic studies (39/52, 75.0%), which couldn’t guarantee to be scientific. And only a modest portion of DHPs mentioned in articles had real-world applicability (17/71, 23.9%).

CONCLUSIONS

In this review, DHPs have proliferated for research or commercial use which facilitate the management of chronic wound and surgical wound. Given the digital health landscape, propelling the development and AI integration of apps is crucial as they can cater to individual needs, promote self-management and contribute significantly to wound management. Nonetheless, the quality, function, privacy and security of the existing launched wound management apps vary significantly, necessitating further research to address disparities and challenges.

CLINICALTRIAL

https://doi.org/10.17605/OSF.IO/MGPEU.
Factors impacting the adoption and potential reimbursement of a virtual reality tool for pain management in Switzerland: qualitative case study (Preprint)
Authors: Lurtz Josefine , Sauter Thomas , Jacob Christine
Published: April 2024

BACKGROUND

Pain and its adequate treatment are an issue in hospitals and emergency departments (ED). A virtual reality (VR) tool to manage pain could act as a valuable complement to common pharmaceutical analgesics. While efficacy could be shown in previous studies, this does not assure clinical adoption in emergency departments.

OBJECTIVE

The main aim of the study was to investigate which factors affect the adoption and potential reimbursement of a VR tool for pain management in the ED of a Swiss University Hospital.

METHODS

Key informant interviews were conducted using in-depth semi structured interviews with 11 participants reflecting the perspectives of all the relevant stakeholder groups including physicians, nurses, patients, health technology providers, and health insurance and reimbursement experts. The interviews were recorded and transcribed, and the extracted data were systematically analyzed using a thematic analysis and narrative synthesis of emergent themes. A consolidated framework for eHealth adoption was used to enable a systematic investigation of the topic and help determine which adoption factors are considered facilitators or barriers or not particularly relevant for the tool subject of the study.

RESULTS

According to the participants, the three key facilitators are: 1- organizational environment, 2- tension for change, ease of use and demonstrability, 3- employee engagement. And the three key barriers to adoption are: 1- workload, 2- changes in clinical workflow and habit, 3- reimbursement.

CONCLUSIONS

The study concludes that the adoption of a VR tool for pain management in the ED of the hospital subject of the study, although benefiting from a high tension for change in pain and workload management, is highly dependent on the respective organizational environment, engagement of the clinical staff and reimbursement considerations. While tailored incentive structures and ambassador roles could benefit initial adoption, a change in the reimbursement landscape and further investigation on the positive effects on workflow effectiveness are required to drive long-term adoption.

CLINICALTRIAL

NA
The role of telemedicine in ophthalmology in the assessment of visual acuity, color vision, and visual field: Cross-sectional observation study (Preprint)
Authors: Ribeiro Júnior Pedro Hélio Estevam , Guimarães Filho Mauro César Gobira , Negreiros Ariadne Porto Dias , Negreiros Marco Antônio
Published: April 2024

BACKGROUND

Telemedicine applied to ophthalmology has been developed since 1960s, however, it only had a greater evolution and a wide-scale implementation in 2020 with the coronavirus pandemic (COVID-19). Since then, dozens of software and applications have been developed to evaluate different aspects of visual function.

OBJECTIVE

This study aimed to evaluate the application of tests carried out through telemedicine to evaluate visual acuity, color vision, and visual field in patients of all Brazilian regions

METHODS

An observational, cross-sectional, and retrospective study was carried out. A convenience sample was made up of patients evaluated by the Eyecare Health clinic via telemedicine between the months of October 2023 and January 2024. All these patients evaluated via telemedicine were employees of a multinational evaluated in an occupational context (admission, periodic and dismissal consultations). The inclusion criteria was age over 18 years old and the exclusion criteria were incomplete or unavailable medical records. All patients performed three online tests: Best Corrected Visual Acuity (Eyecare Visual Acuity Test ®), color test evaluation (Eyecare Color Vision Test®) and remote confrontation perimetry. Data analysis was performed on DATAtab Online Statistics Calculator (2023, Austria). Data were described as measures of frequency, absolute numbers, percentages, mean, and standard deviation (when applicable).

RESULTS

2197 patients from all Brazilian regions were evaluated. 91.81% were male and the mean age was 37 years. 17.10% had never undergone an ophthalmological evaluation. The mean visual acuity evaluated by Eyecare Visual Acuity Test ® was 0.2logMar for both eyes (± 0.16). Eyecare Color Vision Test® detected a prevalence of 2.28% of color vision deficiency. Confrontation perimetry showed 3.23% of visual field defects.

CONCLUSIONS

Tele-ophthalmology has proven to be an important ally in the widespread access to eye health, especially in countries or regions with unequal access to health services. In our study we assessed remotely 2197 patients and performed visual acuity test, color vision test, and remote confrontation visual field. We found a mean visual acuity of 0.2logMar for both eyes, 2.28% prevalence of color vision blindness and 3.23% of visual field defects. These findings reaffirm and highlight the importance of tele-ophthalmology in the detection and screening of ophthalmological diseases.
The Impact of Computer-Mediated versus Face-to-Face Motivational-Type Interviews on Participant’s Language and Subsequent Behavior Change: Randomized Study (Preprint)
Authors: Llanes Karla D. , Amastae Jon , Lisha Nadra , Amrhein Paul , Arteaga Katherina , Lopez Eugene , Moran Roberto , Cohn Lawrence D.
Published: April 2024

BACKGROUND

Motivational Interviewing (MI) is frequently used to facilitate behavior change. The use of change talk during motivational interviews can predict subsequent behavior change. Yet, no studies have compared the information obtained from traditional face-to-face motivational interviews and computer-mediated motivational interviews or result in the same amount of behavior change.

OBJECTIVE

This study investigated if face-to-face motivational-type interviews and computer-mediated motivational-type interviews (MTIs) elicit the same amount of change talk and behavior change when young adults discuss their ambivalence about using marijuana.

METHODS

One hundred and fifty frequent marijuana users, occasional marijuana users, and non-marijuana users participated in the study; all participants reported being at least moderately ambivalent about their current level of marijuana use. Participants were randomly assigned to complete a brief motivational-type interview using either the standard face-to-face format or a computer-mediated format. Amrhein’s manual for assessing the presence of ‘change talk’ and ‘sustain talk’ was used to code the language produced by respondents in each interview format. Reduction in marijuana use was assessed at a two-month follow-up.

RESULTS

Word count was significantly higher in face-to-face MTIs than computer-mediated MTIs. Face-to-face MTIs also elicited significantly more reasons for reducing future marijuana use (i.e., change talk) even after controlling for verbosity. The strength of an interviewee’s statements denoting a commitment to reduce their marijuana use (i.e., change talk) and their subsequent frequency of marijuana use at two-month follow-up were negatively correlated, r=-.41, P<.001. The association between Time 1 change talk and Time 2 marijuana use depended upon the type of motivational interview that participants experienced: face-to-face MTI versus computer-mediated MTI. A negative binomial regression with a log link function was used to probe this relationship after controlling for two covariates: gender and Time 1 marijuana use. Among participants in the face-to-face MTI condition, Time 2 marijuana use decreased as the strength of Time 1 change-talk increased, although this finding was not significant (B=-.21, P=.08). Among participants in the computer-mediated MTI condition, however, Time 2 marijuana use was not significantly related to the strength of Time 1 change talk (B=.19, P=.16).

CONCLUSIONS

The implications of these findings for conducting computer-mediated motivational interviews are discussed.
Effectiveness of an Internet-Based Acceptance and Commitment Therapy Intervention for Reducing Psychological Distress in Health Care Professionals: Randomized Controlled Trial (Preprint)
Authors: Zhang Lin , Huang Shuang , Liu Sha , Huang Yuanxiu , Chen Shan , Hu Jinsong , Xu Mingzhong
Published: April 2024

BACKGROUND

Psychological distress is prevalent among health care professionals and can lead to poor-quality patient care. Internet-based acceptance and commitment therapy (iACT) is a promising intervention for improving mental health due to its low cost and easy access. However, there is limited evidence of its effectiveness in reducing health care professionals’ psychological distress.

OBJECTIVE

This study aims to examine the effects of iACT on psychological distress (stress, anxiety, and depression) among health care professionals in China.

METHODS

From October 2022 to February 2023, a total of 108 health care professionals were recruited via WeChat and randomized into a 6-week iACT intervention program with therapist support (n=54) or waitlist control group (n=54). The intervention included 21 self-guided sessions combining teaching videos, mindfulness practices, and journal writing, followed by 7 live conferences to share experiences and discuss questions, all conducted via WeChat. Primary outcomes (stress, anxiety, and depression) and secondary outcomes (burnout and psychological flexibility) were collected using the Sojump platform, the most popular web-based survey platform in China. Generalized estimating equations were used to compare the outcomes between groups and assess the effects of group, time, and group-by-time interaction. Subgroup and sensitive analyses were performed to test the robustness of our findings across various groups.

RESULTS

Among the 108 health care professionals, 68 (63%) completed the follow-up assessment at week 10, including 35 (64.8%) in the iACT group and 33 (61.1%) in the waitlist control group. Of the 54 participants in the iACT group, all attended at least 2 sessions, and 25 attended all 28 sessions. On average, participants attended 20 (71%) sessions. The iACT group showed significant improvement in the Depression Anxiety and Stress Scales-21 total score (d=0.82, 95% CI 0.39-1.26), and the effects were sustained for 4 weeks after the intervention (d=1.08, 95% CI 0.57-1.59). Compared to the control group, the iACT group showed significantly lower scores in burnout at week 6 (d=1.42, 95% CI 0.95-1.89) and week 10 (d=1.52, 95% CI 0.98-2.06). The iACT group showed significantly higher psychological flexibility at week 6 (d=1.23, 95% CI 0.77-1.69) and week 10 (d=1.15, 95% CI 0.64-1.66).

CONCLUSIONS

The iACT effectively decreased health care professionals’ psychological distress and burnout and improved their psychological flexibility. Our findings provide implications and guidance for the development and broad implementation of iACT in health care settings to improve the mental health of health care professionals.

CLINICALTRIAL

Chinese Clinical Trial Register ChiCTR2400093584; https://tinyurl.com/38werwsk
Educational Utility of Clinical Vignettes Generated in Japanese by ChatGPT-4: Mixed Methods Study (Preprint)
Authors: Takahashi Hiromizu , Shikino Kiyoshi , Kondo Takeshi , Komori Akira , Yamada Yuji , Saita Mizue , Naito Toshio
Published: April 2024

BACKGROUND

Evaluating the accuracy and educational utility of artificial intelligence–generated medical cases, especially those produced by large language models such as ChatGPT-4 (developed by OpenAI), is crucial yet underexplored.

OBJECTIVE

This study aimed to assess the educational utility of ChatGPT-4–generated clinical vignettes and their applicability in educational settings.

METHODS

Using a convergent mixed methods design, a web-based survey was conducted from January 8 to 28, 2024, to evaluate 18 medical cases generated by ChatGPT-4 in Japanese. In the survey, 6 main question items were used to evaluate the quality of the generated clinical vignettes and their educational utility, which are information quality, information accuracy, educational usefulness, clinical match, terminology accuracy (TA), and diagnosis difficulty. Feedback was solicited from physicians specializing in general internal medicine or general medicine and experienced in medical education. Chi-square and Mann-Whitney U tests were performed to identify differences among cases, and linear regression was used to examine trends associated with physicians’ experience. Thematic analysis of qualitative feedback was performed to identify areas for improvement and confirm the educational utility of the cases.

RESULTS

Of the 73 invited participants, 71 (97%) responded. The respondents, primarily male (64/71, 90%), spanned a broad range of practice years (from 1976 to 2017) and represented diverse hospital sizes throughout Japan. The majority deemed the information quality (mean 0.77, 95% CI 0.75-0.79) and information accuracy (mean 0.68, 95% CI 0.65-0.71) to be satisfactory, with these responses being based on binary data. The average scores assigned were 3.55 (95% CI 3.49-3.60) for educational usefulness, 3.70 (95% CI 3.65-3.75) for clinical match, 3.49 (95% CI 3.44-3.55) for TA, and 2.34 (95% CI 2.28-2.40) for diagnosis difficulty, based on a 5-point Likert scale. Statistical analysis showed significant variability in content quality and relevance across the cases (P<.001 after Bonferroni correction). Participants suggested improvements in generating physical findings, using natural language, and enhancing medical TA. The thematic analysis highlighted the need for clearer documentation, clinical information consistency, content relevance, and patient-centered case presentations.

CONCLUSIONS

ChatGPT-4–generated medical cases written in Japanese possess considerable potential as resources in medical education, with recognized adequacy in quality and accuracy. Nevertheless, there is a notable need for enhancements in the precision and realism of case details. This study emphasizes ChatGPT-4’s value as an adjunctive educational tool in the medical field, requiring expert oversight for optimal application.
Socio-economic Features of Creating Measures to Support Small and Medium-sized Businesses in Rural Settlements of the Russian Federation
Authors: Shutov Ivan A. , Sudorgin Oleg A.
Published: April 2024

The study examines the problem of supporting small and medium-sized businesses in rural settlements of the Russian Federation. Using the example of entrepreneurship support measures developed in the Vavozhsky district of the Udmurt Republic, the authors demonstrated effectiveness of attracting small and medium-sized businesses to the creation of facilities in rural settlements. Based on the analysis of statistical data, the authors show that the measures implemented in the district to support small and medium-sized businesses have the potential to preserve and develop rural settlements.
Transition to Polycentrism and the Transformation of Regional Trade Agreements
Authors: Perskaya Victoria V. , Morkovkin Dmitry E. , Chupin Alexander L. , Mamedov Tural N. , Zvereva Alexandra D.
Published: April 2024

Regional trade agreements (RTAs) are important instruments of the world trade system, which have been increasingly developed in recent decades, since they complement the existing World Trade Organization (WTO) and WTO+ agreements and allow taking into account the specificities of regions. The principle of ensuring non-discriminatory trade is the main principle of multilateral trade of the WTO, or in other words, observes the rule of not favoring one trading partner over another. RTAs are, in fact, an exception to this approach, as it is the signatories that enjoy more favorable market access conditions. At the same time, the WTO recognizes the legitimate role of RTAs in facilitating trade between their parties, but requires that they not create barriers to trade with third parties. RTAs cover more than half of world trade, and new transcontinental agreements have been concluded in recent years: the Comprehensive and Progressive Agreement for Trans-Pacific Partnership, the Comprehensive Regional Economic Partnership, and the African Continental Free Trade Area. There are different types of RTAs in international cooperation, ranging from free trade agreements to common markets, including between countries of a territorially contiguous or transcontinental nature, based on WTO and WTO+ agreements or protectionist in nature. The article reflects the consequences for the national economies of developing countries, it is revealed that the European Union in the RTAs is actively promoting its values as the absolute truth for all peoples and nations, and their non-acceptance is considered as a factor causing possible restrictions. Other developed economies have also imposed obligations on signatories in terms of ensuring the transformation of the national economies of developing countries, but in recent years this trend has weakened somewhat. China, initiating the RTA, pursues the realization of its national interests, without imposing any political, mental or social aspects, and at the same time is ready to develop mutually acceptable compromises. The transformation of RTАs in modern conditions is carried out in three basic directions: preference for the preservation of full sovereignty by the signatory countries; the inclusion of articles that condition the promotion of sustainable development; control and monitoring to ensure compliance with labor safety regulations, non-damage to the ecological environment, as well as the use of tools of responsible corporate business conduct.
Book Review: Stevenson, J. (2022). Overseas Bases and US Strategy: Optimising America’s Military Footprint. Abingdon: Routledge, 140 p.
Authors: Nikulin Maksim A.
Published: April 2024

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Book Review: Mbembe, A., & Sarr, F. (Eds.). (2023). To Write the Africa World. Cambridge; Hoboken, NJ: Polity Press, 324 p.
Authors: Medushevsky Nikolaj A.
Published: April 2024

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EVALUATING A COMPUTER APPLICATION THAT AIDS MULTI-CRITERIA DECISION MAKING
Authors:   Wroclaw University of Science and Technology in Wrocław, Department of Computer Science and System Engineering, ul. Wybrzeże Stanisława Wyspiańskiego 27, 50-370 Wrocław, Poland, Ansyah Raji , Filcek Grzegorz ,   Wroclaw University of Science and Technology in Wrocław, Department of Computer Science and System Engineering, ul. Wybrzeże Stanisława Wyspiańskiego 27, 50-370 Wrocław, Poland, Ramsey David M. ,   Wroclaw University of Science and Technology in Wrocław, Department of Computer Science and System Engineering, ul. Wybrzeże Stanisława Wyspiańskiego 27, 50-370 Wrocław, Poland
Published: April 2024

In this article, we describe and assess the implementation of several methods of multi-criteria decision-making using a web-based computer application. Such an application makes it easier to determine the effective- ness of decisions. The methods adopted in this application are SMART (Simple Multi-Attribute Rating Technique), AHP (Analytic Hierarchy Pro- cess), and ANP (Analytic Network Process). Each of these methods has distinctive characteristics in determining the best alternative for the user. This study assesses the feasibility of each method in the application. The application is assessed based on functionality, reliability, efficiency, and usability. (1) Functionality is tested according to the appropriateness of the decisions made, (2) Reliability is assessed using stress testing, (3) Effi- ciency is assessed according to the computational effort, and (4) System usability is tested according to the user’s answers to the Computer System Usability Questionnaire authored by J.R. Lewis. This research results in a decision support system based on SMART that has been appropriately tested and is ready for use. Keywords: multi-criteria analysis, SMART, AHP, ANP, system usability.
Determining the top e-wallet in indonesia: applying the ahp method to optimal financial choices
Authors:   Faculty of Economics and Business, Perbanas Institute Jakarta, Indonesia, Saripudin Saripudin , Rosalia Pingki ,   Faculty of Economics and Business, Perbanas Institute Jakarta, Indonesia, Putra Ageng Firmansyah ,   Faculty of Economics and Business, Perbanas Institute Jakarta, Indonesia, Aldila Sultan Sholahuddin ,   Faculty of Economics and Business, Perbanas Institute Jakarta, Indonesia, Al Adawiyah Salsabila Robi’ah ,   Faculty of Economics and Business, Perbanas Institute Jakarta, Indonesia, Azriel Azhari Muhamad ,   Faculty of Economics and Business, Perbanas Institute Jakarta, Indonesia, Yunizhar Anila ,   Faculty of Economics and Business, Perbanas Institute Jakarta, Indonesia
Published: April 2024

The aim of this study is to aid individuals in selecting the most suitable e-wallet among five alternatives (Go-Pay, OVO, Shopee-Pay, DANA, and LinkAja) based on criteria such as Price and promotion, Ease of use, Fea- tures, Merchant availability, and Security. The research involved distrib- uting questionnaires to 111 respondents via Google Forms and employed a quantitative approach utilizing the Analytic Hierarchy Process (AHP) model. The findings revealed that Go-Pay was ranked as the top e-wallet alternative, followed by OVO, Shopee-Pay, LinkAja, and DANA. This research is intended to serve as a valuable guide for users in making in- formed choices regarding the e-wallet that aligns best with their prefer- ences and needs. Keywords: e-wallet, security, ease of use, features, merchant availability, prices and promo- tions
Cadenas regionales de valor en alimentos procesados en la Alianza del Pacífico
Authors: Gómez Parada Edgar Javier , González Escobar Jimmy , González Polo Gyseidys
Published: April 2024

Objetivo: el presente estudio se enfocó en identificar las oportunidades de encadenamientos productivos para la conformación de cadenas regionales de valor en el sector de alimentos procesados entre Chile, Colombia, México y Perú, países que conforman la Alianza del Pacífico (AP).
Metodología: se aplicó una metodología cualitativa. Para esto, se seleccionaron productos del sector de alimentos que presentaron saldo comercial positivo para algunos de los países de la AP, entre los años 2017-2021, identificándose, dentro de ellos, bienes finales e insumos según los procesos de elaboración industrial y se organizaron cadenas de valor; posteriormente, se estableció el papel que desempeña cada país como fabricante de bienes finales o como proveedor de insumos en la cadena. Los productos se asociaron a la clasificación del sistema armonizado arancelario a cuatro dígitos.
Resultados: Se identificaron trece cadenas de valor asociadas a los bienes finales y treinta y dos bienes insumos con potencial exportador; se destaca que los cuatro países pueden ser fabricantes de bienes finales en al menos tres cadenas; México puede ser fabricante de bienes finales en doce cadenas; con respecto a insumos, en siete de las trece cadenas pueden participar los cuatro países de la Alianza conjuntamente; en las demás, participan al menos tres de ellos.
Conclusiones: se aprecia que los países de la Alianza del Pacífico tienen potencial para conformar cadenas de valor en alimentos procesados; se destaca, además, el liderazgo que en esta industria tiene México como fabricante de bienes finales, así como la diversidad de insumos que puede suministrar cada país.
Originalidad:  sobresale el papel que puede desempeñar cada país de la Alianza del Pacífico como fabricante de productos finales o proveedores de insumos en los productos que tienen fortalezas exportadoras hacia la conformación de articulaciones productivas.
Sistema digital para el informe de turno de la Supervisión de Enfermería de un hospital
Authors: Vargas-Bermúdez Zeidy
Published: April 2024

Objetivo: desarrollar una aplicación digital para realizar el informe de turno de la supervisión con los indicadores de interés del Departamento de Enfermería en un hospital de alta complejidad de la seguridad social en Costa Rica. Metodología: investigación descriptiva estructurada en etapas para el diseño, desarrollo, e implementación de una aplicación digital denominada Supervisores enfermería WEB. Se desarrollo en un periodo de 2 años, en 4 etapas (Planificación, Desarrollo, Validación, Implementación), con la participación de supervisores de enfermería de los diferentes servicios y personal del Centro de Gestión de Informática del hospital. Resultados: La etapa de planificación del sistema contemplo 2 fases. La primera la exploración de la necesidad con el grupo de supervisión y jefaturas de enfermería y la segunda la solicitud apoyo al Centro de Gestión Informática (CGI). Se revisaron los indicadores o información del reporte escrito y estableció los indicadores para estructurar el sistema digital. La etapa de desarrollo contemplo las fases: estructura del sistema (indicadores), y seguimiento del diseño. La etapa de validación incluyó las fases de prueba de campo y en ambiente de producción. La etapa de Implementación incluyó la socialización del sistema a todo el grupo y la utilización del sistema por parte de todo el equipo para realizar el informe de turno. Conclusión: el Sistema digital para el reporte de la supervisión de enfermería registra los indicadores de interés y responde a las necesidades de la gestión clínica y administrativa del Departamento de Enfermería en un Hospital de alta complejidad.
Collaboration in Health and Welfare: from the Perspective of Nurses and Social Workers at the Integrated Care Center
Authors:   Korean Academy of Integrated Care Management, Kim Il-Ho , Kim Choeng-Seok , Son Ji-Hyeon
Published: April 2024

This study aims to examine the current status of collaboration in health and welfare, and to derive a strategic and practical plan to ensure that citizens have sufficient access to integrated care. To this end, four group interviews were conducted with 15 healthcare and social care professionals at the Integrated Care Center in A-gu, Seoul, using the Focus Group Interview Survey (FGI). The topic modeling method and thematic analysis were used to extract the main topics and determine the key meaning associated with them. After topic modeling, a high level of ideological consensus was observed in terms of the need for collaboration in health and welfare. There was also domain consensus indicating that both areas are comprised of distinct professional groups that cannot serve as substitutes for each other. Positive relationships were also found to be fostered among care workers, through harmonization of work, mutual respect among health and welfare workers, accepting each other as team members within the same collectivity, and maintaining smooth communication. On the other hand, the challenges and barriers included an unclear division of work among various occupations, conflicts arising from differences in positions, and the assignment of unreasonable tasks to workers. This research findings are expected to be useful for researchers, practitioners, and policymakers in reviewing and enhancing the integrated health-welfare system.
The Effect of Social Workers' Compensation System on Life Satisfaction : Parallel Multiple Mediating Effects of Work-Life Balance and Family Support
Authors:   Korean Academy of Integrated Care Management, Kim Hye-young , Lee Ye-na , Sin Won-jung
Published: April 2024

This study examined the parallel multiple mediating effect of work-life balance and family support on the effect of the social worker compensation system on life satisfaction. The life satisfaction of social workers is the most fundamental factor that prevents impaired quality of life, turnover, and burnout among social workers. Moreover, to improve the life satisfaction of social workers, it is important to consider work-life balance and family support together. Therefore, this study examined the relationship between the compensation system, life satisfaction, work-life balance, and family support among 475 social workers, and the results were as follows: First, it was found that the social worker compensation system had a positive effect on the parameter work-life balance and family support. Second, it was found that the parameters of work-life balance and family support both had positive effects on life satisfaction. Finally, it was found that the compensation system of social workers had an indirect effect on life satisfaction through certain parameters. Both work-life balance and family support, which are parameters, showed indirect effects on the path from the compensation system to life satisfaction. With these results, this study provided basic data for service and policy establishment to improve the compensation system for social workers, and it lastly suggested directions for follow-up studies.
Awareness of Persons with Disabilities and Employment Satisfaction of Persons with Disabilities at Non-mandatory Workplaces for Persons with Disabilities : Focusing on the Moderating Effect of Education on the Improvement of Awareness of Persons with Disabilities
Authors:   Korean Academy of Integrated Care Management, Jeong Yong-chung , Kim Mi-rim
Published: April 2024

This study investigated the effect of employers' perception of the disabled on employment satisfaction for the disabled, and analyzed this as a moderating effect of education to improve awareness of the disabled. Based on the 2021 survey on employment status for the disabled in companies conducted by the Ministry of Employment and Labor and the Korea Employment Agency for the Disabled, the research data were 359 employers of companies with fewer than 50 employees and analyzed using SPSS 25.0. As a result of the study, it was confirmed that the perception of work performance, cost, and perception of others' reactions of workers with disabilities had a great influence on employment satisfaction. In particular, the moderating effect of education on improving the perception of the disabled was confirmed in the effect of the perception of disability by employers of non-mandatory companies for the disabled on employment satisfaction for the disabled. Based on the research results, the importance of recognition of the disabled was presented, and efforts to increase the perception of the disabled were emphasized. Accordingly, efforts to improve the quality of education for improving the perception of the disabled, not a formal approach to education, were presented. This study is significant in that it emphasizes disability recognition and responsibility so that employers of companies that are not obligated to hire can contribute to employment with disabilities.