bluuebunny/crossref_metadata_2025 huggingface dataset:
IMMEDIATE EFFECTS OF PELVIC FLOOR MUSCLE EXERCISES IN WOMEN WITH DIASTESIS RECTI ABDOMINIS
Authors:   Research Scholar, Nanded Physiotherapy College and Research Centre, Nanded., Bande Aakanksha , Sawant Shweta ,   Assistant Professor, Department of CBR, Nanded Physiotherapy College and Research Centre, Nanded.
Published: June 2024

Aim:The aim of this study was to find immediate effect of pelvic floor muscles exercise in women with diastasis recti abdominis. Method: In this experimental study, 34 women who were parous, with a mean age of 36.2 years (SD = 5.2), diagnosed with DRA participated. IRD was assessed with 2-dimensional real-time ultrasonography during rest and during 8 randomly ordered different exercises. A paired t test was used to compare the IRD at rest with the IRD recorded during each exercise as well as the differences between exercises. Means with 95% CI are reported. Result:Head lift and twisted curl-up exercises significantly decreased the IRD both above and below the umbilicus. Above the umbilicus, the mean IRD difference from rest during head lift was 10 mm (95% CI = 7 to 13.2), whereas during twisted curl-up it was 9.4 mm (95% CI = 6.3 to 12.5). Below the umbilicus, the corresponding values were 6.1 mm (95% CI = 3.2 to 8.9) and 3.5 mm (95% CI = 0.5 to 6.4), respectively, but PFM contraction, maximal in-drawing, and PFM contraction + maximal in-drawing increased the IRD (mean difference = -2.8 mm [95% CI = -5.2 to 0.5], -4.7 mm [95% CI = -7.2 to -2.1], and - 5.0 mm [95% CI = -7.9 to -2.1], respectively). Conclusion:Head lift and twisted curl-up exercises decreased the IRD both above and below the umbilicus, whereas maximal in-drawing and PFM contraction exercises only increased the IRD below the umbilicus. A randomized controlled trial is needed to investigate whether head lift and twisted curl-up exercises are effective in permanently narrowing the IRD.
TRADITIONAL MEDICINAL PRACTICES OF AFRICAN BONE-SETTERS: ASPECTS OF AN ONTOLOGY OF THE FIELD
Authors:   Virtual University of Ivory Coast (UVCI), Abidjan, Ivory Coast., Denis DIOMANDE Keffa , Gerard NGUESSAN Behou ,   Virtual University of Ivory Coast (UVCI), Abidjan, Ivory Coast., SANGARE Seydou ,   Houphouet-Boigny National Polytechnic Institute of Yamoussoukro (INP-HB), Yamoussoukro, Ivory Coast., KONE Tiemoman ,   Virtual University of Ivory Coast (UVCI), Abidjan, Ivory Coast.
Published: June 2024

Traditional bone-setters (TBS) in West Africa remain the first resort in managing rural populations when they suffer from traumatic injuries before going to hospital. This phenomenon is also observed in urban areas. Indeed, some patients hospitalized in referencial public orthopedic trauma services desert these structures for certain reasons in favor of these traditional healers. This leads us to acknowledge that this local medical practice proves itself where the so-called conventional medicine has shown its limits. Unfortunately, we notice that most of these practitioners are old and illiterate. In addition, there is a lack of interest among the younger generation in practicing this traditional medicine. Also, it is observed that there is no standard or adequate formalism during the patient care process directed towards this medicine. In the effort to preserve this valuable knowledge, we propose to implement an ontology derived from this environment called ontoFRACTURECARE. This ontology is capable of structuring, highlighting, and providing a unique and consensus designation to relevant concepts associated with this domain. Furthermore, this ontology will serve as a compass for bone-setters and various users of this domain for intelligent decision-making during the process of administering care to patients, during the training of practitioners, and in the transmission of this traditional medicinal heritage.
DEVELOPING EMOTIONAL INTELLIGENCE FOR EMPOWERING UNIVERSITY STUDENTS WELL-BEING: A SYNTHESIS OF THEORY AND PRACTICE
Authors:   Moulay Ismail University, Faculty of Arts and Humanities, Meknes, Morocco., Belabcir Souad
Published: June 2024

Recently, there is an urgent call to focus on the holistic development of students, including their mentalhealth, in order to decrease the rate of dropouts and improve students academic performance. For this reason and others, there is an increasing interest in promoting students well-being in higher education due to its positive impact on students motivation and engagement. To achieve this, emotional intelligence appears to help students regulate their emotions effectively to face challenging issues that threaten their mental well-being. Taking this into account, this paper aims to analyze the relationship between developing emotional intelligence and students well-being,and to suggest effective strategies to enhance students emotional intelligence at university settings. To meet this aim, the study adopted a systematic review of literaturethat used quantitative and qualitative data analysis to come up with a synthesis of theory and practice.15 peer-reviewed articles were reviewed to investigate the relationship between emotional intelligence and university students well-being.Thefindings revealed that there is a strong positive relationship between developing emotional intelligence and university students well-beingand thata set of psychosocial and socio-educational factors mediate this relationship.Eventually, universities need to put more efforts into developing students emotional intelligence skills that improve their academic and professional achievement, which empower their mental health. The current study contributes to expanding literature by providing a synthesis of theory and practice on emotional intelligence and students well-being.Additionally, it will have implications for the integration of emotional intelligence development in Moroccan higher education.
SCROTAL BASAL CELL CARCINOMA: A CASE REPORT
Authors:   Department of Stomatology and Maxillo-Facial Surgery, Mohamed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Morocco., Mfa Sk. , Boulhilat A. ,   Dermatology Department, Mohamed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Morocco., Bakhil A. ,   Department of Stomatology and Maxillo-Facial Surgery, Mohamed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Morocco., Kahoul A. ,   Department of Stomatology and Maxillo-Facial Surgery, Mohamed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Morocco., Moussa B. ,   Department of Stomatology and Maxillo-Facial Surgery, Mohamed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Morocco., Sabani H. ,   Department of Stomatology and Maxillo-Facial Surgery, Mohamed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Morocco., Khalfi L. ,   Department of Stomatology and Maxillo-Facial Surgery, Mohamed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Morocco., Hamama J. ,   Department of Stomatology and Maxillo-Facial Surgery, Mohamed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Morocco., Frikh R. ,   Dermatology Department, Mohamed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Morocco., Khatib K. El ,   Department of Stomatology and Maxillo-Facial Surgery, Mohamed V Military Training Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Morocco.
Published: June 2024

Basal cell carcinoma is the most common malignant skin tumor. Its frequent in photo-exposed areas. Scrotal localization is exceptional, so we recommend analyzing any nodule evolving for more than 3 months outside professional exposure.
REPEAT RADIOGRAPHY ANALYSIS AND CORRECTIVE MEASURES IN A PRIVATE MEDICAL COLLEGE AND TEACHING HOSPITAL
Authors:   Assistant Professor, Department of Radiography and Advance Imaging Technology, the Assam Royal Global University, Betkuchi, Guwahati-35, Assam, India., Ojah Mayuri , Guha Meghna ,   Assistant Professor, Department of Radiography and Advance Imaging Technology, the Assam Royal Global University, Betkuchi, Guwahati-35, Assam, India., Dwivedi Mahima ,   Assistant Professor, Dept of Medical Imaging, Quantum University.
Published: June 2024

Aims and objectives: The primary goal of this study is to identify the body parts that undergorepeated radiographic examinations the most frequently and the prevalent causes of these examinations. Materials and Methods: A prospective study was carried out in the Department of Radio-Diagnosis and Imaging to investigate the reasons behind repeated radiography in a private university hospital in India. A total of 6832 samples were evaluated between November 1, 2021, and April 30, 2022. Discussion: Repetition of a patients radiographic projection can be caused by several circumstances. The common factors found in this study are collimation error, wrong centering, patient motion and incorrect positioning, appearance of artifacts owing to insufficient patient preparation at times and patient non-cooperation like patient motion. Repeat radiographs using the computed radiography technology are influenced by a plethora of circumstances. These variables include technical parameters chosen,the patients Body Mass Index (BMI)and the patients level of preparation. Conclusion: Repeat radiography plays an important role as a key indicator in evaluating the quality of the service provided by the medical imaging department and gives us an insight on whether the dose rates are within the given guidelines or not.
The role of financial literacy, digital literacy, and financial self-efficacy in FinTech adoption
Authors: M. Anwarul Islam K. , Saifuddin Khan Muhammad
Published: June 2024

The primary aim of this study is to delve into the factors influencing individuals’ readiness to embrace financial technology (FinTech) services in Bangladesh. Specifically, the study focused on Bangladeshi fintech consumer’s knowledge about contemporary digital financial tools, such as mobile-based payment service apps. Data collection was carried out using a survey questionnaire tailored to the Bangladeshi context. Participants were invited to participate in the survey, and their responses were gathered upon their consent. A five-point Likert scale, ranging from ‘1’ for ‘Strongly Disagree’ to ‘5’ for ‘Strongly Agree,’ was employed to gauge the questionnaire items. The final sample size was 450 respondents. To assess the hypotheses, a 5% significance level was employed, with data analysis conducted using SPSS software. The findings underscore a positive and statistically significant impact of financial literacy, digital literacy, and financial self-efficacy on the adoption of FinTech services in Bangladesh. Collectively, these variables elucidate 48.20% of the variance (R2=0.482) in predicting individuals’ adoption behavior of FinTech. Financial self-efficacy (β = 0.574; t-value = 8.394) has the highest effect on FinTech adoption compared to the other two factors. Additionally, a substantial correlation coefficient (r=0.634) is present between digital literacy and FinTech adoption. This study contributes to the extant literature on FinTech services by providing valuable insights that enhance scholars’ understanding of the emerging financial technologies’ significance and their predominant impacts within the Bangladeshi FinTech ecosystem. These findings hold implications for policymakers, financial institutions, and stakeholders seeking to promote FinTech adoption and foster financial inclusion in Bangladesh.
Webgrafía de José López Yepes (1946-2023): repertorio multimedia legado personal y profesional (1969-enero 2023) (*)
Authors: López-Yepes Alfonso
Published: June 2024

Las páginas relacionadas a continuación proporcionan información sobre el legado y trayectoria académica y personal de José López Yepes, materializados en forma de bio- bibliografía selectiva de referencias electrónicas en abierto 1969-enero 2023: datos biográficos, libros, revistas, audio, vídeo, presencia en redes sociales.
Hygienic assessment of health risks for employees of the Omsk ambulance service due to tobacco smoking
Authors:   Omsk State Medical University, 12 Lenina St., Omsk, 644099, Russian Federation, Butorin A.V. , Rodkin V.P. ,   Omsk State Medical University, 12 Lenina St., Omsk, 644099, Russian Federation, Shirinskii V.A. ,   Omsk State Medical University, 12 Lenina St., Omsk, 644099, Russian Federation
Published: June 2024

The results of many studies indicate that there is a cause-effect relationship between active tobacco smoking and risks of various diseases, lung and bronchial cancer (C34) and coronary heart disease (I25) being the most common among them. These diseases are one of the main causes of death in working age. The aim of this study was to perform hygienic assessment of risks of lung and bronchial cancer and coronary heart disease due to active tobacco smoking. Healthcare workers employed at the Omsk ambulance station were chosen as the research object. Additional risk levels were calculated for lung and bronchial cancer and coronary heart disease in accordance with the methodical guidelines MR 2.1.10.0033-11 Assessment of Risks Associated with Impacts of Lifestyle Factors on Public Health. Smoking was a health risk factor for 27.5 % of emergency medical services workers, including 42.5 % of men and 21.3 % of women. Sixty-six point seven percent of men aged between 31 and 40 years smoked. Prevalence of smoking among the females in the sample did not depend on age. The risk analysis revealed that smokers, equally men and women (p > 0.1) were the most likely to have lung and bronchial cancer and coronary heart disease. The corresponding median levels of additional risk equaled 1.45E-05 and 9.0E-06. The proportion of people with unacceptable levels of additional risks of the analyzed diseases (> 1.4E-04) equaled 43.3 and 53.3 % respectively among people older than 40 years. Likelihood of lung and bronchial cancer and coronary heart disease statistically significantly depends on the intensity of smoking.
Polymorphism of TP53 (rs1042522) gene and peculiarities of the immune profile in children exposed to airborne benzo(a)pyrene
Authors:   Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya St., Perm, 614045, Russian Federation, Dolgikh О.V. , Nikonoshina N.А. ,   Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya St., Perm, 614045, Russian Federation
Published: June 2024

Examining peculiarities of an immune profile and genetic polymorphisms is especially relevant when identifying markers of effect and sensitivity to exposure to benzo(a)pyrene in northern areas. We examined 1253 children who lived in industrial centers and on conditionally clean territories in the north and south of Eastern Siberia. Levels of benzo(a)pyrene in ambient air and in children’s blood were determined by using HPLC. TP53 (rs1042522) polymorphism was examined by using real-time PCR; p53 levels were identified with flow cytofluorometry; IgG to benzo(a)pyrene, by the radioallergosorbent tests. Exposure of children in Northern Siberia to airborne benzo(a)pyrene at the dose of 7.11•10-3 µg/(kg•day) causes ben-zo(a)pyrene contamination in blood, activates apoptosis (p53) and stimulates occurrence of specific sensitization (IgG to benzo(a)pyrene) (p < 0.05). Similar disorders were established in children in Southern Siberia under exposure to airborne benzo(a)pyrene at the dose of 86.46•10-3 µg/(kg•day). The detected changes in immune profiles of children living in Northern Siberia are associated with G-allele and GG-genotype (rs1042522) of the TP53 gene (OR = 1.37–1.83, p < 0.05); children in Southern Siberia, С-allele and СС-genotype of the said gene (OR = 1.55–2.38, p < 0.05). Therefore, the immune profile of children exposed to airborne benzo(a)pyrene at the dose of 7.11•10-3 µg/(kg•day) in Northern Siberia bears some signs of activated apoptosis (p53) and specific sensitization (IgG to benzo(a)pyrene) associated with G-allele and GG-genotype of the TP53 gene (rs1042522) (OR = 1.37–1.83, p < 0.05). These identified changes in the immune profile are comparable with effects produced by exposure to airborne benzo(a)pyrene at the dose of 86.46•10-3 µg/(kg•day) in Southern Siberia, which are associated with С-allele and СС-genotype of the same gene (OR = 1.55–2.38, p < 0.05). This confirms a hypothesis that effects of technogenic chemical factors can be modulated by specific climatic conditions in northern areas and a contribution made by genetic predisposition. Their combined effect creates a serious risk of developing impairments in an immune profile (OR = 1.37–1.83, p < 0.05; RR = 1.17; 95 % CI: 1.07–1.27) even under low-dose exposure to airborne benzo(a)pyrene.
Emergência Climática e Ativismos da Juventude: Um Estudo de Caso em Lisboa
Authors: Castro Mariana
Published: June 2024

Este artigo faz parte de uma pesquisa de doutorado, ainda em andamento, em ciência política no Brasil. O texto explora a emergência do antropoceno como fenômeno ético-político, destacando a transformação da humanidade em uma força geológica e suas implicações políticas e epistemológicas. Abordamos o papel central das juventudes no ativismo climático, como o surgimento de movimentos como End Fossil Occupy, a Greve Climática Estudantil e o Climáximo, em Lisboa, Portugal. Nossa hipótese é que o antropoceno exige um fazer político próprio. Dentro desse cenário, as narrativas das juventudes em Portugal emergem como contribuições significativas para a definição desse novo paradigma político. Portanto, o artigo estrutura-se em quatro partes, além da introdução e das considerações finais. Primeiro, analisamos o conceito de antropoceno, e suas debilidades, e a perspectiva de Latour sobre essa realidade, comumente referida como uma guerra de mundos; depois, abordamos sucintamente o ativismo climático nas últimas décadas; em seguida, apresentamos a metodologia de pesquisa, com base na vivência de campo em Portugal, durante outubro de 2023, que oferece uma perspectiva enriquecedora sobre o envolvimento ativo da juventude portuguesa face à iminente crise climática. Por fim, compartilhamos a experiência de campo e o diálogo estabelecido entre aqueles movimentos de juventude na capital portuguesa. O objetivo é fornecer um panorama da interseção entre o antropoceno, o ativismo climático e as perspectivas das juventudes portuguesas.
Alechinsky zien zoals een dichter een merel ziet
Authors: Clappaert Stefan
Published: June 2024

The poems written by Hugo Claus (1929-2008) to accompany the work of Cobra artists are abundantly documented and analyzed. In addition to those poems, however, Claus also wrote prose about his artist friends, which until now has remained under-researched in literary studies. ‘Dertien manieren om een fragment van Alechinsky te zien’ (‘Thirteen Ways of Looking at a Fragment of Alechinsky’) appeared as a catalog text on the occasion of Pierre Alechinsky’s exhibition at the Stedelijk Van Abbemuseum in Eindhoven, which took place from March 22 to April 29, 1963. In my contribution, I demonstrate how Claus employs intertextuality and genre blending to play an ironic game with conventional art criticism. His investigative, multiperspectival view of Alechinsky’s work offers a creative and critical response to the academic or journalistic interpretation of art.
Populatie en de verspreiding van taalverandering
Authors: Nijs Julie
Published: June 2024

The morphosyntactic structure of languages largely depends on the demographic structure of the speech community. Larger languages in high-contact communities tend to be morphologically less complex. Complex morphology is harder to acquire for adults, so morphology tends to become simpler with the increasing proportion of L2 speakers. Differences in morphosyntactic complexity are the result of diachronic processes, so the propagation of these processes should occur more rapidly in cities with a larger population, since the growth of cities is often due to immigration, yielding an influx of L2 learners. This hypothesis is tested on two alternations in the recent history of Dutch: the deflection of veel and the hortative alternation. For both changes I build a logistic regression model with the change as the dependent variable and time as the independent variable in interaction with the population size. The results for the hortative alternation indicate that language change is indeed faster in larger cities compared to smaller towns. However, the deflection of veel does not confirm this.
Een classificatie van simulatiegebaseerd onderzoek naar taalverandering
Authors: Sevenants Anthe , Speelman Dirk
Published: June 2024

In this article we propose a classification for agent-based computer simulations of language change. The classification hinges on four major categories which describe a trigger on the local level and a global, emergent effect. These categories, which coincide with linguistic subdisciplines, are assessed on the basis of four dimensions: (1) whether meaning plays a role; (2) what agent types (M. Abrams 2013) are used; (3) whether agents are connected in a social structure; (4) whether the focus lies on new forms or the disappearance of old ones. The differences between the categories in the proposed classification reflect their different goals, but because of the versatile nature of simulation research, classification remains a difficult task
The Rationale Behind the Design Decisions in an Augmented Reality Mobile eHealth Exergame to Increase Physical Activity for Inactive Older People With Heart Failure
Authors: Berglund Aseel , Klompstra Leonie , Orädd Helena , Fallström Johan , Strömberg Anna , Jaarsma Tiny , Berglund Erik
Published: June 2024

Physical activity is important for everyone to maintain and improve health, especially for people with chronic diseases. Mobile exergaming has the potential to increase physical activity and to specifically reach people with poor activity levels. However, commercial mobile exergames are not specially designed for older people with chronic illnesses such as heart failure. The primary aim of this viewpoint is to describe the underlying reasoning guiding the design choices made in developing a mobile exergame, Heart Farming, tailored specifically for sedentary older people diagnosed with heart failure. The goal of the exergame is to increase physical activity levels by increasing the daily walking duration of patients with heart failure by at least 10 minutes. The rationale guiding the design decisions of the mobile exergame is grounded in the thoughtful integration of gamification strategies tailored for application in cardiovascular care. This integration is achieved through applying gamification components, gamification elements, and gamification principles. The Heart Farming mobile exergame is about helping a farmer take care of and expand a virtual farm, with these activities taking place while the patient walks in the real world. The exergame can be adapted to individual preferences and physical condition regarding where, how, when, and how much to play and walk. The exergame is developed using augmented reality so it can be played both indoors and outdoors. Augmented reality technology is used to track the patients’ movement in the real world and to interpret that movement into events in the exergame rather than to augment the mobile user interface.
Current Use and Discrepancies in the Adoption of Health-Related Internet of Things and Apps Among Working Women in Japan: Large-Scale, Internet-Based, Cross-Sectional Survey
Authors: Sasayama Kiriko , Nishimura Etsuko , Yamaji Noyuri , Ota Erika , Tachimori Hisateru , Igarashi Ataru , Arata Naoko , Yoneoka Daisuke , Saito Eiko
Published: June 2024

Background

Demographic changes and a low birth rate have led to a workforce shortage in Japan. To address this issue, the government has promoted engagement of female employment. However, increased female employment can impact women's health. Using Internet of Things (IoT) and apps to manage women's health has gained attention, but few studies have focused on working women.

Objective

This study aimed to clarify the current situation of working women and their use of IoT or apps to manage their health.

Methods

A large-scale, nationwide internet survey was conducted among 10,000 female participants aged from 20 years to 64 years in Japan. Participants were recruited from a marketing research company’s active survey panel of 5.24 million members. The survey included questions about health status, sociodemographic factors, psychological characteristics, and the use of IoT or apps for health management. We compared perceived health status and reasons for current IoT use using t tests and assessed participant characteristics that predicted IoT use using the C5.0 decision tree algorithm. Ethical approval was granted by St. Luke's International University.

Results

Among participants, 14.6% (1455/10,000) currently used IoT or apps, 7% (695/10,000) used them previously, and 78.5% (7850/10,000) had never used them. Current users (42.7 years old) were older than past users (39.7 years old). Discrepancies were observed between participants’ perceived health problems and the purpose for using IoT or apps, with 21.3% (2130/10,000) of all women reporting they experienced menstrual symptoms or disorders but only 3.5% (347/10,000) used IoT or apps to manage the same symptom. On the other hand, current users were more likely to use IoT or apps to manage nutrition-related problems such as underweight or obesity (405/1455, 27.8%). Device use was highest among current users, with 87.3% (1270/1455) using smartphones, 19.7% (287/1455) using smartwatches, and 13.3% (194/1455) using PCs. Decision tree analysis identified 6 clusters, the largest consisting of 81.6% (5323/6523) of non-IoT users who did not exercise regularly, while pregnant women were more likely to use IoT or apps.

Conclusions

Our findings highlight the idea that woman with particular health problems (ie, menstrual symptoms or disorders and premenstrual syndrome) have lower use of IoT or apps, suggesting an unmet need for IoT and apps in specific areas.
Multidisciplinary Design–Based Multimodal Virtual Reality Simulation in Nursing Education: Mixed Methods Study
Authors: Yeo Ji-Young , Nam Hyeongil , Park Jong-Il , Han Soo-Yeon
Published: June 2024

Background

The COVID-19 pandemic underscored the necessity for innovative educational methods in nursing. Our study takes a unique approach using a multidisciplinary simulation design, which offers a systematic and comprehensive strategy for developing virtual reality (VR) simulations in nursing education.

Objective

The aim of this study is to develop VR simulation content for a pediatric nursing module based on a multidisciplinary simulation design and to evaluate its feasibility for nursing education.

Methods

This study used a 1-group, posttest-only design. VR content for pediatric nursing practice was developed by integrating the technological characteristics of a multimodal VR system with the learning elements of traditional nursing simulation, combining various disciplines, including education, engineering, and nursing. A user test was conducted with 12 nursing graduates (preservice nurses) followed by post hoc surveys (assessing presence, VR systems, VR sickness, and simulation satisfaction) and in-depth, one-on-one interviews.

Results

User tests showed mean scores of 4.01 (SD 1.43) for presence, 4.91 (SD 0.81) for the VR system, 0.64 (SD 0.35) for VR sickness, and 5.00 (SD 1.00) for simulation satisfaction. In-depth interviews revealed that the main strengths of the immersive VR simulation for pediatric pneumonia nursing were effective visualization and direct experience through hands-on manipulation; the drawback was keyword-based voice interaction. To improve VR simulation quality, participants suggested increasing the number of nursing techniques and refining them in more detail.

Conclusions

This VR simulation content for a pediatric nursing practice using a multidisciplinary educational design model was confirmed to have positive educational potential. Further research is needed to confirm the specific learning effects of immersive nursing content based on multidisciplinary design models.
Leveraging Data Ethics to Create Responsible Artificial Intelligence Solutions in Nursing: A Viewpoint (Preprint)
Authors: Ball Dunlap Patricia A. , Michalowski Martin
Published: June 2024

UNSTRUCTURED

AI ethics is gaining much recognition because of adverse outcomes or ethical concerns such as algorithmic bias, lack of transparency, trust, data security, and fairness. Interestingly, artificial intelligence technologies, specifically machine learning algorithms, are often the focal point for optimization and achieving ethical human-intelligent-like systems. However, these technologies are fueled by data. Data is hidden behind these complex systems and needs to come to the forefront regarding its ethical collection, processing, and use. Data ethics and its importance in attaining responsible artificial intelligence in healthcare and nursing via data ethical frameworks and strategies are introduced. Furthermore, the implications of data ethics for nurses are presented. A formal literature survey was employed to gather and analyze data from the perspectives of data ethical concepts and definitions, responsible artificial intelligence, and data-centric artificial intelligence in healthcare and nursing. Eight principles of data ethics are introduced for consideration. The data-centric artificial intelligence paradigm can support these principles via the ethical creation of artificial intelligence solutions that incorporate human-centered domain expertise to create high-quality, representative data. This engagement is essential in high-stakes healthcare settings to protect patients’ data privacy and health outcomes. In conclusion, four recommendations are presented to nurse leaders, educators, and researchers to position and empower them to engage in data ethics in artificial intelligence to create ethical, high-quality, pertinent datasets from which machine learning algorithms can learn patterns and relationships embedded in the data.
Transforming Healthcare: A Narrative Review of 25 Years of Digital Health Interventions and Future Visions to 2050 (Preprint)
Authors: Adibi Sasan
Published: June 2024

UNSTRUCTURED

This narrative review explores the transformative journey of digital health interventions over the past 25 years and envisions its future trajectory towards 2050. Through a systematic literature analysis, insightful case studies, and insightful expert opinions, the review delves into the emergence, development, and impact of various digital health strategies on global healthcare delivery.

The historical section traces the evolution of digital health, from pioneering technologies and early telehealth experiments to mainstream adoption within healthcare systems. Key milestones, including the deployment of physiological sensors, internet-based technologies (Internet of Things; IoT and Internet of Medical Things; IoMT), and mobile health (mHealth) applications, are examined.

The review then analyzes the demonstrated effectiveness of digital health interventions in disease monitoring, prevention, and management through case studies and systematic analyses. It explores the impact of technology on patient engagement, empowerment, and supportive care. Insights from renowned digital health experts, obtained through a questionnaire, are synthesized to identify key drivers, barriers, emerging trends, and disruptive innovations.

Furthermore, the review critically evaluates the ethical and legal considerations arising from the widespread use of digital health solutions. Challenges surrounding data privacy, equitable access (digital divide), and regulatory frameworks are addressed to inform responsible future developments.

By synthesizing insights from a quarter-century of digital health advancements, analyzing expert opinions, and identifying emerging trends, this comprehensive review provides a timely and multifaceted perspective. It aims to guide researchers, practitioners, and policymakers in leveraging the power of technology to revolutionize healthcare delivery and improve patient outcomes globally in the coming decades (Vision 2050).
Immersive Virtual Reality Use in Medical Intensive Care: Mixed Methods Feasibility Study (Preprint)
Authors: Locke Brian W , Tsai Te-yi , Reategui-Rivera C Mahony , Gabriel Aileen S , Smiley Aref , Finkelstein Joseph
Published: June 2024

BACKGROUND

Immersive virtual reality (VR) is a promising therapy to improve the experience of patients with critical illness and may help avoid postdischarge functional impairments. However, the determinants of interest and usability may vary locally and reports of uptake in the literature are variable.

OBJECTIVE

The aim of this mixed methods feasibility study was to assess the acceptability and potential utility of immersive VR in critically ill patients at a single institution.

METHODS

Adults without delirium who were admitted to 1 of 2 intensive care units were offered the opportunity to participate in 5-15 minutes of immersive VR delivered by a VR headset. Patient vital signs, heart rate variability, mood, and pain were assessed before and after the VR experience. Pre-post comparisons were performed using paired 2-sided t tests. A semistructured interview was administered after the VR experience. Patient descriptions of the experience, issues, and potential uses were summarized with thematic analysis.

RESULTS

Of the 35 patients offered the chance to participate, 20 (57%) agreed to partake in the immersive VR experience, with no difference in participation rate by age. Improvements were observed in overall mood (mean difference 1.8 points, 95% CI 0.6-3.0; P=.002), anxiety (difference of 1.7 points, 95% CI 0.8-2.7; P=.001), and pain (difference of 1.3 points, 95% CI 0.5-2.1; P=.003) assessed on 1-10 scales. The heart rate changed by a mean of –1.1 (95% CI –0.3 to –1.9; P=.008) beats per minute (bpm) from a baseline of 86.1 (SD 11.8) bpm and heart rate variability, assessed by the stress index (SI), changed by a mean of –5.0 (95% CI –1.5 to –8.5; P=.004) seconds–2 from a baseline SI of 40.0 (SD 23) seconds–2. Patients commented on the potential for the therapy to address pain, lessen anxiety, and facilitate calmness. Technical challenges were minimal and there were no adverse effects observed.

CONCLUSIONS

Patient acceptance of immersive VR was high in a mostly medical intensive care population with little prior VR experience. Patients commented on the potential of immersive VR to ameliorate cognitive and emotional symptoms. Investigators can consider integrating minimally modified commercial VR headsets into the existing intensive care unit workflow to further assess VR’s efficacy for a variety of endpoints.
Lifestyle modification with mobile apps in chronic liver disease-related conditions: A systematic review and meta-analysis (Preprint)
Authors: Asakura Eri , Brain David , Senanayake Sameera , Barnett Adrian
Published: June 2024

BACKGROUND

The importance of self-management of chronic condition has been highlighted during the COVID-19 pandemic, including the management of chronic liver disease. The use of technology in disease self-management could assist task-shifting, which involves the delegation of tasks from highly qualified healthcare workers to healthcare workers with fewer qualifications or technology, where appropriate. This can optimise the allocation of human resources in healthcare as well as patients’ disease self-management and health.

OBJECTIVE

Our systematic review with meta-analyses aimed to summarise characteristics of mobile app-based interventions with a focus on resource use among patients with underlying conditions related to chronic liver disease and explore the possibility of task-shifting using mobile apps in liver disease management.

METHODS

The six databases MEDLINE, CINAHL, Web of Science, Embase, PsycInfo, and Cochrane Library were searched for randomised controlled trials about mobile app-based interventions in patients with four chronic liver disease-related conditions: overweight and obesity, type 2 diabetes, metabolic abnormalities, and risky alcohol drinking. The Cochrane Risk of Bias assessment tool was used. Random-effects nested meta-analyses of the intervention effectiveness were performed with unadjusted results, unadjusted intention-to-treat results, and adjusted results for each of the four outcomes: HbA1c, weight, body mass index, and waist circumference when available.

RESULTS

Twenty-two articles were included in the systematic review. Nine key intervention characteristics were identified including self-monitoring platform, education, and data sharing with intervention providers. Eighteen studies were considered to be at ‘high risk’ of bias mainly due to excluding randomised participants from the analysis and insufficient description on dealing with missing outcome data. Unadjusted pooled mean differences showed that app-based interventions could have small benefits on reducing HbA1c (Mean difference [MD]=-0.28, 95% Confidence Interval [95% CI]: -0.55 to -0.02), weight (MD=-1.44 kg, 95% CI: -2.39 to -0.49), body mass index (MD=-0.48, 95% CI: -0.85 to -0.12), and waist circumference (MD=-1.88 cm, 95 %CI: -3.04 to -0.72).

CONCLUSIONS

The available evidence was suboptimal due to high rates of lost to follow-up and lack of intention-to-treat analysis. The following three considerations may be required for the implementation of task-shifting in the management of chronic liver disease: careful deliberations for intervention designs; matching each stakeholder’s needs; accumulation of evidence. Further research on stakeholders’ preference on app characteristics is needed for the successful implementation of app-based interventions as the task-shifting approach.

CLINICALTRIAL

Not applicable.
Beliefs in misinformation about COVID-19 and the Russian invasion of Ukraine are linked: evidence from a nationally representative survey (Preprint)
Authors: Grygarová Dominika , Havlík Marek , Adámek Petr , Horáček Jiří , Juríčková Veronika , Hlinka Jaroslav , Kesner Ladislav
Published: June 2024

BACKGROUND

Detrimental effects of misinformation were observed during the COVID-19 pandemic. Presently, amid Russia’s military aggression in Ukraine, another wave of misinformation is spreading on the internet and impacting our daily lives, with many citizens and politicians embracing Russian propaganda narratives. Despite the lack of an objective connection between these two societal issues, anecdotal observations suggest that supporters of misinformation regarding COVID-19 (BM-C) have also adopted misinformation about the war in Ukraine (BM-U), while sharing similar media use patterns and political attitudes.

OBJECTIVE

The aim of this study was to determine whether there is a link between respondents’ endorsement of the two sets of misinformation narratives, and whether some of the selected factors (media use, political trust, vaccine hesitancy, belief rigidity) are associated with both BM-C and BM-U.

METHODS

We conducted a survey on a nationally representative sample of 1,623 individuals in the Czech Republic. Spearman’s correlation analysis was performed to identify the relationship between BM-C and BM-U. Additionally, multiple linear regression was used to determine associations between the examined factors and both sets of misinformation.

RESULTS

We discovered that (1) BM-C and BM-U were strongly correlated (rho=0.636) and both were associated with belief rigidity. (2) Increased trust in Russia and decreased trust in the local government, public media, and Western allies of the Czech Republic predicted both BM-C and BM-U. (3) Media use indicating frustration from and avoidance of public/mainstream media, consumption of alternative information sources, as well as participation in online discussions indicative of epistemic bubbles, predicted beliefs in misinformation narratives. (4) COVID-19 vaccine hesitancy predicted only BM-C but not BM-U. However, vaccine refusers were overrepresented in the BM-U supporters and undecided individuals.

CONCLUSIONS

Our study provides empirical evidence supporting the hypothesis that the health-related misinformation surrounding COVID-19 pandemic has been politicized and spread via specific media channels. Subsequently, supporters of BM-C were susceptible to political misinformation aligning with Russian propaganda.
Epidemiological Features, Clinical Symptoms and Environmental Risk Factors for Notifiable Japanese Encephalitis in Taiwan from 2008 to 2020 (Preprint)
Authors: Lin Fu-Huang , Chou Yu-Ching , Hsieh Chi-Jeng , Yu Chia-Peng
Published: June 2024

BACKGROUND

Japanese encephalitis is a zoonotic parasitic disease caused by the Japanese encephalitis virus, and may cause fever, nausea, headache, or meningitis. This study aimed to investigate the epidemiological features, epidemic trends, and correlations between the number of confirmed Japanese encephalitis cases in Taiwan from 2008 to 2020 in gender, age, season, and residential area; clinical symptoms of cases, high-risk areas of disease and hypothesized the environmental and climate factors also might affect the disease in Taiwan.

OBJECTIVE

This study aims to comprehensively investigate the epidemiological, clinical, and environmental characteristics of Japanese Encephalitis (JE) in Taiwan using population surveillance data gathered over a 13-year period.

METHODS

This study reviewed publicly available annual summary data on reported Japanese encephalitis cases in the Taiwan Centers for Diseases Control (TCDC) between 2008 and 2020.

RESULTS

This study collected 309 confirmed domestic and four patients with imported Japanese encephalitis. There was an increasing trend in the incidence of Japanese encephalitis, 0.69–1.57 cases per 1,000,000 people, peaking in 2018. Case fatality rate is 8.3%. Comparing sex, age, season, and place of residence, the incidence rate was highest in male, 40–59 years-old patients, summer, and the Eastern region, with 1.89, 3.27, 1.25, and 12.2 cases per million population, respectively. The average coverage rate of Japanese encephalitis vaccine for children in Taiwan is 94.9%. Additionally, the major clinical manifestations of the case include fever, unconsciousness, headache, stiff necks, psychological symptoms, vomiting, and meningitis. The major occurrence place of Japanese encephalitis included paddy fields, pig farms, pigeon farms, poultry farms, and pond. For air pollution factors, linear regression analysis showed that SO2 (ppb) concentration was positively associated with Japanese encephalitis cases (β = 2.184, p = 0.020), but CO (ppb) concentration was negatively (β = -0.157, p = 0.014). For climate factors, relative humidity (%) was positively associated with Japanese encephalitis cases (β = 0.380, p = 0.021).

CONCLUSIONS

This study is the first to report confirmed cases of Japanese encephalitis from the surveillance data of the TCDC between 2008 and 2020. It identified that residence, season, and age were risk factors for Japanese encephalitis in Taiwan. Air pollution and climatic factors indeed influence the rise in Japanese encephalitis cases. This study confirmed that Japanese encephalitis remains a prevalent infectious disease in Taiwan, with its epidemic gradually increasing in severity. These findings empower clinicians and healthcare providers to make informed decisions, guiding their care and resource allocation for patients with Japanese encephalitis, a disease that significantly impacts the health and well-being of the Taiwanese population.
E-Learning in Anatomy: Medical Students' Perspectives on Synchronous and Asynchronous Lab Sessions
Authors: Farsal Ryzufar Altarif , Oktavia Nandina , Nasution Gita Tiara Dewi , Rahman Putri Halleyana Adrikni
Published: June 2024

Background: The Covid-19 pandemic has become a global health disaster, various sectors have been affected including the education sector. Online learning is then carried out as an alternative solution to carry out learning. This online learning is carried out in all elements of education including Universities. The intended online learning is divided into two methods, asynchronous and synchronous methods. The difference in these methods will certainly lead to different perceptions for each student, especially in anatomy laboratory learning.This stud aimed to find out the perception of Unpad Medical Faculty students towards the asynchronous and synchronous method of online anatomy laboratory learning..Methods:This research is a quantitative cross-sectional descriptive studies and involved 129 respondents from student of Unpad Faculty of Medicine students class of 2019. This was done using Google Forms which contained a questionnaire and informed consent sheet.Results: FK Unpad online anatomy laboratory learning falls under good category, with each index value: perception of learning experience: 76.2%, perception of lecturer capabilities: 77.1%, perception of facilities and infrastructure: 83.7 %.Conclusion: Online anatomy laboratory learning can still be continued by combining both asynchronous and synchronous methods, so that learning can take place more effectively.
PERKEMBANGAN TEORI DAN PRAKTIK MENGENAI PARLEMEN DI INDONESIA
Authors: Omara Andy , Setiono Joko , Ibrahim Muhammad , Rahman Faiz
Published: June 2024

Abstract
The idea of a parliament system continues to develop from time to time. There are many thoughts of constitutional law experts which later became the theoretical basis for the implementation of the parliament system in a country, including in Indonesia. Furthermore, the existence of representative institutions such as the MPR, DPR, and DPD based on the 1945 Constitution of the Republic of Indonesia, also become an academic discourse concerning what kind of parliament system used in Indonesian parliament. Therefore, it is necessary to examine the existing theories on the parliament system and how it implemented, especially in Indonesia. Based on the background above, this research aims to find out and understand the theories and experts thought on parliament, as well as to find out and understand the implementation of parliament system in Indonesia, viewed from the historical-judicial approach. Conceptually, the theories concerning parliament can be traced since the time of Ancient Greece. Moreover, several theories regarding parliament developed, such as accommodation of group interests in the parliament, and theory on division of parliament chambers. Regarding the implementation of parliament system in Indonesia, historically and judicially, it has its own dynamics, especially in the context of accommodation of group interests and the practice of parliament chambers’ division. For instance, in the early independence period and after the stipulation of 1959 Presidential Decree, the system reflected was unicameral, while during the 1949 Constitution of RIS period was bicameral system. Furthermore, after the amendment of the 1945 Constitution of Indonesia, there is also a discourse concerning the form of parliament division that applied, whether it was unicameral, bicameral, or tricameral.
 
Intisari
Ide mengenai Parlemen, cabang pemerintahan yang berkuasa membuat dan mengubah undang-undang, telah menjadi topik perdebatan bagi para sarjana sejak zaman dulu kala. Artikel ini bermaksud untuk menceritakan secara singkat tentang perkembangan konsep lembaga legislatif dan menjelaskan dinamikaperkembangan sistem parlemen di Indonesia dalam hukum konstitusi dari sudut pandang historis. Artikel ini menunjukkan bahwa Parlemen adalah institusi yang terus berkembang, dengan sistem bikameralisme yang tampaknya lebih cocok dengan sistem demokrasi perwakilan. Meskipun telah mempraktikkan sistem parlemen yang berbeda-beda dalam sejarahnya, sejak masa reformasi Indonesia lebih cenderung menganut sistem bikameralisme lunak.