bluuebunny/crossref_metadata_2025 huggingface dataset:
FROM PERCEPTION TO SUPPORT: THE ROLE OF POLITICAL BUREAUCRACY IN RURAL TOURISM DEVELOPMENT IN LOMBOK, INDONESIA
Authors: - Amrullah , Amir Ahmad Fitri , A Jamal Salamiah , Shahril Zurena@Rena , Mat Som Ahmad Puad
Published: August 2024

Numerous studies emphasise the importance of local governance and governmental support in promoting long-term rural tourist growth. Political bureaucracy, which encompasses the duties and activities of government officials and institutions, plays an important role in developing policies, providing required infrastructure, and fostering stakeholder collaboration. The challenge at hand is the ambiguous relationship between perceived benefits (economic, social, and environmental) and community support influenced by political structures. This study explores moderating role of political bureaucracy on the relationship between the impact of perceived tourism benefits and the community support for rural tourism development in Lombok, Indonesia.  The objective is to understand how these perceptions affect support when moderated by political bureaucracy. Data were collected using quantitative methods from 183 residents via online surveys and analysed using SmartPLS SEM for measurement and structural model assessments. The findings revealed no significant relationship between perceived economic and social benefits and community support. However, environmental benefits showed a positive influence. The moderating role of political bureaucracy was found to be minimal. The study suggests that enhancing awareness and empowerment of local communities could improve support for tourism. These insights are vital for policymakers and stakeholders to develop strategies that foster sustainable rural tourism.
THE IMPACT OF GREEN SPACES TO HUMAN PSYCHOLOGY AND THEIR MENTAL HEALTH
Authors: Xingrui Chen , Ibrahim Filzani Illia
Published: August 2024

With rapid urbanization, the increasing separation between humans and the natural environment is exacerbating mental health challenges. Research shows that contact with the natural environment yields significant psychological benefits. However, existing theories have limitations in sample diversity and explanatory power. This study reviewed and tested five major theoretical frameworks, aiming to develop a new interdisciplinary theoretical framework. Using a questionnaire, data from 413 participants were analyzed via structural equation modeling. The results confirmed the important roles of physiological and cognitive effects, and psychological needs satisfaction, in how the natural environment influences mental health. This research created a progressive theoretical framework that integrates these findings, enhancing understanding of the complex mechanisms by which nature affects mental health and informing urban planning. Future research, based on this framework and involving larger samples, will aim to develop a more comprehensive theoretical system.
A COMPARATIVE STUDY ON BIOPHILIC PREFERENCES OF SCHOOL LEARNING SETTINGS: A CASE OF ELEMENTARY SCHOOLS IN ASIA
Authors: Abdul Malek Nurhayati , Atmodiwairjo Paramita , Wungpatcharapon Supreeya , Ghaziani Rokshid
Published: August 2024

Countless studies have demonstrated evidence of the significance of nature in learning settings on children's performance globally. Children exposed to a learning setting based on nature tend to perform better than those in a typical classroom. Studies have also found that the current generation obtains indirect nature experiences through various e-learning platforms rather than experiencing nature directly in modern society. Recent studies found that an inconducive school design environment that does not fully support students’ needs and preferences is one of the main reasons for this. Hence, this paper explores children’s choices for biophilic elements in primary school design in three Asian countries: Malaysia, Indonesia, and Thailand. The online survey questionnaire was used as a qualitative method to collect the stipulated data. The results revealed that biophilic elements are highly favourable to the students from all three countries except for the different elements they preferred. In particular, the results found that planting elements within the school area are the biophilic element most preferred by students in Indonesia and Thailand. Meanwhile, students in Malaysia prefer animals (pets and birds). The data and results presented in the present study can be used as a general guideline, particularly in integrating nature as part of the future school design elements in Asian countries. Note that each design preference shows a different result based on each school’s preferences in the three countries.
Spaced Digital Education for Health Professionals: Systematic Review and Meta-Analysis
Authors: Martinengo Laura , Ng Matthew Song Peng , Ng Tony De Rong , Ang Yi-Ian , Jabir Ahmad Ishqi , Kyaw Bhone Myint , Tudor Car Lorainne
Published: August 2024

Background

Spaced digital education applies digital tools to deliver educational content via multiple, repeated learning sessions separated by prespecified time intervals. Spaced digital education appears to promote acquisition and long-term retention of knowledge, skills, and change in clinical behavior.

Objective

The aim of this review was to assess the effectiveness of spaced digital education in improving pre- and postregistration health care professionals’ knowledge, skills, attitudes, satisfaction, and change in clinical behavior.

Methods

This review followed Cochrane’s methodology and PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-Analyses) reporting guidelines. We searched MEDLINE, Embase, Web of Science, ERIC, PsycINFO, CINAHL, CENTRAL, and ProQuest Dissertation and Theses databases from January 1990 to February 2023. We included randomized controlled trials (RCTs), cluster RCTs, and quasi-RCTs comparing spaced digital education with nonspaced education, spaced nondigital education, traditional learning, or no intervention for pre- or postregistration health care professionals. Study selection, data extraction, study quality, and certainty of evidence were assessed by 2 independent reviewers. Meta-analyses were conducted using random effect models.

Results

We included 23 studies evaluating spaced online education (n=17, 74%) or spaced digital simulation (n=6, 26%) interventions. Most studies assessed 1 or 2 outcomes, including knowledge (n=15, 65%), skills (n=9, 39%), attitudes (n=8, 35%), clinical behavior change (n=8, 35%), and satisfaction (n=7, 30%). Most studies had an unclear or a high risk of bias (n=19, 83%). Spaced online education was superior to massed online education for postintervention knowledge (n=9, 39%; standardized mean difference [SMD] 0.32, 95% CI 0.13-0.51, I2=66%, moderate certainty of evidence). Spaced online education (n=3, 13%) was superior to massed online education (n=2, 9%) and no intervention (n=1, 4%; SMD 0.67, 95% CI 0.43-0.91, I2=5%, moderate certainty of evidence) for postintervention clinical behavior change. Spaced digital simulation was superior to massed simulation for postintervention surgical skills (n=2, 9%; SMD 1.15, 95% CI 0.34-1.96, I2=74%, low certainty of evidence). Spaced digital education positively impacted confidence and satisfaction with the intervention.

Conclusions

Spaced digital education is effective in improving knowledge, particularly in substantially improving surgical skills and promoting clinical behavior change in pre- and postregistration health care professionals. Our findings support the use of spaced digital education interventions in undergraduate and postgraduate health profession education.

Trial Registration: PROSPERO CRD42021241969;

Trial Registration

PROSPERO CRD42021241969; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=241969
Evaluating the Implementation of Integrated Proactive Supportive Care Pathways in Oncology: Master Protocol for a Cohort Study (Preprint)
Authors: Franzoi Maria Alice , Pages Arnaud , Papageorgiou Loula , Di Meglio Antonio , Laparra Ariane , Martin Elise , Barbier Aude , Renvoise Nathalie , Arvis Johanna , Scotte Florian , Vaz-Luis Ines
Published: August 2024

BACKGROUND

Supportive care (SC) refers to the prevention and management of complications of cancer and its treatment. While it has long been recognized as an important cancer care delivery component, a high proportion of patients face unaddressed SC needs, calling for innovative approaches to deliver SC.

OBJECTIVE

The objective of this master protocol is to evaluate the implementation of different integrated proactive SC pathways across the cancer care continuum in our institution (Gustave Roussy, Villejuif, France). Pathways studied in this master protocol may occur shortly after diagnosis to prevent treatment-related burden; during treatment to monitor the onset of toxicities and provide timely symptom management; and after treatment to improve rehabilitation, self-management skills, and social reintegration.

METHODS

This study is guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. The primary objective is to evaluate the impact of SC pathways on patients’ distress and unmet needs after 12 weeks, measured by the National Comprehensive Cancer Network’s Distress Thermometer and Problem List. Secondary objectives will focus on the pathways (macrolevel) and each SC intervention (microlevel), evaluating their reach (administrative data review of the absolute number and proportion of clinical and sociodemographic characteristics of patients included in the pathways); short-term and long-term efficacy through their impact on quality of life (EQ-5D-5L and the 30-item European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire) and symptom burden (MD Anderson Symptom Inventory, Hospital Anxiety and Depression Scale, Insomnia Severity Index, and 22-item European Organization for Research and Treatment of Cancer Sexual Health Questionnaire); adoption by patients and providers (administrative data review of SC referrals and attendance or use of SC strategies); barriers to and leverage for implementation (surveys and focus groups with patients, providers, and the hospital organization); and maintenance (cost-consequence analysis). Pilot evaluations with a minimum of 70 patients per pathway will be performed to generate mean Distress Thermometer scores and SDs informing the calculation of formal sample size needed for efficacy evaluation (cohorts will be enriched accordingly).

RESULTS

The study was approved by the ethics committee, and as of February 2024, a total of 12 patients were enrolled.

CONCLUSIONS

This study will contribute toward innovative models of SC delivery and will inform the implementation of integrated SC pathways of care.

CLINICALTRIAL

ClinicalTrials.gov NCT06479057; https://clinicaltrials.gov/study/NCT06479057

INTERNATIONAL REGISTERED REPORT

PRR1-10.2196/52841
Telebehavioral Health for Caregivers of Children With Behavioral Health Needs to Address Caregiver Strain: Cohort Study (Preprint)
Authors: Loo Theoren , Altman Myra , Grodberg David , La Guardia Jennifer , Bravata Dena
Published: August 2024

BACKGROUND

Behavioral health conditions among children have worsened over the past decade. Caregivers for children with behavioral health conditions are at risk for two types of caregiver strain: (1) an objective strain, that results directly from the child’s condition and (2) subjective strain, that arises from the caregiver’s feelings regarding these events.

OBJECTIVE

This study aimed to evaluate the impact of a technology-enabled pediatric and family behavioral health service on caregivers’ strain among a commercially insured population. We also explore the common symptom clusters of caregiver strain to better understand the caregiver presentation to inform future care planning.

METHODS

We examined changes in caregiver strain using the Caregiver Strain Questionnaire-Short Form 7 over the course of their child’s web-based behavioral health care between 2021 and 2023 using a pre-post study design. Common caregiver strain symptom clusters were identified using Ward hierarchical agglomerative clustering.

RESULTS

The majority of children were White 60.8% (1002/1647), female 53.6% (882/1647), and aged between 5 and 9 years (33.7%, 555/1647). Families fall broadly into 4 groups based on what drives caregiver strain the most, namely those experiencing (1) disrupted family relationships and time interruption, (2) missed work, (3) worried about their child’s future and feeling tired and sad, and (4) financial strain. Caregiver strain, which was associated with the child’s disease severity (P<.001), decreased significantly in all therapeutic groups.

CONCLUSIONS

Web-based family-oriented behavioral health care can improve caregiver strain and reduce family and time disruptions, missed work, and financial strain. Sources of caregiver strain vary and may be overlooked when relying on the conventional scoring of the Caregiver Strain Questionnaire-Short Form 7.

CLINICALTRIAL
Designing Public Healthcare Platform for Rapidly Aging Population in South Korea: Mixed-Method Study Based on Design Thinking Approach (Preprint)
Authors: Seo Jeongone
Published: August 2024

BACKGROUND

South Korea is experiencing a rapid increase in its aging population, with a growing number of elderly individuals living alone. While life expectancy is above the OECD average, there is a need to improve health management and aging habits among the elderly. To address this, the development of digital healthcare service models has begun, but public awareness and technology acceptance remain low.

OBJECTIVE

This study aims to enhance user-centricity in the design of a public healthcare platform in South Korea by 1) empathizing with and identifying the needs of the elderly population considering their digital literacy levels, 2) generating diverse ideas for the platform based on insights gathered, and 3) designing and testing a model of the platform that incorporates the generated ideas and focuses on accessibility and user-friendliness.

METHODS

The 25-month participatory research study follows a design thinking approach with three main stages. The Empathize and Define stage involves field observations and interviews with 30 participants, including healthcare professionals, social welfare/care program stakeholders, and elderly individuals, to identify hidden needs. Data will be analyzed using the grounded theory approach. The Ideation stage holds an idea contest for university students to generate various ideas for digital healthcare. In the Prototype and Test stage, a minimum viable product of the platform will be created and tested with elderly individuals recruited through snowball sampling. Qualitative and quantitative analysis will be conducted.

RESULTS

The study received a grant from the Korea Health Industry Development Institute for 2023-2025 and gained IRB approval from Sungkyunkwan University in January 2023.

CONCLUSIONS

The study is expected to identify key factors influencing technology acceptance for digital platforms in public care services. The user-centric public healthcare platform model developed has the potential to serve as a blueprint for future digital healthcare initiatives, enhancing health outcomes and quality of life for the elderly population in South Korea.
A multiple methods approach in user-centered design for designing and evaluating a prototype of a trilingual data collection tool to submit information about incidents of violence against sex workers in the Middle East and North Africa (MENA) (Preprint)
Authors: Ditmore Melissa , ElKarouaoui Amal , Florez-Arango Jose Fernando
Published: August 2024

BACKGROUND

Sex workers face an epidemic of violence around the world. However, violence against sex workers (VASW) is underreported, and sex workers hesitate to report to police because they are frequently punished; therefore an alternative for reporting is needed. Sex workers also face stigmatization from health care workers, further discouraging help-seeking behavior.

OBJECTIVE

Apply human-centered design methods to adapt ReportVASW for use in the Middle East and North Africa (MENA), and to evaluate the usability of the prototype interface for and identify opportunities for improvement.

METHODS

Evaluation methods included cognitive walkthrough, System Usability Scale (SUS), and heuristic evaluation.

RESULTS

This study explores ways to improve the trilingual prototype of ReportVASW, with particular attention to ways to improve the data collection tool. End users were enthusiastic about the idea of a mobile tool to document VASW, provided it led to change. Multiple methods identified multiple issues to address.

CONCLUSIONS

Many opportunities to improve the interface were identified. Most changes are not overly complex and the majority involve adapting the language used and improving the translation. Development of the trilingual ReportVASW data collection tool for the MENA region is worth pursuing.
Prevalence of post-covid complications in a follow-up survey of participants of two Homoeopathy-based RCTs on moderate and severe cases of COVID-19: A cross-sectional study (Preprint)
Authors: Kaur Harleen , Bawaskar Ramesh , Chatterjee Tania , Singh Gurpreet , Bajpai Anurag , Singh Shweta , Bhogal Twinkle Kaur , Khan Mohammed Yamin , Ramteke Sunil S. , Kaushik Subhash
Published: August 2024

BACKGROUND

Coronavirus disease 2019 (COVID-19) was declared a global pandemic by WHO on 11th March 2020. Witnessing the pattern of relapse of cases, varying severity of cases and persistence of symptoms through different waves of pandemic has emerged as the reason for the studies targeting post-covid status of individuals.

OBJECTIVE

The objective of this survey was to assess the long-term effectiveness of homoeopathic medicines when used as an adjunct therapy along with the conventional therapy during covid infection in oxygen-dependent, moderate and severe patients.

METHODS

The survey was carried out from 1st April 2022 to 29 May 2022 via telephonic conversation among 219 participants who were discharged from AIIMS, Jhajjar, Haryana and St. George Hospital, Mumbai, India and had participated in two different placebo-controlled, randomized trials held at these two hospitals where individualized homoeopathic medicines were given to the experimental groups in addition to the conventional treatment. The post-COVID-19 Functional Status (PCFS) Scale was employed to evaluate the functional status of the surviving survey participants and to compare the status between the add-on Homoeopathy (AoH) group and the add-on placebo (AoP) group.

RESULTS

The mean score of PCFS Scale between the groups were compared using the chi-square test, which was presumed to be statistically significant at P<0.05. In total, 93 participants of AoH group showed more functional ability with mean difference of 0.83±1.47 (mean ± SD), as opposed to 1.33±1.63 (mean ± SD) among the AoP group participants (P=.04). Percentage of participants who developed post-COVID diabetes mellitus or hypertension, or shortness of breath on exertion and was found to be 17.20%, 8.60% and 6.45%, respectively in the AoH group, as compared to 17.57%, 9.68% and 10.81%, respectively in the AoP group. No incidence of post covid anxiety, pneumonia and chronic/acute kidney disease was reported in the AoH group while it was 1.35%, 1.35% and 4.05% respectively in the AoP group. The ability to perform daily chores was observed to be in 57% of the participants of AoH group, as against 43% of those in the AoP group.

CONCLUSIONS

Homoeopathy, when given as an add-on therapy in COVID-19, helps in faster recovery from acute infections such as COVID19, witha higher proportion of participants being able to perform daily chores, along with an improvement in their general weakness, even after the meidicine was discontinued., This proved the long term effectiveness of homoeopathic treatment when used as an adjunct therapy along with the conventional therapy in the oxygen-dependent, moderate or severe patients of COVID-19.

CLINICALTRIAL

As it was a survey, the trial registration was not mandatory.
Enhancing Efficiency and User Experience of Digital Community Health Worker Payments in Zanzibar: An Implementation Report (Preprint)
Authors: Pyne-Mercier Lee , Jafa Krishna , Maigua Susan , Muli Jennifer , Gichinga Elijah , Khaemba Antony , Kataraia Nitusima , Mohammed Aisha , Tembo Frank , Esmail Imran , Besana Giulia , Hornung Heiko , Makame Ali
Published: August 2024

UNSTRUCTURED

Community Health Workers (CHW) are essential for achieving universal health coverage and reaching the Sustainable Development Goals. Paying CHWs for their work increases their motivation and effectiveness, and is recommended by the World Health Organization (WHO) and advocacy organizations such as the Community Health Impact Coalition. Many implementing organizations currently pay CHWs using mobile money or other digital means. However, most payment systems are designed without input from CHWs.
In this implementation report, we describe efforts to improve efficiency, reliability, and user experience of the CHW payment process of the Jamii ni Afya project in Zanzibar.
We followed Medic’s design process to develop new functionality for the open-source Community Health Toolkit. We reviewed documentation and engaged with users to understand their needs and experiences with the current payment system. This information formed the basis of technical specifications, which were developed into a revised workflow. Several steps that were managed offline, such as resolving payment discrepancies, were formalized and incorporated into the workflow. We conducted user acceptance testing to assess functionality and user experience.
Implementation (Results): The workflow was able to accurately translate programmatic data into payment information, and securely transmitted this information to a payment service provider. CHWs felt that the revised payment system provided them with more information and gave them a greater sense of control. Program staff felt the workflow would increase the efficiency and accuracy of the payment process, while simplifying the resolution of payment discrepancies.
Engaging users in the design and optimization of digital payment systems has the potential to improve efficiency, accuracy, and satisfaction of all users, leading to improved quality, sustainability, and impact of CHW programs.
Investigating Sexual Dysfunction in Patients on Isotretinoin, and Evaluating Patient Education Practices among Dermatologists: Survey Study (Preprint)
Authors: Tchernogorova Elizabeth , Golden Eve , Correa Natalia , Martini Olnita , Runion Taylor M , Quinn Alyssa , Ortiz-Jimenez Alexandra , Vasile Gabriella , Brooks Amanda
Published: August 2024

BACKGROUND

Isotretinoin, a common treatment for severe cystic nodular acne, provides anti-inflammatory effects and alleviates symptoms. Despite its efficacy, the medication has been linked to many well-documented side effects, including arthralgias, xerosis, and birth defects; however, it also introduces new contributions to sexual dysfunction, presenting opportunity for further research and patient education.

OBJECTIVE

To elucidate the prevalence of sexual dysfunction symptoms among patients taking isotretinoin and examine the extent to which these patients received counseling on potential sexual dysfunction from their dermatologist.

METHODS

Research was conducted through patient completion of a survey study assessing patients’ adverse reactions to isotretinoin and the education provided by their dermatologist.

RESULTS

144 participants completed the survey. Of the female respondents (N=118), 33% experienced vaginal dryness with isotretinoin use, and of the male respondents (N=23), 34.7% experienced erectile dysfunction while using isotretinoin. 6.8% of female participants reported discussing vaginal dryness as a potential side effect with their prescribing dermatologist prior to starting isotretinoin while 4.3% of male respondents reported discussing erectile dysfunction, ejaculatory failure, and delayed ejaculation.

CONCLUSIONS

This study demonstrates the opportunity for improved awareness and counseling on isotretinoin’s impact on sexual health.
Understanding and Combating Misinformation: An Evolutionary Perspective (Preprint)
Authors: Bragazzi Nicola Luigi , Garbarino Sergio
Published: August 2024

UNSTRUCTURED

Misinformation represents an evolutionary paradox: despite its harmful impact on society, it persists and evolves, thriving in the information-rich environment of the digital age. This paradox challenges the conventional expectation that detrimental entities should diminish over time. The persistence of misinformation, despite advancements in fact-checking and verification tools, suggests that it possesses adaptive qualities that enable it to survive and propagate. This paper explores how misinformation, as a blend of truth and fiction, continues to resonate with audiences. The role of narratives in human history, particularly in the evolution of Homo narrans, underscores the enduring influence of storytelling on cultural and social cohesion. Despite the increasing ability of individuals to verify the accuracy of sources, misinformation remains a significant challenge, often spreading rapidly through digital platforms. Current behavioral research tends to treat misinformation as completely irrational, static, finite entities that can be definitively debunked, overlooking their dynamic and evolving nature. This approach limits our understanding of the behavioral and societal factors driving the transformation of misinformation over time. The persistence of misinformation can be attributed to several factors, including its role in fostering social cohesion, its perceived short-term benefits, and its use in strategic deception. Techniques such as extrapolation, intrapolation, deformation, cherry-picking, and fabrication contribute to the production and spread of misinformation. Understanding these processes and the evolutionary advantages they confer is crucial for developing effective strategies to counter misinformation. By promoting transparency, critical thinking, and accurate information, society can begin to address the root causes of misinformation and create a more resilient information environment.
Advantages of a Virtual Collaborative Research Dermatology Laboratory (Preprint)
Authors: Barton Natasha Emily , Ta Kenny , Loczi-Storm Angela Rose , Dunnick Cory A. , Dellavalle Robert P.
Published: August 2024

UNSTRUCTURED

Dermatology is a highly competitive and less diverse medical field, making it one of the hardest specialties to match into for residency. Residency program directors have recently increased their focus on medical students’ research experience, recommendation letters, and interviews due to changes in USMLE Step I grading. In response to this shift, the Dunnick Dellavalle Dermato-Epidemiology Lab has emerged as a dual-campus collaboration between the University of Colorado and the University of Minnesota. This innovative lab offers medical students unique opportunities to engage in dermatological research and develop professional networks across two leading institutions. The lab's model promotes equity and inclusivity, ensuring valuable research experiences regardless of institutional changes or exam formats. By embracing a virtual collaborative approach, the lab enhances the training of future dermatologists and contributes to significant advancements in dermatological science. Through its commitment to diverse student perspectives and interdisciplinary cooperation, the Dunnick Dellavalle Lab sets a new standard for research and mentorship in dermatology, supporting students as they navigate the competitive residency matching process.
Vaccine Certificates Must Go Digital: An Urgent Call for Better Public Health Outcomes (Preprint)
Authors: Barbosa Jarbas , Garcia-Saiso Sebastian , Marti Myrna , Salas Daniel , Contreras Marcela , Velandia Martha , Luna Daniel , Nelson Jennifer , Fitzgerald James , Bascolo Ernesto , Talavera Ivy , Chomali May , Curioso Walter , Plazzotta Fernando , Otero Carlos , Lopez Osornio Alejandro , Lennemann Tessa , Salinas Karen , DAgostino Marcelo
Published: August 2024

UNSTRUCTURED

From our roles within international public health organizations, we have collectively witnessed the global challenges presented by outdated health information systems, platforms and applications. The COVID-19 pandemic has clearly exposed the limitations of our current paper-based vaccine certification methods and highlighted the deficiencies of outdated technological platforms that lack interoperability standards, a situation that underscores the critical need for a digital transformation in how we manage and verify immunization records. Digital vaccination certificates are understood to be secure, electronically stored, and easily accessible records that provide verifiable proof of a person's immunization status. PAHO's Director, Dr. Jarbas Barbosa, envisions leveraging digital technologies to strengthen health systems, enhance data-driven decision-making, and improve health outcomes. His vision emphasizes the integration of innovative technologies to build resilient and responsive health systems capable of addressing modern public health challenges (1). In an era of unprecedented technological advancement, our continued reliance on paper-based vaccine certificates is not just anachronistic—it’s a significant liability for global public health that impacts the efficiency and effectiveness of our health systems on multiple fronts, limiting our ability to respond to public health crises effectively (2). With the strategic guidance from its Member States, PAHO has agreed to move towards the digital transformation of the health sector across the entire continent with an initiative that aims to improve health outcomes, ensure equitable access to health services, and enhance the overall efficiency of health systems in the Americas. The roadmap for this digital transformation outlines strategic actions and goals to achieve a connected, efficient, and resilient health sector (3).
A bibliometric analysis of the advance of artificial intelligence in medicine (Preprint)
Authors: lin mian , Lin Lingzhi , Lin Lingling , Lin Zhengqiu , Yan Xiaoxiao
Published: August 2024

BACKGROUND

The integration of artificial intelligence (AI) into medicine has ushered an era of unprecedented innovation, with substantial impacts on healthcare delivery and patient outcomes.

OBJECTIVE

it is essential to comprehend the current state of development, primary research focal points, and to identify key contributors and their relationships in the application of AI in medicine through bibliometric analysis.

METHODS

We employed the Web of Science Core Collection as our primary database and conducted a literature search spanning from January 2019 to December 2023.VOSviewer and R-bibliometrix were performed to conduct bibliometric analysis and network visualization, including the number of publications, countries, journals, citations, authors and keywords.

RESULTS

A total of 1811 publications on research for artificial intelligence in medicine were released across 565 journals by 12376 authors affiliated with 3583 institutions from 97 countries. The United States emerged as the leading producer of scholarly works, exerting significant influence in this domain. Harvard Medical School exhibited the highest publication count among all institutions. The JOURNAL OF MEDICAL INTERNET RESEARCH attained the highest H-index (H-index=19), the most significant publication count (NP=76), and total citations (NC=1495). Among the keywords, four clusters were identified, encompassing the application of AI in digital health, COVID-19 and ChatGPT, precision medicine, epidemiology, and public health. "Outcomes" and "Risk" demonstrated a notable upward trend, indicating the utilization of AI in engaging with clinicians and patients to discuss patients' health condition risks, foreshadowing future research focal points.

CONCLUSIONS

Our bibliometric analysis delved into the advancements, focal points, and cutting-edge areas within the field of artificial intelligence in medicine, revealing potential future research opportunities. Research on artificial intelligence in medicine is rapidly progressing, as evidenced by a consistent increase in publications on the topic since 2019. Simultaneously, we identified leading countries, institutions, and scholars in the field and conducted an analysis of journals and representative literature. This study equips researchers with the necessary information to comprehend the current state, collaborative networks, and primary research focal points within the field. Furthermore, our findings propose a set of recommendations for future research.
Evaluate effect of the National Essential Public Health Service Package on blood pressure control of Chinese people with hypertension: a retrospective population-based retrospective longitudinal study (Preprint)
Authors: Wei Feiran , Ge You , LI Han , LIU YUAN
Published: August 2024

BACKGROUND

The National Essential Public Health Service Package was launched in 2009 to tackle poor blood pressure control of Chinese people with hypertension. However, effect of The National Essential Public Health Service Package on blood pressure control is still unclear.

OBJECTIVE

In a retrospective population-based retrospective longitudinal study, we aimed to evaluate effect of the National Essential Public Health Service Package on blood pressure control.

METHODS

A total of 516777 patients registered in the National Essential Public Health Service Package were included in this study. The blood pressure control data was assessed based on the Residence Health Record System dataset. We longitudinally evaluated effects of the NEPHSP on blood pressure control by analyzing changes of blood pressures measured via regular follow-ups that were quarterly conducted. Both of level and trend (slope) of the blood pressure outcome changes were analyzed. We conducted stratified analysis to explore blood pressure control effects of the NEPHSP among subgroup participants with specific characteristics.

RESULTS

The baseline mean (SD) values of SBP and DBP were 147.12(19.88) mm/Hg and 85.11(11.79) mm/Hg. The control rates of baseline SBP and DBP were 39.79% and 69.21%. SBP mean values quarterly decreased by 5.06 mm Hg (95% CI, -5.11 to -5.00, P<0.001), 6.69 mm Hg (95% CI, -6.74 to -6.63, P<0.001), 10.30 mm Hg (95% CI, -10.34 to -10.23, P<0.001), 6.63 mm Hg (95% CI, -6.68 to -6.57, P<0.001). SBP control rates quarterly increased to 53.12% (0.60, 95% CI, 0.59 to 0.61, P<0.001), 56.61% (0.76, 95% CI, 0.75 to 0.77, P<0.001), 63.40% (1.08, 95% CI, 1.07 to 1.09, P<0.001), 55.09% (0.69, 95% CI, 0.68 to 0.70, P<0.001). DBP mean value quarterly decreased by 1.75 mm Hg (95% CI, -1.79 to -1.72, P<0.001), 2.64 mm Hg (95% CI, -2.68 to -2.61, P<0.001), 4.20 mm Hg (95% CI, -4.23 to -4.16, P<0.001), 2.64 mm Hg (95% CI, -2.68 to -2.61, P<0.001). DBP control rates quarterly increased to 78.11% (0.52, 95% CI, 0.51 to 0.53, P<0.001), 80.32% (0.67, 95% CI, 0.66 to 0.68, P<0.001), 83.17% (0.89, 95% CI, 0.88 to 0.90, P<0.001), 79.47% (0.61, 95% CI, 0.60 to 0.62, P<0.001). Older age group a larger decrease in SBP mean values (0.87, 95% CI, 0.85 to 0. 90, P<0.001) and a larger increase in SBP control rates (0.054, 95% CI, 0.051 to 0.058, P<0.001). The participants with CVD had smaller decrease in SBP mean values (-0.38, 95% CI, -0.41 to -0.35, P<0.001) and smaller increase in SBP control rates (-0.041, 95% CI, -0.045 to -0.037, P<0.001) than the blood pressures outcomes of participants without CVD.

CONCLUSIONS

The NEPHSP was effective on improving blood pressure control of Chinese people with hypertension. Blood pressure control of the older and participants with CVD need to be intensified.
Evaluation of Varicocelectomy Operative Therapy for Infertile Couples at the UGM Academic Hospital
Authors: Sp.U WIKAN KURNIAWAN
Published: August 2024

Background: Infertility is a condition of the male or female reproductive system characterized by failure to achieve pregnancy after 12 months or more of having regular sexual intercourse without contraception. Since 2013,  Rumah Sakit Akademik UGM (RSA UGM) has providing varicocele therapy to infertile individuals. The Ivanissevich varicocelectomy procedure is used for varicocele therapy.Objective: This study intends to examine the management of varicocele patients at RSA UGM.Methods: This research is a retrospective study by opening medical records and interviews. The study population was all patients who underwent varicocelectomy surgery between 2013 and 2021. Data is presented in the form of  graphs.Results: The distribution of varicocele lateralization showed that out of 35 respondents, 23 respondents (66%) had one side varicoceles and 12 respondents (34%) both sides varicoceles. The distribution based on successful pregnancy shows that out of 35 respondents, 10 respondent couples (29%) have already gotten pregnant, 25 respondents (71%) haven't gotten pregnant. The distribution of varicocele lateralization in respondents who have children shows that 70% of respondents are one side and 30% of respondents are both sides. Complications of discomfort revealed that 88% of research participants had no complaints of postoperative pain, whereas 11% occasionally suffered pain following varicocele surgery.Conclusion: Varicocele that is one side is more common. Patients with one side varicocele who have surgery are more likely to become parents than those with both sides varicocele. At RSA UGM, the varicocelectomy success rate is comparable to the worldwide success rate.Keywords: Varicocele, success rate, one side, both sides.
Association of Sociodemographic and Knowledge about Drug Storage and Expiration Date in Bantul District
Authors: Pangarso Ricardus Noven Wikantri , Kristina Susi Ari
Published: August 2024

Storing medicines is a crucial thing to do because storing medicines will affect the stability and effectiveness of the stored medicines. Drug storage is closely related to the expiration time of the drug. The aim of this study was to determine the relationship between sociodemographics and the level of public knowledge about drug storage and drug expiration. This study employed a cross-sectional survey study method. The sample was the residents of Bantul Regency taken using convenience sampling, in the data collection period September-November 2023, with a total of 104 respondents. The questionnaire includes sociodemographic data, storage domain and drug expiration time, distributed on Googleform. Data were analyzed descriptively and using the Chi-square statistical test with p<0.05. The research results showed that 61 (58.7%) respondents had a good level of knowledge of drug storage, 43 (41.3%) and 82 (78.8%) respondents had a good level of knowledge of drug expiration. There is a relationship between gender (p=0.032) and occupation (p=0.041) with the level of knowledge of drug storage and there is a relationship between income (p=0.025) and the level of knowledge of drug expiration. Continuous educational efforts by pharmacists are needed to increase public literacy regarding drug storage.Keywords: Bantul regency, drug expiration,drug store, health literacy, knowledge.
Characteristics of Trauma Patients Who Died at UGM Academic Hospital (RSA UGM)
Authors: Prananingrum Febriana , Tyas Humaera Elphananing , Caswita Aditya Bagas , Dewa Rachmat Radyan Artha , Widyastuti Rina , Lestari Ade Febrina , Darwito Darwito , Pratama Yanasta Yudo
Published: August 2024

BACKGROUND : Trauma becomes the main health problem worldwide due to its high mortality rate. Traffic accidents are a trauma with a high incidence and death rate in Indonesia, specifically in Yogyakarta. Factors causing trauma-related death are the lack of hospital infrastructure, the lack of quality human resources, the lack of standardization of trauma management, and the limited number of hospitals providing comprehensive trauma services. This research aims to identify the characteristics of trauma patients who died while receiving medical treatment at UGM Academic Hospital and to analyze the mortality of patients according to the trimodal distribution to prepare this hospital to become a trauma center hospital.METHOD : This quantitative descriptive research used a cross-sectional method. Data were taken from medical records of patients admitted to the ER of UGM Academic Hospital in 2018-2023 based on predetermined inclusion and exclusion criteria. The research was conducted from March to November 2023.RESULT : This research involved 58 patients consisting of 42 (72.4%) male and 16 (27.6%) female patients. The most common cause of death was brain injury (63%), followed by spinal cord injury (13.7%), multi-organ failure and sepsis (8.6%), cardiac and respiratory arrest (6.8%), and comorbidities patients (6.8%).CONCLUSION : The majority of trauma patients who died at the UGM Academic Hospital are male and aged 60-80 years with the main cause of death of brain injury. The patient dies at the late death stage based on trimodal distribution of death time.
The Effect of The ERACS Method on The Acceleration of Mobilization of Post Sectio Caesaria Patients at Academic Hospital Universitas Gadjah Mada In 2023
Authors: Krismayanti Dewi , Haspitaningrum Anjarsari , Risanto Esti Utami
Published: August 2024

Background: ERACS (Enhanced Recovery After Caesarian Surgery) is a fast programrecovery after a Caesarean section in the form of a series of care starting from preoperativepreparation, intraoperative and post-operative care until the patient is discharged. InIndonesia itself, the implementation of the ERACS protocol began to be implemented in2019. UGM Academic Hospital, the ERACS method is still a new service from the MaternalPerinatal Installation and will start running in November 2022. This research aims todetermine the difference in maternal mobilization time post Sectio Caesaria with the ERACSmethod and mobilization of mothers post non-eracs SC at UGM Academic Hospital in 2023.This research is a quantitative research using a quasi-experimental method with anonequivalent posttest control group design. The research was conducted at the UGMAcademic Hospital in April - September 2023. The sampling technique was accidentalsampling. The research results showed that the average mobilization of post-Sc patientsusing the ERACS method was 13.1 hours and the average mobilization of non-ERACS post-Scpatients was 33.7 hours. From the results of the analysis of 54 respondents using theIndependent Sample Test, it shows a value of 0.000. So H0 is rejected and Ha is accepted.Conclusion: there is an effect of giving the ERACS method by accelerating the mobilizationof women giving birth post sc.Keywords: Sectio Caesaria, Maternity, Mobilization, Rapid Mobilization, ERACS
Currículo no Pacto Nacional pela Alfabetização na Idade Certa: os direitos de aprendizagem em discussão
Authors: Leal Telma Ferraz
Published: August 2024

O objetivo deste artigo foi analisar as aproximações e os distanciamentos entre as tendências presentes em propostas curriculares brasileiras e as orientações presentes nos materiais de formação do Pacto Nacional pela Alfabetização na Idade Certa. Foi realizada análise documental do material de formação do Pacto pela Alfabetização, com base na qual foram feitas as comparações com os dados obtidos em uma pesquisa anterior coordenada por Leal e Brandão, em 2012, de análise de propostas curriculares. Os resultados evidenciaram aproximações entre o que é proposto nas propostas curriculares e as orientações do Programa analisado. No entanto, foram encontradas diferenças relativas, sobretudo, à ênfase dada às finalidades da alfabetização. No programa de formação a concepção de alfabetização aparece como processo de apropriação da leitura e da escrita em uma perspectiva de ampliação cultural e de ação sobre o mundo.
As coisas escritas não vão ser mais importantes que as coisas desenhadas nas figuras: direitos de aprendizagem em arte
Authors: Egas Olga
Published: August 2024

O Arte, uma palavra carregada de significações, dentro e fora da escola. Este artigo tece considerações sobre os Direitos de Aprendizagem em Arte para o Ciclo de Alfabetização (1º, 2º e 3º anos) do Ensino Fundamental. Trata-se de assumir outra forma de conceber a educação, a escola, o professor, a infância e a arte na escola, apontando o protagonismo das ações infantis e a perspectiva de atribuição de significados ao mundo das culturas e da expressividade artística.
E qual lugar vocês guardam? O direito de aprendizagem em Geografia nos anos iniciais
Authors: Lopes Jader Janer Moreira , Gonçalves Tânia Regina Peixoto da Silva , Lima Reinaldo
Published: August 2024

O texto busca refletir sobre os direitos de aprendizagem em Geografia nos primeiros anos da educação básica. Faz uma reflexão dos propósitos de trabalho com esse campo de conhecimento, com os conceitos básicos da ciência geográfica e traz algumas propostas práticas de trabalhos no cotidiano escolar.
Direitos de Aprendizagem em Ciências Naturais no Pacto Nacional pela Alfabetização na Idade Certa
Authors: Flôr Cristhiane Cunha , Andrade Guilherme Trópia Barreto
Published: August 2024

No presente trabalho temos o objetivo de discutir o fundamento formativo de professores denominado “Direitos de Aprendizagem” desenvolvido no Pacto Nacional pela Alfabetização na Idade Certa (PNAIC). Iniciamos pela discussão das possibilidades de representação do termo Direito que podem ser produzidas no campo educacional, como a dualidade direito-dever, a perspectiva legalista ou o direito como possibilidade de trabalho nas articulações entre as diferentes componentes curriculares. Em seguida exploramos a questão “que ciências temos o direito de aprender nas escolas?” a partir de concepções que apropriam ou deslocam a questão da neutralidade da ciência e suas implicações no ensino de ciências. Por fim, apresentamos uma possível articulação entre os Direitos de Aprendizagem e as ciências que temos o direito de aprender a partir de uma situação exemplar. Defendemos o direito de aprender ciências numa perpectiva em que exploramos a vida e experimentamos o mundo em novos pensamentos e conhecimentos, em detrimento às ciências em que os conhecimentos já estão prontos para serem apenas desvelados por alunos e professores.
Práticas de leitura e de escrita em História: diálogos com os direitos de aprendizagem em História
Authors: Alvim Yara Cristina
Published: August 2024

O presente artigo volta-se para um diálogo com os Direitos de Aprendizagem em História, a partir de um esforço reflexivo que busca situar a intrínseca relação entre leitura e escrita e ensino de história. Ao longo do texto, buscamos desenvolver tal argumento em duas direções. Em um primeiro momento, situamos as práticas de leitura e escrita que se realizam fora da escola como importantes referenciais na aprendizagem em história. Em um segundo momento, apontamos para a potencialidade de uma didática da história que tenha como referência as práticas de leitura e escrita de mundo realizadas pela criança. Para tanto, demarcamos a centralidade do procedimento histórico como método didático que, no diálogo com a experiência vivida pela criança, amplia e (re)significa suas leituras e escritas de mundo. Finalizamos o artigo com um diálogo mais direto com os Direitos de Aprendizagem em História a partir de uma perspectiva de História e de Ensino de História que situa a dimensão do conhecimento histórico e do procedimento histórico como ferramentas capazes de promover a (re) significação dos processos de leitura e escrita em história.