bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perceptions of Digital Health Education Among European Medical Students: Mixed Methods Survey
Authors: Machleid Felix , Kaczmarczyk Robert , Johann Doreen , Balčiūnas Justinas , Atienza-Carbonell Beatriz , von Maltzahn Finn , Mosch Lina 
Published: June 2020

Background
Digital health technologies hold promise to enhance patient-related outcomes, to support health care staff by reducing their workload, and to improve the coordination of care. As key users of digital health technologies, health care workers are crucial to enable a meaningful digital transformation of health care. Digital health literacy and digital skills should become prerequisite competencies for health professionals to facilitate the implementation and leverage the potential of digital technologies to improve health.

Objective
We aimed to assess European medical students’ perceived knowledge and opinions toward digital health, the status of digital health implementation in medical education, and the students’ most pressing needs.

Methods
The explanatory design of our mixed methods study was based on an online, anonymous, self-administered survey targeted toward European medical students. A linear regression analysis was used to identify the influence of the year of medical studies on the responses. Additional analysis was performed by grouping the responses by the self-evaluated frequency of eHealth technology use. Written responses to four qualitative questions in the survey were analyzed using an inductive approach.

Results
The survey received a total of 451 responses from 39 European countries, and there were respondents for every year of medical studies. The majority of respondents saw advantages in the use of digital health. While 40.6% (183/451) felt prepared to work in a digitized health care system, more than half (240/451, 53.2%) evaluated their eHealth skills as poor or very poor. Medical students considered lack of education to be the reason for this, with 84.9% (383/451) agreeing or strongly agreeing that more digital health education should be implemented in the medical curriculum. Students demanded introductory and specific eHealth courses covering data management, ethical aspects, legal frameworks, research and entrepreneurial opportunities, role in public health and health systems, communication skills, and practical training. The emphasis lay on tailoring learning to future job requirements and interprofessional education.

Conclusions
This study shows a lack of digital health-related formats in medical education and a perceived lack of digital health literacy among European medical students. Our findings indicate a gap between the willingness of medical students to take an active role by becoming key players in the digital transformation of health care and the education that they receive through their faculties.
Influence of Mass and Social Media on Psychobehavioral Responses Among Medical Students During the Downward Trend of COVID-19 in Fujian, China: Cross-Sectional Study
Authors: Lin Yulan , Hu Zhijian , Alias Haridah , Wong Li Ping 
Published: June 2020

Background
An extensive amount of information related to the novel coronavirus (COVID-19) pandemic was disseminated by mass and social media in China. To date, there is limited evidence on how this infodemic may influence psychobehavioral responses to the crisis.

Objective
The aim of this study is to assess the psychobehavioral responses to the COVID-19 outbreak and examine their associations with mass and social media exposure.

Methods
A cross-sectional study among medical and health sciences students from the Fujian Medical University in Fuzhou, China, was conducted between April 6-22, 2020.

Results
A total of 2086 completed responses were received. Multivariable analyses demonstrated that four constructs of the Health Belief Model (HBM)—higher perception of susceptibility (odds ratio [OR] 1.44; 95% CI 1.07-1.94), severity (OR 1.32; 95% CI 1.10-1.59), self-efficacy (OR 1.61; 95% CI 1.21-2.15), and perceived control or intention to carry out prevention measures (OR 1.32; 95% CI 1.09-1.59)—were significantly associated with a higher mass media exposure score, whereas only three constructs—higher perception of severity (OR 1.43; 95% CI 1.19-1.72), self-efficacy (OR 1.85; 95% CI 1.38-2.48), and perceived control or intention to carry out prevention measures (OR 1.32; 95% CI 1.08-1.58)—were significantly associated with a higher social media exposure score. Lower emotional consequences and barriers to carry out prevention measures were also significantly associated with greater mass and social media exposure. Our findings on anxiety levels revealed that 38.1% (n=795; 95% CI 36.0-40.2) of respondents reported moderate-to-severe anxiety. A lower anxiety level was significantly associated with higher mass and social media exposure in the univariable analyses; however, the associations were not significant in the multivariable analyses.

Conclusions
In essence, both mass and social media are useful means of disseminating health messages and contribute to the betterment of psychobehavioral responses to COVID-19. Our findings stress the importance of the credibility of information shared through mass and social media outlets and viable strategies to counter misinformation during a pandemic.
Development and Feasibility of a Digital Acceptance and Commitment Therapy–Based Intervention for Generalized Anxiety Disorder: Pilot Acceptability Study (Preprint)
Authors: Hemmings Nicola R , Kawadler Jamie M , Whatmough Rachel , Ponzo Sonia , Rossi Alessio , Morelli Davide , Bird Geoffrey , Plans David 
Published: June 2020

BACKGROUND

Generalized anxiety disorder (GAD) is characterized by excessive worry that is difficult to control and has high comorbidity with mood disorders including depression. Individuals experience long wait times for diagnosis and often face accessibility barriers to treatment. There is a need for a digital solution that is accessible and acceptable to those with GAD.

OBJECTIVE

This paper aims to describe the development of a digital intervention prototype of acceptance and commitment therapy (ACT) for GAD that sits within an existing well-being app platform, BioBase. A pilot feasibility study evaluating acceptability and usability is conducted in a sample of adults with a diagnosis of GAD, self-referred to the study.

METHODS

Phase 1 applied the person-based approach (creation of guiding principles, intervention design objectives, and the key intervention features). In Phase 2 participants received the app-based therapeutic and paired wearable for 2 weeks. Self-report questionnaires were obtained at baseline and posttreatment. The primary outcome was psychological flexibility (Acceptance and Action Questionnaire-II [AAQ-II]) as this is the aim of ACT. Mental well-being (Warwick-Edinburgh Mental Well-being Scale [WEMWBS]) and symptoms of anxiety (7-item Generalized Anxiety Disorder Assessment [GAD-7]) and depression (9-item Patient Health Questionnaire [PHQ-9]) were also assessed. Posttreatment usability was assessed via self-report measures (System Usability Scale [SUS]) in addition to interviews that further explored feasibility of the digital intervention in this sample.

RESULTS

The app-based therapeutic was well received. Of 13 participants, 10 (77%) completed the treatment. Results show a high usability rating (83.5). Participants found the digital intervention to be relevant, useful, and helpful in managing their anxiety. Participants had lower anxiety (<i>d</i>=0.69) and depression (<i>d</i>=0.84) scores at exit, and these differences were significantly different from baseline (<i>P</i>=.03 and .008 for GAD-7 and PHQ-9, respectively). Participants had higher psychological flexibility and well-being scores at exit, although these were not significantly different from baseline (<i>P</i>=.11 and .55 for AAQ-II and WEMWBS, respectively).

CONCLUSIONS

This ACT prototype within BioBase is an acceptable and feasible digital intervention in reducing symptoms of anxiety and depression. This study suggests that this intervention warrants a larger feasibility study in adults with GAD.
Trilhas Interpretativas no Brasil: Uma Proposta Para o Ensino Básico
Authors: Pedrini Alexandre 
Published: June 2020

O ensino de Biologia ou de Ciências é passível de ser por aula extraclasse através de preleções em trilhas interpretativas (TIs). Se desconhece sua efetividade pedagógica. Os objetivos do trabalho são: a) propor um modelo de classificação para avaliar a efetividade das preleções; b) analisar preleções selecionadas por essa tipologia de análise; c) propor orientações para a formulação de preleções com base crítica-freirianas, abordando uma problemática socioambiental. Foram selecionados, ao acaso, no período de setembro a dezembro de 2017, vinte trabalhos, versando sobre atividades de ensino em TIs. A tipologia de avaliação da preleção proposta possui quatro níveis de efetividade: a) Efetividade Plena (EPe); b) Efetiva (E); c) Efetividade Parcial (EPa) d) Inefetiva (I). A quase totalidade das preleções (90%) abordou questões socioambientais, mas a quase inexistência de problematização nelas foi marcante (6%). As preleções EPe alcançaram 15% e as efetivas 25%. A maioria das preleções (60%) foram inadequadas (40% de EPa somadas às 20% das inefetivas). As preleções foram biologizantes abordando a flora (100%) e fracamente humanistas com a cultura local (45%) e a ocupação histórica do território (55%). A maioria das preleções ocorreu em TIs nos estados de São Paulo (30%) e Rio de Janeiro (15%). A extensão das TIs oscilou de 0,35-2,9 km com 3-14 pontos interpretativos. O público das preleções foi composto por alunos do ensino fundamental (45%) e do ensino médio (25%), portanto de maioria do ensino básico (70%). As TIs foram 10% submarinas, sendo uma delas, parcialmente terrestre como o restante. São propostos 5 modelos de orientações para aulas extraclasses a serem ministrados em 9 pontos interpretativos ao longo de em uma trilha, quando uma questão socioambiental será problematizada, sob a perspectiva crítica-freiriana.
Coletivos Estudantis como Vanguarda Ambientalista: uma análise sobre o Recanto na Universidade Federal Fluminense
Authors: Massoni Paolo de Castro Martins 
Published: June 2020

Este artigo apresenta uma discussão sobre a contribuição dos coletivos estudantis nas universidades, com o movimento socioambientalista. É feita uma análise sobre o processo de criação e as atividades desenvolvidas na Universidade Federal Fluminense pelo coletivo Recanto e das possíveis relações dessas atividades com a educação ambiental (EA). A metodologia utilizada foi a Pesquisa-Ação-Participante e a análise de narrativas. Os principais motivos que levaram os estudantes a formar o coletivo foram a necessidade de superação da postura passiva dos estudantes; a reformulação do currículo; e o inconformismo com a má conservação e utilização dos espaços físicos da universidade. O Recanto não é um movimento isolado, nas universidades públicas brasileiras existem diversos coletivos de estudantes que buscam uma participação mais ativa no ambiente universitário e no seu processo formativo. As ações desenvolvidas pelo Recanto promoveram mudanças no processo formativo dos estudantes e na universidade, tendo como destaque o desenvolvimento da ecologia de saberes, bem como uma outra lógica de relações interpessoais, que promovem um processo alinhado à EA crítica. A atuação dos coletivos estudantis proporciona a uma maior aproximação da universidade com o restante da sociedade e com aspectos práticos. Com isso, apresentam potencial de alimentar a esperança para a busca de transformações socioambientais positivas, tanto nos estudantes quanto nos professores.
Justicia Ambiental, Capitaloceno y Cambio Climático en Brasil y Colombia. Reflexión crítica
Authors: Ramos João Marcelo Quintiliano , Campiño Iván Darío Loaiza 
Published: June 2020

La crisis climática y ecológica presenta un cuadro crítico en todo el mundo. No son suficientes los acuerdos climáticos establecidos a lo largo de estos años como forma de mitigación, adaptación y prevención a los impactos resultado de los efectos del cambio climático como iniciativas entre otras, del programa de Naciones Unidas para el ambiente. Científicos e investigadores lo consideran como una nueva Era Geológica, o Antropoceno. Justificando la responsabilidad humana, como un todo en relación a los cambios globales y se considera la interferencia humana como aspecto que prevalece en la crisis ambiental. Dentro de este espectro, la investigación vislumbra posicionar una reflexión crítica en relación a los actores realmente responsables, ubicando el Capitaloceno como una forma de perpetuar un sistema económico que reproduce desigualdades y privilegios. Diferentes organizaciones impulsan la llamada economía verde, como estrategia para ocultar el verdadero papel de las corporaciones en esta crisis y hacer compatible el capitalismo con la ecología. Estos factores se relacionan además con los conceptos de justicia ambiental y racismo ambiental, reflejados en las condiciones que enfrenta esta crisis, siendo un factor determinante de opresion en los pueblos principalmente de personas negras y pobres. En las tierras del sur global, el capitalismo se potencia también con otros sistemas de opresión y patriarcado que perpetúan esta larga historia de violencia y despojo.
UNA FÓRMULA DE CUBICACIÓN SOBRE EL PLANO
Authors: Poveda Ramos Gabriel 
Published: June 2020

Quienes estudian Cálculo integral o alguna de sus numerosas aplicaciones, conocen la fórmula de integración definida que se llama Fórmula de Simpson y que se usa para computar aproximadamente una integral definida en el caso de una funciónque está descrita por sus valores en puntos equidistantes.
Elección de la función de deseabilidad para diseños óptimos bajo restricciones
Authors: Rudnykh Svetlana Ivanovna , López-Ríos Víctor Ignacio 
Published: June 2020

El diseño experimental es una etapa clave de cualquier estudio, ya que influye directamente en la calidad de las inferencias que se pueden hacer a partir de los datos. Los diseños experimentales inadecuados pueden causar problemas en la estimación de los parámetros del modelo y/o entrar en conflicto con la práctica común de laboratorio u otras directrices establecidas. En este artículo se considera el problema de la construcción de diseños óptimos aumentados bajo restricciones para superar estas dificultades. La técnica propuesta por Parker (2005) sugiere generar diseños experimentales que cumplen con ser óptimos de acuerdo con los criterios de diseño tradicional y prácticos de acuerdo con los criterios impuestos por un investigador a través del uso de las funciones de deseabilidad. En este artículo se presentan las pautas generales para la elección adecuada de las funciones de deseabilidad que intervienen en la obtención de los diseños óptimos penalizados con características deseables. Además, se ilustra la metodología propuesta con el modelo de Michaelis-Menten y se comparan los diseños obtenidos a partir de diferentes funciones de deseabilidad.
Commercial mortgage lending: standardization issues
Authors: Ushanov Aleksandr Evgenievich 
Published: June 2020

The article states that a loan secured by commercial property (commercial mortgages), as one of the most popular types of corporate loans has a number of advantages compared to other types of borrowing: the borrower is able to quickly get the necessary amount of money for any need - business expansion, working capital, ability to Finance large deals, and the disposal
of banks remains liquid assets, quick sale which will cover damages in case of default by the cus-tomer of the terms of the loan. It is confirmed that the product is characterized by specific risks,
often resulting in refusal of credit or their manifestations in the course of servicing the debt: unac-ceptable for the lender level of capitalization and liquidity of the collateral, the degree of occupan-cy of commercial real estate and the level of indexing of interest rates on leases; rental impropriety of the object for commercial use; encumbrances accept collateral in other liabilities etc. It is noted that one of the ways to improve the process of commercial mortgage lending in order to reduce transaction risks is its standardization. In the Russian Federation, the Association of Russian Banks is developing banking standards, which to date has approved more than fifteen standards (most
of them are banking business process quality standards and methodological documents). It is pro-posed to develop a Standard for the lending process secured by commercial real estate; a matrix
of requirements for the components of this process is provided, reflecting the best practices of leading Russian banks working in the field of commercial mortgages. In using the Standard, stakeholders are both credit institutions and borrowers.
Sources of formation and evaluation of resource base of credit organization
Authors: Mandron Viktoria Valerievna , Antonenko Anton Alekseevich , Sadovnikova Viktoria Dmitrievna , Chobanyan Amalya Rudikovna 
Published: June 2020

The article describes the key factors in the development of the state economic system. One of the key factors is the stability of the banking system. Currently, the banking sector in Russia is characterized by increasing instability and a decrease in the reduction of opportunities to replenish the resource base. It is noted that the sources of developing the resource base of credit or-ganizations include own and attracted resources. Own resources include retained earnings, trust funds, formation of a statutory fund, additional contributions of shareholders to the statutory fund, mergers and acquisitions, etc. Borrowed funds comprise interbank loans, issuance of debt securities, term deposits, etc. The main part of the resource base of banking sector belongs to the large credit organizations. The structure and mechanism of creating own and attracted resources by organizations of the banking sector are examined in detail. A review and analysis of existing methods of raising funds by credit organizations is presented. The main trends in changing the resource base have been studied; the assessment of the indicators characterizing the volume and dynamics
of bank liabilities at the present stage has been presented. It has been found that the mechanism
of forming the resource base of the banking sector has the certain difficulties. A key problem in or-ganizing fundraising mechanisms is the imbalance in long-term assets and liabilities. Today, credit organizations form a significant part of their resources from short-term sources. There has been in-ferred the existence of a priority task for the credit organizations in order to increase competition and liquidity: credit organizations have to choose a method to form a resource base that, at minimal cost, will ensure the payment of dividends, replenish reserves and funds, and provide necessary conditions for the effective development of the organization activities.
Analisa Pengaruh Kualitas Pelayanan dan Kepuasan Pelanggan terhadap Loyalitas Pelanggan OVO pada Masa Physical Distancing
Authors: Dewa Chriswardana Bayu , Safitri Lina Ayu 
Published: June 2020

Dalam mencegah penyebaran COVID-19 Pemerintah Indonesia menerapkan jarak fisik. Penerapan kondisi jarak fisik menghasilkan persaingan yang semakin ketat untuk instrumen pembayaran digital, dan salah satu instrument pembayaran digital yang sedang berkembang adalah ovo. Strategi yang tepat diperlukan dalam, menghadapi persaingan antara perusahaan yang menyediakan instrument pembayaran digital untuk mencapai loyalitas pelanggan. Penelitian ini menyajikan faktor-faktor yang dapat mempengaruhi loyalitas pelanggan, yaitu kualitas layanan dan kepuasan pelanggan. Subjek penelitian ini adalah pengguna OVO di Yogyakarta dan Solo. Pemilihan sampel menggunakan non-probability sampling yang terdiri dari 120 responden. Hipotesis diuji menggunakan analisis regresi linier berganda. Studi ini menemukan bahwa kualitas layanan dan kepuasan pelanggan memiliki efek positif pada loyalitas pelanggan baik secara bersamaan maupun sebagian.
The phenomena of financial behavior of Russians (on the example of clients of Sberbank of Russia)
Authors: Smirnov V. A. 
Published: June 2020

The article examines the financial behavior of Russian customers of Sberbank of Russia. As an information base of the study, we use aggregated open data on the behavior of the Bank’s customers in all regions of Russia.The author characterizes the key trends of financial behavior of Russians, pointing to the growth of the tendency to saving.The article describes two models of financial behavior of the Bank’s customers. In the first, citizens are focused on the widespread use of credit funds, regardless of their own income. The second involves a more rational attitude to finance and is determined by the size of the average wage. The article concludes about the low financial literacy of Russians, which is manifested in the use of such inefficient financial instruments as bank deposit for savings and investments. The author points out that only a small part of Russians have formulated a financial strategy, a comprehensive plan of personal investments using a wide range of tools such as individual investment account, mutual funds, stock and bond markets.At the end of the article, some aspects of regional specifics of financial behavior are considered. Subjects of the Russian Federation are analyzed through the prism of the volume of bank deposits, expenses on plastic bank cards, the volume and number of mortgage and consumer loans.
Pengaruh kualitas daya tarik wisata budaya terhadap minat kunjungan wisatawan nusantara ke kotagede
Authors: Harahap Syariful Anhar , Rahmi Dwita Hadi 
Published: June 2020

Abstraks
Daya tarik wisata budaya Kotagede berupa bangunan arsitektur memiliki nilai keberagaman dan keunikan yang sangat tinggi. Hal tersebut diyakini dapat memicu minat wisatawan nusantara untuk berkunjung akan tetapi secara kualitas daya tarik wisata budaya Kotagede masih memiliki permasalahan dalam hal aksesibilitas dan kelengkapan fasilitas umum dan pariwisata dalam menunjang aktivitas wisatawan. Penelitian ini bertujuan untuk mengetahui kualitas daya tarik wisata budaya Kotagede, minat kunjungan wisatawan nusantara ke Kotagede dan pengaruh ke dua variabel tersebut. Dengan menggunakan metode penelitian kuantitatif dan hasil akan dianalisis menggunakan statistik deskriptif dan statistik inferensial. Hasil penelitian terhadap pengaruh kualitas daya tarik wisata budaya dan minat kunjungan wisatawan nusantara ke Kotagede yaitu: (1) daya tarik wisata budaya Kotagede memiliki nilai yang baik dan yang menjadi daya tarik utama wisata budaya Kotagede adalah keunikan dari bangunan arsitektur dan keunikan kawasan Kotagede, (2) minat kunjungan wisatawan nusantara ke Kotagede sangat tinggi dan keunikan bangunan arsitektur serta kemudahan menjangkau Kotagede menjadi faktor utama wisatawan nusantara untuk mengujungi Kotagede, (3) berdasar hasil uji person product moment dan uji t-test maka diperoleh nilai rhitung 0,540 > rtabel 0,195 dan nilai t-test thitung 6,356 > ttabel 1,661 maka dapat dinyatakan bahwa pengaruh antara kualitas daya tarik wisata budaya terhadap minat kunjungan wisatawan nusantara sebesar 0,540 adalah signifikan digeneralisasikan untuk populasi di mana diambil (Ho: tidak ada hubungan di tolak).
Kata kunci: Kualitas, Daya tarik wisata budaya, Minat kunjungan, Wisatawan Nusantara