bluuebunny/crossref_metadata_2025_split huggingface dataset:
Co-Designing a Mobile App to Improve Mental Health and Well-Being: Focus Group Study
Authors: Alqahtani Felwah , Winn Andrea , Orji Rita 
Published: October 2020

Background
Recent advances in mobile technology have created opportunities to develop mobile apps to aid and assist people in achieving various health and wellness goals. Mental health apps hold significant potential to assist people affected by various mental health issues at any time they may need it, considering the ubiquitous nature of mobile phones. However, there is a need for research to explore and understand end users’ perceptions, needs, and concerns with respect to such technologies.

Objective
The aim of this paper is to explore the opinions, perceptions, preferences, and experiences of people who have experienced some form of mental health issues based on self-diagnosis to inform the design of a next-generation mental health app that would be substantially more engaging and effective than the currently available apps to improve mental health and well-being.

Methods
We conducted six focus group sessions with people who had experienced mental health issues based on self-diagnosis (average age 26.7 years, SD 23.63; 16/32, 50% male; 16/32, 50% female). We asked participants about their experiences with mental health issues and their viewpoints regarding two existing mental health apps (the Happify app and the Self-Help Anxiety Management app). Finally, participants were engaged in a design session where they each sketched a design for their ideal mental health and well-being mobile app.

Results
Our findings revealed that participants used strategies to deal with their mental health issues: doing something to distract themselves from their current negative mood, using relaxation exercises and methods to relieve symptoms, interacting with others to share their issues, looking for an external source to solve their problems, and motivating themselves by repeating motivational sentences to support themselves or by following inspirational people. Moreover, regarding the design of mental health apps, participants identified that general design characteristics; personalization of the app, including tracking and feedback, live support, and social community; and providing motivational content and relaxation exercises are the most important features that users want in a mental health app. In contrast, games, relaxation audio, the Google map function, personal assistance to provide suggestions, goal setting, and privacy preservation were surprisingly the least requested features.

Conclusions
Understanding end users’ needs and concerns about mental health apps will inform the future design of mental health apps that are useful to and used by many people.
Mapping Evidence of Neonatal Resuscitation Training on the Practices of Unskilled Birth Attendants in Low-Resource Countries: Protocol for a Scoping Review
Authors: Olaniyi Adenike Adebola , Ncama Busisiwe Purity , Amod Hafaza 
Published: October 2020

Background
Competence in neonatal resuscitation of the newborn is very critical to ensure the safety and well-being of newborn infants. The acquisition of neonatal resuscitation skills by birth attendants improves self-efficacy, thereby reducing neonatal mortality as a result of asphyxia. Approximately one-quarter of all neonatal deaths globally are caused by birth asphyxia. The need for neonatal resuscitation is most imperative in resource-constrained settings, where access to intrapartum obstetric care is inadequate.

Objective
This protocol describes the methodology of a scoping review on evidence of training in neonatal resuscitation and its association with practice in low-resource countries. The aim of the review is to map the available evidence of neonatal resuscitation training on the practices of unskilled birth attendants.

Methods
The scoping review will use the Population, Concept, and Context (PCC) framework proposed by Arksey and O’Malley, refined by Levac et al, and published by Joanna Briggs Institute, while following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. The search strategy was developed with the assistance of the college librarian. A number of databases of peer-reviewed research (PsycINFO and Wiley Online Library [via EBSCOhost], PubMed, MEDLINE with full text, Google Scholar [via ScienceDirect], and CINAHL Plus with full text [via EBSCOhost]) and databases committed to grey literature sources will be searched, and reference extraction will be performed. Two independent reviewers will screen and extract data, and discrepancies will be resolved by a third reviewer. The extracted data will undergo a descriptive analysis of contextual data and a quantitative analysis using appropriate statistical methods.

Results
Data relating to neonatal resuscitation training and practices in low-resource settings will be extracted and included for analysis. We expect that the review will be completed 12 months from the publication of this protocol.

Conclusions
This scoping review will focus on the review of evidence and provide an insight into the existing literature to guide further research and identify implementation strategies to improve the practices of unskilled birth attendants through the acquisition of skills and self-efficacy in neonatal resuscitation. The results of this review will be presented at relevant conferences related to newborn and child health and neonatal nursing studies and published in a peer-reviewed journal.

International Registered Report Identifier (IRRID)
DERR1-10.2196/18935
Experiences of Psychotherapists With Remote Psychotherapy During the COVID-19 Pandemic: Cross-sectional Web-Based Survey Study
Authors: Humer Elke , Stippl Peter , Pieh Christoph , Pryss Rüdiger , Probst Thomas 
Published: October 2020

Background
The current situation around the COVID-19 pandemic and the measures necessary to fight it are creating challenges for psychotherapists, who usually treat patients face-to-face with personal contact. The pandemic is accelerating the use of remote psychotherapy (ie, psychotherapy provided via telephone or the internet). However, some psychotherapists have expressed reservations regarding remote psychotherapy. As psychotherapists are the individuals who determine the frequency of use of remote psychotherapy, the potential of enabling mental health care during the COVID-19 pandemic in line with the protective measures to fight COVID-19 can be realized only if psychotherapists are willing to use remote psychotherapy.

Objective
This study aimed to investigate the experiences of psychotherapists with remote psychotherapy in the first weeks of the COVID-19 lockdown in Austria (between March 24 and April 1, 2020).

Methods
Austrian psychotherapists were invited to take part in a web-based survey. The therapeutic orientations of the psychotherapists (behavioral, humanistic, psychodynamic, or systemic), their rating of the comparability of remote psychotherapy (web- or telephone-based) with face-to-face psychotherapy involving personal contact, and potential discrepancies between their actual experiences and previous expectations with remote psychotherapy were assessed. Data from 1162 psychotherapists practicing before and during the COVID-19 lockdown were analyzed.

Results
Psychotherapy conducted via telephone or the internet was reported to not be totally comparable to psychotherapy with personal contact (P<.001). Psychodynamic (P=.001) and humanistic (P=.005) therapists reported a higher comparability of telephone-based psychotherapy to in-person psychotherapy than behavioral therapists. Experiences with remote therapy (both web- and telephone-based) were more positive than previously expected (P<.001). Psychodynamic therapists reported more positive experiences with telephone-based psychotherapy than expected compared to behavioral (P=.03) and systemic (P=.002) therapists. In general, web-based psychotherapy was rated more positively (regarding comparability to psychotherapy with personal contact and experiences vs expectations) than telephone-based psychotherapy (P<.001); however, psychodynamic therapists reported their previous expectations to be equal to their actual experiences for both telephone- and web-based psychotherapy.

Conclusions
Psychotherapists found their experiences with remote psychotherapy (ie, web- or telephone-based psychotherapy) to be better than expected but found that this mode was not totally comparable to face-to-face psychotherapy with personal contact. Especially, behavioral therapists were found to rate telephone-based psychotherapy less favorably than therapists with other theoretical backgrounds.
Effect of a Smartphone-Based App on the Quality of Life of Patients With Heart Failure: Randomized Controlled Trial
Authors: Davoudi Mahboube , Najafi Ghezeljeh Tahereh , Vakilian Aghouee Farveh 
Published: October 2020

Background
Patients with heart failure have low quality of life because of physical impairments and advanced clinical symptoms. One of the main goals of caring for patients with heart failure is to improve their quality of life.

Objective
The aim of this study was to investigate the effect of the use of a smartphone-based app on the quality of life of patients with heart failure.

Methods
This randomized controlled clinical trial with a control group was conducted from June to October 2018 in an urban hospital. In this study, 120 patients with heart failure hospitalized in cardiac care units were randomly allocated to control and intervention groups. Besides routine care, patients in the intervention group received a smartphone-based app and used it every day for 3 months. Both the groups completed the Minnesota Living with Heart Failure Questionnaire before entering the study and at 3 months after entering the study. Data were analyzed using the SPSS software V.16.

Results
The groups showed statistically significant differences in the mean scores of quality of life and its dimensions after the intervention, thereby indicating a better quality of life in the intervention group (P<.001). The effect size of the intervention on the quality of life was 1.85 (95% CI 1.41-2.3). Moreover, the groups showed statistically significant differences in the changes in the quality of life scores and its dimensions (P<.001).

Conclusions
Use of a smartphone-based app can improve the quality of life in patients with heart failure. The results of our study recommend that digital apps be used for improving the management of patients with heart failure.

Trial Registration
Iranian Registry of Clinical Trials IRCT2017061934647N1; https://www.irct.ir/trial/26434
Deployment of a Smart Handwashing Station in a School Setting During the COVID-19 Pandemic: Field Study
Authors: Herbert Jeremy , Horsham Caitlin , Ford Helen , Wall Alexander , Hacker Elke 
Published: October 2020

Background
Hand hygiene is one of the most effective ways to remove germs, prevent the spread of infectious pathogens, and avoid getting sick. Since the COVID-19 pandemic began, health authorities have been advocating good hand hygiene practices.

Objective
The primary aim of this study is to field test a prototype smart handwashing station deployed in a school setting during the COVID-19 pandemic.

Methods
We deployed a smart handwashing station and examined key technological considerations including connectivity, security, and data management systems, as well as the health and safety of users.

Results
The smart handwashing station was deployed for 10 days in a school setting in Australia during the COVID-19 pandemic. The smart handwashing station’s electrical components remained operational during field testing and underwent robust cleaning protocols each day. The handwashing station was used 1138 times during the field test and there was no COVID-19 transmission at the school during the testing.

Conclusions
This study demonstrates that a personalized feedback approach using technology can successfully be implemented at a school and can provide a platform to improve hand hygiene among school-aged children.
Carotid Endarterectomy Versus Carotid Artery Stenting: Survey of the Quality, Readability, and Treatment Preference of Carotid Artery Disease Websites
Authors: Strauss Shira , Yacob Michael , Bhandari Apoorva , Jetty Prasad 
Published: October 2020

Background
The internet is becoming increasingly more important in the new era of patient self-education. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are recognized interventions to treat patients with carotid artery stenosis. Using the Google search platform, patients encounter many websites with conflicting information, which are sometimes difficult to understand. This lack of accessibility creates uncertainty or bias toward interventions for carotid artery disease. The quality, readability, and treatment preference of carotid artery disease (CAD) websites have not yet been evaluated.

Objective
This study aimed to explore the quality, readability, and treatment preference of CAD websites.

Methods
We searched Google Canada for 10 CAD-related keywords. Returned links were assessed for publication date, medical specialty and industry affiliation, presence of randomized controlled trial data, differentiation by symptomatic status, and favored treatment. Website quality and readability were rated by the DISCERN instrument and Gunning Fog Index.

Results
We identified 54 unique sites: 18 (33.3%) by medical societies or individual physicians, 11 (20.4%) by government organizations, 9 (16.7%) by laypersons, and 1 (1.9%) that was industry-sponsored. Of these sites, 26 (48.1%) distinguished symptomatic from asymptomatic CAD. A majority of sites overall (57.4%) and vascular-affiliated (72.7%) favored CEA. In contrast, radiology- and cardiology-affiliated sites demonstrated the highest proportion of sites favoring CAS, though they were equally likely to favor CEA. A large proportion (21/54, 38.9%) of sites received poor quality ratings (total DISCERN score <48), and the majority (41/54, 75.9%) required a reading level greater than a high school senior.

Conclusions
CAD websites are often produced by government organizations, medical societies, or physicians, especially vascular surgeons. Sites ranged in quality, readability, and differentiation by symptomatic status. Google searches of CAD-related terms are more likely to yield sites favoring CEA. Future research should determine the extent of website influence on CAD patients’ treatment decisions.
ANALISIS KADAR ZAT ADITIF PADA MINUMAN SIRUP RASA MARQUISA
Authors: Ariantini Nyoman Sri 
Published: October 2020

Penelitian ini bertujuan untuk mengetahui (1) apakah minuman sirup rasa marquisa yang diuji di Laboratorium Pangan dan Bahan Berbahaya, dan disampling di pasar Badung oleh bagian Pemeriksaan dan Penyelidikan mengandung zat aditif (benzoat, sorbat, sakarin), (2) kadar zat aditif (benzoat, sorbat, sakarin) yang terkandung dalam minuman sirup rasa marquisa, (3) apakah kadar zat aditif (benzoat, sorbat, sakarin) yang telah diperoleh memenuhi syarat yang telah ditetapkan Pemerintah melalui Peraturan Menteri Kesehatan No.722/Menkes/PER/IX/88, dan Standar Nasional Indonesia (SNI) 01-3544-1994.Subyek pada penelitian ini adalah minuman sirup rasa marquisa yang diambil dari Laboratorium Pangan dan Bahan Berbahaya BBPOM Denpasar, dan disampling di pasar Badung oleh bagian Pemeriksaan dan Penyelidikan (Pemdik) BBPOM Denpasar, sedangkan obyek pada penelitian ini adalah kadar zat aditif (benzoat, sorbat, sakarin). Penelitian ini adalah jenis penelitian deskriptif yang bertujuan untuk memberikan gambaran atau deskripsi mengenai kadar zat aditif (benzoat, sorbat, sakarin) dalam minuman sirup rasa marquisa. Penetapan kadar zat aditif (benzoat, sorbat, sakarin) dilakukan dengan metode HPLC.Hasil penelitian ini menunjukkan (1) minuman sirup rasa marquisa yang diuji di Laboratorium Pangan dan Bahan Berbahaya BBPOM Denpasar, dan disampling di pasar Badung oleh bagian Pemeriksaan dan Penyelidikan (Pemdik) BBPOM Denpasar, mengandung pengawet benzoat yang melebihi batas maksimum yang diizinkan oleh Peraturan Menteri Kesehatan No.722/Menkes/PER/IX/88, dan Standar Nasional Indonesia (SNI) 01-3544-1994 yaitu berkisar antara 1291,31-1632,40 ppm, (2) minuman sirup rasa marquisa ini juga mengandung pemanis sakarin yang berkisar antara 434,62-1029,24 ppm, (3) tetapi minuman sirup rasa marquisa ini tidak mengandung pengawet sorbat.
ANALISIS KADAR KALSIUM OKSALAT PADA BATU GINJAL
Authors: Handayani Ni Made Sri 
Published: October 2020

Penelitian ini adalah penelitian deskriptif yang bertujuan untuk (1) mengetahui persentase batu ginjal yang mengandung kalsium oksalat, dan (2) rentangan kadar kalsium oksalat pada batu ginjal yang positif mengandung kalsium oksalat. Subjek penelitian ini adalah batu ginjal, sedangkan objek penelitian ini adalah kadar senyawa kalsium oksalat pada batu ginjal. Penelitian ini dilakukan di Laboratorium Patologi Klinik Rumah Sakit Sanglah Denpasar dari tanggal 3 Mei 2005 sampai dengan 25 Juni 2005. Hasil penelitian menunjukkan bahwa (1) persentase kadar kalsium oksalat pada batu ginjal adalah sebanyak 75% dan (2) rentangan kadar kalsium oksalat pada batu ginjal yang positif mengandung kalsium oksalat adalah 30% sampai 81%.
ANALISIS KADAR SAKARIN PADA MINUMAN RINGAN JENIS SIRUP
Authors: Artha Putu Suardi 
Published: October 2020

Penelitian ini termasuk penelitian deskriptif yang dilaksanakan dengan tujuan untuk (1) mengetahui kadar sakarin yang terkandung dalam minuman ringan jenis sirup, dan (2) mengetahui apakah kadar sakarin tersebut memenuhi syarat PERMENKES No.722/Menkes/PER/IX/88 dan SNI 01-3544, 1992. Penelitian ini menggunakan minuman ringan jenis sirup dengan berbagai rasa sebagai subjek, dan kadar sakarin yang terkandung dalam minuman tersebut sebagai objek. Pengambilan data dilaksanakan dengan High Performance Liquid Chromatography (HPLC), dilanjutkan dengan pengolahan data menggunakan analisis regresi. Hasil analisis menujukan kadar sakarin dalam minuman ringan jenis sirup yang diteliti berkisar antara 117,45 ppm sampai dengan 580,01 ppm. Hal ini menunjukan minuman ringan jenis sirup tersebut tidak layak dikonsumsi karena melanggar Peraturan Menteri Kesehatan RI No.722/Menkes/PER/IX/88 dan Standar Nasional Indonesia (SNI) 01-3544-1994 yang menetapkan sirup harus bebas sakarin.
PENGARUH MODEL THINK PAIR SHARE BERBASIS TRI HITA KARANA TERHADAP SIKAP PEDULI SOSIAL DAN KOMPETENSI PENGETAHUAN IPA
Authors: Wara Niraha Yande Arya , Parmiti D. P. , Yudiana K. 
Published: October 2020

Penelitian yang dilakukan ini bertujuan untuk mengetahui ada dan tidaknya perbedaan yang signfikan 1) sikap peduli sosial, 2) kompetensi pengetahuan siswa dalam muatan pelajaran IPA, 3) sikap peduli sosial dan kompetensi pengetahuan siswa dalam muatan pelajaran IPA secara simultan antara siswa yang dibelajarkan melalui model kooperatif tipe Think Pair Share berbasis Tri Hita Karana dan siswa yang dibelajarkan melalui pembelajaran konvensional. Jenis penelitian ini adalah penelitian semu (quasy exsperiment) dengan rancangan penelitan Non-equivalent Post-test Only Control Group Design. Populasi dari penelitian ini adalah seluruh siswa kelas IV SD Gugus VI Kecamatan Sukasada dengan jumlah Populasi 178 siswa dan sampel dalam penelitian ini berjumlah 89 siswa yang diambil dengan teknik random sampling. Data sikap peduli sosial dikumpulkan mengunakan metode non-tes berupa kuesioner dan kompetensi pengetahuan IPA dikumpulkan mengunakan metode tes pilihan ganda. Data dianalisis dengan statistik deskrptif, inferensial, dan Manova. Hasil penelitian menunjukkan bahwa terdapat perbedaan yang signfikan: 1) sikap peduli sosial (F=488,083 (sig.) sebesar 0,000 <. 0,05), 2) kompetensi pengetahuan siswa dalam muatan pelajaran IPA (F= 45,059 (sig.) sebesar 0,000 < 0,05), 3) sikap peduli sosial dan kompetensi pengetahuan siswa dalam muatan pelajaran IPA secara simultan (F= 270,235 (sig.) sebesar 0,000 < 0,05) antara siswa yang dibelajarkan melalui model kooperatif tipe Think Pair Share berbasis Tri Hita Karana dan siswa yang dibelajarkan melalui pembelajaran konvensional. Maka dapat disimpulkan bahwa model kooperatif tipe Think Pair Share berbasis Tri Hita Karana berpengaruh terhadap sikap peduli sosial dan kompetensi pengetahuan IPA siswa.
Pengaruh Model Pembelajaran PAKEM Berbasis Tri Kaya Parisudha Terhadap Kompetensi Pengetahuan PPKN Siswa Kelas IV
Authors: Laksmi Ni Putu Mira Ayunita , Asri I G. A. Agung Sri , Putra Md 
Published: October 2020

rendahnya kompetensi pengetahuan PPKn. Tujuan penelitian ini untuk mengetahui pengaruh yang signifikan model pembelajaran PAKEM berbasis Tri Kaya Parisudha terhadap kompetensi pengetahuan PPKn. Penelitian ini merupakan penelitian eksperimen semu dengan rancangan Nonequivalent Control Grup Design. Populasi penelitian ini meliputi seluruh siswa kelas IV sebanyak 289 siswa. Sampel penelitian ini ditentukan dengan teknik Cluster Random Sampling. Data kompetensi pengetahuan PPKn dalam penelitian ini dikumpulkan dengan menggunakan tes objektif dalam bentuk pilihan ganda biasa. Setelah itu data dianalisis menggunakan uji-t. Hasil analisis data diperoleh thitung = 3,048 dengan dk = 70 dan taraf signifikansi 5% maka diperoleh ttabel = 2,000. Karena thitung 3,048 > ttabel = 2,000 maka Ho ditolak dan Ha diterima. Hal ini berarti terdapat perbedaan yang signifikan kompetensi pengetahuan PPKn siswa yang dibelajarkan menggunakan model pembelajaran PAKEM berbasis Tri Kaya Parisudha dan siswa yang dibelajarkan menggunakan pembelajaran konvensional pada siswa kelas IV. Implikasi teoretis dalam penelitian ini membuktikan model pembelajaran PAKEM berbasis Tri Kaya Parisudha dapat diterapkan dengan baik dalam pembelajaran untuk mengoptimalkan kompetensi pengetahuan PPKn siswa. Nilai rata-rata kompetensi pengetahuan PPKn kelompok eksperimen adalah = 85,094 sedangkan nilai rata-rata kompetensi pengetahuan PPKn kelompok kontrol adalah = 74,782. Jadi nilai rata-rata kompetensi pengetahuan PPKn kelompok eksperimen lebih tinggi daripada nilai rata-rata kompetensi pengetahuan PPKn kelompok kontrol yaitu 85,094 > 74,782. Dengan demikian dapat disimpulkan bahwa terdapat pengaruh yang signifikan model pembelajaran PAKEM berbasis Tri Kaya Parisudha terhadap kompetensi pengetahuan PPKn siswa kelas IV SDN Gugus Patimura Denpasar Selatan Tahun Ajaran 2019/2020.Kata Kunci: PAKEM, Tri Kaya Parisudha, PPKn