bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluating the Effectiveness of an Intervention Integrating Technology and In-Person Sexual Health Education for Adolescents (In the Know): Protocol for a Cluster Randomized Controlled Trial
Authors: Decker Martha J. , Gutmann-Gonzalez Abigail , Price Melisa , Romero Julio , Sheoran Bhupendra , Yarger Jennifer 
Published: May 2020

Background
Access to a smartphone is nearly universal among American adolescents, and most of them have used the internet to seek health information. Integrating digital technologies into health program delivery may expand opportunities for youth to receive important health information, yet there are few rigorous studies assessing the effectiveness of this type of intervention.

Objective
The purpose of this study is to assess the effectiveness of In the Know (ITK), a program integrating in-person and technology-based sexual health education for underserved adolescents.

Methods
Youth were engaged in the development of the intervention, including the design of the digital technology and the curriculum content. The intervention focuses on 3 main areas: sexual health and contraceptive use, healthy relationships, and educational and career success. It includes an in-person, classroom component, along with a web-based component to complement and reinforce key content. A cluster randomized controlled trial is in progress among adolescents aged 13-19 years living in Fresno County, California. It is designed to examine the differences in self-reported health and behavioral outcomes among youth in the intervention and control groups at 3 and 9 months. Primary outcomes are condom and contraceptive use or no sex in the past 3 months and use of any clinical health services in the past 3 months. Secondary outcomes include the number of sexual partners in the past 3 months and knowledge of local clinical sexual health services. We will use mixed-effects linear and logistic regression models to assess differences between the intervention and control groups.

Results
Trial enrollment began in October 2017 and ended in March 2020 with a total of 1260 participants. The mean age of the participants is 15.73 (SD 1.83) years, and 69.98% (867/1239) of the participants report being Hispanic or Latino. Study results will be available in 2021.

Conclusions
ITK has the potential to improve contraceptive and clinic use among underserved youth. This trial will inform future youth-focused health interventions that are considering incorporating technology.

International Registered Report Identifier (IRRID)
DERR1-10.2196/18060
Emergency Response to COVID-19 in Canada: Platform Development and Implementation for eHealth in Crisis Management
Authors: Krausz Michael , Westenberg Jean Nicolas , Vigo Daniel , Spence Richard Trafford , Ramsey Damon 
Published: May 2020

Background
Public health emergencies like epidemics put enormous pressure on health care systems while revealing deep structural and functional problems in the organization of care. The current coronavirus disease (COVID-19) pandemic illustrates this at a global level. The sudden increased demand on delivery systems puts unique pressures on pre-established care pathways. These extraordinary times require efficient tools for smart governance and resource allocation.

Objective
The aim of this study is to develop an innovative web-based solution addressing the seemingly insurmountable challenges of triaging, monitoring, and delivering nonhospital services unleashed by the COVID-19 pandemic.

Methods
An adaptable crisis management digital platform was envisioned and designed with the goal of improving the system’s response on the basis of the literature; an existing shared health record platform; and discussions between health care providers, decision makers, academia, and the private sector in response to the COVID 19 epidemic.

Results
The Crisis Management Platform was developed and offered to health authorities in Ontario on a nonprofit basis. It has the capability to dramatically streamline patient intake, triage, monitoring, referral, and delivery of nonhospital services. It decentralizes the provision of services (by moving them online) and centralizes data gathering and analysis, maximizing the use of existing human resources, facilitating evidence-based decision making, and minimizing the risk to both users and providers. It has unlimited scale-up possibilities (only constrained by human health risk resource availability) with minimal marginal cost. Similar web-based solutions have the potential to fill an urgent gap in resource allocation, becoming a unique asset for health systems governance and management during critical times. They highlight the potential effectiveness of web-based solutions if built on an outcome-driven architecture.

Conclusions
Data and web-based approaches in response to a public health crisis are key to evidence-driven oversight and management of public health emergencies.
Measuring the Outreach Efforts of Public Health Authorities and the Public Response on Facebook During the COVID-19 Pandemic in Early 2020: Cross-Country Comparison
Authors: Sesagiri Raamkumar Aravind , Tan Soon Guan , Wee Hwee Lin 
Published: May 2020

Background
The coronavirus disease (COVID-19) pandemic presents one of the most challenging global crises at the dawn of a new decade. Public health authorities (PHAs) are increasingly adopting the use of social media such as Facebook to rapidly communicate and disseminate pandemic response measures to the public. Understanding of communication strategies across different PHAs and examining the public response on the social media landscapes can help improve practices for disseminating information to the public.

Objective
This study aims to examine COVID-19-related outreach efforts of PHAs in Singapore, the United States, and England, and the corresponding public response to these outreach efforts on Facebook.

Methods
Posts and comments from the Facebook pages of the Ministry of Health (MOH) in Singapore, the Centers for Disease Control and Prevention (CDC) in the United States, and Public Health England (PHE) in England were extracted from January 1, 2019, to March 18, 2020. Posts published before January 1, 2020, were categorized as pre-COVID-19, while the remaining posts were categorized as peri-COVID-19 posts. COVID-19-related posts were identified and classified into themes. Metrics used for measuring outreach and engagement were frequency, mean posts per day (PPD), mean reactions per post, mean shares per post, and mean comments per post. Responses to the COVID-19 posts were measured using frequency, mean sentiment polarity, positive to negative sentiments ratio (PNSR), and positive to negative emotions ratio (PNER). Toxicity in comments were identified and analyzed using frequency, mean likes per toxic comment, and mean replies per toxic comment. Trend analysis was performed to examine how the metrics varied with key events such as when COVID-19 was declared a pandemic.

Results
The MOH published more COVID-19 posts (n=271; mean PPD 5.0) compared to the CDC (n=94; mean PPD 2.2) and PHE (n=45; mean PPD 1.4). The mean number of comments per COVID-19 post was highest for the CDC (mean CPP 255.3) compared to the MOH (mean CPP 15.6) and PHE (mean CPP 12.5). Six major themes were identified, with posts about prevention and safety measures and situation updates being prevalent across the three PHAs. The themes of the MOH’s posts were diverse, while the CDC and PHE posts focused on a few themes. Overall, response sentiments for the MOH posts (PNSR 0.94) were more favorable compared to response sentiments for the CDC (PNSR 0.57) and PHE (PNSR 0.55) posts. Toxic comments were rare (0.01%) across all PHAs.

Conclusions
PHAs’ extent of Facebook use for outreach purposes during the COVID-19 pandemic varied among the three PHAs, highlighting the strategies and approaches that other PHAs can potentially adopt. Our study showed that social media analysis was capable of providing insights about the communication strategies of PHAs during disease outbreaks.
Surfactant therapy for meconium aspiration syndrome in neonates: a systematic overview of systematic reviews and recent clinical trials
Authors: Abdelaal Mohammed Ahmed , Abushanab Dina , Al-Badriyeh Daoud 
Published: May 2020

Aim:
To conduct a systematic overview of systematic reviews (SRs) and randomized clinical trials (RCTs) on surfactant therapy in neonatal meconium aspiration syndrome.
Methods:
We searched EMBASE, PROQUEST and PubMed to summarize the different effects of surfactant lung lavage and bolus surfactant therapies in neonates with meconium aspiration syndrome.
Results:
With a total of 1377 patients, three SRs and two RCTs were included in analysis. Surfactant effectiveness was concluded by low-quality SRs, with high risk of bias, which was contradicted by high-quality SRs, with low risk of bias. In SRs, the surfactant lung lavage reduced mortality, need for extracorporeal membrane oxygenation and hospitalization, while the bolus surfactant did not. In recent high-quality RCTs, however, the two modalities did not significantly differ.
Conclusion:
The evidence on surfactant effectiveness and its method of administration is sparse and inconsistent.
RANCANG BANGUN MESIN PENGUPAS TALAS SEMIR
Authors: Yusuf Asep , Sugandi Wahyu K , Zaida Zaida 
Published: May 2020

Talas Sumedang (semir) merupakan salah satu komoditas pertanian hortikultura unggulan dan bahan pangan potensial di Kabupaten Sumedang. Namun, saat ini pemanfaatannya masih terbatas. Untuk menjadikannya sebagai bahan baku olahan pangan, maka talas harus dijadikan tepung terlebih dahulu, sehingga lebih tahan lama dan dapat dibuat menjadi aneka produk olahan pangan. Proses pengolahan talas menjadi tepung ada tahapan penting yang harus dilalui yaitu proses pengupasan. Proses pengupasana secara manual memerlukan waktu yang cukup lama serta membutuhkan tenaga kerja yang cukup banyak. Hal ini menjadi kendala apabila kapasitas produksi sudah besar serta berlanjutan (kontinyu). Dengan demikian dibutuhkan peran mekanisasi pertanian untuk mengatasi masalah tersebut yaitu dengan dirancang bangun mesin pengupas talas.Penelitian ini bertujuan untuk merancang bangun mesin pengupas talas talas untuk proses pascapanen dan menjadikannya sebagai bahan pangan alternatif potensial. Penelitian akan dilaksanakan pada bulan April - November 2016 bertempat di Bengkel Logam, Kayu dan Rotan, Laboratorium Alat dan Mesin Pertanian, Departemen Teknik Pertanian dan Biosistem, Fakultas Teknologi Industri Pertanian UNPAD, Jatinangor.Hasil pengujian menunjukkan bahwa mesin bekerja dengan baik dengan kapasitas aktual 78,8 kg/jam, efisensi mesin 78,74% dan hasil kupasan sudah merata pada semua pemukaan talas namun masih belum bersih karena proses pengupasan belum disertai penyiraman menggunakan air.
Peranan Apoteker dalam Pelayanan Kefarmasian pada Penderita Hipertensi
Authors: Ayu Galih Ajeng , Syaripuddin Muhamad 
Published: May 2020

Pharmaceutical care (PC) adalah program layanan kefarmasian yang berorientasi kepada pasien dimana apoteker bekerja sama dengan tenaga kesehatan lainnya dalam mencapai hasil klinik yang baik dan mengoptimalkan kualitas hidup pasien. Apoteker dapat berperan secara aktif dalam penatalaksanaan terapi hipertensi melalui pelayanan PC dengan melakukan assesmen, menyusun rencana pengobatan, implementasi dan monitoring. Tujuan tulisan ini adalah untuk mengidentifikasi peran apoteker pada pasien hipertensi beserta hasil intervensi yang dilakukannya. Tulisan ini merupakan literature review dari berbagai peneltian yang berkaitan dengan peranan apoteker melaksanakan program PC pada pasien hipertensi. Pencarian literatur dilakukan dengan menggunakan kata kunci pharmacist intervention, pharmaceutical care, hypertension patient, dengan format pdf mulai tahun 2010 hingga 2018. Beberapa literatur yang dianggap penting dan berkaitan dengan topik tulisan dirangkum dan dianalisis secara kualitatif. Kemudian dibuat kesimpulan dari hasil analisis yang dilakukan. Hasil literatur menunjukan bahwa populasi yang pernah diteliti adalah populasi pasien hipertensi baik tanpa atau dengan komorbiditas seperti kolesterol dan diabetes. Intervensi apoteker yang dapat dilakukan adalah berupa konseling, penyesuaian obat dan pendidikan kepada pasien. Hasil yang diperoleh adalah terkendalinya tekanan darah pasien, berkurangnya faktor resiko, kepatuhan berobat yang meningkat dan peningkatan kualitas hidup pasien. Kata kunci : Apoteker, Pelayanan kefarmasian, Pasien hipertensi
Hubungan Antara Aktivitas Fisik dan Konsumsi Zat Besi dengan Status Gizi pada Remaja Putri di SMP Yayasan Pendidikan Islam Bintaro Jakarta Selatan Tahun 2017
Authors: Erny Ernyasih , Tri handari Siti Riptifah 
Published: May 2020

Setiap tahun semakin banyak remaja yang tidak seimbang dalam mengatur pola makan. Lebih dari seperempat remaja perempuan memiliki berat badan kurang di 11 dari 64 negara dan lebih dari sepertiga remaja putri mengalami anemia di 21 dari 41 negara. Pola konsumsi berhubungan dengan status gizi, konsumsi pangan remaja perlu diperhatikan karena pertumbuhan yang sangat cepat, sehingga kebutuhan pertumbuhan dan aktivitas juga meningkat. Jika berbagai aktifitas fisik dan pertumbuhan meningkat tidak diimbangi dengan masukan zat gizi yang cukup maka tubuh akan mengalami masalah gizi (Malnutrisi). Tujuan penelitian ini adalah diketahuinya hubungan aktivitas fisik, pola makan dengan status gizi pada remaja putri di SMP Yayasan Pendidikan Islam Bintaro Jakarta Selatan. Penelitian ini merupakan penelitian kuantitatif dengan desain studi cross sectional. Penelitian ini dilakukan di SMP yayasan Pendidikan Islam Bintaro Jakarta Selatan dan pengumpulan data dilakukan pada bulan febuari sampai April 2018. Populasi pada penelitian ini adalah 260 siswi dengan sampel 76 siswi. Analisis data menggunakan univariat dan bivariat menggunakan chi-square. Hasil penelitian menunjukan bahwa Responden yang beraktivitas ringan (71,1%), aktivitas sedang (17,1%) dan aktivitas tinggi (11,8%). Pola makan responden yang jarang mengkonsumsi sumber heme (67.1%), sering (32,9%) jarang mengkonsumsi sumber non-heme (59,2%), sering (40,8%), jarang mengkonsumsi penghambat zat besi 63,2%), sering (36,8%), pernah mengkonsumsi suplemen zat besi (2,6%), tidak pernah (97,4%). Status gizi kurang (40,8%), normal (48,7%), lebih (10,5%). Tidak ada hubungan antara aktivitas fisik dengan status gizi (p value 0,298), ada hubungan antara konsumsi sumber zat heme dengan status gizi (p value 0,016), tidak ada hubungan antara konsumsi sumber zat non-heme dengan status gizi (p value 0,627), tidak ada hubungan antara konsumsi penghambat zat besi dengan status gizi (p value 0,762), tidak ada hubungan antara konsumsi suplemen zat besi dengan status gizi (p value 0,130). Hasil analisis menunjukkan bahwa terdapat hubungan antara konsumsi sumber zat heme dengan status gizi (p value 0,016). Zat besi heme akan mempengaruhi status gizi karena zat besi yang berasal dari bahan makanan hewani (zat besi heme) mempunyai tingkat absorpsi 20-30%. Besi heme lebih mudah diserap dan penyerapannya tidak tergantung dengan zat makanan lainnya. Kata Kunci: Status Gizi, Aktivitas Fisik, Pola Makan, Remaja
Analisis Penggunaan Garam Low Sodium Salt terhadap Kadar Natrium dan Daya Terima Mandai Goreng
Authors: Salman Yuliana , Herbiati Siti , Yasmin Firyal 
Published: May 2020

Peningkatan tekanan darah atau biasa disebut hipertensi sampai saat ini masih merupakan penyebab utama dan faktor risiko yang penting terhadap penyakit kardiovaskular, serebrovaskular, penyakit jantung, dan gagal ginjal. Tujuan umum dari penelitian ini menganalisis kandungan natrium dan daya terima mandai goreng rendah natrium sebagai makanan alternatif bagi penderita hipertensi. Metode yang digunakan dalam penelitian ini adalah metode eksperimen menggunakan Rancangan Acak Lengkap (RAL) yang terdiri dari atas 4 perlakuan dan 3 kali replikasi dengan perlakuan kontrol F0 (fermentasi menggunakan garam dapur 10%), F1 (fermentasi menggunakan garam rendah natrium 2%), F2 (fermentasi menggunakan garam rendah natrium 6%), F3 (fermentasi menggunakan garam rendah natrium 10%). Kadar natrium diuji dengan metode AAS (Atomic Absorption Spectroscopy), sedangkan uji daya terima dengan metode Hedonic Scale Scoring.. Analisis data kadar natrium menggunakan one way anova dan data daya terima menggunakan analisis friedman. Hasil penelitian menunjukkan bahwa nilai rata-rata kadar natrium terendah adalah mandai pada perlakuan F1 dengan konsentrasi 2% yaitu sebesar 0,87% dengan hasil uji statistik (p=0,000<α=0,05), yang artinya ada pengaruh terhadap kadar natrium mandai goreng. Nilai tertinggi daya terima yang terdiri dari warna 3,32 (F1), aroma 3,20 (F1 dan F3), tekstur 3,12 (F1) dan rasa 3,28 (F1). Mandai rendah natrium berpengaruh terhadap daya terima rasa yang dihasilkan karena p=0,015<α(p<0,05). Rekomendasi produk mandai yang dapat dijadikan alternatif bagi penderita hipertensi adalah mandai rendah natrium dengan perlakuan F1 yaitu 0,87% yang setara dengan 870mg/100g dengan konsentrasi garam rendah natrium 2%.Kata kunci : Mandai, Kadar natrium, Daya terima mandai goreng
Transitioning, Belonging, and the Black Student Experience: A Phenomenological Study
Authors: Morgan Kali , Lane Tonisha , Hutchful Jimmy , Willis Selene , Clarke Jr. LaFrance , Rivera Camille 
Published: May 2020

The purpose of this phenomenological study was to explore the orientation and transitional experiences of Black undergraduate students at Metropolitan State University (MSU, pseudonym) an urban, public research university in the southeastern region of the United States. MSU is a unique research site for this study, as Black students’ six-year graduation rates equal that of White students. Using sense of belonging as a conceptual framework, the research team collected data from 28 participants in seven focus groups throughout the 2018-2019 academic year. Findings revealed that participants experienced disparate orientation and transitional experiences, as well as a poor racial climate throughout their time at MSU. Specifically, participants noted a shortage of Black faculty, limited Black cultural programming, and a need for identity-based space. Among working with campus partners to improve the racial climate, implications for orientation professionals include recruiting professional and student staff members who represent the racial composition of the university and ensuring culturally relevant content during orientation programs.
The Impact of an Online Orientation Program on Student Success at a Community College
Authors: Lerner Colucci Rachel 
Published: May 2020

This study examined the effectiveness of an online orientation program on participation and student success for a defined cohort of students at a mid-size community college in the mid-Atlantic region. Specifically, a quantitative analysis focused on differences in grade point average (GPA) and retention as success factors among students who completed the online orientation versus students who only started but did not finish and students who did not attempt the program at all.
The findings indicate a statistically significant difference in fall to spring retention and cumulative GPA earned after the first semester for students who complete the online orientation module over students who access but do not complete and students who do not access the program. Further, follow-up survey data indicate students felt more prepared to attend the college and utilize programs and services after completing the program.
The study contributes to the research and literature on online orientation programs, specifically in the community college setting, and the researchers offers a discussion of results and recommendations for policy, practice, and future research.
Molecular Characterization of the Surface Excess Charge Layer in Droplets
Authors: Kwan Victor , Consta Styliani 
Published: May 2020

Charged droplets play a central role in native mass spectrometry, atmospheric aerosols and in serving as micro-reactors for accelerating chemical reactions. The surface excess charge layer in droplets has often been associated with distinct chemistry. Using molecular simulations for droplets with Na+ and Cl- ions we have found that this layer is ≈ 1.5−1.7 nm thick and depending on the droplet size it includes 33%-55% of the total number of ions. Here, we examine the eﬀect of droplet size and nature of ions in the structure of the surface excess charge layer by using molecular dynamics. We ﬁnd that in the presence of simple ions the thickness of the surface excess charge layer is invariant not only with respect to droplet size but also with respect to the nature of the simple ions and it is not sensitive to ﬁne details of diﬀerent force ﬁelds used in our simulations. In the presence of macroions the excess surface charge layer may extend to 2.0. nm. For the same droplet size, iodide and model hydronium ions show considerably higher concentration than the sodium and chloride ions. We also ﬁnd that diﬀerences in the average water dipole orientation in the presence of cations and anions in this layer are reﬂected in the charge distributions. Within the surface charge layer, the number of hydrogen bonds reduces gradually relative to the droplet interior where the number of hydrogen bonds is on the average 2.9 for droplets of diameter < 4 nm and 3.5 for larger droplets. The decrease in the number of hydrogen bonds from the interior to the surface is less pronounced in larger droplets. In droplets with diameter < 4 nm and high concentration of ions the charge of the ions is not compensated only by the solvent polarization charge but by the total charge that also includes the other free charge. This ﬁnding shows exceptions to the commonly made assumption that the solvent compensates the charge of the ions in solvents with very high dielectric constant. The study provides molecular insight into the bi-layer droplet structure assumed in the equilibrium partitioning model of C. Enke and assesses critical assumptions of the Iribarne-Thomson model for the ion-evaporation mechanism.