bluuebunny/crossref_metadata_2025_split huggingface dataset:
Barriers to Creating Scalable Business Models for Digital Health Innovation in Public Systems: Qualitative Case Study
Authors: Kelley Leah Taylor , Fujioka Jamie , Liang Kyle , Cooper Madeline , Jamieson Trevor , Desveaux Laura 
Published: September 2020

Background
Health systems are increasingly looking toward the private sector to provide digital solutions to address health care demands. Innovation in digital health is largely driven by small- and medium-sized enterprises (SMEs), yet these companies experience significant barriers to entry, especially in public health systems. Complex and fragmented care models, alongside a myriad of relevant stakeholders (eg, purchasers, providers, and producers of health care products), make developing value propositions for digital solutions highly challenging.

Objective
This study aims to identify areas for health system improvement to promote the integration of innovative digital health technologies developed by SMEs.

Methods
This paper qualitatively analyzes a series of case studies to identify health system barriers faced by SMEs developing digital health technologies in Canada and proposed solutions to encourage a more innovative ecosystem. The Women’s College Hospital Institute for Health System Solutions and Virtual Care established a consultation program for SMEs to help them increase their innovation capacity and take their ideas to market. The consultation involved the SME filling out an onboarding form and review of this information by an expert advisory committee using guided considerations, leading to a recommendation report provided to the SME. This paper reports on the characteristics of 25 SMEs who completed the program and qualitatively analyzed their recommendation reports to identify common barriers to digital health innovation.

Results
A total of 2 central themes were identified, each with 3 subthemes. First, a common barrier to system integration was the lack of formal evaluation, with SMEs having limited resources and opportunities to conduct such an evaluation. Second, the health system’s current structure does not create incentives for clinicians to use digital technologies, which threatens the sustainability of SMEs’ business models. SMEs faced significant challenges in engaging users and payers from the public system due to perverse economic incentives. Physicians are compensated by in-person visits, which actively works against the goals of many digital health solutions of keeping patients out of clinics and hospitals.

Conclusions
There is a significant disconnect between the economic incentives that drive clinical behaviors and the use of digital technologies that would benefit patients’ well-being. To encourage the use of digital health technologies, publicly funded health systems need to dedicate funding for the evaluation of digital solutions and streamlined pathways for clinical integration.
Coping Skills Mobile App to Support the Emotional Well-Being of Young People During the COVID-19 Pandemic: Protocol for a Mixed Methods Study
Authors: Serlachius Anna , Schache Kiralee , Boggiss Anna , Lim David , Wallace-Boyd Kate , Brenton-Peters Jennifer , Buttenshaw Elise , Chadd Stephanie , Cavadino Alana , Cao Nicholas , Morunga Eva , Thabrew Hiran 
Published: September 2020

BackgroundThe COVID-19 pandemic is likely to increase anxiety and distress in young people worldwide. It is important to prioritize mental health during crisis events to mitigate the negative and often long-term effects of the crises on young people, families, and society. Mental health and well-being apps represent a scalable approach for improving psychological outcomes in young people and have potential to improve the equity of service access.ObjectiveThe Whitu: 7 Ways in 7 Days well-being app was recently developed by our group to address the urgent need for innovative approaches to reach young New Zealanders who are struggling to cope with the COVID-19 pandemic. The aim of this study is twofold: to evaluate the acceptability of the prototype app and to examine the effectiveness of the refined app at improving mental and emotional well-being and reducing depression, anxiety, and stress in young people in New Zealand.MethodsA two-phase mixed methods study will be undertaken to achieve these aims. During the first phase, 20 young people aged 16-30 years (including those of Māori and Pacific ethnicity) will participate in a qualitative study to help refine the prototype app. During the second phase, 90 young people aged 16-30 years will participate in a randomized waitlist-controlled trial (RCT) to evaluate the efficacy of the refined Whitu app at 4 weeks and 3 months after baseline. Outcomes will be evaluated using validated web-based questionnaires at baseline, 4 weeks, and 3 months.ResultsThe study received ethics approval in May 2020, and recruitment for the focus groups commenced in June 2020. Recruitment for the RCT is expected to commence in October 2020. Participants for both study phases will be recruited via social media and web-based communities. Data collection for the RCT is expected to be completed by January 2021, and analyses are expected to be completed by March 2021. Linear mixed modelling will be used to determine between-group differences in psychological outcomes.ConclusionsThere is an urgent need to develop culturally appropriate, scalable mental health interventions to address the psychological consequences of the COVID-19 pandemic. In this study, we will develop and test an evidence-based well-being app that, if effective, can be made available to all young people in New Zealand and internationally.Trial RegistrationAustralian New Zealand Clinical Trials Registry (ACTRN12620000516987); https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=379597.International Registered Report Identifier (IRRID)PRR1-10.2196/23716
Evaluation of the Classification Accuracy of the Kidney Biopsy Direct Immunofluorescence through Convolutional Neural Networks
Authors: Ligabue Giulia , Pollastri Federico , Fontana Francesco , Leonelli Marco , Furci Luciana , Giovanella Silvia , Alfano Gaetano , Cappelli Gianni , Testa Francesca , Bolelli Federico , Grana Costantino , Magistroni Riccardo 
Published: September 2020

Background and objectives
Immunohistopathology is an essential technique in the diagnostic workflow of a kidney biopsy. Deep learning is an effective tool in the elaboration of medical imaging. We wanted to evaluate the role of a convolutional neural network as a support tool for kidney immunofluorescence reporting.

Design, setting, participants, & measurements
High-magnification (×400) immunofluorescence images of kidney biopsies performed from the year 2001 to 2018 were collected. The report, adopted at the Division of Nephrology of the AOU Policlinico di Modena, describes the specimen in terms of “appearance,” “distribution,” “location,” and “intensity” of the glomerular deposits identified with fluorescent antibodies against IgG, IgA, IgM, C1q and C3 complement fractions, fibrinogen, and κ- and λ-light chains. The report was used as ground truth for the training of the convolutional neural networks.

Results
In total, 12,259 immunofluorescence images of 2542 subjects undergoing kidney biopsy were collected. The test set analysis showed accuracy values between 0.79 (“irregular capillary wall” feature) and 0.94 (“fine granular” feature). The agreement test of the results obtained by the convolutional neural networks with respect to the ground truth showed similar values to three pathologists of our center. Convolutional neural networks were 117 times faster than human evaluators in analyzing 180 test images. A web platform, where it is possible to upload digitized images of immunofluorescence specimens, is available to evaluate the potential of our approach.

Conclusions
The data showed that the accuracy of convolutional neural networks is comparable with that of pathologists experienced in the field.
Peningkatan Kreatifitas Berwirausaha Melalui Pelatihan Keterampilan Teknik Pada Siswa SMK Di Kota Payakumbuh
Authors: Anori Sartika , Huda Yasdinul , Novid Igor 
Published: September 2020

SMK Payakumbuh graduates who work in accordance with their fields of expertise are still very few when compared with the number of graduates who have produced. Some of the causes, among others: lack of knowledge gained by students of masih, lack of supporting tools for practicum, minimal number of productive teachers, and others. In addition to the school side, this can also be influenced by external factors. Like the growth of employment that is not proportional to the number of graduates produced. This causes competition to get jobs in accordance with the field of expertise of students increasingly stringent. To help overcome this problem, the service team provides skills training and mentoring programs to enhance the creativity and innovation of students who will graduate in producing creative products based on the technical skills possessed by SMKN 2 Payakumbuh students. The methods used during the training activities are lectures, questions and answers, demonstrations, guidance. From the activities that have been carried out, students entrepreneurial creativity is better and students know the technical skills that can be developed and have a value.
WOMEN’S EXPERIENCE IN USING “COMPLEMENTARY NURSING ON INFERTILITY”
Authors: Ingrit Belet Lydia 
Published: September 2020

The development of complementary therapies especially infertility treatment is increasing. A qualitative research was conducted to explore the experience of infertile women undergoing nursing complementary therapy. Eight women participated in this research were selected by purposive sampling method based on the inclusion criteria. Selection of participants was done using snowball sampling. Data were collected through in-depth interviews and field notes. Data analysis was performed using thematic content analysis and stages suggested by Collaizi. The results of this research were: 1) Feeling of sadness was experienced by infertile women 2) Increasing age and the insistence of the family caused anxiety to infertile women, 3) Infertile women chose nursing complementary because they want to get pregnant naturally 4) Various ways and efforts were done by infertile women to get pregnant, 5) Infertile women had appropriate perception toward complementary nursing 6) Family supports were needed to succeed the complementary nursing. In conclusion, complementary nursing was very important to be chosen as one of solution for infertile couples. It is recommended that maternity nurses optimize their roles in giving information and support to infertile women.
Gestión del conocimiento, a través de plataformas y herramientas digitales de aprendizaje ante la migración de clases presenciales a en línea
Authors: Morales Espíndola María Guadalupe , Moreno Cortés Karla Coré , Romano Cadena María Martha del Socorro , García Alarcon María del Refugio 
Published: September 2020

El presente artículo trata el tema de la gestión de las tecnologías de la educación en ambientes de aprendizaje virtuales. Ante un evento histórico, como lo es la pandemia del Covid-19, el sistema educativo se vio en la necesidad de migrar clases presenciales en educación a distancia.

Este hecho, que tomó por sorpresa a maestros y estudiantes, ha generado diversas áreas de oportunidad para mejorar las habilidades en el uso de las TIC tanto en estudiantes como en profesores. Es por ello que el objetivo de este artículo es: recomendar estrategias para gestionar adecuadamente el conocimiento ante la necesidad de migrar de clases presenciales a ambientes 100 por ciento en línea en el nivel superior, cuando existan situaciones de emergencia que impidan el aprendizaje tradicional, a través del diagnóstico de la experiencia vivida en la pandemia del Covid-19.

La investigación realizada se centró en estudiantes de la Facultad de Administración de la Benemérita Universidad Autónoma de Puebla y la respuesta de éstos ante los retos educativos que les representa el uso de plataformas digitales para dar continuidad a sus cursos presenciales.

La metodología utilizada se basó en un análisis experimental-cualitativo, con apoyo de la técnica de los grupos focales, para ahondar en las diversas perspectivas y opiniones de los sujetos de estudio que hicieron una migración obligatoria a una educación en línea.

Los resultados demuestran áreas de oportunidad para mejorar la gestión del aprendizaje en ambientes digitales.
Studi motivasi siswa dalam mengikuti pembelajaran pendidikan jasmani olahraga kesehatan
Authors: Sin Tjung Hauw , Hudayani Fakhrina 
Published: September 2020

Masalah dalam Penelitian ini adalah rendahnya motivasi belajar dalam mata pelajaran penjas siswa. Tujuan penelitian ini untuk mengetahui motivasi Intrinsik dan Ekstrinsik pada siswa dalam Proses Belajar Mengajar Pendidikan Jasmani. Penelitian ini menggunakan analisis deskriptif, yang bertujuan untuk memberikan gambaran secara umum distribusi frekuensi variabel penelitian. berdasarkan klasifikasi dan distribusi data penelitian instrumen penelitian, digunakan metoda belah dua (split-half method), Untuk menghitung tingkat reliabilitas digunakan formulasi korelasi (Product Moment) mengetahui reliabilitas setengah test, dilanjutkan dengan rumus (Spearman Brown). Hasil penelitian, yaitu (1) Ketercapaian skor motivasi intrinsik siswa dalam mengikuti Proses Belajar Mengajar Pendidikan Jasmani, sebesar 37.72 %. (2) Ketercapaian skor motivasi ekstrinsik siswa dalam mengikuti Proses Belajar Mengajar Pendidikan Jasmani, sebesar 42.98 %. Dapat disimpulkan bahwa tingkat ketercapaian skor motivasi instrinsik dan ekstrinsik siswa masih rendah.
Tour De Singkarak, West Sumatra Event Sustainable Marketing and Tourism
Authors: Susanti Retnaningtyas , Syahar Fitriana 
Published: September 2020

Tour De Singkarak is the name of an international bicycle race competition held by the government of West Sumatra Province since 2009 ago. The event was held as one of the West Sumatra government efforts to promote tourism and attract tourist visits. The central government through the Ministry of Tourism and Creative Economy supports the implementation of this grand event. Every year the number of participants and countries participating in this event increases. One of them is influenced by the increasing nominal prize that can be accepted by the participants. The implementation of TDS events cost not a little, in 2013 the TDS budget reached 4.5 billion Rupiahs.
The TDS event was held in West Sumatra to show the world about the tourism potential of West Sumatra. West Sumatra has diverse natural tourism potentials, some of which are part of TDS, among others: Lake Singkarak, Equatorial Bonjol Monument, Harau Valley, Rajo Baso Palace (Pagaruyung), Maninjau Lake (kelok 44), Jam Gadang, Padang Pariaman Beach, Lake Kandis, Lake Kembar, and Beaches on Pesisir Selatan. Most of the TDS stages pass through tourist attractions with extraordinary beauty.
Until the last event in 2013, the TDS event had not been considered to provide a continuous contribution to the 3 main aspects, economic, social and environmental in West Sumatra. It is undeniable that this event increases the attractiveness of tourism in West Sumatra in the eyes of the International, but this acquisition is not sustainable and cannot meet the requirements of sustainability. Attractive packaging must be supported by the best quality, TDS events with the international level are expected to be able to provide long-term impact on economic, social and environmental factors.
PENGARUH PELATIHAN TERHADAP PRESTASI KERJA KARYAWAN DI THE AXANA HOTEL PADANG
Authors: Awal Andre , Abrian Youmil 
Published: September 2020

Penelitian ini berasal dari pengamatan penulis terhadap perkembangan industri perhotelan yang begitu pesat, kota Padang, tetapi belum diimbangi dengan peningkatan pelayanan yang baik. Hal ini berdampak pada penurunan tingkat hunian kamar pada saat – saat tertentu di Pangeran Beach hotel Padang. Tidak stabilnya tingkat hunian kamar yang mengakibatkan turunnya pendapatan (revenue) di Pangeran Beach hotel Padang. Agar mampu bertahan di tengah-tengah persaingan tersebut, maka pihak manajemen dituntut untuk lebih memahami apa yang dibutuhkan dan diinginkan tamu dan juga mempunyai strategi pemasaran yang tepat sehingga mampu menimbulkan keputusan pembelian konsumen. Salah satunya dengan mengetahui dan memahami perilaku konsumen. Tujuan dari penelitian ini adalah untuk mengetahui Pengaruh Perilaku Konsumen Terhadap Keputusan Menginap di Pangeran Beach Hotel Padang. Jenis penelitian ini adalah kuantitatif dengan metode asosiatif kausal dengan sampel yang berjumlah 95 responden dengan kriteria: tamu yang menetapkan keputusan pembelian kamar di Pangeran Beach HotelPadang dengan syarat telah menginap di Pangeran Beach Hotel Padang. Teknik pengambilan sampel secara purposive sampling. Teknik pengumpulan data dilakukan dengan menggunakan kuesioner (angket) dengan menggunakan skala likert yang telah teruji validitas dan reliabilitasnya. Selanjutnya data dianalisis melalui analisis koefisiensi regresi dan analisis regresi linear sederhana dengan mengunakan bantuan program SPSS versi 16.00. Hasil penelitian menunjukan bahwa: (1) Perilaku Konsumen berada pada kategori cukup dengan persentase 73%, (2) Keputusan Menginap berada pada kategori baik dengan persentase 56%, (3) Hasil uji regresi linear sederhana diperoleh nilai R square 0,288 artinyaPerilaku Konsumen mempengaruhi keputusan pembeliaan sebesar 28,8% dan 71,2% dipengaruhi oleh faktor lain. Nilai F 37.621 dengan taraf signifikansi 0.000 < 0,05, ini artinya variabel perilaku konsumen dapat menjelaskan variabel keputusan menginap secara signifikan. Selanjutnya diperoleh nilai T sebesar 6.134 Dengan taraf signifikansi 0,000 < 0,05, artinya terdapat pengaruh yang signifikan antara kedua variabel. Kemudian diperoleh nilai koefisien regresi sebesar 0,629 dengan nilai signifikansi 0,000 < 0,05, artinya setiap peningkatan 1 satuan perilaku konsumen akan meningkatkan 0,629 keputusan menginap dengan demikian terdapat pengaruh yang signifikan antara variabel Perilaku Konsumen (X) Terhadap Keputusan Menginap (Y).
PENGARUH PROMOSI TERHADAP KEPUTUSAN MENGINAP DI HOTEL NEW D’DHAVE PADANG
Authors: Erdin Atikhah Riddhola , Kasmita Kasmita 
Published: September 2020

Penelitian ini berawal dari penulis melakukan pra penelitian melalui wawancara dengan Chief Accounting, penulis menemukan beberapa permasalahan seperti: penjualan kamar yang tidak stabil, kurangnya promosi melalui media sosial, lokasi hotel yang kurang strategis, tidak efektifnya promosi karena posisi marketing dipegang oleh General Manager, kurang adanya kepercayaan dari pengunjung terhadap gambaran fasilitas hotel. Penelitian ini bertujuan untuk mengetahui pengaruh promosi terhadap keputusan menginap di Hotel New d’Dhave Padang. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan pendekatan asosiatif kausal. Populasi penelitian adalah tamu yang melakukan transaksi pembelian kamar di Hotel New d’Dhave Padang dengan jumlah 4.282. Teknik pengambilan sampel dilakukan dengan metode purposive sampling dengan jumlah sampel sebanyak 100 orang. Selanjutnya data dianalisis melalui analisis regresi linear sederhana dengan bantuan program SPSS versi 20. Hasil penelitian dapat diuraikan sebagai berikut: 1) Promosi digolongkan dalam kategori cukup dengan persentase 46%, 2) Keputusan Menginap digolongkan pada kategori cukup dengan persentase 66%, 3) Berdasarkan dari hasil pengujian hipotesis, pengaruh variabel promosi terhadap variabel keputusan menginap 10,1% serta 89,9% dipengaruhi oleh faktor lain. Selanjutnya nilai signifikansi 0,001 < 0,05, disimpulkan terdapat pengaruh yang positif signifikan antara promosi (X) terhadap keputusan menginap (Y) Hotel New d’Dhave Padang. Jadi hipotesis dalam penelitian ini adalah Ha diterima.
Efectos del voto preferente en el comportamiento electoral de los partidos políticos: el caso de las elecciones al senado de la república de Colombia entre 2006 y 2018
Authors: Parra Restrepo Juan Camilo 
Published: September 2020

Este artículo aborda los efectos del voto preferente en el sistema de partidos políticos colombiano a la luz de las elecciones al Senado de la República entre el año 2006 y 2018. Específicamente se pregunta por los incentivos institucionales para los actores políticos en relación con la reputación partidista o personal y sus efectos reales en el comportamiento electoral de los partidos políticos. Teórica y metodológicamente se parte del paradigma post-positivista, de un enfoque neoinstitucional desde la elección racional y de una metodología mixta, que combina instrumentos y técnicas cualitativas con indicadores cuantitativos. Se identifica la estructura de incentivos del sistema electoral colombiano a partir de las normatividades legales utilizadas y se utilizan indicadores cuantitativos para analizar el comportamiento de los actores políticos en relación con dichos incentivos. Este ejercicio se fundamenta en la necesidad de realizar un estudio sistemático y prolongado en el tiempo de los efectos de la Reforma Política del 2003, especialmente de uno de sus instrumentos con mayor influencia en las decisiones políticas de maximización de beneficios y disminución de costos: el voto preferente.
Significaciones imaginarias y ciudadanía políticos en jóvenes protestantes evangélicos en Iberoamérica
Authors: Gómez-Gallego Rafael Ángel , Muñoz-García Claudia María 
Published: September 2020

El presente artículo, aborda el estado del arte en torno al conocimiento producido en la relación de las categorías de significaciones imaginarias y ciudadanía política, durante el periodo 2007-2018 en Iberoamérica. Este estado del arte, se realiza con el objetivo de identificar las tendencias teóricas, metodológicas y los resultados más relevantes, que han orientado las investigaciones respecto a dichas categorías, en su relación analítica, con el fin de fundamentar posteriores análisis que permitan identificar y problematizar los avances y vacíos en el campo, que ayuden a ampliar la mirada sobre estos asuntos, en el marco de la investigación doctoral “Significaciones imaginarias en torno a la ciudadanía y la religiosidad, en un grupo de jóvenes universitarios de Pereira”, la cual se encuentra en proceso de construcción y ejecución.
Preprocedural computed tomography angiography in differentiating chronic total from subtotal coronary occlusions
Authors: Abunassar Joseph , Dave Prasham , Alturki Mohammad , Abuzeid Wael 
Published: September 2020

Introduction
Differentiation of chronic total occlusion (CTO) from subtotal coronary occlusions (STOs) is often difficult to make from coronary angiography. These differences are very important, as the technical expertise and tools required are significantly different for revascularization of these lesions. We sought to determine if preprocedural computed tomography angiography (CTA) can help better diagnose and differentiate CTO from STO.

Methods
We searched three databases (Ovid MEDLINE, EMBASE, EBM reviews) from 1 January 1946 to 1 March 2019. Studies reporting on the use of computed tomography (CT) to aid in CTO revascularization were included. Case reports and case series were excluded.

Results
We identified 577 articles, and using the Preferred Reporting Items for Systematic Reviews and Meta-analyses method, 4 articles met prespecified inclusion criteria. A total of 669 patients were included. The statistically significant CT-derived parameters determined to help differentiate CTO from STO were found to include longer lesion length (four out of four studies), larger contrast density difference (one out of four studies), presence of collaterals (two out of four studies) and the presence of the reverse attenuation gradient sign (two out of four studies).

Conclusion
This systematic review shows the utility of preprocedural CTA to help differentiate CTO from STO using a number of CT-derived parameters as above. Further, this study highlights the need for further research to develop specific validated parameters for differentiation of CTO and STO.