bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reducing Burnout and Promoting Health and Wellness Among Medical Students, Residents, and Physicians in Alberta: Protocol for a Cross-Sectional Questionnaire Study
Authors: Kim Esther , Mallett Robert , Hrabok Marianne , Yang Yajing Alicia , Moreau Chantal , Nwachukwu Izu , Kravtsenyuk Maryana , Abba-Aji Adam , Li Daniel , Agyapong Vincent I O 
Published: February 2020

Background
Burnout is an increasingly common and insidious phenomenon experienced by workers in many different fields, although it is of particular concern among physicians and trainees due to the nature of their work. It is estimated that one-third of practicing physicians will experience burnout during their career, and this rate is expected to continue to increase. Burnout has significant implications, as it has been identified as a contributor to increased medical errors, decreased patient satisfaction, substance use, workforce attrition, and suicide.

Objective
This study will evaluate the prevalence and impact of burnout on physicians, residents, and medical students in Alberta.

Methods
Quantitative and qualitative data collected through self-administered, anonymous, online questionnaires will be used in this cross-sectional provincial study design. Data collection tools were developed based on published literature and questions from previously validated instruments. The tools capture relevant demographic information, mental health status, and rates of burnout, as well as factors contributing to both burnout and resilience among respondents. We anticipate a sample size of 777 medical students, 959 residents, and 1961 physicians to represent the respective ratios of trainees and practicing physicians in the province of Alberta.

Results
Study recruitment will begin in September 2020, with 4 weeks of data collection. The results of this study are anticipated within 12 months from the end of data collection. It is expected that the results will provide an overview of the prevalence of burnout among those training and working in medicine in Alberta, identify contributors to burnout, and help develop interventions aimed at reducing burnout.

Conclusions
This study’s aim is to examine burnout prevalence and contributing factors among medical trainees and physicians in Alberta. It is expected that the results will identify and examine individual and organizational practices that contribute to burnout and help develop strategies and interventions focused on mitigating burnout and its sequelae.

International Registered Report Identifier (IRRID)
PRR1-10.2196/16285
Implementation Determinants and Outcomes of a Technology-Enabled Service Targeting Suicide Risk in High Schools: Mixed Methods Study
Authors: Adrian Molly , Coifman Jessica , Pullmann Michael D , Blossom Jennifer B , Chandler Casey , Coppersmith Glen , Thompson Paul , Lyon Aaron R 
Published: February 2020

BackgroundTechnology-enabled services (TESs), which integrate human service and digital components, are popular strategies to increase the reach and impact of mental health interventions, but large-scale implementation of TESs has lagged behind their potential.ObjectiveThis study applied a mixed qualitative and quantitative approach to gather input from multiple key user groups (students and educators) and to understand the factors that support successful implementation (implementation determinants) and implementation outcomes of a TES for universal screening, ongoing monitoring, and support for suicide risk management in the school setting.MethodsA total of 111 students in the 9th to 12th grade completed measures regarding implementation outcomes (acceptability, feasibility, and appropriateness) via an open-ended survey. A total of 9 school personnel (school-based mental health clinicians, nurses, and administrators) completed laboratory-based usability testing of a dashboard tracking the suicide risk of students, quantitative measures, and qualitative interviews to understand key implementation outcomes and determinants. School personnel were presented with a series of scenarios and common tasks focused on the basic features and functions of the dashboard. Directed content analysis based on the Consolidated Framework for Implementation Research was used to extract multilevel determinants (ie, the barriers or facilitators at the levels of the outer setting, inner setting, individuals, intervention, and implementation process) related to positive implementation outcomes of the TES.ResultsOverarching themes related to implementation determinants and outcomes suggest that both student and school personnel users view TESs for suicide prevention as moderately feasible and acceptable based on the Acceptability of Intervention Measure and Feasibility of Intervention Measure and as needing improvements in usability based on the System Usability Scale. Qualitative results suggest that students and school personnel view passive data collection based on social media data as a relative advantage to the current system; however, the findings indicate that the TES and the school setting need to address issues of privacy, integration into existing workflows and communication patterns, and options for individualization for student-centered care.ConclusionsInnovative suicide prevention strategies that rely on passive data collection in the school context are a promising and appealing idea. Usability testing identified key issues for revision to facilitate widespread implementation.
Performance Evaluation of an Information Technology Intervention Regarding Charging for Inpatient Medical Materials at a Regional Teaching Hospital in Taiwan: Empirical Study
Authors: Liao Min-Chi , Lin I-Chun 
Published: February 2020

Background
The process of manually recording the consumption of medical materials can be time consuming and prone to omission owing to its detailed and complicated nature. Implementing an information system will better improve work performance.

Objective
The Information System Success Model was adopted as the theoretical foundation. The opinions of nursing staff were collected to verify the impact of the system intervention on their work performance.

Methods
This cross-sectional study was conducted at a regional teaching hospital. Nursing staff were invited to participate in the field survey. A total of 296 questionnaires were collected, and of these, 284 (95.9%) were valid and returned.

Results
The key findings showed that two critical factors (“subjective norm” and “system quality”) had significant positive effects (both P<.001) on user satisfaction (R2=0.709). The path of “service quality” to “user satisfaction” showed marginal significance (P=.08) under the 92% CI. Finally, the explanatory power of the model reached 68.9%.

Conclusions
Support from the top management, appointment of a nurse supervisor as the change agent, recruitment of seed members to establish a pioneer team, and promotion of the system through the influence of opinion leaders in small groups were critical success factors needed for implementing the system in the case hospital. The target system was proven to be able to improve work performance, and the time saved could be further used for patient care, thereby increasing the value of nursing work. The positive experiences gained from this study could lay the foundation for the further promotion of the new system, and this is for future studies to replicate. The example of the successful experience of the case hospital could also serve as a reference for other hospitals in developing countries like Taiwan with regard to the promotion of nursing informatization.
An Internet-Based, Peer-Delivered Messaging Intervention for HIV Testing and Condom Use Among Men Who Have Sex With Men in India (CHALO!): Pilot Randomized Comparative Trial
Authors: Patel Viraj V , Rawat Shruta , Dange Alpana , Lelutiu-Weinberger Corina , Golub Sarit A 
Published: February 2020

BackgroundLeveraging internet-based communication tools (eg, messaging apps, SMS text messaging, and email) may be an effective avenue for delivery of HIV prevention messages to men who have sex with men (MSM) in India, but there are limited models for such internet-based interventions.ObjectiveThe CHALO! pilot was an online educational and behavioral intervention aimed to determine the feasibility, acceptability, and preliminary impact of a peer-delivered, internet-based messaging intervention for HIV testing and consistent condom use for MSM in India. The messages addressed barriers to HIV testing and condom use and were theoretically based on the information-motivation-behavioral skills model.MethodsBetween February and March 2015, we recruited, enrolled, and randomized 244 participants via online advertisements on mobile dating apps and Facebook. Eligible men (18 years or older, sexually active with other men, and self-reported HIV-negative or unknown status) were randomized to receive educational and motivational messages framed as either approach (ie, a desirable outcome to be achieved) or avoidance (an undesirable outcome to be avoided) over 12 weeks via internet-based messaging platforms. Participants completed online surveys at baseline and immediately postintervention.ResultsParticipants were similar across arms with respect to sociodemographic and behavioral characteristics. Over 82.0% (200/244) of participants were retained (ie, viewed final messages), and 52.3% (130/244) of them completed the follow-up survey. Of those completing the follow-up survey, 82.3% (107/130) liked or strongly liked participating in CHALO!. The results showed a significant increase in self-reported HIV testing in the past 6 months from baseline to follow-up (41/130, 31.5% to 57/130, 43.8%; P=.04). When including those who reported intentions to test, this percentage increased from 44.6% (58/130) at baseline to 65.4% (85/130) at follow-up (P<.01). When examining intentions to test among those without prior HIV testing, intentions increased from 32% (16/50) of the sample at baseline to 56% (28/50) of the sample at follow-up (P=.02). Condom use during anal sex did not significantly change from baseline to follow-up. HIV testing and condom use did not significantly differ between approach and avoidance conditions at follow-up.ConclusionsAs one of the first studies of an online HIV prevention intervention for Indian MSM, CHALO! was feasible to implement by a community-based organization, was acceptable to participants, and demonstrated potential to improve HIV testing rates.
Privacy-Preserving Record Linkage of Deidentified Records Within a Public Health Surveillance System: Evaluation Study
Authors: Nguyen Long , Stoové Mark , Boyle Douglas , Callander Denton , McManus Hamish , Asselin Jason , Guy Rebecca , Donovan Basil , Hellard Margaret , El-Hayek Carol 
Published: February 2020

Background
The Australian Collaboration for Coordinated Enhanced Sentinel Surveillance (ACCESS) was established to monitor national testing and test outcomes for blood-borne viruses (BBVs) and sexually transmissible infections (STIs) in key populations. ACCESS extracts deidentified data from sentinel health services that include general practice, sexual health, and infectious disease clinics, as well as public and private laboratories that conduct a large volume of BBV/STI testing. An important attribute of ACCESS is the ability to accurately link individual-level records within and between the participating sites, as this enables the system to produce reliable epidemiological measures.

Objective
The aim of this study was to evaluate the use of GRHANITE software in ACCESS to extract and link deidentified data from participating clinics and laboratories. GRHANITE generates irreversible hashed linkage keys based on patient-identifying data captured in the patient electronic medical records (EMRs) at the site. The algorithms to produce the data linkage keys use probabilistic linkage principles to account for variability and completeness of the underlying patient identifiers, producing up to four linkage key types per EMR. Errors in the linkage process can arise from imperfect or missing identifiers, impacting the system’s integrity. Therefore, it is important to evaluate the quality of the linkages created and evaluate the outcome of the linkage for ongoing public health surveillance.

Methods
Although ACCESS data are deidentified, we created two gold-standard datasets where the true match status could be confirmed in order to compare against record linkage results arising from different approaches of the GRHANITE Linkage Tool. We reported sensitivity, specificity, and positive and negative predictive values where possible and estimated specificity by comparing a history of HIV and hepatitis C antibody results for linked EMRs.

Results
Sensitivity ranged from 96% to 100%, and specificity was 100% when applying the GRHANITE Linkage Tool to a small gold-standard dataset of 3700 clinical medical records. Medical records in this dataset contained a very high level of data completeness by having the name, date of birth, post code, and Medicare number available for use in record linkage. In a larger gold-standard dataset containing 86,538 medical records across clinics and pathology services, with a lower level of data completeness, sensitivity ranged from 94% to 95% and estimated specificity ranged from 91% to 99% in 4 of the 6 different record linkage approaches.

Conclusions
This study’s findings suggest that the GRHANITE Linkage Tool can be used to link deidentified patient records accurately and can be confidently used for public health surveillance in systems such as ACCESS.
Development, Implementation, and Evaluation of a Personalized Machine Learning Algorithm for Clinical Decision Support: Case Study With Shingles Vaccination
Authors: Chen Ji , Chokshi Sara , Hegde Roshini , Gonzalez Javier , Iturrate Eduardo , Aphinyanaphongs Yin , Mann Devin 
Published: February 2020

Background
Although clinical decision support (CDS) alerts are effective reminders of best practices, their effectiveness is blunted by clinicians who fail to respond to an overabundance of inappropriate alerts. An electronic health record (EHR)–integrated machine learning (ML) algorithm is a potentially powerful tool to increase the signal-to-noise ratio of CDS alerts and positively impact the clinician’s interaction with these alerts in general.

Objective
This study aimed to describe the development and implementation of an ML-based signal-to-noise optimization system (SmartCDS) to increase the signal of alerts by decreasing the volume of low-value herpes zoster (shingles) vaccination alerts.

Methods
We built and deployed SmartCDS, which builds personalized user activity profiles to suppress shingles vaccination alerts unlikely to yield a clinician’s interaction. We extracted all records of shingles alerts from January 2017 to March 2019 from our EHR system, including 327,737 encounters, 780 providers, and 144,438 patients.

Results
During the 6 weeks of pilot deployment, the SmartCDS system suppressed an average of 43.67% (15,425/35,315) potential shingles alerts (appointments) and maintained stable counts of weekly shingles vaccination orders (326.3 with system active vs 331.3 in the control group; P=.38) and weekly user-alert interactions (1118.3 with system active vs 1166.3 in the control group; P=.20).

Conclusions
All key statistics remained stable while the system was turned on. Although the results are promising, the characteristics of the system can be subject to future data shifts, which require automated logging and monitoring. We demonstrated that an automated, ML-based method and data architecture to suppress alerts are feasible without detriment to overall order rates. This work is the first alert suppression ML-based model deployed in practice and serves as foundational work in encounter-level customization of alert display to maximize effectiveness.
Internacionalização do ensino superior
Authors: Macedo Maria do Socorro Alencar Nunes 
Published: February 2020

Neste artigo examinamos dados de uma universidade pública tomando como referência o discurso sobre internacionalização presente em seus documentos oficiais e na fala da assessoria internacional. A partir de uma perspectiva descolonial aliada a uma compreensão da língua como um discurso socialmente situado, buscamos identificar elementos que indiquem a perspectiva de internacionalização da política institucional, evidenciando possíveis marcas da lógica colonial. A análise dos documentos oficiais e da entrevista com a assessora indica uma adesão à tendência dominante que têm o inglês e os países do Norte como principal destino para a construção de parcerias internacionais, em detrimento de uma postura mais crítica que considere, em igual medida, os países da América Latina e outros do Sul-Global como possibilidades reais de investimento em parcerias mais efetivas e menos assimétricas.
Educação superior e solicitações da realidade
Authors: Lima Paulo Gomes 
Published: February 2020

Embora com desenhos distintos de Educação Superior, Brasil e Portugal não escapam à lógica do conflito, visto que as solicitações sociais, quando atendidas, são circunscritas às políticas de varejo – isto é, tem um alcance limitado de atendimento aos cidadãos quanto à oportunização, condições de acesso, permanência do/a estudante e o sucesso delimitado pela lógica de mercado em nível de promessa. Se de fato, os jovens das nações correspondem ao projeto de futuro que se deseja, as políticas e formação correlata de profissionais devem garantir uma performatividade correspondente. Diz-se, entretanto, que o custo para tal empenho possa ser inalcançável por inferir em tempo, materiais específicos, intercâmbios, dentre outros; por outra lado, sabe-se, mais caro e inoperante será a educação superior de um país que não oportuniza a formação necessária aos seus jovens, independente de classe social – desde que iminentemente eivado de vontade e disposição para trilhar tal desenho.
COMPARACIÓN DE LAS PROPIEDADES FÍSICO-MECÁNICAS DEL BAMBÚ GUADUA ANGUSTIFOLIA KUNTH DE DIFERENTES MUNICIPIOS DE COLOMBIA
Authors: Sánchez Escobar Laura Catalina 
Published: February 2020

Esta investigación se realiza mediante ensayos físico-mecánicos para la caracterización del bambú Guadua angustifolia kunth proveniente de diferentes municipios de Colombia. Este proceso que se realiza con 12 culmos de guadua de 9.00m, cortados a 1.5 m para la parte inferior, 4.5 m para la parte media y 3.00 m para la parte superior, de estas secciones se seleccionan las probetas para la realización de los ensayos de contenido de humedad, densidad, compresión paralela a la fibra, compresión perpendicular a la fibra, corte con nudo y sin nudo, tensión paralela a la fibra y flexión siguiendo los procedimientos indicados en la NTC 5525 “Métodos de ensayo para determinar las propiedades físicas y mecánicas de la Guadua angustifolia kunth”(Instituto Colombiano de Normas Técnicas ICONTEC, 2007b)“Validación de la guadua angustifolia material estructural para diseño, por el método de esfuerzos admisibles.”, Norma Sismo Resistente 2010. Los resultados de los ensayos son sometidos a revisión y análisis para documentar los datos correspondientes a los esfuerzos admisibles y determinación del módulo de elasticidad requerido para la construcción de estructuras con Guadua angustifolia kunth en todo el territorio nacional.
Relevansi Konsep Nilai Petatah Petitih Sunan Gunung Djati dalam Pendidikan Islam
Authors: Adi Kistoro Hanif Cahyo , Sibarani Aminah Nur Latifa 
Published: February 2020

Penelitian ini bertujuan untuk menjelaskan relevansi konsep petatah petitih/nasehat sunan gunung jati dengan nilai–nilai pendidikan islam. Jenis penelitian ini adalah penelitian kepustakaan (library research). Sumber data utama dari penelitian ini adalah prasasti, buku, jurnal dan karya lainnya. Sumber sekunder didapatkan dari informan melalui wawancara. Teknik Analisis data menggunakan teknik analisis konten (content analysis) dengan melakukan kritik sumber, interpretasi dan histroriografi. Dari hasil penelitian, ditarik kesimpulan bahwa metode Sunan Gunung Jati dalam pendidikan agama melalui konsep petatah-petitih. Relevansi petatah petitih dengan pendidikan islam adalah adanya keseimbangan nilai Tauhid dan kemanusiaan (tajug dan fakir miskin), shalat adalah tiang agama (yen sembahyang kungsi pucuke panah, puasa mendidik untuk sabar, jujur dan mengendalikan hawa nafsu (yen puasa den kungsi tetaling gundewa), konsisten dalam ibadah (Ibadah kang tetap), takut larangan Allah (Wedi ing Allah), mensyukuri nikmat yang diberikan (Manah den syukur lan Allah), dan selalu meminta ampunan (Kudu ngakehaken pertobat).
Kata Kunci: Relevansi, Konsep Petatah-Petitih Sunan Gunung jati, Pendidikan Islam
Analiza trendów atrakcyjności inwestycyjnej polskich miast na prawach powiatu w latach 2010 i 2017
Authors: Burzyńska Dorota , Jabłońska Małgorzata , Bartosik Grzegorz 
Published: February 2020

Przedmiot badań: Atrakcyjność inwestycyjna jest zbiorem czynników, które powodują, że dany obszar wyróżnia się spośród innych i daje więcej korzyści z prowadzenia działalności potencjal­nym inwestorom aniżeli jest to w innych regionach. Rozwój inwestycji w regionach jest determi­nowany przez wiele czynników, na które w dużej mierze wpływ mają jednostki samorządu tery­torialnego. Szczególne miejsce w trójszczeblowej strukturze administracyjnej Polski odgrywają miasta na prawach powiatu, które realizując własną politykę rozwoju, mają wpływ na rozwój lokalnej przedsiębiorczości, a w tym poziom i jakość inwestycji.
Cel badawczy: Celem niniejszej pracy było określenie poziomu atrakcyjności inwestycyjnej w miastach na prawach powiatu w Polsce oraz analiza porównawcza otrzymanych wyników w latach 2010 i 2017.1
Metoda badawcza: W oparciu o podstawy teoretyczne, które pozwoliły na dogłębne zrozumie­nie zjawiska atrakcyjności inwestycyjnej, jak i dane pochodzące z Banku Danych Lokalnych Głównego Urzędu Statystycznego, metodą korelacyjno-wagową obliczony został wskaźnik, któ­ry pozwolił na porównanie atrakcyjności inwestycyjnej miast na prawach powiatu w latach 2010 i 2017. W tym celu zdefiniowano zestaw zmiennych oraz podzielono je na mikroklimaty, które przedstawiają najważniejsze obszary brane pod uwagę przez potencjalnych inwestorów przy wyborze miejsca nowych działań gospodarczych. Do przeprowadzonej analizy wykorzystano zestaw 17 zmiennych, które zostały pogrupowane w 5 mikroklimatach.
Wyniki: Przeprowadzenie analizy zawartej w niniejszym opracowaniu miało na celu stworzenie obrazu klimatu inwestycyjnego w przekroju całego kraju. Uzyskane wyniki pozwoliły stwierdzić, iż atrakcyjność inwestycyjna miast na prawach powiatu jest uzależniona w głównej mierze od polityki prowadzonej przez samorządy. Warunki geograficzne nie dają bowiem pewności, że re­gion będzie atrakcyjny dla inwestorów jedynie dzięki dobrej lokalizacji. Przykład mogą stanowić takie miasta jak Łódź, gdzie wzrost atrakcyjności inwestycyjnej jest w dużej mierze zasługą prze­prowadzonych działań rewitalizacyjnych, oraz Lublin, gdzie władze opracowały kompleksową strategie przyciągania inwestorów do miasta.